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1. Buffered or impaired: Maternal anemia, inflammation and breast milk macronutrients in northern Kenya

   https://doi.org/10.1002/ajpa.23752  

   Fujita, Masako ; Paredes Ruvalcaba, Nerli ; Wander, Katherine ; Corbitt, Mary ; Brindle, Eleanor ( December 2018 , American Journal of Physical Anthropology)

   Maternal anemia has adverse consequences for the mother‐infant dyad. To evaluate whether and how milk nutrient content may change in ways that could “buffer” infants against the conditions underlying maternal anemia, this study assessed associations between milk macronutrients and maternal iron‐deficiency anemia (IDA), non‐iron‐deficiency anemia (NIDA), and inflammation.

   A secondary analysis of cross‐sectional data and milk from northern Kenya was conducted (n = 204). The combination of hemoglobin and transferrin receptor defined IDA/NIDA. Elevated serum C‐reactive protein defined acute inflammation. The effects of IDA, NIDA, and inflammation on milk macronutrients were evaluated in regression models.

   IDA (β = 0.077,p =.022) and NIDA (β = 0.083,p =.100) predicted higher total protein (ln). IDA (β = −0.293,p =.002), NIDA (β = −0.313,p =.047), and inflammation (β = −0.269,p =.007) each predicted lower fat (ln); however, anemia accompanying inflammation predictedhigherfat (β = 0.655,p =.007 for IDA and β = 0.468,p =.092 for NIDA). NIDA predicted higher lactose (β = 1.020,p =.003).

   Milk macronutrient content both increases and decreases in the presence of maternal anemia and inflammation, suggesting a more complicated and dynamic change than simple impairment of nutrient delivery during maternal stress. Maternal fat delivery to milk may be impaired under anemia. Mothers may buffer infant nutrition against adverse conditions or poor maternal health by elevating milk protein (mothers with IDA/NIDA), lactose (mothers with NIDA), or fat (mothers with anemiaandinflammation). This study demonstrates the foundational importance of maternal micronutrient health and inflammation or infection for advancing the ecological understanding of human milk nutrient variation.

    

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2. Nutritional, inflammatory, and ecological correlates of maternal retinol allocation to breast milk in agro‐pastoral Ariaal communities of northern Kenya

   https://doi.org/10.1002/ajhb.22961  

   Fujita, Masako ; Lo, Yun‐Jia ; Brindle, Eleanor ( January 2017 , American Journal of Human Biology)

   Vitamin A (VA) is an essential micronutrient required for a range of biological functions throughout life. VA deficiency (VAD) claims an estimated 1 million preschool children's lives annually. Human milk is enriched with VA (retinol) from the maternal blood, which originates from the hepatic reserve and dietary intake. Secreting retinol into milk will benefit the nursing infant through breast milk, but retaining retinol is also important for the maternal health. Previous studies found that the public health intervention of high‐dose VA supplementation to lactating mothers did not significantly lower child mortality. The World Health Organization (WHO) recently acknowledged that our understanding about the principle of VA allocation within the maternal system and the secretion into milk is too incomplete to devise an effective intervention.

   We present a secondary analysis of data collected among lactating mothers in VAD endemic northern Kenya (n = 171), examining nutritional, inflammatory, and ecological factors that might associate with maternal retinol allocation. Regression models were applied using the outcome milk‐retinol allocation index: milk retinol/(milk retinol + serum retinol).

   Ten percent of the sample was identified as VAD. The average milk retinol concentration was 0.1 μmo/L, grossly below what is considered minimally necessary for an infant (1 μmol/L). VAD mothers and mothers with inflammation did not seem to compromise their milk retinol even though their serum retinol was lower than non‐VAD and noninflammation mothers. Breast milk fat concentration positively correlated with milk retinol but not with serum retinol.

   This exploratory study contributes toward an understanding of maternal retinol allocation.

    

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3. Bioactive factors in milk across lactation: Maternal effects and influence on infant growth in rhesus macaques ( Macaca mulatta )

   https://doi.org/10.1002/ajp.22544  

   Bernstein, Robin M. ; Hinde, Katie ( March 2016 , American Journal of Primatology)

   Among mammals, numerous bioactive factors in milk vary across mothers and influence offspring outcomes. This emerging area of research has primarily investigated such dynamics within rodent biomedical models, domesticated dairy breeds, and among humans in clinical contexts. Less understood are signaling factors in the milk of non‐human primates. Here, we report on multiple bioactive components in rhesus macaque (Macaca mulatta) milk and their associations with maternal and infant characteristics. Milk samples were collected from 59 macaques at multiple time points across lactation in conjunction with maternal and infant morphometrics and life‐history animal records. Milk was assayed for adiponectin (APN), epidermal growth factor (EGF) and its receptor (EGF‐R), and transforming growth factor beta 2 (TGF‐β₂). Regression models were constructed to assess the contributions of maternal factors on variation in milk bioactives, and on the relationship of this variation to infant body mass and growth. Maternal body mass, parity, social rank, and infant sex were all predictive of concentrations of milk bioactives. Primiparous mothers produced milk with higher adiponectin, but lower EGF, than multiparous mothers. Heavier mothers produced milk with lower EGF and EGF‐R, but higher TGF‐β₂. Mothers of daughters produced milk with higher TGF‐β₂. Mid‐ranking mothers produced milk with higher mean EGF and adiponectin concentrations than low‐ranking mothers. Milk EGF and EGF‐R were positively associated with infant body mass and growth rate. Importantly, these signaling bioactives (APN, EGF, EGF‐R, and TGF‐β₂) were significantly correlated with nutritional values of milk. The effects of milk signals remained after controlling for the available energy in milk revealing the added physiological role of non‐nutritive milk bioactives in the developing infant. Integrating analyses of energetic and other bioactive components of milk yields an important perspective for interpreting the magnitude, sources, and consequences of inter‐individual variation in milk synthesis. Am. J. Primatol. 78:838–850, 2016. © 2016 Wiley Periodicals, Inc.

    

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4. The evolutionary ecology of breastmilk folate among Ariaal agro-pastoralists in Kenya

   Fujita, M ; Paredes Ruvalcaba, N ; Corbitt, N. ( January 2018 , American journal of physical anthropology)

   Objective: Folate in breastmilk has important implications for offspring health and survival given the essential role of this vitamin in DNA synthesis, epigenetic functions, and amino acid metabolism. Yet, little is understood about the variation of folate in breastmilk and transfer across the postpartum year and beyond. Published studies tend to be limited to milk during days/weeks postpartum, and none applied an evolutionary perspective of parental investment. Methods: A secondary analysis of the data and specimens from 200 breastfeeding mothers within 1.5 years postpartum in food-insecure northern Kenya was conducted. ELISA determined folate-binding protein (FOLR1) in cryogenically archived breastmilk and maternal blood specimens, originally collected in 2006. Maternal folate was defined as blood serum FOLR1 multiplied by –1 because elevated FOLR1 is associated with folate deficiency. The concentration of milk FOLR1 was evaluated in relation to maternal folate and 1) infant sex (Trivers-Willard hypothesis), 2) time postpartum and parity (maternal residual reproductive value) using regression models adjusted for covariates. Results indicated: 1) no Trivers-Willard effect; 2) support for time postpartum but not for parity. Maternal folate and time postpartum inversely predicted milk FOLR1. There was an interaction between these variables (p<0.05). Maternal folate improved over time at a varying rate while milk FOLR1 decreased at a relatively steady rate. This inverse relationship became stronger as time advanced. Conclusion: The priority shift from the investment in current offspring toward maternal soma and potential future offspring in this study provides empirical support for the evolutionary hypothesis of parental investment and parent-offspring conflict. This study was funded by NSF (BCS #1638167), and the Wenner-Gren Foundation (Grant #9278). The original data/specimen collection was supported by NSF (BCS #0622358) and the Wenner-Gren Foundation (Grant #7460). 

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5. Variability of weaning age in mountain gorillas ( Gorilla beringei beringei )

   https://doi.org/10.1002/ajpa.24237  

   Robbins, Martha M. ; Robbins, Andrew M. ( January 2021 , American Journal of Physical Anthropology)

   Weaning is a key life history milestone for mammals that represents both the end of nutritional investment from the perspective of mothers and the start of complete nutritional independence for the infants. The age at weaning may vary depending on ecological, social, and demographic factors experienced by the mother and infant. Bwindi mountain gorillas live in different environmental conditions and have longer interbirth intervals than their counterparts in the Virunga Volcanoes, yet other life history characteristics of this population remain less well known. We use long‐term data from Bwindi Impenetrable National Park, Uganda to examine factors related to weaning age.

   We analyzed data on infants born in four mountain gorilla groups in Bwindi to quantify their age of weaning (defined as last nipple contact) and to test if the sex of offspring, parity, and dominance rank of mother influences age of weaning. We also compared the age at weaning and time to conception after resumption of mating in Bwindi and Virunga gorillas.

   Bwindi gorillas were weaned at an average age of 57.5 months. No difference was found between age of weaning for primiparous and multiparous mothers, nor did maternal dominance rank influence age of weaning, but sons were weaned at a later age than daughters. The majority of Bwindi mothers were still suckling when they resumed mating and mothers generally conceived before they weaned their previous offspring. The age of weaning was significantly later in Bwindi than in Virunga gorillas. After mothers resumed mating, the time to conceiving the next offspring was not significantly longer for Bwindi females than Virungas females (6 vs. 4 months).

   Later weaning age for sons than daughters is similar to findings of other studies of great apes. Bwindi mountain gorillas are weaned at approximately the same age as western gorillas and chimpanzees, which is more than a year later than Virunga mountain gorillas. The results of this study suggest that variation in ecological conditions of populations living in close geographic proximity can result in variation in life history patterns, which has implications for understanding the evolution of the unique life history patterns of humans.

    

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