Mother's iron status, breastmilk iron and lactoferrin - are they related

Objective: Exclusive breastfeeding is recommended till 6 months age. Factors regulating the breastmilk iron and lactoferrin levels are incompletely known. Considering high prevalence of nutritional anemia in lactating mothers, we studied the iron status of lactating mothers, their breastmilk iron an...

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Veröffentlicht in:European journal of clinical nutrition 2006-07, Vol.60 (7), p.903-908
Hauptverfasser: Shashiraj, Faridi, M.M.A, Singh, O, Rusia, U
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container_title European journal of clinical nutrition
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creator Shashiraj
Faridi, M.M.A
Singh, O
Rusia, U
description Objective: Exclusive breastfeeding is recommended till 6 months age. Factors regulating the breastmilk iron and lactoferrin levels are incompletely known. Considering high prevalence of nutritional anemia in lactating mothers, we studied the iron status of lactating mothers, their breastmilk iron and lactoferrin levels to determine any relationship between them. Design: Prospective study with 6 months follow-up. Setting: Tertiary care referral hospital. Subjects: Hundred nonanemic and 100 anemic mothers with their babies recruited at birth. Fifty-two nonanemic and 50 anemic mothers and their babies completed the 6-month follow-up. Interventions: Hemoglobin (Hb), total iron binding capacity (TIBC), percent transferrin saturation (%TS), serum iron (SI) and serum ferritin measured on day 1 and 6 months postpartum. Breastmilk iron and lactoferrin measured on day 1, 14 weeks and 6 months after delivery. Results: Breastmilk iron decreased progressively from day 1 to 14 weeks and at 6 months in both groups, but no significant difference was noted between nonanemic and anemic mothers (P>0.05). Significant decline in breastmilk lactoferrin concentration from day 1 to 14 weeks in nonanemic and anemic mothers (P
doi_str_mv 10.1038/sj.ejcn.1602398
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Factors regulating the breastmilk iron and lactoferrin levels are incompletely known. Considering high prevalence of nutritional anemia in lactating mothers, we studied the iron status of lactating mothers, their breastmilk iron and lactoferrin levels to determine any relationship between them. Design: Prospective study with 6 months follow-up. Setting: Tertiary care referral hospital. Subjects: Hundred nonanemic and 100 anemic mothers with their babies recruited at birth. Fifty-two nonanemic and 50 anemic mothers and their babies completed the 6-month follow-up. Interventions: Hemoglobin (Hb), total iron binding capacity (TIBC), percent transferrin saturation (%TS), serum iron (SI) and serum ferritin measured on day 1 and 6 months postpartum. Breastmilk iron and lactoferrin measured on day 1, 14 weeks and 6 months after delivery. Results: Breastmilk iron decreased progressively from day 1 to 14 weeks and at 6 months in both groups, but no significant difference was noted between nonanemic and anemic mothers (P&gt;0.05). Significant decline in breastmilk lactoferrin concentration from day 1 to 14 weeks in nonanemic and anemic mothers (P&lt;0.001) noted. Hemoglobin, TIBC, %TS, SI and serum ferritin of both groups had no correlation with breastmilk iron and lactoferrin concentration on day 1, 14 weeks and 6 months after delivery. Conclusions: Breastmilk iron and lactoferrin concentration had no relationship with the mother's Hb and iron status.</description><identifier>ISSN: 0954-3007</identifier><identifier>EISSN: 1476-5640</identifier><identifier>DOI: 10.1038/sj.ejcn.1602398</identifier><identifier>PMID: 16514410</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Anemia ; Anemia, Iron-Deficiency - drug therapy ; Anemia, Iron-Deficiency - epidemiology ; Anemia, Iron-Deficiency - etiology ; Biological and medical sciences ; blood chemistry ; Breast feeding ; breast milk ; Breastfeeding &amp; lactation ; Clinical Nutrition ; dietary minerals ; disease prevalence ; Epidemiology ; Female ; Ferritin ; Ferritins - analysis ; Folic Acid - administration &amp; dosage ; Follow-Up Studies ; Hemoglobin ; Hemoglobins - analysis ; Humans ; Internal Medicine ; Iron ; Iron - administration &amp; dosage ; Iron - analysis ; Iron - metabolism ; iron deficiency anemia ; iron-binding capacity ; lactation ; Lactation - blood ; Lactation - metabolism ; Lactoferrin ; Lactoferrin - analysis ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Metabolic Diseases ; Milk, Human - chemistry ; Mothers ; Nutrition ; Nutritional Status ; nutritive value ; original-article ; Postpartum Period - blood ; Postpartum Period - metabolism ; Pregnancy ; Prospective Studies ; Proteins ; Public Health ; Transferrin ; Transferrin - analysis ; Transferrins ; women</subject><ispartof>European journal of clinical nutrition, 2006-07, Vol.60 (7), p.903-908</ispartof><rights>Springer Nature Limited 2006</rights><rights>2006 INIST-CNRS</rights><rights>COPYRIGHT 2006 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jul 2006</rights><rights>Nature Publishing Group 2006.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c575t-4f1687bf3a1a209b5776e6de52d84c3562e07e51fd5607cbc2f3f94cab3021023</citedby><cites>FETCH-LOGICAL-c575t-4f1687bf3a1a209b5776e6de52d84c3562e07e51fd5607cbc2f3f94cab3021023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2727,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=17900233$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16514410$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shashiraj</creatorcontrib><creatorcontrib>Faridi, M.M.A</creatorcontrib><creatorcontrib>Singh, O</creatorcontrib><creatorcontrib>Rusia, U</creatorcontrib><title>Mother's iron status, breastmilk iron and lactoferrin - are they related</title><title>European journal of clinical nutrition</title><addtitle>Eur J Clin Nutr</addtitle><addtitle>Eur J Clin Nutr</addtitle><description>Objective: Exclusive breastfeeding is recommended till 6 months age. Factors regulating the breastmilk iron and lactoferrin levels are incompletely known. Considering high prevalence of nutritional anemia in lactating mothers, we studied the iron status of lactating mothers, their breastmilk iron and lactoferrin levels to determine any relationship between them. Design: Prospective study with 6 months follow-up. Setting: Tertiary care referral hospital. Subjects: Hundred nonanemic and 100 anemic mothers with their babies recruited at birth. Fifty-two nonanemic and 50 anemic mothers and their babies completed the 6-month follow-up. Interventions: Hemoglobin (Hb), total iron binding capacity (TIBC), percent transferrin saturation (%TS), serum iron (SI) and serum ferritin measured on day 1 and 6 months postpartum. Breastmilk iron and lactoferrin measured on day 1, 14 weeks and 6 months after delivery. Results: Breastmilk iron decreased progressively from day 1 to 14 weeks and at 6 months in both groups, but no significant difference was noted between nonanemic and anemic mothers (P&gt;0.05). Significant decline in breastmilk lactoferrin concentration from day 1 to 14 weeks in nonanemic and anemic mothers (P&lt;0.001) noted. Hemoglobin, TIBC, %TS, SI and serum ferritin of both groups had no correlation with breastmilk iron and lactoferrin concentration on day 1, 14 weeks and 6 months after delivery. Conclusions: Breastmilk iron and lactoferrin concentration had no relationship with the mother's Hb and iron status.</description><subject>Adult</subject><subject>Anemia</subject><subject>Anemia, Iron-Deficiency - drug therapy</subject><subject>Anemia, Iron-Deficiency - epidemiology</subject><subject>Anemia, Iron-Deficiency - etiology</subject><subject>Biological and medical sciences</subject><subject>blood chemistry</subject><subject>Breast feeding</subject><subject>breast milk</subject><subject>Breastfeeding &amp; lactation</subject><subject>Clinical Nutrition</subject><subject>dietary minerals</subject><subject>disease prevalence</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Ferritin</subject><subject>Ferritins - analysis</subject><subject>Folic Acid - administration &amp; dosage</subject><subject>Follow-Up Studies</subject><subject>Hemoglobin</subject><subject>Hemoglobins - analysis</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Iron</subject><subject>Iron - administration &amp; dosage</subject><subject>Iron - analysis</subject><subject>Iron - metabolism</subject><subject>iron deficiency anemia</subject><subject>iron-binding capacity</subject><subject>lactation</subject><subject>Lactation - blood</subject><subject>Lactation - metabolism</subject><subject>Lactoferrin</subject><subject>Lactoferrin - analysis</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metabolic Diseases</subject><subject>Milk, Human - chemistry</subject><subject>Mothers</subject><subject>Nutrition</subject><subject>Nutritional Status</subject><subject>nutritive value</subject><subject>original-article</subject><subject>Postpartum Period - blood</subject><subject>Postpartum Period - metabolism</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Proteins</subject><subject>Public Health</subject><subject>Transferrin</subject><subject>Transferrin - analysis</subject><subject>Transferrins</subject><subject>women</subject><issn>0954-3007</issn><issn>1476-5640</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kkFv1DAQhSMEokvhzAmIqCgXsrUdx06OVVUoUhEH6NmaOOPdLF672M6h_x6vsmgLauWDJb_vzXhGryheU7KkpG7P4maJG-2WVBBWd-2TYkG5FFUjOHlaLEjX8KomRB4VL2LcEJJFyZ4XR1Q0lHNKFsXVN5_WGD7GcgzelTFBmuKnsg8IMW1H-2t-BzeUFnTyBkMYXVmVELDMzrsyoIWEw8vimQEb8dX-Pi5uPl_-vLiqrr9_-Xpxfl3pRjap4oaKVvamBgqMdH0jpUAxYMOGluu6EQyJxIaaoRFE6l4zU5uOa-hrwmge8rg4neveBv97wpjUdowarQWHfopKtIJw2skMnvwHbvwUXP6bYoIz2RFJaabeP0rRTgguWZ2haoZWYFGNzvgUQK_QYQDrHZoxP5_Tjnec5A1nfvkAn8-A21E_aDi9Z1gj2LSO3k5p9C7-C57NoA4-xoBG3YZxC-FOUaJ2iVBxo3aJUPtEZMfb_YBTv8XhwO8jkIEPewCiBmsCOD3GA5cXlSvtlkBmLmbJrTAcNvV47zezxeVUBbzX-6_-btYNeAWrkNve_GCE7iIrGOdd_Qcl9t4w</recordid><startdate>20060701</startdate><enddate>20060701</enddate><creator>Shashiraj</creator><creator>Faridi, M.M.A</creator><creator>Singh, O</creator><creator>Rusia, U</creator><general>Nature Publishing Group UK</general><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7TK</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20060701</creationdate><title>Mother's iron status, breastmilk iron and lactoferrin - are they related</title><author>Shashiraj ; Faridi, M.M.A ; Singh, O ; Rusia, U</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c575t-4f1687bf3a1a209b5776e6de52d84c3562e07e51fd5607cbc2f3f94cab3021023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Anemia</topic><topic>Anemia, Iron-Deficiency - drug therapy</topic><topic>Anemia, Iron-Deficiency - epidemiology</topic><topic>Anemia, Iron-Deficiency - etiology</topic><topic>Biological and medical sciences</topic><topic>blood chemistry</topic><topic>Breast feeding</topic><topic>breast milk</topic><topic>Breastfeeding &amp; lactation</topic><topic>Clinical Nutrition</topic><topic>dietary minerals</topic><topic>disease prevalence</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Ferritin</topic><topic>Ferritins - analysis</topic><topic>Folic Acid - administration &amp; dosage</topic><topic>Follow-Up Studies</topic><topic>Hemoglobin</topic><topic>Hemoglobins - analysis</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Iron</topic><topic>Iron - administration &amp; 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Factors regulating the breastmilk iron and lactoferrin levels are incompletely known. Considering high prevalence of nutritional anemia in lactating mothers, we studied the iron status of lactating mothers, their breastmilk iron and lactoferrin levels to determine any relationship between them. Design: Prospective study with 6 months follow-up. Setting: Tertiary care referral hospital. Subjects: Hundred nonanemic and 100 anemic mothers with their babies recruited at birth. Fifty-two nonanemic and 50 anemic mothers and their babies completed the 6-month follow-up. Interventions: Hemoglobin (Hb), total iron binding capacity (TIBC), percent transferrin saturation (%TS), serum iron (SI) and serum ferritin measured on day 1 and 6 months postpartum. Breastmilk iron and lactoferrin measured on day 1, 14 weeks and 6 months after delivery. Results: Breastmilk iron decreased progressively from day 1 to 14 weeks and at 6 months in both groups, but no significant difference was noted between nonanemic and anemic mothers (P&gt;0.05). Significant decline in breastmilk lactoferrin concentration from day 1 to 14 weeks in nonanemic and anemic mothers (P&lt;0.001) noted. Hemoglobin, TIBC, %TS, SI and serum ferritin of both groups had no correlation with breastmilk iron and lactoferrin concentration on day 1, 14 weeks and 6 months after delivery. Conclusions: Breastmilk iron and lactoferrin concentration had no relationship with the mother's Hb and iron status.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16514410</pmid><doi>10.1038/sj.ejcn.1602398</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Anemia
Anemia, Iron-Deficiency - drug therapy
Anemia, Iron-Deficiency - epidemiology
Anemia, Iron-Deficiency - etiology
Biological and medical sciences
blood chemistry
Breast feeding
breast milk
Breastfeeding & lactation
Clinical Nutrition
dietary minerals
disease prevalence
Epidemiology
Female
Ferritin
Ferritins - analysis
Folic Acid - administration & dosage
Follow-Up Studies
Hemoglobin
Hemoglobins - analysis
Humans
Internal Medicine
Iron
Iron - administration & dosage
Iron - analysis
Iron - metabolism
iron deficiency anemia
iron-binding capacity
lactation
Lactation - blood
Lactation - metabolism
Lactoferrin
Lactoferrin - analysis
Medical sciences
Medicine
Medicine & Public Health
Metabolic Diseases
Milk, Human - chemistry
Mothers
Nutrition
Nutritional Status
nutritive value
original-article
Postpartum Period - blood
Postpartum Period - metabolism
Pregnancy
Prospective Studies
Proteins
Public Health
Transferrin
Transferrin - analysis
Transferrins
women
title Mother's iron status, breastmilk iron and lactoferrin - are they related
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