Insulin, Testosterone, and Albumin in Term and Preterm Breast Milk, Donor Milk, and Infant Formula

Nutrients. 2023 Mar 19;15(6):1476. doi: 10.3390/nu15061476.

Abstract

Background: Infants have three options for feeding: their own mother's breast milk, donor milk, or infant formula. Insulin, testosterone, total protein, and albumin levels were measured in breast milk samples from the first 6 months of lactation, in donor milk samples, and in different infant formulas.

Methods: Mothers who gave birth to term (n = 19) or preterm (n = 19) infants were recruited to collect breast milk samples during the first 6 months of lactation. The Breast Milk Collection Center (Unified Health Institution, Pécs, Hungary) provided 96 donor milk (DM) samples for analysis in our study. Insulin, testosterone, total protein, and albumin levels were measured in breast milk, donor milk, and infant formulas.

Results: During the first 2 months of lactation, the concentration of insulin was lower (-27.4%) while the testosterone concentration was higher (+20.8%) compared to the period between the 3rd and 6th months only in the preterm breast milk samples. The infant formulas examined did not contain insulin or testosterone. Holder pasteurization (HoP) did not influence the level of testosterone in human milk, although HoP decreased the insulin (-53.6%) and albumin (-38.6%) concentrations.

Conclusions: Diet impacts the hormone intake of infants, underlining the importance of breastfeeding and the possible supplementation of formula-fed infants.

Keywords: albumin/protein ratio; donor milk; holder pasteurization; infant formula; insulin; preterm milk; term milk; testosterone.

MeSH terms

  • Albumins
  • Breast Feeding
  • Female
  • Humans
  • Infant
  • Infant Formula*
  • Infant Nutritional Physiological Phenomena
  • Infant, Newborn
  • Infant, Premature
  • Insulin
  • Milk, Human*
  • Testosterone

Substances

  • Insulin
  • Testosterone
  • Albumins

Grants and funding

This was supported by the grant GINOP-2.3.2-15-2016-00021, “The use of chip-technology in increasing the effectiveness of human in vitro fertilization”, the National Laboratory on Human Reproduction, and the Medical School of the University of Pécs. This work was supported by the National Laboratory on Reproduction as part of the “Establishment of National Laboratories 2020”.