Predictors of breast milk macronutrient composition in filipino mothers

Quinn, Elizabeth A.; Largado, Fe; Power, Michael L.; Kuzawa, Christopher W.

doi:10.1002/ajhb.22266

Cited by 98 publications

(132 citation statements)

References 79 publications

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“…energy, protein, NPN, lactose and fat content, are consistent with previous observations [22][23][24][25] . There was a great variability in the composition between mothers and during lactation.…”

Section: Human Milk Compositionsupporting

confidence: 81%

Breast milk composition and infant nutrient intakes during the first 12 months of life

Grote¹,

et al. 2015

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Objectives:The objective of this study was to quantify human milk supply and intake of breastfed infants up to age 12 months. Additionally, human milk composition was quantified per energetic macronutrient and fatty acid composition in a subsample of lactating mothers. Methods:174 Italian breastfed children were followed using test-weighing and 3-day food protocols from birth to age twelve months. From a sub-sample of thirty mothers breast milk samples were collected at child ages one (T1), two (T2), three (T3), and six (T6) months, and were analyzed for the amount of protein, digestible carbohydrates, total lipids and fatty acid composition. Results:142 (82%) filled in at least one three-day food protocol within the first 12 months of life and complied with test-weighing of all milk feeds. The number of valid food protocols declined from 126 infants at one month to 77 at twelve months of age. Only galactose, non-protein nitrogen and protein decreased significantly from age one to age six months of lactation. Maternal BMI and age affected fatty acid levels in human milk. Median human milk intake decreased from 625ml at T1, over 724ml at T3 to 477ml/day at T6.Average energy and %energy from protein intake per day increased from 419 kcal (SD 99) and 8.4% (1.0) at T1, respectively, to 860 kcal (145) and 16.1% (2.6) at T12. Conclusion:These data provide a reference range of nutrient intakes in breastfed infants and may provide guidance for defining optimal nutrient intakes for infants that cannot be fully breastfed.4

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Section: Human Milk Compositionsupporting

confidence: 81%

Breast milk composition and infant nutrient intakes during the first 12 months of life

Grote¹,

et al. 2015

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“…23 Villalpando et al found a strong positive correlation between body fat mass and fat content of breast milk, 20 in aggreement with research by Barbosa et al 21 Conversely, no significant correlation was found between fat content of milk and maternal body fat mass (P=0.743), total body fluid (P=0.442), or muscle mass (P=0.853). Similarly, Quinn et al 22 found that body composition, in this case the fat mass, was not a predictor of the fat content of milk. This result may be related to the possibility that adequate food intake was the main source of milk fat, so body composition had little effect.…”

Section: Discussionmentioning

confidence: 99%

“…19 Studies on maternal body fat mass have also been inconclusive. Body fat mass was positively correlated with fat content in breast milk in studies by Villalpando et al 20 and Barbosa et al, 21 but Quinn et al 22 reported that body fat mass was not a predictor of breast milk fat content. The aim of the study was to investigate breast milk fat content of Indonesian mothers at 1 month after delivery and to assess for possible correlations between breast milk fat content and either maternal body composition or nutritional intake.…”

mentioning

confidence: 91%

Associations of maternal body composition and nutritional intake with fat content of Indonesian mothers’ breast milk

Kurniati

Sunardi

Sungkar

et al. 2017

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Background Breast milk fat content accounts for the largest part of infants' energy and may be influenced by many factors, including maternal factors, which may vary in different settings. So far, there has been no published data no published data on whether the breast milk fat content of Indonesian mothers is affected by their body composition or nutritional intake. Objective To investigate breast milk fat content of Indonesian mothers and its associations with maternal body composition and nutritional intake. Method This cross-sectional study was conducted at Budi Kemuliaan Mothers' and Children's Hospital. Breast milk specimens were collected from 48 nursing mothers, centrifuged, and tested by creamatocrit for fat content. A 24-hour food recall was performed to evaluate maternal macronutrient intake. Maternal body composition was evaluated by bioelectric impedance analysis. Univariable correlations between breast milk fat content and either energy and macronutrient intake were assessed using the Spearman rho test. Results All nursing mothers had breast milk fat content within clinically normal range [mean 59.4 (SD 15.9) g/L]. There was no significant correlation between milk fat content and maternal body fat (r=-0.03, P=0.840), total body water (r=0.09 P=0.509), or muscle mass (r=0.08, P=0.577). Milk fat content seemed to weakly correlated with maternal fat intake, although it was not statistically significant (r=0.27, P=0.065). Conclusion Breast milk fat content at one-month post delivery appears appear not to be associated with with maternal body composition. It seems to weakly correlate with maternal fat intake.

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“…The physiological processes by which mammary glands synthesize breast milk necessarily reflect, in part, maternal characteristics at the time of lactation, or even in the months, and years before lactation (Hinde and Milligan, 2011;Quinn et al, 2012). For these reasons, milk can vary between populations, across lactation, among women within populations, and even within mother during a single nursing bout and throughout the day.…”

Section: Sources Of Variation In Human Milkmentioning

confidence: 99%

“…Researchers have only begun to define normal milk variation across populations and how it influences the postnatal period and beyond (Neville et al, 2012). Many of the emerging questions in human biology are linked to lactation, from unique aspects of primate Milligan and Bazinet, 2008) and human life histories (Fujita et al, 2011), parental investment (Fujita et al, 2012;Hinde, 2009;Powe et al, 2010), and developmental programming (de Moura et al, 2008;Hinde and Capitano, 2010;Miralles et al, 2006;Newburg et al, 2010;Palou et al, 2009;Pico et al, 2007;Prentice, 2005;Quinn, 2011;Quinn et al, 2012;Savino et al, 2009;Stocker and Cawthorne, 2008;Weyerman et al, 2007). In addition, lactation is implicated in human evolutionary biology, including the evolution of large brains and body fat (Kuzawa, 1998;Martin, 1981), childhood (Bogin, 1999;Konner, 2010;Sellen, 2007), reproductive timing (Al-Sahab et al, 2011) and the developmental origins of adult metabolism (Kuzawa and Quinn, 2009;Wells, 2003).…”

Section: Introductionmentioning

confidence: 99%

Field and laboratory methods in human milk research

Miller

Aiello

Fujita

et al. 2012

American J Hum Biol

122

108

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Human milk is a complex and variable fluid of increasing interest to human biologists who study nutrition and health. The collection and analysis of human milk poses many practical and ethical challenges to field workers, who must balance both appropriate methodology with the needs of participating mothers and infants and logistical challenges to collection and analysis. In this review, we address various collection methods, volume measurements, and ethical considerations and make recommendations for field researchers. We also review frequently used methods for the analysis of fat, protein, sugars/lactose, and specific biomarkers in human milk. Finally, we address new technologies in human milk research, the MIRIS Human Milk Analyzer and dried milk spots, which will improve the ability of human biologists and anthropologists to study human milk in field settings. Am.

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Predictors of breast milk macronutrient composition in filipino mothers

Cited by 98 publications

References 79 publications

Breast milk composition and infant nutrient intakes during the first 12 months of life

Breast milk composition and infant nutrient intakes during the first 12 months of life

Associations of maternal body composition and nutritional intake with fat content of Indonesian mothers’ breast milk

Field and laboratory methods in human milk research

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