Tackoen M
Centre Neonatal, C.H.U. Saint-Pierre, Bruxelles.
Rev Med Brux. 2012 Sep;33(4):309-17.
Human milk is a complex biological fluid with thousands of components. The milk composition in the mammalian species is specific and adapted to the needs of the offspring. It contains macronutrients (proteins, lipids and carbohydrates), micronutrients (minerals and vitamins) and numerous biologically active substrates. Human milk not only covers the nutritional needs of the newborn but protects the baby against infection, inflammation and oxidative stress. It has immunomodulation properties and confers trophical protection to the intestinal mucosa. The newborn infant is particularly immature: innate immunity, adaptive immunity and intestinal immaturity. Human milk will offer this exogenous protective and immunomodulating source. The development of the composition of the intestinal microflora of the neonate will be impacted by pre- and probiotic components of human milk. Current scientific knowledge of human milk properties highlights interdependency of the different components, ontogeny of the intestinal function, development of the mucosal intestinal immune system, colonization by the intestinal microbiota and protection against pathogens. Quality of these interactions influences the newborn's short and long-term health status. The promotion of breastfeeding with the support of the Baby Friendly Hospital Initiative (BFHI) program and labeling has been shown to have positive impact in public health.
母乳是一种含有数千种成分的复杂生物流体。哺乳动物的乳汁成分具有特异性,并能适应后代的需求。它含有大量营养素(蛋白质、脂质和碳水化合物)、微量营养素(矿物质和维生素)以及众多生物活性物质。母乳不仅能满足新生儿的营养需求,还能保护婴儿免受感染、炎症和氧化应激的影响。它具有免疫调节特性,并为肠道黏膜提供营养保护。新生儿特别不成熟:先天免疫、适应性免疫和肠道不成熟。母乳将提供这种外源性的保护和免疫调节来源。母乳中的益生元和益生菌成分会影响新生儿肠道微生物群的组成发展。目前关于母乳特性的科学知识强调了不同成分之间的相互依存关系、肠道功能的个体发育、肠道黏膜免疫系统的发育、肠道微生物群的定植以及对病原体的保护作用。这些相互作用的质量会影响新生儿的短期和长期健康状况。事实证明,在爱婴医院倡议(BFHI)计划和标签的支持下推广母乳喂养对公共卫生有积极影响。