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
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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.
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
de Castro JM. Seasonal rhythms of human nutrient intake and meal pattern. Physiol Behav. 1991;50:243–8.
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.
Alvarez JA, Ashraf A. Role of vitamin d in insulin secretion and insulin sensitivity for glucose homeostasis. Int J Endocrinol. 2010;2010:351385.
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
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
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
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
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
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
Author information
Authors and Affiliations
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
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
About this article
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
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41372-022-01396-4