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母亲和胎儿红细胞脂肪酸谱与出生体重的关系。

Association between Maternal and Foetal Erythrocyte Fatty Acid Profiles and Birth Weight.

机构信息

Research Unit for Multifactorial Diseases and Complex Phenotypes, Bambino Gesù Children Hospital, IRCCS (Istituto di Ricovero e Cura a Carattere Scientifico), viale di San Paolo 15, 00146 Rome, Italy.

Clinical Epidemiology, Bambino Gesù Children's Hospital, IRCCS (Istituto di Ricovero e Cura a Carattere Scientifico), P.zza S. Onofrio 4, 00165 Rome, Italy.

出版信息

Nutrients. 2018 Mar 23;10(4):402. doi: 10.3390/nu10040402.

Abstract

Regular foetal development is crucial for assuring good health status in the offspring. The quality and quantity of maternal dietary fatty acids (FAs) can affect growth. The study aimed to: (1) investigate the association of maternal/foetal lipid profiles with birth weight (BW); and (2) compare these profiles in small, appropriate, and large for gestational age (SGA, AGA, and LGA) infants. FAs were measured in erythrocyte membranes using gas chromatography analysis in 607 mother-infant pairs (316 males, 52.1%). In the quantile regression, a significant association between BW and levels of maternal linoleic acid (LA; C18:2, n-6; coefficient: 18.66; = 0.010), arachidonic acid (AA; C20:4, n-6; coefficient: 11.35; = 0.007), docosahexaenoic acid (DHA; C22:6, n-3; coefficient: 29.73; = 0.007), polyunsaturated FAs (coefficient: 8.55; = 0.001), foetal DHA (coefficient: -22.82; = 0.037), and saturated FAs (coefficient: -65.41; = 0.002) was found. Myristic (C14:0) and pentadecanoic acids (C15:0), both maternal ( = 0.000; = 0.017) and foetal ( = 0.009; = 0.002), and maternal erucic acid (C22:1, n-9; = 0.026) were found at higher levels in SGA infants as compared to AGA ones. Conversely, maternal LA, AA, and omega 6 FAs levels were higher in AGA infants ( = 0.037; = 0.003; = 0.026, respectively). Maternal and foetal polyunsaturated and omega 6 FAs levels are positively related to BW, while a lipid profile rich in saturated FAs and erucic acid may influence the risk of SGA.

摘要

胎儿的正常发育对于确保后代的良好健康状况至关重要。母体膳食脂肪酸(FAs)的质量和数量会影响生长。本研究旨在:(1)调查母体/胎儿脂质谱与出生体重(BW)的关系;(2)比较小、适当和大出生体重儿(SGA、AGA 和 LGA)的这些图谱。在 607 对母婴(316 名男性,52.1%)中,使用气相色谱分析法在红细胞膜中测量 FA。在分位数回归中,BW 与母体亚油酸(LA;C18:2,n-6;系数:18.66; = 0.010)、花生四烯酸(AA;C20:4,n-6;系数:11.35; = 0.007)、二十二碳六烯酸(DHA;C22:6,n-3;系数:29.73; = 0.007)、多不饱和脂肪酸(系数:8.55; = 0.001)、胎儿 DHA(系数:-22.82; = 0.037)和饱和脂肪酸(系数:-65.41; = 0.002)呈显著正相关。发现母体和胎儿豆蔻酸(C14:0)和十五烷酸(C15:0)(均为母体: = 0.000; = 0.017;胎儿: = 0.009; = 0.002)和母体芥酸(C22:1,n-9; = 0.026)在 SGA 婴儿中比 AGA 婴儿水平更高。相反,AGA 婴儿的母体 LA、AA 和 omega 6 FAs 水平更高(分别为 = 0.037; = 0.003; = 0.026)。母体和胎儿多不饱和脂肪酸和 omega 6 FAs 水平与 BW 呈正相关,而富含饱和脂肪酸和芥酸的脂质谱可能会影响 SGA 的风险。

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