Evidence map›Paper›PMID 30858473›Full record

ReviewPediatric research2019

Human milk as "chrononutrition": implications for child health and development.

Jennifer Hahn-Holbrook, Darby Saxbe, Christine Bixby, Caroline Steele, Laura Glynn

Registry-linked trialOpen access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06342674 (Effect of Breast Milk Circadian Properties on Infant Growth Parameters and Nutrient Absorption in Preterm Newborns), which is not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 4% 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.

NCT06342674 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Effect of Breast Milk Circadian Properties on Infant Growth Parameters and Nutrient Absorption in Preterm Newborns

TypeinterventionalSponsorSakarya UniversityRan2024 to 2025Enrolled44ConditionsBreast Feeding, Breast Milk CollectionArmsGiving breast milk to the newborn according to the circadian rhythm, Usual care
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  6. The CommonNutrients · 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

5 authors at 5 institutions in 1 country.

Jennifer Hahn-HolbrookDepartment of Psychology, University of California, Merced, CA, USA. jhahn-holbrook@ucmerced.edu.
Darby SaxbeDepartment of Psychology, University of Southern California, Los Angeles, CA, USA.
Christine BixbyDepartment of Neonatology, Children's Hospital of Orange County, Orange, CA, USA.
Caroline SteeleClinical Nutrition and Lactation Services, Children's Hospital of Orange County, Orange, CA, USA.
Laura GlynnCenter for Excellence in Biopsychosocial Approaches to Health, Chapman University, Orange, CA, USA.
Chapman University · USChildren's Hospital of Orange County · USUniversity of California, Irvine · USUniversity of California, Merced · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human biology follows recurring daily rhythms that are governed by circadian cues in the environment. Here we show that human milk is a powerful form of "chrononutrition," formulated to communicate time-of-day information to infants. However, 85% of breastfed infants in the US consume some milk that does not come directly from the breast but is pumped and stored in advance of feeding. Expressed milk is not necessarily circadian-matched (e.g., an infant might drink breastmilk pumped in the evening on the following morning). Ingesting mistimed milk may disrupt infants' developing circadian rhythms, potentially contributing to sleep problems and decreased physiological attunement with their mothers and environments. Dysregulated circadian biology may compromise infant health and development. Despite wide-ranging public health implications, the timing of milk delivery has received little empirical study, and no major pediatric or public health organization has issued recommendations regarding the circadian-matching of milk. However, potential adverse developmental and health consequences could be ameliorated by simple, low-cost interventions to label and circadian-match stored milk. The current paper reviews evidence for human milk as chrononutrition and makes recommendations for future research, practice, and policy.

Indexed as

Child DevelopmentChild HealthMilk, HumanChildHumans

Identifiers

PMID30858473
OpenAlexW2921479990

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.