Evidence map›Paper›PMID 30092608›Full record

ArticlePediatric obesity2018

Bioactive components in human milk are differentially associated with rates of lean and fat mass deposition in infants of mothers with normal vs. elevated BMI.

B E Young, C Levek, R M Reynolds, M C Rudolph, P MacLean, T L Hernandez, J E Friedman, N F Krebs

3 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Pediatric obesity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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.

NCT04526860 nawithdrawnnot on this mapstarted 2026, after this paper: background citation

Maternal Obesity Programs Offspring Hypothalamic Neurogenesis and Appetite: Mechanisms and Prevention of Hyperphagia-mediated Childhood Obesity

TypeinterventionalSponsorLundquist Institute for Biomedical Innovation at Harbor-UCLA Medical CenterRan2026 to 2028Enrolled0ConditionsObesity, InfantArmsCalibration of infant breast milk and formula milk intake
NCT04782063 nacompletednot on this mapstarted 2022, after this paper: background citation

Prevention of Obesity in Infants of Overweight and Obese Women

TypeinterventionalSponsorLundquist Institute for Biomedical Innovation at Harbor-UCLA Medical CenterRan2022 to 2024Enrolled60ConditionsInfant ObesityArmsCalibration of infant breast milk and formula milk intake
NCT06082921 nacompletednot on this mapstarted 2023, after this paper: background citation

Study of nUtrition in Postpartum and EaRly Life (SUPER): Beef Feeding Trial

TypeinterventionalSponsorUniversity of Texas at AustinRan2023 to 2024Enrolled24ConditionsGlycemic Response, Breast Feeding, Exclusive, Eating BehaviorArmsBeef Diet Intervention, Impossible Beef Diet Intervention
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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  4. Metabolic health conditions in pregnancy, human milk hormone concentrations, and infant adiposity.Journal of perinatology : official journal of the California Perinatal Association · 2026
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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

8 authors at 2 institutions in 1 country.

B E YoungDepartment of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0002-3257-8179
C LevekDepartment of Pediatrics and Colorado Children's Hospital Research Institute Biostatistics Core, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
R M ReynoldsDepartment of Pediatrics, Section of Neonatology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
M C RudolphDepartment of Medicine, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
P MacLeanDepartment of Medicine, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
T L HernandezDepartment of Medicine, Division of Endocrinology, Metabolism, and Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
J E FriedmanDepartment of Pediatrics, Section of Neonatology, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
N F KrebsDepartment of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
University of Colorado Anschutz Medical Campus · USChildren's Hospital Colorado · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Paul S. Maclean · 1995 to 2026
$32.6M
UCHSC: Building Interdisciplinary Research Careers in Women's HealthK12HD057022 · NICHD · UNIVERSITY OF COLORADO DENVER · PI REGENSTEINER, JUDITH G., SANTORO, NANETTE F. · 2007 to 2023
$8.5M
NIDDK National Research Service Award (NRSA) T32 Diversity Administrative SupplementT32DK007658 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Kristen Elizabeth Boyle, Ihuoma U Eneli · 1991 to 2026
$6.0M
Randomized Trial of Diet in GDM: Metabolic Consequences to Mother and OffspringR01DK101659 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HERNANDEZ, TERI L · 2014 to 2018
$3.1M
FOSTERING PATIENT ORIENTED RESEARCH IN PEDIATRIC NUTRITIONK24DK083772 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI KREBS, NANCY F · 2009 to 2013
$753k
Early Life Fatty Acid Exposures Dictate Obesity PredispositionK01DK109079 · NIDDK · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI RUDOLPH, MICHAEL C. · 2017 to 2021
$686k
Differences in Breastmilk Composition and Infant Growth between Healthy and OverwF32HD078068 · NICHD · UNIVERSITY OF COLORADO DENVER · PI YOUNG, BRIDGET VICTORIA · 2014 to 2014
$28k
Center for Women's Health Research at the University of Colorado Anschutz Medical CampusNCATS NIH HHS UL1 TR001082NCRR NIH HHS UL1 RR025780NICHD NIH HHS F32 HD078068NICHD NIH HHS K12 HD057022NIDDK NIH HHS K01 DK109079NIDDK NIH HHS K24 DK083772NIDDK NIH HHS P30 DK048520NIDDK NIH HHS R01 DK101659NIDDK NIH HHS T32 DK007658
6 · The paper itself

Abstract

objectiveTo model breastfed infant growth and body composition patterns over the first 4 months with multiple bioactive components of human milk (HM) and clinical factors (including maternal BMI status), which are related to growth.

methodsLongitudinal observation of infant growth and body composition from 0 to 4 months among 41 predominantly breastfed infants (25 mothers of Normal-weight and 16 mothers with overweight/obesity). Fasted morning HM samples were collected at 5 time-points. Macronutrients, leptin, adiponectin, ghrelin, insulin, cytokines and n-6:n-3 esterified fatty acid ratio were measured. Infant weight-for-length Z-score (WLZ) trajectory, fat-free mass (FFM) gain, fat mass gain and %fat gain were modelled controlling for clinical covariates.

resultsHM insulin negatively associated with WLZ trajectory among infants of NW mothers (P = 0.028), but not associated with WLZ trajectory among infants of OW/Ob mothers. HM glucose (P < 0.001) was associated with slower rates of infant FFM gain. Infants of mothers with OW/Ob exhibited slower rates of FFM gain. HM protein, adiponectin and insulin concentrations, and n-6:n-3 ratio were all significant predictors in the model of infant fat mass gain (P < 0.03). Any amount of formula supplementation was associated with faster fat gain (P = 0.002). The model of %fat gain was similar to that of fat mass gain, excepting HM adiponectin was not a significant covariate, and a trend for maternal OW/Ob to correlate with faster %fat gain (P = 0.056).

conclusionsBioactive components in HM may contribute to regulation of partitioning of body composition, and these contributions may differ between mothers of normal-weight vs. with OW/Ob.

Indexed as

Body Mass IndexAdiponectinAdultBody CompositionBreast FeedingChild DevelopmentCytokinesFatty AcidsFemaleGhrelinGlucoseHumansInfantInfant, NewbornInsulinLeptinAdiponectinADIPOQ protein, humanCytokinesFatty AcidsGhrelinGlucoseInsulinLeptinNutrients

Identifiers

PMID30092608
PMCPMC6390491
OpenAlexW2887187959

What OpenQuestion holds

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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.