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 | (174–176) |
Gestational age at birth | Preterm birth increases true protein in colostrum | Evidence probable | (177–184) |
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 | (185–188) |
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, 189–213) |
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, 216–224) |
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, 225–239) |