Evidence map›Paper›PMID 33126900›Full record

ArticleInternational breastfeeding journal2020

Macronutrient, immunoglobulin a and total antioxidant capacity profiles of human milk from 1 to 24 months: a cross-sectional study in Thailand.

Krongporn Ongprasert, Jetsada Ruangsuriya, Rungnapa Malasao, Ratana Sapbamrer, Pikul Suppansan, Pisittawoot Ayood, Kulnipa Kittisakmontri, Penprapa Siviroj

Open access · goldAbstract read
In one paragraph

Article in International breastfeeding journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Skin to Skin Contact Correlated with Improved Production and Consumption of Mother's Own Milk.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2023
    Article
  7. Article
  8. Article
  9. Factors Associated with the Maintenance of Breastfeeding at One Year among Women in Chiang Mai, Thailand.International journal of environmental research and public health · 2021
    Article
  10. Review
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 1 institution in 1 country.

Krongporn OngprasertDepartment of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. krongporn.o@cmu.ac.th.
Jetsada RuangsuriyaDepartment of Biochemistry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Rungnapa MalasaoDepartment of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Ratana SapbamrerDepartment of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Pikul SuppansanMaharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Pisittawoot AyoodDepartment of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Kulnipa KittisakmontriDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Penprapa SivirojDepartment of Community Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Chiang Mai University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn extended duration of breastfeeding of up to two years is encouraged by many health authorities, but information regarding the composition of milk after one year postpartum is limited. The goal of this study was to determine the association between the duration of lactation and macronutrient contents, immunoglobulin A (IgA) levels and total antioxidant capacity (TAC) in human milk (HM), from 1 to 24 months postpartum.

methodsCross-sectional milk samples were collected between January and April 2019 from mothers with healthy full-term children who had been lactating for 1 to 24 months. The HM was biochemically analyzed for protein and carbohydrate contents by colorimetric assays. The fat content was determined by capillary centrifugation, and the energy content was calculated from the results of centrifugation assays. IgA levels and TAC were determined by ELISA and a Trolox equivalent antioxidant capacity (TEAC) assay, respectively. Pearson's correlation coefficient and Spearman's rank correlation coefficient were used to determine associations between months of lactation and milk composition, and multiple regression analysis was used to assess associations between months of lactation and milk composition adjusted for relevant covariates. Differences were considered significant at p < 0.05.

resultsOne hundred eighty-four milk samples were analyzed. The month of lactation was positively associated with the fat concentration (B = 0.31, SE = 0.09, p = 0.001), energy content (B = 3.11, SE = 0.92, p = 0.001), and IgA (B = 4.17, SE = 1.08, p < 0.001) but negatively associated with the carbohydrate concentration (B = - 0.22, SE = 0.01, p = 0.04). No association was observed between the month of lactation and the protein concentration or TAC after adjustment for maternal age, maternal BMI, birth order, and breastfeeding frequency.

conclusionThe duration of lactation was found to be positively associated with the fat, energy, and IgA content in HM for up to two years postpartum, and negatively associated with carbohydrate concentration. More prospective cohort studies are needed to obtain evidence-based knowledge regarding the changes in HM composition throughout the course of lactation.

Indexed as

AdultAntioxidantsBreast FeedingCarbohydratesCross-Sectional StudiesFatsFemaleHumansImmunoglobulin AMilk, HumanMothersNutrientsThailandTime FactorsYoung AdultAntioxidantsCarbohydratesFatsImmunoglobulin ANutrientsBreastfeedingHuman milkImmunoglobulinMacronutrient compositionProlonged lactationTotal antioxidant capacity

Identifiers

PMID33126900
PMCPMC7602312
OpenAlexW3095878957

What OpenQuestion holds

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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.