Evidence map›Paper›PMID 26041675›Full record

ArticleThe Journal of nutrition2015

Infant Maturity at Birth Reveals Minor Differences in the Maternal Milk Metabolome in the First Month of Lactation.

Ann R Spevacek, Jennifer T Smilowitz, Elizabeth L Chin, Mark A Underwood, J Bruce German, Carolyn M Slupsky

2 registry-linked trialsAbstract read
In one paragraph

Article in The Journal of nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01817127 active not recruitingnot on this map

Functional Deconstruction of Human Milk Oligosaccharides and Lipids

TypeobservationalSponsorUniversity of California, DavisRan2009 to 2028Enrolled395ConditionsHealthy, Gestational Diabetes Mellitus, Type 2 Diabetes Mellitus
NCT01841268 completednot on this map

Skin Lipid Profiles in Term and Preterm Infants

Typeobservational_patient_registrySponsorUniversity of California, DavisRan2010 to 2016Enrolled25ConditionsPreterm Infants
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Automated, targeted, NMR spectral profiling of human breast milk.Metabolomics : Official journal of the Metabolomic Society · 2026
    Article
  5. Article
  6. Article
  7. Review
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Metabolomics can provide new insights into perinatal nutrition.Acta paediatrica (Oslo, Norway : 1992) · 2023
    Review
  14. Utilizing theInternational journal of molecular sciences · 2023
    Article
  15. Article
  16. Article
  17. Molecules (Basel, Switzerland) · 2022
    Article
  18. Article
  19. Safety of lacto-N-tetraose (LNT) produced by derivative strains ofEFSA journal. European Food Safety Authority · 2022
    Article
  20. Article

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ann R SpevacekDepartments of Nutrition.
Jennifer T SmilowitzFood Science and Technology, and Foods for Health Institute, University of California, Davis, Davis, CA.
Elizabeth L ChinFood Science and Technology, and.
Mark A UnderwoodPediatrics, and Foods for Health Institute, University of California, Davis, Davis, CA.
J Bruce GermanFood Science and Technology, and Foods for Health Institute, University of California, Davis, Davis, CA.
Carolyn M SlupskyDepartments of Nutrition, Food Science and Technology, and Foods for Health Institute, University of California, Davis, Davis, CA cslupsky@ucdavis.edu.
University of California, Davis · US

Funding

West Coast Central Comprehensive Metabolomics Resource Core (WC3MRC)U24DK097154 · NIDDK · UNIVERSITY OF CALIFORNIA AT DAVIS · PI FIEHN, OLIVER · 2012 to 2017
$9.9M
Necrotizing Enterocolitis: Prevention and PredictionR01HD059127 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI LEBRILLA, CARLITO B, MILLS, DAVID ANDREW · 2008 to 2012
$3.1M
Structures, Functions, & Genetic Diversity of Oligosaccharides in MilkR01HD061923 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI LEBRILLA, CARLITO B · 2009 to 2013
$1.6M
NICHD NIH HHS HD059127NICHD NIH HHS HD061923NIDDK NIH HHS U24 DK097154
6 · The paper itself

Abstract

backgroundHuman milk is the gold standard of nutrition for infants, providing both protective and essential nutrients. Although much is known about milk from mothers giving birth to term infants, less is known about milk from mothers giving birth to premature infants. In addition, little is known about the composition and diversity of small molecules in these milks and how they change over the first month of lactation.

objectiveThe objective was to understand how milk metabolites vary over the first month of lactation in mothers giving birth to term and preterm infants.

methods(1)H nuclear magnetic resonance (NMR) metabolomics was used to characterize metabolites that were present in micromolar to molar concentrations in colostrum (day 0-5 postpartum), transition milk (day 14), and mature milk (day 28) from mothers who delivered term (n = 15) and preterm (n = 13) infants. Principal components analysis, linear mixed-effects models (LMMs), and linear models (LMs) were used to explore the relation between infant maturity and the postpartum day of collection of milk samples.

resultsBy using a standard NMR metabolite library, 69 metabolites were identified in the milks, including 15 sugars, 23 amino acids and derivatives, 11 energy-related metabolites, 10 fatty acid-associated metabolites, 3 nucleotides and derivatives, 2 vitamins, and 5 bacteria-associated metabolites. Many metabolite concentrations followed a similar progression over time in both term and preterm milks, with more biological variation in metabolite concentrations in preterm milk. However, although lacto-N-neotetraose (LMM, P = 4.0 × 10(-5)) and lysine (LM, P = 1.5 × 10(-4)) significantly decreased in concentration in term milk over time, they did not significantly change in preterm milk.

conclusionOverall, the metabolic profile of human milk is dynamic throughout the first month of lactation, with more variability in preterm than in term milk and subtle differences in some metabolite concentrations. This trial was registered at clinicaltrials.gov as NCT01841268.

Indexed as

AdultCarbohydrate MetabolismCarbohydratesColostrumFemaleHumansInfant, NewbornInfant, PrematureLactationMilk, HumanMilk ProteinsPostpartum PeriodCarbohydratesMilk Proteinshuman milkhuman milk oligosaccharideslactationmetabolomicspretermterm

Identifiers

PMID26041675
PMCPMC4516766
OpenAlexW1951569558

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.