PMID- 30051170 OWN - NLM STAT- MEDLINE DCOM- 20200212 LR - 20200225 IS - 1436-6215 (Electronic) IS - 1436-6207 (Linking) VI - 58 IP - 6 DP - 2019 Sep TI - A cross-sectional study of fatty acids and brain-derived neurotrophic factor (BDNF) in human milk from lactating women following vegan, vegetarian, and omnivore diets. PG - 2401-2410 LID - 10.1007/s00394-018-1793-z [doi] AB - PURPOSE: Essential fatty acids are critical for brain growth and neurodevelopment in infancy. Maternal diet and supplement use have a significant impact on the fat composition of human milk. The objective of this study is to assess supplement utilization patterns and fatty acid and brain-derived neurotrophic factor (BDNF) concentrations in the breast milk of women following vegan, vegetarian, and omnivore diet patterns. METHODS: This is a cross-sectional, observational study of 74 lactating women in the United States following a vegan (n = 26), vegetarian (n = 22), or omnivore (n = 26) diet pattern. A single breast milk sample was collected from each participant and assessed for fatty acids and BDNF. RESULTS: Median unsaturated fatty acids in the breast milk of vegan, vegetarian, and omnivores, as a percentage of total fatty acids, was 66.0, 57.8, and 56.2%, respectively (p < 0.001). Total omega-3 percentages were 2.29% for vegans, 1.55% for vegetarians, and 1.46% for omnivores (p < 0.001). Docosahexaenoic acid percentages were not different by diet pattern, but over 80% of participants had milk concentrations below 0.30% of total fatty acids. Reports of omega-3 supplements use (10/74) and weekly seafood consumption (3/74) were limited. BDNF was not detectable in any samples. CONCLUSIONS: Breast milk from vegans had significantly higher unsaturated fat and total omega-3 fats, and lower saturated fats, trans fats, and omega-6 to omega-3 ratios than their vegetarian and omnivore counterparts. Docosahexaenoic acid concentrations in breast milk were low regardless of maternal diet pattern, and were reflective of low seafood intake and supplement use. FAU - Perrin, Maryanne T AU - Perrin MT AUID- ORCID: 0000-0002-1645-8310 AD - Department of Nutrition, University of North Carolina Greensboro, 318 College Avenue, Greensboro, NC, 27412, USA. mtperrin@uncg.edu. FAU - Pawlak, Roman AU - Pawlak R AD - Department of Nutrition Science, East Carolina University, Health Sciences Building, Greenville, NC, 27834, USA. FAU - Dean, Lisa L AU - Dean LL AUID- ORCID: 0000-0002-2407-9548 AD - Market Quality and Handling Research Unit, USDA/Agricultural Research Service, Southeast Area (LLD), 400 Dan Allen Drive, Raleigh, NC, 27606, USA. FAU - Christis, Amber AU - Christis A AD - Department of Nutrition, University of North Carolina Greensboro, 318 College Avenue, Greensboro, NC, 27412, USA. FAU - Friend, Linda AU - Friend L AUID- ORCID: 0000-0001-6839-5422 AD - Department of Nutrition, University of North Carolina Greensboro, 318 College Avenue, Greensboro, NC, 27412, USA. LA - eng GR - Vegetarian Nutrition Dietary Practice Group/Academy of Nutrition and Dietetics Foundation/ PT - Journal Article PT - Observational Study DEP - 20180726 PL - Germany TA - Eur J Nutr JT - European journal of nutrition JID - 100888704 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Fatty Acids, Essential) SB - IM MH - Adult MH - Brain-Derived Neurotrophic Factor/*metabolism MH - Cross-Sectional Studies MH - Diet/*methods MH - Diet, Vegan/methods MH - Diet, Vegetarian/methods MH - Fatty Acids, Essential/*metabolism MH - Female MH - Humans MH - Lactation MH - Milk, Human/*metabolism OTO - NOTNLM OT - Brain derived neurotrophic factor OT - Breast milk OT - Docosahexaenoic acid OT - Human milk OT - Vegan OT - Vegetarian EDAT- 2018/07/28 06:00 MHDA- 2020/02/13 06:00 CRDT- 2018/07/28 06:00 PHST- 2018/04/19 00:00 [received] PHST- 2018/07/22 00:00 [accepted] PHST- 2018/07/28 06:00 [pubmed] PHST- 2020/02/13 06:00 [medline] PHST- 2018/07/28 06:00 [entrez] AID - 10.1007/s00394-018-1793-z [pii] AID - 10.1007/s00394-018-1793-z [doi] PST - ppublish SO - Eur J Nutr. 2019 Sep;58(6):2401-2410. doi: 10.1007/s00394-018-1793-z. Epub 2018 Jul 26.