Breast Milk Macronutrients in Relation to Infants’ Anthropometric Measures

Enas R.  Abdelhamid; Alyaa H. Kamhawy; Alshaimaa A. Elkhatib; Amr S. Megawer; Amal I. El Shafie; Yasmin G. El Gendy; Dina E. A. Rabie

doi:10.3889/oamjms.2020.4980

Authors

Enas R. Abdelhamid Department of Child Health, Medical Division, National Research Center, Dokki, Giza, Egypt
Alyaa H. Kamhawy Department of Child Health, Medical Division, National Research Center, Dokki, Giza, Egypt
Alshaimaa A. Elkhatib Department of Child Health, Medical Division, National Research Center, Dokki, Giza, Egypt
Amr S. Megawer Department of Pediatrics, Research Institute of Ophthalmology, Giza, Egypt
Amal I. El Shafie Department of Health Radiation Research, National Center for Radiation Research and Technology, Atomic Energy Authority, Cairo, Egypt
Yasmin G. El Gendy Department of Pediatrics, Ain Shams University, Cairo, Egypt
Dina E. A. Rabie Department of Pediatrics, Ain Shams University, Cairo, Egypt

DOI:

https://doi.org/10.3889/oamjms.2020.4980

Keywords:

breast milk, macronutrients, bmi, anthropometric measures, proteins

Abstract

BACKGROUND: Breast milk (BM) is the main nutritional source for newborns before they are capable to eat and consume other foods. BM has carbohydrates, lipids, complex proteins, and other biologically active components which have a direct effect on infant growth.

AIM: The aim of the study was to correlate anthropometric data of the infant to macronutrients in BM (fat, protein, and carbohydrates) and to find some modifiable issues affecting macronutrient contents of BM for the benefits of upcoming infants.

METHODS: One hundred breastfeeding mothers participated in the study, they were recruited from the outpatient clinic, El Demerdash Hospital, Ain Shams University, from September 2019, to December 2019. BM was expressed by an electric pump, macronutrient content was assessed. Anthropometric data of the babies and mothers were obtained, gestational age, parity, age of the women, and the route of birth were recorded.

RESULTS: For the macronutrients content of milk, a positive significant correlation was observed between BM fat, protein, and lactose. Infants’ body mass index (BMI) was negatively related to the fat content of BM, while no relation was found between BMI and protein or lactose content of the milk. BM fat content was negatively correlated with gestational age and maternal age. Positive correlations were found between BMI and protein, lactose and infant age. Protein content was negatively correlated with parity. No impact of infant’s sex on BM composition and as regards maternal diet, high protein consumption leading to increase BM protein content.

CONCLUSIONS: The current study confirms that BM macronutrient composition has a wide variability; this variability is associated with each macronutrient, respectively. To improve BM composition, one could aim for improving the nutritional balance in lactating women, especially for protein intake. More well-designed longitudinal studies about factors that influence human milk compositions are warranted.

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