Abstract:
Background:
Currently, there is a growing interest in lacto-engineering in the neonatal intensive care unit, using infrared milk analyzers to rapidly measure the macronutrient content in breast milk before processing and feeding it to preterm infants. However, there is an overlap in the spectral information of different macronutrients, so they can potentially impact the robustness of the measurement. In this study, we investigate whether the measurement of protein is dependent on the levels of fat present while using an infrared milk analyzer.
Methods:
Breast milk samples (n=25) were measured for fat and protein content before and after being completely defatted by centrifugation, using chemical reference methods and near-infrared milk analyzer (Unity SpectraStar) with two different calibration algorithms provided by the manufacturer (released 2009 and 2015).
Results:
While the protein content remained unchanged, as measured by elemental analysis, measurements by infrared milk analyzer show a difference in protein measurements dependent on fat content; high fat content can lead to falsely high protein content. This difference is less pronounced when measured using the more recent calibration algorithm.
Conclusions:
Milk analyzer users must be cautious of their devices’ measurements, especially if they are changing the matrix of breast milk using more advanced lacto-engineering.
Acknowledgments
Christoph Fusch holds the Hamilton Health Sciences Foundation – Jack Sinclair Chair in Neonatology at McMaster University, Faculty of Health Sciences.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: The study is funded by Canadian Institute of Health Research (CIHR) #MOP – 125883.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
References
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©2017 Walter de Gruyter GmbH, Berlin/Boston
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- Frontmatter
- Editorial
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- Reviews
- Sample types applied for molecular diagnosis of therapeutic management of advanced non-small cell lung cancer in the precision medicine
- The impact of pneumatic tube system on routine laboratory parameters: a systematic review and meta-analysis
- Opinion Paper
- How to reduce scientific irreproducibility: the 5-year reflection
- EFLM Paper
- Strategies to define performance specifications in laboratory medicine: 3 years on from the Milan Strategic Conference
- General Clinical Chemistry and Laboratory Medicine
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- Biochemical testing in a laboratory tent and semi-intensive care of Ebola patients on-site in a remote part of Guinea: a paradigm shift based on a bleach-sensitive point-of-care device
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- Automated antinuclear immunofluorescence antibody analysis is a reliable approach in routine clinical laboratories
- Infrared analyzers for breast milk analysis: fat levels can influence the accuracy of protein measurements
- Hematology and Coagulation
- A new approach to define acceptance limits for hematology in external quality assessment schemes
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- Thyroglobulin autoantibodies before radioiodine ablation predict differentiated thyroid cancer outcome
- Cardiovascular Diseases
- Real life dabigatran and metabolite concentrations, focused on inter-patient variability and assay differences in patients with atrial fibrillation
- Infectious Diseases
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- Letters to the Editor
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