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      Human milk oligosaccharide composition and associations with growth: results from an observational study in the US

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          Abstract

          Background

          Breast milk is the recommended source of nutrients for newborns and infants. Human milk oligosaccharides (HMO) are the third most abundant solid component in human milk and their composition varies during lactation.

          Objectives

          Our objective was to investigate longitudinal and cross-sectional changes in HMO composition and whether these changes were associated with infant growth up to 24 months of age. Associations with maternal characteristics were also investigated.

          Methods

          24 HMOs were quantified in samples taken at 2 weeks ( n = 107), 6 weeks ( n = 97) and 3 months ( n = 76), using high performance liquid chromatography. Body length, weight, and head circumference were measured at 8 timepoints, until 24 months. Clusters of breast milk samples, reflecting different HMO profiles, were found through a data-driven approach. Longitudinal associations were investigated using functional principal component analysis (FPCA) and used to characterize patterns in the growth trajectories.

          Results

          Four clusters of samples with similar HMO composition were derived. Two patterns of growth were identified for length, body weight and head circumference via the FPCA approach, explaining more than 90% of the variance. The first pattern measured general growth while the second corresponded to an initial reduced velocity followed by an increased velocity (“higher velocity”). Higher velocity for weight and height was significantly associated with negative Lewis status. Concentrations of 3’GL, 3FL, 6’GL, DSNLT, LNFP-II, LNFP-III, LNT, LSTb were negatively associated with higher velocity for length.

          Conclusion

          We introduced novel statistical approaches to establish longitudinal associations between HMOs evolution and growth. Based on our approach we propose that HMOs may act synergistically on children growth. A possible causal relationship should be further tested in pre-clinical and clinical setting.

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          Most cited references40

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          Finding community structure in networks using the eigenvectors of matrices

          M. Newman (2006)
          We consider the problem of detecting communities or modules in networks, groups of vertices with a higher-than-average density of edges connecting them. Previous work indicates that a robust approach to this problem is the maximization of the benefit function known as "modularity" over possible divisions of a network. Here we show that this maximization process can be written in terms of the eigenspectrum of a matrix we call the modularity matrix, which plays a role in community detection similar to that played by the graph Laplacian in graph partitioning calculations. This result leads us to a number of possible algorithms for detecting community structure, as well as several other results, including a spectral measure of bipartite structure in networks and a centrality measure that identifies vertices that occupy central positions within the communities to which they belong. The algorithms and measures proposed are illustrated with applications to a variety of real-world complex networks.
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            Functional Data Analysis for Sparse Longitudinal Data

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              Human milk oligosaccharide consumption by intestinal microbiota.

              Human milk oligosaccharides (HMO) constitute the third most abundant class of molecules in breast milk. Since infants lack the enzymes required for milk glycan digestion, this group of carbohydrates passes undigested to the lower part of the intestinal tract, where they can be consumed by specific members of the infant gut microbiota. We review proposed mechanisms for the depletion and metabolism of HMO by two major bacterial genera within the infant intestinal microbiota, Bifidobacterium and Bacteroides. © 2012 The Authors. Clinical Microbiology and Infection © 2012 European Society of Clinical Microbiology and Infectious Diseases.
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                Author and article information

                Contributors
                Journal
                Front Nutr
                Front Nutr
                Front. Nutr.
                Frontiers in Nutrition
                Frontiers Media S.A.
                2296-861X
                03 October 2023
                2023
                : 10
                : 1239349
                Affiliations
                [1] 1Nestlé Institute of Health Sciences, Nestlé Research, Société des Produits Nestlé S.A. , Lausanne, Switzerland
                [2] 2Nestlé Institute of Food Safety and Analytical Sciences, Nestlé Research, Société des Produits Nestlé S.A. , Lausanne, Switzerland
                [3] 3Advanced Baby Imaging Lab, Rhode Island Hospital, Warren Alpert Medical School at Brown University , Providence, RI, United States
                [4] 4Department of Radiology, Warren Alpert Medical School at Brown University , Providence, RI, United States
                [5] 5Bill & Melinda Gates Foundation , Seattle, WA, United States
                Author notes

                Edited by: Claude Billeaud, Centre Hospitalier Universitaire de Bordeaux, France

                Reviewed by: Sercan Karav, Çanakkale Onsekiz Mart University, Türkiye; Oswaldo Hernandez-Hernandez, Spanish National Research Council (CSIC), Spain; Jessica Saben, University of Colorado Anschutz Medical Campus, United States

                *Correspondence: Fabio Mainardi, fabio.mainardi@ 123456rd.nestle.com ,
                Article
                10.3389/fnut.2023.1239349
                10580431
                37854348
                4c52bb8b-507a-4758-bfe8-a10493c0dd37
                Copyright © 2023 Mainardi, Binia, Rajhans, Austin, Deoni and Schneider.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 14 June 2023
                : 18 September 2023
                Page count
                Figures: 9, Tables: 4, Equations: 2, References: 40, Pages: 15, Words: 7944
                Categories
                Nutrition
                Original Research
                Custom metadata
                Nutritional Epidemiology

                human milk oligosaccharides,child development,longitudinal modeling,cluster analyses,statistical methodologies,infant nutrition (including breastfeeding)

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