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根据喂养方式划分的婴儿食欲调节激素和人体测量指标

Appetite-regulating hormones and anthropometric indicators of infants according to the type of feeding.

作者信息

Vásquez-Garibay Edgar, Larrosa-Haro Alfredo, Guzmán-Mercado Elizabeth, Muñoz-Esparza Nelly, García-Arellano Samuel, Muñoz-Valle Francisco, Romero-Velarde Enrique

机构信息

Instituto de Nutrición Humana Universidad de Guadalajara Guadalajara Mexico.

Nuevo Hospital Civil de Guadalajara Dr. Juan I. Menchaca Guadalajara Mexico.

出版信息

Food Sci Nutr. 2020 Jan 9;8(2):993-1000. doi: 10.1002/fsn3.1381. eCollection 2020 Feb.

Abstract

It has been accepted that satiety- and appetite-stimulating hormones play a role in the regulation of food intake and body composition during and after the lactation stage. Therefore, the purpose was to demonstrate that serum appetite-regulating hormones in infants differ according to anthropometric indicators and type of feeding. In a nonrandom cohort study, 169 mother-newborn dyads whose pregnancy and birth were attended at the Hospital Civil de Guadalajara were enrolled. According to the type of feeding, infants were classified as full breastfeeding (FBF), partial breastfeeding (PBF), and infants receiving human milk substitutes (HMS). Serum concentrations of ghrelin (pg/ml), leptin (ng/ml), peptide YY (pg/ml), and glucagon-like peptide-1 (GLP-1) (pM) were measured. Anthropometric measurements including weight, length, cephalic, arm circumference, tricipital, and subscapular skinfolds were obtained. Weight/age, weight/height, height/age, and BMI -score indexes were estimated. We performed one-way ANOVA, unpaired Student's test, post hoc Tukey test, and Pearson correlation tests. The ANOVA comparison of the three feeding types showed significant differences in most anthropometric indicators (-scores), especially between infants receiving FBF versus HMS and particularly on indicators of adiposity; no differences were observed in length and cephalic circumference -scores at 8th and 16th weeks. Further, significant correlations were found between most of the adiposity indicators with ghrelin, leptin, and GLP-1, especially in infants who received FBF. There were differences in anthropometric and body composition parameters among infants receiving FBF, PBF, and HMS. There were significant correlations between body composition indicators with ghrelin, leptin, and GLP-1 mainly in infants receiving FBF.

摘要

人们已经认识到,饱腹感和食欲刺激激素在哺乳期及哺乳期后的食物摄入和身体成分调节中发挥作用。因此,本研究的目的是证明婴儿血清中食欲调节激素会因人体测量指标和喂养方式的不同而有所差异。在一项非随机队列研究中,纳入了169对在瓜达拉哈拉市民医院接受孕期和分娩护理的母婴。根据喂养方式,婴儿被分为纯母乳喂养(FBF)、部分母乳喂养(PBF)和接受母乳代用品(HMS)喂养的婴儿。测量了血清中胃饥饿素(pg/ml)、瘦素(ng/ml)、肽YY(pg/ml)和胰高血糖素样肽-1(GLP-1)(pM)的浓度。获取了包括体重、身长、头围、上臂围、三头肌和肩胛下皮褶厚度等人体测量数据。估算了体重/年龄、体重/身高、身高/年龄和BMI评分指数。我们进行了单因素方差分析、非配对学生t检验、事后Tukey检验和Pearson相关检验。三种喂养方式的方差分析比较显示,大多数人体测量指标(评分)存在显著差异,尤其是纯母乳喂养婴儿与接受母乳代用品喂养婴儿之间,特别是在肥胖指标方面;在第8周和第16周时,身长和头围评分未观察到差异。此外,大多数肥胖指标与胃饥饿素、瘦素和GLP-1之间存在显著相关性,尤其是在纯母乳喂养的婴儿中。接受纯母乳喂养、部分母乳喂养和接受母乳代用品喂养的婴儿在人体测量和身体成分参数方面存在差异。身体成分指标与胃饥饿素、瘦素和GLP-1之间存在显著相关性,主要见于纯母乳喂养的婴儿。

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