Evidence map›Paper›PMID 31185620›Full record

ReviewNutrients2019

A Review of Bioactive Factors in Human Breastmilk: A Focus on Prematurity.

Andrea Gila-Diaz, Silvia M Arribas, Alba Algara, María A Martín-Cabrejas, Ángel Luis López de Pablo, Miguel Sáenz de Pipaón, David Ramiro-Cortijo

Abstract readReview
In one paragraph

Review in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 103 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Effects of enteral insulin on enteral diet tolerance in premature infants: systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2024
    Pooled it
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  9. Article
  10. 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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  19. Composition and Antioxidant Status of Vegan Milk-Pilot Study.Antioxidants (Basel, Switzerland) · 2025
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43 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

7 authors.

Andrea Gila-DiazDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain. andrea.gila@estudiante.uam.es.
Silvia M ArribasDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain. silvia.arribas@uam.es.
Alba AlgaraDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain. alba.algara@estudiante.uam.es.
María A Martín-CabrejasDepartment of Agricultural Chemistry and Food Science, Universidad Autónoma de Madrid, Institute of Food Science Research, CIAL (UAM-CSIC), 28049 Madrid, Spain. maria.martin@uam.es.
Ángel Luis López de PabloDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain. angel.lopezdepablo@uam.es.
Miguel Sáenz de PipaónNeonatology Service, La Paz Hospital-Universidad Autónoma de Madrid, 28046 Madrid, Spain. miguel.saenz@salud.madrid.org.
David Ramiro-CortijoDepartment of Physiology, Faculty of Medicine, Universidad Autónoma de Madrid, 28029 Madrid, Spain. david.ramiro@uam.es.ORCID 0000-0001-7442-1586

Funding

Ministerio de Economía, Industria y Competitividad, Gobierno de España FEM2015-63631-R
6 · The paper itself

Abstract

Preterm birth is an increasing worldwide problem. Prematurity is the second most common cause of death in children under 5 years of age. It is associated with a higher risk of several pathologies in the perinatal period and adulthood. Maternal milk, a complex fluid with several bioactive factors, is the best option for the newborn. Its dynamic composition is influenced by diverse factors such as maternal age, lactation period, and health status. The aim of the present review is to summarize the current knowledge regarding some bioactive factors present in breastmilk, namely antioxidants, growth factors, adipokines, and cytokines, paying specific attention to prematurity. The revised literature reveals that the highest levels of these bioactive factors are found in the colostrum and they decrease along the lactation period; bioactive factors are found in higher levels in preterm as compared to full-term milk, they are lacking in formula milk, and decreased in donated milk. However, there are still some gaps and inconclusive data, and further research in this field is needed. Given the fact that many preterm mothers are unable to complete breastfeeding, new information could be important to develop infant supplements that best match preterm human milk.

Indexed as

AdipokinesAntioxidantsBiological FactorsColostrumCytokinesHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesIntercellular Signaling Peptides and ProteinsLactationMilk, HumanAdipokinesAntioxidantsBiological FactorsCytokinesIntercellular Signaling Peptides and Proteinsadipokinesantioxidantsbreastfeedingcytokinesgrowth factors

Identifiers

PMID31185620
PMCPMC6628333

What OpenQuestion holds

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Registered trials

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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.