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塑料奶瓶喂养对人类婴儿生化参数的影响——一项初步研究。

Plastic bottle feeding produces changes in biochemical parameters in human infants - A pilot study.

作者信息

Pant Mahendra K, Ahmad Abul H, Naithani Manisha, Pant Jayanti

机构信息

Department of Anatomy, Government Doon Medical College, Uttarakhand, India.

College of Veterinary Sciences, G.B. Pant University of Agriculture and Technology, Uttarakhand, India.

出版信息

Clin Exp Pediatr. 2022 Sep;65(9):459-465. doi: 10.3345/cep.2022.00234. Epub 2022 May 19.

Abstract

BACKGROUND

Plastic bottles are widely used by people to feed their infants when breastfeeding is not possible. Bisphenol A (BPA), an endocrine disruptor is widely used in the manufacturing of plastic wares and is leached out from these plastic wares on exposure to high temperature, changed pH, or cleaning the plastic wares by harsh detergents.

PURPOSE

Feeding through plastic bottles over prolong duration is expected to expose the infants to leached BPA. Hence the present study was taken up to compare the effects of breastfeeding and plastic bottle feeding on biochemical parameters in infants and also detect for the presence of free BPA or its metabolite in the infants.

METHODS

Biochemical tests like lipid profile, liver function tests, creatine-kinase-MB (CK-MB), serum urea, serum electrolytes were performed on blood samples obtained from infants who were breastfed and plastic bottle fed. Further, plasma and urine samples of the infants were subjected to Liquid chromatography-mass spectrometry analysis for detecting free BPA and BPA glucuronide.

RESULTS

Biochemical changes in form of raised triglycerides, cholesterol, low-density lipoproteins, very low-density lipoproteins and increase in CK-MB, serum urea were observed in plastic bottle fed infants. BPA glucuronide was also detected in the urine of these infants. Free BPA was not detected in plasma or urine samples of the infants except in one plasma sample from bottle-fed group.

CONCLUSION

Plastic bottle feeding may lead to toxic changes in the functioning of organs which manifest as altered biochemical parameters.

摘要

背景

当无法进行母乳喂养时,塑料奶瓶被人们广泛用于喂养婴儿。双酚A(BPA)是一种内分泌干扰物,广泛用于塑料制品的制造,在暴露于高温、pH值变化或用强力洗涤剂清洗塑料制品时会从这些塑料制品中渗出。

目的

长时间通过塑料奶瓶喂养预计会使婴儿接触到渗出的双酚A。因此,开展本研究以比较母乳喂养和塑料奶瓶喂养对婴儿生化参数的影响,并检测婴儿体内游离双酚A或其代谢物的存在情况。

方法

对从母乳喂养和塑料奶瓶喂养的婴儿采集的血样进行血脂谱、肝功能测试、肌酸激酶同工酶MB(CK-MB)、血清尿素、血清电解质等生化检测。此外,对婴儿的血浆和尿液样本进行液相色谱-质谱分析,以检测游离双酚A和双酚A葡萄糖醛酸苷。

结果

在塑料奶瓶喂养的婴儿中观察到甘油三酯、胆固醇、低密度脂蛋白、极低密度脂蛋白升高以及CK-MB、血清尿素增加等形式的生化变化。在这些婴儿的尿液中也检测到了双酚A葡萄糖醛酸苷。除了奶瓶喂养组的一份血浆样本外,在婴儿的血浆或尿液样本中未检测到游离双酚A。

结论

塑料奶瓶喂养可能会导致器官功能出现毒性变化,表现为生化参数改变。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d231/9441618/c5716414dc22/cep-2022-00234f1.jpg

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