象牙海岸阿比让 60 位母乳喂养 45 天婴儿的母亲的乳汁低聚糖概况

Matogoma Digbé Ble, Dorothée Marie Koumi, Joel Bonouma, Patou Henri Kouamé, Yao Thodekes
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摘要

导言母乳含有婴儿成熟所必需的宏量和微量营养素。在这些宏量营养素中,低聚糖被视为益生元。低聚糖是母乳中仅次于脂类和乳糖的第三大营养成分,其含量受多种因素影响,包括母亲的饮食习惯。本研究旨在评估两种饮食习惯对母乳中低聚糖含量变化的影响。研究方法这项研究涉及 60 名足月儿、纯母乳喂养婴儿的母亲。研究人员从出生 45 天的婴儿的母亲处采集了 5 毫升母乳样本,并就主食和水果的食用频率进行了问卷调查。使用 SPSS 统计软件分析了 N-乙酰神经氨酸(Neu5Ac)和 2'-岩藻糖苷半乳糖(2'-FSL)的浓度与母乳喂养母亲饮食习惯之间的相关性。结果食用花生酱米饭(R-PS)的母亲成熟母乳中 Neu5Ac 和 2'-FSL 的平均浓度分别为 2.20 ± 0.83 和 1.19 ± 0.56 克/升,食用炸鱼attiéké(A-FF)的母亲成熟母乳中 Neu5Ac 和 2'-FSL 的平均浓度分别为 2.45 ± 0.65 和 1.76 ± 0.66 克/升。统计分析显示,食用 R-PS 和 A-FF 的母亲乳汁中的低聚糖含量无明显差异(P > 0.05)。然而,食用水果的频率与婴儿肠胃炎的发生率呈正相关(r = 0.504),每周食用 3 至 5 次橘子的 A-FF 母亲乳汁中的 2'-fucosyllactose 含量明显下降(P < 0.05)。结论食用 R-PS 和 A-FF 以及适量食用水果会对母乳中的寡糖含量产生积极影响。应特别关注哺乳期的营养教育,因为它可通过微生物群的发展对婴儿健康产生潜在影响。
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Oligosaccharide Profile of Milk from 60 Mothers Breastfeeding of Infants Aged 45 Days in Abidjan, Ivory Coast
Introduction: Breast milk contains essential macro and micronutrients for infant maturation. Among these macronutrients are oligosaccharides, considered prebiotics. They are the third most abundant component of breast milk after lipids and lactose, and their concentrations are influenced by various factors, including maternal dietary habits. This study aims to evaluate the effect of two dietary habits on the variation of the oligosaccharide profile in breast milk. Methods: The study involved 60 mothers of full-term, exclusively breastfed infants. Five (5) ml milk samples were collected from mothers of 45-day-old infants, and a questionnaire on the frequency of consumption of staple foods and fruits was administered. The correlation between the concentrations of N-acetylneuraminic acid (Neu5Ac) and 2’-fucosyllactose (2’-FSL) and the dietary habits of breastfeeding mothers was analyzed using SPSS statistical software. Results: The average concentrations of Neu5Ac and 2’-FSL in mature breast milk were 2.20 ± 0.83 and 1.19 ± 0.56 g/L for mothers consuming rice with peanut sauce (R-PS) and 2.45 ± 0.65 and 1.76 ± 0.66 g/L for those consuming attiéké with fried fish (A-FF). Statistical analyses revealed no significant difference (P > 0.05) in oligosaccharide content between the milk of mothers who consumed R-PS and A-FF. However, there was a positive correlation between the frequency of fruit consumption and the occurrence of gastroenteritis in infants (r = 0.504) and a significant decrease in the 2’-fucosyllactose content in the milk of A-FF mothers who consumed oranges 3 to 5 times a week (P < 0.05). Conclusion: The consumption of R-PS and A-FF, along with moderate fruit consumption, positively influences the oligosaccharide profile of breast milk. Particular attention should be given to nutritional education during lactation due to its potential impact on infant health through microbiota development.
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