Evidence map›Paper›PMID 37721461›Full record

ReviewNutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition2023

Importance of human milk for infants in the clinical setting: Updates and mechanistic links.

Emily M Nagel, Kristin M Elgersma, Tiffany T Gallagher, Kelsey E Johnson, Ellen Demerath, Cheryl A Gale

Abstract readReview
In one paragraph

Review in Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Article
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.

Emily M NagelSchool of Public Health, University of Minnesota-Twin Cities, Minneapolis, Minnesota, USA.ORCID http://orcid.org/0000-0002-5792-009X
Kristin M ElgersmaSchool of Nursing, University of Minnesota-Twin Cities, Minneapolis, Minnesota, USA.
Tiffany T GallagherSchool of Nursing, University of Minnesota-Twin Cities, Minneapolis, Minnesota, USA.
Kelsey E JohnsonDepartment of Genetics, Cell Biology, and Development, University of Minnesota-Twin Cities, Minneapolis, Minnesota, USA.
Ellen DemerathSchool of Public Health, University of Minnesota-Twin Cities, Minneapolis, Minnesota, USA.
Cheryl A GaleDepartment of Pediatrics, University of Minnesota-Twin Cities, Minneapolis, Minnesota, USA.

Funding

Maternal Obesity, Milk Composition, and Infant GrowthR01HD080444 · NICHD · UNIVERSITY OF MINNESOTA · PI ELLEN W. DEMERATH, DAVID A FIELDS · 2014 to 2026
$6.4M
Milk-Omics: Systems Biology of Human Milk and Its Links to Maternal and Infant HealthR01HD109830 · NICHD · UNIVERSITY OF MINNESOTA · PI Ran Blekhman, ELLEN W. DEMERATH · 2022 to 2026
$3.5M
Gut Microbiomes and Early Human NeurodevelopmentR21HD099473 · NICHD · UNIVERSITY OF MINNESOTA · PI GALE, CHERYL A., GEORGIEFF, MICHAEL K. · 2019 to 2020
$424k
Maternal Stress, Human Milk Composition, and Neurodevelopmental and Feeding OutcomesK99HD108276 · NICHD · UNIVERSITY OF MINNESOTA · PI NAGEL, EMILY M · 2022 to 2023
$245k
Genetics and genomics of human breast milk compositionF32HD105364 · NICHD · UNIVERSITY OF MINNESOTA · PI JOHNSON, KELSEY ELIZABETH · 2021 to 2023
$165k
Human Milk and Direct Breastfeeding for Infants with Single Ventricle Congenital Heart Disease: An Analysis of Prevalence, Supportive and Limiting Factors, and Impact on Key OutcomesF31NR020577 · NINR · UNIVERSITY OF MINNESOTA · PI ELGERSMA, KRISTIN M · 2022 to 2022
$49k
NICHD NIH HHS F32 HD105364NICHD NIH HHS K99 HD108276NICHD NIH HHS R01 HD080444NICHD NIH HHS R01 HD109830NICHD NIH HHS R21 HD099473NINR NIH HHS F31 NR020577
6 · The paper itself

Abstract

introductionHuman milk (HM) is the optimal source of nutrition for infants and has been implicated in multiple aspects of infant health. Although much of the existing literature has focused on the individual components that drive its nutrition content, examining HM as a biological system is needed for meaningful advancement of the field. Investigation of the nonnutritive bioactive components of HM and the maternal, infant, and environmental factors which affect these bioactives is important to better understand the importance of HM provision to infants. This information may inform care of clinical populations or infants who are critically ill, hospitalized, or who have chronic diseases and may benefit most from receiving HM.

methodsIn this narrative review, we reviewed literature examining maternal and infant influences on HM composition with a focus on studies published in the last 10 years that were applicable to clinical populations.

resultsWe found multiple studies examining HM components implicated in infant immune and gut health and neurodevelopment. Additional work is needed to understand how donor milk and formula may be used in situations of inadequate maternal HM. Furthermore, a better understanding of how maternal factors such as maternal genetics and metabolic health influence milk composition is needed.

conclusionIn this review, we affirm the importance of HM for all infants, especially clinical populations. An understanding of how HM composition is modulated by maternal and environmental factors is important to progress the field forward with respect to mechanistic links between HM biology and infant health outcomes.

Indexed as

FamilyMilk, HumanHumansInfantInfant HealthNutritional StatusTissue Donorscritical illnesshospitalizationhuman milkimmunityinfantnewborn

Identifiers

PMID37721461
PMCPMC10513735

What OpenQuestion holds

Textmetadata
LicenceTDM
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.