Thakkar Sagar K, Giuffrida Francesca, Bertschy Emmanuelle, De Castro Antonio, Destaillats Frédéric, Lee Le Ye
Nestle Nutr Inst Workshop Ser. 2016;86:77-85. doi: 10.1159/000442725. Epub 2016 Jun 23.
Given the documented short- and long-term advantages of breastfeeding, human milk (HM) as a sole source of nutrition for the first few months of newborn life is considered a normative standard. Each macroconstituent of HM plays a crucial role in the growth and development of the baby. Lipids are largely responsible for providing more than 50% of the energy as well as providing essential fatty acids and minor lipids that are integral to all cell membranes. Carbohydrates can be broadly divided into lactose and oligosaccharides, which are a readily digestible source of glucose and indigestible nonnutritive components, respectively. Proteins in HM provide essential amino acids indispensable for the growth of infants. What is more interesting is that protein concentration profoundly changes from colostrum to mature milk. In this report, we share data from an observatory, single-center, longitudinal trial assessing the constituents of HM collected 30, 60 and 120 days postpartum from 50 mothers (singleton deliveries: 25 male and 25 female infants). The protein content decreased with evolving stages of lactation from an average of 1.45 to 1.38 g/100 ml. The data did not show any gender differences as it was reported for lipid content at 120 days postpartum by our group. Additionally, we also share consolidated literature data on protein evolution of HM during the first year of lactation.
鉴于母乳喂养已被记录的短期和长期优势,母乳作为新生儿出生后头几个月唯一的营养来源被视为一种规范标准。母乳的每种宏量成分在婴儿的生长发育中都起着至关重要的作用。脂质在很大程度上负责提供超过50%的能量,同时提供对所有细胞膜不可或缺的必需脂肪酸和微量脂质。碳水化合物可大致分为乳糖和寡糖,它们分别是易于消化的葡萄糖来源和不可消化的非营养成分。母乳中的蛋白质提供婴儿生长所必需的氨基酸。更有趣的是,从初乳到成熟乳,蛋白质浓度会发生显著变化。在本报告中,我们分享了一项观察性、单中心纵向试验的数据,该试验评估了50名母亲(单胎分娩:25名男婴和25名女婴)产后30天、60天和120天收集的母乳成分。随着哺乳期的推进,蛋白质含量从平均1.45克/100毫升降至1.38克/100毫升。正如我们小组报道的产后120天时的脂质含量一样,数据未显示任何性别差异。此外,我们还分享了关于哺乳期第一年母乳蛋白质变化的综合文献数据。