Research on donkey milk · Study 14

Preterm infants, 18 months later

In 2020, Peila et al. examined the development 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
Examined
103 children
(49 + 54)
Focus
Development at
18 months

What it's about

The question of what comes after

In hospital, preterm infants receive breast milk enriched with a fortifier – an additive with protein, energy and minerals. In the FortiLat study, a fortifier based on donkey milk components was compared with a standard cow's-milk-based fortifier.

When early nutrition changes, an important question arises: do the children later develop comparably? This follow-up looked at exactly that 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
MeasuredDevelopment and neurological findings at 18 months
Not testedDonkey milk for drinking or older children
ShownNo significant difference in the developmental score
OpenLong-term safety and rare risks

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.

Test procedureGriffiths scale

A standardised developmental test that assesses areas such as movement, language and hand–eye coordination.

MeasurementDevelopmental quotient

GQ for short. An overall score from the Griffiths test. The average for children of the same age is around 100.

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 03Follow-up

At a corrected age of 18 months, a developmental test and neurological examination followed.

Step 04Comparing

103 children could be evaluated and compared between the groups.

Interactive · The data at a glance

Three views of 103 children

Who was followed up, what were the developmental scores – and how many children were below the threshold used in the analysis? Switch between the three views.

Donkey milk fortifier (49)Cow's milk fortifier (54)not evaluated (53)

Illustration of the figures reported in the original publication. The arrangement of the dots is schematic.

Key findings

What the researchers report

Developmental quotient

No significant difference

101.2donkey milk fortifier
101.6cow's milk fortifier
median · p = 0.430

Both groups had a median close to the average value of 100.

Below the threshold

No significant difference

32.7 %16 of 49
24.1 %13 of 54
GQ below 97.1 · p = 0.384

The threshold comes from the analysis itself and is not a clinical cut-off for a developmental disorder.

Neurological findings

One severe finding reported

1donkey milk fortifier
0cow's milk fortifier
plus minor abnormalities

No causal link with the fortifier can be derived from this – nor can rare risks be ruled out with this group size.

Of the original 156 children, 53 were not included in this analysis. The absence of a significant difference is not proof of equivalence or long-term safety.

Critical assessment

No difference measured – but no proof

What the study shows

✓
The children come from a randomised study and were examined with a standardised test.
✓
The developmental quotient did not differ significantly between the groups.
✓
Both groups had a median close to the average for children of the same age.
✓
Neurological abnormalities were reported openly.

What it does not show

×
No proven equivalence – the study was not designed for this.
×
No statement about rare risks or development after 18 months.
×
Around a third of the children are missing from the analysis.
×
No statement about donkey milk as a food.

Research question for DON DONKEY’S®

What requirements does specialty nutrition place on a raw material?

Follow-up studies like this show how high the standards are in clinical nutrition. For us, this is a reason to document the composition and quality of our milk as precisely as possible.

01 · COMPOSITIONRecord the protein profile of our milk across several batches.
02 · CONSISTENCYEvaluate fluctuations between batches and seasons.
03 · REGULATIONClarify the requirements for raw materials for specialty nutrition with experts.
04 · EXCHANGESeek discussions with research and clinical partners.

Original publication

Neurodevelopmental Outcome at 18 Months of Age of Preterm Infants Fed with a Donkey Milk-Derived Human Milk Fortifier (FortiLat Study)

Peila C., Spada E., Deantoni S., Iuliano E., Moro G. E., Giribaldi M., Cavallarin L., Cresi F., Coscia A.
Nutrients · 2020 · 12(12):3807
Neonatology, University of Turin, Italian Association of Human Milk Banks, CNR-ISPA, CREA

DOI: 10.3390/nu12123807
Full text: PMC7764145

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.
€24,90

100 ml bottle / 100ml · Unit price: €249,00 / 1 l · incl. VAT, plus shipping

View all sizes & purchase options →