Carotenoids and flavonoids are essential nutrients for infant development. As for today, there is limited data on their availability in breast milk and the associated dietary factors, particularly in Côte d’Ivoire, where the diet of breastfeeding women is largely composed of cooked meals. The primary objective of this study was to determine the levels of carotenoids and flavonoids in breast milk using high-performance liquid chromatography (HPLC) during two lactation periods in Ivorian women who consumed two different diets. Mature breast milk samples were collected from healthy breastfeeding women on the 45th and 105th postpartum days. The mothers’ dietary frequencies were obtained using a questionnaire. A final sample of 60 breastfeeding women was selected. Two predominant basic diets were identified: cooked rice with palm nut sauce (R-SG) and attiéké with fried fish in refined palm oil accompanied by a paste of cooked vegetables (onion-red chili-fresh tomato) (A-PF). An overall increase in flavonoid levels was observed in all women’s milk on the 105th postpartum day, in contrast to carotenoid levels, where only the β-carotene content increased on the 105th day in the milk of women who consumed the R-SG diet (from 1.82 ± 0.30 µg/L to 2.13 ± 0.6 µg/L). The quercetin content in the milk of women on the A-PF diet (from 10.8 ± 1.6 µg/L to 19.98 ± 3.6 µg/L) significantly increased (p<0.05) compared to other flavonoids. Based on our results, consumption of cooked rice with palm nut sauce and attiéké with fried fish in refined palm oil accompanied by cooked vegetable sauce (onion-red chili-fresh tomato) increases the concentrations of quercetin, kaempferol, and epicatechin in milk. These findings can serve as dietary guidelines for breastfeeding mothers to improve β-carotene and flavonoid levels in breast milk, thus promoting infant growth and development.
Published in | International Journal of Nutrition and Food Sciences (Volume 13, Issue 6) |
DOI | 10.11648/j.ijnfs.20241306.15 |
Page(s) | 283-290 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Human Milk, Flavonoids, Carotenoids, Dietary Habits, Maternal And Child Health
[1] |
World Health Organization (WHO). Infant and Young Child Feeding. [Accessed 23 august 2024]. Available:
https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding |
[2] | Smith E. R., Hurt L., Chowdhury R., Sinha B., Fawzi W., Edmond K. M. Delayed breastfeeding initiation and infant survival: A systematic review and meta-analysis. PLoS One. 2017, 12(7), 12(7): e0180722. |
[3] | Hamer D. H., Solomon H., Das G., Knabe T., Beard J., Simon J., Nisar Y. B. et al. Importance of breastfeeding and complementary feeding for management and prevention of childhood diarrhoea in low- and middle-income countrie. Journal of Glob Health. 2022, 3(12), 1-8. |
[4] | Lorenzetti S., Plösch T., Teller I. C. Antioxidative Molecules in Human Milk and Environmental Contaminants. Antioxidants. 2021, 10(4), 550 |
[5] | Karbasi S., Bahrami A., Asadi Z., Shahbeiki F., Naseri M., Zarban A., Gordon A. F. The association of maternal dietary quality and the antioxidant-proxidant balance of human milk. International Breastfeeding Journal 2022, 17(56), 1-9. |
[6] | Korczowska-Łącka I., Słowikowski B., Piekut T., Hurła M., Banaszek N., Szymanowicz O., Jagodziński P. P. et al. Disorders of Endogenous and Exogenous Antioxidants in Neurological Diseases. Antioxidants 2023, 12(10), 1811. |
[7] | Parra M., Stahl S., Hellmann H. Vitamin B6 and Its Role in Cell Metabolism and Physiology Cells 2018, 7(7), 84. |
[8] | Kim S. Y. and Yi D. Y. Components of human breast milk: from macronutrient to microbiome and microRNA. Clinical and Experimental Pediatrics 2020, 63(8), 301-309. |
[9] | Saini R. K., Nile S. H., Park S. W. Carotenoids from fruits and vegetables: Chemistry, analysis, occurrence, bioavailability and biological activities. Food Research International 2015, 76, 735-750. |
[10] | Salter-Venzon D., Kazlova V., Izzy Ford S., Intra J., Klosner A. E., Gellenbeck K. W. Evidence for decreased interaction and improved carotenoid bioavailability by sequential delivery of a supplement. Food Science & Nutrition 2017, 5 (3), 424-433. |
[11] | Mordi R. C.; Ademosun O. T.; Ajanaku C. O.; Olanrewaju I. O.; Walton J. C. Free Radical Mediated Oxidative Degradation of Carotenes and Xanthophylls. Molecules. 2020, 25(5), 1038. |
[12] | SheteV. And Quadro L. Mammalian Metabolism of β-Carotene: Gaps in Knowledge. Nutrients. 2013, 5(12), 4849-68. |
[13] | Sharma I., Khare N., Rai A. Carotenoids: Sources, Bioavailability and Their Role in Human Nutrition; Physiology Dietary Carotenoids - Sources, Properties, and Role in Human Health 2023, 1-33. |
[14] | Song B. J., Jouni Z. E., Ferruzzi M. G. Assessment of phytochemical content in human milk during different stages of lactation. Nutrition. 2013, 29, 195–202. |
[15] | Dai X., Yin H., Zhang J., Tian F., Cai X., Mao Y., Sun H. et al. Carotenoid Profile in Maternal/Cord Plasma and Changes in Breast Milk along Lactation and Its Association with Dietary Intake: A Longitudinal Study in a Coastal City in Southern China. Nutrients. 2022, 14(9), 1989. |
[16] | Sun A., Tian L., Xiong X., Kuchan M., Dai X., Sun H., Wang H. et al. Carotenoids in maternal and cord blood, breast milk and their association with maternal dietary intake: a longitudinal study in Shanghai. China, British Journal of Nutrition. 2024, 131, 1041-1052. |
[17] | Darvin M. E., Fluhr J. W., Meinke M. C., Zastrow L., Sterry W., Lademann J. Topical β-carotene protects against infra-red-light-induced free radicals. Experimental Dermatology. 2011, 20, 125-9. |
[18] | Harrison E. H. Mechanisms of transport and delivery of vitamin a and carotenoids to the retinal pigment epithelium. Molecular Nutrition & Food Research. 2019, 63(15), e1801046. |
[19] | Kiokias S., Proestos C., Varzakas T. A review of the structure, biosynthesis, absorption of carotenoids-analysis and properties of their common natural extracts. Current Research in Nutrition and Food Science. 2016, 4, 1-13. |
[20] | Souyoul S. A., Saussy K. P., Lupo M. P. Nutraceuticals: a review. Dermatology and Thererapy. 2018, 8 (1), 5–16. |
[21] | Baswan S. M., Klosner A. E., Weir C., Salter-Venzon D., Gellenbeck K. W., Leverett J., et al. 2021.- Role of ingestible carotenoids in skin protection: A review of clinical evidence. Photodermatology, Photoimmunology & Photomedicine. 2021, 37(6), 490-504. |
[22] | Ullah A., Munir S., Badshah S. L., Khan N., Ghani L., Poulson B. G., Emwas A-H., et al. Important Flavonoids and Their Role as a Therapeutic Agent. Molecules. 2020, 25(22), 5243. |
[23] | Roman G. C., Jackson R. E., Gadhia R., Roman A. N., Reis J. Mediterranean diet: The role of long-chain omega-3 fatty acids in fish; polyphenols in fruits, vegetables, cereals, coffee, tea, cacao and wine; probiotics and vitamins in prevention of stroke, age-related cognitive decline, and Alzheimer disease. Revue Neurologique. 2019, 175(10), 1–18. |
[24] | Johnson RK, Driscoll P, Goran MI. Comparison of multiple-pass 24-hour recall estimates of energy intake with total energy expenditure determined by the doubly labeled water method in young children. Journal of the American Dietetic Association. 1996, 96(11), 1140-4. |
[25] | Zielinska M. A., Hamulka J., Wesolowska A. Carotenoid Content in Breastmilk in the 3rd and 6th tics. Nutrients. 2019, 11(1), 193. |
[26] | Lu Z., Chan Y.-T., Lo K. K.-L., Zhao D., Wong V. W. S. et al. Levels of polyphenols and phenolic metabolites in breast milk and their association with plant-based food intake in Hong Kong lactating women. Food and Nutrition. 2021, 12(24), 12683-12695. |
[27] | Liguori L., Califano R., Albanese D., Francesco R., Alessio C., Di Matteo M. Chemical Composition and Antioxidant Properties of Five White Onion (Allium cepa L.), Landraces. Journal of Food Quality. 2017, 2017, 1-9. |
[28] | Fujiwara N., Mukai R., Nishikawa M., Ikushiro S., Murakami A., Ishisaka I. Transfer of quercetin ingested by maternal mice to neonatal mice via breast milk; Bioscience. Biotechnology and Biochemistry. 2023, 87(4), 442-447. |
[29] | Lu Z., Chan Y.-T., Lo K. K.-L., Zhao D., Wong V. W. S. et al. Carotenoids and Vitamin A in Breastmilk of Hong Kong Lactating Mothers and Their Relationships with Maternal Diet. Nutrients. 2022, 14(10), 2031. |
[30] | Monde A. A., Michel F., Carbonneau M. A., Tiahou G., Vernet M. H., Duvernay-eymard S., Adon B et al. Fatty Acid and Antioxidant content of Palm Oil in Cote d’ivoire. Pharmacopeia and African Traditional Medecine. 2008, 15: 11-17. |
[31] | Morcillo F., Vaissayre V., Serret S., Avallone S., Domonhédo H., Jacob H., Dussert S. Natural diversity in the carotene, tocochromanol and fatty acid composition of crude palm oil. Food Chemistry. 2021, 365, 1-10. |
[32] | Lior Haftel M. D., Zipi Berkovich B. Sc., Ram Reifen M. D., M. Sc. Elevated milk β-carotene and lycopene after carrot and tomato paste supplementation. Nutrition. 2015, 31(3), 1-3. |
APA Style
Ble, M. D., Aka, F. B. A., Koumi, D. M., Alexandre, N. K., Bonouma, J., et al. (2024). Phytonutrients in Breast Milk and Their Association with Maternal Dietary Intake: A Longitudinal Study in Adjamé. International Journal of Nutrition and Food Sciences, 13(6), 283-290. https://doi.org/10.11648/j.ijnfs.20241306.15
ACS Style
Ble, M. D.; Aka, F. B. A.; Koumi, D. M.; Alexandre, N. K.; Bonouma, J., et al. Phytonutrients in Breast Milk and Their Association with Maternal Dietary Intake: A Longitudinal Study in Adjamé. Int. J. Nutr. Food Sci. 2024, 13(6), 283-290. doi: 10.11648/j.ijnfs.20241306.15
AMA Style
Ble MD, Aka FBA, Koumi DM, Alexandre NK, Bonouma J, et al. Phytonutrients in Breast Milk and Their Association with Maternal Dietary Intake: A Longitudinal Study in Adjamé. Int J Nutr Food Sci. 2024;13(6):283-290. doi: 10.11648/j.ijnfs.20241306.15
@article{10.11648/j.ijnfs.20241306.15, author = {Matogoma Digbé Ble and Francis Béranger Angelo Aka and Dorothée Marie Koumi and N’Bra Koko Alexandre and Joel Bonouma and Yao Thodekes}, title = {Phytonutrients in Breast Milk and Their Association with Maternal Dietary Intake: A Longitudinal Study in Adjamé }, journal = {International Journal of Nutrition and Food Sciences}, volume = {13}, number = {6}, pages = {283-290}, doi = {10.11648/j.ijnfs.20241306.15}, url = {https://doi.org/10.11648/j.ijnfs.20241306.15}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijnfs.20241306.15}, abstract = {Carotenoids and flavonoids are essential nutrients for infant development. As for today, there is limited data on their availability in breast milk and the associated dietary factors, particularly in Côte d’Ivoire, where the diet of breastfeeding women is largely composed of cooked meals. The primary objective of this study was to determine the levels of carotenoids and flavonoids in breast milk using high-performance liquid chromatography (HPLC) during two lactation periods in Ivorian women who consumed two different diets. Mature breast milk samples were collected from healthy breastfeeding women on the 45th and 105th postpartum days. The mothers’ dietary frequencies were obtained using a questionnaire. A final sample of 60 breastfeeding women was selected. Two predominant basic diets were identified: cooked rice with palm nut sauce (R-SG) and attiéké with fried fish in refined palm oil accompanied by a paste of cooked vegetables (onion-red chili-fresh tomato) (A-PF). An overall increase in flavonoid levels was observed in all women’s milk on the 105th postpartum day, in contrast to carotenoid levels, where only the β-carotene content increased on the 105th day in the milk of women who consumed the R-SG diet (from 1.82 ± 0.30 µg/L to 2.13 ± 0.6 µg/L). The quercetin content in the milk of women on the A-PF diet (from 10.8 ± 1.6 µg/L to 19.98 ± 3.6 µg/L) significantly increased (p<0.05) compared to other flavonoids. Based on our results, consumption of cooked rice with palm nut sauce and attiéké with fried fish in refined palm oil accompanied by cooked vegetable sauce (onion-red chili-fresh tomato) increases the concentrations of quercetin, kaempferol, and epicatechin in milk. These findings can serve as dietary guidelines for breastfeeding mothers to improve β-carotene and flavonoid levels in breast milk, thus promoting infant growth and development. }, year = {2024} }
TY - JOUR T1 - Phytonutrients in Breast Milk and Their Association with Maternal Dietary Intake: A Longitudinal Study in Adjamé AU - Matogoma Digbé Ble AU - Francis Béranger Angelo Aka AU - Dorothée Marie Koumi AU - N’Bra Koko Alexandre AU - Joel Bonouma AU - Yao Thodekes Y1 - 2024/11/29 PY - 2024 N1 - https://doi.org/10.11648/j.ijnfs.20241306.15 DO - 10.11648/j.ijnfs.20241306.15 T2 - International Journal of Nutrition and Food Sciences JF - International Journal of Nutrition and Food Sciences JO - International Journal of Nutrition and Food Sciences SP - 283 EP - 290 PB - Science Publishing Group SN - 2327-2716 UR - https://doi.org/10.11648/j.ijnfs.20241306.15 AB - Carotenoids and flavonoids are essential nutrients for infant development. As for today, there is limited data on their availability in breast milk and the associated dietary factors, particularly in Côte d’Ivoire, where the diet of breastfeeding women is largely composed of cooked meals. The primary objective of this study was to determine the levels of carotenoids and flavonoids in breast milk using high-performance liquid chromatography (HPLC) during two lactation periods in Ivorian women who consumed two different diets. Mature breast milk samples were collected from healthy breastfeeding women on the 45th and 105th postpartum days. The mothers’ dietary frequencies were obtained using a questionnaire. A final sample of 60 breastfeeding women was selected. Two predominant basic diets were identified: cooked rice with palm nut sauce (R-SG) and attiéké with fried fish in refined palm oil accompanied by a paste of cooked vegetables (onion-red chili-fresh tomato) (A-PF). An overall increase in flavonoid levels was observed in all women’s milk on the 105th postpartum day, in contrast to carotenoid levels, where only the β-carotene content increased on the 105th day in the milk of women who consumed the R-SG diet (from 1.82 ± 0.30 µg/L to 2.13 ± 0.6 µg/L). The quercetin content in the milk of women on the A-PF diet (from 10.8 ± 1.6 µg/L to 19.98 ± 3.6 µg/L) significantly increased (p<0.05) compared to other flavonoids. Based on our results, consumption of cooked rice with palm nut sauce and attiéké with fried fish in refined palm oil accompanied by cooked vegetable sauce (onion-red chili-fresh tomato) increases the concentrations of quercetin, kaempferol, and epicatechin in milk. These findings can serve as dietary guidelines for breastfeeding mothers to improve β-carotene and flavonoid levels in breast milk, thus promoting infant growth and development. VL - 13 IS - 6 ER -