Evidence map›Paper›PMID 40786433›Full record

ArticleCureus2025

Breastfeeding Patterns, Chemical Pathology, and Antibiotic Resistance in Lactating Mothers: A Spatial Analysis of Nutritional, Toxicological, and Antimicrobial Implications.

Hamidullah, Faiza Rameen Shahid, Momina Iftikhar, Sajid Hussain Sherazi, Memona Zia, Maryam, Muhammad Rawal Saeed

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

HamidullahInternal Medicine, Bacha Khan Medical College, Mardan Medical Complex, Mardan, PAK.
Faiza Rameen ShahidNeonatal Intensive Care, Queen Alexandra Hospital, Portsmouth, GBR.
Momina IftikharMedicine, Islam Medical and Dental College, Sialkot, PAK.
Sajid Hussain SheraziPediatrics, Niazi Medical and Dental College, Sargodha, PAK.
Memona ZiaPathology, Abu Umara Medical and Dental College, Lahore, PAK.
MaryamPediatrics, Mayo Hospital, Lahore, PAK.
Muhammad Rawal SaeedMedicine, Rawalpindi Medical University and Allied Hospital, Rawalpindi, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study investigates the interplay between breastfeeding patterns, chemical pathology, and antibiotic resistance in lactating mothers. A cross-sectional analysis was conducted on 1,200 lactating mothers aged 18 to 45, examining breastfeeding practices, biochemical markers, milk composition, and antibiotic resistance status. The findings reveal significant metabolic variations, with mean glucose and cholesterol levels at 135.23 mg/dL and 224.58 mg/dL, respectively, suggesting potential cardiovascular risks. Exclusive breastfeeding improved milk quality by having higher average fat content (3.48%) and lactose (6.96%), and the reported antibiotic resistance was lower (18.2%), compared with non-exclusive groups (28.6%). Geographically weighted regression (GWR) revealed spatial variability in exclusivity effects, highlighting regional nutritional disparities. Machine learning models, random forest, support vector machine (SVM), and gradient boosting machine (GBM), were used to predict resistance and nutritional status, with cholesterol and BMI emerging as the top predictors. Although model performance was modest (AUC ≈ 0.65), random forest achieved moderate discriminative power (AUC ~0.65), with cholesterol and BMI ranked highest in feature importance. Receiver operating characteristic (ROC) analysis for GBM and SVM also indicated moderate predictive capacity. Spatial mapping of antibiotic resistance revealed clustered patterns, emphasizing the need for region-specific interventions. Furthermore, systolic blood pressure showed a weak correlation with cholesterol levels, indicating independent metabolic risks. This study underscores the critical need for integrated nutritional and antimicrobial stewardship in lactating mothers, particularly in regions with identified spatial vulnerabilities. Policy implications suggest targeted nutritional support and regional antibiotic surveillance to mitigate health risks in this population.

Indexed as

antibiotic resistanceinternal medicinemachine learningnutritional statusspatial analysis

Identifiers

PMID40786433
PMCPMC12334071

What OpenQuestion holds

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LicenceCC BY
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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.