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. 2020 Sep 16;7:576133. doi: 10.3389/fnut.2020.576133

Table 3.

Infant-related factors affecting nutritive and non-nutritive components of human milk.

Factors Effect on nutritive or non-nutritive components of HM Evidence References
Birth weight Higher birth weight increases HM intake Evidence probable (174176)
Gestational age at birth Preterm birth increases true protein in colostrum Evidence probable (177184)
Preterm birth decreases lactose in colostrum Evidence probable
Preterm birth decreases minerals, Ig, growth factors Lacking
Sex Male infants consume higher amounts of HM than female infants Evidence probable (185188)
Energy and lipid content of HM is higher after giving birth to male infants Inconsistent or lacking
Age (stage of lactation) Advanced stage of lactation increases HM intake, as well as energy, total lipids and HMO (3 FL) content Evidence probable (4, 7, 98, 137, 186, 189213)
Advanced stage of lactation has no major impact on lactose and some HMOs (e.g., 3 SL) Inconsistent or lacking
Advanced stage of lactation decreases total and major proteins, as well as some HMOs (e.g., 2 FL), immune factors, whey/casein, vitamins and zinc Evidence probable
Feeding session Hindmilk has higher energy and total lipids compared with foremilk Evidence probable (195, 196)
Feeding—time of the day Mid-day feeding demonstrates higher energy and total lipids Lacking (214, 215)
Variations between breasts Milk output from the right breast is greater than from the left breast Inconsistent (195, 196, 216224)
Energy content in HM from the left breast is higher than from the right breast Inconsistent or lacking
Circadian variability Lipids and lipolytic enzymes in HM peak at mid-day Evidence probable (150, 214, 215, 225239)