Evidence map›Paper›PMID 30301893›Full record

SynthesisNature communications2018

Meta-analysis of effects of exclusive breastfeeding on infant gut microbiota across populations.

Nhan T Ho, Fan Li, Kathleen A Lee-Sarwar, Hein M Tun, Bryan P Brown, Pia S Pannaraj, Jeffrey M Bender, Meghan B Azad, Amanda L Thompson, Scott T Weiss and 6 more

2 registry-linked trialsOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Nature communications, 2018. 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 270 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
270citing papers in PubMed, 15 pooled it
15.8field-weighted citation impact, top 1% 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.

NCT05815433 nacompletednot on this mapstarted 2023, after this paper: background citation

Comparing Impacts of Donor Human Milk to Formula Supplementation on the Gut Microbiome of Full-term Infants Exposed to Antibiotics in Labour: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity of CalgaryRan2023 to 2025Enrolled105ConditionsMicrobial ColonizationArmsDonor Human Milk - Nutritional Replacement
NCT06177184 narecruitingnot on this mapstarted 2024, after this paper: background citation

DOnor Milk to REpair the Full-term Infant MIcrobiome in Infants Born Via Caesarean Section

TypeinterventionalSponsorUniversity of CalgaryRan2024 to 2027Enrolled90ConditionsMicrobial ColonizationArmsDonor Human Milk - Nutritional Replacement
3 · Its place in the literature

Who cites it

270 citing papers in PubMed, 15 syntheses or guidelines pooled it, 447 citations in OpenAlex.

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  15. Diet, adiposity, and the gut microbiota from infancy to adolescence: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
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  18. Effect of Dexmedetomidine on the EDDrug design, development and therapy · 2025
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210 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

16 authors at 11 institutions in 4 countries.

Nhan T HoGertrude H. Sergievsky Center, Columbia University, New York City, NY, 10032, USA.
Fan LiDepartment of Pediatrics, University of California, Los Angeles, CA, 90095, USA.
Kathleen A Lee-SarwarDivision of Rheumatology, Immunology and Allergy, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 02115, USA.
Hein M TunDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, T6G 1C9, AB, Canada.
Bryan P BrownDuke University, Durham, NC, 27708, USA.
Pia S PannarajChildren's Hospital Los Angeles, University of Southern California, Los Angeles, CA, 90027, USA.
Jeffrey M BenderChildren's Hospital Los Angeles, University of Southern California, Los Angeles, CA, 90027, USA.
Meghan B AzadChildren's Hospital Research Institute of Manitoba, Department of Pediatrics & Child Health, University of Manitoba, Winnipeg, R3E 3P4, Manitoba, Canada.
Amanda L ThompsonDepartment of Anthropology, University of North Carolina, Chapel Hill, NC, 27599, USA.
Scott T WeissChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 02115, USA.
M Andrea Azcarate-PerilDepartment of Medicine, Division of Gastroenterology and Hepatology, School of Medicine, University of North Carolina, Chapel Hill, NC, 27599, USA.
Augusto A LitonjuaDivision of Pulmonary Medicine, Department of Pediatrics, University of Rochester Medical Center, Rochester, NY, 14642, USA.
Anita L KozyrskyjDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, T6G 1C9, AB, Canada.
Heather B JaspanUniversity of Cape Town Health Sciences Faculty, Institute of Infectious Disease and Molecular Medicine, Cape Town, 7701, South Africa.
Grace M AldrovandiDepartment of Pediatrics, University of California, Los Angeles, CA, 90095, USA.
Louise KuhnGertrude H. Sergievsky Center, Columbia University, New York City, NY, 10032, USA. lk24@columbia.edu.
Children's Hospital of Los Angeles · USColumbia University · USUniversity of California, Los Angeles · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · USBrigham and Women's Hospital · USHarvard University · USUniversity of Alberta · CAUniversity of Hong Kong · HKUniversity of Manitoba · CAUniversity of Rochester Medical Center · US

Funding

LOC-IMPAACT Leadership GroupPharmacokinetics and Safety of Remdesivir for Treatment of COVID-19 in Pregnant Women in the USUM1AI068632 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI Sharon A Nachman · 2011 to 2026
$278.1M
University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI EDWIN ROBERTO ORELLANA · 1988 to 2026
$104.9M
LC - IMPAACT Leadership GroupUM1AI106716 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Grace M Aldrovandi · 2014 to 2026
$47.2M
PILOT AND FEASIBILITY STUDIESP30DK034987 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Temitope O. Keku · 1985 to 2026
$30.5M
SYSTEMS APPROACHES TO THE EPIDEMIOLOGY, GENETICS AND GENOMICS OF LUNG DISEASEST32HL007427 · NHLBI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI DAWN L DEMEO, Edwin K Silverman · 1985 to 2026
$13.6M
Randomized Trial: Maternal Vitamin D Supplementation to Prevent Childhood AsthmaU01HL091528 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LITONJUA, AUGUSTO A, WEISS, SCOTT T · 2009 to 2013
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Childrens Hospital Los Angeles Child Health Research Development AwardK12HD052954 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI WILLIAMS, ROBERTA GAY · 2006 to 2017
$4.0M
VDAART FLORA ANCILLARY STUDYR01HL108818 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI GOLD, DIANE R · 2011 to 2013
$1.3M
Mucosal vs Systemic Influenza Vaccine While Breastfeeding: Milk ImmunityK23HD072774 · NICHD · CHILDREN'S HOSPITAL OF LOS ANGELES · PI PANNARAJ, PIA S · 2013 to 2017
$668k
Assessing feeding practices, immune activation, and HIV risk in African infantsK08HD069201 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI JASPAN, HEATHER BERYL · 2011 to 2015
$644k
NHLBI NIH HHS R01 HL108818NHLBI NIH HHS T32 HL007427NHLBI NIH HHS U01 HL091528NIAID NIH HHS P30 AI027757NIAID NIH HHS UM1 AI068632NIAID NIH HHS UM1 AI106716NICHD NIH HHS K08 HD069201NICHD NIH HHS K12 HD052954NICHD NIH HHS K23 HD072774NICHD NIH HHS P2C HD050924NIDDK NIH HHS P30 DK034987
6 · The paper itself

Abstract

Previous studies on the differences in gut microbiota between exclusively breastfed (EBF) and non-EBF infants have provided highly variable results. Here we perform a meta-analysis of seven microbiome studies (1825 stool samples from 684 infants) to compare the gut microbiota of non-EBF and EBF infants across populations. In the first 6 months of life, gut bacterial diversity, microbiota age, relative abundances of Bacteroidetes and Firmicutes, and predicted microbial pathways related to carbohydrate metabolism are consistently higher in non-EBF than in EBF infants, whereas relative abundances of pathways related to lipid metabolism, vitamin metabolism, and detoxification are lower. Variation in predicted microbial pathways associated with non-EBF infants is larger among infants born by Caesarian section than among those vaginally delivered. Longer duration of exclusive breastfeeding is associated with reduced diarrhea-related gut microbiota dysbiosis. Furthermore, differences in gut microbiota between EBF and non-EBF infants persist after 6 months of age. Our findings elucidate some mechanisms of short and long-term benefits of exclusive breastfeeding across different populations.

Indexed as

Breast FeedingGastrointestinal MicrobiomeBiodiversityChild, PreschoolDiarrheaDysbiosisFemaleHumansInfant

Identifiers

PMID30301893
PMCPMC6177445
OpenAlexW2895153150

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.