Evidence mapPaperPMID 25536196Full record

SynthesisPloS one2014

Effect of maternal body mass index on hormones in breast milk: a systematic review.

Nicholas J Andreas, Matthew J Hyde, Chris Gale, James R C Parkinson, Suzan Jeffries, Elaine Holmes, Neena Modi

2 registry-linked trialsOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 67 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 6 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02756169 nacompletednot on this mapstarted 2016, after this paper: background citation

Effect of an Immediate-postpartum Support by IBCLC to Women With Obesity, on Breastfeeding Performance: A Randomized Trial.

TypeinterventionalSponsorUniversidad Iberoamericana A.C., MexicoRan2016 to 2018Enrolled261ConditionsBreastfeedingArmsIntervention
NCT03145649 completednot on this map

Breast Milk Hormones and Early Infant Growth of Women With Gestational Diabetes Mellitus

TypeobservationalSponsorPeking Union Medical College HospitalRan2010 to 2011Enrolled96ConditionsGestational DiabetesArmsDietary therapy or insulin injection
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 6 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
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  7. Trial
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  9. Metabolic health conditions in pregnancy, human milk hormone concentrations, and infant adiposity.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Adipocytokine profiles in maternal obesity: The impact of lipoinflammation on serum, breastmilk, and infant metabolic development.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2025
    Review
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Review
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Nicholas J AndreasSection of Neonatal Medicine, Department of Medicine, Chelsea & Westminster Hospital, Imperial College London, London, United Kingdom.
Matthew J HydeSection of Neonatal Medicine, Department of Medicine, Chelsea & Westminster Hospital, Imperial College London, London, United Kingdom.
Chris GaleSection of Neonatal Medicine, Department of Medicine, Chelsea & Westminster Hospital, Imperial College London, London, United Kingdom.
James R C ParkinsonSection of Neonatal Medicine, Department of Medicine, Chelsea & Westminster Hospital, Imperial College London, London, United Kingdom.
Suzan JeffriesSection of Neonatal Medicine, Department of Medicine, Chelsea & Westminster Hospital, Imperial College London, London, United Kingdom.
Elaine HolmesSection of Computational and Systems Medicine, Faculty of Medicine, Imperial College London, Sir Alexander Fleming Building, South Kensington, London, United Kingdom.
Neena ModiSection of Neonatal Medicine, Department of Medicine, Chelsea & Westminster Hospital, Imperial College London, London, United Kingdom.
Chelsea and Westminster Hospital · GBImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaternal Body Mass Index (BMI) is positively associated with infant obesity risk. Breast milk contains a number of hormones that may influence infant metabolism during the neonatal period; these may have additional downstream effects on infant appetite regulatory pathways, thereby influencing propensity towards obesity in later life.

objectiveTo conduct a systematic review of studies examining the association between maternal BMI and the concentration of appetite-regulating hormones in breast milk.

methodPubmed was searched for studies reporting the association between maternal BMI and leptin, adiponectin, insulin, ghrelin, resistin, obestatin, Peptide YY and Glucagon-Like Peptide 1 in breast milk.

resultsTwenty six studies were identified and included in the systematic review. There was a high degree of variability between studies with regard to collection, preparation and analysis of breast milk samples. Eleven of fifteen studies reporting breast milk leptin found a positive association between maternal BMI and milk leptin concentration. Two of nine studies investigating adiponectin found an association between maternal BMI and breast milk adiponectin concentration; however significance was lost in one study following adjustment for time post-partum. No association was seen between maternal BMI and milk adiponectin in the other seven studies identified. Evidence for an association between other appetite regulating hormones and maternal BMI was either inconclusive, or lacking.

conclusionsA positive association between maternal BMI and breast milk leptin concentration is consistently found in most studies, despite variable methodology. Evidence for such an association with breast milk adiponectin concentration, however, is lacking with additional research needed for other hormones including insulin, ghrelin, resistin, obestatin, peptide YY and glucagon-like peptide-1. As most current studies have been conducted with small sample sizes, future studies should ensure adequate sample sizes and standardized methodology.

Indexed as

Body Mass IndexMothersFemaleHormonesHumansMilk, HumanHormones

Identifiers

PMID25536196
PMCPMC4275218
OpenAlexW2041905723

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.