Relationship Between Maternal Age and Macronutrient Content of Colostrum.

IF 2.1 4区 医学 Q2 NURSING
Journal of Human Lactation Pub Date : 2024-05-01 Epub Date: 2024-02-27 DOI:10.1177/08903344241233500
Virginia Gontijo Abreu Hochman, Regina Celia Fernandes de Abreu Nascimento, Camila Barros Melgaço da Silva, Pedro Noguchi Aragão Quinderé, Raquel Ximenes Melo, Luis Guillermo Coca Velarde, Arnaldo Costa Bueno, Alan Araújo Vieira
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Abstract

Background: Little is known about the relationship between maternal age and the macronutrient content of colostrum.

Research aims: This study aimed to evaluate the relationship between maternal age and human milk macronutrient content by comparing the concentrations of lactose, proteins, and lipids in the colostrum of women with younger, moderate, and advanced maternal age.

Methods: An observational, cross-sectional study was designed to compare the macronutrient concentrations in the colostrum of women aged < 20 years, 20 to 34 years, and > 34 years (younger, moderate, and advanced maternal age, respectively; n = 33 per group). For each participant, 3 ml of colostrum was collected by manual extraction from the right breast at 10 am, 39-48 hr after delivery, and analyzed using a Miris Human Milk Analyzer. Macronutrient concentrations were compared between the groups using analysis of variance. P < 0.05 was considered significant.

Results: Mothers with moderate maternal age had a higher colostrum lipid concentration than those with younger or advanced maternal age (2.3 mg, SD = 1.4 mg vs. 1.5 mg, SD = 1.0 mg vs. 1.6 mg, SD = 0.9 mg, respectively; p = 0.007). Lactose and protein contents in the analyzed samples did not differ among the three study groups.

Conclusion: This study lends support to the potential variation of lipids in colostrum by maternal age and suggests individual adaptation to the nutritional components of milk to the needs of the infant may be beneficial.

母体年龄与初乳中宏观营养素含量的关系
研究背景关于母亲年龄与初乳中宏量营养素含量之间的关系,人们知之甚少:本研究旨在通过比较低龄、中龄和高龄产妇初乳中乳糖、蛋白质和脂质的浓度,评估产妇年龄与母乳宏量营养素含量之间的关系:设计了一项观察性横断面研究,以比较年龄小于 20 岁、20 至 34 岁和大于 34 岁(分别为年轻、中等和高龄产妇;每组 n = 33)的妇女初乳中的宏量营养素浓度。每位受试者在产后 39-48 小时,即上午 10 点从右侧乳房手动提取 3 毫升初乳,并使用 Miris 母乳分析仪进行分析。使用方差分析比较了各组之间的宏量营养素浓度。P 结果:中龄产妇的初乳脂质浓度高于低龄或高龄产妇(分别为 2.3 毫克,标差=1.4 毫克 vs. 1.5 毫克,标差=1.0 毫克 vs. 1.6 毫克,标差=0.9 毫克;P = 0.007)。分析样本中的乳糖和蛋白质含量在三个研究组中没有差异:这项研究证实了初乳中的脂质可能因母体年龄的不同而存在差异,并表明根据婴儿的需要对牛奶中的营养成分进行个别调整可能是有益的。
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来源期刊
Journal of Human Lactation
Journal of Human Lactation 医学-妇产科学
CiteScore
5.00
自引率
11.50%
发文量
100
审稿时长
6-12 weeks
期刊介绍: Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.
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