Branched-chain fatty acid composition of human milk and the impact of maternal diet: the Global Exploration of Human Milk (GEHM) Study

An understudied component of the diet, branched-chain fatty acids (BCFAs) are distinctive saturated fatty acids that may have an important influence on health. Human-milk fatty acid composition is known to differ worldwide, but comparative data are lacking on BCFAs. We tested the hypotheses that con...

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Veröffentlicht in:The American journal of clinical nutrition 2017-01, Vol.105 (1), p.177-184
Hauptverfasser: Dingess, Kelly A, Valentine, Christina J, Ollberding, Nicholas J, Davidson, Barbara S, Woo, Jessica G, Summer, Suzanne, Peng, Yongmei M, Guerrero, M Lourdes, Ruiz-Palacios, Guillermo M, Ran-Ressler, Rinat R, McMahon, Robert J, Brenna, J Thomas, Morrow, Ardythe L
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container_title The American journal of clinical nutrition
container_volume 105
creator Dingess, Kelly A
Valentine, Christina J
Ollberding, Nicholas J
Davidson, Barbara S
Woo, Jessica G
Summer, Suzanne
Peng, Yongmei M
Guerrero, M Lourdes
Ruiz-Palacios, Guillermo M
Ran-Ressler, Rinat R
McMahon, Robert J
Brenna, J Thomas
Morrow, Ardythe L
description An understudied component of the diet, branched-chain fatty acids (BCFAs) are distinctive saturated fatty acids that may have an important influence on health. Human-milk fatty acid composition is known to differ worldwide, but comparative data are lacking on BCFAs. We tested the hypotheses that concentrations of BCFAs in human milk differ between populations and are associated with maternal diet. We surveyed the BCFA composition of samples collected as part of a standardized, prospective study of human-milk composition. Mothers were enrolled from 3 urban populations with differing diets: Cincinnati, Ohio; Shanghai, China; and Mexico City, Mexico. Enrollment was limited to healthy mothers of term singleton infants. We undertook a cross-sectional analysis of milk from all women with samples at postpartum week 4 (n = 359; ∼120 women/site). Fatty acids were extracted from milk by using a modified Bligh-Dyer technique and analyzed by gas chromatography. Statistical analysis was performed by ANOVA and Tobit regression. For Cincinnati mothers, 24-h diet recalls were analyzed in relation to the individual BCFA concentrations measured in milk samples. Total BCFAs in milk differed by site, with the highest concentration in Cincinnati followed by Mexico City and Shanghai (mean ± SE: 7.90 ± 0.41, 6.10 ± 0.36, and 4.27 ± 0.25 mg/100 mL, respectively; P < 0.001). Site differences persisted after delivery mode, maternal age, and body mass index were controlled for. The individual concentrations of iso-14:0, iso-16:0, iso-18:0, anteiso-15:0, and anteiso-17:0 also differed between sites. Milk concentrations of iso-14:0 and anteiso-15:0 were associated with maternal intake of dairy; iso-16:0 was associated with maternal intakes of dairy and beef. BCFA concentrations in milk at 4 wk postpartum differed between mothers from Cincinnati, Shanghai, and Mexico City. Variations in human-milk BCFAs are influenced by diet. The impact of BCFAs on infant health warrants investigation.
doi_str_mv 10.3945/ajcn.116.132464
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Human-milk fatty acid composition is known to differ worldwide, but comparative data are lacking on BCFAs. We tested the hypotheses that concentrations of BCFAs in human milk differ between populations and are associated with maternal diet. We surveyed the BCFA composition of samples collected as part of a standardized, prospective study of human-milk composition. Mothers were enrolled from 3 urban populations with differing diets: Cincinnati, Ohio; Shanghai, China; and Mexico City, Mexico. Enrollment was limited to healthy mothers of term singleton infants. We undertook a cross-sectional analysis of milk from all women with samples at postpartum week 4 (n = 359; ∼120 women/site). Fatty acids were extracted from milk by using a modified Bligh-Dyer technique and analyzed by gas chromatography. Statistical analysis was performed by ANOVA and Tobit regression. For Cincinnati mothers, 24-h diet recalls were analyzed in relation to the individual BCFA concentrations measured in milk samples. Total BCFAs in milk differed by site, with the highest concentration in Cincinnati followed by Mexico City and Shanghai (mean ± SE: 7.90 ± 0.41, 6.10 ± 0.36, and 4.27 ± 0.25 mg/100 mL, respectively; P &lt; 0.001). Site differences persisted after delivery mode, maternal age, and body mass index were controlled for. The individual concentrations of iso-14:0, iso-16:0, iso-18:0, anteiso-15:0, and anteiso-17:0 also differed between sites. Milk concentrations of iso-14:0 and anteiso-15:0 were associated with maternal intake of dairy; iso-16:0 was associated with maternal intakes of dairy and beef. BCFA concentrations in milk at 4 wk postpartum differed between mothers from Cincinnati, Shanghai, and Mexico City. Variations in human-milk BCFAs are influenced by diet. 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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects China
Chromatography
Cross-Sectional Studies
Dairy Products
Diet
Fatty acids
Fatty Acids - analysis
Feeding Behavior
Female
Humans
Infant, Newborn
Lactation - metabolism
Male
Meat
Mexico
Milk
Milk, Human - chemistry
Mothers
Ohio
Pregnancy
Prospective Studies
Statistical analysis
title Branched-chain fatty acid composition of human milk and the impact of maternal diet: the Global Exploration of Human Milk (GEHM) Study
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