Massart Francesco, Gherarducci Giulia, Marchi Benedetta, Saggese Giuseppe
Department of Pediatrics, Santa Chiara University Hospital of Pisa (Italy).
Biomark Insights. 2008 Mar 28;3:159-169. doi: 10.4137/bmi.s564.
Human milk is, without question, the best source of nutrition for infants containing the optimal balance of fats, carbohydrates and proteins for developing babies. Breastfeeding provides a range of benefits for growth, immunity and development building a powerful bond between mother and her child. Recognition of the manifold benefits of breast milk has led to the adoption of breast-feeding policies by numerous health and professional organizations such as the World Health Organization and American Academy of Pediatrics.In industrially developed as well as in developing nations, human milk contamination by toxic chemicals such as heavy metals, dioxins and organohalogen compounds, however, is widespread and is the consequence of decades of inadequately controlled pollution. Through breastfeeding, the mother may transfer to the suckling infant potentially toxic chemicals to which the mother has previously been exposed.In the present review, environmental exposure, acquisition and current levels of old and emerging classes of breast milk pollutants are systematically presented. Although scientific evidences indicated that the advantages of breast-feeding outweigh any risks from contaminants, it is important to identify contaminant trends, to locate disproportionately exposed populations, and to take public health measures to improve chemical BM pollution as possible.
毫无疑问,母乳是婴儿最佳的营养来源,它为成长中的婴儿提供了脂肪、碳水化合物和蛋白质的最佳平衡。母乳喂养对婴儿的生长、免疫和发育具有一系列益处,还能在母亲和孩子之间建立起强大的纽带。认识到母乳的诸多益处后,世界卫生组织和美国儿科学会等众多健康及专业组织纷纷制定了母乳喂养政策。然而,在工业发达国家和发展中国家,母乳受到重金属、二恶英和有机卤素化合物等有毒化学物质的污染十分普遍,这是数十年来污染控制不力的结果。通过母乳喂养,母亲可能会将自己之前接触过的潜在有毒化学物质传递给正在哺乳的婴儿。在本综述中,系统地介绍了母乳污染物的环境暴露、获取情况以及新旧类别污染物的当前水平。尽管科学证据表明母乳喂养的好处大于污染物带来的任何风险,但确定污染物趋势、找出暴露程度不成比例的人群,并采取公共卫生措施尽可能改善母乳中的化学污染仍很重要。