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母乳喂养 6 个月的纯母乳喂养母亲与非纯母乳喂养母亲母乳中免疫球蛋白 G 和免疫球蛋白 M 水平的变化:约旦队列研究。

Alterations of immunoglobulin G and immunoglobulin M levels in the breast milk of mothers with exclusive breastfeeding compared to mothers with non-exclusive breastfeeding during 6 months postpartum: The Jordanian cohort study.

机构信息

Maternal, Child, and Family Health Department, Faculty of Nursing, The Hashemite University, Zarqa, Jordan.

Faculty of Allied Health Sciences, The Hashemite University, Zarqa, Jordan.

出版信息

Am J Hum Biol. 2019 Jan;31(1):e23197. doi: 10.1002/ajhb.23197. Epub 2018 Nov 29.

Abstract

OBJECTIVES

The purpose of this study was to measure changes in the concentration of immunoglobulin G (IgG) and immunoglobulin M (IgM) in the mature breast milk of Jordanian mothers during the first 6 months after giving birth between exclusively breastfeeding (EBF) mothers and non-exclusively breastfeeding (non-EBF) mothers.

METHODS

A longitudinal follow-up design was used to measure changes in the concentration of IgG and IgM in the mothers' mature milk during the first 6 months after giving birth. Sixty-nine lactating mothers were recruited in this study. Breast milk samples were collected by mothers themselves in the first, fourth, and sixth months of lactation to measure IgG and IgM concentrations using the enzyme-linked immunosorbent assay (ELISA) technique.

RESULTS

There was a significant difference in IgG and IgM concentrations between EBF and non-EBF mothers. IgG was higher in the EBF mothers' milk than in the milk of non-EBF mothers, whereas IgM was not affected by the type of baby feeding.

CONCLUSION

The concentration of immunoglobulins changes in human breast milk along with breastfeeding intervals. EBF enhances the concentration of IgG in breast milk compared to non-EBF.

摘要

目的

本研究旨在测量在产后 6 个月内,纯母乳喂养(EBF)和非纯母乳喂养(non-EBF)的约旦母亲成熟母乳中免疫球蛋白 G(IgG)和免疫球蛋白 M(IgM)浓度的变化。

方法

采用纵向随访设计,测量产后 6 个月内母亲成熟乳中 IgG 和 IgM 浓度的变化。本研究招募了 69 名哺乳期母亲。母亲在产后第 1、4 和 6 个月自行采集母乳样本,采用酶联免疫吸附测定(ELISA)技术测量 IgG 和 IgM 浓度。

结果

EBF 和 non-EBF 母亲的 IgG 和 IgM 浓度存在显著差异。EBF 母亲乳汁中的 IgG 高于 non-EBF 母亲,而 IgM 不受婴儿喂养方式的影响。

结论

随着母乳喂养间隔的变化,人乳中的免疫球蛋白浓度发生变化。与 non-EBF 相比,EBF 可提高母乳中 IgG 的浓度。

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