何必子;刘燕萍;李珊珊;包媛媛;孙秀静;王丹华;
HE Bi-zi;LIU Yan-ping;LI Shan-shan;BAO Yuan-yuan;SUN Xiu-jing;WANG Dan-hua;Department of Pediatrics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Nutrition,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;

• 1:中国医学科学院 北京协和医学院 北京协和医院儿科
• 2:中国医学科学院 北京协和医学院 北京协和医院营养科

摘要(Abstract)：

目的调查早产产妇产后膳食情况及与母乳营养成分的相关性。方法早产产妇在产后2周和6周、足月产妇在产后6周时分别进行24 h膳食调查,各留取其后一日的母乳样本,将膳食营养素摄入量与母乳营养成分作相关分析。结果早产产妇产后2周膳食摄入调查表共回收30份,产后6周16份,足月产妇产后6周膳食调查表31份。早产产妇产后6周宏量营养素摄入与足月产妇比较差异无统计学意义(P>0.05);体型正常产妇与超重肥胖产妇母乳营养成分差异无统计学意义(P>0.05)。早产产妇产后蛋白质、脂肪、碳水化合物摄入与其母乳中蛋白质、脂肪和碳水化合物含量无显著相关(P>0.05)。结论在蛋白质-能量营养状况正常的早产产妇,短期内蛋白质、脂肪、碳水化合物摄入与其母乳成分未发现明确相关性。
Objective To evaluate dietary intakes of mothers of premature infants and to explore its possible associations with macronutrients and energy in breast milk. Methods A 24-hour dietary survey was conducted in mothers of premature infants at 2 and 6 weeks postpartum,and in mothers of term infants at 6 weeks postpartum.Breast milk samples were collected the day following the survey. The possible correlation between the macronutrients( including protein,fat,carbohydrate,and dry matter) and energy in the milk samples and dietary intakes was analyzed. Results Totally,46 questionnaires were collected from mothers of premature infants( 30 at 2 weeks,16 at 6 weeks postpartum) and 31 from mothers of term infants at 6 weeks postpartum. At 6 weeks postpartum,general dietary intakes showed no significant difference between mothers of premature infants and those of term infants( P >0.05). There was no significant difference in milk macronutrients and energy between normal body mass index mothers and overweight /obese mothers( P > 0. 05). No association was found between the dietary protein,fat,carbohydrate intakes and the levels of these macronutrients in the breast milk in mothers of premature infants( P >0. 05). Conclusions There may be no association between the near-term dietary intakes and the macronutrients and energy in the breast milk in mothers of premature infants who are in normal nutritional status.

关键词(KeyWords)： 母乳;早产;膳食;宏量营养素
breast milk;premature birth;dietary intakes;macronutrients

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 何必子;刘燕萍;李珊珊;包媛媛;孙秀静;王丹华;
HE Bi-zi;LIU Yan-ping;LI Shan-shan;BAO Yuan-yuan;SUN Xiu-jing;WANG Dan-hua;Department of Pediatrics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;Department of Nutrition,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College;

参考文献(References)：

• [1]唐仪,郝玲.妇女儿童营养学[M].北京:化学工业出版社,2012:202.
• [2]杨月欣,王光亚,潘兴昌.中国食物成分表[M].北京:北京大学医学出版社,2012.
• [3]Anna W,Jean-Pierre H,Kathleen MR.Linking maternal and infant benefits of a nutritional supplement during pregnancy and lactation[J].Am J Clin Nutr,1998,68:656-661.
• [4]Chapman DJ,Nommsen-Rivers L.Impact of maternal nutritional status on human milk quality and infant outcomes:an update on key nutrients[J].Adv Nutr,2012,3:351-352.
• [5]于珊,董娟,侯艳梅,等.480例产后42天妇女体质状况分析[J].中国妇幼保健,2007,22:2040-2041.
• [6]Mahmoud A,Agneta L,Morey W.Effect of dietary macronutrient composition under moderate hypocaloric intake on maternal adaptation during lactation[J].Am J Clin Nutr,2009,89:1821-1827.
• [7]Ballard O,Morrow AL.Human milk composition:nutrients and bioactive factors[J].Pediatr Clin North Am,2013,60:49-74.