Milk immunity and reproductive status among Ariaal women of northern Kenya

Ann Hum Biol. 2015 Jan;42(1):76-83. doi: 10.3109/03014460.2014.941398. Epub 2014 Aug 26.

Abstract

Abstract Background: The immune factors in human milk protect infants from infection and promote immune development. Evidence suggests that the production of milk-specific immunoproteins is energetically costly, making them a form of maternal investment in offspring health that is subject to life history trade-offs.

Aim: This research tests the relationship between measures of reproductive effort and the production of milk immunoglobulin A (IgA) among Ariaal women, a settled northern Kenyan pastoralist population that experiences nutritional and disease stress.

Subjects and methods: Two hundred and forty-three lactating Ariaal women participated in a questionnaire, anthropometric measurement and milk collection. Milk IgA was analysed using ELISA.

Results: There was a significant U-shaped relationship between post-partum months and milk IgA, reflecting decreasing investment in the current offspring over the early post-partum period and subsequent recovery of maternal energy status near the end. There was also a significant inverse U-shaped relationship between milk IgA and parity, with high parity women showing a drop in milk IgA. In contrast, anthropometric measures of energy status were not associated with the production of milk IgA.

Conclusion: This research shows that patterns of reproductive investment can be demonstrated in milk IgA in the absence of measured energy changes.

Keywords: Human milk; Kenya; immunoglobulin A; reproductive ecology.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Female
  • Humans
  • Immunoglobulin A / biosynthesis*
  • Immunoglobulin A / immunology
  • Immunologic Factors / biosynthesis*
  • Immunologic Factors / immunology
  • Infant
  • Kenya
  • Lactation / immunology
  • Milk, Human / immunology*
  • Surveys and Questionnaires

Substances

  • Immunoglobulin A
  • Immunologic Factors