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Published on: May 15, 2019
The Fatty Acid Species and Quantity Consumed by the Breastfed Infant Are Important for Growth and Development
Alexandra D George1,2, Melvin C L Gay1, Mary E Wlodek1,3
1School of Molecular Sciences, The University of Western Australia, Crawley 6009, Australia.
Insights
Human milk fatty acids (FAs) are vital for infant development. This study found specific FAs, like C15:0 and C18:2, are crucial for infant growth, highlighting the importance of FA intake analysis.
Area of Science:
- Human milk composition
- Infant nutrition
- Lipidomics
Background:
- Fatty acids (FAs) in human milk (HM) are essential for infant health.
- Previous characterization of HM FAs has not comprehensively considered infant intake.
- Understanding FA intake is crucial for infant development.
Purpose of the Study:
- To characterize the fatty acid profile of human milk.
- To investigate the associations between HM FA composition, maternal characteristics, and infant growth.
- To determine the relationship between infant FA intake and developmental outcomes.
Main Methods:
- Longitudinal collection of human milk samples from 18 mother-infant dyads over six months.
- Analysis of FA profiles using gas chromatography-mass spectrometry.
- Statistical analysis including linear regression and Pearson's correlation to assess relationships.
Main Results:
- Significant variation in HM FA composition was observed between dyads and throughout lactation.
- Infant intake of specific FAs (C15:0, C18:1, C18:2, C20:3) positively correlated with infant growth (p < 0.001).
- No significant relationships were found between C22:5, C20:5 intake and infant head circumference.
Conclusions:
- Infant total lipid and specific FA intake are essential for growth and development.
- This study identified novel relationships between certain FAs (e.g., C15:0, C18:2) and infant outcomes.
- Future human milk studies should incorporate infant intake data for a comprehensive understanding.
Abstract:
The fatty acids (FAs) of human milk (HM) are the building blocks of the HM lipidome, contributing to infant health and development; however, this has not been comprehensively characterised with respect to infant intake. Eighteen Western Australian mother-infant dyads provided monthly longitudinal HM samples during six months of exclusive breastfeeding. Monthly anthropometric measurements, health data and basic maternal food frequency data were also collected. At three months, infant 24 h milk intake and total lipid intake were measured. The FA profile was analysed using gas chromatography-mass spectrometry. Linear regression and Pearson's correlation were used to identify associations between HM FA composition, HM FA intake, maternal characteristics and infant growth and developmental outcomes. Mean infant intake of total lipids was 29.7 ± 9.4 g/day. HM FA composition exhibited wide variation between dyads and throughout lactation. Infant intake of a number of FAs, including C15:0, C18:1, C18:2 and C20:3, was positively related to infant growth (all p < 0.001). There were no relationships detected between C22:5 and C20:5 and infant head circumference. Infant total lipid intake and the infant intake of many FAs play essential roles in infant growth and development. This study highlights the important relationships of many HM FAs not previously described, including C15:0 and C18:2 species. Infant outcomes should be considered in the context of intake in future HM studies.
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