dc.contributor.author |
Han, Soo Min |
|
dc.contributor.author |
Derraik, José GB |
|
dc.contributor.author |
Vickers, Mark H |
|
dc.contributor.author |
Devaraj, Surabhi |
|
dc.contributor.author |
Huang, Fang |
|
dc.contributor.author |
Pang, Wei Wei |
|
dc.contributor.author |
Godfrey, Keith M |
|
dc.contributor.author |
Chan, Shiao-Yng |
|
dc.contributor.author |
Thakkar, Sagar K |
|
dc.contributor.author |
Cutfield, Wayne S |
|
dc.contributor.author |
NiPPeR Study Group |
|
dc.coverage.spatial |
Switzerland |
|
dc.date.accessioned |
2024-03-13T22:36:10Z |
|
dc.date.available |
2024-03-13T22:36:10Z |
|
dc.date.issued |
2023-01 |
|
dc.identifier.citation |
(2023). Frontiers in Nutrition, 10, 1282376-. |
|
dc.identifier.issn |
2296-861X |
|
dc.identifier.uri |
https://hdl.handle.net/2292/67707 |
|
dc.description.abstract |
<h4>Rational</h4>Maternal overweight/obesity and gestational diabetes mellitus (GDM) are associated with an increased risk of their offspring developing overweight/obesity or type 2 diabetes later in life. However, the impacts of maternal overweight/obesity and dysglycemia on human milk (HM) macronutrient composition are not well understood.<h4>Objective</h4>Through a double-blind randomised controlled trial, we investigated the effects of maternal supplementation from preconception throughout pregnancy until birth on HM macronutrient concentrations, in association with maternal and infant factors including maternal pre-pregnancy body mass index (BMI) and GDM status. In addition, we aimed to characterise longitudinal changes in HM macronutrients.<h4>Methods</h4>The control supplement contained calcium, iodine, iron, β-carotene, and folic acid. The intervention supplement additionally contained zinc, vitamins B<sub>2</sub>, B<sub>6</sub>, B<sub>12</sub>, and D<sub>3</sub>, probiotics, and myo-inositol. HM samples were collected across seven time points from 1 week to 12 months from Singapore and/or New Zealand. HM macronutrient concentrations were measured using a MIRIS Human Milk Analyser. Potential differences in HM macronutrient concentrations were assessed using linear mixed models with a repeated measures design.<h4>Results</h4>Overall, HM macronutrient concentrations were similar between control and intervention groups. Among the control group, overweight/obesity and GDM were associated with higher HM fat and energy concentrations over the first 3 months. Such associations were not observed among the intervention group. Of note, mothers with GDM in the intervention group had lower HM fat by 10% (<i>p</i> = 0.049) and energy by 6% (<i>p</i> = 0.029) than mothers with GDM in the control group. Longitudinal changes in HM macronutrient concentrations over 12 months of lactation in New Zealand showed that HM fat and energy decreased in the first 6 months then increased until 12 months. HM lactose gradually decreased from 1 week to 12 months while crude protein decreased from 1 week to 6 months then remained relatively constant until 12 months of lactation.<h4>Conclusion</h4>Maternal overweight/obesity or GDM were associated with increased HM fat and energy levels. We speculate the intervention taken during preconception and pregnancy altered the impact of maternal BMI or GDM status on HM macronutrient composition. Further studies are required to identify the mechanisms underlying altered HM macronutrient concentration in the intervention group and to determine any long-term effects on offspring health.<h4>Clinical trial registration</h4>ClinicalTrials.gov, NCT02509988, Universal Trial Number U1111-1171-8056. Registered on 16 July 2015. This is an academic-led study by the EpiGen Global Research Consortium. |
|
dc.format.medium |
Electronic-eCollection |
|
dc.language |
eng |
|
dc.publisher |
Frontiers |
|
dc.relation.ispartofseries |
Frontiers in nutrition |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
|
dc.subject |
NiPPeR Study Group |
|
dc.subject |
gestational diabetes mellitus |
|
dc.subject |
human milk |
|
dc.subject |
macronutrients |
|
dc.subject |
maternal BMI |
|
dc.subject |
maternal nutrition |
|
dc.subject |
3215 Reproductive Medicine |
|
dc.subject |
32 Biomedical and Clinical Sciences |
|
dc.subject |
3210 Nutrition and Dietetics |
|
dc.subject |
Obesity |
|
dc.subject |
Clinical Research |
|
dc.subject |
Clinical Trials and Supportive Activities |
|
dc.subject |
Nutrition |
|
dc.subject |
Pediatric |
|
dc.subject |
Perinatal Period - Conditions Originating in Perinatal Period |
|
dc.subject |
Prevention |
|
dc.subject |
Diabetes |
|
dc.subject |
Complementary and Integrative Health |
|
dc.subject |
Stroke |
|
dc.subject |
Metabolic and endocrine |
|
dc.subject |
Reproductive health and childbirth |
|
dc.subject |
Cardiovascular |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Nutrition & Dietetics |
|
dc.subject |
BREAST-MILK |
|
dc.subject |
DOUBLE-BLIND |
|
dc.subject |
MICRONUTRIENT SUPPLEMENTATION |
|
dc.subject |
INFANT |
|
dc.subject |
ENERGY |
|
dc.subject |
ASSOCIATION |
|
dc.subject |
FAT |
|
dc.subject |
DETERMINANTS |
|
dc.subject |
MYOINOSITOL |
|
dc.subject |
1001 Agricultural Biotechnology |
|
dc.subject |
1111 Nutrition and Dietetics |
|
dc.title |
A nutritional supplement taken during preconception and pregnancy influences human milk macronutrients in women with overweight/obesity and gestational diabetes mellitus. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.3389/fnut.2023.1282376 |
|
pubs.begin-page |
1282376 |
|
pubs.volume |
10 |
|
dc.date.updated |
2024-02-14T02:38:15Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
37915619 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/37915619 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
989922 |
|
pubs.org-id |
Liggins Institute |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Population Health |
|
pubs.org-id |
Gen.Practice& Primary Hlthcare |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Paediatrics Child & Youth Hlth |
|
dc.identifier.eissn |
2296-861X |
|
pubs.number |
ARTN 1282376 |
|
pubs.record-created-at-source-date |
2024-02-14 |
|
pubs.online-publication-date |
2023-10-17 |
|