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Record W4400148922 · doi:10.1016/j.cdnut.2024.103125

Developing an Updated and Comprehensive Nutrient Profile for Human Milk Composition in the U.S. and Canada

2024· article· en· W4400148922 on OpenAlexaffabout
Samadhi Thavarajah, Jaspreet K.C. Ahuja, Dennis Anderson-Villaluz, Kellie Casavale, Subhadeep Chakrabarti, Kimberlea Gibbs, Kathryn E. Hopperton, Tina Irrer, Sophie Parnel, Pamela Pehrsson, Melanie Stanton, Ashley J. Vargas, Krista A. Zanetti

Bibliographic record

VenueCurrent Developments in Nutrition · 2024
Typearticle
Languageen
FieldNursing
TopicInfant Nutrition and Health
Canadian institutionsHealth Canada
Fundersnot available
KeywordsComposition (language)NutrientFood scienceEnvironmental scienceBiologyEcologyArt

Abstract

fetched live from OpenAlex

Objectives: Human milk is recommended as the sole source of nutrition for infants up to about six months of age and recommended in combination with solid foods for at least the first year. The current nutrient profile for human milk shared by Canada and the United States (U.S.) has been moved to legacy status, meaning it can no longer be used to estimate current nutrient exposures. The objective of this study is to develop an interim human milk nutrient profile (iHMNut) that incorporates more recently published data on human milk composition in the U.S. and Canada to serve as a bridge until new analytical values can be established. Methods: Data from two literature reviews initiated by U.S. agencies of the Human Milk Composition Initiative (HMCI) and one large Canadian biomonitoring study were used to develop the iHMNut. Human milk collection and analytical methods were assessed against inclusion criteria of a review published by the National Academies of Sciences Engineering and Medicine (NASEM). Nutrient data from individual studies were extracted, quality control was performed, and weighted mean and standard deviation were calculated for each nutrient. These values were compared to the retired U.S. Department of Agriculture (USDA) Standard Reference (SR) Legacy profile for human milk. Results: A proposed iHMNut was generated for 22 nutrients, energy, and 22 fatty acids. Preliminary data analyses indicated that the largest percent differences in mean concentrations between USDA’s SR Legacy profile and iHMNut were for thiamin (-87%), manganese (99%), and iron (-102%). The smallest percent differences were for phosphorus (-1%), calcium (1%) and lactose (2%). The mean concentrations of iodine and chloride, previously unreported in the SR, were calculated as 21.21 μg/100g and 43.72 mg/100g, respectively. Conclusions: These preliminary findings provide insight into the potential to develop an iHMNut profile estimating the nutritional composition of human milk to inform public health professionals and researchers. Furthermore, this process identifies nutrients with inadequate North American data, which may inform future research. The next step of this project will be subject matter expert review of these findings to gain additional insights to develop an iHMNut and move toward inclusion in the USDA Food Data Central Database. Funding Sources: N/A.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.384
Threshold uncertainty score0.981

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.050
GPT teacher head0.354
Teacher spread0.304 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2024
Admission routes2
Has abstractyes

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