Lactation results in a number of physiological adaptations which exert direct effects on maternal health, some of which may confer both short and long term advantages for breast feeding mothers. Breast feeding in the early postpartum period promotes a more rapid return of the uterus to its prepregnant state through the actions of oxytocin. Breast feeding may also lead to a more rapid return to prepregnancy weight. Among studies that had good data on duration and intensity of lactation, the majority show a significant association between lactation and weight loss. However, there is no evidence that lactation prevents obesity. Lactation also affects glucose and lipid metabolism. The long term effects of these adaptations are unknown but may have implications for preventing subsequent development of diabetes and heart disease. Lactation delays the return of ovulation and significantly reduces fertility during the period of lactational amenorrhoea. This process is linked with feeding patterns and may therefore be affected by practices such as scheduled feedings and the timing of introduction of complementary foods. While the evidence from epidemiologic studies is mixed, several large studies have shown that extended lactation is associated with reduced risk of premenopausal breast, ovarian and endometrial cancers. Although bone mineralization declines during lactation, repletion takes place after weaning. As a result, breast feeding does not appear to cause long term depletion of bone nor does it increase risk of osteoporosis. Many of the physiological effects of lactation are dependent on the stimulation of the hypothalamic-pituitary axis and milk removal and thus may vary with infant feeding practices. Well controlled studies are needed that include detailed information regarding infant feeding practices in addition to the total duration of any breast feeding. Future feeding recommendations should reflect careful consideration of how such practices affect both infant and maternal health.

The aim of this review was to re-assess whether the changes in energy balance that accompany pregnancy predispose parous women to obesity. A number of cross-sectional studies have sought to answer this question by examining the relationship between parity and maternal body weight. However, these studies were unable to control for the large number of sociobehavioural confounders that might be responsible for the apparent effect of parity on body weight. Longitudinal studies that examine changes in maternal body weight before and after regnancy avoid these problems by using each mother as her own control. Nevertheless, these studies have to overcome three methodological constraints: They must obtain an accurate measure of prepregnant body weight, they must give each mother sufficient time to lose any weight retained following delivery, and they must take into account the effect of ageing on maternal weight gain during pregnancy and the follow-up period. More than 90% of the studies reviewed found body weight to be greater after pregnancy than it was before (by 0.2–10.6kg). and previous researchers who have examined the evidence for pregnancy-related weight gains suggest that body weight increases by an average of 04–4.8kg following pregnancy. However, only three of the 71 longitudinal studies examined in the present review complied with the three methodological criteria. These studies concluded that mothers gain, on average, 0.9–3.3kg more weight following pregnancy than nonpregnant controls, and that mean body weight remained 0.4–3.0kg higher, even after controlling for a number of sociobehavioural confounders. This apparently modest increase in mean maternal body weight for women having one or two children conceals the fact that some mothers experience a substantial increase in body weight and become obese following pregnancy. It remains unclear whether these increases are simply the result of changes in energy metabolism during pregnancy and lactation, or whether they are influenced by inherent changes in lifestyle that accompany pregnancy and motherhood. Understanding the relative importance of these alternatives might help to explain the aetiology of maternal obesity.

“Clover was a stout motherly mare approaching middle life, who had never quite got her figure back after her fourth foal”

George Well (1945) Animal Farm. London: Secker and Warburg.

The current application and future potential of near infrared (NIR) spectroscopy in the evaluation of foods for domesticated animals and humans is enormous. Where used, NIR spectroscopy has revolutionized the analysis and nutritional evaluation of animal feeds and human foods by providing a rapid means of examination. The availability of accurate and rapid methods of evaluation is becoming increasingly important to meet the nutritional requirements of animals for meat, milk, wool and egg production. This is essential for efficient and economic animal production, to maintain animal health and to minimize environmental impact. Accurate evaluation methods are also needed in relation to national and international legislation that regulates the circulation, trade and inspection of foods and feeds, aids effective functioning of the market and guards the safety of animals and humans. The aim of this review is to outline the theory and principles of NIR spectroscopy and to focus primarily on its application in the field of animal nutrition. The vital role NIR spectroscopy is playing in the prediction of biologically meaningful feed characteristics, including data derived in vivo, is demonstrated particularly through its application to forage evaluation, but also in the examination of raw materials and compound feeds. While the applications of NIR spectroscopy to different foods and drinks are extensive, this review gives an overview only of selected reported applications including its use for predicting nutritive value (mainly water, protein, fat, sucrose and starch content), monitoring food processing and for food authentication. The review provides clear evidence that the future application of NIR spectroscopy will undoubtedly increase, playing a vital role in the authentication of the quality and origin of foods and feeds and enabling the complex methods of feed evaluation required in the future to be put into widespread use.

Diet plays an important role in the primary and secondary prevention of cardiovascular disease. The growing perception that abnormal haemostatic processes of coagulation, platelet aggregation and fibrinolysis contribute to cardiovascular disease aetiology motivated this review on the relationships of diet, specific foods and nutrients with haemostatic function. Functional endpoints that reflect the function and status of some of these processes and which can be measured in dietary trials are identified. The effects of energy intake and expenditure, alcohol, total fat and specific fatty acids, non-starch polysaccharides (dietary fibre), antioxidant nutrients and some foods on a variety of haemostatic markers are reviewed. The results indicate that the prudent low-fat, high-fibre diet and maintenance of ideal body weight recommended to protect against and treat hyperlipidaemia and coronary heart disease will also benefit haemostatic profiles. It is concluded that more research on specific effects is needed for improved recommendations on a population level for prevention of cardiovascular disease.

Milk is an important source of high quality protein, energy, calcium, potassium, phosphorus and riboflavin. It also has good functional properties and a highly acceptable taste, making milk a good alternative for the nutrition of children and for food programmes in developing countries. However, in some instances it has been advocated that milk or milk based products might not be appropriate for nutritional support, given the high prevalence of lactose intolerance among populations in those countries. After reviewing studies in different regions of the world it is concluded that:

1. Prevalence of lactose maldigestion in children and adults is significantly reduced, to less than half in most studies, when assessed with a dose of milk similar to that normally taken in the diet, as distinct from a large dose of lactose used in the lactose tolerance test.

2. Lactose intolerance as a result of consuming a glass of milk occurs only in a small proportion (about 30% in most studies) of lactose maldigesters. Even this small group can ingest smaller amounts of milk without adverse symptoms and there is good evidence that colonic metabolism in these people adapts to the presence of lactose to reduce or eliminate adverse symptoms.

3. Lactose maldigestion and intolerance in children in developing countries is more likely to exist in association with gastrointestinal damage associated with diarrhoea, malnutrition and/or infection.

4. There is no evidence to support a reduction or elimination of milk intake for people in developing countries because of lactose maldigestion or intolerance.

We present and apply to data for insects, chickens and rats a conceptual and experimental framework for studying nutrition as a multi-dimensional phenomenon. The framework enables the unification within a single geometrical model of several nutritionally relevant measures, including: the optimal balance and amounts of nutrients required by an animal in a given time (the intake target), the animal's current state in relation to these requirements, available foods, the amounts of ingested nutrients which are retained and eliminated, and animal performance. Animals given a nutritionally balanced food, or two or more imbalanced but complementary foods, can satisfy their nutrient requirements, and hence optimize performance. However, animals eating noncomplementary imbalanced foods must decide on a suitable compromise between overingesting some nutrients and underingesting others. The geometrical models provide a means of measuring nutritional targets and rules of compromise, and comparing these among different animals and within similar animals at different developmental stages or in different environments. They also provide a framework for designing and interpreting experiments on the regulatory and metabolic mechanisms underlying nutritional homeostasis.