Evidence map›Paper›PMID 33188413›Full record

Observational studyThe Journal of nutrition2021

Maternal Diet Shapes the Breast Milk Microbiota Composition and Diversity: Impact of Mode of Delivery and Antibiotic Exposure.

Erika Cortes-Macías, Marta Selma-Royo, Izaskun García-Mantrana, Marta Calatayud, Sonia González, Cecilia Martínez-Costa, Maria Carmen Collado

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in The Journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03552939 (The Power of Maternal Microbes on Infant Health), which is not on this map. Cited by 84 papers.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed
5.0field-weighted citation impact, top 3% 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.

NCT03552939 completednot on this map

The Power of Maternal Microbes on Infant Health

TypeobservationalSponsorInstitute of Agrochemistry and Food Technology, National Research CouncilRan2015 to 2020Enrolled250ConditionsHealthy
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 134 citations in OpenAlex.

  1. Trial
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  4. Update on environmental determinants of allergic diseases.The Journal of allergy and clinical immunology · 2026
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  9. Observational
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24 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 at 3 institutions in 1 country.

Erika Cortes-MacíasInstitute of Agrochemistry and Food Technology (IATA-CSIC), National Research Council, Valencia, Spain.
Marta Selma-RoyoInstitute of Agrochemistry and Food Technology (IATA-CSIC), National Research Council, Valencia, Spain.
Izaskun García-MantranaInstitute of Agrochemistry and Food Technology (IATA-CSIC), National Research Council, Valencia, Spain.
Marta CalatayudInstitute of Agrochemistry and Food Technology (IATA-CSIC), National Research Council, Valencia, Spain.
Sonia GonzálezDepartment of Functional Biology, Faculty of Medicine, University of Oviedo, Oviedo, Spain.
Cecilia Martínez-CostaDepartment of Pediatrics, School of Medicine, University of Valencia, Valencia, Spain.
Maria Carmen ColladoInstitute of Agrochemistry and Food Technology (IATA-CSIC), National Research Council, Valencia, Spain.
Instituto de Agroquímica y Tecnología de Alimentos · ESUniversidad de Oviedo · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast milk is a complex biofluid that provides nutrients and bioactive agents, including bacteria, for the development of the infant gut microbiota. However, the impact of maternal diet and other factors, such as mode of delivery and antibiotic exposure, on the breast milk microbiota has yet to be understood.

objectivesThis study aimed to examine the association between maternal diet and breast milk microbiota and to ascertain the potential role of mode of delivery and antibiotic exposure.

methodsIn a cross-sectional study of the MAMI cohort, breast milk microbiota profiling was assessed in 120 samples from healthy mothers by 16S rRNA gene sequencing. Maternal dietary information was recorded through an FFQ, and clinical characteristics, including mode of delivery, antibiotic exposure, and exclusive breastfeeding, were collected.

resultsMaternal diet was grouped into 2 clusters: Cluster I (high intake of plant protein, fiber, and carbohydrates), and Cluster II (high intake of animal protein and lipids). Breast milk microbiota was shaped by maternal dietary clusters. Staphylococcus and Bifidobacterium were associated with carbohydrate intake whereas the Streptococcus genus was associated with intakes of the n-3 PUFAs [EPA and docosapentaenoic acid (22:5ω-3)]. Mode of delivery and antibiotic exposure influenced breast milk microbiota in a diet cluster-dependent manner. Differences between/among the maternal dietary clusters were found in the milk microbiota of the cesarean-section (C-section)/antibiotic group, whereas no differences were observed in vaginal births. Lower abundances of Lactobacillus, Bacteroides, and Sediminibacterium genera were observed in Cluster II/C-section/antibiotic exposure compared with the other groups.

conclusionsMaternal diet shapes the composition and diversity of breast milk microbiota, with the most important contributions coming from dietary fiber and both plant and animal protein intakes. The relation between the maternal diet and the milk microbiota needs further research because it has a key impact on infant microbiota development and contributes to infant health outcomes in the short and long term.This trial was registered at clinicaltrials.gov as NCT03552939.

Indexed as

DietAdultAnti-Bacterial AgentsBacteriaCohort StudiesCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMicrobiotaMilk, HumanAnti-Bacterial Agentsanimal proteinbreast milkmaternal dietmicrobiotaplant protein

Identifiers

PMID33188413
PMCPMC7850106
OpenAlexW3104064063

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.