Research on donkey milk · Study 13

How did the children grow?

In 2020, Peila et al. compared the weight, length and head circumference of children from the FortiLat study at a corrected age of 18 months. In hospital, their mother's milk had been fortified with a fortifier based on donkey milk or on cow's milk.

Important: What was studied was a clinical specialty product for neonatology, not donkey milk for drinking. Donkey milk is not a substitute for breast milk or infant formula – the feeding of preterm infants belongs in medical hands.
Publication
Peila et al.
2020 · Nutrients
Study type
Follow-up of a
randomised study
Evaluated
122 children
(60 + 62)
Focus
Growth at
18 months

What it's about

What remains from the early start

In hospital, preterm infants receive breast milk enriched with a fortifier – an additive with protein, energy and minerals. In the FortiLat study, a specially developed fortifier made from donkey milk components was compared with a standard cow's-milk-based fortifier. Both feeding regimens were designed for the same energy and protein intake.

An important measure of how children develop after an early start is their growth. This follow-up therefore compared weight, length and head circumference at 18 months.

The work comes from the neonatology department of the University of Turin.

What exactly was studied?

Early feedingBreast milk with a fortifier made from donkey milk components
ComparisonBreast milk with a cow's-milk-based fortifier
MeasuredWeight, length and head circumference at 18 months
Not testedDonkey milk for drinking or older children
ShownNo significant difference in any of the three measures
OpenEquivalence and growth after 18 months

Briefly explained

The terms used in this study

ProductFortifier

An additive used to enrich breast milk for preterm infants with protein, energy and minerals.

TimingCorrected age

Age counted from the calculated due date. This allows preterm infants to be compared fairly with children of the same age.

FieldAuxology

The study of physical growth. Here it concerns weight, length and head circumference.

Measurementz-score

Shows how far a value deviates from the median of the WHO growth curves. 0 corresponds to the median, −1 is one standard deviation below.

Step 01Allocating

156 preterm infants were randomly assigned to one of the two fortifiers.

Step 02Feeding

In hospital they received breast milk with the respective fortifier.

Step 03Re-measuring

At a corrected age of 18 months (± 3 months), weight, length and head circumference were measured.

Step 04Comparing

The values of 122 children were compared between the groups as WHO z-scores.

Interactive · The data at a glance

Three measures, two groups

Who was re-measured, and where did the children lie compared with the WHO growth curves? Switch between the views.

Donkey milk fortifier (60)Cow's milk fortifier (62)no data (34)

Illustration of the mean values reported in the original publication (unadjusted). The arrangement of the dots is schematic.

Key findings

What the researchers report

Head circumference · z-score

Close to the WHO median

−0.13donkey milk fortifier
−0.07cow's milk fortifier
no significant difference · p = 0.758

For head circumference, both groups were on average roughly within the WHO reference range.

Length · z-score

Both groups smaller on average

−1.60donkey milk fortifier
−1.53cow's milk fortifier
no significant difference · p = 0.729

Both groups were on average smaller than the WHO median – to a similar extent.

Body weight · z-score

Both groups lighter on average

−1.00donkey milk fortifier
−0.96cow's milk fortifier
no significant difference · p = 0.833

For weight, too, both groups were on average below the WHO median, with no difference between the groups.

The groups already differed in some growth characteristics at birth. The researchers took this into account in supplementary, adjusted analyses; there too, no significant difference was found. The absence of a significant difference is not proof of equivalence and not evidence of better growth promotion.

Critical assessment

Similar growth – no growth advantage

What the study shows

✓
The children come from a randomised study and were measured according to a uniform standard.
✓
Weight, length and head circumference did not differ significantly between the groups.
✓
Even after taking into account the differences at birth, the result remained unchanged.
✓
Head circumference was close to the WHO median in both groups.

What it does not show

×
No growth advantage from the fortifier made from donkey milk components.
×
No proven equivalence – the study was not designed for this.
×
Data at 18 months are missing for 34 of 156 children.
×
No statement about donkey milk as a food.

Research question for DON DONKEY’S®

What must a raw material for clinical specialty nutrition deliver?

In the FortiLat study, donkey milk was processed into a standardised, freeze-dried specialty product. For us, this is a reason to document the composition and quality of our milk as precisely as possible.

01 · COMPOSITIONRecord the protein and nutrient profile of our milk across several batches.
02 · CONSISTENCYEvaluate fluctuations between batches and seasons.
03 · PROCESSINGCheck what requirements ultrafiltration and drying place on the raw material.
04 · EXCHANGESeek discussions with research and clinical partners.

Original publication

The “Fortilat” Randomized Clinical Trial Follow-Up: Auxological Outcome at 18 Months of Age

Peila C., Spada E., Bertino E., Deantoni S., Percivati F., Moro G. E., Giribaldi M., Cavallarin L., Cresi F., Coscia A.
Nutrients · 2020 · 12(12):3730
Neonatology, University of Turin, Italian Association of Human Milk Banks, CNR-ISPA, CREA

DOI: 10.3390/nu12123730
Full text: PMC7761645

The publication describes a follow-up of the FortiLat study with a specialty product for preterm infants. It does not allow any statement about donkey milk as a food or any product-related statement for DON DONKEY’S®.

DON DONKEY’S® donkey milk

From our shop

DON DONKEY’S® donkey milk

100 % donkey milk · raw milk, frozen

On this page we report the findings of a published study. Independently of that, you will find our donkey milk here: 100 % donkey milk, frozen as raw milk.

Transparency: The study by Peila et al. examined a clinical human milk fortifier, not DON DONKEY’S® donkey milk. Our donkey milk is a food, not a substitute for breast milk or infant formula, and is not intended to prevent, treat or cure any disease.
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