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健康中国母亲乳汁中脂肪酸和脂溶性抗氧化剂的哺乳期变化。

Lactational changes of fatty acids and fat-soluble antioxidants in human milk from healthy Chinese mothers.

机构信息

School of Public Health, Shanghai Jiao Tong University, Shanghai200025, People's Republic of China.

Nutrition and Foods Program, School of Family and Consumer Sciences, Texas State University, San Marcos, TX78666, USA.

出版信息

Br J Nutr. 2020 Apr 28;123(8):841-848. doi: 10.1017/S0007114520000239. Epub 2020 Jan 22.

DOI:10.1017/S0007114520000239
PMID:31964441
Abstract

Human milk fat is specially tailored to supply the developing infant with adequate and balanced nutrients. The present study aimed to quantify the composition of fatty acids, tocopherols and carotenoids in human milk, with special emphasis on the lactational changes. Colostrum, transitional and mature milk samples were collected longitudinally from the same forty-two healthy, well-nourished Chinese mothers. Fatty acids were quantified by GC with carotenoids (carotenes and xanthophylls) and tocopherols (α-, γ-tocopherol) determined by HPLC. Total fatty acid (TFA) content increased from 15·09 g/l in colostrum to 32·57 g/l in mature milk with the percentages of DHA and arachidonic acid (ARA) decreased. The ratio of n-6:n-3 PUFA and ARA:DHA remained constant during lactation at about 11:1 and 1·3:1, respectively. Both α-tocopherol and γ-tocopherol decreased over lactation with the ratio of α-:γ-tocopherol declined significantly from 7·21:1 to 4·21:1 (P < 0·001). Carotenoids all dropped from colostrum to mature milk as the less polar carotenes dropped by 88·67 %, while xanthophylls only dropped by 35·92 %. Lutein was predominated in both transitional and mature milk carotenoids (51·64-52·49 %), while colostrum carotenoids were mainly composed of lycopene (32·83 %) and β-carotene (30·78 %). The concentrations of tocopherols and xanthophylls but not carotenes were positively associated with TFA content in milk. These results suggested that colostrum and mature milk contained divergent lipid profiles and selective transfer mechanisms related to polarity might be involved. The present outcomes provide new insights for future breast-feeding studies, which also add in scientific evidences for the design of both initial and follow-on infant formulas.

摘要

人乳脂肪专门为提供发育中的婴儿提供充足和平衡的营养而设计。本研究旨在定量分析脂肪酸、生育酚和类胡萝卜素在人乳中的组成,特别强调哺乳期的变化。从 42 位健康、营养良好的中国母亲中纵向收集初乳、过渡乳和成熟乳样本。通过 GC 定量分析脂肪酸,通过 HPLC 测定类胡萝卜素(类胡萝卜素和叶黄素)和生育酚(α-、γ-生育酚)。总脂肪酸(TFA)含量从初乳中的 15.09g/L 增加到成熟乳中的 32.57g/L,而 DHA 和花生四烯酸(ARA)的百分比降低。n-6:n-3PUFA 和 ARA:DHA 的比例在哺乳期内保持不变,约为 11:1 和 1.3:1。α-生育酚和 γ-生育酚在哺乳期内逐渐减少,α-:γ-生育酚的比例从 7.21:1 显著下降到 4.21:1(P < 0.001)。类胡萝卜素从初乳到成熟乳都减少了,极性较小的类胡萝卜素减少了 88.67%,而叶黄素只减少了 35.92%。叶黄素在过渡乳和成熟乳的类胡萝卜素中占主导地位(51.64-52.49%),而初乳的类胡萝卜素主要由番茄红素(32.83%)和β-胡萝卜素(30.78%)组成。生育酚和叶黄素的浓度与乳汁中的 TFA 含量呈正相关,但类胡萝卜素的浓度则没有。这些结果表明,初乳和成熟乳含有不同的脂质谱,可能涉及与极性相关的选择性转移机制。本研究结果为人乳的进一步研究提供了新的见解,也为初始和后续婴儿配方奶粉的设计提供了科学依据。

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