Maternal Mediterranean Diet During Lactation and Infant Growth.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Breastfeeding Medicine Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI:10.1089/bfm.2024.0133
Aria Grabowski, Ana Baylin, Lindsay Ellsworth, Jacqueline Richardson, Niko Kaciroti, Julie Sturza, Alison L Miller, Ashley N Gearhardt, Julie C Lumeng, Brigid Gregg
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引用次数: 0

Abstract

Background: Human milk is considered the optimal source of nutrition for infants. Maternal diet is associated with the composition of human milk. The Mediterranean diet (MedDiet) has been studied in pregnancy and during lactation, and it has been associated with changes in milk composition, yet there is a lack of research on MedDiet during lactation and infant outcomes. Methods: Mother-infant dyads (n = 167) from ABC Baby, a prospective observational study, were included in this analysis. Maternal diet was obtained using an adapted version of the National Cancer Institute Diet History Questionnaire II, at 2 weeks or 2 months postpartum. Maternal MedDiet score was calculated using servings of vegetables, fruits, whole grains, nuts and seeds, legumes, fish, monounsaturated-to-saturated fatty acid ratio, red and processed meats, and added sugar. Infants' length, weight, and flank skinfold thickness were measured at 6 months. Using World Health Organization standards, weight-for-age (WAZ), length-for-age (LAZ), and weight-for-length (WLZ) Z-scores were calculated. Multiple linear regression models were adjusted for potential confounders. Results: Higher maternal MedDiet score and intake of fruit and fish were associated with lower flank skinfold thickness (β = -0.33, -0.52, and -1.26, respectively). Intake of nuts and seeds was associated with higher WLZ (β = 0.29). Intake of red and processed meats was associated with lower WAZ (β = -0.18) and LAZ (β = -0.18). Energy-adjusted added sugar intake was associated with lower WLZ (β = -0.02). Conclusions: The maternal MedDiet score was associated with lower skinfold thickness, while its components were associated with differences in anthropometric Z-scores. Further research on the maternal MedDiet and corresponding human milk composition is needed to explore this relationship.

哺乳期母亲的地中海饮食与婴儿成长
背景:母乳被认为是婴儿的最佳营养来源。母亲的饮食与母乳的成分有关。地中海饮食(MedDiet)已在孕期和哺乳期进行过研究,它与乳汁成分的变化有关,但目前还缺乏对哺乳期地中海饮食和婴儿预后的研究。研究方法分析对象包括前瞻性观察研究 ABC 婴儿中的母婴二人组(n = 167)。在产后 2 周或 2 个月时,使用改编版的美国国家癌症研究所饮食史问卷 II 了解母亲的饮食情况。产妇的 MedDiet 分数是根据蔬菜、水果、全谷物、坚果和种子、豆类、鱼类、单不饱和脂肪酸与饱和脂肪酸的比例、红肉和加工肉类以及添加糖的份量计算得出的。在婴儿 6 个月时测量其身长、体重和腹部皮褶厚度。根据世界卫生组织的标准,计算了年龄体重(WAZ)、年龄身长(LAZ)和身长体重(WLZ)的 Z 值。多元线性回归模型对潜在的混杂因素进行了调整。结果母体地中海饮食评分越高、水果和鱼类摄入量越高,腹侧皮褶厚度越低(β=-0.33、-0.52 和-1.26)。坚果和种子的摄入量与较高的 WLZ 相关(β = 0.29)。摄入红肉和加工肉类与较低的 WAZ(β = -0.18)和 LAZ(β = -0.18)相关。能量调整后的添加糖摄入量与较低的 WLZ 相关(β = -0.02)。结论产妇的 MedDiet 评分与较低的皮褶厚度有关,而其组成部分则与人体测量 Z 值的差异有关。需要进一步研究产妇的 MedDiet 和相应的母乳成分,以探讨这种关系。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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