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Short-term oral liquid ingestion decreases human milk osmolality

    1. [1] Tufts University

      Tufts University

      City of Medford, Estados Unidos

    2. [2] Universidad de Granada

      Universidad de Granada

      Granada, España

    3. [3] CeSSIAM, Guatemala
  • Localización: Nutrición hospitalaria: Organo oficial de la Sociedad española de nutrición parenteral y enteral, ISSN-e 1699-5198, ISSN 0212-1611, Vol. 32, Nº. Extra 2 (Diciembre 2015), 2015 (Ejemplar dedicado a: II INTERNATIONAL AND IV SPANISH HYDRATION CONGRESS), pág. 49
  • Idioma: inglés
  • Texto completo no disponible (Saber más ...)
  • Resumen
    • Introduction: previous studies have reported stability of human milk osmolality in situations of liquid restriction and a decrease in cow milk osmolality in conditions of controlled water ingestion.

      Objective: To confirm any possible influence of shortterm water ingestion and restriction in human milk osmolality.

      Method: 26 mothers of breastfed infants aged 3-6 months were invited to come twice and stay for 90-min in an educational meeting with nutritionists from CeSSIAM. Treatment-1 (tx-1) consisted in consuming 1l of water over 90-min; treatment-2 (tx-2) consisted in being abstained from fluid intake for 90-min. Breastmilk and urine samples were obtained before and after each treatment and measured to determine volume; subsequently, two aliquots were stored at -20oc prior to analysis. Urinary (Uosm) and milk (Mosm) osmolality were measured in a Voguel Löser 815 osmometer. Statistical analyses were performed in SPSS version 20.

      Results: Maternal mean age was 24 y, 42% of the babies were girls. Median baseline and final (90-min) Uosm for Tx-1 were 628 and 248 mOsm/kg (p<0.001), corresponding values for Mosm, 284 and 276 mOsm/kg (p<0.001). Median baseline and 90-min Uosm for Tx-2 were 632 and 655 mOsm/kg (p=0.320), corresponding values for Mosm, 282 and 280 mOsm/kg (p=0.325). There was significant different in the change of Mosm (p=0.013) as well as in the change of Uosm (p<0.001) between treatments.

      Conclusions: We found asymmetrical change in breast milk osmolality after water consumption and water restriction; while fluid restriction does not influence Mosm and Uosm, liquid ingestion impacts human milk and urine by decreasing osmolality.


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