Savino F, Benetti S, Liguori S A, Sorrenti M, Cordero Di Montezemolo L
University of Turin Department of Pediatrics, Regina Margherita Children's Hospital Turin Italy francesco.savino@unito.it.
Cell Mol Biol (Noisy-le-grand). 2013 Nov 3;59(1):89-98.
Extensive research shows that breast milk could have positive health effects not limited to infancy, but extend into childhood and adulthood. Recently many studies have provided new evidence on the long—term positive effects of breastfeeding, in particular protection against obesity and type 2 diabetes, suggesting that breast milk may have a role in the programming of later metabolic diseases. The mechanism throughout breastfeeding that exerts these effects has been a major focus of interest for researchers and it is still not completely known. There are some hints for biological plausibility of beneficial effects of breastfeeding including macronutrient intake, hormonal and behavioural mechanisms related to breast milk composition. Breast milk biochemical components, such as protein quantity and quality, polyunsaturated fatty acids, oligosaccharides, cytokines and hormones, in particular leptin, adiponectin and resistin together with the breastfeeding practice itself can influence infants feeding behaviour and regulation of growth and appetite control later in life. Further research is needed to confirm the possibility that hormones present in breast milk exert a metabolic and beneficial effects.
大量研究表明,母乳对健康的积极影响不仅限于婴儿期,还会延续到儿童期和成年期。最近,许多研究提供了关于母乳喂养长期积极影响的新证据,特别是对肥胖和2型糖尿病的预防作用,这表明母乳可能在后期代谢疾病的发生发展过程中发挥作用。母乳喂养发挥这些作用的机制一直是研究人员关注的重点,但目前仍不完全清楚。关于母乳喂养有益影响的生物学合理性有一些线索,包括宏量营养素摄入、与母乳成分相关的激素和行为机制。母乳中的生化成分,如蛋白质的数量和质量、多不饱和脂肪酸、寡糖、细胞因子和激素,特别是瘦素、脂联素和抵抗素,以及母乳喂养本身,都可以影响婴儿的喂养行为以及日后生活中的生长调节和食欲控制。需要进一步的研究来证实母乳中存在的激素发挥代谢和有益作用的可能性。