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Human Milk Bioactive Compounds and Allergic- and Infectious-Related Infant Outcomes: A Systematic Review - PubMed

5 days ago
  • #human-milk
  • #infant-health
  • #bioactive-compounds
  • Human Milk (HM) bioactive compounds play a crucial role in infant immune system development and disease prevention.
  • Allergic-related conditions like food allergy and atopic dermatitis are inversely associated with HM linolenic and linoleic acid.
  • Infants with atopic dermatitis showed lower total omega-3 levels, suggesting a potential protective role of omega-3.
  • Infectious-related conditions like diarrhoea and GBS infections are inversely associated with HM compounds like 2'-fucosyllactose (2´-FL) and immunoglobulins.
  • Upper and lower respiratory tract infections, otitis media, and dental caries showed inverse associations with galectins and other HM compounds.
  • HM bioactive compounds such as PUFAs, HMOs, and specific IgA antibodies may influence allergic and infectious outcomes in infants.
  • Pooled analyses of omega-3 levels in HM fed to infants with atopic dermatitis showed reduced EPA and DGLA, but results are limited by high heterogeneity.
  • The review highlights key knowledge gaps and suggests future research on understudied components like antimicrobial peptides using multi-omics and longitudinal approaches.