Human Milk Of Women Research Articles

Micrornas expression in the cell fraction of human milk in women with genital tract infections

Micrornas expression in the cell fraction of human milk in women with genital tract infections

The Gestational Pathologies Effect on the Human Milk Redox Homeostasis: A First Step towards Its Definition.

Human Milk (HM) is a dynamic nourishment; its composition is influenced by several conditions such as gestational age, maternal diet and ethnicity. It appears important to evaluate the impact that gestational pathologies have on HM components and if their presence, as a source of oxidative stress in the mother, influence milk's redox homeostasis. To assess the effect of Preeclampsia (PE) and Gestational Diabetes Mellitus (GDM) on some aspects of human milk redox homeostasis, we chose to investigate both oxidative and antioxidant aspects, with, respectively, Lipid hydroperoxides (LOOHs) and Glutathione (GSH). Women with PE, GDM and who were healthy were recruited for this study. Colostrum, transitional and mature milk samples were collected. GSH and LOOHs levels were measured using a spectrophotometric test. To investigate the effect of pathology on redox homeostasis, a mixed linear model with unistructural covariance structure was performed. A total of 120 mothers were recruited. The GSH concentration results were significantly lower in GDM women than in healthy women only in colostrum (p < 0.01). No other differences emerged. LOOHs was not detectable in almost all the samples. Our study is the first to extensively evaluate these components in the HM of women with these gestational pathologies. The main observation is that GDM can alter the GSH level of HM, mainly in colostrum.

Association of pre-pregnancy maternal overweight/obesity and dietary intake during pregnancy with the concentrations of persistent organic pollutants in the human milk of women from Rio de Janeiro, Brazil.

Persistent organic pollutants (POPs) are toxic chemical compounds that can bioaccumulate, adhere to lipid matrices, and affect human health. This study aimed to investigate the association between maternal pre-pregnancy overweight/obesity and dietary intake during pregnancy and POP concentrations in the human milk of women from Rio de Janeiro, Brazil. One hundred and forty-seven women were followed from the third trimester of pregnancy until 119days postpartum, and 77 human milk samples were analyzed between 2 and 119days postpartum. POP concentrations were analyzed using gas chromatography-triple quadrupole mass spectrometry. Pregnancy dietary intake was estimated using a semi-quantitative food frequency questionnaire, and pre-pregnancy body mass index at baseline was classified as normal or overweight/obesity. Multiple logistic and linear regression models were performed to investigate the association between pre-pregnancy overweight/obesity, dietary intake during pregnancy, and POP concentrations in human milk. The models were adjusted for maternal age, maternal schooling, total cholesterol serum concentrations, and time postpartum. The analyses were corrected for multiple comparisons using the Benjamini-Hochberg test. Significant associations were observed between pre-pregnancy overweight/obesity and dichlorodiphenyldichloroethane (ppDDE), polychlorinated biphenyl (PCB)74, PCB138, PCB153, PCB170, PCB180, total PCBs, total 4PCBs, total 2 organochlorine pesticides (OCPs), and total POP concentrations. Higher daily lipid intake during pregnancy increased human milk hexachlorobenzene (HCB). This study showed that pre-pregnancy overweight/obesity and total lipid intake during pregnancy were associated with POP concentrations in the milk of women from Rio de Janeiro, Brazil. To promote adequate nutritional status since preconception and surveillance and control of POP in the environment could be essential to ensure binomial mother-infant health and biomonitoring studies and programs for these POPs should be stimulated.

Composition of human milk in women with the risk of postpartum depression symptoms

Composition of human milk in women with the risk of postpartum depression symptoms

A Mediterranean Meal Plan Modulates Fatty Acid Content of Human Milk in Women With Obesity

ObjectivesHuman milk (HM) fatty acid content is, influenced by both maternal adiposity and diet. The objective of this study was to determine the impact of a Mediterranean meal plan on HM fatty acid content in women with obesity.MethodsIn this pilot study, thirteen women with obesity (body mass index (BMI) ≥ 30 kg/m2) enrolled at five months post-partum and were provided a Mediterranean meal plan for four weeks. Nutrition Data System for Research was used to assess participants’ diet during the study. HM was collected at baseline and after the 4-week intervention. Cytokines were measured using multi-spot assays and the fatty acid composition of triglycerides determined using a UHPLC electrospray ionization mass spectrometry. Triglycerides containing a particular fatty acid species were normalized to the total abundance of all triglyceride species detected in each sample. Wilcoxon signed-rank tests were used to assess changes in participant diet and HM composition, and repeated measures correlations were used to test associations of paired measures. Summary statistics are presented as mean ± standard deviation.ResultsDuring the intervention, the ratio of the maternal intake of ω6 and ω3 fatty acids (ω6: ω3) significantly decreased (8.86 ± 1.60 vs. 4.63 ± 1.25, P < 0.001) and was positively correlated with HM levels of leptin and tumor necrosis factor-α (r = 0.64, p = 0.024 and r = 0.67, p = 0.017, respectively). Levels of human milk 20:3 (0.588 ± 0.085% vs. 0.483 ± 0.080%, P < 0.001) and 22:4 (0.057 ± 0.012% vs. 0.050 ± 0.011%, p = 0.01) fatty acids were significantly decreased following the intervention. Maternal intake of ω6: ω3 positively correlated with HM 20:3 and 22:4 fatty acid concentrations (r = 0.78, p = 0.001 and r = 0.71, p = 0.005, respectively).ConclusionsA 4-week Mediterranean meal plan modulated the fatty acid content in HM from women with obesity. There was an association between maternal ω6: ω3 intake and HM fatty acid content, supporting a role for maternal diet in modulating HM composition. Future studies are needed to investigate the effect of the intervention on specific fatty acids and whether the observed changes in HM impact infant growth or development.Funding SourcesUSDA ARS #6026–51,000-010–05S and #6026–51,000-012–06S, NIH/NIDDK R01DK107516, Arkansas Children's Research Institute/Arkansas Biosciences Institute GR037121.

Do chronic noncommunicable diseases modify the macronutrient composition of human milk?

This study aims to evaluate the impact of excess body weight, diabetes mellitus, and hypertension on the nutritional composition of human milk. This cohort study was conducted at a tertiary public health unit in the city of Rio de Janeiro from March 2016 to February 2018. The data were collected in two stages (96 hours and one month after delivery). The macronutrients (carbohydrate, protein, lipid) and total energy were determined using the MIRIS® equipment. The level of significance was 5%. Higher protein content was observed in the nutritional composition of colostrum in women with diabetes mellitus. A higher protein and energy content was observed in the milk of mothers with excessive body weight. The energy content was higher in the milk of mothers with excessive body weight. Increased protein content in the human milk of women with excessive body weight or diabetes.

Experiences, beliefs and attitude on donation of human milk in women of Arauco province

Breastfeeding is the natural process in which an infant is fed with breast milk. In hu mans, it is a biocultural process, subject to modifications based on social, economic and cultural influences. In this context, The United Nations International Children's Fund (UNICEF) considers that "breastfeeding is key for survival". To interpret the perception about experiences, beliefs, and attitudes towards the donation of breast milk in adult women from the "Dr. Rafael Avaria Va lenzuela Hospital" in the commune of Curanilahue, Biobío Region, Chile. Qualitative study with a phenomenological approach. The convenience sample was made up of 15 women who participated in a semi-structured interview. A content analysis was applied to the ob tained results using informant triangulation. Women presented knowledge of the act of donating breast milk, emphasizing an altruistic paradigm. They associated this act with generosity, especially for babies who do not have access to breast milk directly from their mothers. There is a smaller group that has participated in cross-nursing in a family setting, having the certainty of who is giving and who is receiving the milk. The cross-nursing is an approved practice among the interviewed women, who consider it an altruistic act. However, its practice is based on reasons of trust and closeness.

Availability of arsenic in human milk in women and its correlation with arsenic in urine of breastfed children living in arsenic contaminated areas in Bangladesh.

BackgroundEarly life exposure to inorganic arsenic may be related to adverse health effects in later life. However, there are few data on postnatal arsenic exposure via human milk. In this study, we aimed to determine arsenic levels in human milk and the correlation between arsenic in human milk and arsenic in mothers and infants urine.MethodsBetween March 2011 and March 2012, this prospective study identified a total of 120 new mother-baby pairs from Kashiani (subdistrict), Bangladesh. Of these, 30 mothers were randomly selected for human milk samples at 1, 6 and 9 months post-natally; the same mother baby pairs were selected for urine sampling at 1 and 6 months. Twelve urine samples from these 30 mother baby pairs were randomly selected for arsenic speciation.ResultsArsenic concentration in human milk was low and non-normally distributed. The median arsenic concentration in human milk at all three time points remained at 0.5 μg/L. In the mixed model estimates, arsenic concentration in human milk was non-significantly reduced by -0.035 μg/L (95% CI: -0.09 to 0.02) between 1 and 6 months and between 6 and 9 months. With the progression of time, arsenic concentration in infant’s urine increased non-significantly by 0.13 μg/L (95% CI: -1.27 to 1.53). Arsenic in human milk at 1 and 6 months was not correlated with arsenic in the infant’s urine at the same time points (r = -0.13 at 1 month and r = -0.09 at 6 month). Arsenite (AsIII), arsenate (AsV), monomethyl arsonic acid (MMA), dimethyl arsinic acid (DMA) and arsenobetaine (AsB) were the constituents of total urinary arsenic; DMA was the predominant arsenic metabolite in infant urine.ConclusionsWe observed a low arsenic concentration in human milk. The concentration was lower than the World Health Organization’s maximum permissible limit (WHO Permissible Limit 15 μg/kg-bw/week). Our findings support the safety of breastfeeding even in arsenic contaminated areas.

Levels of TNF-Related Apoptosis-Inducing Ligand (TRAIL) Show a Long-term Stability in the Breast Milk of Mothers of Preterm Infants

The immune modulator TNF-related apoptosis-inducing ligand (TRAIL) has been found at extremely high levels in human milk of women with normal gestation at day 5 after delivery. To investigate the presence and the levels of soluble TRAIL in human milk of women with preterm delivery at different time points post-partum (32, 34, and 36 weeks from conception). The levels of soluble TRAIL were analyzed by ELISA in the breast milk of a group of 25 women with preterm delivery at different gestational ages. Soluble TRAIL was present at high levels in human milk since early post-conceptional ages (32 weeks). No significant differences in TRAIL levels were noticed with respect to different gestational ages, or with respect to time of collection when comparing, in a selected group of patients, samples obtained between 15 and 26 days with those obtained 27 and 40 days after birth. Due to the key immunoregulatory role of human soluble TRAIL, the presence of high levels of TRAIL in the milk of women with preterm delivery and its maintenance at high levels up to 72 days after birth support the importance of breastfeeding the preterm newborn.

Higher levels of brain derived neurotrophic factor but similar nerve growth factor in human milk in women with preeclampsia

Children born to mothers with preeclampsia have consistently been suggested to be at risk for cognitive and behavioral disorders in later life. Breastfeeding is said to be associated with better neurodevelopment outcomes. Our earlier studies indicated higher levels of docosahexaenoic acid (DHA) in human milk in women with preeclampsia. DHA is known to regulate the expression of neurotrophins and together they play a vital role in neurodevelopment and cognitive performance. The present study examines the levels of maternal plasma and milk neurotrophins [(nerve growth factor (NGF) and brain derived neurotrophic factor (BDNF)] in women with preeclampsia and compares them with normotensive women who served as controls. Singleton pregnant women diagnosed with preeclampsia (n=72) and controls (n=102) were recruited for this study from Bharati Hospital, Pune. Plasma and milk samples were analyzed for NGF and BDNF levels using the Emax Immuno Assay System using promega kits. Maternal plasma NGF and BDNF levels were lower (p<0.01 for both) in women with preeclampsia as compared to the control women. Milk NGF levels were similar while milk BDNF levels were higher (p<0.05) in the preeclampsia group as compared to controls. Plasma NGF levels were positively correlated with milk NGF levels in the control group. Our results indicate the differential regulation of milk NGF and BDNF levels in women with preeclampsia. The present study suggests a role for both NGF and BDNF in human milk for postnatal brain development. Further studies need to examine the associations of DHA and BDNF in human milk with cognition at later ages.

Concentration of Free Amino Acids in Human Milk of Women with Gestational Diabetes Mellitus and Healthy Women

It is generally agreed that breastfeeding has a positive effect on the metabolic situation in diabetic mothers. However, negative long-term effects are described for breastfed offspring of diabetic women. It is unknown if the composition of free amino acids (FAAs) in breastmilk of women with gestational diabetes mellitus (GDM) differs from that in milk of healthy women. We studied the amount of FAAs in breastmilk of women with GDM and women with normal glucose tolerance (NGT). Human milk samples of 68 women (21 GDM and 47 NGT) were analyzed. Contents of FAAs in milk samples, obtained within the first 4 days after delivery (colostrum) and 6 weeks later (mature milk), were analyzed using high-performance liquid chromatography. Total amounts of FAAs in colostrum and in mature milk were compared between the groups. The impact of maternal age, body mass index (BMI), gestational age at birth, birth weight, and diagnosis of GDM on the total amount of FAAs was evaluated. Overall, the total amount of FAAs increased significantly from colostrum to mature milk in both groups (p<0.001). The total amount of FAAs did not significantly differ between GDM and NGT in colostrum and in mature milk (1,560 μmol/L vs. 1,730 μmol/L and 2,440 μmol/L vs. 2,723 μmol/L, respectively). No significant influence on the total amount of FAAs at both measurements of maternal age, BMI, gestational age at birth, birth weight, and diagnosis of GDM could be observed by regression analyses. The content of FAAs of human milk does not significantly differ between women with GDM and women with NGT.

Determination of fatty acid composition of human milk in women referred to the health care centers of south of Tehran

Determination of fatty acid composition of human milk in women referred to the health care centers of south of Tehran

Supplementation with n‐3 docosahexaenoic acid (DHA) during pregnancy increases DHA in human milk in women.

Supplementation with n‐3 docosahexaenoic acid (DHA) during pregnancy increases DHA in human milk in women.

Persistent organic pollutants in human milk in women from urban and rural areas in northern China

Human milk specimens from 55 women in Shijiazhuang urban and Tangshan rural areas in Hebei Province in northern China were collected and analyzed for persistent organic pollutants, such as p,p′-dichlorodiphenyldichloroethylene ( p,p′-DDE), hexachlorobenzene (HCB), β-hexachlorocyclohexane ( β-HCH), and dioxins. We administered a questionnaire to milk donors at collection time, asking about lifestyle factors that potentially influence organochlorine pesticide (OCP) levels in human milk. We found that the concentrations of p,p′-DDE and β-HCH in human milk from the primiparous mothers in Shijiazhuang (3330 and 108.8 ng/g fat, respectively) were higher than in samples from mothers from Tangshan (1916 and 21.2 ng/g fat, respectively). In addition, we found the level of p,p′-DDE correlated positively with a dietary history of meat consumption or consumption of internal organs of pigs and sheep ( r = 0.38 and r = 0.52 , respectively), but not with intake frequencies of vegetables and fruits in primiparous mothers. The higher level for p,p′-DDE may be due to a greater intake of contaminated fatty foods in the industrialized areas. We also showed that the body burden of p,p′-DDE was higher in the urban group compared to the values in other regions in China after 1998. However, there was no difference in dioxin levels between the two regions. Comprehensive monitoring of persistent organic pollutants in human milk and food is needed in China.