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中国三个城市母乳中神经节苷脂的动态变化以及母婴饮食中神经节苷脂的摄入量

The dynamic changes of gangliosides in breast milk and the intake of gangliosides in maternal and infant diet in three cities of China.

作者信息

Tan Shengjie, Chen Chang, Zhao Ai, Wang Meichen, Zhao Wenzhi, Zhang Jian, Li Hao, Zhang Yumei

机构信息

Department of Nutrition and Food Hygiene, School of Public Health, Peking University Xueyuan Road 38, Haidian District, Beijing, China.

Department of Obstetrics and Gynaecology, The First Affiliated Hospital of Chongqing Medical University Youyi Road 1, Yuzhong District, Chongqing, China.

出版信息

Int J Clin Exp Pathol. 2020 Nov 1;13(11):2870-2888. eCollection 2020.

Abstract

OBJECTIVE

To study the ganglioside intake of lactating mothers and its effect on the breast milk and infants.

METHODS

The related information of mothers and infants was obtained by questionnaire survey, including the recipe, family information, and so on. The content of gangliosides in the mothers' food and breast milk was tested by HPLC-MS. The intake of gangliosides for infants was recorded and calculated. Then the dynamic changes of the content of gangliosides in breast milk and the impact on the development of infants were evaluated.

RESULTS

GD3 was rich in milk and dairy products. The average intake of gangliosides for lactating mothers was 6.33 mg/day, of which GM3 was 3.02 mg/day and GD3 was 1.51 mg/day. The main food sources of gangliosides were meat (46.6%), eggs (26.6%), and dairy products (18.9%). The average content of gangliosides in breast milk was 9.58 mg/L. The content in 0-7 days after delivery (15.95 mg/L) was the highest, and then gradually decreased with time, getting the lowest in 6 months after delivery (6.47 mg/L). GM3 and GD3 were the two main types in breast milk. The average milk intake of infants under 6 months gradually increased from 570 mL to 1367 mL, and the daily intake of gangliosides was relatively stable, with a median of 6.4 mg. There was no significant relationship between the intake of gangliosides and physical development in infants.

CONCLUSION

This study is the first to report the dietary ganglioside intake of Chinese city mothers. This study is also the first to indirectly infer the demand of infant ganglioside by detecting the components of breast milk. It will accumulate basic data for improving the diet of Chinese mothers and the recommended amount of infant nutrients.

摘要

目的

研究哺乳期母亲的神经节苷脂摄入量及其对母乳和婴儿的影响。

方法

通过问卷调查获取母婴相关信息,包括食谱、家庭信息等。采用高效液相色谱-质谱联用仪检测母亲食物和母乳中神经节苷脂的含量。记录并计算婴儿神经节苷脂的摄入量。然后评估母乳中神经节苷脂含量的动态变化及其对婴儿发育的影响。

结果

GD3在牛奶和奶制品中含量丰富。哺乳期母亲神经节苷脂的平均摄入量为6.33毫克/天,其中GM3为3.02毫克/天,GD3为1.51毫克/天。神经节苷脂的主要食物来源是肉类(46.6%)、蛋类(26.6%)和奶制品(18.9%)。母乳中神经节苷脂的平均含量为9.58毫克/升。产后0至7天的含量最高(15.95毫克/升),然后随时间逐渐下降,产后6个月时最低(6.47毫克/升)。GM3和GD3是母乳中的两种主要类型。6个月以下婴儿的平均奶量从570毫升逐渐增加到1367毫升,神经节苷脂的每日摄入量相对稳定,中位数为6.4毫克。婴儿神经节苷脂摄入量与身体发育之间无显著关系。

结论

本研究首次报道了中国城市母亲膳食中神经节苷脂的摄入量。本研究也是首次通过检测母乳成分间接推断婴儿神经节苷脂的需求量。这将为改善中国母亲的饮食和婴儿营养推荐量积累基础数据。

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