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Background: Whilst it is inconvenient and time-intensive, predominantly (PP) and exclusively pumping (EP) mothers rely on breast expression to provide milk for their infants and to ensure continued milk supply, yet these populations are poorly understood. Methods: We assessed and characterised Western Australian PP mothers (n = 93) regarding 24 h milk production (MP) and infant milk intake and demographics, perinatal complications and breastfeeding difficulties, the frequencies of which were compared with published general population frequencies. Pumping efficacy and milk flow parameters during a pumping session in PP mothers (n = 32) were compared with those that pump occasionally (reference group, n = 60). Results: PP mothers had a higher frequency of pregnancy complications and breastfeeding difficulties than the general population. Exclusive pumping did not impact the 24 h MP and the amount of milk available to the infant. PP mothers had more milk ejections, longer active flow duration and lower milk removal efficacy ratios; however, responsiveness to pump (time to first milk ejection), total flow duration, time to stop pumping, percentage of available milk removed and comfort parameters were not different to the reference group. Conclusions: Despite the reported challenges, when an effective pump is used, predominant or exclusive pumping does not negatively affect the 24 h MP and the amount of milk available to the infant. Increasing awareness of the impacts of perinatal and breastfeeding complications on women may assist health professionals in early identification of mothers at high risk for early cessation of breastfeeding, escalating early postpartum intervention and targeted breastfeeding support. [ABSTRACT FROM AUTHOR]

BackgroundThe prevalence of overweight is rapidly escalating, especially in South-Asia. We aimed to estimate the prevalence of overweight/obesity and central obesity, and associated risk factors among women in a rural setting of Nepal.MethodsA cross-sectional study addressing reproductive health and non-communicable diseases (NCDs) was conducted 2012–2013 in a rural district of Nepal. Married, non-pregnant women ≥15 years of age were included. Height, weight, and waist circumference (WC) were measured, and body mass index (BMI) calculated. WHO cut-offs for Asians were used to assess the prevalence of overweight (23.0–27.4 kg/m2), obesity (≥ 27.5 kg/m2) and central obesity (WC ≥ 80 cm). Data concerning socioeconomic and lifestyle factors were collected.ResultsAltogether, 1,391 women 43.1 ± 14.4 years of age were included. The majority belonged to the Adhivasi/Janajati ethnicity, were uneducated and worked in agriculture. Altogether, 30.5% were overweight, 12.0% obese, and 34.2% centrally obese; 25.7% were both overweight/obese and centrally obese. Underweight (< 18.5 kg/m2) was observed in 9.6%. Among women with normal weight or underweight, 14.9 and 15.3% had central obesity, respectively. Hypertension was observed in 13.4% and was associated with both overweight/obesity and central obesity. Instant noodle intake ≥2 times weekly was associated with increased prevalence of central obesity and overweight/obesity.ConclusionWe observed a high prevalence of overweight/obesity and central obesity among women in a rural district of Nepal, which entails an increased risk of metabolic complications and NCDs. Our findings underscore the need for public health programs addressing nutritional patterns and physical activity to prevent obesity.

The childhood obesity epidemic continues to be a challenge. Maternal obesity and excessive infant weight gain are strong predictors of childhood obesity, which itself is a major risk factor for adult obesity. The primary source of nutrition during early life is breast milk, and its composition is impacted by maternal habitus and diet. We thus studied the relationship between maternal BMI, serum lipids and insulin, and breast milk fat and calorie content from foremilk to hindmilk. Women who were exclusively breastfeeding at 7–8 weeks postpartum were BMI classified as Normal (18.5–24.9, n = 9) and women with Overweight/Obese (OW/OB ≥ 25, n = 13). Maternal blood and continuous breast milk samples obtained from foremilk to hindmilk were analyzed, and infant milk intake was assessed. Women with OW/OB had significantly higher milk fat and calorie content in the first foremilk and last hindmilk sample as compared to Normal BMI women. Amongst all women, maternal serum triglycerides, insulin, and HOMA were significantly correlated with foremilk triglyceride concentration, suggesting that maternal serum triglyceride and insulin action contribute to human milk fat content. As the milk fat content of OW/OB women has caloric implications for infant growth and childhood obesity, these results suggest the potential for modulating milk fat content by a reduction in maternal serum lipids or insulin. [ABSTRACT FROM AUTHOR]

We aimed to examine the association of milk intake with sleep disorders and their specific indicators. The current study included 768 adults aged 28–95 from Wenling, China. Milk intake was assessed using a food frequency questionnaire with ten food items, while sleep disorders were measured using the Pittsburgh Sleep Quality Index (PSQI), with higher scores indicating poorer sleep. The participants were divided into two groups according to the average intake of milk per week: rare intake (≤62.5 mL/week) and regular intake (>62.5 mL/week). Primary measurements were multivariate-adjusted odds ratios (ORs) with 95% confidence intervals (CIs) for the prevalence of sleep disorders concerning regular milk intake compared with rare intake. In secondary analyses, linear regression analyses were performed to assess the effects of milk intake on sleep disorders and their specific dimensions. Regular intake of milk did not have a significant association with sleep disorders compared with rare intake (adjusted OR: 0.72, 95%; CI: 0.51, 1.03), but this association was found to be pronounced with sleep disturbances (OR: 0.49, 95%; CI: 0.28, 0.87). Increased intake of milk was significantly associated with the lower scores of PSQI for sleep quality (β: −0.045, 95%; CI: −0.083, −0.007) and sleep disturbances (β: −0.059, 95%; CI: −0.090, −0.029), respectively. When stratified by age and gender, the benefits of milk intake for sleep disorders and sleep disturbances were more significant in older adults (≥65) and men than in younger persons and women. In summary, regular milk intake benefits sleep quality, which may contribute to nutritional psychiatric support for prevention against sleep disorders. [ABSTRACT FROM AUTHOR]

The childhood obesity epidemic continues to be a challenge. Maternal obesity and excessive infant weight gain are strong predictors of childhood obesity, which itself is a major risk factor for adult obesity. The primary source of nutrition during early life is breast milk, and its composition is impacted by maternal habitus and diet. We thus studied the relationship between maternal BMI, serum lipids and insulin, and breast milk fat and calorie content from foremilk to hindmilk. Women who were exclusively breastfeeding at 7–8 weeks postpartum were BMI classified as Normal (18.5–24.9, n = 9) and women with Overweight/Obese (OW/OB ≥ 25, n = 13). Maternal blood and continuous breast milk samples obtained from foremilk to hindmilk were analyzed, and infant milk intake was assessed. Women with OW/OB had significantly higher milk fat and calorie content in the first foremilk and last hindmilk sample as compared to Normal BMI women. Amongst all women, maternal serum triglycerides, insulin, and HOMA were significantly correlated with foremilk triglyceride concentration, suggesting that maternal serum triglyceride and insulin action contribute to human milk fat content. As the milk fat content of OW/OB women has caloric implications for infant growth and childhood obesity, these results suggest the potential for modulating milk fat content by a reduction in maternal serum lipids or insulin.

Moose (Alces alces) have been raised in captivity for research and educational purposes for decades. Past research has focused mostly on milk replacer diets to produce healthy calves, with limited research of vital signs associated with routine health checks of young animals. We hand-raised 20 calves in 4 cohorts (2009, 2012, 2019, 2021) using commercially available milk replacers mixed with water only, and measured vital signs of 11 calves in 2019 and 2021. Growth rate from birth through weaning was 0.98 ± 0.02 kg • d-1, with maximum growth rate of ~1.3 kg • d-1 sustained for 6 weeks after weaning was initiated. Heart rate declined with age from 103.5 ± 2.6 beats • min-1 at 5 days old to 81.6 beats at 80 days old, whereas respiration rate increased from 16.3 ± 2.5 to 36.7 ± 4.4 breaths • min-1. Respiration rate increased with ambient air temperature from 11.1 ± 2.9 breaths • min-1 at 9 °C to 45.2 ± 3.2 at 26 °C. Respiration rate was highly variable after 3-week old calves began daily walks in a larger enclosure and ambient air temperature increased towards the summer maxima (July). Mean rectal temperature was 38.5 ± 0.03°C, and declined marginally with increasing vapor pressure and wind speed. Our hand-raising protocol and milk replacer diets produced calf growth rates higher than those reported previously, and similar to dam-raised calves consuming pelleted ration and available grass forage. [ABSTRACT FROM AUTHOR]

Background: Cow milk contains more calcium, magnesium, potassium, zinc, and phosphorus minerals. For a long time, people have believed that increasing milk intake is beneficial to increasing bone density. Many confounding factors can affect milk consumption, and thus the association described to date may not be causal. We explored the causal relationship between genetically predicted milk consumption and Bone Mineral Density (BMD) of the femoral neck and lumbar spine based on 53,236 individuals from 27 studies of European ancestry using the Mendelian randomization (MR) study. 32,961 individuals of European and East Asian ancestry were used for sensitivity analysis. Methods: A genetic instrument used for evaluating milk consumption is rs4988235, a locus located at 13,910 base pairs upstream of the LCT gene. A Mendelian randomization (MR) analysis was conducted to study the effect of selected single nucleotide polymorphisms (SNPs) and BMD. The summary-level data for BMD of the femoral neck and lumbar spine were obtained from two GWAS meta-analyses ['Data Release 2012' and 'Data Release 2015' in the GEnetic Factors for OSteoporosis Consortium (GEFOS)]. Results: we found that genetically predicted milk consumption was not associated with FN-BMD(OR 1.007; 95% CI 0.991–1.023; P = 0.385), LS-BMD(OR 1.003; 95% CI 0.983–1.024; P = 0.743) by performing a meta-analysis of several different cohort studies. High levels of genetically predicted milk intake were positively associated with increased FN-BMD in Women. The OR for each additional milk intake increasing allele was 1.032 (95%CI 1.005–1.059; P = 0.014). However, no causal relationship was found between milk consumption and FN-BMD in men (OR 0.996; 95% CI 0.964–1.029; P = 0.839). Genetically predicted milk consumption was not significantly associated with LS-BMD in women (OR 1.017; 95% CI 0.991–1.043; P = 0.198) and men (OR 1.011; 95% CI 0.978–1.045; P = 0.523). Conclusion: Our study found that women who consume more milk have a higher FN-BMD. When studying the effect of milk consumption on bone density in further studies, we need to pay more attention to women. [ABSTRACT FROM AUTHOR]

Hypovitaminosis D is prevalent worldwide, and especially in South-Asia. According to the Institute of Medicine (IOM), 25(OH)D levels below 30 nmol/L are defined as vitamin D deficiency (VDD) and levels between 30–50 nmol/L as insufficiency (VDI). Besides its role in calcium homeostasis, it has been postulated that vitamin D is involved in metabolic syndrome. Given the scarcity of data on vitamin D status in Nepal, we aimed to examine the prevalence of VDD and VDI, as well as the determinants and association with metabolic parameters (lipids, HbA1c), in a cohort of women in rural Nepal. Altogether, 733 women 48.5 ± 11.7 years of age were included. VDD and VDI were observed in 6.3 and 42.4% of the participants, respectively, and the prevalence increased by age. Women reporting intake of milk and eggs > 2 times weekly had higher 25(OH)D levels than those reporting intake < 2 times weekly. Women with vitamin D levels < 50 nmol/L displayed higher levels of cholesterol, LDL-cholesterol, triglycerides, and HbA1c. Additionally, a regression analysis showed a significant association between hypovitaminosis D, dyslipidemia, and HbA1c elevation. In conclusion, VDI was prevalent and increased with age. Milk and egg intake > 2 times weekly seemed to decrease the risk of VDI. Moreover, hypovitaminosis D was associated with an adverse metabolic profile. [ABSTRACT FROM AUTHOR]

There is little information available on milk intake and energy and nitrogen requirements of growing yak calves. This study aimed to fill this important gap, as this information could be beneficial in designing a system to wean yak calves earlier than in natural time. We determined the average daily gain and energy and nitrogen balances and requirements of 4-month-old female yak calves (48.8 ± 2.45 kg, n = 8). The calves were allowed to suck once a day and were fed an ad libitum concentrate: hay diet at a ratio of 60:40. Milk intake averaged 540 ± 26 g/d, yielding 2.28 ± 0.112 MJ/d, which was 13% of the gross energy intake (GEI). The digestible energy intake (DEI):GEI ratio was 0.681, metabolizable energy intake (MEI):DEI was 0.913, and MEI:GEI was 0.621. The average daily gain of the calves was 433 ± 153.1 g/d, which consisted of 78.0 ± 8.99 g protein, 52.7 ± 23.74 g fat, and 302.3 ± 95.1 g water, that is, 18.0% protein, 13.0% fat and 69.8% water. There were 130.7 g of body solids and 9.06 MJ of energy in every kg of body mass gain. Of the MEI, 25.17 kJ were required for 1 g of body mass, 83.40 kJ for 1 g of body solids, and 2.62 kJ for 1 kJ of retained energy (RE), and RE was 36.6% of MEI. The maintenance energy requirement was 5.35 MJ/d, the efficiency of utilization of energy for growth (kg) was 0.72, and the heat increment of feeding for growth was 0.28 (1.55 MJ/d). Digestible nitrogen (N) was 0.685 while retained N (RN) was 0.489 of N intake. The N requirement for maintenance was 11.73 g/d or 0.61 g N/kg0.75 per day, while the biological value (BV) of N was 91.1%. The energy and N requirements for yak calves were relatively low, which could be explained, at least in part, by the high efficiency of utilization of energy and high BV of N when compared to other livestock. These findings could be beneficial in designing early weaning systems for the many Himalayan households depending on yak production for their livelihoods.

BackgroundCow milk contains more calcium, magnesium, potassium, zinc, and phosphorus minerals. For a long time, people have believed that increasing milk intake is beneficial to increasing bone density. Many confounding factors can affect milk consumption, and thus the association described to date may not be causal. We explored the causal relationship between genetically predicted milk consumption and Bone Mineral Density (BMD) of the femoral neck and lumbar spine based on 53,236 individuals from 27 studies of European ancestry using the Mendelian randomization (MR) study. 32,961 individuals of European and East Asian ancestry were used for sensitivity analysis.MethodsA genetic instrument used for evaluating milk consumption is rs4988235, a locus located at 13,910 base pairs upstream of the LCT gene. A Mendelian randomization (MR) analysis was conducted to study the effect of selected single nucleotide polymorphisms (SNPs) and BMD. The summary-level data for BMD of the femoral neck and lumbar spine were obtained from two GWAS meta-analyses [‘Data Release 2012’ and ‘Data Release 2015’ in the GEnetic Factors for OSteoporosis Consortium (GEFOS)].Resultswe found that genetically predicted milk consumption was not associated with FN-BMD(OR 1.007; 95% CI 0.991–1.023; P = 0.385), LS-BMD(OR 1.003; 95% CI 0.983–1.024; P = 0.743) by performing a meta-analysis of several different cohort studies. High levels of genetically predicted milk intake were positively associated with increased FN-BMD in Women. The OR for each additional milk intake increasing allele was 1.032 (95%CI 1.005–1.059; P = 0.014). However, no causal relationship was found between milk consumption and FN-BMD in men (OR 0.996; 95% CI 0.964–1.029; P = 0.839). Genetically predicted milk consumption was not significantly associated with LS-BMD in women (OR 1.017; 95% CI 0.991–1.043; P = 0.198) and men (OR 1.011; 95% CI 0.978–1.045; P = 0.523).ConclusionOur study found that women who consume more milk have a higher FN-BMD. When studying the effect of milk consumption on bone density in further studies, we need to pay more attention to women.

Dairy consumption in adulthood has been demonstrated to influence cancer risk. Although childhood and adolescence represent critical periods of rapid growth, the relationship between milk intake in early life and later cancer risk is unclear. Thus, we examined this relationship by conducting a meta-analysis of the observational studies. PubMed and Embase were searched for relevant articles that were published throughout December 2021. The summary relative risk (RR) and 95% confidence interval (CI) were estimated using the DerSimonian-Laird random-effects model. The summary RR for the highest vs. lowest milk intake was 0.83 (95% CI = 0.69–1.00; p = 0.05; I2 = 60%; seven studies) for breast cancer, 0.98 (95% CI = 0.72–1.32; p = 0.88; I2 = 51%; four studies) for prostate cancer, and 0.90 (95% CI = 0.42–1.93; p = 0.78; I2 = 83%; three studies) for colorectal cancer. No evidence of an association emerged in subgroup analyses of menopausal status, cancer stage, fat content of milk, life stage of milk intake, or study design. Consistent results were observed in the meta-analyses using total dairy intake. In conclusion, milk intake during childhood and adolescence might not be associated with risks of breast, prostate, and colorectal cancer later in life. Given the small number of studies that were included in our meta-analysis, and the high heterogeneity, more studies are warranted for a definitive conclusion. [ABSTRACT FROM AUTHOR]

The mining-metallurgical industry in the central Andes of Peru is a source of lead (Pb) and cadmium (Cd) contamination in milk, and there are no studies on the impact of their ingestion. Using flame atomic absorption spectrometry, we quantified the concentration of these metals in raw milk produced in agroecological zones near these industries, and estimated the exposure and dietary risk in people aged 2–85 yr with minimum, average and maximum daily milk intake. In 2018, 40 raw milk samples were collected from 20 cows at two times of the year. The mean Pb and Cd concentrations were 577 ± 18.2 and 18.35 ± 5.4 μg/kg, all samples exceeded the maximum limits (ML). Children aged 2–5 and 6–15 yr, with average milk consumption, had Pb weekly intakes (WI) of 2019 and 2423 μg, exceeding the risk value; values for Cd 64 and 77 μg were below the risk values. In those older than 20 years the WI for both metals are below the risk values. The Dietary Risk Coefficient (DRC) to Pb in children younger than 8 years was >3 due to higher milk consumption in relation to body weight; for children aged 9–19 years it was 1.7 and 2.9, being 1). There was notable evidence of Pb and Cd exposure risk from consumption of milk produced near mining-metallurgical activities, predominantly for children under 19-year-olds. In Peru there are no regulations for Pb and Cd in fresh milk and milk products, we recommended that ML for heavy metals in food be established.

Objectives: Root surface caries experience tends to increase with age. The purpose of this longitudinal study was to evaluate the relationship between aspects of dietary intake, including milk and sucrose in coffee or tea (SCT), and root surface caries in older Japanese individuals. Methods: 303 community‐dwelling older individuals (age 75 years) were enrolled for analysis. All participants underwent a dental examination at baseline and then annually from 2003 to 2008 (ie six times over a 5‐year period). A disease event was considered to have occurred when root surface caries was detected on a previously sound or nonexposed root surface. Over the observation period, disease events in each year were counted. Dietary habits during the preceding month were evaluated using a brief self‐administered diet history questionnaire (BDHQ) in 2003 and 2008. Poisson regression analysis performed crude and adjusted increment‐rate ratios (IRRs) for root surface caries and the intake of milk and SCT. Results: The adjusted increment‐rate ratio (IRR) of the increment of root surface caries for participants in the highest SCT tertile was 1.72 (95%CI: 1.40‐2.14) compared with the referent group. In addition, for the amount of milk intake, the adjusted IRR in the highest tertile was 0.63 (95% CI: 0.51‐0.78) compared with the referent group. Conclusions: Much SCT and low milk intake were associated with the increment of root surface caries in community‐dwelling older people in Japan. These findings suggest that to help prevent root surface caries, community‐dwelling older people in Japan should consume adequate amounts of milk daily and limit their intake of SCT. [ABSTRACT FROM AUTHOR]

The C/T-13910 LCT is closely associated with lactase persistence and LCT has emerged as a new candidate gene for obesity, in particular in northern Europeans. The aim of this research is to investigate to what degree sex determines the association between the LCT variant and anthropometric traits in a cohort of healthy individuals. We recruited 1000 (500 males and 500 females aged 18-65 years) healthy blood donors. The C/T-13910 LCT polymorphism was genotyped using TaqMan assays. All individuals were phenotyped with respect to anthropometric characteristics. Prevalence of genotypes was 22.7% CC (lactase non-persistent, LNP), 58.6% CT, and 18.7% TT. LNP genotype was present less frequently among men p = .0005; OR 0.582 [0.425-0.794]. Therefore, in addition statistical calculations were performed separately for men and women. Additional analysis demonstrated an association between the CC genotypes and higher chest (p = .03), waist (p = .005), and forearm circumference (p = .0004) or more lean body mass (p = .04), than T-allele carriers in males. In females, they were not significantly different. Men consumed more milk (p = .003), while women ate more yoghurt (p = .001). Pearson's correlation analysis showed that the higher intake of milk and dairy products was associated with higher fat body mass among men with lactase persistence. In Caucasian men, the LNP genotype is associated with reduced milk intake and dairy products, but more fat-free mass and higher forearm circumference, which may be relevant to dietary management for lactose intolerant. [ABSTRACT FROM AUTHOR]

In altricial, litter-bearing species, huddling together with siblings during early life is a vital strategy to maintain a sufficiently high and stable body temperature. In this context, individual differences in huddling behavior within litters have been emphasized, as pups regularly occupying more central positions have relatively higher body temperatures, have quicker access to the mother's nipples during nursing, and consequently show greater growth. However, it is not known whether such positive effects of a central litter huddle position on within-litter differences in growth translate into an overall higher weaning mass, taking into account strong contributors to among-litter growth variation, such as litter size and maternal parity. We used path analysis to investigate causal relations among these variables, based on data from 150 domestic rabbit pups from 24 litters. Our results confirmed positive, indirect effects of pups' central litter huddle position on within-litter differences in early growth. This positive effect of a central litter huddle position also contributed to explaining a significant part of the overall across-litter variance in weaning body mass, apparent even when controlling for the direct negative effect of litter size, the direct positive effects of birth mass, and the lower offspring growth in primiparous compared to multiparous mothers. Thus, the results underline the key role of individual differences in litter huddle position in shaping within-litter but also overall variation in early growth. This might constitute an important mechanism accounting for how the positive association between body mass at birth and early growth is mediated in altricial, polytocous mammals. Significance statement: Huddling together with siblings during early life saves energy and thus can contribute to early growth in small, altricial mammals. However, this strategy can also lead to individual differences within the litter, as heavier pups typically occupy energetically more favorable positions in the center of the huddle. In our study, we show and compare the different causal pathways underlying this effect. Most importantly, our analysis shows that advantages in early growth arising from a more central position in the litter huddle are also apparent when comparing pups across all litters—even though there is typically a notable variation in growth among different litters, for example due to litter size and maternal (parity) effects. In conclusion, the results underline the key role of sibling interactions within the litter in shaping differences in early growth, with potential fitness consequences during later life. [ABSTRACT FROM AUTHOR]

In Fall 2012, updated US Department of Agriculture school meal standards went into effect and did not result in increased food waste overall. However, consumption of school foods, especially fruits and vegetables, remains low. Therefore, strategies to improve school meal consumption are necessary. This study evaluated the combined impact of the updated school meal standards and chef-enhanced, healthier meals, and the removal of flavored milk on students' school food selection and consumption compared with students in control schools. The Project MEALS (Modifying Eating and Lifestyles at School) study was a cafeteria-based quasi-experimental intervention conducted during the 2012 to 2013 school year. Participants were students (n=1,309) in grades 3 through 8 attending four intervention and four control schools in two low-income, urban school districts. Chef-enhanced school meals and the removal of flavored milk combined with the updated US Department of Agriculture school meal standards. Changes in school meal selection and consumption were examined using plate waste methodology. Logistic regression and mixed-model analysis of variance adjusting for student demographics and schools/students as a random effect (students nested within schools) were used to examine differences in selection and consumption before (Fall 2012) and after (Spring 2013) a chef-based intervention with the updated school meal standards. After the chef-based intervention was implemented, there were no significant differences in entrée, vegetable, or fruit selection. Significantly fewer students selected milk compared with students in control schools (56.8% vs 94.0%; P <0.0001) and milk consumption was significantly lower (54.8% vs 63.7%; P =0.004). However, consumption was significantly greater for vegetables (62.2% vs 38.2%; P =0.005) and fruits (75.2 vs 59.2%; P =0.04) in the intervention schools compared with control schools. There were no significant differences in entrée consumption. Schools collaborating with chefs can be an effective method to improve the consumption of fruits and vegetables with the updated US Department of Agriculture school meal standards. Further research should examine the longer-term impact of the removal of flavored milk from schools to determine whether the lower selection and consumption rates persist. [ABSTRACT FROM AUTHOR]

Background Biological signaling and communication between mothers and infants during breastfeeding may shape infant behavior and feeding. This signaling is complex and little explored in humans, although it is potentially relevant for initiatives to improve breastfeeding rates. Objectives The aim of this study was to investigate physiological and psychological aspects of mother–infant signaling during breastfeeding experimentally, testing the effects of a relaxation intervention on maternal psychological state, breast milk intake, milk cortisol levels, and infant behavior and growth. Methods Primiparous breastfeeding mothers and full-term infants were randomly assigned to receive relaxation therapy [intervention relaxation group; n  = 33 (RG)] or to the control group [ n  = 31 (CG); no relaxation therapy] at 2 wk postpartum. Both groups received standard breastfeeding support. Home visits were conducted at 2 (HV1), 6 (HV2), 12 (HV3) and 14 (HV4) wk to measure maternal stress and anxiety, breast milk intake and milk cortisol, and infant behavior and growth. Results RG mothers had lower stress scores postintervention than the CG (HV3 ∆ = −3.13; 95% CI: −5.9, −0.3) and lower hindmilk cortisol at HV1 (∆ = −44.5%; 95% CI: −76.1%, −12.9%) but not at HV2. RG infants had longer sleep duration (∆ = 82 min/d; 95% CI: 16, 149 min/d) at HV2 and higher gains in weight and body mass index standardized deviation score than the CG infants (∆ = 0.76; 95% CI: 0.3, 1.22; and ∆ = 0.59; 95% CI: 0.09, 1.1, respectively). RG infants had a mean milk intake at HV3 that was 227 g/d higher than that of the CG infants (P  = 0.031) after controlling for gender and milk intake at HV1. Conclusions The trial shows the effectiveness of a simple relaxation intervention for improving maternal and infant outcomes and identifies some potential signaling mechanisms for investigation in future and larger studies, especially in settings where mothers are more stressed, such as those with preterm or low birth weight infants. This trial was registered at clinicaltrials.gov as NCT01971216. [ABSTRACT FROM AUTHOR]

Purpose: Mammographic density is a strong risk factor for breast cancer. Although diet is associated with breast cancer risk, there are limited studies linking adult diet, including milk intake, with mammographic density. Here, we investigate the association of milk intake with mammographic density in premenopausal women.Methods: We analyzed data from 375 cancer-free premenopausal women who had routine screening mammography at Washington University School of Medicine, St. Louis, Missouri in 2016. We used Volpara to measure volumetric percent density, dense volume, and non-dense volume. We collected information on recent milk intake (past 12 months), and categorized skim milk and low/reduced-fat milk intake into 4 groups: < 1/week, 1/week, 2-6 times/week, ≥ 1/day, while whole and soy milk intake were categorized into 2 groups: < 1/week, ≥ 1/week. We used multivariable linear regression model to evaluate the associations of milk intake and log-transformed volumetric percent density, dense volume, and non-dense volume.Results: In multivariable analyses, volumetric percent density was 20% (p-value = 0.003) lower in the 1/week group, 14% (p-value = 0.047) lower in the 2-6/week group, and 12% (p-value = 0.144) lower in the ≥ 1/day group (p-trend = 0.011) compared with women who consumed low/reduced-fat milk < 1/week. Attenuated and non-significant associations were observed for low/reduced-fat milk intake and dense volume. There were no associations of whole, skim, and soy milk intake with volumetric percent density and dense volume.Conclusions: Recent low/reduced-fat milk intake was inversely associated with volumetric percent density in premenopausal women. Studies on childhood and adolescent milk intake and adult mammographic density in premenopausal women are needed. [ABSTRACT FROM AUTHOR]

Objectives: To identify the profile of milk and proteins intake by children with feeding difficulties (FD), compare intakes with recommendations for age and investigate association with FD patterns. Methods: Retrospective cross-sectional study with 119 children aged between six months and 14 years (sampling power >90%). The following data were collected from medical records: age, sex, FD type, hemoglobin and ferritin levels, BMI, food selectivity pattern, macronutrients and milk intake patterns (except breast milk), feeding complaint, mother's parenting style, coercive practices and self-feeding habits. Student t-tests, Anova, GLM and Spearman's correlation, significance level below 5% and 95% CI were used. Results and discussion: there was an excessive daily absolute protein consumption for all age groups (p<0.024), and the highest percentage of milk in total protein intake was found in children less than 3 years (51.7% to 55%). Milk intake alone provided 80% to 138% of daily protein needs (below 8 years). Children using milk-based supplements tend to a reduced consumption of non-milk foods. The highest milk protein consumption was associated with mothers with indulgent profile (p=0.033) and coercive habits (p=0.043), with no relationship with the other variables. Conclusions: there was excessive protein intake and a relationship between reduced intake of other protein sources and use of milk-based supplements. Indulgent and coercive parenting behaviors were associated with more milk consumption. It is emphasized the need for guidance about the replacement of meals and nutritional supplementation in FD conditions. [ABSTRACT FROM AUTHOR]

The impact of religious behavior on food systems in developing economies has been understated in scholarly studies. With its different Christian, Islamic, and traditional faiths, Ethiopia emerges as a suitable country to investigate the impact of religious practices on demand. The inclusion of livestock products in Ethiopian diets is extremely low, even by African standards, a phenomenon often explained by supply and marketing problems combined with low income levels. We deviate from this dominant narrative and single out the impact of religion. We show how fasting practices of Orthodox Christians, the largest religious group, affect milk intake decisions and channels through which consumed milk is sourced. Employing country-wide data collected by the Living Standards Measurement Studies, we find, as expected, that Orthodox fasting adversely affects milk consumption and decreases the share of milk sourced from own production in Orthodox households, an effect we quantify in this paper. Moreover, we observe spillover effects of Orthodox fasting on other religious groups in dominant Orthodox localities. Our findings improve understanding of the broader societal implication of religiously inspired consumption rituals and underscore the challenges resulting from religion-induced demand cycles to design policies that aim at developing the livestock sector.

In low-resource settings, such as rural Malawi, pregnant women are prone to energy and micronutrient deficiencies with the consequence of delivering low-birth weight infants with higher risks of morbidity and mortality. This study aimed to examine the association between maternal dietary intakes during pregnancy and infant birth size. Dietary intakes of 203 pregnant women were assessed between 28 and 35 weeks of gestation and their infants' ( n = 132) birth size measured. Intakes of energy, macronutrients, and 11 micronutrients were estimated using a 3-day interactive 24-hr diet recall. Semiquantitative data on food intakes for four additional days were also collected to assess food patterns. Using multilevel linear regression modeling, maternal intakes of carbohydrate were negatively associated with neonate length ( β: −0.1; 95% CI: −0.2, 0.0 cm/E%) and abdominal circumference ( β: −0.1, 95% CI: −0.2, 0.0 cm/E%), whereas intakes of fat were positively associated with neonate length ( β: 0.1; 95% CI: 0.0, 0.2 cm/E%) and abdominal circumference ( β: 0.1; 95% CI: 0.0, 0.2 cm/E%). Vitamin C intakes were positively associated with birth weight ( β: 1.4; 95% CI: 0.5, 2.3 g/mg). The frequency of milk intake was positively associated with birth weight ( β: 75.3; 95% CI: 13.6, 137.0 g/day). These findings offer practical suggestions for food-based interventions in the study area to promote inclusion of fat, vitamin C-rich foods, and milk in pregnancy. [ABSTRACT FROM AUTHOR]

Breastfeeding has been implicated in the establishment of infant appetite regulation, feeding patterns and body composition (BC). A holistic approach is required to elucidate relationships between infant and maternal BC and contributing factors, such as breastfeeding parameters. Associations between maternal and breastfed term infant BC (n = 20) and feeding parameters during first 12 months of lactation were investigated. BC was measured at 2, 5, 9 and/or 12 months postpartum with ultrasound skinfolds (US; infants only) and bioimpedance spectroscopy (infants and mothers). 24-h milk intake (MI) and feeding frequency (FFQ) were measured. Higher FFQ was associated with larger 24-h MI (p ≤ 0.003). Higher 24-h MI was associated with larger infant fat mass (FM) (US: p ≤ 0.002), greater percentage FM (US: p ≤ 0.008), greater FM index (FMI) (US: p ≤ 0.001) and lower fat-free mass index (FFMI) (US: p = 0.015). Lower FFQ was associated with both larger FFM (US: p ≤ 0.001) and FFMI (US: p < 0.001). Greater maternal adiposity was associated with smaller infant FFM measured with US (BMI: p < 0.010; %FM: p = 0.004; FMI: p < 0.011). Maternal BC was not associated with FFQ or 24-h MI. These results reinforce that early life is a critical window for infant programming and that breastfeeding may influence risk of later disease via modulation of BC. [ABSTRACT FROM AUTHOR]

Most individuals whose growth was restricted before birth undergo accelerated or catch-up neonatal growth. This is an independent risk factor for later metabolic disease, but the underlying mechanisms are poorly understood. This study aimed to test the hypothesis that natural and experimentally induced in utero growth restriction increase neonatal appetite and milk intake. Control (CON) and placentally restricted (PR) ewes carrying multiple fetuses delivered naturally at term. Outcomes were compared between CON (n=14) and PR (n=12) progeny and within twin lamb pairs. Lamb milk intake and feeding behaviour and ewe milk composition were determined using a modified weigh-suckle-weigh procedure on days 15 and 23. PR lambs tended to have lower birth weights than CON (−15%, P=0.052). Neonatal growth rates were similar in CON and PR, whilst heavier twins grew faster in absolute but not fractional terms than their co-twins. At day 23, milk protein content was higher in PR than CON ewes (P=0.038). At day 15, PR lambs had fewer suckling bouts than CON lambs and in females light twins had more suckling attempts than their heavier co-twins. Birth weight differences between twins positively predicted differences in milk intakes. Lactational constraint and natural prenatal growth restriction in twins may explain the similar milk intakes in CON and PR. Within twin comparisons support the hypothesis that prenatal constraint increases lamb appetite, although this did not increase milk intake. We suggest that future mechanistic studies of catch-up growth be performed in singletons and be powered to assess effects in each sex. [ABSTRACT FROM PUBLISHER]

The prevalence of micronutrient deficiencies in young children has a profound effect on their immune system, growth and mental development. However, many micronutrients deficiencies in children such as calcium can be prevented. This research has explored the perceptions and practices of mothers, residing in Karachi, regarding milk and milk products (MAMPs) intake in children of age 2-5 years, in order to find out the amount of MAMPs in their diet and the factors affecting such intake. This is a qualitative exploratory study. Semi structured, in-depth interviews were conducted. Eighteen mothers whose children’s age were 2-5 years old were purposively recruited from three daycare centers of three different socioeconomic status areas of Karachi. The MAMPs intake of children in three different socioeconomic areas of Karachi was in accordance with 2006’s, American Academy of Pediatrics recommendations for requirements, i.e. 2 cups per day of Milk/Dairy for 2-4 years old children. However, the type of MAMPs and children’s preferences differs considerably. The most preferred MAMPs among children of age were yogurt and plain milk. The preferences for MAMPs in children were mainly determined by their peers, mother’s ethnicity and media advertisements. Most of the mothers did not prefer giving MAMPs in several common childhood illnesses due to prevailing misconceptions. It was also explored that maternal ethnicity plays considerable role in selecting and combining various food items mainly fish with MAMPs. Recognizing the MAMPs intake of children and their mother’s perceptions and practices can help researchers to better understand children’s preferences for different MAMPs and the factors influencing their intake. Food policies and recommendations related to MAMPs in children can be evaluated for their relevance to children’s ecological determinants to address the issues related to growth and development in early ages.

Introduction: Prevalence of Vitamin B12 deficiency has increased in community in recent time. Possibility is raised for new and yet unidentified factors being associated with this increased prevalence. One of these factors frequently questioned is use of Reverse Osmosis (RO) processed water for drinking. Aim: We aimed to study association of use of RO processed water for drinking with Vitamin B12 deficiency. Materials and Methods: This cross-sectional study was done at tertiary care centre of Western India. Total 250 participants were recruited after excluding those participants with known factors responsible for Vitamin B12 deficiency. Information about gender, type of diet, milk intake and duration, dairy product intake, use of RO water and Vitamin B12 level was collected. Results: Total 70 (28%) participants out of 250 were having Vitamin B12 deficiency. Forty (50.6%) of 79 participants using RO water were Vitamin B12 deficient against 30 (17.5%) of 171 using other sources. Logistic regression analysis showed independent association between use of RO water and Vitamin B12 deficiency. Although association of male gender, milk quantity of less than 100 ml per day and duration of RO water intake with occurrence of Vitamin B12 deficiency was found statistically significant in univariate analysis, logistic regression analysis did not show significant association. Conclusion: Use of RO processed drinking water was associated with Vitamin B12 deficiency. This being crosssectional study, further longitudinal studies with large sample size and taking confounding factors into consideration, are required to establish this association.