scholarly journals The Effect of Maternal Obesity on Breast Milk Fatty Acids and Its Association with Infant Growth and Cognition—The PREOBE Follow-Up

Nutrients ◽  
2019 ◽  
Vol 11 (9) ◽  
pp. 2154 ◽  
Author(s):  
Andrea de la Garza Puentes ◽  
Adrià Martí Alemany ◽  
Aida Maribel Chisaguano ◽  
Rosa Montes Goyanes ◽  
Ana I. Castellote ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Breast Milk ◽  
Maternal Obesity ◽  
Infant Growth ◽  
Normal Weight ◽  
Healthy Weight ◽  
Infant Cognition ◽  
Maternal Weight ◽  
Mature Milk ◽  
Milk Fatty Acids

This study analyzed how maternal obesity affected fatty acids (FAs) in breast milk and their association with infant growth and cognition to raise awareness about the programming effect of maternal health and to promote a healthy prenatal weight. Mother–child pairs (n = 78) were grouped per maternal pre-pregnancy body mass index (BMI): normal-weight (BMI = 18.5–24.99), overweight (BMI = 25–29.99) and obese (BMI > 30). Colostrum and mature milk FAs were determined. Infant anthropometry at 6, 18 and 36 months of age and cognition at 18 were analyzed. Mature milk exhibited lower arachidonic acid (AA) and docosahexaenoic acid (DHA), among others, than colostrum. Breast milk of non-normal weight mothers presented increased saturated FAs and n6:n3 ratio and decreased α-linolenic acid (ALA), DHA and monounsaturated FAs. Infant BMI-for-age at 6 months of age was inversely associated with colostrum n6 (e.g., AA) and n3 (e.g., DHA) FAs and positively associated with n6:n3 ratio. Depending on the maternal weight, infant cognition was positively influenced by breast milk linoleic acid, n6 PUFAs, ALA, DHA and n3 LC-PUFAs, and negatively affected by n6:n3 ratio. In conclusion, this study shows that maternal pre-pregnancy BMI can influence breast milk FAs and infant growth and cognition, endorsing the importance of a healthy weight in future generations.

scholarly journals Breast Milk Supply of MicroRNA Associated with Leptin and Adiponectin Is Affected by Maternal Overweight/Obesity and Influences Infancy BMI

Nutrients ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 2589 ◽  
Author(s):  
Rocío Zamanillo ◽  
Juana Sánchez ◽  
Francisca Serra ◽  
Andreu Palou
Keyword(s):  
Breast Milk ◽  
Target Genes ◽  
Maternal Obesity ◽  
Infant Growth ◽  
Normal Weight ◽  
Milk Supply ◽  
Milk Samples ◽  
Lactating Mothers ◽  
Maternal Overweight ◽  
Over Time

Breast milk constitutes a dietary source of leptin, adiponectin and microRNAs (miRNAs) for newborns. Expression of miRNAs previously associated with maternal obesity, leptin or adiponectin function were assessed and their impact on infant weight analyzed. Milk samples were collected (at month 1, 2, and 3) from a cohort of 59 healthy lactating mothers (38 normal-weight and 21 overweight/obese (BMI ≥ 25)), and infant growth was followed up to 2 years of age. Thirteen miRNAs, leptin and adiponectin were determined in milk. Leptin, adiponectin and miRNA showed a decrease over time of lactation in normal-weight mothers that was altered in overweight/obesity. Furthermore, negative correlations were observed in normal-weight mothers between the expression of miRNAs in milk and the concentration of leptin or adiponectin, but were absent in overweight/obesity. Moreover, miRNAs negatively correlated with infant BMI only in normal-weight mothers (miR-103, miR-17, miR-181a, miR-222, miR-let7c and miR-146b). Interestingly, target genes of milk miRNAs differently regulated in overweight/obesity could be related to neurodevelopmental processes. In conclusion, a set of miRNAs present in breast milk, in close conjunction with leptin and adiponectin, are natural bioactive compounds with the potential to modulate infant growth and brain development, an interplay that is disturbed in the case of maternal overweight/obesity.

SUN-PO291: Breast Milk Fatty Acids Influence Infant Growth and Cognition: The Preobe Study

2019 ◽  
Vol 38 ◽  
pp. S167
Author(s):  
A. De la Garza Puentes ◽  
M. Caballero ◽  
A. Martí Alemany ◽  
A.M. Chisguano Tonato ◽  
R. Montes Goyanes ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Breast Milk ◽  
Infant Growth ◽  
Milk Fatty Acids

scholarly journals Temporal Changes in Breast Milk Fatty Acids Contents: A Case Study of Malay Breastfeeding Women

Nutrients ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 101
Author(s):  
Geok Lin Khor ◽  
Seok Shin Tan ◽  
Eline Stoutjesdijk ◽  
Kock Wai Tony Ng ◽  
Ilse Khouw ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Breast Milk ◽  
Essential Fatty Acids ◽  
Human Breast Milk ◽  
Lactation Period ◽  
Alpha Linolenic Acid ◽  
Mature Milk ◽  
Milk Fatty Acids ◽  
Milk Samples ◽  
Total Fatty Acids

The composition of human breast milk changes in the first two months of life, adapting itself to the evolving needs of the growing new-born. Lipids in milk are a source of energy, essential fatty acids (FA), fat-soluble vitamins, and vital bioactive components. Information on breast milk FA of Malaysian lactating women is scarce. Based on convenience sampling, a total of 20 Malay breastfeeding women who fulfilled the inclusion criteria were recruited. Breast milk was collected three times from each subject at consecutive intervals of 2–3 weeks apart. A total of 60 breast milk samples were collected and classified into “transitional milk” (n = 8), “early milk” (n = 26) and “mature milk” (n = 26). All milk samples were air freighted to University of Groningen, Netherlands for analysis. The dominant breast milk FA were oleic acid, constituting 33% of total fatty acids, followed by palmitic acid (26%). Both these FA and the essential FA, linoleic acid (10%) and alpha-linolenic acid (0.4%), showed no significant changes from transitional to mature milk. Breast milk ratio of n-6:n-3 polyunsaturated fatty acids (PUFA) was comparatively high, exceeding 10 throughout the lactation period, suggesting a healthier balance of PUFA intake is needed in pregnancy and at postpartum.

Abstract 41: The Effect Of Maternal Weight On Offspring Blood Pressure At 18 Years Of Age: A Causal Natural-effects Mediation Analysis

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Nicole M Brunton ◽  
Allison Dart ◽  
Meghan Azad ◽  
Jonathan M McGavock
Keyword(s):  
Blood Pressure ◽  
Mediation Analysis ◽  
Latent Class ◽  
Maternal Obesity ◽  
Normal Weight ◽  
Childhood And Adolescence ◽  
Healthy Weight ◽  
Maternal Weight ◽  
Increased Risk ◽  
Shiny App

Objectives: Examine the relationship between maternal pre-pregnancy body mass index (BMI) and offspring systolic blood pressure (SBP) at 18 yrs old. Methods: We performed multivariate regression and causal mediation analysis within 3700 mother - offspring pairs from a prospective birth cohort. The main exposure was maternal pre-pregnancy BMI categorized as healthy weight, overweight, or obese according to international criteria. The main outcomes were high-normal BP and hypertension defined as SBP between the 90-95 th centile and >95 th centile for height and sex at 18 years, respectively, as per 2017 AAP guidelines. Analyses were adjusted for social class, pre-eclampsia, sex, and maternal tobacco use during pregnancy. The Canadian Pediatric Endocrine Group R Shiny app was used to obtain age-standardized BMI Z-scores and latent class analysis (LCA) was used to quantify the mediating factor of offspring BMIZ trajectories from 7 to 18 yrs. Results: Before pregnancy 14% of women were overweight and 5% were obese. At 18 yrs, SBP (122 ± 12 vs 118 ±11mmHg, p < 0.001), DBP (67 ± 7 vs 63 ± 6mmHg, p < 0.001) and the odds of elevated BP (aOR: 1.6; 95% CI: 1.1-2.3) and hypertension (aOR: 2.1; 95% CI: 1.4-3.1) were higher in offspring from women that were obese prior to pregnancy compared to those that were normal weight. LCA identified five distinct offspring BMIZ trajectories shown in the figure. SBP (125 ± 12 vs 117 ± 10 mmHg, p < 0.001) and the odds of hypertension (aOR: 3.8; 95% CI: 2.8-5.1) at 18 years were significantly higher in offspring with sustained high BMIZ (teal) compared to sustained low normal BMIZ (green). Casual mediation analysis revealed that maternal BMI directly (OR: 1.14; 95% CI: 1.03-1.25) and indirectly through offspring BMIZ trajectories (OR: 1.12; 95% CI: 1.08-1.15) increased offspring SBP at 18 years of age. Conclusion: Maternal obesity prior to pregnancy is associated with an increased risk of hypertension in offspring at 18 yrs of age, partly mediated by an elevated BMIZ score trajectory throughout childhood and adolescence.

scholarly journals Association of breast milk fatty acids with allergic disease outcomes-A systematic review

Allergy ◽  
2017 ◽  
Vol 73 (2) ◽  
pp. 295-312 ◽  
Author(s):  
N. T. Waidyatillake ◽  
S. C. Dharmage ◽  
K. J. Allen ◽  
C. J. Lodge ◽  
J. A. Simpson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Fatty Acids ◽  
Breast Milk ◽  
Allergic Disease ◽  
Milk Fatty Acids ◽  
Disease Outcomes

scholarly journals Breast Milk Iodine Concentration Is Associated with Infant Growth, Independent of Maternal Weight

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 358 ◽  
Author(s):  
Lindsay Ellsworth ◽  
Harlan McCaffery ◽  
Emma Harman ◽  
Jillian Abbott ◽  
Brigid Gregg
Keyword(s):  
Breast Milk ◽  
Weight Status ◽  
Post Partum ◽  
Iodine Content ◽  
Iodine Concentration ◽  
Iodine Intake ◽  
Infant Growth ◽  
Maternal Weight ◽  
Significant Difference ◽  
Pregnancy Weight

In breastfed infants, human milk provides the primary source of iodine to meet demands during this vulnerable period of growth and development. Iodine is a key micronutrient that plays an essential role in hormone synthesis. Despite the importance of iodine, there is limited understanding of the maternal factors that influence milk iodine content and how milk iodine intake during infancy is related to postnatal growth. We examined breast milk samples from near 2 weeks and 2 months post-partum in a mother-infant dyad cohort of mothers with pre-pregnancy weight status defined by body mass index (BMI). Normal (NW, BMI < 25.0 kg/m2) is compared to overweight/obesity (OW/OB, BMI ≥ 25.0 kg/m2). The milk iodine concentration was determined by inductively coupled plasma mass spectrometry. We evaluated the associations between iodine content at 2 weeks and infant anthropometrics over the first year of life using multivariable linear mixed modeling. Iodine concentrations generally decreased from 2 weeks to 2 months. We observed no significant difference in iodine based on maternal weight. A higher iodine concentration at 2 weeks was associated with a larger increase in infant weight-for-age and weight-for-length Z-score change per month from 2 weeks to 1 year. This pilot study shows that early iodine intake may influence infant growth trajectory independent of maternal pre-pregnancy weight status.

scholarly journals Influence of sulfonated and diet-derived human milk oligosaccharides on the infant microbiome and immune markers

2020 ◽  
Vol 295 (12) ◽  
pp. 4035-4048 ◽  
Author(s):  
Candice Quin ◽  
Sara D. Vicaretti ◽  
Nina A Mohtarudin ◽  
Alexander M. Garner ◽  
Deanna M. Vollman ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Breast Milk ◽  
Human Milk ◽  
Unsaturated Fatty Acids ◽  
Maternal Diet ◽  
Intestinal Microbiome ◽  
Human Milk Oligosaccharides ◽  
Immune Markers ◽  
Milk Oligosaccharides ◽  
Milk Fatty Acids

Human milk oligosaccharides (HMOs) promote the development of the neonatal intestinal, immune, and nervous systems and has recently received considerable attention. Here we investigated how the maternal diet affects HMO biosynthesis and how any diet-induced HMO alterations influence the infant gut microbiome and immunity. Using capillary electrophoresis and MS-based analyses, we extracted and measured HMOs from breast milk samples and then correlated their levels with results from validated 24-h diet recall surveys and breast milk fatty acids. We found that fruit intake and unsaturated fatty acids in breast milk were positively correlated with an increased absolute abundance of numerous HMOs, including 16 sulfonated HMOs we identified here in humans for the first time. The diet-derived monosaccharide 5-N-glycolyl-neuraminic acid (Neu5Gc) was unambiguously detected in all samples. To gain insights into the potential impact of Neu5Gc on the infant microbiome, we used a constrained ordination approach and identified correlations between Neu5Gc levels and Bacteroides spp. in infant stool. However, Neu5Gc was not associated with marked changes in infant immune markers, in contrast with sulfonated HMOs, whose expression correlated with suppression of two major Th2 cytokines, IL-10 and IL-13. The findings of our work highlight the importance of maternal diet for HMO biosynthesis and provide as yet unexplored targets for future studies investigating interactions between HMOs and the intestinal microbiome and immunity in infants.

scholarly journals Human milk fatty acids and growth of infants in Brazzaville (The Congo) and Ouagadougou (Burkina Faso)

2003 ◽  
Vol 6 (3) ◽  
pp. 241-247 ◽  
Author(s):  
G Rocquelin ◽  
S Tapsoba ◽  
J Kiffer ◽  
S Eymard-Duvernay
Keyword(s):  
Fatty Acids ◽  
Weight Gain ◽  
Breast Milk ◽  
Human Milk ◽  
Burkina Faso ◽  
Dietary Habits ◽  
Average Weight ◽  
Milk Fatty Acids ◽  
Chain Pufa ◽  
Long Chain

AbstractObjective:Objective: To estimate the role of human milkn-6 andn-3 polyunsaturated fatty acids (PUFA) in term infant growth in two African urban populations.Design:Observational study. Weight gains at 5 months of age and dietary habits were compared between Congolese infants (n=102) and Burkinabè infants (n=101). Socio-economic status and anthropometry of the mothers were also recorded.Setting:One suburban district in Brazzaville (capital of The Congo) and one in Ouagadougou (capital of Burkina Faso).Subjects:Two random samples of nursing mothers and their 5-month-old infants.Results:All infants were born at term and there was no difference in birth weights. At 5 months of age, infants in Ouagadougou were thinner but not shorter than their counterparts in Brazzaville (average weight gain (standard deviation): 614 (168) g month-1vs. 720 (176) g month-1;P>0.0001). Drastic differences were found in infant diets with regard to extra fluid intake andn-6 andn-3 PUFA concentrations in breast milk. In Ouagadougou, all infants were given fluids other than milk from birth. Breast milk had highly unbalanced 18:2n-6/18:3n-3 andn-6/n-3 long-chain PUFA ratios (53:1 and 5:1, respectively). In Brazzaville, half of the infants received fluids other than milk, and breast milk showed balanced 18:2n-6/18:3n-3 andn-6/n-3 long-chain PUFA ratios (12:1 and 1:1, respectively). A non-linear relationship between 18:2n-6/18:3n-3 ratio and growth was established in Brazzaville (P=0.0027). The 18:2n-6/18:3n-3 ratio adjusted with covariates had an even more significant effect on weight gain (P=0.0011). Applying the same model in Ouagadougou did not show such a relation.Conclusion:Data strongly suggest that a balanced ratio of 18:2n-6/18:3n-3 (between 5:1 and 15:1) in breast milk leads to higher weight gain of infants during the first 5 months of life.

Long-chain polyunsaturated fatty acids in Chinese and Swedish mothers: Diet, breast milk and infant growth

2005 ◽  
Vol 94 (11) ◽  
pp. 1543-1549 ◽  
Author(s):  
Mingyan Xiang ◽  
Laurence Harbige ◽  
Rolf Zetterström
Keyword(s):  
Fatty Acids ◽  
Breast Milk ◽  
Polyunsaturated Fatty Acids ◽  
Infant Growth ◽  
Long Chain
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