The BuKoBc Project: Building a Deeper Knowledge on Breast Milk Composition
- Conditions
- Breastfeeding
- Interventions
- Other: Data and breast milk samples collection
- Registration Number
- NCT06152835
- Lead Sponsor
- Federico II University
- Brief Summary
Breast milk is considered the gold standard for infant nutrition thanks to its ability to provide adequate nutrition and a high amount of protective factors for the baby's health. According to the guidelines of the World Health Organization (WHO), exclusive feeding with breast milk should be conducted until the end of 6 months of life and should be continued in the following months with the simultaneous introduction of complementary foods. Several evidence demonstrates that breast milk intake is associated with positive health outcomes, both during infancy and later in the life. Given the protective role of breast milk for the health of the child and the future adult, studying its content is of fundamental importance to have an integrated vision of the biological effects of its components on the child health, and of the factors that are able to modulate its composition. The "Building a Deeper Knowledge on Breast Milk Composition" (BuKoBc) project was designed to study the content of human milk in its entirety and at different times during the feeding and day, also in relation to environmental factors capable of modulating its composition. The results of this study may provide data on optimal reference ranges for nutrient intake in breastfed infants and may provide guidance for defining optimal nutrient intake for infants who cannot be breastfed. Furthermore, the in-depth study of the environmental factors capable of influencing the composition of breast milk will allow the development of nutritional intervention strategies for the breastfeeding mother in order to positively modulate the composition of her milk.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- Female
- Target Recruitment
- 100
- Italian women aged between 20 and 40 years who exclusively breastfeed children born at term from normal pregnancy
- Written informed consent
- Non-Italian women;
- Age <20 and >40 years;
- Mothers of children born preterm;
- Non-exclusive breastfeeding;
- Mothers suffering from chronic diseases:
- malignancies;
- immunodeficiencies;
- chronic infections;
- autoimmune diseases;
- chronic inflammatory intestinal diseases;
- celiac disease;
- genetic-metabolic diseases;
- cystic fibrosis;
- chronic lung diseases;
- malformations of the cardiovascular/respiratory/gastrointestinal system;
- neuropsychiatric disorders;
- neurological diseases.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Breastfeeding Italian women Data and breast milk samples collection Italian women, aged 20-40 years who breastfeed children born at full term
- Primary Outcome Measures
Name Time Method To analyze the contents of breast milk completely and at different times during the feeding and during the day. 36 months 6 milk samples of at least 5 ml each will be collected at the beginning and end of the morning feeding, at the beginning and end of the afternoon feeding, and at the beginning and end of the evening feeding.
Metagenomic analysis 36 months Shotgun analysis will be performed.
Nutritional composition analysis (macro and micronutrients) 36 months Mass spectrometry analyzes will be performed.
Metabolomics analysis 36 months Mass spectrometry analyzes will be performed.
MicroRNA analysis 36 months TaqMan MicroRNA Assays will be adopted.
Compounds derived from ultraprocessed foods and from packaging analyses 36 months Mass spectrometry analyzes will be performed.
- Secondary Outcome Measures
Name Time Method To analyze the environmental factors capable of modulating the composition of breast milk 36 months Maternal energy and nutrient intake, maternal ultra-processed food intake, level of adherence to the Mediterranean Diet, nutritional status, body composition, lifestyle, level of physical activity, level of education, intake of medications, food supplements, prebiotics, probiotics and synbiotics, consumption of alcohol, caffeine and tobacco will be evaluated.
Trial Locations
- Locations (1)
Department of Traslational Medical Science - University of Naples Federico II
🇮🇹Naples, Italy