Department of Preventive Medicine, The University of Southern California, Los Angeles, CA 90089, USA.
Department of Pediatrics, Health Sciences Center, The University of Oklahoma, Oklahoma City, OK 73019, USA.
Nutrients. 2018 May 24;10(6):669. doi: 10.3390/nu10060669.
This study determined the effects of consuming a high-fructose corn syrup (HFCS)-sweetened beverage on breast milk fructose, glucose, and lactose concentrations in lactating women. At six weeks postpartum, lactating mothers ( = 41) were randomized to a crossover study to consume a commercially available HFCS-sweetened beverage or artificially sweetened control beverage. At each session, mothers pumped a complete breast milk expression every hour for six consecutive hours. The baseline fasting concentrations of breast milk fructose, glucose, and lactose were 5.0 ± 1.3 µg/mL, 0.6 ± 0.3 mg/mL, and 6.8 ± 1.6 g/dL, respectively. The changes over time in breast milk sugars were significant only for fructose (treatment × time, < 0.01). Post hoc comparisons showed the HFCS-sweetened beverage vs. control beverage increased breast milk fructose at 120 min (8.8 ± 2.1 vs. 5.3 ± 1.9 µg/mL), 180 min (9.4 ± 1.9 vs. 5.2 ± 2.2 µg/mL), 240 min (7.8 ± 1.7 vs. 5.1 ± 1.9 µg/mL), and 300 min (6.9 ± 1.4 vs. 4.9 ± 1.9 µg/mL) (all < 0.05). The mean incremental area under the curve for breast milk fructose was also different between treatments (14.7 ± 1.2 vs. -2.60 ± 1.2 µg/mL × 360 min, < 0.01). There was no treatment × time interaction for breast milk glucose or lactose. Our data suggest that the consumption of an HFCS-sweetened beverage increased breast milk fructose concentrations, which remained elevated up to five hours post-consumption.
这项研究旨在确定摄入高果糖玉米糖浆(HFCS)甜味饮料对哺乳期妇女母乳中果糖、葡萄糖和乳糖浓度的影响。在产后六周时,哺乳期母亲(n=41)被随机分为交叉研究组,分别饮用市售的 HFCS 甜味饮料或人工甜味剂对照饮料。在每个阶段,母亲每小时排空一次乳房,连续排空 6 小时。基线时母乳中果糖、葡萄糖和乳糖的空腹浓度分别为 5.0±1.3µg/mL、0.6±0.3mg/mL 和 6.8±1.6g/dL。母乳中糖的时间变化仅果糖有统计学意义(处理×时间,<0.01)。事后比较显示,与对照饮料相比,HFCS 甜味饮料使母乳果糖在 120 分钟(8.8±2.1 vs. 5.3±1.9µg/mL)、180 分钟(9.4±1.9 vs. 5.2±2.2µg/mL)、240 分钟(7.8±1.7 vs. 5.1±1.9µg/mL)和 300 分钟(6.9±1.4 vs. 4.9±1.9µg/mL)时的浓度增加(均<0.05)。母乳果糖的曲线下面积增量均值在两种处理之间也不同(14.7±1.2 vs. -2.60±1.2µg/mL×360min,<0.01)。母乳葡萄糖和乳糖的处理×时间无交互作用。我们的数据表明,摄入 HFCS 甜味饮料会增加母乳中果糖浓度,且在摄入后长达 5 小时内仍保持升高。