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母乳喂养新生儿的维生素B-6状况:吡哆醇补充剂对母亲和新生儿的影响。

Vitamin B-6 status of breast-fed neonates: influence of pyridoxine supplementation on mothers and neonates.

作者信息

Kang-Yoon S A, Kirksey A, Giacoia G, West K

机构信息

Department of Foods and Nutrition, Purdue University, West Lafayette, IN.

出版信息

Am J Clin Nutr. 1992 Sep;56(3):548-58. doi: 10.1093/ajcn/56.3.548.

DOI:10.1093/ajcn/56.3.548
PMID:1503068
Abstract

Vitamin B-6 concentrations in human milk are known to respond rapidly to changes in maternal vitamin B-6 intake. In this study, mothers were supplemented during the first 28 d of lactation with 2 or 27 mg pyridoxine (PN)-HCl/d and a subgroup of breast-fed infants of the 2-mg/d-supplemented mothers were supplemented with 0.4 mg PN-HCl/d. Vitamin B-6 intakes of breast-fed infants reflected the amount of their mother's supplement; intakes were highest for the vitamin-supplemented infants. Vitamin B-6 intake of mothers was a strong indicator of infant vitamin B-6 status. Vitamin intake of infants correlated significantly with five measures of vitamin B-6 status. Plasma pyridoxal-5'-phosphate (PLP) concentrations and birth weight were the strongest predictors of infant growth that were examined. Alkaline phosphatase activity in the mother's milk and infant plasma reflected pyridoxal-PLP ratios in these fluids, suggesting that the enzyme acts in regulating circulating vitamer concentrations.

摘要

已知母乳中维生素B-6的浓度会对母体维生素B-6摄入量的变化迅速做出反应。在本研究中,母亲在哺乳期的前28天每天补充2毫克或27毫克盐酸吡哆醇(PN),并且补充2毫克/天的母亲所喂养的婴儿亚组每天额外补充0.4毫克盐酸PN。母乳喂养婴儿的维生素B-6摄入量反映了其母亲的补充量;维生素补充组婴儿的摄入量最高。母亲的维生素B-6摄入量是婴儿维生素B-6状态的有力指标。婴儿的维生素摄入量与维生素B-6状态的五项指标显著相关。血浆磷酸吡哆醛(PLP)浓度和出生体重是所检测的婴儿生长的最强预测指标。母乳和婴儿血浆中的碱性磷酸酶活性反映了这些液体中的吡哆醛-PLP比率,表明该酶在调节循环维生素浓度中起作用。

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