Amaral Yasmin Notarbartolo di Villarosa do, Rocha Daniele Marano, Silva Leila Maria Lopes da, Soares Fernanda Valente Mendes, Moreira Maria Elisabeth Lopes
Instituto Nacional da Saúde da Mulher. da Criança e do Adolescente Fernandes Figueira, Fiocruz. Av. Rui Barbosa 716, Flamengo. 22250-020 Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2019 Jul 22;24(7):2491-2498. doi: 10.1590/1413-81232018247.18972017.
This paper aims to identify the effects of maternal morbidities on the nutritional composition of human milk. This systematic review of the literature employed a PRISMA's protocol for searching, selecting, and extracting data. The flowchart proposed for bibliographic search resulted in 1,582 papers, of which 14 were selected for this work. The papers selected for this review were published between 1987 and 2016. Nine studies found significant differences in the nutritional composition of the milk of mothers with diabetes mellitus, arterial hypertension, or overweight compared to the control group. Most studies have shown that the presence of chronic diseases leads to changes in the nutritional composition of human milk. The main results showed a lower concentration of lactose and fat in the milk of women with diabetes mellitus. Concerning hypertension, higher levels of total protein were found in colostrum and mature milk. A higher fat and energy content was observed in overweight mothers. It is imperative that these women have continuous nutritional monitoring to minimize the impact of these morbidities on the nutritional composition of breast milk.
本文旨在确定孕产妇疾病对母乳营养成分的影响。这项系统文献综述采用了PRISMA协议进行数据搜索、筛选和提取。文献检索建议的流程图共产生1582篇论文，其中14篇被选用于本研究。本综述所选论文发表于1987年至2016年之间。九项研究发现，患有糖尿病、动脉高血压或超重的母亲所产母乳的营养成分与对照组相比存在显著差异。大多数研究表明，慢性病的存在会导致母乳营养成分发生变化。主要结果显示，糖尿病女性的乳汁中乳糖和脂肪浓度较低。关于高血压，初乳和成熟乳中总蛋白水平较高。超重母亲的乳汁中脂肪和能量含量较高。必须对这些女性进行持续的营养监测，以尽量减少这些疾病对母乳营养成分的影响。
