Luukkainen P, Salo M K, Visakorpi J K, Räihä N C, Nikkari T
Department of Pediatrics, University of Tampere, Medical School, Finland.
J Pediatr Gastroenterol Nutr. 1996 Oct;23(3):229-34. doi: 10.1097/00005176-199610000-00005.
We studied healthy term infants at 6 and 8 months of age to assess the effect of fat-containing solid foods (mashed veal, chicken, and pork provided in ready-to-feed cans) on plasma long-chain polyunsaturated fatty acid (LCP) status. Twenty-one infants were breast-fed and 49 were formula-fed. The fat of the formula contained 16.2% linoleic acid and 2.3% alpha-linolenic acid but no LCPs. The solid-food intake was assessed with a 7-day dietary record. Blood samples were obtained at 6 and 8 months of age, and the fatty acid composition of plasma cholesteryl esters (CE) and phospholipids (PL) were analyzed with capillary gas liquid chromatography. The solid food-derived fat intake was higher in the formula-fed than in the breast-fed group at 6 months, and it increased significantly in both groups (from 0.15 to 0.39 g/kg/day and from 0.24 to 0.43 g/kg/day in breast-fed and formula-fed groups, respectively). The relative plasma concentrations of arachidonic acid (20:4n-6) and docosahexaenoic acid (22:6n-3) were significantly lower in the formula-fed than in the breast-fed group at both 6 and 8 months. In the formula-fed group at 8 months, the proportion of solid food-derived fat correlated positively with plasma 20:4n-6, and the mean percentage of PL-20:4n-6 were 8.0% (95% confidence interval, 7.4-8.5) and 9.0% (8.3-9.7) in its lowest and highest quartiles, respectively. In the breast-fed group, solid food-derived fat intake had no effect on plasma 20:4n-6. The two groups were similar in that solid-food fat had no effect on plasma PL- or CE-22:6n-3. In conclusion, the introduction of meat containing solid foods to formula-fed infants increases their plasma 20:4n-6, but not to levels found in breast-fed infants. Further studies are needed to establish an optimal fatty acid composition of solid foods during weaning.
我们对6个月和8个月大的健康足月儿进行了研究,以评估含脂肪固体食物(即食罐装碎小牛肉、鸡肉和猪肉)对血浆长链多不饱和脂肪酸(LCP)状态的影响。21名婴儿为母乳喂养,49名婴儿为配方奶喂养。配方奶中的脂肪含有16.2%的亚油酸和2.3%的α-亚麻酸,但不含LCP。通过7天饮食记录评估固体食物摄入量。在6个月和8个月大时采集血样,并用毛细管气相色谱法分析血浆胆固醇酯(CE)和磷脂(PL)的脂肪酸组成。在6个月时,配方奶喂养组来自固体食物的脂肪摄入量高于母乳喂养组,且两组该摄入量均显著增加(母乳喂养组从0.15 g/kg/天增至0.39 g/kg/天,配方奶喂养组从0.24 g/kg/天增至0.43 g/kg/天)。在6个月和8个月时,配方奶喂养组血浆花生四烯酸(20:4n - 6)和二十二碳六烯酸(22:6n - 3)的相对浓度均显著低于母乳喂养组。在8个月大的配方奶喂养组中,来自固体食物的脂肪比例与血浆20:4n - 6呈正相关,其最低和最高四分位数中PL - 20:4n - 6的平均百分比分别为8.0%(95%置信区间,7.4 - 8.5)和9.0%(8.3 - 9.7)。在母乳喂养组中,来自固体食物的脂肪摄入量对血浆20:4n - 6无影响。两组的相似之处在于,固体食物脂肪对血浆PL - 或CE - 22:6n - 3均无影响。总之,给配方奶喂养的婴儿引入含肉固体食物会增加其血浆20:4n - 6,但未达到母乳喂养婴儿的水平。需要进一步研究以确定断奶期间固体食物的最佳脂肪酸组成。