哺乳期地中海饮食与婴儿生长。

Maternal Mediterranean Diet During Lactation and Infant Growth.

机构信息

Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.

Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA.

出版信息

Breastfeed Med. 2024 Nov;19(11):848-856. doi: 10.1089/bfm.2024.0133. Epub 2024 Oct 2.

Abstract

Human milk is considered the optimal source of nutrition for infants. Maternal diet is associated with the composition of human milk. The Mediterranean diet (MedDiet) has been studied in pregnancy and during lactation, and it has been associated with changes in milk composition, yet there is a lack of research on MedDiet during lactation and infant outcomes. Mother-infant dyads ( = 167) from ABC Baby, a prospective observational study, were included in this analysis. Maternal diet was obtained using an adapted version of the National Cancer Institute Diet History Questionnaire II, at 2 weeks or 2 months postpartum. Maternal MedDiet score was calculated using servings of vegetables, fruits, whole grains, nuts and seeds, legumes, fish, monounsaturated-to-saturated fatty acid ratio, red and processed meats, and added sugar. Infants' length, weight, and flank skinfold thickness were measured at 6 months. Using World Health Organization standards, weight-for-age (WAZ), length-for-age (LAZ), and weight-for-length (WLZ) Z-scores were calculated. Multiple linear regression models were adjusted for potential confounders. Higher maternal MedDiet score and intake of fruit and fish were associated with lower flank skinfold thickness ( = -0.33, -0.52, and -1.26, respectively). Intake of nuts and seeds was associated with higher WLZ ( = 0.29). Intake of red and processed meats was associated with lower WAZ ( = -0.18) and LAZ ( = -0.18). Energy-adjusted added sugar intake was associated with lower WLZ ( = -0.02). The maternal MedDiet score was associated with lower skinfold thickness, while its components were associated with differences in anthropometric Z-scores. Further research on the maternal MedDiet and corresponding human milk composition is needed to explore this relationship.

摘要

人乳被认为是婴儿最佳的营养来源。母亲的饮食与母乳成分有关。地中海饮食(MedDiet)已在妊娠和哺乳期进行了研究,并且与母乳成分的变化有关,但在哺乳期和婴儿结局方面的研究较少。ABC Baby 是一项前瞻性观察研究,共纳入了 167 对母婴对。在产后 2 周或 2 个月时,使用改良版国家癌症研究所饮食史问卷 II 评估母亲的饮食。使用蔬菜、水果、全谷物、坚果和种子、豆类、鱼、单不饱和脂肪酸与饱和脂肪酸的比例、红色和加工肉类以及添加糖的份数来计算母亲的 MedDiet 评分。在 6 个月时测量婴儿的身长、体重和肋部皮褶厚度。根据世界卫生组织标准,计算体重年龄(WAZ)、身长年龄(LAZ)和体重身长(WLZ)Z 评分。使用多元线性回归模型调整了潜在混杂因素。较高的母亲 MedDiet 评分和水果与鱼的摄入量与较低的肋部皮褶厚度有关(分别为-0.33、-0.52 和-1.26)。坚果和种子的摄入量与较高的 WLZ 有关(=0.29)。红色和加工肉类的摄入量与较低的 WAZ(=-0.18)和 LAZ(=-0.18)有关。能量调整后的添加糖摄入量与较低的 WLZ 有关(=-0.02)。母亲的 MedDiet 评分与较低的皮褶厚度有关,而其成分与人体测量 Z 评分的差异有关。需要进一步研究母亲的 MedDiet 及其相应的母乳成分,以探讨这种关系。

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