Abstract
Human milk oligosaccharides (HMOs) support the development of a healthy gut microbiome and the growth of infants. We aimed to determine the association of different HMOs with severe acute malnutrition (SAM) among Bangladeshi young infants. This study was nested within a single-blind, randomized, pilot clinical trial (NCT0366657). A total of 45 breastmilk samples from mothers of < 6 months old infants who had SAM (n = 26) or were non-malnourished (n = 19) and were analyzed for constituent HMOs. Of the infants with SAM, 14 (53.85%) had secretor mothers, and 11 (57.89%) of the non-malnourished infants had secretor mothers. A one-unit increase in the relative abundance of sialylated HMOs was associated with higher odds of SAM in age and sex adjusted model (aOR = 2.00, 90% CI 1.30, 3.06), in age, sex, and secretor status adjusted model (aOR = 1.96, 90% CI 1.29, 2.98), and also in age and sex adjusted model among non-secretor mothers (aOR = 2.86, 90% CI 1.07, 7.62). In adjusted models, there was no evidence of a statistically significant association between SAM and fucosylated or undecorated HMOs. Our study demonstrates that a higher relative abundance of sialylated HMOs in mothers’ breastmilk may have a negative impact on young infants’ nutritional status.
| Original language | English |
|---|---|
| Article number | 9456 |
| Number of pages | 9 |
| Journal | Scientific Reports |
| Volume | 12 |
| DOIs | |
| Publication status | Published - Jun 2022 |
| Publication type | A1 Journal article-refereed |
Funding
The authors sincerely thank the study participants and their families for adherence to the rigorous study guidelines. This research protocol/activity/study was funded by Bill and Melinda Gates Foundation, grant number OPP1179599. icddr,b acknowledges with gratitude the commitment of BMGF to its research efforts. icddr,b is also grateful to the Governments of Bangladesh, Canada, Sweden and the UK for providing core/unrestricted support. The authors sincerely thank the study participants and their families for adherence to the rigorous study guidelines. This research protocol/activity/study was funded by Bill and Melinda Gates Foundation, grant number OPP1179599. icddr,b acknowledges with gratitude the commitment of BMGF to its research efforts. icddr,b is also grateful to the Governments of Bangladesh, Canada, Sweden and the UK for providing core/unrestricted support.
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 2 Zero Hunger
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SDG 3 Good Health and Well-being
Publication forum classification
- Publication forum level 1
ASJC Scopus subject areas
- General
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