IDIP - Instituto de Desarrollo e Investigaciones Pediátricas 'Prof. Dr. Fernando E. Viteri' (Hospital de Niños 'Sor María Ludovica' de La Plata, Ministerio de Salud/Comisión de Investigaciones Científicas de la Provincia de Buenos Aires), Calle 63 N° 1069 (1900) La Plata, Argentina.
Cátedra de Posgrado de Nutrición Humana de la Facultad de Ciencias Médicas de la Universidad Nacional de La Plata, Calle 60 y 120, La Plata, Argentina.
Br J Nutr. 2024 Sep 28;132(6):762-769. doi: 10.1017/S0007114524002162. Epub 2024 Oct 11.
During the first thousand days of life, fetus and infant's nutrition depends on mother's diet. Polyunsaturated fatty acids (PUFA) are important substrates in infant neurogenesis. We related erythrocyte membrane (EM) and breast milk fatty acids (FA) profile in lactating mothers with the EM FA profile in exclusively breastfed infants and evaluated maternal fat consumption. We conducted an observational, cross-sectional analytical study. During the 2016-2019 period, milk and blood samples from adult mothers 90 days post-partum and infant's blood were analysed, and FA were determined by GC. A frequency of consumption survey of fatty acids precursor foods and sources was conducted. The sample included forty-five mother-infant EM and forty-five milk samples donated by the same mothers. A low percentage of DHA (0·14 (0·12-0·2)) was found in milk, consistent with mother's low consumption of DHA-rich foods. A significant positive correlation between infant's EM DHA percentage and milk DHA percentage ( = 0·39; value 0·008), as well as between infant's EM ω-3 fatty acids sum and milk DHA percentage ( = 0·39; value 0·008), was found. When milk had a DHA percentage greater than or equal to 0·20 %, infants had a significant increase in DHA in their EM. Mother's consumption of DHA precursors and sources was NS. The relation between the DHA percentage distribution found in maternal milk, and the DHA percentage distribution found in infant's and mother's EM was proven in this population. Dietary fatty acid intake is associated with the maternal milk lipid distribution and with mothers' and infant's EM fatty acids percentage.
在生命的最初一千天里,胎儿和婴儿的营养取决于母亲的饮食。多不饱和脂肪酸(PUFA)是婴儿神经发生的重要底物。我们将哺乳期母亲的红细胞膜(EM)和母乳脂肪酸(FA)谱与纯母乳喂养婴儿的 EM FA 谱相关联,并评估了母体脂肪的消耗。我们进行了一项观察性、横断面分析研究。在 2016-2019 年期间,对产后 90 天的成年母亲的牛奶和血液样本以及婴儿的血液进行了分析,并通过 GC 测定了 FA。还进行了脂肪酸前体食物和来源消耗频率的调查。该样本包括四十五位母亲-婴儿的 EM 和四十五位由同一母亲捐赠的母乳样本。母乳中 DHA(0·14(0·12-0·2))的比例较低,与母亲食用富含 DHA 的食物量低相一致。婴儿 EM 中的 DHA 百分比与母乳中的 DHA 百分比之间存在显著正相关( = 0·39; 值 0·008),婴儿 EM 中的 ω-3 脂肪酸总和与母乳中的 DHA 百分比之间也存在显著正相关( = 0·39; 值 0·008)。当母乳中的 DHA 百分比大于或等于 0·20%时,婴儿 EM 中的 DHA 含量显著增加。母亲对 DHA 前体和来源的消耗与 NS 无显著相关性。在该人群中,证明了母乳中 DHA 百分比分布与婴儿和母亲 EM 中 DHA 百分比分布之间的关系。饮食中脂肪酸的摄入与母乳脂质分布以及母亲和婴儿 EM 脂肪酸百分比有关。