Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Carbohydrate content of human milk is affected by seasonal variations: a retrospective observational study

Abstract

Objective

The influence of seasonal variation upon human milk macronutrient content has not been elucidated. This study aimed to compare the macronutrient content of HM produced by lactating mothers during the winter and the summer seasons.

Study design

Macronutrient content of colostrum milk samples collected from lactating mothers of healthy term infants between March 2012 and February 2016 was measured by mid-infrared spectroscopy and compared.

Result

The carbohydrate content of the colostrum was significantly higher in the summer season than in the winter season (6.2 ± 1.3 vs. 5.5 ± 1.4, p-value < 0.001). Protein, fat, and energy contents were similar in summer and winter in both groups (protein 2.7 ± 2.1 vs. 2.6 ± 2.2 g/100 ml, fat 2.6 ± 1.9 vs. 2.35 ± 1.9 g/100 ml, and energy 62 ± 19.1 vs. 60.5 ± 21 kcal/100 ml, respectively).

Conclusion

The carbohydrate content in colostrum obtained from mothers of term infants was affected by seasonal variations.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1

Similar content being viewed by others

References

  1. Ballard O, Morrow AL. Human milk composition. Pediatr Clin North Am. 2013;60:49–74. https://doi.org/10.1016/j.pcl.2012.10.002

    Article  PubMed  PubMed Central  Google Scholar 

  2. Eidelman E, Schanler R. Breastfeeding and the use of human milk, section on breastfeeding. Pediatrics. 2012;129:e827. https://doi.org/10.1542/peds.2004-2491

    Article  Google Scholar 

  3. Harzer G, Haug M, Dieterich I, Gentner PR. Changing patterns of human milk lipids in the course of the lactation and during the day. Am J Clin Nutr. 1983;37:612–21. https://doi.org/10.1093/ajcn/37.4.612

    Article  CAS  PubMed  Google Scholar 

  4. Mitoulas LR, Kent JC, Cox DB, Owens RA, Sherriff JL, Hartmann PE. Variation in fat, lactose and protein in human milk over 24h and throughout the first year of lactation. Br J Nutr. 2002;88:29–37. https://doi.org/10.1079/BJN2002579

    Article  CAS  PubMed  Google Scholar 

  5. Lubetzky R, Mimouni FB, Dollberg S, Salomon M, Mandel D. Consistent circadian variations in creamatocrit over the first 7 weeks of lactation: a longitudinal study. Breastfeed Med. 2007;2:15–8. https://doi.org/10.1089/bfm.2006.0013

    Article  PubMed  Google Scholar 

  6. Mandel D, Lubetzky R, Dollberg S, Barak S, Mimouni FB. Fat and energy contents of expressed human breast milk in prolonged lactation. Pediatrics. 2005;116:e432–5. https://doi.org/10.1542/peds.2005-0313

    Article  PubMed  Google Scholar 

  7. Hausman Kedem M, Mandel D, Domani KA, Mimouni FB, Shay V, Marom R, et al. The effect of advanced maternal age upon human milk fat content. Breastfeed Med. 2013;8:116–9. https://doi.org/10.1089/bfm.2012.0035

    Article  PubMed  Google Scholar 

  8. Lubetzky R, Sever O, Mimouni FB, Mandel D. Human milk macronutrients content: effect of advanced maternal age. Breastfeed Med. 2015;10:433–6. https://doi.org/10.1089/bfm.2015.0072

    Article  PubMed  Google Scholar 

  9. Lubetzky R, Littner Y, Mimouni FB, Dollberg S, Mandel D. Circadian variations in fat content of expressed breast milk from mothers of preterm infants. J Am Coll Nutr. 2006;25:151–4. https://doi.org/10.1080/07315724.2006.10719526

    Article  PubMed  Google Scholar 

  10. Gidrewicz DA, Fenton TR. A systematic review and meta-analysis of the nutrient content of preterm and term breast milk. BMC Pediatr. 2014;14:216. https://doi.org/10.1186/1471-2431-14-216

    Article  PubMed  PubMed Central  Google Scholar 

  11. Mangel L, Mimouni FB, Feinstein-Goren N, Lubetzky R, Mandel D, Marom R. The effect of maternal habitus on macronutrient content of human milk colostrum. J Perinatol. 2017;37:818–21. https://doi.org/10.1038/jp.2017.51

    Article  CAS  PubMed  Google Scholar 

  12. Menjo A, Mizuno K, Murase M, Nishida Y, Taki M, Itabashi K, et al. Bedside analysis of human milk for adjustable nutrition strategy. Acta Paediatr. 2009;98:380–4. https://doi.org/10.1111/j.1651-2227

    Article  PubMed  Google Scholar 

  13. Krauchi K, Wirz-Justice A. The four seasons: food intake frequency in seasonal affective disorders in the course of year. Psych Res, 1988; 25: 323–38. https://doi.org/10.1016/0165-1781(88)90102-3

  14. Chen B, Lewis MJ, Grandison AS. Effect of seasonal variation on the composition and properties of raw milk destined for processing in the UK. Food Chem. 2014;158:216–23. https://doi.org/10.1016/j.foodchem.2014.02.118

    Article  CAS  PubMed  Google Scholar 

  15. D’Alessandro AG, Martemucci G, Jirillo E, De Leo V. Major whey proteins in donkey’s milk: effect of season and lactation stage. Implications for potential dietary interventions in human diseases. Immunopharmacol Immunotoxicol. 2011;33:259–65. https://doi.org/10.3109/08923973.2010.499365

    Article  CAS  PubMed  Google Scholar 

  16. Saadi AM, Hasan GM. The effect of nutrition and the seasons of the year on the composition of cow’s milk in two different areas of the Province of Mosul. Ann Agric-Bio Res. 2019;24:148–52. https://doi.org/10.5958/0974-4576.2019.00045.8

    Article  CAS  Google Scholar 

  17. Heck JM, van Valenberg HJ, Dijkstra J, van Hooijdonk AC. Seasonal variation in the Dutch bovine raw milk composition. J Dairy Sci. 2009;92:4745–55. https://doi.org/10.3168/jds.2009-2146

    Article  CAS  PubMed  Google Scholar 

  18. Davis JC, Lewis ZT, Krishnan S, Bernstein RM, Moore SE, Prentice AM, et al. Growth and morbidity of Gambian infants are influenced by maternal milk oligosaccharides and infant gut microbiota. Sci Rep. 2017;7:40466 https://doi.org/10.1038/srep40466

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Shapira D, Mandel D, Mimouni FB, Moran-Lev, Marom R, Mangel L, et al. The effect of gestational diabetes mellitus on human milk macronutrients content. J Perinatol. 2019;39:820–3. https://doi.org/10.1038/s41372-019-0362-5

    Article  PubMed  Google Scholar 

  20. Prentice A, Prentice AM, Whitehead RG. Breast-milk fat concentrations of rural African women. 1. Short-term variations within individuals. Br J Nutr. 1981;45:483–94. https://doi.org/10.1079/BJN19810127

    Article  CAS  PubMed  Google Scholar 

  21. Whitehead RG, Rowland MG, Hutton M, Prentice AM, Müller E, Paul A. Factors influencing lactation performance in rural Gambian mothers. Lancet 1978;2:178–81. https://doi.org/10.1016/S0140-6736(78)91920-7

    Article  CAS  PubMed  Google Scholar 

  22. Bates CJ, Prentice AM, Prentice A, Paul AA, Whitehead RG. Seasonal variations in ascorbic acid status and breast milk ascorbic acid levels in rural Gambian women in relation to dietary intake. Trans R Soc Trop Med Hyg. 1982;76:341–7. https://doi.org/10.1016/0035-9203(82)90185-7

    Article  CAS  PubMed  Google Scholar 

  23. Ozrenk E, Inci SS. The effect of seasonal variation on the composition of cow milk in Van Province. Pak J Nutr. 2008;7:161–4. https://doi.org/10.3923/pjn.2008.161.164

    Article  CAS  Google Scholar 

  24. Hackett AF, Appleton DR, Rugg-Gunn AJ, Eastoe JE. Some influences on the measurement of food intake during a dietary survey of adolescents. Hum Nutr Appl Nutr. 1985;39:167–77.

    CAS  PubMed  Google Scholar 

  25. Rossato SL, Olinto MT, Henn RL, Moreira LB, Camey SA, Anjos LA, et al. Seasonal variation in food intake and the interaction effects of sex and age among adults in southern Brazil. Eur J Clin Nutr. 2015;69:1015–22. https://doi.org/10.1038/ejcn.2015.22

    Article  CAS  PubMed  Google Scholar 

  26. de Castro JM. Seasonal rhythms of human nutrient intake and meal pattern. Physiol Behav. 1991;50:243–8.

    Article  Google Scholar 

  27. Prentice AM, Whitehead RG, Roberts SB, Paul AA. Long-term energy balance in child-bearing Gambian women. Am J Clin Nutr. 1981;34:2790–9.

    Article  CAS  Google Scholar 

  28. Alvarez JA, Ashraf A. Role of vitamin d in insulin secretion and insulin sensitivity for glucose homeostasis. Int J Endocrinol. 2010;2010:351385.

    Article  Google Scholar 

  29. Scragg R, Sowers M, Bell C. Third National Health and Nutrition Examination Survey. Serum 25-hydroxyvitamin D, diabetes, and ethnicity in the Third National Health and Nutrition Examination Survey. Diabetes Care. 2004;27:2813–8. https://doi.org/10.2337/diacare.27.12.2813

    Article  CAS  PubMed  Google Scholar 

  30. Chonchol M, Scragg R. 25-Hydroxyvitamin D, insulin resistance, and kidney function in the Third National Health and Nutrition Examination Survey. Kidney Int. 2007;71:134–9. https://doi.org/10.1038/sj.ki.5002002

    Article  CAS  PubMed  Google Scholar 

  31. Clifton-Bligh RJ, McElduff P, McElduff A. Maternal vitamin D deficiency, ethnicity and gestational diabetes. Diabet Med. 2008;25:678–84. https://doi.org/10.1111/j.1464-5491.2008.02422.x

    Article  CAS  PubMed  Google Scholar 

  32. Welsh J. Function of the vitamin D endocrine system in mammary gland and breast cancer. Mol Cell Endocrinol. 2017;453:88–95. https://doi.org/10.1016/j.mce.2017.04.026

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Allen JC, Keller RP, Archer P, Neville MC. Studies in human lactation: milk composition and daily secretion rates of macronutrients in the first year of lactation. Am J Clin Nutr. 1991;54:69–80. https://doi.org/10.1093/ajcn/54.1.69

    Article  CAS  PubMed  Google Scholar 

  34. Mangel L, Ovental A, Batscha N, Arnon M, Yarkoni I, Dollberg S. Higher fat content in breastmilk expressed manually: a randomized trial. Breastfeed Med. 2015;10:352–4. https://doi.org/10.1089/bfm.2015.0058

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

HML, LM, and DM conceptualized and designed the study, drafted the initial paper, and reviewed and revised the paper. RL, LM, SV, and RM designed the data-collection instruments, collected data, carried out the initial analyses, and reviewed and revised the paper. RL and DM conceptualized and designed the study, coordinated and supervised data collection, and critically reviewed the paper for important intellectual content. All authors approved the final paper as submitted and agreed to be accountable for all aspects of the work.

Corresponding author

Correspondence to Hadar Moran- Lev.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethics approval and consent to participate

The study protocol was approved by the “Helsinki” institutional review board of the medical center. Informed consent was waived because of the retrospective nature of the study and the analysis used anonymous data. The data were handled in accordance with the principles of the Good Clinical Practice (GCP).

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mangel, L., Vanetik, S., Mandel, D. et al. Carbohydrate content of human milk is affected by seasonal variations: a retrospective observational study. J Perinatol 42, 1058–1062 (2022). https://doi.org/10.1038/s41372-022-01396-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41372-022-01396-4

Search

Quick links