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[母乳喂养的马普切族婴儿的铁营养状况(第二阶段)]

[Iron nutrition in Mapuche infants fed with human milk (2d phase)].

作者信息

Franco E, Hertrampf E, Rodríguez E, Illanes J C, Palacios L, Llaguno S, Lettelier A

机构信息

Departamento de Pediatría, Facultad de Medicina, Universidad de La Frontera, Temuco.

出版信息

Rev Chil Pediatr. 1990 Sep-Oct;61(5):248-52.

PMID:2089491
Abstract

Blood hemoglobin, serum iron, total iron binding capacity (TIBC) and serum ferritin were measured in 140 healthy rural mapuche (southern Chile's indigenous ethnic group) infants aged 8 to 15 months: 90 had been exclusively breast fed for the first 5 or 6 months of life, then solid foods were introduced but cow's milk was never given to them. The remaining 50, which were all weaned at nearly 4 months of age and then given cow's milk and solid foods at the corresponding age, were designated as controls. Anemia was detected in 4.5% of breast fed infants and in 38% of controls. Evidence of iron deficient erythropoiesis was found in 5% and 81% of cases and controls, respectively. Human milk apparently protects this ethnic group from iron deficiency anemia and this protection seems to be better in mapuche infants than in other groups of chilean infants, because these late have shown 30% incidence of anemia around the first year of life in other studies. More studies on differences in iron nutritional state among mapuche and non mapuche are needed and are under way.

摘要

对140名8至15个月大的健康马普切族(智利南部的原住民群体)农村婴儿进行了血血红蛋白、血清铁、总铁结合力(TIBC)和血清铁蛋白的测量:其中90名婴儿在出生后的前5或6个月完全母乳喂养,之后开始添加固体食物,但从未给他们喂过牛奶。其余50名婴儿在近4个月大时全部断奶,然后在相应年龄给予牛奶和固体食物,被指定为对照组。母乳喂养婴儿中4.5%检测出贫血,对照组中这一比例为38%。缺铁性红细胞生成的证据分别在5%的病例组和81%的对照组中发现。母乳显然能保护这个族群免受缺铁性贫血的影响,而且这种保护在马普切族婴儿中似乎比在其他智利婴儿群体中更好,因为在其他研究中,后者在一岁左右的贫血发病率为30%。需要并正在开展更多关于马普切族和非马普切族铁营养状况差异的研究。

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