Strucińska Małgorzata
Zakład Zywienia, Instytut Matki i Dziecka, 01-211 Warszawa.
Rocz Panstw Zakl Hig. 2002;53(1):65-79.
The literature review concerning selected nutritional and health aspects of applying different vegetarian diets by breastfeeding women was presented. The only two types of vegetarian diets: lactoovo- and semi-vegetarian, when properly composed, seem to be relatively safe for mother and her child. The most threatening vegetarian diets for lactating women are those including exclusively products of plant origin (so called restricted diets: vegan or macrobiotic). The results of studies performed on mothers consuming these vegetarian diets showed deficiencies in: vitamin B12 and vitamin D (in mothers and their infants) and calcium (only in lactating women). The low intake of docosahexaenoic acid (DHA) was also characteristic in this group. Additionally the endogenous metabolism of DHA is inhibited due to high proportion of linoleic vs. linolenic acid intake. It considered that lactating women on vegetarian diet should have a greater nutritional knowledge in order to avoid deficiencies which would adversely affect mother's and her child's health.
本文对母乳喂养女性采用不同素食饮食的特定营养与健康方面进行了文献综述。仅有的两种素食饮食类型:蛋奶素和半素食,若搭配合理,对母亲及其孩子而言似乎相对安全。对哺乳期女性最具威胁的素食饮食是那些仅包含植物性产品的饮食(即所谓的严格饮食:纯素食或长寿饮食)。对食用这些素食饮食的母亲进行的研究结果显示存在以下营养素缺乏情况:维生素B12和维生素D(母亲及其婴儿体内均缺乏)以及钙(仅哺乳期女性缺乏)。该群体中二十二碳六烯酸(DHA)摄入量低也较为典型。此外,由于亚油酸与亚麻酸摄入比例过高,DHA的内源性代谢受到抑制。研究认为,采用素食饮食的哺乳期女性应具备更丰富的营养知识,以避免出现会对母亲及其孩子健康产生不利影响的营养素缺乏情况。