Nutritional composition of human milk and its association with maternal and perinatal factors.
Rev Paul Pediatr
; 42: e2023001, 2023.
Article
em En
| MEDLINE
| ID: mdl-38055463
ABSTRACT
OBJECTIVE:
The objective of this study was to evaluate the influence of maternal and perinatal factors on the nutritional composition of human milk.METHODS:
A cross-sectional study was conducted between November 2018 and January 2020, with 181 donors selected in Tertiary Health Units of the Unified Health System - from one collection station and five Human Milk Banks. Data were collected through a standardized questionnaire. To be fit to be a donor in a Human Milk Banks and produce mature milk were the eligibility criteria to participate in the study. We excluded milk samples with Dornic acidity above 8° D. The dependent variables were the macronutrients of human milk (i.e., carbohydrates, proteins, lipids, and total energy), that were analyzed using spectroscopy with the Miris Human Milk Analyzer™. The maternal and perinatal factors were the independent variables.RESULTS:
Women with pre-gestational obesity and gestational weight gain above the recommendation showed a lower protein concentration compared to eutrophic women (median=0.8, interquartile range (IQR) 0.7-0.9 vs. median=0.8, and IQR 0.8-1.0) and those with adequate gestational weight gain (median=0.8, IQR 0.7-0.9 vs. median=0.9, and IQR 0.8-1.0), respectively. The other analyzed factors (i.e., maternal habits, comorbidities, and perinatal factors) were not associated with the nutritional composition of human milk.CONCLUSIONS:
The assessment of factors associated with the nutritional composition of human milk is extremely important to assist postpartum care. Pre-gestational obesity and inadequate gestational weight gain were the only factors statistically associated with the nutritional composition of human milk as they impacted its protein content.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Bancos de Leite Humano
/
Ganho de Peso na Gestação
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article