Minerva Pediatrics,
Journal Year:
2022,
Volume and Issue:
74(6)
Published: Aug. 1, 2022
Breastfeeding
is
considered
the
gold
standard
for
infants'
nutrition
and
provides
unique
benefits
health.
Great
research
interest
has
been
raised
about
use
of
bioactive
components
in
neonatal
medicine,
both
as
standalone
products
addition
to
infant
formula,
attempt
reproduce
human
milk
beneficial
effects.
Thus,
aim
this
narrative
review
summarize
most
recent
evidence
on
biotics'
period,
with
a
focus
formula
(IF)
supplemented
probiotics,
prebiotics,
synbiotics
postbiotics.
Growing
data
indicate
overall
positive
effects
biotic
microbiome
composition
metabolic
activity.
Furthermore,
some
are
also
emerging
from
randomized
controlled
trials
evaluating
clinical
impact
these
enriched
formulas
may
have
health
fed
infants.
However,
clear
still
lacks
none
IF
demonstrated
conclusive
superiority.
To
date,
whereas
no
routine
recommendations
can
be
done,
biotics
generally
proven
well-tolerated
safe
ensuring
normal
growth,
paving
way
future
alternatives
those
infants
who
not
able
(fully)
breastfed.
More
RCTs,
adequate
design
statistical
power,
needed
better
clarify,
if
present,
which
supplementation
confer
short
long-term
outcomes.
Gut Microbes,
Journal Year:
2023,
Volume and Issue:
15(1)
Published: April 13, 2023
Exclusive
breastfeeding
is
recommended
for
the
first
six
months
of
life,
but
many
infants
receive
pumped
milk,
formula,
donor
human
or
other
nutritional
sources
during
this
critical
period.
Substantive
evidence
shows
early
nutrition
influences
development
microbiome
and
immune
system,
affecting
lifelong
health.
However,
underlying
mechanisms
are
unclear
nuances
milk
feeding
rarely
considered.
This
review
synthesizes
from
studies
model
systems
to
discuss
impact
different
on
co-development
gut
microbiome,
antigen
tolerance,
immunity.
We
highlight
two
key
mechanisms:
epigenetics
so-called
"weaning
reaction".
Collectively,
highlights
i)
fundamental
role
parents'
own
fed
directly
at
breast,
as
a
dynamic
personalized
source
that
drives
developmental
programming,
ii)
deficiencies
alternative
priority
research
areas
improving
these
alternatives
when
direct
not
possible.
Critical Reviews in Food Science and Nutrition,
Journal Year:
2022,
Volume and Issue:
63(26), P. 7945 - 7982
Published: March 30, 2022
Human
milk
is
a
highly
complex
liquid
food
tailor-made
to
match
an
infant's
needs.
Beyond
documented
positive
effects
of
breastfeeding
on
infant
and
maternal
health,
there
increasing
evidence
that
constituents
also
impact
child
neurodevelopment.
Non-nutrient
bioactives
would
contribute
the
(long-term)
development
cognition
behavior,
process
termed
'Lactocrine
Programming'.
In
this
review
we
discuss
current
state
field
human
composition
its
links
with
cognitive
behavioral
development.
To
promote
state-of-the-art
methodologies
designs
facilitate
data
pooling
meta-analytic
endeavors,
present
detailed
recommendations
best
practices
for
future
studies.
Finally,
determine
important
scientific
gaps
need
be
filled
advance
field,
innovative
directions
research.
Unveiling
mechanisms
underlying
between
behavior
will
deepen
our
understanding
broad
functions
food,
as
well
provide
necessary
information
designing
interventions.
Advances in Nutrition,
Journal Year:
2023,
Volume and Issue:
15(1), P. 100127 - 100127
Published: Oct. 5, 2023
Human
milk
(HM)
contains
macronutrients,
micronutrients,
and
a
multitude
of
other
bioactive
factors,
which
can
have
long-term
impact
on
infant
growth
development.
We
systematically
searched
MEDLINE,
EMBASE,
Cochrane
Library,
Scopus,
Web
Science
to
synthesize
evidence
published
between
1980
2022
HM
components
anthropometry
through
2
y
age
among
term-born
infants.
From
9992
abstracts
screened,
141
articles
were
included
categorized
based
their
reporting
or
components.
Bioactives
including
hormones,
oligosaccharides
(HMOs),
immunomodulatory
are
reported
here,
75
from
69
unique
studies
observations
9980
dyads.
Research
designs,
collection
strategies,
sampling
times,
geographic
socioeconomic
settings,
practices,
outcomes
varied
considerably.
Meta-analyses
not
possible
because
data
times
inconsistent
the
included.
Few
measured
intake,
adjusted
for
confounders,
precisely
captured
breastfeeding
exclusivity,
adequately
described
protocols.
Only
5
(6%)
had
high
overall
quality
scores.
Hormones
most
extensively
examined
with
46
(n
=
6773
dyads),
compared
13
2640
dyads)
HMOs
12
1422
Two
conducted
untargeted
metabolomics.
Leptin
adiponectin
demonstrated
inverse
associations
growth,
although
several
found
no
associations.
No
consistent
individual
outcomes.
Among
in
HM,
IL-6
relationships
growth.
Current
research
bioactives
is
largely
inconclusive
insufficient
address
complex
composition
HM.
Future
should
ideally
capture
use
biologically
relevant
anthropometrics,
integrate
across
categories,
embracing
systems
biology
approach
better
understand
how
work
independently
synergistically
influence
American Journal of Clinical Nutrition,
Journal Year:
2023,
Volume and Issue:
117, P. S61 - S86
Published: May 1, 2023
Human
milk
contains
all
of
the
essential
nutrients
required
by
infant
within
a
complex
matrix
that
enhances
bioavailability
many
those
nutrients.
In
addition,
human
is
source
bioactive
components,
living
cells
and
microbes
facilitate
transition
to
life
outside
womb.
Our
ability
fully
appreciate
importance
this
relies
on
recognition
short-
long-term
health
benefits
and,
as
highlighted
in
previous
sections
supplement,
its
ecology
(i.e.,
interactions
among
lactating
parent
breastfed
well
context
itself).
Designing
interpreting
studies
address
complexity
depends
availability
new
tools
technologies
account
for
such
complexity.
Past
efforts
have
often
compared
formula,
which
has
provided
some
insight
into
bioactivity
milk,
whole,
or
individual
components
supplemented
with
formula.
However,
experimental
approach
cannot
capture
contributions
ecology,
interaction
between
these
matrix,
significance
itself
enhance
outcomes
interest.
This
paper
presents
approaches
explore
biological
system
functional
implications
components.
Specifically,
we
discuss
study
design
data
collection
considerations
how
emerging
analytical
technologies,
bioinformatics,
systems
biology
could
be
applied
advance
our
understanding
critical
aspect
biology.
Scientific Reports,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: Feb. 5, 2024
Links
between
human
milk
(HM)
and
infant
development
are
poorly
understood
often
focus
on
individual
HM
components.
Here
we
apply
multi-modal
predictive
machine
learning
to
study
head
circumference
(a
proxy
for
brain
development)
among
1022
mother-infant
dyads
of
the
CHILD
Cohort.
We
integrated
data
(19
oligosaccharides,
28
fatty
acids,
3
hormones,
chemokines)
with
maternal
demographic,
health,
dietary
home
environment
data.
Head
was
significantly
predictable
at
12
months.
Two
most
associated
features
were
n3-polyunsaturated
acid
C22:6n3
(docosahexaenoic
acid,
DHA;
p
=
9.6e-05)
intake
fish
(p
4.1e-03),
a
key
source
DHA
established
relationships
function.
Thus,
using
systems
biology
approach,
identified
meaningful
development,
which
validates
our
statistical
gives
credence
novel
associations
observed,
sets
foundation
further
research
additional
cohorts
analytes.
International Breastfeeding Journal,
Journal Year:
2024,
Volume and Issue:
19(1)
Published: June 28, 2024
Abstract
Background
Despite
global
public
health
organizations
endorsing
breastfeeding
or
human
milk
(HM)
as
the
optimal
source
of
nutrition
for
infants,
detailed
knowledge
how
HM
composition
influences
infant
growth
is
lacking.
In
this
commentary
we
summarize
and
interpret
key
findings
a
large
systematic
review
on
components
child
(N
=
141
articles
included).
We
highlight
most
consistent
associations,
discuss
study
quality
issues,
explore
socio-economic
time
trends
in
body
research,
identify
gaps
future
research
directions.
Key
Findings
Systematic
Review
grouped
into
three
categories:
micronutrients
(28
articles),
macronutrients
(57
bioactives
(75
articles).
Overall,
struggled
to
find
associations
between
growth.
The
majority
studies
(85%)
were
moderate
low-quality,
with
inconsistent
collection
analysis
strategies
being
identified
substantial
concerns.
Additional
issues
included
failing
account
potential
confounding
by
factors
such
exclusivity
maternal
mass
index.
Considerations
Future
Human
Milk
Research
Many
opportunities
exist
research.
Using
untargeted
metabolomics
will
expand
our
understanding
beyond
previously
defined
well-understood
components.
Machine
learning
allow
researchers
investigate
an
integrated
system,
rather
than
individual
should
incorporate
evidence-based
sampling
encompass
circadian
variation
well
consumption.
Additionally,
need
focus
developing
high
data
using
metrics
definitions.
Building
multidisciplinary
teams
help
ensure
that
outcomes
are
meaningful
clinically
relevant.
Conclusion
literature,
there
limited
evidence
relationship
engage
more
accurate
data,
use
standardized
employ
assays
validated
HM.
By
systematically
evaluating
existing
literature
identifying
methods
practice,
hope
inspire
reporting
guidelines
support
robust
examining
relationships