4.6 Review

The importance of infants' lipid intake in human milk research

Journal

NUTRITION REVIEWS
Volume 79, Issue 12, Pages 1353-1361

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/nutrit/nuaa141

Keywords

breastfeeding; fat dose; fat intake; human milk; lactation

Funding

  1. Medela AG
  2. National Health and Medical Research Council

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Human milk lipids play a crucial role in infant growth and development, with the measurement of infants' lipid intake essential for understanding its impact. Factors to consider include the variability in lipid concentration and milk volume consumed, as well as sampling, measurement, and analytical methods.
Human milk lipids are among the many nutrients delivered to the infant, providing >50% of the infant's calorie intake. These lipids are highly complex and variable, and bioactive, contributing to infant growth, development, and health. The lipid concentration of milk samples is often measured in human cohorts; however, few studies measure infant intake of milk. Intake is important because it considers the variability of both lipid concentration and infants' consumed volume of milk. Measurement of infants' lipid intake in exclusively breastfeeding infants requires 3 main considerations: human milk sampling protocol (ie, the collection of representative samples); measurement of the infant milk intake, because volume varies widely between infants; and appropriate analytical laboratory methods. The purpose of this review was to provide an overview of existing methodology and demonstrate the importance of measuring infants' lipid intake to understand the impact that human milk lipids have on infant outcomes.

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