Buntuchai Ganokwun, Pavadhgul Patcharanee, Kittipichai Wirin, Satheannoppakao Warapone
1 Department of Nutrition, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
2 Department of Family Health, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
J Hum Lact. 2017 Aug;33(3):552-559. doi: 10.1177/0890334417709432. Epub 2017 Jun 13.
Thai traditional galactagogue consumption is still observed today. However, there are few scientific studies that describe this practice. Research aim: The aim of this study was to describe the connection between traditional galactagogue consumption and human milk volume.
Self-reported maternal surveys ( N = 36) were conducted of mothers and their infants who breastfeed exclusively. The mothers were interviewed about traditional galactagogue consumption and intake of protein-rich foods using a semiquantitative food-frequency questionnaire. They were also assessed for energy and nutrient intake using the 24-hr dietary recall method. Their infants were between 1 and 3 months of age and were test weighed for 24 hr to measure their mother's own milk volume. Partial correlation was used to test the relationship between galactagogue consumption and milk volume by controlling the infants' birth weight, weight-for-age, maternal energy, and carbohydrate intake.
The results revealed that consumption of some traditional galactagogues was significantly correlated to human milk volume, including banana flower, lemon basil, Thai basil, bottle gourd, and pumpkin ( p < .05). Furthermore, there were significant correlations between consumption of some kinds of protein and milk volume, including egg tofu, chicken, fish, and seafood ( p < .05). Maternal energy and carbohydrate intake were related to milk volume ( p < .05), but protein intake was not.
Certain kinds of traditional galactagogues and proteins are associated with human milk volume. However, studies related to the active ingredients in these galactagogues are required to secure a recommendation about use of traditional galactagogues among breastfeeding mothers.
如今仍可观察到泰国传统催乳剂的食用情况。然而，描述这种做法的科学研究却很少。研究目的：本研究的目的是描述传统催乳剂的食用与母乳量之间的联系。
对纯母乳喂养的母亲及其婴儿进行了自我报告的产妇调查（N = 36）。使用半定量食物频率问卷对母亲进行访谈，询问她们传统催乳剂的食用情况以及富含蛋白质食物的摄入量。还采用24小时膳食回顾法评估了她们的能量和营养素摄入量。她们的婴儿年龄在1至3个月之间，并进行了24小时的测试称重，以测量其母亲的母乳量。通过控制婴儿的出生体重、年龄别体重、母亲的能量和碳水化合物摄入量，使用偏相关分析来检验催乳剂食用与母乳量之间的关系。
结果显示，食用某些传统催乳剂与母乳量显著相关，包括香蕉花、柠檬罗勒、泰国罗勒、葫芦和南瓜（p < .05）。此外，食用某些种类的蛋白质与母乳量之间也存在显著相关性，包括鸡蛋豆腐、鸡肉、鱼和海鲜（p < .05）。母亲的能量和碳水化合物摄入量与母乳量有关（p < .05），但蛋白质摄入量无关。
某些种类的传统催乳剂和蛋白质与母乳量有关。然而，需要对这些催乳剂中的活性成分进行相关研究，以便在母乳喂养的母亲中推荐使用传统催乳剂。
