WO2008144145A1 - Acidified liquid human milk supplement - Google Patents
Acidified liquid human milk supplement Download PDFInfo
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- WO2008144145A1 WO2008144145A1 PCT/US2008/061001 US2008061001W WO2008144145A1 WO 2008144145 A1 WO2008144145 A1 WO 2008144145A1 US 2008061001 W US2008061001 W US 2008061001W WO 2008144145 A1 WO2008144145 A1 WO 2008144145A1
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- human milk
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- liquid human
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- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23C—DAIRY PRODUCTS, e.g. MILK, BUTTER OR CHEESE; MILK OR CHEESE SUBSTITUTES; MAKING THEREOF
- A23C9/00—Milk preparations; Milk powder or milk powder preparations
- A23C9/20—Dietetic milk products not covered by groups A23C9/12 - A23C9/18
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- A—HUMAN NECESSITIES
- A23—FOODS OR FOODSTUFFS; TREATMENT THEREOF, NOT COVERED BY OTHER CLASSES
- A23L—FOODS, FOODSTUFFS, OR NON-ALCOHOLIC BEVERAGES, NOT COVERED BY SUBCLASSES A21D OR A23B-A23J; THEIR PREPARATION OR TREATMENT, e.g. COOKING, MODIFICATION OF NUTRITIVE QUALITIES, PHYSICAL TREATMENT; PRESERVATION OF FOODS OR FOODSTUFFS, IN GENERAL
- A23L33/00—Modifying nutritive qualities of foods; Dietetic products; Preparation or treatment thereof
- A23L33/40—Complete food formulations for specific consumer groups or specific purposes, e.g. infant formula
Definitions
- the present invention relates to liquid human milk supplements for infants.
- Preterm or premature infants are categorized as those infants born prior to the 37th week of gestation and/or weighing less than 2,500 grams at birth. Growth rates for preterm infants should ideally meet or exceed age-specific intrauterine growth rates in order to facilitate catch-up growth with term infants. Due to their undeveloped digestive systems and overall developmental immaturity, however, many preterm infants present special nutritional needs. [0003] In general, human milk, because of its nutrient composition and immunological properties, is considered an ideal food for infants. While there are tremendous benefits provided by feeding preterm infants breast milk, their immature digestive systems and limited sucking and swallowing reflexes often prevent preterm infants from consuming adequate amounts of breast milk to satisfy their nutritional needs.
- human milk is typically too low in protein and certain minerals to meet the demands for rapid growth required by many preterm infants.
- protein which is cruciai for growth and maintenance of lean body mass, as well as other mediators of biochemical function (e.g. enzymes, immune factors, and some hormones)
- minerals such as calcium and phosphorus, which are necessary for appropriate bone development and bone density, and vitamins such as, for example, vitamin D should also be supplemented into the diet of a preterm human milk-fed infant.
- the energy density of human milk typically requires that preterm infants be fed a volume of miik that is too high to be well-tolerated by the infants.
- preterm infants can tolerate total daily feedings of between 100 and 150 ml per kg of the infant's weight. Since the caloric content of human milk is approximately 67 kcal per 100 m! of milk (20 kcal per fluid ounce of milk), and preterm infants require approximately 120 kcal per kg of weight per day, the volume of human milk that can be tolerated by these infants supplies less than 80% of the infant's energy needs. Thus, in order to provide a caloric intake that meets the specialized nutritional needs of preterm infants in a volume of milk that the infants can tolerate, the caloric content of the human milk should be additionally supplemented with a source of energy such as fats or carbohydrates.
- a source of energy such as fats or carbohydrates.
- the present invention is directed to a novel liquid human milk supplement comprising a protein component, a fat component, a carbohydrate component, vitamins, and minerals.
- the pH of the human milk supplement may be between about 4.0 and 4.6.
- the invention is also directed to a composition for administering to infants comprising a combination of the human milk supplement described above and human milk.
- the composition may have a ratio of supplement to milk of between about 1 :2 and 1 : 10, 1 :4 and 1 :6 or about
- the invention is directed to a liquid human milk supplement comprising a fat component and a carbohydrate component, wherein the pH of the human milk supplement is between about 4.0 and 4.6.
- the fat component comprises greater than about 30% of the caloric content of the supplement and the carbohydrate component comprises less than about 10% of the caloric content of the supplement.
- human milk supplement or “human milk fortifier” refer to an additive for human milk. In some embodiments, the human milk supplement or fortifier may improve the nutritional content of certain components of human milk.
- liquid can encompass any water- based composition such as, for example, a fluid or a gel.
- probiotic means a microorganism that can exert beneficial effects on the health of its host.
- prebiotic means any ingredient that stimulates the growth and activity of the beneficial microbiota of the gastrointestinal tract.
- the present invention is directed to an acidified liquid human milk supplement. More specifically, the human milk supplement contains protein, fat, carbohydrate, vitamins and minerals, and has a pH which is between about 4.0 and 4.6 in an embodiment. In other embodiments, the pH of the human miik supplement is less than about 4.6. In some embodiments, the pH of the supplement may be between about 4.2 and 4.4. In a particular embodiment, the pH of the formula may be about 4.3.
- microorganisms exhibit optimal growth in a pH environment above 4.6.
- an acidified human milk supplement having a pH of less than about 4.6
- the growth of many human health pathogens such as C. botulinum and E. sakazakii, as well as many food spoilage microorganisms may be reduced or prevented.
- a reduced pH may also prevent the growth of mesophiiic and thermophilic spores.
- the present invention reduces the likelihood that microbial growth will occur in the product during the time the product is in shipment, in storage, or placed on a product display shelf.
- Microbial populations that would grow at or below a pH of 4.6 are typically destroyed during the heat treatment of the product.
- the pH of the supplemented human miik fed to an infant will be lowered when the human miik supplement of the invention is added to human milk, delivery of a nutrient rich diet is not impaired by the addition of the acidified human milk supplement, in addition, the human milk to which the supplement has been added maintains a low viscosity, contains few or no observable lumps or clumps, delivers the augmented nutrients, and the infant can be fed utilizing standard pre-term feeding equipment and methods.
- the supplement is added to human milk at a ratio of supplement milk of between about 1 :2 and 1:10.
- the ratio of suppiementmilk is between about 1 :4 and 1 :6.
- the ratio of supp!ement:milk is about 1 :5.
- about 5 ml of supplement may be added to between about 10 and 50 ml human m ⁇ k. In another embodiment, about 5 ml of supplement may be added to between about 20 and 30 ml human milk. In a particular embodiment, about 5 ml of supplement may be added to about 25 ml human m ⁇ k.
- the supplement of the invention may be administered separately from, but in combination with, a human milk diet.
- a human milk diet about 5 ml of supplement may be fed to the infant separately from a human milk feeding.
- the ratio of supplement to milk in this embodiment may be between about 1:2 and 1:10, 1 :4 and
- the fat component comprises greater than about 30% of the caloric content of the supplement and the carbohydrate component comprises less than about 10% of the caloric content of the supplement. It is believed that these levels of fat and carbohydrate will provide the increased caloric content required for preterm infants but minimize unnecessary increases in the osmolality of the human milk.
- Osmolality refers to the concentration of osmotically-active particles in an aqueous solution per unit weight of solvent, and is expressed in m ⁇ sm/kg solvent.
- hyperosmolar solution i.e., an aqueous solution having osmolality higher than that of normal body fluids (approximately 300 m ⁇ sm/kg water)
- hyperosmolar solution may cause an osmotic effect in the stomach and small intestine in which water is drawn across the epithelium of the gastrointestinal tract into the lumen. This influx of water into the gastrointestinal tract dilutes the concentration of osmoticaily- active particles and may cause diarrhea, nausea, cramping, abdominal distension, regurgitation and vomiting.
- Carbohydrates are an energy source readi ⁇ y available for incorporation into human milk supplements. However, they may have high osmotic activity, particularly simple carbohydrates or those carbohydrates that are rapidly hydrolyzed. Even complex carbohydrates, such as starch or maitodextrin, can significantly increase the osmolality of the supplemented human milk since they may be rapidly hydrolyzed by amylase, an enzyme normally present in human milk. [00026] In an embodiment of the present invention, it has been discovered that a human milk supplement which comprises at least about 30% of the caloric content of the supplement from fat and less than about
- osmolality increases resulting from the addition of the human mifk supplement of the invention to human milk may be less than about 80 m ⁇ sm/kg water.
- osmolality increases resulting from the addition of the human milk supplement of the invention to human milk may be less than about 50 m ⁇ sm/kg water.
- osmolality increases resulting from the addition of the human miik supplement of the invention to human milk may be between about 30 and 80 m ⁇ sm/kg water.
- the fat component of the invention may comprise, in an embodiment, at least about 30% of the caloric content. In another embodiment, the fat component may comprise at ieast about 50% of the caloric content. In yet another embodiment, the fat component may comprise between about 50% and about 75% of the caloric content. In a particular embodiment, the fat component may comprise about 65% of the caloric content.
- the fat component on a dry weight basis, could comprise up to about 55% of the human milk supplement, by weight, including from about 10% to about 55%, from about 15% to about 50%, and from about 35% to about 45%.
- the carbohydrate component of the invention may comprise less than about 10% of the caloric content. In another embodiment, the carbohydrate component may comprise less than about 7% of the caloric content. In yet another embodiment, the carbohydrate component may comprise between about 2% and about 7% of the caloric content, in a further embodiment, the carbohydrate component may comprise between about 4% and about 7% of the caloric content. In a particular embodiment, the carbohydrate component may comprise between about 4.5% and about 6.5% of the caloric content. In yet another embodiment, the carbohydrate component may comprise between about 5.0 and 5.5% of the caloric content.
- the carbohydrate component on a dry weight basis, could comprise up to about 65% of the human milk supplement, by weight, including from about 5% to about 30% and from about 5% to about 15%.
- the amount of calcium present in the human m ⁇ k supplement may be between about 20 and 40 mg per 5 ml supplement In another embodiment, the amount of calcium present in the supplement may be between about 25 and 35 mg per 5 ml supplement. In a particular embodiment of the invention, the amount of calcium present in the supplement may be about 29 mg per 5 ml supplement.
- the calcium may be present in the supplement as soluble calcium, insoluble calcium, or a combination thereof.
- the supplement of the present invention may contain adequate amounts of iron to prevent the onset of anemia in preterm infants and avoid developmental abnormalities associated with iron deficiency.
- iron is present in an amount of about 0.1 mg to about 1.0 mg per 7.5 kcal of supplement. In other embodiments, iron is present in an amount of about 0.2 mg to about 0.75 mg per 7.5 kcal of supplement. In a particular embodiment, iron is present in an amount of about 0.44 mg per 7.5 kcai of supplement.
- the present human milk supplement is designed such that, when added to human milk, the supplemented human miik is capable of delivering to the infant approximately 24 kcal per fluid ounce (approximately 81 kcal per 100 ml).
- the human milk supplement of the invention comprises protein and minerals in amounts that are higher than those normally present in human milk. The higher concentration of nutrients in this embodiment of the invention also avoids over-dilution of the human milk to which the supplement is added.
- the liquid nutritional supplement of the present invention may contain at ieast 7,5 kcal per 5 mi supplement.
- the supplement contains between about 6 kcal and about 9 kcal per 5 ml supplement.
- the supplement contains about 7.5 kcal per 5 ml supplement.
- the supplement contains between about 6.25 and about 30 kcal per 5 ml supplement, depending upon its dilution ratio.
- any fat known in the art can be used in the present invention, provided it is suitable for combination with the other components of the supplement.
- Exemplary fats include soy oil, medium chain triglycerides (MCT oil), corn oil, oiive oil, structured triglycerides, palm olein, sunflower oil, safflower oil, coconut oil, palm oil, cottonseed oil, high oleic safflower, high oleic sunflower, cottonseed oils, and canola oil.
- the fat source can comprise one or more of these oils.
- Emulsifiers such as lecithin, may replace a small portion of the fat composition, but usually not more than 3%,
- Any carbohydrate suitable for infant consumption may be used in the present invention, provided it is suitable for combination with the other components of the supplement.
- Commercial sources for these carbohydrates are known to the ordinary practitioner of the art.
- One particular carbohydrate that could be utilized is corn syrup solids.
- Other carbohydrates that are useful in the invention include starches, such as corn, tapioca, rice, or potato, cornstarch, maltodextrin, glucose polymers, sucrose, corn syrup, glucose, rice syrup, fructose, high fructose corn syrup, or indigestible oligosaccharides.
- the carbohydrate may be hydrolyzed (partially or extensively) or intact and may be non-modified or chemicaily modified.
- Protein sources suitable for use in the present invention include most any protein or nitrogen source suitable for infant consumption, provided it is suitable for combination with the other components of the supplement
- protein sources useful in the invention may include free amino acids, milk protein, casein, whey, animal protein, cereal protein, vegetable protein, or combinations thereof.
- Intact or hydrolyzed proteins such as hydroiyzed whey protein isolate, can be used in the invention. If the protein is hydrolyzed, it may be partially hydrolyzed or extensively hydrolyzed. Particular proteins that may be used are hydrolyzed whey protein isolates such as BioZate 3, from Davisco Foods; WPH 8350, from Hilmar ingredients; or WPH NZMP 917 or WPH Alacen
- the protein source in some embodiments, may be a combination of intact protein and hydrotyzed protein.
- the protein component may comprise about 30% of the caloric content of the supplement, In other embodiments, the protein component may comprise between 20% and 40% of the caloric content of the supplement. In other embodiments, the protein component could comprise between about 15% and 45% of the human milk supplement, by weight, including from about 20% to about 35% and from about 28% to about 33%, on a dry weight basis.
- Vitamins that may be employed in the present invention include, for example, vitamin A, vitamin D, vitamin E, vitamin K-i, thiamin, riboflavin, vitamin B 6 , vitamin B 12 , niacin, folic acid, pantothenic acid, biotin, and vitamin C.
- Mineral nutrients that may be added include, for example, calcium, phosphorus, magnesium, zinc, manganese, copper, sodium, potassium, chloride, iron, selenium, chromium, and molybdenum. Additional vitamins and minerals that can be added are within the knowledge of a person with ordinary skill in the art who can determine the appropriate amount of vitamins and mineral nutrients following the recommendations of the Committee on Nutrition of the American Academy of Pediatrics or other groups of experts.
- the fat source in the supplement may comprise one or more long chain polyunsaturated fatty acids (LCPUFA) such as docosahexaenoic acid (DHA), arachidonic acid (ARA), and eicosapentanoic acid (EPA).
- LCPUFA long chain polyunsaturated fatty acids
- DHA docosahexaenoic acid
- ARA arachidonic acid
- EPA eicosapentanoic acid
- the fat source may alternatively or additionally comprise LCPUFA precursors such as ltnoleic acid, ⁇ - Nnolenic acid, and y- ⁇ nolenic acid
- the fat source comprises DHA. In another embodiment of the present invention the fat source comprises ARA In yet another embodiment the fat source may comprise both DHA and ARA In this embodiment, the weight ratio of ARA: DHA may be from about 1 3 to about 9 1 In one embodiment of the present invention, this ratio is from about 1 2 to about 4:1. In yet another embodiment, the ratio is from about 2.3 to about 2 1 In one particular embodiment the ratio is about 2: 1 In another particular embodiment of the invention, the ratio is about 1 1 5. In other embodiments, the ratio is about 1 1 3 In still other embodiments, the ratio is about 1.1.9. In a particular embodiment, the ratio is about 1 5:1. In a further embodiment, the ratio is about 1 67 1 In yet another embodiment, the ratio is about
- the level of DHA may be between about 0 0% and 1.00% of total fat, by weight In other embodiments, the level of DHA may be about 0.32% of total fat, by weight In some embodiments, the level of DHA may be about 0.33% of total fat, by weight In another embodiment, the level of DHA may be about 0 64% of total fat, by weight In another embodiment, the level of DHA may be about 0.67% of total fat, by weight. In yet another embodiment, the level of DHA may be about 0.96% of total fat, by weight In a further embodiment, the level of DHA may be about 1 00% of total fat, by weight [00045] In stil!
- the level of DHA may be between about 0.25% and 0.75% by weight of total fat. In a particular embodiment, the level of DHA may be about 0.5% by weight of total fat. In yet another embodiment, the level of DHA may be about 0.53% by weight of total fat. [00046] In embodiments of the invention, the level of ARA is between
- the level of ARA may be about 0.67% of total fat, by weight. In another embodiment, the level of ARA may be about 0.5% of total fat, by weight. In yet another embodiment, the level of DHA may be between about 0.47% and 0.48% of totai fat, by weight.
- the level of ARA may be between about 0.5% and 0.90% by weight of total fat. In another embodiment, the level of ARA may be between about 0.75% and 0.90% by weight of total fat. In yet another embodiment, the level of ARA may be about 0.88% by weight of total fat.
- DHA when used in the present invention, may be present in an amount sufficient, when combined with human milk, to deliver to an infant from about 3 mg per kg of body weight per day to about 150 mg per kg of body weight per day.
- the amount to be delivered, when combined with human milk is from about 6 mg per kg of body weight per day to about 100 mg per kg of body weight per day.
- the amount to be delivered, when combined with human milk is from about 10 mg per kg of body weight per day to about 60 mg per kg of body weight per day.
- the amount to be delivered, when combined with human milk is from about 15 mg per kg of body weight per day to about 30 mg per kg of body weight per day.
- ARA when used in the present invention, may be from about 5 mg per kg of body weight per day to about 150 mg per kg of body weight per day.
- the amount to be delivered, when combined with human milk varies from about 10 mg per kg of body weight per day to about 120 mg per kg of body weight per day.
- the amount to be delivered, when combined with human milk varies from about 15 mg per kg of body weight per day to about 90 mg per kg of body weight per day.
- the amount to be delivered, when combined with human milk varies from about 20 mg per kg of body weight per day to about 60 mg per kg of body weight per day.
- the amount of DHA when included in the human milk supplement of the present invention, typically varies from about 5 mg/100 kcal to about 80 mg/100 kcal. In one embodiment of the present invention it varies from about 10 mg/100 kcal to about 50 mg/100 kcai; and in another embodiment from about 25 mg/100 kcal to about 60 mg/100 kcal. in a particular embodiment of the present invention, the amount of DHA is about 40 mg/100 kcal.
- the amount of ARA when included in the human miik supplement of the present invention, typically varies from about 10 mg/100 kcal to about 100 mg/100 kcal.
- the amount of ARA varies from about 15 mg/100 kcal to about 80 mg/100 kcal. In another embodiment the amount of ARA varies from about 40 mg/100 kcal to about 70 mg/100 kcal. in a particular embodiment of the present invention, the amount of ARA is about 67 mg/100 kcal.
- the human milk supplement supplemented with oils containing DHA and ARA for use in the present invention can be made using standard techniques known in the art. For exampie, they can be added to the human milk supplement by replacing an equivalent amount of an oil, such as MCT oil, normally present in the supplement. As another example, the oils containing DHA and ARA can be added to the human milk supplement by replacing an equivalent amount of the rest of the overall fat blend normally present in the supplement without DHA and ARA.
- oils containing DHA and ARA can be added to the human milk supplement by replacing an equivalent amount of the rest of the overall fat blend normally present in the supplement without DHA and ARA.
- the source of the ARA and DHA can be any source known in the art such as marine oil, fish oil, single cell oil, egg yolk lipid, brain ilpld, and the like.
- the DHA and ARA can be in any form, provided that the remainder of the LCPUFA source does not result in any substantial deleterious effect on the infant. Alternatively, the DHA and ARA can be used in refined form.
- Sources of DHA and ARA may be single cell oils as taught in
- the LCPUFA source may or may not contain eicosapentaenoic acid (EPA).
- EPA eicosapentaenoic acid
- the LCPUFA used in the invention contains little or no EPA.
- the human milk supplements used herein contain less than about 20 mg/100 kcal EPA; in some embodiments, less than about 10 mg/100 kca! EPA; in other embodiments, less than about 5 mg/100 kcal EPA; and in still other embodiments, substantially no EPA.
- the human milk supplement may contain probiotics. Any probiotic known in the art may be added, provided it is suitable for combination with the other components of the supplement.
- the probiotic species may be chosen from the genera Lactobacillus and Bifidobacterium.
- the specific probiotic can be Lactobacillus rhamnosus GG.
- the nutritional supplement of the present invention additionally comprises at least one prebiotic.
- any prebiotic known in the art may be added, provided it is suitable for combination with the other components of the supplement.
- the prebiotic can be selected from the group consisting of fructo-oligosaccharide, gluco-oligosaccharide, galacto- oligosaccharide, inulin, polydextrose, isomalto-oligosaccharide, xylo- oligosaccharide and lactulose.
- the acidified liquid human milk supplement of the invention contains pectin.
- pectin may help to stabilize the protein source at the low pH.
- the addition of pectin provides an acidified liquid human milk supplement which is less viscous than the supplement would be otherwise.
- the addition of pectin to the acidified liquid human milk supplement may also assist in the packaging of the product by reducing foam formation, creaming or fat separation, and/or sedimentation of minerals and/or protein.
- the size of insoluble particles, such as protein is smaller in the product containing pectin. This results in a product with a better appearance. The product appears less curdled and is also more apt to deliver the nutrients contained therein to the infant because the nutrients are better suspended in the product. The nutrients are less likely to settle and/or stick to tubing or bottles.
- the acidified liquid human milk supplement of the invention is useful in the feeding of preterm infants or low birth weight infants.
- the supplement may also be useful in the feeding of "failure to thrive" infants.
- the invention is directed to method of supporting and enhancing the growth of an infant via the administration of the human milk supplement of the present invention.
- FTT Failure to thrive
- a descriptive term and not a definitive clinical diagnosis is used to describe infants and children whose weight 1) is consistently below the 3rd percentile for their age, 2) progressively decreases to beiow the 3rd percentile, 3) is 80% of the ideal weight for their height and age, or 4) decreases at an unexpected rate based on the individual's previously defined growth curve, irrespective of whether below the 3rd percentile.
- FTT may result from a variety of underlying causes, including, but not limited to, decreased nutrient intake caused by cleft lip and/or palate, gastroesophageal reflux, or rumination; malabsorption due to disorders such as celiac disease, cystic fibrosis, or disaccharidase deficiency; impaired metabolism symptomatic of fructose intolerance or classic galactosemia; increased excretion resulting from conditions such as diabetes mellitus and proteinuria; and increased energy requirements of diseases such as bronchopulmonary dysplasia, cystic fibrosis, or hyperthyroidism. Approximately 3-5% of alt children admitted to tertiary care centers, and 1 % of all children admitted to any hospital, exhibit FTT. Like premature infants, FTT infants have additional nutritional requirements not met by mother's breast milk. Thus, the human miik supplement of the present invention may also be utilized in feeding or treating FTT infants.
- the human milk supplement of this invention can be manufactured using techniques well-known to those skilled in the art.
- One embodiment of the preparation of the human milk supplement is set forth in Example 3. Manufacturing variations, however, are well-known to those skilled in the nutritional formula art and the invention is not iimited to the preparation set forth in Example 3.
- the supplement is aseptically sterilized and packaged during the manufacturing process.
- the human milk supplement of the present invention can be sterilized prior to packaging using an ultra- high temperature (UHT) process that rapidly heats and then cools the product.
- UHT ultra- high temperature
- the processing equipment allows the time (generally 3 to 15 seconds) and temperature (195° to 285°F) to be tailored to place the least amount of thermal stress on the product while ensuring safety.
- Example 3 sets forth an embodiment of the invention using the UHT process.
- the product may then be filled into a sterile package and sealed in an environment which prevents recontamination of the product with microorganisms.
- the liquid human milk fortifier is shelf stable.
- UHT heating and cooling process provides a significant reduction in the energy use and nutrient loss associated with conventional sterilization.
- an asepticaliy packaged liquid nutritionai supplement retains more nutritional value and exhibits more natural texture, color and taste, all while using less energy.
- Numerous types of packaging containers are readily available and known to one of skill in the art. Examples of container types typically include packets or sachets which may be manufactured of paper, foil and plastic film, or foil and plastic film coated paper; and ampoules which may be manufactured of plastic, reinforced paper or glass.
- the human milk supplement is filled into a form or blow-fili-seal package and sealed in an environment which prevents recontamination of the product with microorganisms
- a container is formed, filled with the human milk supplement, and sealed in a continuous process without human intervention in an enclosed area designed and operated to minimize the probability of contamination with microorganisms.
- Such a package may be a unit dose of human milk supplement
- the package may contain about 5 ml of supplement, which is designed to be directly added to human m ⁇ k.
- This example illustrates one embodiment of the acidified liquid human milk supplement of the present invention.
- Table 1 illustrates the amount of macronutrients (proteins, fats and carbohydrates), as well as vitamins and mineral nutrients present in 5 ml of the human milk supplement.
- the caloric content in 5 ml is approximately 7.5 kcal.
- Table 2 illustrates a list of the ingredients in the acidified liquid human milk supplement of Example 1 per 10,000 liters. Table 2 Components of 10,000 Liters of Example 1 Nutrient Supplement
- Vitamin B 12 0.1 % in starch 175.987 g Thiamin Hydrochloride 139.508 g
- the quantity of citric acid may be adjusted to control the pH of the composition.
- An antifoam emuision may be used as a processing aid in the composition.
- a food grade antifoam emulsion such as 1520-US, from Dow Coming, may be added at a rate of 0.466 kg per 10,000 liters to reduce foam during production.
- the human milk supplement may contain a dry vitamin premix which contains, per 100 kg, 77.219 kg ascorbic acid, 11.048 kg niacinamide, 5.000 kg corn syrup solids (restricted sodium), 3.029 kg calcium pantothenate, 1.007 kg biotin trituration 1 %, 0.809 kg riboflavin, 0.714 kg vitamin B 12 , 0.1% in starch,
- the amount of Thiamin per 1 gram premix may vary between about 4.97 and 6.28 mg.
- the amount of Riboflavin per 1 gram premix may vary between about 7.34 and 9.28 mg.
- the amount of Pyridoxine per 1 gram premix may vary between about 3.78 and 4.77 mg.
- the amount of Vitamin B 12 per 1 gram premix may vary between about 4,97 and 6.28 meg.
- the amount of Niacin per 1 gram premix may vary between about 100 and 127 mg.
- the amount of Folic Acid per 1 gram premix may vary between about 845 and 1070 meg.
- the amount of Pantothenic Acid per 1 gram premix may vary between about 24.8 and 31.4 mg.
- the amount of Biotin per 1 gram premix may vary between about 91.9 and 116 meg.
- the amount of Vitamin C per 1 gram premix may vary between about 702 and 887 mg.
- the human milk supplement may contain a liquid vitamin premix which may contain, per 100 kg, 51.997 kg tocopheryl acetate, dl-alpha, 40.000 kg soybean oil, 6.203 kg vitamin A palmitate, 1.746 kg cholecalciferol concentrate, and 0.054 kg vitamin K-i, liquid phytonadione.
- the amount of vitamin A per 1 gram premix may vary between about 98,000 and 124,000 IU.
- the amount of vitamin D 3 per 1 gram premix may vary between about 15,900 and 20,100 IU.
- the amount of vitamin E per 1 gram premix may vary between about 473 and 598 IU.
- the amount of vitamin Ki per 1 gram premix may vary between about 494 and 624 meg.
- Table 3 illustrates the proximate analysis information for the human miik supplement of Example 1.
- the density of the human m ⁇ k supplement of Example 1 is about 1.05 g/m!.
- the pH ranges between about 4.25 and 4.40, pre- and post-sterilization (at 86°F).
- the viscosity of the composition is about 200 cp pre-sterilization and 400 cp post-sterilization, as measured on a
- the osmolality of the product diluted in water (25 ml water and 5 ml product) is 68 m ⁇ sm/kg water.
- Example 2 illustrates another embodiment of the acidified liquid human m ⁇ k supplement of the present invention.
- Table 4 iiiustrates the amount of macronutrients (proteins, fats and carbohydrates), as well as vitamins and mineral nutrients present in 5 ml of the human milk supplement.
- the caloric content in 5 ml is approximately 7.5 kcal.
- 5 ml of the human milk fortifier is added to about 25 ml of mother's milk and is then fed to an infant.
- Table 5 illustrates a list of the ingredients in the acidified liquid human milk supplement of Example 2 per 10,000 liters. Table 5 Components of 10,000 Liters of Example 2 Nutrient Supplement
- MCT Oil (Medium Chain Triglycerides) 883.000 kg
- Table 6 illustrates the proximate analysis information for the human m ⁇ k supplement of Example 2.
- the density of the human milk supplement of Example 2 is about 1.05 g/ml.
- the pH ranges between about 4.25 and 4.40, pre- and post-sterilization (at 86°F).
- the viscosity of the composition is about 800 cp pre-sterilization and 100 cp post-sterilization, as measured on a Brookfield #2 spindle at 30 rpm and 86°F.
- the osmolality of the product diluted in water ⁇ 25 ml water and 5 ml product) is 68 m ⁇ sm/kg water.
- This example illustrates one exemplary process for preparing an embodiment of an acidified liquid human milk supplement of the present invention.
- the protein preparation was prepared by weighing
- a pectin preparation was prepared by weighing 52.656 kg pectin and dissolving it in 16O 0 F water (subjected to reverse osmosis) in a mineral preparation tank. After five minutes, the pectin preparation was transferred to the mix tank with the protein preparation.
- a mineral preparation was prepared by measuring various mineral salts, such as those set forth in Examples 1 or 2, and dissolving them in 120 0 F water (subjected to reverse osmosis) in a separate mineral preparation tank. The mineral preparation was then transferred to the mix tank. An aciduiant, 105.012 kg citric acid, was additionally added to the mix tank.
- An o ⁇ s preparation was prepared by weighing vegetable oils, fungal/alga! oils, and/or fat-soluble vitamins and blending them together in an oil preparation tank. More specifically, 883.000 kg MCT oil, 225.026 g soybean oil, 16.157 kg single cell docosahexaenoic acid oil, and 26.928 kg single cell arachidonic acid oil were intermixed. Various fat-soluble vitamins, such as those set forth in Examples 1 or 2, were then intermixed with the oils. The oils preparation was heated to 15O 0 F and added to the mix tank.
- the mixture in the mix tank was brought to a temperature of 150 0 F and had a total solids percentage of approximately 30%.
- the flow rate of the mixture through the homogenizer was approximately 1.5 gallons per minute.
- the mixture was then subjected to a 2-stage singie- pass homogenization process.
- the first stage of the homogenization was conducted at 3500 pounds per square inch (psi) and the second stage at 500 psi.
- the mixture was cooled and transferred to a non-sterile surge tank.
- Water-soluble vitamins were weighed, dissolved in water, and added to the surge tank. The total solids percentage was approximately 27.4%.
- the mixture was pre-heated to 18O 0 F, followed by a final heating to 270 0 F and held for approximately 3.3 seconds.
- the mixture was cooled to 100° F and then underwent a final cooling to 80 0 F.
- the heat-processed product was filled into a pre-steriiized aseptic tank and, from there, was asepticaliy packaged in blow-fill-seal vials.
- references cited in this specification including without limitation, all papers, publications, patents, patent applications, presentations, texts, reports, manuscripts, brochures, books, internet postings, journal articles, periodicals, and the like, are hereby incorporated by reference into this specification in their entireties.
- the discussion of the references herein is intended merely to summarize the assertions made by their authors and no admission is made that any reference constitutes prior art. Applicants reserve the right to challenge the accuracy and pertinence of the cited references
Landscapes
- Life Sciences & Earth Sciences (AREA)
- Health & Medical Sciences (AREA)
- Food Science & Technology (AREA)
- Polymers & Plastics (AREA)
- Nutrition Science (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Mycology (AREA)
- Pediatric Medicine (AREA)
- Coloring Foods And Improving Nutritive Qualities (AREA)
- Dairy Products (AREA)
- Medicines Containing Material From Animals Or Micro-Organisms (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
- Prostheses (AREA)
Abstract
Description
Claims
Priority Applications (16)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
DK08746426.9T DK2152089T3 (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement |
RU2009146357/10A RU2475031C2 (en) | 2007-05-18 | 2008-04-21 | Acidified liquid additive to human milk |
AU2008254417A AU2008254417B2 (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement |
EP08746426A EP2152089B1 (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement |
NZ580045A NZ580045A (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement |
CA2684929A CA2684929C (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement |
KR1020097023918A KR101503943B1 (en) | 2007-05-18 | 2008-04-21 | acidified liquid human milk supplement |
CN200880016748.3A CN101686699B (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement |
MX2009012278A MX2009012278A (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement. |
AT08746426T ATE510460T1 (en) | 2007-05-18 | 2008-04-21 | ACIDIFIED LIQUID BREAST MILK SUPPLEMENT |
JP2010508481A JP2010527590A (en) | 2007-05-18 | 2008-04-21 | Acidic liquid breastfeeding supplements |
BRPI0810138-8A BRPI0810138A2 (en) | 2007-05-18 | 2008-04-21 | ACIDIFIED LIQUID HUMAN MILK SUPPLEMENT |
PL08746426T PL2152089T3 (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement |
NO20093077A NO340548B1 (en) | 2007-05-18 | 2009-09-30 | Sourced liquid human breast milk replacement |
ZA2009/07422A ZA200907422B (en) | 2007-05-18 | 2009-10-22 | Acidified liquid human milk supplement |
HK10108862.6A HK1142239A1 (en) | 2007-05-18 | 2010-09-17 | Acidified liquid human milk supplement |
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US93872807P | 2007-05-18 | 2007-05-18 | |
US60/938,728 | 2007-05-18 | ||
US98778807P | 2007-11-14 | 2007-11-14 | |
US60/987,788 | 2007-11-14 | ||
US12/106,415 US8147894B2 (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement |
US12/106,415 | 2008-04-21 |
Publications (1)
Publication Number | Publication Date |
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WO2008144145A1 true WO2008144145A1 (en) | 2008-11-27 |
Family
ID=39494845
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2008/061001 WO2008144145A1 (en) | 2007-05-18 | 2008-04-21 | Acidified liquid human milk supplement |
Country Status (19)
Country | Link |
---|---|
US (1) | US8147894B2 (en) |
EP (1) | EP2152089B1 (en) |
JP (1) | JP2010527590A (en) |
KR (1) | KR101503943B1 (en) |
CN (1) | CN101686699B (en) |
AT (1) | ATE510460T1 (en) |
AU (1) | AU2008254417B2 (en) |
BR (1) | BRPI0810138A2 (en) |
CA (1) | CA2684929C (en) |
HK (1) | HK1142239A1 (en) |
MX (1) | MX2009012278A (en) |
MY (1) | MY150223A (en) |
NO (1) | NO340548B1 (en) |
NZ (1) | NZ580045A (en) |
PL (1) | PL2152089T3 (en) |
RU (1) | RU2475031C2 (en) |
TW (1) | TWI436740B (en) |
WO (1) | WO2008144145A1 (en) |
ZA (1) | ZA200907422B (en) |
Cited By (1)
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US20210361714A1 (en) * | 2017-11-30 | 2021-11-25 | Inner Mongolia Yili Industrial Group Co., Ltd. | Hydrolysed protein debittering composition and product, preparation, and application thereof |
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CA2537452C (en) * | 2005-03-09 | 2013-12-24 | Abbott Laboratories | Concentrated human milk fortifier liquid |
BRPI0820304A2 (en) * | 2007-11-07 | 2017-05-23 | Mead Johnson Nutrition Co | process to reduce bitterness and improve the taste of protein-free and hydrolyzed infant formulas |
EP2130440A1 (en) * | 2008-06-06 | 2009-12-09 | N.V. Nutricia | Inhibiting E. sakazakii growth |
US9149452B2 (en) * | 2009-04-20 | 2015-10-06 | Women's & Children's Health Research Institute Inc. | Methods and compositions for promoting the neurological development of an infant |
WO2010134800A1 (en) * | 2009-05-19 | 2010-11-25 | N.V. Nutricia | Human milk fortifier with high protein and long chain poly unsaturated fatty acids for improving body adipose tissue distribution |
US20110208153A1 (en) * | 2010-02-24 | 2011-08-25 | John Alvey | Formulations and methods for nutrient delivery |
MY170337A (en) | 2010-11-02 | 2019-07-18 | Abbott Lab | Stable concentrated liquid human milk fortifier |
EP3378324B1 (en) * | 2011-05-26 | 2023-05-10 | Kaneka Corporation | Method for producing oil-in-water emulsified food product composition |
MX2014008024A (en) * | 2011-12-30 | 2014-12-08 | Abbott Lab | Concentrated low water activity liquid human milk fortifier including extensively hydrolyzed protein. |
US20130344042A1 (en) * | 2012-06-20 | 2013-12-26 | Gretchen Tanbonliong | Dietary management of celiac disease and food allergy |
US20140057014A1 (en) * | 2012-08-27 | 2014-02-27 | Carol Lynn Berseth | Formula Fortifier |
US9265458B2 (en) | 2012-12-04 | 2016-02-23 | Sync-Think, Inc. | Application of smooth pursuit cognitive testing paradigms to clinical drug development |
JP2016506753A (en) * | 2013-02-15 | 2016-03-07 | ネステク ソシエテ アノニム | Food composition and use thereof |
US9380976B2 (en) | 2013-03-11 | 2016-07-05 | Sync-Think, Inc. | Optical neuroinformatics |
AU2014236553B2 (en) * | 2013-03-15 | 2019-01-17 | General Hospital Corporation | Citrate containing beverage |
US20140378419A1 (en) * | 2013-06-21 | 2014-12-25 | Mead Johnson Nutrition Company | Compositions and Methods for Nutrient Delivery |
CN105992520A (en) * | 2013-12-19 | 2016-10-05 | 雅培公司 | Nutritional composition comprising hydrolyzed protein |
EP3236784B1 (en) * | 2014-12-26 | 2022-01-12 | Compagnie Gervais Danone | Composition comprising a mixture of proteins |
WO2016102994A1 (en) * | 2014-12-26 | 2016-06-30 | Compagnie Gervais Danone | Product comprising a container and whey protein |
EP3338841A1 (en) | 2016-12-23 | 2018-06-27 | Ferdinand Haschke | Liquid human milk supplement |
US11197917B2 (en) | 2017-12-01 | 2021-12-14 | ByHeart, Inc. | Formulations for nutritional support in subjects in need thereof |
CN108851083A (en) * | 2018-03-14 | 2018-11-23 | 山东梵和生物科技有限公司 | A kind of depth hydrolysis' muting sensitive formula powder and preparation method thereof |
BR112021016587A2 (en) | 2019-02-22 | 2021-11-03 | Aquero Canada Ltd | Fortified milk compositions and their preparation processes |
US20240268402A1 (en) * | 2023-02-15 | 2024-08-15 | The Trustees Of Princeton University | Methods, Devices and Compositions for Preserving Human Milk |
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- 2008-04-21 JP JP2010508481A patent/JP2010527590A/en active Pending
- 2008-04-21 CA CA2684929A patent/CA2684929C/en not_active Expired - Fee Related
- 2008-04-21 RU RU2009146357/10A patent/RU2475031C2/en not_active IP Right Cessation
- 2008-04-21 NZ NZ580045A patent/NZ580045A/en not_active IP Right Cessation
- 2008-04-21 WO PCT/US2008/061001 patent/WO2008144145A1/en active Application Filing
- 2008-04-21 CN CN200880016748.3A patent/CN101686699B/en active Active
- 2008-04-21 BR BRPI0810138-8A patent/BRPI0810138A2/en not_active Application Discontinuation
- 2008-04-21 MY MYPI20094114A patent/MY150223A/en unknown
- 2008-04-21 AT AT08746426T patent/ATE510460T1/en not_active IP Right Cessation
- 2008-04-21 AU AU2008254417A patent/AU2008254417B2/en active Active
- 2008-04-21 KR KR1020097023918A patent/KR101503943B1/en not_active IP Right Cessation
- 2008-04-21 MX MX2009012278A patent/MX2009012278A/en active IP Right Grant
- 2008-04-21 US US12/106,415 patent/US8147894B2/en active Active
- 2008-04-21 EP EP08746426A patent/EP2152089B1/en active Active
- 2008-04-21 PL PL08746426T patent/PL2152089T3/en unknown
- 2008-05-08 TW TW097117023A patent/TWI436740B/en not_active IP Right Cessation
-
2009
- 2009-09-30 NO NO20093077A patent/NO340548B1/en not_active IP Right Cessation
- 2009-10-22 ZA ZA2009/07422A patent/ZA200907422B/en unknown
-
2010
- 2010-09-17 HK HK10108862.6A patent/HK1142239A1/en unknown
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Also Published As
Publication number | Publication date |
---|---|
PL2152089T3 (en) | 2011-11-30 |
MY150223A (en) | 2013-12-31 |
US8147894B2 (en) | 2012-04-03 |
RU2475031C2 (en) | 2013-02-20 |
ZA200907422B (en) | 2010-08-25 |
EP2152089A1 (en) | 2010-02-17 |
CA2684929C (en) | 2015-05-26 |
CA2684929A1 (en) | 2008-11-27 |
NZ580045A (en) | 2012-02-24 |
NO20093077L (en) | 2009-12-14 |
KR20100016608A (en) | 2010-02-12 |
AU2008254417B2 (en) | 2013-05-30 |
EP2152089B1 (en) | 2011-05-25 |
AU2008254417A1 (en) | 2008-11-27 |
US20080286416A1 (en) | 2008-11-20 |
RU2009146357A (en) | 2011-06-27 |
JP2010527590A (en) | 2010-08-19 |
TW200900013A (en) | 2009-01-01 |
MX2009012278A (en) | 2009-12-01 |
KR101503943B1 (en) | 2015-03-18 |
BRPI0810138A2 (en) | 2014-09-23 |
ATE510460T1 (en) | 2011-06-15 |
CN101686699A (en) | 2010-03-31 |
CN101686699B (en) | 2014-08-20 |
TWI436740B (en) | 2014-05-11 |
NO340548B1 (en) | 2017-05-08 |
HK1142239A1 (en) | 2010-12-03 |
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