Evidence mapPaperPMID 41057973Full record

ArticleBMC medicine2025

The protective effect of breastfeeding on infant inflammation: a mediation analysis of the plasma lipidome and metabolome.

Satvika Burugupalli, Toby Mansell, Tingting Wang, Alexandra D George, Sudip Paul, Richard Saffery, Mimi L K Tang, Thomas W McDade, Habtamu B Beyene, Thy Duong and 5 more

Abstract read
In one paragraph

Article in BMC medicine, 2025. 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. Review
  2. Toxins · 2026
    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

15 authors.

Satvika Burugupalli *Metabolomics Laboratory, Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC, 3004, Australia.ORCID http://orcid.org/0000-0002-8866-1756
Toby Mansell *Murdoch Children's Research Institute, Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-1282-6331
Tingting Wang *Metabolomics Laboratory, Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC, 3004, Australia.ORCID http://orcid.org/0000-0002-1269-7939
Alexandra D GeorgeMetabolomics Laboratory, Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC, 3004, Australia.ORCID http://orcid.org/0000-0001-7079-6647
Sudip PaulMetabolomics Laboratory, Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC, 3004, Australia.ORCID http://orcid.org/0000-0003-1448-2269
Richard SafferyMurdoch Children's Research Institute, Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-9510-4181
Mimi L K TangMurdoch Children's Research Institute, Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-3839-5293
Thomas W McDadeDepartment of Anthropology and Institute for Policy Research, Northwestern University, Evanston, IL, USA.ORCID http://orcid.org/0000-0001-5829-648X
Habtamu B BeyeneMetabolomics Laboratory, Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC, 3004, Australia.ORCID http://orcid.org/0000-0001-7075-6629
Thy DuongMetabolomics Laboratory, Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC, 3004, Australia.ORCID http://orcid.org/0000-0002-2521-078X
Peter VuillerminSchool of Medicine, Deakin University, Geelong, Australia.ORCID http://orcid.org/0000-0002-6580-0346
Anne-Louise PonsonbyMurdoch Children's Research Institute, Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, 3052, Australia.ORCID http://orcid.org/0000-0002-6581-3657
Barwon Infant Study Investigator Group
David P Burgner *Murdoch Children's Research Institute, Royal Children's Hospital, 50 Flemington Road, Parkville, VIC, 3052, Australia. david.burgner@mcri.edu.au.ORCID http://orcid.org/0000-0002-8304-4302
Peter J Meikle *Metabolomics Laboratory, Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, VIC, 3004, Australia. Peter.Meikle@baker.edu.au.ORCID http://orcid.org/0000-0002-2593-4665

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammation has long-term health impacts across the life course. Breastfeeding substantially reduces inflammation risk, but key pathways, including the extent that this is due to protection against early life infection, are poorly understood. We aimed to investigate the relationships between breastfeeding, inflammation, and infection burden, and to determine the extent to which metabolomic and lipidomic profiles associated with breastfeeding mediate these health outcomes.

methodsWe utilised data from the Barwon Infant Study (BIS), a longitudinal birth cohort in Victoria, Australia. Infants (n = 889) with available breastfeeding (categorised as yes/no) clinical, metabolomic, and Lipidomic data at 6 and/or 12 months were included (n = 793 at 6 months, n = 734 at 12 months). Inflammation, measured via glycoprotein acetyls (GlycA), at 6 and 12 months and infection burden, including parent-reported and medically attended infections assessed through standardised 3-monthly questionnaires were used as outcomes.

resultsAny breastfeeding, regardless of supplementary feeding, was associated with lower inflammation, fewer infections, and significant, potentially beneficial changes in metabolomic and lipidomic markers, particularly plasmalogens. There was evidence of bidirectional mediation: metabolomic biomarkers and lipids mediated breastfeeding's effects on inflammation, while inflammation partly mediated breastfeeding's impact on certain metabolites and lipids. 

conclusionsThese findings highlight pathways through which breastfeeding reduces inflammation and infection burden, identifying potential targets for optimising infant feeding.

Indexed as

Breast FeedingInflammationLipidsMetabolomeBiomarkersFemaleHumansInfantLipidomicsLongitudinal StudiesMaleVictoriaBiomarkersLipidsBreastfeedingInfant nutritionInflammationLipidsMetabolites

Identifiers

PMID41057973
PMCPMC12506166

What Socratic holds

Textmetadata
LicenceCC BY
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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.