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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)

   Abstract BackgroundMaternal 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. MethodsA 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. ResultsIDA (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). ConclusionsMilk 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. Chronic Stress Decreases Lactation Performance

   https://doi.org/10.1093/icb/icad044  

   Josefson, Chloe_C; De Moura Pereira, Lucelia; Skibiel, Amy_L (May 2023, Integrative And Comparative Biology)

   Synopsis The ability to provision offspring with milk is a significant adaptive feature of mammals that allows for considerable maternal regulation of offspring beyond gestation, as milk provides complete nutrition for developing neonates. For mothers, lactation is a period of marked increases in energetic and nutritive demands to support milk synthesis; because of this considerable increase in demand imposed on multiple physiological systems, lactation is particularly susceptible to the effects of chronic stress. Here, we present work that explores the impact of chronic stress during lactation on maternal lactation performance (i.e., milk quality and quantity) and the expression of key milk synthesis genes in mammary tissue using a Sprague–Dawley rat model. We induced chronic stress using a well-established, ethologically relevant novel male intruder paradigm for 10 consecutive days during the postpartum period. We hypothesized that the increased energetic burden of mounting a chronic stress response during lactation would decrease lactation performance. Specifically, we predicted that chronic exposure to this social stressor would decrease either milk quality (i.e., composition of proximate components and energy density) or quantity. We also predicted that changes in proximate composition (i.e., lipid, lactose, and protein concentrations) would be associated with changes in gene expression levels of milk synthesis genes. Our results supported our hypothesis that chronic stress impairs lactation performance. Relative to the controls, chronically stressed rats had lower milk yields. We also found that milk quality was decreased; milk from chronically stressed mothers had lower lipid concentration and lower energy density, though protein and lactose concentrations were not different between treatment groups. Although there was a change in proximate composition, chronic stress did not impact mammary gland expression of key milk synthesis genes. Together, this work demonstrates that exposure to a chronic stressor impacts lactation performance, which in turn has the potential to impact offspring development via maternal effects. 

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3. 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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4. Too hot to thrive: a qualitative inquiry of community perspectives on the effect of high ambient temperature on postpartum women and neonates in Kilifi, Kenya

   https://doi.org/10.1186/s12887-023-04517-w  

   Lusambili, Adelaide; Kovats, Sari; Nakstad, Britt; Filippi, Veronique; Khaemba, Peter; Roos, Nathalie; Part, Cherie; Luchters, Stanley; Chersich, Matthew; Hess, Jeremy; et al (December 2024, BMC Pediatrics)

   Abstract ObjectiveTo understand community perspectives on the effects of high ambient temperature on the health and wellbeing of neonates, and impacts on post-partum women and infant care in Kilifi. DesignQualitative study using key informant interviews, in-depth interviews and focus group discussions with pregnant and postpartum women (n = 22), mothers-in-law (n = 19), male spouses (n = 20), community health volunteers (CHVs) (n = 22) and stakeholders from health and government ministries (n = 16). SettingsWe conducted our research in Kilifi County in Kenya’s Coast Province. The area is largely rural and during summer, air temperatures can reach 37˚C and rarely go below 23˚C. Data analysisData were analyzed in NVivo 12, using both inductive and deductive approaches. ResultsHigh ambient temperature is perceived by community members to have direct and indirect health pathways in pregnancy and postpartum periods, including on the neonates. The direct impacts include injuries on the neonate’s skin and in the mouth, leading to discomfort and affecting breastfeeding and sleeping. Participants described babies as “having no peace”. Heat effects were perceived to be amplified by indoor air pollution and heat from indoor cooking fires. Community members believed that exclusive breastfeeding was not practical in conditions of extreme heat because it lowered breast milk production, which was, in turn, linked to a low scarcity of food and time spend by mothers away from their neonates performing household chores. Kangaroo Mother Care (KMC) was also negatively affected. Participants reported that postpartum women took longer to heal in the heat, were exhausted most of the time and tended not to attend postnatal care. ConclusionsHigh ambient temperatures affect postpartum women and their neonates through direct and indirect pathways. Discomfort makes it difficult for the mother to care for the baby. Multi-sectoral policies and programs are required to mitigate the negative impacts of high ambient temperatures on maternal and neonatal health in rural Kilifi and similar settings. 

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5. Sources of variation in weaned age among wild chimpanzees in Gombe National Park, Tanzania

   https://doi.org/10.1002/ajpa.23986  

   Lonsdorf, Elizabeth_V; Stanton, Margaret_A; Pusey, Anne_E; Murray, Carson_M (December 2019, American Journal of Physical Anthropology)

   Abstract ObjectivesA key feature of human life history evolution is that modern humans wean their infants 2–4 years earlier on average than African apes. However, our understanding of weaning variation in apes remains limited. Here we provide the first such report in chimpanzees by examining weaned age variation using long‐term data from Gombe National Park, Tanzania. Material and MethodsWe analyzed 41 years of observational behavioral data from 65 offspring of 29 mothers to examine the relationships between weaned age (defined as cessation of suckling) in wild chimpanzees and maternal age, dominance rank and parity, and offspring sex. We used Cox proportional hazards regression with mixed effects to model time to weaning and to examine potential sources of variation in offspring weaned age. ResultsWe found that male offspring were less likely than female offspring to wean by a given age and that weaned age of males varied more than weaned age of females. In addition, maternal dominance rank interacted with offspring age, such that low‐ranking mothers were less likely to wean offspring early, but this effect decreased with offspring age. DiscussionWe found that male offspring and offspring of low‐ranking females were less likely to wean early, but did not find evidence for variable weaning according to maternal age or parity. As more data accumulate, we will be better able to disentangle the effects of maternal dominance rank, age and parity. Such studies will not only provide a richer understanding of living ape life history characteristics, but will also provide an important framework for understanding the evolution of early weaning in humans. 

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