Evidence map›Paper›PMID 40847082›Full record

ArticlePediatric research2026

A ducted, biomimetic nipple replicates breastfeeding mechanics through ontogeny in an infant animal model.

Elska B Kaczmarek, Kendall E Steer, Max Sarmet, Hannah E Shideler, Alexane M Fauveau, Ani E Smith, Skyler M Wallace, Maressa E Kennedy, Alex-Ann B Velasco, Thomas H Stroud and 2 more

Abstract read
In one paragraph

Article in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

12 authors.

Elska B KaczmarekDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA. elska.kaczmarek@nau.edu.ORCID http://orcid.org/0000-0003-1720-7342
Kendall E SteerDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.
Max SarmetDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.ORCID http://orcid.org/0000-0003-3029-8912
Hannah E ShidelerDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.
Alexane M FauveauDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.ORCID http://orcid.org/0009-0009-5126-5715
Ani E SmithDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.ORCID http://orcid.org/0009-0004-4468-9804
Skyler M WallaceDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.
Maressa E KennedyDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.ORCID http://orcid.org/0009-0007-3898-4542
Alex-Ann B VelascoDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.
Thomas H StroudDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.ORCID http://orcid.org/0009-0004-6795-2230
Morgan E BlilieDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.
Christopher J MayerlDepartment of Biological Sciences, Northern Arizona University, Flagstaff, AZ, USA.ORCID http://orcid.org/0000-0003-0402-8388

Funding

The impact of biomimetic nipple on infant feeding functionR00HD105922 · NICHD · NORTHERN ARIZONA UNIVERSITY · PI MAYERL, CHRISTOPHER · 2022 to 2024
$720k
The impact of a biomimetic nipple on infant performance during breast and bottle feedingR21HD105294 · NICHD · NORTHEAST OHIO MEDICAL UNIVERSITY · PI GERMAN, REBECCA Z · 2022 to 2023
$429k
NICHD NIH HHS R00 HD105922NICHD NIH HHS R21 HD105294
6 · The paper itself

Abstract

backgroundAlthough there are known physiological and developmental benefits for breastfed infants, many infants must be bottle-fed for a variety of reasons. We hypothesize that some of these health disparities are caused by biomechanical differences in milk acquisition between breastfeeding and bottle feeding (suction versus expression) that are caused by fundamental structural differences between breast tissue (which has narrow ducts) and bottle nipples (which are hollow).

methodsTo evaluate if a biomimetic, ducted bottle nipple elicits suckling physiology that is more similar to breastfeeding than conventional bottle feeding, we studied suckling in full-term infant pigs, a validated animal model for infant feeding. We raised one group on each nipple type and fed all pigs from both nipple types at the end of infancy. We recorded synchronous videofluoroscopy and intraoral suction and calculated the rate of milk consumption.

resultsInfants raised on ducted nipples generated greater intraoral suction throughout most of infancy. In contrast, infants raised on cisternic nipples compressed the nipples more, swallowed larger boluses, and consumed milk at a faster rate.

conclusionsThese differences mirror those reported between breastfeeding and bottle feeding, suggesting that a biomimetic nipple elicits mechanics that are similar to breastfeeding and can improve feeding outcomes. IMPACT: Milk acquisition from ducted, biomimetic bottle nipples mirrored the mechanics of breastfeeding by eliciting greater suction generation, reduced nipple compression, and a slower rate of milk consumption compared to feeding from cisternic nipples. Differences in the physiology and mechanics of milk acquisition between breastfeeding and bottle feeding can be attributed to the structural differences between ducted breast tissue and hollow bottle nipples. The use of ducted bottle nipples has the potential to reduce disparities in physiological and developmental health outcomes between breastfed and bottle-fed infants and improve the ability for caretakers to transition between breast and bottles for feeding.

Indexed as

BiomimeticsBottle FeedingBreast FeedingNipplesSucking BehaviorAnimalsAnimals, NewbornAnimals, SucklingBiomechanical PhenomenaFemaleHumansInfantModels, AnimalSwine

Identifiers

PMID40847082
PMCPMC12884590

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.