Wurtman J J, Fernstrom J D
Early Hum Dev. 1979 Mar;3(1):67-77. doi: 10.1016/0378-3782(79)90021-5.
Diet compositions and breast milk levels of free amino acids, protein, and lipid were compared in lactating American and Guatemalan women. The protein in the American diet derived principally from animal sources, whereas that in the Guatemalan diet was based most exclusively on cereal grains and legumes. Corn, in the form of cornmeal, was the predominant food. Because of these dietary differences, the Guatemalan women consumed significantly smaller amounts of protein than the American women. The concentrations of most of the free amino acids in aliquots of breast milk from the Guatemalan women were lower than those in samples from the American women. In particular, tryptophan and lysine levels were 23% and 29%, respectively, of the levels in the American breast milk samples. The Guatemalan samples contained less protein, and, when values from Guatemalan women who had nursed only for 6 mth or less were considered, the fat content was also less than in the American samples. The lipid content of the milk, however, did not differ between the two groups when the length of the lactation period was not controlled. The substantial cultural differences between the two groups in the frequency and duration of nursing probably prevented the identification of a clear dietary influence on milk lipid content. The correlations found between diet composition and either the amount of protein or the levels of free amino acids in breast milk suggest that, if a mother's diet is deficient in high-quality protein, the deficiency may be reflected in the composition of her milk, perhaps to the detriment of the nursing infant.
对美国和危地马拉哺乳期妇女的饮食成分以及母乳中游离氨基酸、蛋白质和脂质的水平进行了比较。美国饮食中的蛋白质主要来自动物来源,而危地马拉饮食中的蛋白质则几乎完全基于谷物和豆类。玉米粉形式的玉米是主要食物。由于这些饮食差异,危地马拉妇女摄入的蛋白质明显少于美国妇女。危地马拉妇女母乳样本中大多数游离氨基酸的浓度低于美国妇女样本中的浓度。特别是,色氨酸和赖氨酸水平分别为美国母乳样本中水平的23%和29%。危地马拉的样本蛋白质含量较低,而且,当考虑仅哺乳6个月或更短时间的危地马拉妇女的数值时,脂肪含量也低于美国样本。然而,当不控制哺乳期长度时,两组母乳中的脂质含量没有差异。两组在哺乳频率和持续时间上的巨大文化差异可能阻碍了明确确定饮食对母乳脂质含量的影响。在饮食成分与母乳中蛋白质含量或游离氨基酸水平之间发现的相关性表明,如果母亲的饮食缺乏优质蛋白质,这种缺乏可能会反映在她的乳汁成分中,这可能会对哺乳婴儿不利。