Human Milk

Human Milk: Sampling and Measurement of Energy-Yielding Nutrients and Other Macromolecules presents comprehensive, rigorous, state-of-the-science information on the origins, analysis, concentrations and variation in energy-yielding nutrients and other macromolecules present in human milk. The book includes information on how best to collect and store milk for determining concentrations of these important milk constituents and considers how to conduct milk composition analysis in research, clinical and resource-poor settings. Written by a group of international experts who are actively conducting research related to human milk macronutrients, each chapter also provides cutting-edge rationale for what research is still needed in this evolving field. In addition, the book also outlines challenges and opportunities faced by clinicians, industry leaders and regulators interested in adding these components to infant foods, human milk nutrient fortifier and formula. Presents analytical issues and challenges Contains information regarding optimal milk collection and storage procedures for each milk component Uses a systematic treatment of common factors relating to milk composition variation (e.g., time postpartum, maternal diet) Provides a brief summary at the end of each chapter Reviews the literature related to history/discovery, analysis, isoforms, origins/transport, variability, metabolism and research gaps

Human Milk Biochemistry and Infant Formula Manufacturing Technology, Second Edition covers the history of bottle feeding, its advantages and disadvantages when compared with breast-feeding, human milk biochemistry, trends and new developments in infant formula formulation and manufacturing, and best practices in infant formula processing technology and quality control. The book also covers human milk proteomics as a new, separate chapter and provides additional information on infant formula clinical trial guidelines. In addition, the book includes information about the formulation and processing of premature and low birth weight infant formula. This book is sure to be a welcome resource for professionals in the food and infant formula industry, academics and graduate students in fields like nutrition, food sciences, or nursing, nutritionists and health professionals, government officials working in relevant departments, and finally, anyone interested in human milk and infant formula. Reviews both human milk biochemistry and infant formula processing technology for broad coverage Features a comprehensive review on the human milk protein profile using proteomics technology Contains information on infant formula processing technology Provides guidelines on infant formula clinical trials and related topics

Infant formulas are unique because they are the only source of nutrition for many infants during the first 4 to 6 months of life. They are critical to infant health since they must safely support growth and development during a period when the consequences on inadequate nutrition are most severe. Existing guidelines and regulations for evaluating the safety of conventional food ingredients (e.g., vitamins and minerals) added to infant formulas have worked well in the past; however they are not sufficient to address the diversity of potential new ingredients proposed by manufacturers to develop formulas that mimic the perceived and potential benefits of human milk. This book, prepared at the request of the Food and Drug Administration (FDA) and Health Canada, addresses the regulatory and research issues that are critical in assessing the safety of the addition of new ingredients to infants.

The Model Chapter on Infant and Young Child Feeding is intended for use in basic training of health professionals. It describes essential knowledge and basic skills that every health professional who works with mothers and young children should master. The Model Chapter can be used by teachers and students as a complement to textbooks or as a concise reference manual.

As essential nutrients, sodium and potassium contribute to the fundamentals of physiology and pathology of human health and disease. In clinical settings, these are two important blood electrolytes, are frequently measured and influence care decisions. Yet, blood electrolyte concentrations are usually not influenced by dietary intake, as kidney and hormone systems carefully regulate blood values. Over the years, increasing evidence suggests that sodium and potassium intake patterns of children and adults influence long-term population health mostly through complex relationships among dietary intake, blood pressure and cardiovascular health. The public health importance of understanding these relationships, based upon the best available evidence and establishing recommendations to support the development of population clinical practice guidelines and medical care of patients is clear. This report reviews evidence on the relationship between sodium and potassium intakes and indicators of adequacy, toxicity, and chronic disease. It updates the Dietary Reference Intakes (DRIs) using an expanded DRI model that includes consideration of chronic disease endpoints, and outlines research gaps to address the uncertainties identified in the process of deriving the reference values and evaluating public health implications.

Proceedings of a symposium, satellite to the 24th International Congress of Physiological Sciences, University of Pennsylvania.

Immunobiology of Human Milk provides a thorough understanding of the wondrous biology of the immune components in human milk and how they protect the breastfed infant. In this book, Dr. Hanson describes the elaborate systems that have developed to protect the infant against infections and to promote the infant's growth and neurodevelopment. Dr. Hanson has been studying the immunobiology of breastmilk since 1955, publishing 650 scientific papers and editing/contributing to 19 books. He is one of the most highly respected immunobiologists/pediatricians in the world. Features included in this book include the bacterial colonization of the newborn, components of host defense, host defense of the growing baby, the pregnant mother's support of host defense in the fetus, the breastfeeding mother's support of host defense, protection against disease provided by breastfeeding, and infectious agents in breastmilk and their impact on breastfeeding.

Prebiotics and Probiotics in Human Milk: Origins and Functions of Milk-Borne Oligosaccharides and Bacteria provides a comprehensive, yet approachable, treatise on what is currently known about the origins and functions of human milk oligosaccharides (HMO), the complex sugars in milk that are not digested by the infant. The book examines how HMOs and bacteria in human milk may function independently and coordinately to influence both maternal and infant health. Human milk is the only food “designed specifically to nourish humans, indeed representing the essence of a perfect “functional food. And although researchers have been studying its composition for decades, surprisingly little is really understood about the origins and functions of its myriad components, an area that is especially true for HMOs and bacteria. This book provides a thorough review of the newest research on these inter-related milk constituents as written by a team of experts from both academia and industry who actively conduct HMO and human milk microbiome research as they endeavor to apply this new knowledge to infant nutrition. Each chapter provides objective rationale for what research is still needed in this rapidly evolving area, also discussing the challenges and opportunities faced by the industry in adding HMO and microbes to infant food products. This book is a valuable resource for nutrition researchers focused on infant nutrition, food scientists and product developers working on infant formula, and clinicians interested in broadening their understanding of the benefits of human milk for infants. Presents a reader-friendly, highly-curated text that includes a review of the literature related to origins, variability, metabolism, and functions of HMO and human milk bacteria Discusses the potential implications of HMO and milk microbiota to industry – for instance, utilization in the dairy industry and infant formula Consists of learning aids, such as pull quotes, critical summary statements, and an extensive list of published literature throughout