Human breast milk may help babies tell time via circadian signals from mom
Baby / 14 August 2019, 11:00am / Darby Saxbe and Jennifer Hahn-Holbrook
Human breast milk is more than a meal – it’s also a clock, providing time-of-day information to infants.
The composition of breast milk changes across the day, giving energising morning milk a different cocktail of ingredients than soothing evening milk. Researchers believe this “chrononutrition” may help programme infants’ emerging circadian biology, the internal timekeeper that allows babies to distinguish day from night.
As psychologists who study the biology of parenting, we teamed up with Laura Glynn, Caroline Steele and Caroline Bixby to investigate the evidence for breast milk as a timekeeper.
Body clocks over the course of the day
Sleep, eating and energy levels all show circadian rhythms, which means they follow a daily cycle. As any parent who has sleepwalked through a 3am feeding knows, infants are not born with these rhythms fully set. Instead, their sense of day and night develops over the first weeks and months of life, thanks to cues like sunlight and darkness.
Babies vary: Some show predictable circadian fluctuations in hormones linked with alertness, sleep and appetite, and can sleep for long stretches shortly after birth, whereas others seem to have their daily rhythms upside-down for months. Delays in the development of circadian biology can increase the risk of colic and lead to growth and feeding problems.
But scientists know very little about why circadian biology comes online on such different schedules for different infants. Breast milk may help program infant circadian rhythms, helping to explain why some parents of newborns enjoy long full nights of sleep, whereas others struggle to get their infants on a schedule.
Milk in flux
Breast milk changes dramatically over the course of the day. For example, levels of cortisol – a hormone that promotes alertness – are three times higher in morning milk than in evening milk. Melatonin, which promotes sleep and digestion, can barely be detected in daytime milk, but rises in the evening and peaks around midnight.
Night milk also contains higher levels of certain DNA building blocks which help promote healthy sleep. Day milk, by contrast, has more activity-promoting amino acids than night milk. Iron in milk peaks at around noon; vitamin E peaks in the evening. Minerals like magnesium, zinc, potassium and sodium are all highest in the morning.
Daytime milk may pack a special immune punch. Among mothers who provided researchers with milk samples across the first month postpartum, immune components – including key antibodies and white blood cells – looked higher in day milk compared to night milk. Another study found higher levels of a component important for immune system communication in day milk compared to night milk.
While it’s clear that milk changes over the course of the day, scientists know little about what this means for infant health.
Mistimed messages in milk?
For most of human history, breast milk could only be consumed directly from the breast, meaning that milk was always ingested right when it was produced. Now, with the advent of breast pumps and refrigeration, that’s no longer the case.
What happens when babies drink night milk in the morning, or morning milk in the late afternoon? We don’t know for sure, because this question has been woefully understudied. Offering an infant a bottle of morning milk in the evening, with its high cortisol and low melatonin, might be the nutritional equivalent of flipping the lights on right before bedtime.
If chrono signals in milk do indeed help to calibrate infant circadian biology, then infants who drink “mistimed” milk may struggle more with sleep, digestion and development.
There’s a fairly easy fix, of course. Mothers can label their milk with the time it was pumped and coordinate infant feedings to offer morning milk in the morning, afternoon milk in the afternoon and night milk at night.
There’s a simpler alternative to time-matching pumped milk: boosting women’s ability to breastfeed their infants right on the spot by offering reasonable paid parental leave policies. Mothers who can feed their infants directly don’t need to worry about organising their milk by time of day, and milk that is offered straight from the breast may confer other health benefits as well.
Research continues to explore the role of breast milk in timekeeping and its impact on infant health and development. If time-matched milk does turn out to be a key way to help set babies’ internal clocks, the public health case grows stronger for policies that support mothers’ ability to stay home with their infants during the first year of life.