Research on donkey milk · Study 40

Preterm infants, six years later

In 2024, Peila et al. surveyed children from the FortiLat study at school age: did allergic symptoms differ depending on whether their mother's milk on the neonatal ward had been fortified with a fortifier made from donkey milk or from 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.
2024 · Breastfeeding Med.
Study type
Follow-up of a
randomised study
Children
113 of 157
evaluated
Age
6 to 8 years
(median 6.7)

What it's about

The FortiLat children at school age

In the Italian FortiLat study, very small preterm infants in the intensive care unit in Turin received breast milk fortified either with a standard cow's milk fortifier or with a newly developed fortifier based on donkey milk. Allocation was random.

Earlier analyses looked at tolerability, growth and development (studies 12 to 15). This follow-up now asked whether differences in allergic symptoms appear up to school age.

To do so, two interviewers who did not know the group allocation surveyed the parents using a questionnaire.

What exactly was studied?

GroupsCow's milk fortifier (60) · donkey milk fortifier (53)
Originrandomised study, 2014–2016
SurveyParent questionnaire, blinded interviews
TopicsAirways, skin, foods
ResultNo difference between the groups
Limitationnot designed for this question

Briefly explained

The terms used in this study

Clinical productFortifier

An additive that enriches breast milk for very small preterm infants with protein and nutrients – dosed on the ward.

StudyFortiLat

Randomised study from Turin in which a donkey-milk-based fortifier was compared with a cow's-milk-based one.

MeasureRelative risk

How much more or less often a characteristic occurs in one group. A value of 1 means: no difference.

MethodologyBlinding

The interviewers did not know which group a child belonged to – this reduces bias.

Step 01Allocating

157 preterm infants were randomly assigned to one of the two fortifier groups in 2014–2016.

Step 02Feeding

On the ward they received fortified breast milk.

Step 03Surveying

At 6 to 8 years, the parents answered 25 questions about allergic symptoms.

Step 04Comparing

113 children were evaluated, adjusted for sex, birth weight and other factors.

Interactive · The data at a glance

Nine questions, no difference

How was the follow-up carried out, what was found for airways, skin and foods – and how clear are the results? Switch between the views.

1FortiLat study157 preterm infants, randomly allocated, Turin 2014–2016
2Two fortifiersbased on cow's milk or donkey milk
3Follow-up surveyat 6–8 years, blinded interviews
4Evaluation113 children (60 cow's milk, 53 donkey milk)

Proportions and relative risks from Table 2 of the original publication, rounded. Diagnosis figures from the results text.

Key findings

What the researchers report

Overall result

No difference in allergic symptoms

9 of 9 characteristics not significant

There were no differences between the two groups for airways, skin and foods. This also applied after adjustment for birth weight, sex and other factors.

Individual figures

Small case numbers, no trend

atopic dermatitis 8 vs. 3 · emergency visits 2 vs. 6

Individual medical diagnoses occurred somewhat more often in one group or the other – in both directions and with so few cases that nothing can be derived from them.

FortiLat series

The fifth analysis

cf. studies 12 to 15

The authors refer to the good tolerability of the donkey milk fortifier described in earlier analyses and consider its use on neonatal wards justifiable.

The authors conclude that the donkey milk fortifier did not influence the development of allergic symptoms in early childhood. No funding was used for the work; according to the authors, there are no conflicts of interest.

Critical assessment

A neutral finding

What the study shows

✓
With the donkey milk fortifier, no more allergic symptoms appeared up to school age than with the standard fortifier.
✓
The data come from an originally randomised study.
✓
The survey was blinded.
✓
The observation period extends over six years.

What it does not show

×
No protection against allergies – there was simply no difference.
×
No statement on drinking donkey milk – a clinical additive to breast milk was studied.
×
No definitive statement – the study was not designed for this question, and 28 % of the children were missing from the follow-up survey.
×
No statement on infant nutrition outside hospital.

Research question for DON DONKEY’S®

How do we communicate allergy topics responsibly?

The study shows how carefully allergy questions are considered scientifically. For us, this is a prompt to continue only reporting study findings on the topic of allergies and not to make any promises of our own.

01 · LITERATURECollect allergy studies on donkey milk comprehensively.
02 · ANALYSISHave the protein profile of our milk documented.
03 · TRANSPARENCYPresent findings neutrally and with their limitations.
04 · EXCHANGEGet in touch with the FortiLat team in Turin.

Original publication

The Use of a Novel Donkey Milk-Derived Human Milk Fortifier in the Neonatal Period Had No Effect on the Frequency of Allergic Manifestations During the First Years of Life: The “Fortilat Trial” Follow-Up

Peila C., Spada E., Deantoni S., Borsani M., Asteggiano M., Chiale F., Moro G. E., Giribaldi M., Cavallarin L., Cortinovis I., Coscia A.
Breastfeeding Medicine · 2024 · 19(3):223–227

DOI: 10.1089/bfm.2023.0320
Full text: University of Turin (IRIS)

The publication describes the follow-up of a clinical study with a specialty product for preterm infants. It does not allow any product-related statement for DON DONKEY’S®.

End of the study summary
Note on our products

The study summarised above was carried out independently of DON DONKEY’S® and does not relate to our products. It serves solely to inform about the state of research.

DON DONKEY’S® donkey milk and donkey milk powder are foods. They are not infant food or a substitute for breast milk, are not intended to prevent, treat or cure any disease – including allergies – and do not replace medical advice.

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 and not infant food.
€24,90

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

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Donkey Milk Powder

Also in our shop

Donkey Milk Powder

Donkey milk in powder form

For anyone who prefers a longer shelf life: our donkey milk in powder form – easy to store and portion.

Transparency: The study examined a clinical human milk fortifier, not our donkey milk powder. Our donkey milk powder is a food and not infant food.
€24,90

20g · Unit price: €1.245,00 / 1 kg · incl. VAT, plus shipping

View all sizes & purchase options →