Estimation of 24 h breast-milk fat concentration and fat intake in rural northern Thailand

1988 ◽  
Vol 59 (3) ◽  
pp. 365-371 ◽  
Author(s):  
Dorothy A. Jackson ◽  
Stella M. Imong ◽  
A. Silprasert ◽  
S. Preunglumpoo ◽  
P. Leelapat ◽  
...  

1. The present study assesses the accuracy with which mean 24 h breast-milk composition can be estimated if milk samples can only be collected during the daytime.2. Twenty-five northern Thai mothers, feeding their infants on demand, were studied in their homes for 24 h. All feeds were test-weighed and 0·5 ml pre- and post-feed expressed milk samples taken at each feed.3. If daytime sampling was restricted to two breast-feeds, it was found that the best estimate of 24 h fat concentration was given by two randomly chosen daytime feeds, predicting 24 h fat concentration with 95% confidence limits of ±7·0 g/l (equivalent to 21% of mean 24 h fat concentration).4. Alternative sampling methods using the mean fat concentration of the feed after 08·00 hours and after 18·00 hours, or the first two feeds after 12·00 hours, predicted fat concentration with 95% confidence limits of ±9·7 g/l and ±8·9 g/l (28 and 26% of mean 24 h fat concentration) respectively.5. If well-tolerated by mothers, it would be preferable to sample all daytime feeds, since this reduces the 95% confidence limits to ±3·3 g/l, equivalent to 10% of the mean 24 h fat concentration.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Seblework Mekonen ◽  
Argaw Ambelu ◽  
Mekitie Wondafrash ◽  
Patrick Kolsteren ◽  
Pieter Spanoghe

AbstractBreast milk is often used as an environmental bioindicator since it serves as an important medium to accumulate organochlorine pesticides. The main aim of this study is to determine the level of organochlorine pesticides in human breast milk collected from three districts of southwestern Ethiopia (Asendabo, Deneba, and Serbo) at three times points baselines (1st month), midline ( six months), and end line (12 months) and risk of infants’ exposure. A longitudinal study was conducted to assess pesticide residues in human breast milk samples and evaluate the risk-exposure of infants to these pesticides from consumption of mother’s milk in Ethiopia. Breast milk samples were collected from 168 mothers at three time points and pesticides were extracted using the quick, easy, cheap, effective, rugged, and safe (QuEChERS) method. The level of pesticide residues in human milk samples and exposure of infants to the pesticides was evaluated by calculating the estimated daily intake and compared with the provisional tolerable daily intake of the pesticides under study. The results indicated that, from the eight organochlorine pesticides analyzed in 447 breast milk samples at three sampling times, DDT and its metabolites were detected. p,p′-DDE and p,p′-DDT were detected in all (100%) of the breast milk samples while, p,p-DDD, and o,p-DDT were detected in 53.9%, and 42.7%, respectively. The mean concentration of total DDT at three time points(baseline, midline and endline) were 2.25, 1.68 and 1.32 µg/g milk fat, respectively. The mean concentration of total DDT from the three districts was 1.85 µg/g milk fat which is above the maximum residue limit (MRL = 0.02 µg/g milk fat set by FAO/WHO). The mean ratio of DDT/DDE for the three areas was calculated less than five (< 5) indicates historical DDT use in the study area. The estimated daily intake of infants at the first month of breastfeeding was 11.24 µg/kg-BW/day, above the provisional tolerable daily intake (PTDI) for total DDT set by FAO/WHO, which is 10 µg/kg body weight. An intake of OCPs is a big concern for infants' health in Ethiopia and countries with a similar condition, particularly at the first month of lactation. Strict regulations of the health-threatening pesticide by the regulatory body (Environment, Forest and Climate Change Commission) at the country and regional levels is advocated.


Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1231 ◽  
Author(s):  
Christine Butts ◽  
Duncan Hedderley ◽  
Thanuja Herath ◽  
Gunaranjan Paturi ◽  
Sarah Glyn-Jones ◽  
...  

Human milk is nutrient rich, complex in its composition, and is key to a baby’s health through its role in nutrition, gastrointestinal tract and immune development. Seventy-eight mothers (19–42 years of age) of Asian, Māori, Pacific Island, or of European ethnicity living in Manawatu-Wanganui, New Zealand (NZ) completed the study. The women provided three breast milk samples over a one-week period (6–8 weeks postpartum), completed a three-day food diary and provided information regarding their pregnancy and lactation experiences. The breast milk samples were analyzed for protein, fat, fatty acid profile, ash, selected minerals (calcium, magnesium, selenium, zinc), and carbohydrates. Breast milk nutrient profiles showed no significant differences between the mothers of different ethnicities in their macronutrient (protein, fat, carbohydrate, and moisture) content. The breast milk of Asian mothers contained significantly higher levels of polyunsaturated fatty acids (PUFAs), omega-3 (n-3) and omega-6 (n-6) fatty acids, docosahexaenoic acid (DHA), and linoleic acids. Arachidonic acid was significantly lower in the breast milk of Māori and Pacific Island women. Dietary intakes of protein, total energy, saturated and polyunsaturated fat, calcium, phosphorus, zinc, iodine, vitamin A equivalents, and folate differed between the ethnic groups, as well as the number of serves of dairy foods, chicken, and legumes. No strong correlations between dietary nutrients and breast milk components were found.


2017 ◽  
Vol 80 (10) ◽  
pp. 1737-1741 ◽  
Author(s):  
Jomana Elaridi ◽  
Maya Bassil ◽  
Joelle Abi Kharma ◽  
Farah Daou ◽  
Hussein F. Hassan

ABSTRACT Aflatoxin B1 (AFB1) is the most potent of the dietary aflatoxins, and its major metabolite, aflatoxin M1 (AFM1), is frequently found in the breast milk of lactating mothers. The aim of this study was to assess the occurrence and factors associated with AFM1 contamination of breast milk collected from lactating mothers in Lebanon. A total of 111 breast milk samples were collected according to the guidelines set by the World Health Organization. Samples were analyzed with a competitive enzyme-linked immunosorbent assay between December 2015 and November 2016. A survey was used to determine the demographic and anthropometric characteristics of participating lactating mothers. Dietary habits were assessed using a semiquantitative food frequency questionnaire. Mean (±standard deviation) concentration of AFM1 in the breast milk samples was 4.31 ± 1.8 ng/L, and 93.8% of samples contained AFM1 at 0.2 to 7.9 ng/L. The mean concentration of AFM1 was significantly lower (P &lt; 0.05) in fall and winter (4.1 ± 1.9 ng/L) than in spring and summer (5.0 ± 1.7 ng/L). None of the samples exceeded the European Commission regulation limit (25 ng/L) for infant milk replacement formula. AFM1 contamination was significantly associated (P &lt; 0.05) with the daily consumption of white cheeses but not with the consumption of meat or cereal products. No significant association (P &gt; 0.05) was observed between AFM1 concentrations in breast milk and anthropometric sociodemographic factors (age and level of education) or the governorate of residence of the nursing mothers. The mean AFM1 estimated daily intake was found to be 0.69 ng/day/kg of body weight. Although the incidence of AFM1 contamination was low, our first-of-its-kind study highlights the importance of conducting investigations on mycotoxin contamination in breast milk and of developing protection strategies to tackle the exposure of infants to this potent chemical hazard.


1960 ◽  
Vol 27 (1) ◽  
pp. 115-120 ◽  
Author(s):  
J. O'Donovan ◽  
F. H. Dodd ◽  
F. K. Neave

SummaryData available for fifty cows mainly infected with Staphylococcus pyogenes have been analysed to determine the effects of udder infections and mastitis on milk, fat and solids-not-fat yield and on fat and solids-not-fat percentages over full lactations.It was found that lactation yields of milk, solids-not-fat and fat were depressed by 10, 11 and 12% respectively in the presence of infection. These depressions were significant (P < 0·05). The composition of the milk averaged over whole lactations was not significantly affected (P > 0·05), although the mean solids-not-fat percentage of the milk was significantly depressed by 0·196±0·092 during the period of infection.It is suggested that the depressions in lactation yield and changes in milk composition would have been greater in the absence of antibiotic therapy for mastitis.


2017 ◽  
Vol 56 (5) ◽  
pp. 297 ◽  
Author(s):  
Ardesy Melizah Kurniati ◽  
Diana Sunardi ◽  
Ali Sungkar ◽  
Saptawati Bardosono

Background Breast milk is the best sole food for infants in their first six months of life. 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 about the breast milk fat content of Indonesian mothers, including whether it 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 not associated with with maternal body composition. It seems to weakly correlate with maternal fat intake but findings need to be confirmed in larger studies with adjustment for confounding variables. 


1991 ◽  
Vol 69 (10) ◽  
pp. 2556-2561 ◽  
Author(s):  
Maria B. Kretzmann ◽  
Daniel P. Costa ◽  
Lesley V. Higgins ◽  
D. J. Needham

Thirty-eight milk samples collected over three seasons from 23 individual Australian sea lions (Neophoca cinerea) were analyzed. Mean milk composition was 25.4% lipid (± 9.3% SD), 62.4% water (± 8.1%), 10.5% protein (± 2.2%), and 0.9% ash (± 0.2%). Milk composition appeared to vary considerably among females, and occasionally between successive samples from the same individual. Milk fat content was not correlated with pup age (stage of lactation), female mass, length of the preceding foraging trip, or time onshore prior to milk collection. The relatively low lipid content of Australian sea lion milk compared with that of some other otariid seals is consistent with the hypothesis that otariid females making relatively short trips to sea produce milk with lower fat content than those species which make foraging trips of longer duration.


Author(s):  
Jean-Michel HASCOET ◽  
Martine CHAUVIN ◽  
Christine PIERRET ◽  
Sebastien SKWERES ◽  
Louis-dominique VAN EGROO ◽  
...  

(1) Background: Premature infants require mothers’ milk fortification to meet nutrition needs, but breast milk composition may be variable leading to a risk of inadequate nutrition. We aimed at determining factors influencing mothers’ milk macronutrients. (2) Methods: Milk samples were analyzed for the first 5 weeks after premature delivery, by infrared spectroscopy. Mothers’ nutritional intake data were obtained during standardized interviews with dieticians then analyzed with reference software. (3) Results: Composition of 367 milk samples from 81 mothers was (Median [range]g/100mL): Carbohydrates 6.8[4.4-7.3], lipids 3.4[1.3-6.4], proteins 1.3[0.1-3.1]. There was a relationship of milk composition with mothers’ carbohydrates intake only (r=0.164; p&lt;.01). Postnatal age was correlated with milk proteins (r=-0.505 p&lt;.001) &amp; carbohydrates (r=+0.202, p&lt;.001). Multiple linear regression analyses showed (coefficient) a relationship between milk proteins r=0.547 and postnatal age (-0.028), carbohydrates intake (+0.449) and the absence of maturation (-0.066); and between milk lipids r=0.295 and carbohydrates intake (+1.279) and smoking (-0.557). Finally, between milk carbohydrates concentration r=0.266 and postnatal age (+0.012) and smoking (-0.167). (4) Conclusions: Variability of mothers’ milk composition is differentially associated for each macronutrient with maternal carbohydrates intake, antenatal steroids, smoking, and postnatal age. Improvement in milk composition could be achieved by modification of these related factors.


2011 ◽  
Vol 81 (6) ◽  
pp. 368-371 ◽  
Author(s):  
H. Turhan ◽  
Atıcı ◽  
Muslu

Background: The total antioxidant capacity of plasma of preterm infants has been suggested to be lower than that of term infants. The objective of this study was to compare the total antioxidant capacity of the breast milk of mothers who delivered prematurely with that of mothers who delivered at term. Materials and Methods: A total of 71 breast milk samples were collected, 41 from mothers who delivered preterm (27 to 37 weeks) and 30 from mothers who delivered at term (38 to 42 weeks). Results: The mean total antioxidant capacity of the breast milk of mothers who delivered prematurely was higher (2.19 ± 0.88 mmol/L) than that of mothers who delivered at term (1.7 ± 0.86 mmol/L) (p = 0.024). Conclusion: Breastfeeding may protect preterm infants against oxidative stress and related disorders in the neonatal period.


2021 ◽  
Vol 99 (Supplement_3) ◽  
pp. 300-300
Author(s):  
Delaney Smith ◽  
Michael Thonney ◽  
Katherine Petersson ◽  
Maria L Hoffman

Abstract The objective of this study was to examine the effect of feeding cranberry vine (CV) on milk components during early lactation as part of a larger study on the antiparasitic efficacy of CV supplementation on ewes during the periparturient period. Ewes were fed a 50% CV pellet (CVP; n = 12) or a control pellet (CON; n = 13) beginning at 102±1 d of pregnancy until d 65±1 postpartum. The CV pellet fed was formulated to be equivalent in digestible dry matter to the control pellet. BW was determined weekly during the study and milk samples were collected weekly during lactation. Data were analyzed in SAS with repeated measures. Ewe BW were similar at the start of study (180.36lbs ± 4.70lbs; P = 0.43) however by wk 8 postpartum CVP ewes weighed less than CON ewes (CON: 212.31lbs±7.86lbs; CVP: 185.58lbs±8.00lbs; P = 0.04). There was a treatment*wk effect observed for milk fat, protein and MUN (P ≤ 0.05). Ewes fed CVP exhibited reduced milk fat at wks 2 (CON: 6.75%±0.63%; CVP: 6.06%±0.58%; P = 0.03) and 5 (CON: 6.66%±0.37%; CVP: 5.54%±0.26%; P = 0.05), milk protein was reduced in CVP ewes at wk 2 (CON: 4.92%±0.12%; CVP: 4.72%±0.19%; P = 0.05) and MUN was greater at weeks 4 (CON: 22.89±0.7mg/dL; CVP: 27.93±0.85mg/dL; P = 0.01) and 8 (CON: 24.80±0.51mg/dL; CVP: 26.64±0.86mg/dL; P &lt; 0.01) in CVP ewes. Somatic cell analysis is pending. In conclusion, CVP supplementation during lactation affects milk composition in sheep. Studies are underway to determine the effect of CV supplementation on additional metabolic parameters in pregnant and lactating ewes.


2007 ◽  
Vol 87 (1) ◽  
pp. 35-43 ◽  
Author(s):  
C. Farmer ◽  
C. Knight ◽  
D. Flint

The effects of lactation length and/or heat stress on endocrine status of sows and indicators of mammary involution at weaning were studied. Twenty-eight first parity Yorkshire × Landrace sows were housed at 21 (CTL) or 29°C (HS) throughout lactation. Within each temperature group, half the sows were randomly assigned to a weaning age of 22 (W22: CTL, n = 7; HS, n = 8) or 44 d (W44: CTL, n = 6; HS, n = 7). Litter size was standardized to 10 or 11 on day 2 and to 9 on day 23 of lactation. Blood and milk samples were collected on days -1, 1, 2 and 3 relative to weaning (day 0). Concentrations of prolactin, IGF-I and lactose were measured in both fluids and concentrations of Na, K and IGFBP-5 were measured in milk. Standard milk composition was also determined. Lactose was lower (P < 0.001) and protein greater (P < 0.05) in all milk samples from W44 compared with W22 sows. Percentages of milk fat and dry matter were lower (P < 0.05) in W44 than in W22 on days 2 and 3 post-weaning. Milk lactose was reduced (P < 0.05) with heat stress on days 2 and 3. The day before weaning, concentrations of prolactin in blood (P < 0.001) and lactoserum (P < 0.01) were lower and those of IGF-I in lactoserum were greater (P = 0.01) in W44 than in W22. Values of IGFBP-5 in milk were drastically lower (P < 0.001, more than a fourfold difference), those of Na greater (P < 0.001) and those of K unchanged (P > 0.1) for W44 compared with W22. Post-weaning, evidence of leaky tight junctions (increased milk Na, decreased K) was evident a day earlier (2 vs. 3) in W44 compared with W22 and was most marked in HS. In support, plasma lactose concentrations increased transiently on the same day in HS W44. The greater Na/K ratio in W44 compared with W22 taken together with increased plasma lactose particularly in HS shows that mammary epithelial cell tight junctions become leaky as lactation advances. Weaning age therefore has an impact on milk variables which are indicative of the status of mammary involution in sows and some of these effects are exacerbated by heat stress. Key words: Heat stress, lactation length, mammary involution, sows, weaning


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