Editorial on Human Milk as a Biological System

Groër, Maureen

doi:10.1177/08903344231156919

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…Human lactation research has been conceptualized as a biological framework in which human milk (HM), in terms of composition, is impacted by environmental factors, including maternal and infant factors [1][2][3][4][5][6]. During the last decade, HM has become a public health focus, considering the health benefits of breastfeeding for infant growth and health programming [7][8][9][10][11]. Human milk is a dynamic complex fluid in which many components, such as leptin, adiponectin, insulin, glucose, and total lipid concentrations differ within a feed and/or throughout the day [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Sampling Procedures for Estimating the Infant Intake of Human Milk Leptin, Adiponectin, Insulin, Glucose, and Total Lipid

Suwaydi,

Lai,

Gridneva

et al. 2024

Nutrients

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Limited attention is given to the efficacy of protocols for the estimation of infant intake of milk components when investigating their impact on infant outcomes. We compared the actual measured intake of human milk components with estimations derived from 15 protocols to determine the most reliable approach for estimating intake of HM leptin, adiponectin, insulin, glucose, and total lipid. Twenty mothers who were 3–5 months postpartum completed a 24 h milk profile study with pre-/post-feed milk samples collection. The true infant intake (control group) based on 24 h milk intake (MI) was compared to estimated infant intakes using concentrations from five sampling protocols that were multiplied by one of true infant MI, considered mean MI (800 mL), or global mean MI (766 mL). The mean measured concentrations of six samples (three sets of pre- and post-feed samples, from morning (06:00–09:00), afternoon (13:00–16:00), and evening (19:00–22:00)) multiplied by the true infant MI, mean considered MI, and global mean MI produced the most accurate estimates of infant intake of these components. Therefore, in the absence of 24 h measurements and sampling, a sampling protocol comprising three sets of pre-/post-feed samples provides the most reliable infant intake estimates of HM leptin, adiponectin, insulin, glucose, and total lipid.

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Section: Introductionmentioning

confidence: 99%

Sampling Procedures for Estimating the Infant Intake of Human Milk Leptin, Adiponectin, Insulin, Glucose, and Total Lipid

Suwaydi,

Lai,

Gridneva

et al. 2024

Nutrients

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show abstract

“…If we are to discuss, to understand, to study, to extend and support breastfeeding in all the ways it shows up in our current diverse cultural contexts, we need to be open to publishing manuscripts that cover both the act of breastfeeding and the totality of providing human milk for human babies. We need to understand breastfeeding as a biological system (Christian et al, 2021; Groer, 2023) and, once milk is outside of the body, we need to understand it beyond its role as a nutritional substrate. We need to learn about how to manage its potential, to understand what it is, what it is doing, and how our processes affect its composition and activity.…”

mentioning

confidence: 99%