Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brazil.
Universidade Federal do Estado do Rio de Janeiro, Escola de Nutrição, Departamento de Nutrição e Saúde Pública, Rio de Janeiro, RJ, Brazil.
J Pediatr (Rio J). 2021 Nov-Dec;97(6):665-669. doi: 10.1016/j.jped.2021.02.003. Epub 2021 Mar 12.
To determine the sodium concentration in cow milk available for sale and to estimate its consumption by infants up to 6 months of age.
Sodium level was determined by flame emission spectrophotometry in eight different lots of five brands of liquid ultra-high temperature milk and three brands of powdered milk. To estimate sodium consumption via cow milk, orientations for exceptional situations when neither breastfeeding nor infant formula is possible were considered. Inferential statistics were performed and results were compared with critical parameters at a 5% significance level.
The mean sodium content per portion found in liquid milk (162.5±16.2) mg/200mL was higher than that in powdered milk (116.8±3.0) mg/26g. Estimated sodium consumption by infants through powdered milk varied from 149.8 to 224.7% of adequate intake, and via liquid milk can be more than 500% of the adequate intake, reaching 812.4% of it if dilution is not applied. Seven of the eight brands of milk studied had declared, on their labels, that the sodium content was 13-30% lower than that found in chemical analysis.
Liquid and powdered whole cow milk have high sodium content, and the content per portion is higher in liquid milk than in powdered milk. The estimated consumption of sodium through these products can far exceed the adequate intake for infants from 0 to 6 months old, even when the recommended dilution and maximum daily volumes are followed.
测定市售牛奶中的钠浓度,并估算 6 月龄以下婴儿的摄入量。
采用火焰发射分光光度法测定 8 个不同批次的 5 个品牌液态超高温奶和 3 个品牌的粉状奶中的钠含量。为了估算通过牛奶摄入的钠量,考虑了在无法母乳喂养或婴儿配方奶的特殊情况下的摄入量。进行了推理统计,结果在 5%的显著性水平下与临界参数进行了比较。
液态奶中每份(162.5±16.2)mg/200mL 的平均钠含量高于粉状奶(116.8±3.0)mg/26g。通过粉状奶摄入的婴儿估计钠量为适宜摄入量的 149.8%至 224.7%,通过液态奶摄入的钠量可能超过适宜摄入量的 500%,如果不稀释,则可达适宜摄入量的 812.4%。研究的 8 个品牌的牛奶中有 7 个在标签上声明其钠含量比化学分析低 13%-30%。
全脂液态奶和粉状奶的钠含量都很高,且液态奶的每份钠含量高于粉状奶。通过这些产品摄入的钠量估计远远超过 0-6 月龄婴儿的适宜摄入量,即使遵循推荐的稀释度和最大日摄入量。