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早产母乳中的性别差异:迈向个性化强化母乳的一步?

Sexual Dimorphism in Preterm Milk: A Step Toward the Individualized Fortification of Mother's Own Milk?

作者信息

Rodrigues Inês, Proença Luís, Ramalho Renata, Virella Daniel, Pereira-da-Silva Luís, Cardoso Manuela

机构信息

Nutrition Laboratory, Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, 2829-511 Almada, Portugal.

Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, 2829-511 Almada, Portugal.

出版信息

Nutrients. 2025 Aug 15;17(16):2644. doi: 10.3390/nu17162644.

DOI:10.3390/nu17162644
PMID:40871677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12389173/
Abstract

Several factors can affect the composition of a mother's milk, including the infant's sex, gestational age, and single or twin delivery. We aimed to determine the association of the offspring's sex with the macronutrient and energy content in preterm milk, during the first six weeks postpartum. : This is a retrospective, monocentric, cohort study of lactating mothers who delivered before 37 weeks at a referral tertiary maternity. A mid-infrared human milk analyzer was used. From 174 mothers, 360 milk samples were obtained. In the milk for singletons, the mature milk for females was significantly richer in total energy, fat, and protein than the milk for males; in advanced lactation, the milk for males was richer in protein than the milk for females. The transitional milk for male twins was significantly richer in fat and energy than the milk for male singletons; mature milk for male twins was richer in energy, carbohydrates, and protein than the milk for singletons. The mature milk for female twins during the fourth week postpartum was significantly richer in fat and total energy than the milk for singletons. This study provides information on how the number of delivered fetuses and the infant's sex affects the composition of preterm milk.

摘要

几个因素会影响母乳的成分,包括婴儿的性别、胎龄以及单胎或双胎分娩。我们旨在确定产后六周内早产母乳中宏量营养素和能量含量与后代性别的关联。:这是一项对在一家三级转诊妇产医院孕37周前分娩的哺乳期母亲进行的回顾性、单中心队列研究。使用了中红外母乳分析仪。从174名母亲那里获取了360份母乳样本。在单胎母乳中,女婴的成熟母乳在总能量、脂肪和蛋白质方面显著比男婴的母乳丰富;在泌乳后期,男婴的母乳在蛋白质方面比女婴的母乳丰富。男双胞胎的过渡乳在脂肪和能量方面显著比单胎男婴的母乳丰富;男双胞胎的成熟母乳在能量、碳水化合物和蛋白质方面比单胎男婴的母乳丰富。产后第四周女双胞胎的成熟母乳在脂肪和总能量方面显著比单胎女婴的母乳丰富。本研究提供了有关分娩胎儿数量和婴儿性别如何影响早产母乳成分的信息。

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本文引用的文献

1
Factors That May Affect Breast Milk Macronutrient and Energy Content: A Critical Review.可能影响母乳宏量营养素和能量含量的因素:一项批判性综述。
Nutrients. 2025 Jul 30;17(15):2503. doi: 10.3390/nu17152503.
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Body Composition in Preterm Infants: Current Insights and Emerging Perspectives.早产儿的身体组成:当前见解与新观点
Children (Basel). 2025 Jan 2;12(1):53. doi: 10.3390/children12010053.
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Fetal body composition reference charts and sexual dimorphism using magnetic resonance imaging.使用磁共振成像的胎儿身体成分参考图表及性别差异
Am J Clin Nutr. 2024 Dec;120(6):1364-1372. doi: 10.1016/j.ajcnut.2024.10.004. Epub 2024 Oct 15.
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Impact of Early Nutrition Interventions on the Growth and Development of Preterm Infants: A Narrative Review.早期营养干预对早产儿生长发育的影响:一项叙述性综述
Cureus. 2024 Feb 25;16(2):e54888. doi: 10.7759/cureus.54888. eCollection 2024 Feb.
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Maternal diet and human milk composition: an updated systematic review.母体饮食与母乳成分:一项最新的系统评价
Front Nutr. 2024 Jan 23;10:1320560. doi: 10.3389/fnut.2023.1320560. eCollection 2023.
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Individualized Fortification Based on Measured Macronutrient Content of Human Milk Improves Growth and Body Composition in Infants Born Less than 33 Weeks: A Mixed-Cohort Study.基于母乳宏量营养素实测含量的个体化强化可改善小于 33 周龄出生婴儿的生长和身体成分:一项混合队列研究。
Nutrients. 2023 Mar 22;15(6):1533. doi: 10.3390/nu15061533.
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Enteral Nutrition in Preterm Infants (2022): A Position Paper From the ESPGHAN Committee on Nutrition and Invited Experts.早产儿肠内营养(2022):ESP-GHAN 营养委员会及特邀专家的立场文件。
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Influence of maternal and perinatal factors on macronutrient content of very preterm human milk during the first weeks after birth.母亲和围产期因素对出生后最初几周极早产儿人乳宏量营养素含量的影响。
J Perinatol. 2023 Jan;43(1):52-59. doi: 10.1038/s41372-022-01475-6. Epub 2022 Aug 5.
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Multi-nutrient fortification of human milk for preterm infants.早产儿母乳的多种营养素强化
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