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Page 6 of 18                                                             Chen et al. Microbiome Res Rep 2025;4:8    https://dx.doi.org/10.20517/mrr.2024.44

               Table 1. Characteristics of studies included in this review

                Author, year,                                                       Number of infants   *  Baseline   Baseline       Subgroup and
                country [ref]  Design            Primary aim          Study population  (MOM/DHM)   characteristics MOM  characteristics DHM  definition of
                                                                                                                                     feeding groups
                                                                                                    group
                                                                                                                     group
                Subgroup A
                Arboleya et al.,   Mono-center cohort study  Effect of DHM on   GA < 34 weeks  42 (in total)  GA: 30.9 (2.44)   GA: 30.3 (2.7)   A
                2020, Spain [31]                 Bifidobacteria                                     BW: 1,351 (353)   BW: 1,246 (302)    MOM: 100%
                                                                                                                     MoD: 42% vaginal
                                                                                                                                     DHM: 100%
                                                                                                    MoD: 46% vaginal
                Ford et al., 2019,   Mono-center cohort study  Effect of human milk on   BW < 1,500 grams  90 (58/32)  GA: 28.7 (2.0)   GA: 28.4 (2.5)   A
                  [33]
                USA                              microbiota development                             BW: 1,107 (242)   BW: 1,066 (294)   MOM: > 50%
                                                                                                    MoD: 18% vaginal
                                                                                                                     MoD: 12% vaginal
                                                                                                                                     DHM: > 50%
                Kumbhare et al.,   Stratified cohorts from a mono-  Gut microbiome, oxidative   GA 26-30 weeks  30 (20/10)  GA: 31.1 (1.8)    GA: 27.9 (1.0)   GA: 28.4 (0.86)   A
                2022, Canada [34]  center randomized controlled   stress and inflammation in milk   BW: 1,013 (159)   BW: 1,053 (159)   MOM: > 50%
                            open-label trial     fortifiers                                         MoD: 20% vaginal  MoD: 20% vaginal  DHM: > 50%
                Piñeiro-Ramos   Mono-center cohort study  Composition of microbiota and  GA < 32 weeks   36 (18/18)  GA: 28 (27-29)   GA: 29 (28-30)   A
                et al., 2020,                    urinary metabolites  and/or BW < 1,500             BW: 1,300 (300)   BW: 1,400 (200)   MOM: 80%
                   [32]
                Spain                                                 grams                         MoD: 45% vaginal  MoD: 45% vaginal  DHM: 80%
                Subgroup B
                Cong et al., 2017,   Bi-center cohort study  Effect of feeding type on gut   GA 28 to 32 + 6   18 (15/3)             B
                USA [36]                         microbial patterns   weeks                         BW: 1,444.2 (442.7)              MOM: > 70%
                                                                                                                **
                                                                                                    MoD: 40% vaginal                 DHM: > 70%

                Gregory et al.,   Mono-center cohort study  The influence of nutrition on   GA < 32 weeks  20 (10/10)  GA: 28.4 (1.5)   GA: 28.4 (2.1)   B
                      [19]
                2016, USA                        the microbiome                                     BW: 1,044 (258)   BW: 1,070 (422)   MOM: > 50%
                                                                                                    MoD: 10% vaginal  MoD: 10% vaginal  DHM: > 50%
                Morais et al.,   Mono-center cohort study  Impact of different feeding   GA < 32 weeks  95 (75/20)  GA: 28.3 (2.1)   GA: 28.6 (1.8)   B
                2021, Portugal [37]              types on fecal microbiota and                      BW: 1,123 (345)   BW: 1,173 (284)   MOM: > 50%
                                                 ALP activity                                       MoD: 45% vaginal  MoD: 35% vaginal  DHM: > 50%
                Parra-Llorca et al.,  Mono-center cohort study  Effect of nutrition on gut   GA < 32 weeks   62 (34/28)  GA: 28.9 (1.9)   GA: 29.8 (2.4)   B
                2018, Spain [35]                 microbiota composition  and/or BW < 1,500          BW: 1,228 (301)   BW: 1,304 (262)   MOM: > 80%
                                                                      grams                         MoD: 59% vaginal  MoD: 40% vaginal  DHM: > 80%
               *             **
                In groups of interest;  for all included infants, not stated separately for DHM or MOM group. MOM: Mother’s own milk; DHM: donor human milk; GA: gestational age (in weeks), expressed as mean (SD) or median
               (IQR); BW: birthweight (in gram), expressed as mean (SD) or median (IQR); MoD: mode of delivery, expressed as percentages; ALP: alkaline phosphates.
               The applied gut microbiota analysis techniques in each study are listed in Supplementary Table 1. Next-generation sequencing was employed in all eight
               studies to measure specific 16S rRNA gene regions. In the study by Arboleya et al., the profiling is specific to the species composition of the genus
                                                                                   [31]
               Bifidobacterium only, whereas others studied overall gut microbiota composition .
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