Infrared analyzers for the measurement of breastmilk macronutrient content in the clinical setting

• Published in: Expert review of molecular diagnostics Vol. 20; no. 9; p. 867
• Main Authors: Borràs-Novell, Cristina, Herranz Barbero, Ana, Aldecoa-Bilbao, Victoria, Feixas Orellana, Georgina, Balcells Esponera, Carla, Sánchez Ortiz, Erika, García-Algar, Oscar, Iglesias Platas, Isabel
• Format: Journal Article
• Language: English
• Published: England 01.09.2020
• Subjects: Delta LactoScope; Calais; Human milk macronutrients; human milk analyzer; Spectrastar; Milkoscan; MIRIS; infrared spectroscopy
• ISSN: 1744-8352
• DOI: 10.1080/14737159.2020.1816465

There is growing interest in the possibility of measuring the macronutrient content of human milk. Several studies that intend to validate commercially available human milk analyzers have been published with inconsistent results. This review will focus on currently available, verified methodologies for analyzing macronutrients in human milk. A literature search was conducted in the PubMed database. Five milk analyzers were chosen to be included in this review: MIRIS (Uppsala, Sweden) (seven articles found), Calais (Cleveland, United States) (four articles), SpectraStar (Brookfield, United States) (four articles), MilkoScan (Hillerdo, Denmark) (two articles), and Delta LactoScope (Stockholm, Sweden) (one article). The following information was extracted from published manuscripts: measuring device, sample preparation, purpose of the study, type of macronutrients studied, results, and conclusions. Infrared spectroscopy can be an accurate and reliable technology for assessing the macronutrient content of human milk, specifically crude protein, and total fat. However, an optimal handling of samples, the development of standardized quality-control protocols, and an improvement in calibration procedures are required before the full implementation of infrared technology in neonatal units.