Molnár Szilárd, Oláh Szilvia, Burus István, Decsi Tamás
Pécsi Tudományegyetem, Altalános Orvostudományi Kar, Gyermekgyógyászati Klinika.
Orv Hetil. 2002 May 12;143(19):1015-20.
Because of the lack of up-to-date data on fatty acid composition of human milk in Hungary, the authors analysed fatty acid composition of colostrum (n = 18, one hind milk sample on day 5 after delivery) and mature milk (n = 15, pooled 24 h collections repeated twice with 2 weeks intervals at median duration of lactation of 4 months) samples with high-resolution capillary gas chromatography.
Fat content and fatty acid compositions did not differ in 24 h pooled mature human milk samples obtained with 2 weeks intervals. Significantly lower values of linoleic acid [10.98 (4.81) vs. 14.70 (5.32), % w/w, median (range from the 1st to the 3rd quartile), colostrum vs. mature human milk, p < 0.001] and alpha-linolenic acid [0.22 (0.09) vs. 0.68 (0.21), p < 0.0001], and significantly higher values of arachidonic acid [0.70 (0.56) vs. 0.50 (0.12), p < 0.001] and docosahexaenoic acid [0.22 (0.15) vs. 0.18 (0.06), p < 0.05] were found in colostrum than in mature human milk. Significant and positive correlations were seen between linoleic and arachidonic (r = 0.71, p = 0.001) as well as between alpha-linolenic and docosahexaenoic (r = 0.59, p = 0.01) acid values in colostrum, but not in mature human milk.
While mature human milk linoleic, arachidonic and alpha-linolenic acid values in this study were in the range usually reported in the literature, the contribution of docosahexaenoic acid to the fatty acid composition of human milk was considerably lower in Hungary than in several other populations.
由于匈牙利缺乏关于人乳脂肪酸组成的最新数据,作者采用高分辨率毛细管气相色谱法分析了初乳(n = 18,分娩后第5天的一份后奶样本)和成熟乳(n = 15,在哺乳4个月的中位持续时间时,每隔2周重复采集24小时的混合样本两次)样本的脂肪酸组成。
每隔2周采集的24小时混合成熟人乳样本中的脂肪含量和脂肪酸组成没有差异。初乳中的亚油酸[10.98(4.81)对14.70(5.32),% w/w,中位数(第1至第3四分位数范围),初乳对成熟人乳,p < 0.001]和α-亚麻酸[0.22(0.09)对0.68(0.21),p < 0.0001]的值显著低于成熟人乳,而花生四烯酸[0.70(0.56)对0.50(0.12),p < 0.001]和二十二碳六烯酸[0.22(0.15)对0.18(0.06),p < 0.05]的值显著高于成熟人乳。初乳中亚油酸与花生四烯酸(r = 0.71,p = 0.001)以及α-亚麻酸与二十二碳六烯酸(r = 0.59,p = 0.01)的酸值之间存在显著正相关,而在成熟人乳中则不存在。
虽然本研究中成熟人乳的亚油酸、花生四烯酸和α-亚麻酸值在文献中通常报道的范围内,但匈牙利人乳中二十二碳六烯酸对脂肪酸组成的贡献远低于其他几个群体。