or neurodevelopment.43 However, of the 8 studies included in the meta-analysis, 7 were published before 1990, during which time nutritional comparisons were limited. For example, several of the reviewed studies did not include formulas designed for premature infants and none included nutrient-enriched donor milk. One study, initiated in 1982 followed a cohort of premature infants that received either premature infant formula or unfortified donor human milk with the latter group showing decreased blood pressure27 and improved lipoprotein profiles as adolescents.28 In the single included study published since 1990, infants whose mothers were unable to provide sufficient milk for their extremely premature infants (< 30 weeks gestation) were randomly assigned to receive supplementation with either premature infant formula or nutrient-enriched donor human milk; donor human milk led to slower weight gain but did not decrease episodes of sepsis, or ROP, length of hospital stay