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新生儿脐带血清中脂肪酸浓度低与母体血清相关。

Low fatty acid concentrations in neonatal cord serum correlate with maternal serum.

作者信息

Wolfe Michael D, Chuang Lu-Te, Rayburn William F, Wen Pei-Chi, VanderJagt Dorothy J, Glew Robert H

机构信息

Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.

出版信息

J Matern Fetal Neonatal Med. 2012 Aug;25(8):1292-6. doi: 10.3109/14767058.2011.631064. Epub 2012 Apr 24.

DOI:10.3109/14767058.2011.631064
PMID:22023348
Abstract

OBJECTIVE

Lactating women in New Mexico have low levels of important fatty acids relative to reported international data. The objective was to correlate the proportions of long-chain polyunsaturated fatty acids (LCPUFA) in the serum phospholipids in mothers and newborns within the same population.

METHODS

The serum phospholipids of 52 maternal:neonatal pairs were analyzed. Maternal samples from consecutive admissions were collected at hospital admission, and umbilical cord blood samples were collected at delivery. Fatty acid methyl esters were prepared and then separated and quantified by gas-liquid chromatography.

RESULTS

The median maternal percentages of arachidonic acid (AA) (4.9%), eicosapentaenoic acid (EPA) (0.27%) and docosahexaenoic acid (DHA) (2.07%) were below reported international levels. The percentages of AA (9.6%) and DHA (3.2%) in cord serum phospholipids were much higher than maternal samples but remained lower than reported internationally, whereas cord EPA (1.1%) was higher than reported. The highest percentage of DHA in serum phospholipids was found in the Asian subjects (4.21 ± 0.41%), while the American Indian women had the lowest DHA percentage (1.38 ± 0.26%). The maternal DHA percentage was negatively correlated with parity (r = -0.22, p = 0.04).

CONCLUSIONS

In the setting of low maternal levels of important fatty acids, their newborns did not accrue serum levels equivalent to reported international values.

摘要

目的

相对于已报道的国际数据,新墨西哥州的哺乳期妇女体内重要脂肪酸水平较低。本研究目的是关联同一人群中母亲和新生儿血清磷脂中长链多不饱和脂肪酸(LCPUFA)的比例。

方法

对52对母婴的血清磷脂进行分析。连续入院产妇的样本于入院时采集,脐带血样本于分娩时采集。制备脂肪酸甲酯,然后通过气液色谱法进行分离和定量。

结果

母亲体内花生四烯酸(AA)(4.9%)、二十碳五烯酸(EPA)(0.27%)和二十二碳六烯酸(DHA)(2.07%)的中位数百分比低于已报道的国际水平。脐带血清磷脂中AA(9.6%)和DHA(3.2%)的百分比远高于母亲样本,但仍低于国际报道水平,而脐带EPA(1.1%)高于报道水平。血清磷脂中DHA百分比最高的是亚洲受试者(4.21±0.41%),而美国印第安女性的DHA百分比最低(1.38±0.26%)。母亲的DHA百分比与产次呈负相关(r = -0.22,p = 0.04)。

结论

在母亲体内重要脂肪酸水平较低的情况下,其新生儿血清中的脂肪酸水平并未达到国际报道的水平。

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