NIH workshop on human milk composition: summary and visions

Nationally representative data from mother–child dyads that capture human milk composition (HMC) and associated health outcomes are important for advancing the evidence to inform federal nutrition and related health programs, policies, and consumer information across the governments in the United St...

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Bibliographic Details
Published in:The American journal of clinical nutrition 2019-09, Vol.110 (3), p.769-779
Main Authors: Casavale, Kellie O, Ahuja, Jaspreet KC, Wu, Xianli, Li, Ying, Quam, Julia, Olson, Richard, Pehrsson, Pamela, Allen, Lindsay, Balentine, Douglas, Hanspal, Manjit, Hayward, Deborah, Hines, Erin Pias, McClung, James P, Perrine, Cria G, Belfort, Mandy Brown, Dallas, David, German, Bruce, Kim, Jae, McGuire, Mark, McGuire, Michelle, Morrow, Ardythe L, Neville, Margaret, Nommsen-Rivers, Laurie, Rasmussen, Kathleen M, Zempleni, Janos, Lynch, Christopher J
Format: Article
Language:English
Subjects:
bioactives
Breast milk
breastfeeding
Canada
Collection
Composition
Consumer information
Diabetes mellitus
Diet - standards
Female
food composition database
human milk microbiome
Humans
infant nutrition
Kidney diseases
Lactation
Lactation - physiology
maternal nutrition
Maternal Nutritional Physiological Phenomena
Milk
milk volume
Milk, Human - chemistry
nutrient composition
nutrients
Nutrition
Public health
R&D
Report of a Meeting
Research & development
Research programs
Storage
United States
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Summary:Nationally representative data from mother–child dyads that capture human milk composition (HMC) and associated health outcomes are important for advancing the evidence to inform federal nutrition and related health programs, policies, and consumer information across the governments in the United States and Canada as well as in nongovernment sectors. In response to identified gaps in knowledge, the National Institute of Diabetes and Digestive and Kidney Diseases of the NIH sponsored the “Workshop on Human Milk Composition—Biological, Environmental, Nutritional, and Methodological Considerations” held 16–17 November 2017 in Bethesda, Maryland. Through presentations and discussions, the workshop aimed to 1) share knowledge on the scientific need for data on HMC; 2) explore the current understanding of factors affecting HMC; 3) identify methodological challenges in human milk (HM) collection, storage, and analysis; and 4) develop a vision for a research program to develop an HMC data repository and database. The 4 workshop sessions included 1) perspectives from both federal agencies and nonfederal academic experts, articulating scientific needs for data on HMC that could lead to new research findings and programmatic advances to support public health; 2) information about the factors that influence lactation and/or HMC; 3) considerations for data quality, including addressing sampling strategies and the complexities in standardizing collection, storage, and analyses of HM; and 4) insights on how existing research programs and databases can inform potential visions for HMC initiatives. The general consensus from the workshop is that the limited scope of HM research initiatives has led to a lack of robust estimates of the composition and volume of HM consumed and, consequently, missed opportunities to improve maternal and infant health.
ISSN:0002-9165
1938-3207
DOI:10.1093/ajcn/nqz123