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dc.contributor.authorPrentice, Philippa
dc.contributor.authorOng, Ken K
dc.contributor.authorSchoemaker, Marieke H
dc.contributor.authorvan Tol, Eric AF
dc.contributor.authorVervoort, Jacques
dc.contributor.authorHughes, Ieuan A
dc.contributor.authorAcerini, Carlo L
dc.contributor.authorDunger, David B
dc.date.accessioned2016-02-17T13:30:13Z
dc.date.available2016-02-17T13:30:13Z
dc.date.issued2016-06
dc.identifier.citationPrentice et al. Acta Paediatrica (2016). doi: 10.1111/apa.13362
dc.identifier.issn0803-5253
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/253818
dc.description.abstractAIM: Benefits of human breast milk (HM) in avoiding rapid infancy weight gain and later obesity could relate to its nutrient content. We tested the hypothesis that differential HM total calorie content (TCC) or macronutrient contents may be associated with infancy growth. METHODS: HM hindmilk samples were collected at ages 4-8 weeks from 614 mothers participating in a representative birth cohort, with repeated infancy anthropometry. HM triglyceride (fat), lipid analytes and lactose (carbohydrate) were measured by (1) H-NMR, and protein content by the Dumas method. TCC and %macronutrients were determined. RESULTS: In 614 HM samples, fat content was as follows: [median(IQR)]: 2.6 (1.7-3.6) g/100 mL, carbohydrate: 8.6 (8.2-8.8) g/100 mL, protein: 1.2 (1.1-1.2) g/100 mL; TCC: 61.8 (53.7-71.3) kcal/100 mL. HM of mothers exclusively breast feeding vs. mixed feeding was more calorific with higher %fat, lower %carbohydrate and lower %protein. Higher HM TCC was associated with lower 12-months body mass index (BMI)/adiposity, and lower 3-12 months gains in weight/BMI. HM %fat was inversely related to 3-12 months gains in weight, BMI and adiposity, whereas %carbohydrate was positively related to these measures. HM %protein was positively related to 12-months BMI. CONCLUSION: HM analysis showed wide variation in %macronutrients. Although data on milk intakes were unavailable, our findings suggest functional relevance of HM milk composition to infant growth.
dc.description.sponsorshipPP was supported by a MRC Clinical Training Fellowship (G1001995). The Cambridge Baby Growth Study has been supported by the European Union, the World Cancer Research Foundation International, the Medical Research Council, the NIHR Cambridge Comprehensive Biomedical Research Centre, the Newlife Foundation for disabled children, the Mothercare Group Foundation, and Mead Johnson Nutrition.
dc.languageEnglish
dc.language.isoen
dc.publisherWiley
dc.rightsAttribution 4.0 International
dc.rightsAttribution 4.0 International
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectbreast milk
dc.subjectmacronutrients
dc.subjectnutrition
dc.subjectweight
dc.subjectgrowth
dc.titleBreast milk nutrient content and infancy growth.
dc.typeArticle
dc.description.versionThis is the final version of the article. It first appeared from Wiley via https://doi.org/ 10.1111/apa.13362
prism.endingPage647
prism.publicationDate2016
prism.publicationNameActa Paediatr
prism.startingPage641
prism.volume105
dcterms.dateAccepted2016-02-08
rioxxterms.versionofrecord10.1111/apa.13362
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.licenseref.startdate2016-02-10
dc.contributor.orcidOng, Kenneth [0000-0003-4689-7530]
dc.contributor.orcidAcerini, Carlo [0000-0003-2121-5871]
dc.contributor.orcidDunger, David [0000-0002-2566-9304]
dc.identifier.eissn1651-2227
rioxxterms.typeJournal Article/Review
pubs.funder-project-idMedical Research Council (G1001995)
pubs.funder-project-idCambridge University Hospitals NHS Foundation Trust (CUH) (unknown)
pubs.funder-project-idMedical Research Council (MC_UU_12015/2)
pubs.funder-project-idMedical Research Council (G0600717)
pubs.funder-project-idMedical Research Council (MC_U106179472)
cam.issuedOnline2016-04-06
cam.orpheus.successThu Jan 30 12:55:09 GMT 2020 - The item has an open VoR version.
rioxxterms.freetoread.startdate2100-01-01


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