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This is a cohort study to understand the changes of breastmilk composition in the first six months after birth of Chinese infants.
The relationship of breastmilk composition, the maternal gut microbiome and lifestyle factors such as diet, feeding practices and physical activity and the infant's health and gut microbiome will be investigated in this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chinese mothers with the intention to breastfeed, and their infants. | Observational study. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Not applicable: Observational study without any interventions. | Other | Exposures of interest: Maternal diet and lifestyle, demographics, anthropometrics, infant's health outcomes |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in human milk protein concentration | Protein concentration in g/l of human milk will be analyzed | Human milk samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Changes in human milk fat concentration | Fat concentration in g/l of human milk will be analyzed | Human milk samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Changes in human milk carbohydrate concentration | Carbohydrate concentration in g/l of human milk will be analyzed | Human milk samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Changes in human milk energy content | Energy content in kCal/l of human milk will be analyzed | Human milk samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Changes in infant length | Length measured in cm | Anthropometrics collected at birth, and 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Changes in infant head circumference | Head circumference measured in cm | Anthropometrics collected at birth, and 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Changes in infant weight | Weight measured in grams |
| Measure | Description | Time Frame |
|---|---|---|
| Variations in human milk microbiome | Analyzed by sequencing | Human milk samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Variations in human milk micronutrients |
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Inclusion Criteria:
Mothers:
Infants:
Exclusion Criteria:
Mothers:
Infants:
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Generally healthy mothers with the intention to breastfeed, and their infants.
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| Name | Affiliation | Role |
|---|---|---|
| Jieshu Wu, Ph.D | Nanjing Medical University Jiangning Campus | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanjing Medical University Jiangning Campus | Nanjing | Jiangsu | 211166 | China |
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| ID | Term |
|---|---|
| D001942 | Breast Feeding |
| D061186 | Breast Milk Expression |
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D001519 | Behavior |
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Stool, human milk, saliva
| Anthropometrics collected at birth, and 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
Analyzed by mass spectrometry
| Human milk samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Variations in human milk oligosaccharides (HMOs) | Analyzed by mass spectrometry | Human milk samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Variations in human milk lipid composition | Analyzed by mass spectrometry | Human milk samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Variations in human milk amino acids and proteins | Analyzed by mass spectrometry | Human milk samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Variations in infant fecal microbiome | Analyzed by sequencing | Infant fecal samples collected at 1 month, 3 month, 6 months, 12 months, 2 years after infant birth |
| Variations in maternal fecal microbiome | Analyzed by sequencing | Maternal fecal samples collected at 1 month, 3 month, 6 months, 12 months after infant birth |
| Changes in infant stool consistency and frequency | Data will be collected via diaries using the Brussel Infant and Toddler Stool Scale | Data collected at 1 month, 3 month, 6 months, 12 months after infant birth |
| Changes in infant feeding practices | Dietary data will be collected via questionnaires | Data collected at 1 month, 3 month, 6 months, 12 months,2 years after infant birth |
| Changes in maternal body mass index | Maternal weight and height will be combined to determine body mass index [kg/m2] | Data collected at 1 month, 3 month, 6 months, 12 months 2 years after infant birth |