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Circadian variation of human milk hormones and macronutrients: Implications for sampling and analysis strategies
Journal article   Open access   Peer reviewed

Circadian variation of human milk hormones and macronutrients: Implications for sampling and analysis strategies

Majed A. Suwaydi, Ching Tat Lai, Alethea Rea, Mary E. Wlodek and Donna T. Geddes
Proceedings, Vol.84(15), Art.15
2023
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CC BY V4.0 Open Access

Abstract

adipokine breastfeeding hormones human milk lactation macronutrient
The daily variation in human milk (HM) hormones and macronutrients is not well characterised and sample protocols are highly variable between studies. Method: During a 24 h period, the mothers (n = 10) hand-expressed small milk samples, immediately before and after each breastfeeding or expression from each breast. Test-weighing was used to determine the volume of HM consumed in each feed. Concentrations of leptin, adiponectin, insulin, fat, and glucose were measured by variable biochemical assays. A linear mixed model was fitted to eleven outcomes of leptin, adiponectin, insulin, fat, glucose (dose and concentration for each), and feed volume. The explanatory variables considered were a circadian cycle (cosine and sine terms), and for dose and concentration outcomes, an indicator variable for pre- or post-feed. The random effect was a circadian cycle (cosine and sine terms) for each mother. Results: The average infant intake of HM was 1060 mL/day (8 to 20 feeds/day). Pre- and post-feed differences were found in the concentrations of leptin, adiponectin, insulin, and fat (p < 0.05). Significant circadian variation across the 24 h period was found in adiponectin concentration, insulin (both concentration and dose), fat dose, glucose (both concentration and dose), and milk volume. Conclusion: These results highlight the importance of establishing standardised and rigorous sampling protocols considering all levels of variations (within-feed or circadian) to provide a better determination of the impact of these components on infant health and development.

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