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. 2017 May 22;15(5):e04780. doi: 10.2903/j.efsa.2017.4780
Reference Number of women (number of samples) Country Maternal dietary intake (mean ± SD) Maternal serum/plasma (phylloquinone/menaquinone) concentration yes/n.a. Stage of lactation Phylloquinone concentration in breast milk (μg/L) (mean ± SD) Menaquinone concentration in breast milk (μg/L) (mean ± SD) Comments
Haroon et al. (1982)

20 (unsupplemented)

1 (supplemented)

UK

n.a.

20 mg (one dose)

n.a.

n.a.

n.a.

~ 6 months post‐partum

2.1 (1.1–6.5)

140

n.a.

n.a.

No information was given as to whether infants were full‐term or not
Fournier et al. (1987) 10 FR n.a. n.a. 21 days post‐partum 9.18 (4.85–12.76) (median (range)) n.a. Full‐term infants
von Kries et al. (1987b)

9 (unsupplemented)

1 (supplemented)

DE

n.a.

100 μg (one dose)

a.

n.a.

8–36 days post‐partum

1.2 (median)

4.9

n.a.

n.a.

Full‐term infants

The authors considered transitional (days 8–15) and mature (days 22–36) milk as one group (days 8–36) as there were no significant differences in phylloquinone concentration

Breast milk phylloquinone concentration of the supplemented woman at baseline (before supplementation) was 2.5 μg/L

Breast milk phylloquinone concentration is given for one supplemented mother for whom phylloquinone administration and milk sampling techniques were standardised

Canfield et al. (1990)

7 (16)

15

US n.a. n.a. 1 month post‐partum

2.94 ± 1.94 (pooled samples)

3.15 ± 2.87 (mean of individuals)

n.a.

Infants were growing within normal limits and free of illness

No explicit information was given as to whether infants were full‐term or not

Canfield et al. (1991) 15 (45) US n.a. n.a. 1–6 months post‐partum 2.87 ± 2.40 (mean of all determinations) n.a.

No explicit information was given as to whether infants were full‐term or not

Samples assayed in triplicate at each time point (1, 3 and 6 months)

Greer et al. (1991)

11 (study part 1)

23 (study part 2)

US

Supplementation, 20 mg (one dose)

Unsupplemented (μg/day)

302 ± 361

296 ± 169

436 ± 667

Yes

Yes

2–6 months post‐partum

Weeks post‐partum

6

12

26

130 ± 188

0.86 ± 0.52

1.14 ± 0.72

0.87 ± 0.5

n.a.

n.a.

No information was given as to whether infants were full‐term or not

Breast milk phylloquinone concentration at baseline (before supplementation) was 1.11 ± 0.82 μg/L

Maternal intakes of phylloquinone exceeded the DRV of 1 μg/kg body weight per day

Full‐term infants

Pietschnig et al. (1991)

20 (supplemented)

16 (unsupplemented)

AT

Mean (range) from food and supplement (μg/day)

442 (226–778)

386 (223–687)

Supplementation (μg/day)

88 ± 40 (from 4 through 91 days post‐partum)

Mean (range) (μg/day)

417 (134–1,224)

391 (209–695)

n.a.

n.a.

Days post‐partum

27–29

89–91

Days post‐partum

25–29

87–91

Mean (range)

1.36 (0.40–3.81)

1.67 (0.56–8.61)

Mean (range)

1.68 (0.64–2.91)

1.78 (0.80–4.11)

n.a.

n.a.

Full‐term infants

Average maternal intake exceeded the DRV for lactating women (55 μg/day) by 670%

The supplemental intake of 88 ± 40 μg/day was calculated on average over the whole study period

Full‐term infants

Greer et al. (1997)

Phase 1 –preliminary investigation)

10

10

Phase 2 (supplementation study)

11

11

US

Supplementation (daily for 6 weeks, starting within 3 days of delivery)

2.5 mg

5 mg

Supplementation (daily for 12 weeks (starting time not reported))

0 (placebo)

5 mg

Yes

Yes

Weeks post‐partum

2

6

2

6

Weeks post‐partum

2

6

12

Weeks post‐partum

2

6

12

27.12 ± 12.18

22.43 ± 16.62

58.96 ± 25.39

44.1 ± 24.10

1.17 ± 0.7

1.14 ± 0.46

1.17 ± 0.40

76.53 ± 26.98

75.27 ± 46.23

82.10 ± 40.10

n.a.

n.a.

Full term infants

Breast milk phylloquinone concentration at baseline (before supplementation) was 0.63 ± 0.58 μg/L (2.5 mg group) and 0.92 ± 0.62 μg/L (5 mg/day)

No information was given as to whether infants were full‐term or not

Breast milk phylloquinone concentration at baseline (before supplementation) was 0.69 ± 0.39 μg/L (5 mg group) and 1.10 ± 0.75 μg/L (placebo)

Thijssen et al. (2002)

8

8

8

7

NL

(Dietary intake not reported)

Daily supplementation (from day 4 to day 16 post‐partum)

0 (control)

0.8 mg

2 mg

4 mg

Yes

Yes

Yes

Yes

Days post‐partum

16

19

Days post‐partum

16

19

Days post‐partum

16

19

Days post‐partum

16

19

2.2 ± 0.64

2.2 ± 1.33

11.05 ± 4.57

5.57 ± 5.64

27.33 ± 14.24

5.44 ± 2.09

62.93 ± 20.66

20.23 ± 17.95

MK‐4

0.96 ± 0.4

0.79 ± 0.28

1.55 ± 1.15

1.44 ± 1.14

2.46 ± 1.5

1.34 ± 0.6

7.33 ± 4.07

4.40 ± 2.30

Full‐term infants
Kojima et al. (2004) (416) JP n.a. n.a.

Days post‐partum

21–89

90–179

180–365

1.95 ± 0.88

2.21 ± 4.29

1.55 ± 0.88

MK‐4

1.85 ± 0.41

1.35 ± 0.35

1.28 ± 0.31

No explicit information was given as to whether infants were full‐term or not

Infants with birth weight higher than 2.5 kg

Kamao et al. (2007a)

43

18

8

5

JP n.a. n.a.

Days post‐partum

11–30

31–90

91–180

181–270

3.94 ± 2.45

3.53 ± 1.45

2.30 ± 1.22

3.41 ± 1.46

MK‐4

1.80 ± 0.66

1.78 ± 0.55

1.19 ± 0.34

1.51 ± 0.42

MK‐7

1.67 ± 2.73

0.80 ± 0.75

1.36 ± 1.29

0.92 ± 0.92

No information on the health status of the infants or if they were born at term or not

AT: Austria; DE: Germany; DRV: dietary reference value; FR: France; JP: Japan; MK: menaquinone; n.a.: not applicable; NL: the Netherlands; SD: standard deviation; UK: United Kingdom; US: United States.