Maternal Physical Activity and Its Relationship to the Human Milk Metabolome and Infant Body Composition

J Clin Endocrinol MetabPublished Observational study: acute exercise cohort and nested case-control analysis

Authors' conclusion

Maternal exercise was associated with differences in the breast milk metabolome. Metabolites that were associated both with acute exercise and habitual activity correlated with infant adiposity measures.

Study context

Population
Lactating mothers and infants; acute exercise cohort (30-min moderate-intensity treadmill session) and subset of MILk/4M study15 dyads acute cohort · subset of MILk/4M study 348
Participants
15 / 84 / 35
Comparison
Acute exercise and habitually active vs inactive mothers
  • Acute exercisen = 15
  • Active casesn = 84
  • Inactive controlsn = 35reference
Outcome
Milk metabolite relative abundance by liquid chromatography-gas chromatography mass spectrometry; infant anthropometric and body composition measures
Follow-up
Milk at 1-month post partum; infant at 1, 3, and 6 months
Methodological details2 independent cohorts, 2 academic medical centers
  • 2 independent cohorts
  • 2 academic medical centers

Main finding

As reported in the abstract

Milk metabolites altered · 1-month post partum

Metabolites altered by acute exercise bout (FDR < .05)

28 of 511

Metabolites differing between active cases vs inactive controls (FDR < .05)

4 of 454

Observational data: associations, not effects.

Further findings

Metabolites altered by both exercise exposures and infant adiposity

Metabolites altered (P < .05) by both exposures
10
Of these, positively associated with fat mass index at 1 month
4
Of these, associated with greater increase in BMI z score between 1 and 3 months
2

Original publication

Maternal Physical Activity and Its Relationship to the Human Milk Metabolome and Infant Body Composition. J Clin Endocrinol Metab. Published 26 May 2025. doi:10.1210/clinem/dgaf296

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