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Updated: Feb 8, 2026

Rapid Isolation of Human Breast Milk-Derived Extracellular Vesicles
Published on: November 14, 2025
Are cortisol concentrations in human breast milk associated with infant crying?
Christine Hechler1, Roseriet Beijers1, J Marianne Riksen-Walraven1
1Behavioral Science Institute, Radboud University, Montessorilaan, Nijmegen, Netherlands.
Insights
This study found no link between breast milk cortisol levels and infant crying in the first three months. Infant cortisol in breast milk did not correlate with fussing or crying duration, frequency, or bout length in boys or girls.
Area of Science:
- Endocrinology
- Developmental Psychology
- Human Lactation
Background:
- Human breast milk contains cortisol, a stress hormone.
- The role of breast milk cortisol in infant behavior, particularly crying, is not well understood.
- Previous research has not investigated the longitudinal association between breast milk cortisol and infant crying patterns.
Purpose of the Study:
- To investigate the association between human breast milk cortisol concentrations and infant crying behaviors (fussing and crying) during the first three months of life.
- To examine potential sex differences in the relationship between breast milk cortisol and infant crying.
- To analyze changes in breast milk cortisol levels over the first 12 weeks of an infant's life.
Main Methods:
- A longitudinal study involving 70 mothers and their infants.
- Mothers collected morning breast milk samples at 2, 6, and 12 weeks postpartum.
- Infant fussing and crying were recorded via 3-day diaries, and milk cortisol was quantified using established methods.
Main Results:
- Breast milk cortisol concentrations showed a significant increase from 2 to 12 weeks of infant age.
- No significant association was found between breast milk cortisol levels and the total duration, frequency, or bout length of infant fussing and crying.
- These findings were consistent for both male and female infants.
Conclusions:
- Breast milk cortisol levels increase during the first three months of life but do not appear to influence infant crying behaviors.
- Further research is needed to explore the biological functions of milk cortisol and its potential impact on infant development.
- The study highlights the complexity of factors influencing infant crying and stress responses.
Abstract:
The present longitudinal study is the first to investigate the association between human breast milk cortisol and infant crying over the first three months of life. Higher concentrations of breast milk cortisol were expected to be differentially associated with fussing and crying in boys and girls. At 2, 6, and 12 weeks of infant age, mothers (N = 70) collected a morning sample of their milk and kept a 3-day diary to measure infant fussing and crying. Cortisol was extracted and quantified from milk samples. Results showed that breast milk cortisol concentrations increased from 2 weeks through 12 weeks of infant age. Milk cortisol was unrelated to the total duration, frequency, and bout length of infant fussing and crying for both boys and girls. Directions for future research aiming to extend our knowledge on the biology of milk cortisol in relation to infant behavior and development are discussed.
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