Hormones In Milk Research Articles

Is breast milk iodine concentration an influential factor in growth- and obesity-related hormones and infants' growth parameters?

Iodine, a key constituent of thyroid hormones, plays an indirect role in prenatal and postnatal growth. This study aimed to investigate whether breast milk iodine concentration (BMIC) is associated with growth‐ and obesity‐related hormones and subsequently the infants' anthropometric measures. In present study conducted in Tehran (Iran), 94 lactating mothers and healthy infants who were exclusively breastfed were included. Concentrations of iodine, insulin‐like growth factor‐1 (IGF‐1), adiponectin (AD) and leptin (LP) were measured in breast milk samples collected during 3‐ to 5‐day postpartum. Anthropometric measures of infants were assessed at 6 months of life, and age‐ and sex‐specific z‐score values were calculated using the World Health Organization growth standards. The median (interquartile range) iodine, IGF‐1, AD and LP concentrations were 232.5 (157.5–296.0) μg L−1, 15.7 (11.9–21.1) ng ml−1, 13.2 (5.1–29.8) mg L−1 and 1.16 (0.86–1.70) ng ml−1 in breast milk, respectively. No significant correlations were found between BMIC and IGF‐1, AD and LP concentrations during the first few days postpartum. In adjusted regression model, BMIC was positively associated with weight‐for‐length z score of infants. In the presence of IGF‐1, AD or LP, the coefficients of BMIC for weight‐for‐length z score of infants were β = .003 (P = .021), β = .002 (P = .028) or β = .003 (P = .013), respectively. No other anthropometric measurements were associated with iodine or growth‐ and obesity‐related hormones in breast milk. Our findings indicate that BMIC is a potential contributor to infants' growth status, independent of IGF‐1, AD or LP concentrations in breast milk. The underlying mechanisms remain to be elucidated.

The concentration of triiodothyronine and thyroxine in colostrum, milk and plasma of cows

Milk contains key nutrients in optimal proportions, which makes it to be an important component of the human diet. Despite the fact that consumers receive with milk a significant amount of readily available nutrients, milk can be a source of dangerous factors of chemical and biological origin. The level of physiological hormones found in milk is not a limiting factor and is studied solely for scientific purposes. However, milk hormones can have a negative effect on the health of consumers. Based on this, the aim of this work was to study the concentration of triiodothyronine and thyroxine in colostrum, milk and blood plasma of cows at different stages of lactation. The secretion of the mammary gland and blood plasma of cows of Ukrainian black-and-white dairy breed, in their 2nd–5th lactations with milk yield 5100–5700 kg of milk per previous lactation was the object of the study. The concentration of triiodothyronine and thyroxine using enzyme-linked immunosorbent assay was investigated in withdrawn samples. The obtained data indicates that the highest level of secretion of iodine-containing thyroid hormones with milk is observed on 1st–4th days of lactation. Thereafter, the concentration of hormones in milk statistically significant decreases by 2.8–3-fold (P ˂ 0.001) till 30–40th day of lactation. The high concentration of iodine-containing hormones in colostrum allows to enhance metabolic processes in calves. Studies of the concentration of thyroid hormones in the blood plasma of cows showed a gradual increase from the beginning of lactation till 10th–14th and then till 30th–40th days of lactation. By 10th–14th days we observed 2.2-fold growth of triiodothyronine level (P ˂ 0.001), and till 30th–40th days this parameter has increased by another 12.5 %. The level of thyroxine on 10th–14th days of lactation was higher, compared to such in the beginning of lactation by 62.2 % (P ˂ 0.001), and by 30th–40th day increase was by 40.9 %. The main reasons for such changes are the formation of lactation dominant, the discharge of hormones secreted by the breast and the stimulation of metabolic processes during lactation. The prospects of further research lie in investigation of the dependence of triiodothyronine and thyroxine levels in the secretion of the mammary gland on productivity, breed, age and diet of animals.

Growth Factor Concentrations in Human Milk Are Associated With Infant Weight and BMI From Birth to 5 Years.

Background: Human milk bioactives may play a role in infant health and development. Although the variability in their concentrations in milk is well-established, the impact of differential milk profiles on infant growth outcomes remains unclear. Thus, the aim of the present study was to investigate whether different concentrations of metabolic hormones are associated with different weight and BMI in infants beyond the first year of life.Methods: Milk samples at 2.6 (±0.4) months after birth and anthropometric measures at 13 months, 2, 3, and 5 years were collected as part of the Finnish STEPS cohort study from 501 mothers and the respective 507 infants. Leptin, adiponectin, insulin-like growth factor (IGF)-1 and cyclic glycine-proline (cGP) in milk were analyzed. Multiple regression models and a repeated measures mixed model were used to examine associations between milk hormone concentrations and weight and BMI z-scores across time, at each time-point, and weight gain from birth to each follow-up visit. All models were corrected for birth weight, infant sex, duration of exclusive and total breastfeeding, time of introduction of solid foods and maternal pre-pregnancy BMI.Results: Higher milk IGF-1 was associated with higher weight at 13 months (p = 0.004) but lower weight at 3 (p = 0.011) and 5 years of age (p = 0.049). Higher cGP was associated with lower weight across the 5 years (p = 0.019) but with higher BMI at 5 years (p = 0.021). Leptin and adiponectin did not display associations with infant growth at this time. Sex interactions were also absent.Conclusions: Our results suggest that the interplay between human milk-borne IGF-1 and cGP is similar to that reported in other mammals and may have an important role in defining infant growth trajectories beyond the first year of life. Further research should explore the determinants and origins of these milk-borne compounds and evaluate their effect on infant growth and metabolism.

Pituitary Glycoprotein Hormones in Human Milk before and after Pasteurization or Refrigeration.

Our aims were to investigate the presence of pituitary glycoprotein hormones in preterm and donor milk, and to examine the effects of Holder pasteurization and refrigeration on the levels of these hormones. We measured follicle-stimulating hormone (FSH), luteinizing hormone (LH), and thyroid-stimulating hormone (TSH) in milk samples from mothers who delivered prematurely (n = 27) and in samples of mothers who delivered at term and donated milk to the Mother’s Milk Bank of Iowa (n = 30). The gonadotropins and TSH were present in similar amounts within human milk produced for preterm and term infants. FSH increased 21% after refrigeration (p < 0.05), while LH declined by 39% (p < 0.05). Holder pasteurization decreased LH by 24% (p < 0.05) and increased TSH by 17% (p < 0.05). Holder pasteurization followed by refrigeration resulted in a 21% increase in FSH and a 41% decrease in LH (both p < 0.05), resulting in more than a 3-fold increase in donor milk FSH:LH ratios (p < 0.05 versus fresh donor milk). Despite structural similarities, the gonadotropins are differentially impacted by Holder pasteurization and refrigeration, and this results in marked alterations in the relative amount of FSH and LH that may be administered to preterm infants, potentially swinging hormonal balance towards ovarian hyperstimulation in females and hypogonadism in males.

Effect of physiological and production activities on the concentration of naturally occurring steroid hormones in raw milk

This study aimed to collect comprehensive experimental data and evaluate the effects of physiological and production activities on the concentration of naturally occurring steroid hormones in raw cow milk. The average levels of the hormones analysed (progesterone = 12 680 ng/kg and cortisol = 284 ng/kg) were comparable with data reported in the literature. Oestradiol, testosterone and methyltestosterone were not detected at their respective limits of quantification. Progesterone concentrations from individual cows have shown large variations ranging from 204 to 26 503 ng/kg, linked to the gestational status (pregnant/nonpregnant), lactation stages and gestational ages of the mammals. The average concentration of cortisol reaches a peak in the morning, decreases in the afternoon and reaches the lowest level at midnight. It is therefore evidenced that physiological and production activities have an effect on some hormonal levels in raw cow milk.

Sexually Dimorphic Associations between Maternal Factors and Human Milk Hormonal Concentrations

While human milk composition is characterised by marked dynamicity, we are far from having a clear picture of what factors drive this variation. Hormones in human milk are known to vary according to specific maternal phenotypes, but limited evidence shows the infant also has a role in determining milk composition. The present study aimed to investigate the interplay between maternal and infant characteristics in relation to human milk hormonal profile. In total, 501 human milk samples from mothers recruited in the Finnish STEPS cohort study (Steps to the healthy development) were analysed. Pre-pregnancy and pregnancy maternal data, socioeconomic status and infant characteristics at birth were collated. Leptin, adiponectin, insulin-like growth factor-1 and cyclic Glycine-Proline in milk were measured. Multivariate analysis of variance (MANOVA) and linear regression were utilised for statistical analysis. Sex-specific interactions with maternal factors were observed, as the infant sex mediated associations between gestational diabetes and milk adiponectin (p = 0.031), birth-mode and total protein (p = 0.003), maternal education and insulin-like growth factor-1: cyclic Glycine-Proline ratio (p = 0.035). Our results suggest that changes in human milk composition are associated with interactions between maternal and infant characteristics and pathophysiological factors. Future work should expand on these findings and further explore the link between hormonal profiles in human milk and infant outcomes.

Simultaneous Determination of Five Hormones in Milk by Automated Online Solid-Phase Extraction Coupled to High-Performance Liquid Chromatography.

Many hormones show the effects of protein assimilation and growth promotion, and they are frequently used as veterinary drugs in livestock, which has harmful effects on human health. It is necessary to determine their contamination level in animal-derived food, especially in milk. In this study, a detailed procedure is described for an automated online solid-phase extraction (SPE)-HPLC method capable of detecting five hormones (i.e., estriol, prednisone acetate, hydrocortisone, diethylstilbestrol, and estrone) in cow milk. The corresponding milk samples were precipitated by addition of acetonitrile and then purified as well as enriched by a polar-enhanced polymer (PEP) online SPE column. The supernatants were directly injected into the online SPE-HPLC system using methanol-water as the mobile phase mixture. The linearity range of the method was 0.1-25 μg/mL for prednisone acetate, hydrocortisone, and diethylstilbestrol, 0.2-25 μg/mL for estriol, and 0.5-25 μg/mL for estrone, with correlation coefficients (r) ranging from 0.9994 to 0.9996. The recovery rates determined at three concentration levels for the five compounds were in the range of 70.82-112.90%. LODs of estriol, prednisone acetate, hydrocortisone, diethylstilbestrol, and estrone were 0.023, 0.005, 0.006, 0.004, and 0.054 μg/mL, respectively. This automated online SPE-HPLC method was both effective and reliable in the simultaneous measurement of five hormones, and the method was successfully applied to the detection of five hormone species in milk. An automated online SPE-HPLC method has been developed for the analysis of five hormones in cow milk. Online SPE proved to be a powerful technique for determining five hormones simultaneously. This method ensured simple sample pretreatment and less operation time. The established method was successfully applied to the analysis of five hormone species in milk.

ГОРМОНАЛЬНЫЙ СОСТАВ МОЛОКА ПРОДУКТИВНЫХ ЖИВОТНЫХ И ЕГО БЕЗОПАСНОСТЬ ДЛЯ ЧЕЛОВЕКА

Hormones are an integral part of milk and throughout lactation, the content of certain hormones is unstable. Hormones regulate the process of starting lactation of animals, the lactation process itself, and also the other functions of the body. Milk is of great importance for the growth of young animals and the formation of immunity. Milk is a special product in the diet and is an important food and raw material for the production of dairy products for people. It contains a large amount of protein, fat, carbohydrates, vitamins and trace elements in biologically available form. But at the same time, over the past few years, more and more evidence has emerged that hormones in dairy products can impact on human health. Thus, some estrogens and insulin-like growth factor IGF-1 are involved in the initiation and provocation of breast, prostate and endometrial tumors. That’s why, it is necessary to normalize and control the content of certain hormones in milk with highly sensitive methods.

Simultaneous determination of 22 residual steroid hormones in milk by liquid chromatography–tandem mass spectrometry

Food safety and consumers’ health are paramount; therefore, it is essential to establish a novel method to determine hormone content in milk. Herein, a novel method was developed that can simultaneously determine 22 residual steroid hormones in milk. To obtain the maximum detection sensitivity, the preparation method of sample, mass spectrometer parameters and liquid chromatography conditions were optimised. The samples were concentrated using Oasis HLB solid‐phase extraction cartridge, followed by quantification via liquid chromatography (C18 column)–tandem mass spectrometer (LC‐MS). Determination of oestrogens and glucocorticoids was conducted in negative mode, whereas androgens and progesterone were in positive multiple reaction monitoring mode. The limit of detection (LOD) and limit of quantification (LOQ) of the target compounds were 0.10–1.20 μg/kg and 0.33–3.96 μg/kg, respectively. The average extraction recoveries of 22 steroid hormones were generally high (82.6–95.3%). The proposed method can be an effective alternative to measure hormonal compounds in milk.

Steroid hormone concentrations in milk predict sex-specific offspring growth in a nonhuman primate.

In humans and other mammals, maternal hormones are transferred to offspring during lactation via milk and may regulate postnatal development, including the pace of early growth. Here, we used a nonhuman primate model to test the hypotheses that milk cortisol and dehydroepiandrosterone-sulfate (DHEAS) concentrations reflect maternal characteristics, and that changes in these hormones across lactation are associated with early postnatal growth rates. Demographic information, morphometrics, and milk samples were collected from rhesus macaque mothers and their infants at the California National Primate Research Center in Davis, California. Using linear models, we examined the relationship between maternal traits and milk hormone concentrations (N = 104 females) and explored the effect of milk hormones on the rate of offspring growth (N = 72 mother-infant dyads), controlling for available milk energy. Contrary to previous studies, we found that milk cortisol concentrations were categorically higher in multiparous females than in primiparous females. However, milk DHEAS concentrations decreased with maternal parity. Neither milk cortisol nor DHEAS were related to maternal rank. Finally, changes in milk hormones predicted offspring growth in a sex-specific and temporal manner: increases in cortisol from peak to late lactation predicted faster female growth, and increases in DHEAS concentrations from early to peak and peak to late lactation predicted faster male growth. Our findings shed light on how hormonal components of milk have sex-specific effects on offspring growth during early postnatal life with varying temporal windows of sensitivity.

Hormones in Breast Milk and Effect on Infants' Growth: A Systematic Review.

Breast milk is characterized by a dynamic and complex composition which includes hormones and other bioactive components that could influence infant growth, development, and optimize health. Among the several beneficial effects associated with prolonged breastfeeding, a 13% decrease in the risk of overweight and obesity has been reported. Recent research has focused on breast milk hormones contributing to the appetite and energy balance regulation and adiposity. Accordingly, we conducted a literature systematic review with the aim to provide an update on the effect of leptin, ghrelin, Insulin Growth Factor 1, adiponectin, and insulin on infants’ and children’s growth and body composition. The revised literature reveals contrasting findings concerning the potential role of all these hormones on modeling growth and fat mass apposition and health outcomes later in life. Further studies are needed to gain further insight into the specific role of these bioactive components in metabolic pathways related to body composition. This could help gain a further insight on infants’ growth, both in physiological and pathological settings.

Glucose Regulatory Hormones in Camel, Cow, Goat, and Human Milk (P06-034-19)

ObjectivesDiabetes Mellitus is globally predicted to affect 592 million people by 2035 with the greatest rates of increase in low and middle income countries. Various plant and animal foods are being tested as alternatives to medication to control blood glucose. Regular consumption of milk from camels has had a positive anti-diabetic effect in both type 1 and type 2 diabetics. Epidemiological studies, research in diabetic rat and mouse model systems, and clinical studies in diabetic patients support the anti-diabetic effects of camel milk, but the mechanism of action is unclear.This study investigated hormones that impact glucose metabolism in humans from milks from different species and their stability with pasteurization. We tested hypotheses in the literature that camel milk antidiabetic properties are due to a high content of insulin or insulinotropic hormones. MethodsFive milk samples: Human, Bovine, Goat, and Camel from two different farms were analyzed with a multiplex panel for hormones that impact glucose metabolism in humans. Immunoreactivity to human Insulin, C-peptide, Glucagon, Ghrelin, Leptin, GIP, GLP-1, Resistin, Visfatin, and PAI-1 (total) were determined with a multiplex assay (Biorad Bioplex diabetes panel) using a Magpix analyzer. ResultsInsulin immunoreactivity was present in both human and goat milk at approximately 200 pg/mL. Both camel samples were below the range of detection with this anti-human insulin antibody; but 5 pg/mL of insulin was detected in bovine milk. GIP was detected in all milks but was highest in human milk. Camel milk had higher immunoreactivity to resistin, visfatin, and ghrelin than goat or bovine milk. GLP-1 and leptin were only detected in human milk. Neither HTST nor Holder pasteurization significantly reduced the immunoreactivity of these hormones in milk. ConclusionsAlthough literature suggests camel milk is an effective medical food for diabetics, we did not find high insulin concentration in camel milk. The hypoglycemic effect of camel milk might be due to other components of camel milk. Assays using different antibodies or insulin receptors might show different results. The insulin concentration in goat milk suggests that this product should be tested as a medical food for glucose control. Funding SourcesNIFA; NCSU; Saudi Cultural Mission.

Simultaneous determination of some steroid hormones in milk and dairy products by liquid chromatography tandem mass spectrometry (LC-MS/MS)

A sensitive method has been developed and validated for simultaneous determination of some steroid&amp;nbsp;hormones (trenbolone, 17&amp;beta;-estradiol, progesterone, testosterone, estrone, melengestrol acetate and&amp;nbsp;zeranol). Samples were hydrolyzed to release analytes, and analytes were then extracted from sample&amp;nbsp;matrix using QuEChERS technique, detected and quantified by using reversed phase liquid&amp;nbsp;chromatography coupled with tandem mass spectrometry. The tandem mass spectrometric detection&amp;nbsp;was done by using ESI ion source working in positive mode and multiple reaction monitoring&amp;nbsp;(MRM) quantitation. Validation results show that the method is sensitive and selective for analyzing&amp;nbsp;seven steroid hormones on milk and dairy products. The quantitation limit of the method for these&amp;nbsp;analytes ranged from 0.1 to 2.0 &amp;micro;g/kg. Method recovery was from 70.4 to 110.0 %. Relative&amp;nbsp;coefficient of variation varied from 2.7 to 12%. The method was applied to determine steroid&amp;nbsp;hormones in 40 milk and dairy product samples collected from different markets and commercial&amp;nbsp;centers in Hanoi. &amp;nbsp;

Metabolomic approach in milk from calorie-restricted rats during lactation: a potential link to the programming of a healthy phenotype in offspring

Mild/moderate maternal calorie restriction during lactation in rats has been associated with a lower predisposition to obesity and a healthier metabolic profile in adult offspring. Here, we aimed to assess the impact of maternal calorie restriction during lactation on milk composition to identify potential candidate components that could be involved in the programming effects in offspring. An untargeted metabolomic approach in milk samples from 20%-calorie-restricted lactating (CRL) dams and their controls was performed. Levels of leptin, adiponectin, and irisin hormones in milk were also determined at lactating days 5, 10, and 15. Metabolomic analyses revealed a different metabolite pattern in milk between controls and CRL dams. 29 differential metabolites were tentatively identified (p < 0.05, FC > 1.5). Among them, myo-inositol, which showed greater levels in milk from CRL rats than controls, may be highlighted as one of the biologically plausible candidates that could be related to the beneficial effects of CRL in offspring. Results regarding myo-inositol were validated spectrophotometrically at days 10 and 15 of lactation, and levels in milk were correlated with maternal plasma levels. In addition, milk from CRL dams presented increased levels of adiponectin, decreased levels of irisin, and no changes in leptin levels vs controls throughout lactation. These data reveal important changes in milk composition due to calorie restriction during lactation that may be involved in the metabolic programming of the healthier phenotype of adult offspring. However, the possible contribution of the specific components is yet to be determined.

Effect of Milk Productive Seasons on Prolactin Hormone, Milk Composition and Metabolites in the Blood of Local Cows

productive seasons on Prolactin hormone , milk composition and metabolites in the blood of local cows. The study included 24 dairy cows during the second, third and fourth milk seasons . The results showed that the milk season was a significant effect (p&lt;0.05) on the concentration of the prolactin hormone, fat , lactose and non- fat solids (SNF) of milk . There was non significant effect of the milk season in metabolic concentrations (glucose, total cholesterol and total protein). &#x0D; The results of the study showed a positive correlation between prolactin hormone, lactose and SNF and a significant positive correlation (p&lt;0.01) between prolactin hormone and fat and SNF of milk and high correlation (p&lt;0.01) between the milk season and prolactin and significant correlation (p&lt;0.05) between prolactin hormone and total cholesterol. We conclude from this study that the milk season has an effect on milk hormone and a link between milk hormone, milk components and metabolic substances in the blood.

Relationship of Maternal Weight Status Before, During, and After Pregnancy with Breast Milk Hormone Concentrations.

The aim of this study was to test associations of prepregnancy BMI, gestational weight gain, oral glucose challenge test results, and postpartum weight loss as predictors of breast milk leptin, insulin, and adiponectin concentrations and whether these relationships vary over time. Milk was collected at 1 and 3months from 135 exclusively breastfeeding women from the longitudinal Mothers and Infants Linked for Healthy Growth (MILk) study. Hormones were assayed in skimmed samples using ELISA. Mixed-effects linear regression models were employed to assess main effects and effect-by-time interactions on hormone concentrations. In adjusted models, BMI was positively associated with milk leptin (P<0.001) and insulin (P=0.03) and negatively associated with milk adiponectin (P=0.02); however, the association was stronger with insulin and weaker with adiponectin at 3months than at 1month (time interaction P=0.017 for insulin and P=0.045 for adiponectin). Gestational weight gain was positively associated and postpartum weight loss was negatively associated with milk leptin (both P<0.001), independent of BMI. Oral glucose challenge test results were not associated with these milk hormone concentrations. Maternal weight status before, during, and after pregnancy contributes to interindividual variation in human milk composition. Continuing work will assess the role of these and other milk bioactive factors in altering infant metabolic outcomes.

Application of ZIF-8–graphene oxide sponge to a solid phase extraction method for the analysis of sex hormones in milk and milk products by high-performance liquid chromatography

A zeolitic imidazolate framework-8 (ZIF-8) incorporating a graphene oxide sponge (GOS) nanocomposite (ZIF-8–GOS) was synthesized successfully by a simple one-pot preparation method.

Associations of breast milk adiponectin, leptin, insulin and ghrelin with maternal characteristics and early infant growth: a longitudinal study.

Breast milk (BM) hormones have been hypothesised as a nutritional link between maternal and infant metabolic health. This study aimed to evaluate hormone concentrations in BM of women with and without gestational diabetes mellitus (GDM), and the relationship between maternal factors, BM hormones and infant growth. We studied ninety-six nulliparous women with (n 48) and without GDM and their exclusively breastfed term singletons. Women with GDM received dietary therapy or insulin injection for euglycaemia during pregnancy. Hormone concentrations in BM, maternal BMI and infant growth were longitudinally evaluated on postnatal days 3, 42 and 90. Mothers with GDM had decreased concentrations of adiponectin (P colostrum<0·001; P mature-milk=0·009) and ghrelin (P colostrum=0·011; P mature-milk<0·001) and increased concentration of insulin in BM (P colostrum=0·047; P mature-milk=0·021). Maternal BMI was positively associated with adiponectin (β=0·06; 95 % CI 0·02, 0·1; P=0·001), leptin (β=0·16; 95 % CI 0·12, 0·2; P<0·001) and insulin concentrations (β=0·06; 95 % CI 0·02, 0·1; P<0·001), and inversely associated with ghrelin concentration in BM (β=-0·08; 95 % CI -0·1, -0·06; P<0·001). Among the four hormones, adiponectin was inversely associated with infant growth in both the GDM (β weight-for-height=-2·49; 95 % CI -3·83, -1·15; P<0·001; β head-circumference=-0·39; 95 % CI -0·65, -0·13; P=0·003) and healthy groups (β weight-for-height=-1·42; 95 % CI -2·38, -0·46; P=0·003; β head-circumference=-0·15; 95 % CI -0·27, -0·03; P=0·007). Maternal BMI and GDM are important determinants of BM hormone concentrations. Milk-borne adiponectin is determined by maternal metabolic status and plays an independent down-regulating role in early infant growth.

Determinants of leptin in human breast milk: results of the Ulm SPATZ Health Study

Leptin in human breast milk has been implicated as a potential regulator of early-life metabolic programming. We comprehensively investigated the influence of maternal body mass index (BMI) and non-adiposity associated determinants on breast milk leptin concentration at 6 weeks, 6 months, and 1 year postpartum. The Ulm SPATZ Health Study consists of 1006 newborns and their mothers recruited from the general population in the University Medical Center Ulm, Southern Germany, in 2012/2013. Leptin concentration was measured in skimmed breast milk using commercially available ELISA (R&D System). Generalized estimating equations (GEE) accounting for repeated measures were used to calculate beta coefficients and 95% confidence intervals for association of potential demographic and lifestyle related determinants of hormone concentration with BMI-standardized leptin z-scores. Leptin concentration was measured in breast milk samples obtained from 694 mothers at approximately 6 weeks (n = 668), 6 months (n = 445), and 1 year (n = 69) postpartum. Differences in crude leptin concentrations between collection times were mostly explained by changes in BMI, breastfeeding frequency, and breast milk fat concentration. Positive associations between BMI and leptin were nonlinear and stronger among lower BMI subjects. Upon standardization, residual leptin concentrations were associated with maternal birth country, parity, age, and smoking history. Breast milk leptin concentration is primarily determined by adiposity-related factors. Studies using BMI as a proxy measure for adiposity should account for an observed nonlinear association with leptin, which may be especially important in determining causal associations with health outcomes from this and other adiposity-related hormones in breast milk.

Kadar insulin-like growth factor-1, ghrelin ASI, dan peningkatan berat badan bayi pada ibu menyusui obesitas dan normal

Background: Obesity is one of the factors that trigger the incidence of non-communicable diseases and increase morbidity rates in mothers and infants. Ghrelin hormone in breast milk serves to stimulate appetite in infants as well as release factors for GH. IGF-1 hormone in breast milk plays a role in increasing the length of bone and muscle mass of infants and mediators of GH work. Obesity can affect baby's weight gain and ghrelin and IGF-1 hormone levels in breast milk.Objective: Analyzes the association of IGF-1 and ghrelin levels of breast milk with weight gain between obese and normal mothers.Method: Observational study with cross sectional design on 40 breastfeeding mothers and their infants in the work area of Andalas Health Center, Ikur Koto Health Center and Puskesmas Lubuk Buaya Padang City with consecutive sampling technique from August to November 2017. The examination of IGF-1 and ghrelin levels was conducted at the University's Biomedical Laboratory Andalas with ELISA method. Weight gain is obtained from 1 month infant weight loss with infant birth weight. Data analysis used independent t test to see difference and Pearson test to see correlation.Results: There was a difference in IGF-1 levels in breast milk (p = 0.00) between obese and normal mothers. There was no difference in ghrelin levels of breast milk (p = 0.90) between obese and normal mothers. There was a difference in weight gain between obese and normal mothers (p = 0.02). There was no significant association between IGF-1 and ghrelin levels of breast milk with an increase in infant weight between obese and normal mothers.Conclusion: There was no significant association between IGF-1 and ghrelin levels of breast milk with an increase in infant weight between obese and normal mothers.