Skip to main content
Log in

Breast Milk Macronutrient Composition After Bariatric Surgery

  • Brief Communication
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Breast milk samples from 12 lactating women with bariatric surgery were investigated by comparing the macronutrient and energy content with samples from 36 non-surgical controls. Samples were analyzed with the Human Milk Analyzer and the maternal diet 24 h prior to sampling with a food record. A higher fat, energy, and a slightly higher carbohydrate milk content was found in the surgical group compared to the non-surgical group (3.0 ± 0.7 versus 2.2 ± 0.9 g/100 ml, P = 0.008; 61.0 ± 7.2 versus 51.7 ± 9 kcal/100 ml, P = 0.002; and 6.6 ± 0.6 versus 6.3 ± 0.4 g/100 ml, P = 0.045, respectively). No correlations and no strong explanatory variance were found between milk macronutrient composition and corresponding maternal dietary intake. The nutritional value of breast milk after bariatric surgery appears to be at least as high as in non-surgical controls.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Bavaresco M, Paganini S, Lima TP, et al. Nutritional course of patients submitted to bariatric surgery. Obes Surg. 2010;20:716–21.

    Article  PubMed  Google Scholar 

  2. Wardinsky TD, Montes RG, Friederich RL, et al. Vitamin B12 deficiency associated with low breast-milk vitamin B12 concentration in an infant following maternal gastric bypass surgery. Arch Pediatr Adolesc Med. 1995;149:1281–4.

    Article  CAS  PubMed  Google Scholar 

  3. Celiker MY, Chawla A. Congenital B12 deficiency following maternal gastric bypass. J Perinatol. 2009;29:640–2.

    Article  CAS  PubMed  Google Scholar 

  4. Casadio YS, Williams TM, Lai CT, et al. Evaluation of a mid-infrared analyzer for the determination of the macronutrient composition of human milk. J Hum Lact. 2010;26:376–83.

    Article  PubMed  Google Scholar 

  5. Kent JC. How breastfeeding works. J Midwifery Womens Health. 2007;52:564–70.

    Article  PubMed  Google Scholar 

  6. Mohammad MA, Sunehag AL, Haymond MW. Effect of dietary macronutrient composition under moderate hypocaloric intake on maternal adaptation during lactation. Am J Clin Nutr. 2009;89:1821–7.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  7. Guelinckx I, Devlieger R, Donceel P, et al. Lifestyle after bariatric surgery: a multicenter, prospective cohort study in pregnant women. Obes Surg. 2012;22:1456–64.

    Article  CAS  PubMed  Google Scholar 

  8. Lev HM, Ovental A, Mandel D, et al. Major losses of fat, carbohydrates and energy content of preterm human milk frozen at −80°C. J Perinatol. 2014;34:396–8.

    Article  CAS  PubMed  Google Scholar 

  9. Quinn EA, Largado F, Power M, et al. Predictors of breast milk macronutrient composition in Filipino mothers. Am J Hum Biol. 2012;24:533–40.

    Article  PubMed  Google Scholar 

  10. AURORA - bariatric surgery registration in women of reproductive age - www.aurorastudy.org/en - Belgium, 2014.

Download references

Acknowledgments

GJ, RD, and CM designed research. GJ and Marthe Mens (MM) performed research. GJ, CM, ML, BVDS, and RD drafted and revised the paper and approved the final paper.

Conflict of Interest

GJ, CM, ML, BVDS, and RD have no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

Statement of Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Funding

RD is recipient of a post-doctoral research grant from FWO Flanders (1803311 N, 2010–2015).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roland Devlieger.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jans, G., Matthys, C., Lannoo, M. et al. Breast Milk Macronutrient Composition After Bariatric Surgery. OBES SURG 25, 938–941 (2015). https://doi.org/10.1007/s11695-015-1610-1

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-015-1610-1

Keywords

Navigation