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. 1983 Jul;58(7):518–522. doi: 10.1136/adc.58.7.518

Determinants of variations in breast milk protective factor concentrations of rural Gambian mothers.

A Prentice, A M Prentice, T J Cole, R G Whitehead
PMCID: PMC1628166  PMID: 6683486

Abstract

The concentrations of 7 immunoproteins (IgA, IgG, IgM, the complement components C3 and C4, lactoferrin, and lysozyme) in the breast milk of 152 rural west African women were measured as part of a semilongitudinal study to assess their importance in infant health. Each mother maintained a characteristic level of production of immunoproteins relative to other mothers, and the concentration of each immunoprotein within each woman was correlated positively with the others. Parity was the major determinant of ranking and mothers of parity 1 and 2 produced the highest concentrations of immunoproteins. Except for lysozyme, infants' intake of these protective factors decreased in early lactation, but infants aged 1-2 years still received substantial amounts. The daily intakes by Gambian infants were similar to or higher than those of infants in Cambridge, United Kingdom. A marked seasonal increase in infant morbidity was not accompanied by an increase in the concentrations of protective factors in mothers' milk.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Goldman A. S., Garza C., Nichols B. L., Goldblum R. M. Immunologic factors in human milk during the first year of lactation. J Pediatr. 1982 Apr;100(4):563–567. doi: 10.1016/s0022-3476(82)80753-1. [DOI] [PubMed] [Google Scholar]
  2. Logie D. E., McGregor I. A., Rowe D. S., Billewicz W. Z. Plasma immunoglobulin concentrations in mothers and newborn children with special reference to placental malaria: Studies in the Gambia, Nigeria, and Switzerland. Bull World Health Organ. 1973;49(6):547–554. [PMC free article] [PubMed] [Google Scholar]
  3. Lönnerdal B., Forsum E., Gebre-Medhin M., Hambraeus L. Breast milk composition in Ethiopian and Swedish mothers. II. Lactose, nitrogen, and protein contents. Am J Clin Nutr. 1976 Oct;29(10):1134–1141. doi: 10.1093/ajcn/29.10.1134. [DOI] [PubMed] [Google Scholar]
  4. Mancini G., Carbonara A. O., Heremans J. F. Immunochemical quantitation of antigens by single radial immunodiffusion. Immunochemistry. 1965 Sep;2(3):235–254. doi: 10.1016/0019-2791(65)90004-2. [DOI] [PubMed] [Google Scholar]
  5. McGregor I. A., Rahman A. K., Thomson A. M., Billewicz W. Z., Thompson B. The health of young children in a West African (Gambian) village. Trans R Soc Trop Med Hyg. 1970;64(1):48–77. doi: 10.1016/0035-9203(70)90196-3. [DOI] [PubMed] [Google Scholar]
  6. Peitersen B., Bohn L., Andersen H. Quantitative determination of immunoglobulins, lysozyme, and certain electrolytes in breast milk during the entire period of lactation, during a 24-hour period, and in milk from the individual mammary gland. Acta Paediatr Scand. 1975 Sep;64(5):709–717. doi: 10.1111/j.1651-2227.1975.tb03909.x. [DOI] [PubMed] [Google Scholar]
  7. Prentice A. M., Whitehead R. G., Roberts S. B., Paul A. A., Watkinson M., Prentice A., Watkinson A. A. Dietary supplementation of Gambian nursing mothers and lactational performance. Lancet. 1980 Oct 25;2(8200):886–888. doi: 10.1016/s0140-6736(80)92048-6. [DOI] [PubMed] [Google Scholar]
  8. Reddy V., Bhaskaram C., Raghuramulu N., Jagadeesan V. Antimicrobial factors in human milk. Acta Paediatr Scand. 1977 Mar;66(2):229–232. doi: 10.1111/j.1651-2227.1977.tb07838.x. [DOI] [PubMed] [Google Scholar]
  9. Rowe D. S., McGregor I. A., Smith S. J., Hall P., Williams K. Plasma immunoglobulin concentrations in a West African (Gambian) community and in a group of healthy British adults. Clin Exp Immunol. 1968 Jan;3(1):63–79. [PMC free article] [PubMed] [Google Scholar]
  10. TANNER J. M. Some notes on the reporting of growth data. Hum Biol. 1951 May;23(2):93–159. [PubMed] [Google Scholar]
  11. Whitehead R. G., Rowland M. G., Hutton M., Prentice A. M., Müller E., Paul A. Factors influencing lactation performance in rural Gambian mothers. Lancet. 1978 Jul 22;2(8082):178–181. doi: 10.1016/s0140-6736(78)91920-7. [DOI] [PubMed] [Google Scholar]

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