Evidence map›Paper›PMID 32230952›Full record

SynthesisNutrients2020

The impact of maternal obesity on human milk macronutrient composition: A systematic review and meta-analysis.

Gabriela E Leghi, Merryn J Netting, Philippa F Middleton, Mary E Wlodek, Donna T Geddes, And Beverly S Muhlhausler

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 2% 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.

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

60 citing papers in PubMed, 2 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Beyond Deterministic Fetal Programming: Intrauterine Exposures and the Multifactorial Origins of Adiposity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  4. Review
  5. Nutrients · 2026
    Article
  6. Maternal Obesity and MicroRNAs in Breast Milk: Implications for Infant Developmental Programming.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Macronutrient concentrations in human milk beyond the first half year of lactation: a cohort study.Archives of disease in childhood. Fetal and neonatal edition · 2025
    Article
  20. Observational
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 5 institutions in 1 country.

Gabriela E LeghiSchool of Agriculture, Food and Wine, The University of Adelaide, Urrbrae SA 5064, Adelaide, Australia.
Merryn J NettingWomen and Kids Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide SA 5000, Adelaide, Australia.
Philippa F MiddletonWomen and Kids Theme, South Australian Health and Medical Research Institute (SAHMRI), Adelaide SA 5000, Adelaide, Australia.
Mary E WlodekDepartment of Physiology, The University of Melbourne, Parkville VIC 3010, Melbourne, Australia.
Donna T GeddesSchool of Molecular Sciences, The University of Western Australia, Crawley WA 6009, Perth, Australia.
And Beverly S MuhlhauslerSchool of Agriculture, Food and Wine, The University of Adelaide, Urrbrae SA 5064, Adelaide, Australia.
South Australian Health and Medical Research Institute · AUCommonwealth Scientific and Industrial Research Organisation · AUThe University of Adelaide · AUThe University of Melbourne · AUThe University of Western Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maternal obesity has been associated with changes in the macronutrient concentration of human milk (HM), which have the potential to promote weight gain and increase the long-term risk of obesity in the infant. This article aimed to provide a synthesis of studies evaluating the effects of maternal overweight and obesity on the concentrations of macronutrients in HM. EMBASE, MEDLINE/PubMed, Cochrane Library, Scopus, Web of Science, and ProQuest databases were searched for relevant articles. Two authors conducted screening, data extraction, and quality assessment independently. A total of 31 studies (5078 lactating women) were included in the qualitative synthesis and nine studies (872 lactating women) in the quantitative synthesis. Overall, maternal body mass index (BMI) and adiposity measurements were associated with higher HM fat and lactose concentrations at different stages of lactation, whereas protein concentration in HM did not appear to differ between overweight and/or obese and normal weight women. However, given the considerable variability in the results between studies and low quality of many of the included studies, further research is needed to establish the impact of maternal overweight and obesity on HM composition. This is particularly relevant considering potential implications of higher HM fat concentration on both growth and fat deposition during the first few months of infancy and long-term risk of obesity.

Indexed as

Pregnancy in ObesityAdiposityBody Mass IndexBreast FeedingFemaleHumansInfantMilk, HumanNutrientsPregnancyNutrientsadipositybody mass index (BMI)human milk compositioninfant healthmacronutrientmaternal obesitySystematic review

Identifiers

PMID32230952
PMCPMC7231188
OpenAlexW3013719928

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.