Milk Composition Is Predictive of Low Milk Supply Using Machine Learning Approaches

<b>Background/Objectives:</b> The causes of low milk supply are multifactorial, including factors such as gene mutations, endocrine disorders, and infrequent milk removal. These factors affect the functional capacity of the mammary gland and, potentially, the concentrations of milk compo...

Full description

Saved in:
Bibliographic Details
Main Authors: Xuehua Jin, Ching Tat Lai, Sharon L. Perrella, Xiaojie Zhou, Ghulam Mubashar Hassan, Jacki L. McEachran, Zoya Gridneva, Nicolas L. Taylor, Mary E. Wlodek, Donna T. Geddes
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/15/2/191
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832588704839892992
author Xuehua Jin
Ching Tat Lai
Sharon L. Perrella
Xiaojie Zhou
Ghulam Mubashar Hassan
Jacki L. McEachran
Zoya Gridneva
Nicolas L. Taylor
Mary E. Wlodek
Donna T. Geddes
author_facet Xuehua Jin
Ching Tat Lai
Sharon L. Perrella
Xiaojie Zhou
Ghulam Mubashar Hassan
Jacki L. McEachran
Zoya Gridneva
Nicolas L. Taylor
Mary E. Wlodek
Donna T. Geddes
author_sort Xuehua Jin
collection DOAJ
description <b>Background/Objectives:</b> The causes of low milk supply are multifactorial, including factors such as gene mutations, endocrine disorders, and infrequent milk removal. These factors affect the functional capacity of the mammary gland and, potentially, the concentrations of milk components. This study aimed to investigate the differences in milk composition between mothers with low and normal milk supply and develop predictive machine learning models for identifying low milk supply. <b>Methods:</b> Twenty-four-hour milk production measurements were conducted using the test-weigh method. An array of milk components was measured in 58 women with low milk supply (<600 mL/24 h) and 106 with normal milk supply (≥600 mL/24 h). Machine learning algorithms were employed to develop prediction models integrating milk composition and maternal and infant characteristics. <b>Results:</b> Among the six machine learning algorithms tested, deep learning and gradient boosting machines methods had the best performance metrics. The best-performing model, incorporating 14 milk components and maternal and infant characteristics, achieved an accuracy of 87.9%, an area under the precision-recall curve (AUPRC) of 0.893, and an area under the receiver operating characteristic curve (AUC) of 0.917. Additionally, a simplified model, optimised for clinical applicability, maintained a reasonable accuracy of 78.8%, an AUPRC of 0.776, and an AUC of 0.794. <b>Conclusions:</b> These findings demonstrate the potential of machine learning models to predict low milk supply with high accuracy. Integrating milk composition and maternal and infant characteristics offers a practical approach to identify women at risk of low milk supply, facilitating timely interventions to support breastfeeding and ensure adequate infant nutrition.
format Article
id doaj-art-777f9236279a41a1ad1436d64b4e8e29
institution Kabale University
issn 2075-4418
language English
publishDate 2025-01-01
publisher MDPI AG
record_format Article
series Diagnostics
spelling doaj-art-777f9236279a41a1ad1436d64b4e8e292025-01-24T13:29:03ZengMDPI AGDiagnostics2075-44182025-01-0115219110.3390/diagnostics15020191Milk Composition Is Predictive of Low Milk Supply Using Machine Learning ApproachesXuehua Jin0Ching Tat Lai1Sharon L. Perrella2Xiaojie Zhou3Ghulam Mubashar Hassan4Jacki L. McEachran5Zoya Gridneva6Nicolas L. Taylor7Mary E. Wlodek8Donna T. Geddes9School of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, AustraliaSchool of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, AustraliaSchool of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, AustraliaSchool of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, AustraliaSchool of Physics, Mathematics and Computing, The University of Western Australia, Crawley, WA 6009, AustraliaSchool of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, AustraliaSchool of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, AustraliaSchool of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, AustraliaSchool of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, AustraliaSchool of Molecular Sciences, The University of Western Australia, Crawley, WA 6009, Australia<b>Background/Objectives:</b> The causes of low milk supply are multifactorial, including factors such as gene mutations, endocrine disorders, and infrequent milk removal. These factors affect the functional capacity of the mammary gland and, potentially, the concentrations of milk components. This study aimed to investigate the differences in milk composition between mothers with low and normal milk supply and develop predictive machine learning models for identifying low milk supply. <b>Methods:</b> Twenty-four-hour milk production measurements were conducted using the test-weigh method. An array of milk components was measured in 58 women with low milk supply (<600 mL/24 h) and 106 with normal milk supply (≥600 mL/24 h). Machine learning algorithms were employed to develop prediction models integrating milk composition and maternal and infant characteristics. <b>Results:</b> Among the six machine learning algorithms tested, deep learning and gradient boosting machines methods had the best performance metrics. The best-performing model, incorporating 14 milk components and maternal and infant characteristics, achieved an accuracy of 87.9%, an area under the precision-recall curve (AUPRC) of 0.893, and an area under the receiver operating characteristic curve (AUC) of 0.917. Additionally, a simplified model, optimised for clinical applicability, maintained a reasonable accuracy of 78.8%, an AUPRC of 0.776, and an AUC of 0.794. <b>Conclusions:</b> These findings demonstrate the potential of machine learning models to predict low milk supply with high accuracy. Integrating milk composition and maternal and infant characteristics offers a practical approach to identify women at risk of low milk supply, facilitating timely interventions to support breastfeeding and ensure adequate infant nutrition.https://www.mdpi.com/2075-4418/15/2/191human milklactationbreastfeedingbiomarkersmilk compositionmilk supply
spellingShingle Xuehua Jin
Ching Tat Lai
Sharon L. Perrella
Xiaojie Zhou
Ghulam Mubashar Hassan
Jacki L. McEachran
Zoya Gridneva
Nicolas L. Taylor
Mary E. Wlodek
Donna T. Geddes
Milk Composition Is Predictive of Low Milk Supply Using Machine Learning Approaches
Diagnostics
human milk
lactation
breastfeeding
biomarkers
milk composition
milk supply
title Milk Composition Is Predictive of Low Milk Supply Using Machine Learning Approaches
title_full Milk Composition Is Predictive of Low Milk Supply Using Machine Learning Approaches
title_fullStr Milk Composition Is Predictive of Low Milk Supply Using Machine Learning Approaches
title_full_unstemmed Milk Composition Is Predictive of Low Milk Supply Using Machine Learning Approaches
title_short Milk Composition Is Predictive of Low Milk Supply Using Machine Learning Approaches
title_sort milk composition is predictive of low milk supply using machine learning approaches
topic human milk
lactation
breastfeeding
biomarkers
milk composition
milk supply
url https://www.mdpi.com/2075-4418/15/2/191
work_keys_str_mv AT xuehuajin milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches
AT chingtatlai milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches
AT sharonlperrella milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches
AT xiaojiezhou milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches
AT ghulammubasharhassan milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches
AT jackilmceachran milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches
AT zoyagridneva milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches
AT nicolasltaylor milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches
AT maryewlodek milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches
AT donnatgeddes milkcompositionispredictiveoflowmilksupplyusingmachinelearningapproaches