scholarly journals Maternal obesity and the human milk metabolome: associations with infant body composition and postnatal weight gain

2019 ◽  
Vol 110 (1) ◽  
pp. 111-120 ◽  
Author(s):  
Elvira Isganaitis ◽  
Sarah Venditti ◽  
Tucker J Matthews ◽  
Carles Lerin ◽  
Ellen W Demerath ◽  
...  
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Childhood Obesity ◽  
Human Milk ◽  
False Discovery Rate ◽  
Maternal Obesity ◽  
Milk Composition ◽  
False Discovery ◽  
Postnatal Weight Gain ◽  
Maternal Bmi

ABSTRACTBackgroundMaternal obesity is a risk factor for childhood obesity; this is a major public health concern given that ∼40% of pregnant women are either overweight or obese. Whether differences in milk composition in lean compared with obese women contribute to childhood obesity is unclear.ObjectivesWe aimed to analyze relationships between maternal obesity and human milk metabolites, infant body composition, and postnatal weight gain.MethodsThis was a prospective study in which mothers intending to breastfeed exclusively, and their newborn infants, were enrolled at delivery (n = 35 mother–infant pairs). We excluded mothers with diabetes, other medical conditions, or pregnancy complications. Participants were grouped by maternal prepregnancy BMI <25 (lean) or ≥25 kg/m2 (overweight/obese). We analyzed infant body composition by dual-energy X-ray absorptiometry and used untargeted liquid chromatography–gas chromatography–mass spectrometry to measure the milk content of 275 metabolites at 1 and 6 mo postpartum.ResultsAt 1 mo postpartum, 10 metabolites differed between overweight/obese and lean groups with nominal P < 0.05, but none was altered with a false discovery rate <0.25. Many differentially abundant metabolites belonged to the same chemical class; e.g., 4/10 metabolites were nucleotide derivatives, and 3/10 were human milk oligosaccharides. Milk adenine correlated positively with both continuously distributed maternal BMI and with infant adiposity and fat accrual. Analysis of milk composition at 6 mo postpartum revealed 20 differentially abundant metabolites (P < 0.05) in overweight/obese compared with lean women, including 6 metabolites with a false discovery rate of <0.25. At both 1 and 6 mo, human milk abundance of 1,5-anhydroglucitol, which has not previously been described in milk, was positively associated with maternal BMI.ConclusionsMaternal obesity is associated with changes in the human milk metabolome. While only a subset of metabolites correlated with both maternal and infant weight, these point to potential milk-dependent mechanisms for mother–child transmission of obesity. This trial was registered at www.clinicaltrials.gov as NCT02535637.

scholarly journals Human Milk Composition Differs by Maternal BMI in the First 9 Months Postpartum

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1080-1080
Author(s):  
Clark Sims ◽  
Melissa Lipsmeyer ◽  
Donald Turner ◽  
Aline Andres
Keyword(s):  
Body Composition ◽  
Human Milk ◽  
Weight Status ◽  
Daily Intake ◽  
Milk Composition ◽  
Infant Growth ◽  
Effect Sizes ◽  
Time Points ◽  
Daily Intakes ◽  
Maternal Bmi

Abstract Objectives Recent studies indicate that human milk composition is modulated by maternal weight status; however, results are conflicting. The objective of this study was to examine the relationship between maternal body composition and human milk macronutrients and bioactive components, as well as the association between infant daily intakes and infant body composition. Methods Human milk samples (N = 990) were obtained from a longitudinal study (NCT#0,113,1117) in normal weight (NW: 18.5–24.9 kg/m,2 N = 88) and overweight/obese (OW: 25–35 kg/m,2 N = 86) women between 0.5 and 9 months postpartum. Macronutrient content was estimated using mid-infrared spectroscopy (MIRIS AB). Leptin, insulin, C-reactive protein (CRP), IL-6, IL-8 and TNF-α were measured using electrochemiluminescence immunoassays (Meso Scale Diagnostics). Infant body composition was obtained using quantitative magnetic resonance (Echo-MRI-AH). Linear mixed models adjusted for postpartum age and infant sex. Results Human milk was higher in fat and protein, and lower in carbohydrate content at only a few time points in OW compared to NW mothers. Human milk leptin and insulin concentrations were higher in OW mothers throughout lactation and CRP content differed at most time points compared to NW mothers. Similar results were observed when concentrations were normalized to infant daily intake and body weight. The effect sizes of infant daily intakes associated with infant growth parameters were small for macronutrients (0.005 to 0.05 Z-score units and 0.02 to 0.45 fat mass index (FMI)/fat free mass index (FFMI) units per unit of change in composition). Larger effect sizes were seen with human milk insulin and leptin, with infants of OW mothers exposed to 1.5 to 2.5 times higher concentrations compared to infants of NW mothers. Conclusions This study allows for a more comprehensive understanding of maternal BMI effects on human milk composition and its association with infant growth. Of note, the concentrations of leptin and insulin in human milk from OW mothers were higher than those in milk from NW mothers, resulting in higher daily intakes by their infants and modulation of FMI from 0.5 to 9 months postpartum. This study demonstrates the value of considering both human milk composition and infant daily intake when assessing infant growth. Funding Sources USDA/ARS Project # 6026–51,000-012–06S, NIH R01 DK107516.

scholarly journals Impact of milk and nutrient intake of piglets and sow milk composition on piglet growth and body composition at weaning

2020 ◽  
Vol 98 (3) ◽  
Author(s):  
Camilla Kaae Hojgaard ◽  
Thomas Sønderby Bruun ◽  
Peter Kappel Theil
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Body Fat ◽  
Milk Protein ◽  
Live Weight ◽  
Milk Composition ◽  
Fat Content ◽  
Milk Intake ◽  
Body Fat Content ◽  
Piglet Growth

Abstract The main objective of this study was to evaluate the impact of milk intake, milk composition, and nutrient intake on piglet growth in lactation and body composition at weaning. To evaluate the body composition of piglets, data from one experiment (44 Danish Landrace × Yorkshire × Duroc piglets) were used to develop prediction equations for body pools of fat, protein, ash, and water based on live weight and deuterium dilution space (exp. 1). Furthermore, a total of 294 piglets (Danish Landrace × Yorkshire × Duroc) from 21 sows of second parity were included in a second experiment (exp. 2). In exp. 2, piglet live weight was recorded on days 3, 10, 17, and 25 of lactation. On the same days, the milk intake and body composition were measured, using the deuterium oxide (D2O) dilution technique. Piglet weight gain was highly positively correlated with the intake of milk and the intake of milk constituents each week and on an overall basis having r values ranging from 0.65 to 0.93 (P &lt; 0.001). When evaluating regressions for piglet growth, the milk intake in combination with the milk protein concentration explained 85% and 87% of the total variation in piglet gain in the second and third week of lactation, respectively, whereas milk intake was the only predictor of piglet gain in the first week of lactation explaining 81% of the variation. Fat, protein, and energy retention rates were all highly positively correlated with the daily intake of milk and intake of milk nutrients with r values ranging from 0.76 to 0.94 (P &lt; 0.001). Piglet gain and retention rates were rather weakly correlated with the milk composition with r values ranging from 0.01 to 0.50 (being either negative or positive). Curvilinear response curves were fitted for live weight gain and body fat content at weaning in response to milk protein concentration, showing that live weight gain was slightly greater and body fat content was slightly lower at 4.9% milk protein, but it should be emphasized that the quadratic effects did not reach significance. Body fat content at weaning was positively related with the intake of milk (R2 = 0.44, P &lt; 0.001) and milk fat (R2 = 0.46, P &lt; 0.01). In conclusion, milk intake had a major impact on the piglet growth rate, and milk fat intake greatly influenced the body fat percentage at weaning, whereas milk composition per se only played a minor role for these traits.

scholarly journals Birth weight, postnatal weight gain, and adult body composition in five low and middle income countries

2011 ◽  
Vol 24 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Christopher W. Kuzawa ◽  
Pedro C. Hallal ◽  
Linda Adair ◽  
Santosh K. Bhargava ◽  
Caroline H.D. Fall ◽  
...  
Keyword(s):  
Body Composition ◽  
Weight Gain ◽  
Birth Weight ◽  
Middle Income ◽  
Middle Income Countries ◽  
Adult Body ◽  
Postnatal Weight Gain ◽  
Low And Middle Income

scholarly journals Maternal Nutrition and Body Composition During Breastfeeding: Association with Human Milk Composition

Nutrients ◽  
2018 ◽  
Vol 10 (10) ◽  
pp. 1379 ◽  
Author(s):  
Agnieszka Bzikowska-Jura ◽  
Aneta Czerwonogrodzka-Senczyna ◽  
Gabriela Olędzka ◽  
Dorota Szostak-Węgierek ◽  
Halina Weker ◽  
...  
Keyword(s):  
Body Composition ◽  
Human Milk ◽  
Milk Fat ◽  
Maternal Nutrition ◽  
Milk Composition ◽  
The Body ◽  
Fat Free Mass ◽  
Total Protein Content ◽  
Time Points ◽  
Dietary Record

The composition of human milk is dynamic and can vary according to many maternal factors, such as diet and nutritional status. This study investigated the association of maternal nutrition and body composition with human milk composition. All measurements and analyses were done at three time points: during the first (n = 40), third (n = 22), and sixth (n = 15) month of lactation. Human milk was analyzed using the Miris human milk analyzer (HMA), body composition was measured with bioelectrical bioimpedance (BIA) using a Maltron BioScan 920-II, and the assessment of women’s nutrition was based on a three-day dietary record. The correlation coefficient (Pearson’s r) did not show a significant statistical relationship between human milk composition and nutrients in women’s diet at three time points. For women in the third month postpartum, we observed moderate to strong significant correlations (r ranged from 0.47 to 0.64) between total protein content in milk and the majority of body composition measures as follows: positive correlations: % fat mass (r = 0.60; p = 0.003), fat-free mass expressed in kg (r = 0.63; p = 0.001), and muscle mass (r = 0.47; p = 0.027); and negative correlation: % total body water (r = −0.60; p = 0.003). The variance in milk fat content was related to the body mass index (BMI), with a significant positive correlation in the first month postpartum (r = 0.33; p = 0.048). These findings suggest that it is not diet, but rather the maternal body composition that may be associated with the nutritional value of human milk.

Impact of maternal obesity and prebiotic supplementation on select maternal milk miRNA levels and correlation to offspring outcomes

2021 ◽  
pp. 1-22
Author(s):  
Dana E. Lowry ◽  
Heather A. Paul ◽  
Raylene A. Reimer
Keyword(s):  
Body Composition ◽  
Gut Microbiota ◽  
Body Fat ◽  
Milk Protein ◽  
Maternal Obesity ◽  
Maternal Diet ◽  
Female Offspring ◽  
Milk Composition ◽  
Sprague Dawley ◽  
Maternal Body

Abstract Breastmilk composition varies with maternal factors including diet, and confers health benefits to the neonate; however, the mechanisms mediating this protection remain incompletely understood. Our aim was to investigate the effects of supplementing a maternal high fat/sucrose (HFS) diet with prebiotic oligofructose (OFS) on milk composition in rats and associations with offspring body composition and gut microbiota. Obese Sprague-Dawley dams consumed a control, HFS, HFS+OFS (10% wt/wt) or HFS diet weight-matched to the HFS+OFS group (HFS-WM) during pregnancy and lactation. Pups were weaned onto a HFS diet on day 21. Milk was collected at weaning and analysed for protein, leptin, and microRNA (miRNA) levels. Milk produced by HFS dams contained less protein than milk from lean controls which was normalized by OFS. Six miRNAs (miR-222, miR-203a, miR-200a, miR-26a, miR-27a, and miR-103) were differentially expressed in milk according to maternal diet. Milk leptin content was positively correlated with maternal body fat and fecal Enterobacteriaceae in male offspring at 24 weeks of age. Milk protein content was inversely associated with maternal body fat and body weight. miR-200a was positively associated with maternal body fat and Enterobacteriaceae in female offspring at 24 weeks of age. Correlations between milk protein and multiple milk miRNAs and offspring body composition and gut microbiota differed by sex. Overall, our results suggest that obesogenic diets and prebiotic supplementation can alter the protein and miRNA levels in breastmilk in rats and these milk components may explain, in part, the influence of these maternal diets on offspring body composition.

scholarly journals A Mediterranean Meal Plan Modulates Human Milk Composition in Women With Obesity

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 818-818
Author(s):  
Clark Sims ◽  
Audrey , Martinez ◽  
Aline Andres
Keyword(s):  
Human Milk ◽  
Dietary Intervention ◽  
Maternal Obesity ◽  
Post Partum ◽  
Milk Composition ◽  
Healthy Eating Index ◽  
Fat Intake ◽  
Post Intervention ◽  
Meal Plan ◽  
The Impact

Abstract Objectives Human milk (HM) is impacted by both maternal obesity and diet. HM from women with obesity has higher fat, leptin and insulin concentrations. Additionally, maternal dietary fat intake is associated with increased HM fat content. The objective of this study was to determine the impact of a Mediterranean meal plan on the composition of HM from women with obesity. Methods In this pilot study, thirteen women with obesity (body mass index (BMI) ≥ 30 kg/m2) enrolled at five months post-partum and followed a provided Mediterranean meal plan focused on reducing fat intake and increasing unsaturated fat and fiber intake for four weeks. Participants’ diet was assessed using Nutrition Data System for Research. HM was collected at baseline and after the 4-week intervention and the concentrations of metabolites, hormones and cytokines were assayed. Wilcoxon signed-rank tests and analysis of variance were used to assess changes in participant diet and HM composition. Summary statistics are presented as mean ± standard deviation. Results The participants’ Healthy Eating Index Score, a measure of diet quality, significantly improved (38.3 ± 5.13 vs. 78.2 ± 6.75, p &lt; 0.001) and total fat intake was significantly lower (99.6 ± 23.3 g vs. 66.9 ± 12.0 g/day, p &lt; 0.001) after the intervention. Human milk leptin (694 ± 464 pg/ml vs. 437 ± 324 pg/ml, p = 0.007) and tumor necrosis factor α (0.515 ± 0.267 pg/ml vs. 0.310 ± 0.127 pg/ml, p = 0.010) concentrations were lower post intervention, whereas HM macronutrient composition was unchanged. The concentrations of several individual human milk oligosaccharides (HMO) and total HMOs (7720 ± 797 nmol/ml vs. 6986 ± 940 nmol/ml, p = 0.049), as well as HM tyrosine concentration (18.2 ± 6.16 nmol/ml vs. 14.5 ± 4.69 nmol/ml, p = 0.005) were significantly lower post intervention. Conclusions The composition of HM from women with obesity can be modulated by short-term adherence to a Mediterranean meal pattern. These findings merit further studies that use longer interventions and examine the impact of any changes in HM composition on infant growth and development. Modifying HM composition via a dietary intervention may provide a novel strategy to promote child development and health. Funding Sources USDA ARS #6026-51,000-010-05S and #6026-51,000-012-06S, NIH/NIDDK R01DK107516, Arkansas Children's Research Institute/Arkansas Biosciences Institute GR037121.

scholarly journals Maternal adiposity alters the human milk metabolome: associations between nonglucose monosaccharides and infant adiposity

2020 ◽  
Vol 112 (5) ◽  
pp. 1228-1239
Author(s):  
Jessica L Saben ◽  
Clark R Sims ◽  
Brian D Piccolo ◽  
Aline Andres
Keyword(s):  
Human Milk ◽  
Maternal Obesity ◽  
Shikimic Acid ◽  
Milk Composition ◽  
Normal Weight ◽  
Mixed Effect ◽  
Infant Outcomes ◽  
Mixed Effect Models ◽  
Maternal Adiposity ◽  
Linear Mixed Effect Models

ABSTRACT Background Human milk composition is altered by maternal obesity. The association between milk metabolites and infant outcomes has not been thoroughly investigated. Objectives This study aimed to quantify maternal adiposity-related differences in the human milk metabolome and to identify metabolites associated with infant adiposity during the first 6 mo postpartum using untargeted metabolomics. Method Maternal anthropometrics were assessed ≤14 weeks of gestation. Human milk samples were collected at 0.5 mo (n = 159), 2 mo (n = 131), and 6 mo (n = 94) postpartum from normal weight (NW, BMI = 18.5–24.9 kg/m2) and obese (OB, BMI &gt;30 kg/m2) mothers. GC-time-of-flight-MS was used to identify metabolic signatures that discriminate NW and OB women. Partial least squared (PLS)-discriminant analysis, and PLS-regression models were assessed to examine relations between metabolites and maternal BMI and fat mass. Metabolites altered by maternal obesity were used in linear mixed effect models to predict infant adiposity. Results Multivariate modeling identified 23, 17, and 10 metabolites that described maternal adiposity indices at 0.5 mo, 2 mo, and 6 mo postpartum, respectively. Monosaccharides and sugar alcohols were the most representative annotated metabolite classes that were increased in milk from OB women and included: mannose, ribose, lyxose, lyxitol (0.5 mo); mannose, ribitol, glycerol, isothreonic acid, lyxitol (2 mo); lyxitol and isothreonic acid (6 mo). Other discriminant metabolites included: 1-monostearin, xylonolactone, shikimic acid, pseudo uridine, and dodecanol (0.5 mo); N-acetyl-D-hexosamine and fumaric acid (2 mo); uric acid and tyrosine (6 mo). Mannose, lyxitol, and shikimic acid predicted higher infant adiposity over the first 6 mo of life. Conclusions This study reports on 1 of the largest cohorts to date examining the metabolic profiles in human milk comparing NW and OB women. Maternal adiposity was associated with increased amounts of milk nonglucose monosaccharides. Human milk metabolomics may be useful in predicting infant adiposity. These trials were registered at www.clinicaltrials.gov as NCT01131117 and NCT02125149.

Sign in / Sign up

Export Citation Format

Share Document