Human Milk Micronutrients and Child Growth and Body Composition in the First 2 years: A Systematic Review
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Human Milk Micronutrients and Child Growth and Body Composition in the First 2 years : A Systematic Review. / Reyes, Sarah M.; Brockway, Meredith (Merilee); McDermid, Joann M.; Chan, Deborah; Granger, Matthew; Refvik, Rebecca; Sidhu, Karanbir K.; Musse, Suad; Monnin, Caroline; Lotoski, Larisa; Geddes, Donna T.; Jehan, Fyezah; Kolsteren, Patrick; Allen, Lindsay H.; Hampel, Daniela; Eriksen, Kamilla G.; Rodriguez, Natalie; Azad, Meghan B.
I: Advances in Nutrition, Bind 15, Nr. 1, 100082, 2024.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Human Milk Micronutrients and Child Growth and Body Composition in the First 2 years
T2 - A Systematic Review
AU - Reyes, Sarah M.
AU - Brockway, Meredith (Merilee)
AU - McDermid, Joann M.
AU - Chan, Deborah
AU - Granger, Matthew
AU - Refvik, Rebecca
AU - Sidhu, Karanbir K.
AU - Musse, Suad
AU - Monnin, Caroline
AU - Lotoski, Larisa
AU - Geddes, Donna T.
AU - Jehan, Fyezah
AU - Kolsteren, Patrick
AU - Allen, Lindsay H.
AU - Hampel, Daniela
AU - Eriksen, Kamilla G.
AU - Rodriguez, Natalie
AU - Azad, Meghan B.
N1 - Publisher Copyright: © 2023 The Authors
PY - 2024
Y1 - 2024
N2 - Human milk (HM) provides a plethora of nutritional and non-nutritional compounds that support infant development. For many compounds, concentrations vary substantially among mothers and across lactation, and their impact on infant growth is poorly understood. We systematically searched MEDLINE, Embase, the Cochrane Library, Scopus, and Web of Science to synthesize evidence published between 1980 and 2022 on HM components and anthropometry through 2 y of age among term-born infants. Outcomes included weight-for-length, length-for-age, weight-for-age, body mass index (in kg/m2)–for–age, and growth velocity. From 9992 abstracts screened, 144 articles were included and categorized based on their reporting of HM micronutrients, macronutrients, or bioactive components. Micronutrients (vitamins and minerals) are reported here, based on 28 articles involving 2526 mother-infant dyads. Studies varied markedly in their designs, sampling times, geographic and socioeconomic settings, reporting practices, and the HM analytes and infant anthropometrics measured. Meta-analysis was not possible because data were sparse for most micronutrients. The most-studied minerals were zinc (15 articles, 1423 dyads) and calcium (7 articles, 714 dyads). HM iodine, manganese, calcium, and zinc concentrations were positively associated with several outcomes (each in ≥2 studies), whereas magnesium (in a single study) was negatively associated with linear growth during early lactation. However, few studies measured HM intake, adjusted for confounders, provided adequate information about complementary and formula feeding, or adequately described HM collection protocols. Only 4 studies (17%) had high overall quality scores. The biological functions of individual HM micronutrients are likely influenced by other HM components; yet, only 1 study analyzed data from multiple micronutrients simultaneously, and few addressed other HM components. Thus, available evidence on this topic is largely inconclusive and fails to address the complex composition of HM. High-quality research employing chronobiology and systems biology approaches is required to understand how HM components work independently and together to influence infant growth and to identify new avenues for future maternal, newborn, or infant nutritional interventions.
AB - Human milk (HM) provides a plethora of nutritional and non-nutritional compounds that support infant development. For many compounds, concentrations vary substantially among mothers and across lactation, and their impact on infant growth is poorly understood. We systematically searched MEDLINE, Embase, the Cochrane Library, Scopus, and Web of Science to synthesize evidence published between 1980 and 2022 on HM components and anthropometry through 2 y of age among term-born infants. Outcomes included weight-for-length, length-for-age, weight-for-age, body mass index (in kg/m2)–for–age, and growth velocity. From 9992 abstracts screened, 144 articles were included and categorized based on their reporting of HM micronutrients, macronutrients, or bioactive components. Micronutrients (vitamins and minerals) are reported here, based on 28 articles involving 2526 mother-infant dyads. Studies varied markedly in their designs, sampling times, geographic and socioeconomic settings, reporting practices, and the HM analytes and infant anthropometrics measured. Meta-analysis was not possible because data were sparse for most micronutrients. The most-studied minerals were zinc (15 articles, 1423 dyads) and calcium (7 articles, 714 dyads). HM iodine, manganese, calcium, and zinc concentrations were positively associated with several outcomes (each in ≥2 studies), whereas magnesium (in a single study) was negatively associated with linear growth during early lactation. However, few studies measured HM intake, adjusted for confounders, provided adequate information about complementary and formula feeding, or adequately described HM collection protocols. Only 4 studies (17%) had high overall quality scores. The biological functions of individual HM micronutrients are likely influenced by other HM components; yet, only 1 study analyzed data from multiple micronutrients simultaneously, and few addressed other HM components. Thus, available evidence on this topic is largely inconclusive and fails to address the complex composition of HM. High-quality research employing chronobiology and systems biology approaches is required to understand how HM components work independently and together to influence infant growth and to identify new avenues for future maternal, newborn, or infant nutritional interventions.
KW - anthropometry
KW - body composition
KW - calcium
KW - growth
KW - human milk
KW - infant
KW - lactation
KW - micronutrients
KW - stunting
KW - zinc
U2 - 10.1016/j.advnut.2023.06.005
DO - 10.1016/j.advnut.2023.06.005
M3 - Review
C2 - 37315898
AN - SCOPUS:85172702760
VL - 15
JO - Advances in Nutrition
JF - Advances in Nutrition
SN - 2161-8313
IS - 1
M1 - 100082
ER -
ID: 390187757