尼日利亚约贝州不同哺乳期人类母乳蛋白质含量的评估和影响因素

O. Adekoyeni, Jafiya Lami, Feyisola Fisayo Ajayi
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摘要

目的:目的:母乳中的蛋白质具有多种功能,具有短期和长期的益处。这意味着母乳必须充分满足婴儿的营养需求,特别是在哺乳期母亲规定的纯母乳喂养期间。该研究评估了尼日利亚约贝州母乳哺乳期蛋白质的数量以及影响其供应的因素。研究设计:本研究采用定量实验和描述性调查方法。采用定量实验设计对采集的母乳样本进行分析,采用描述性调查法获得一手资料和二次资料,确定影响母乳中蛋白质含量的因素。研究地点和时间:样本采集于2019年10月至12月在尼日利亚约贝州分三个哺乳期进行。方法:根据在分娩前与医院达成的协议,招募居住在Nguru的孕妇(n= 49/镇)。在泌乳的三个阶段采集母乳样本;初乳(1-2天)、过渡期(12天)和成熟期(30天)进行蛋白质分析。采用结构化问卷的描述性调查,获得初步数据,用于确定孕期营养状况及影响母乳成分的因素。结果:初乳、过渡乳和成熟乳的平均蛋白质含量分别为3.88%、1.79%和1.23%。研究表明,母乳是一种动态液体,在哺乳过程中其蛋白质含量会发生变化,并且在不同营养和母亲之间也会发生变化。BMI低、正常和高分别占6.1%、81.6%和12.2%。根据世卫组织的标准,82%的妇女在怀孕期间BMI正常,这意味着营养良好。结论:孕妇的营养状况影响母乳中的蛋白质。年龄、种族、宗教和胎次对母乳中的蛋白质含量没有显著影响。教育水平和收入水平的提高对哺乳期蛋白质水平有积极影响。
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Assessment and Factors Influencing Protein Content of Human Breast Milk at Various Stages of Lactation in Yobe State Nigeria
Aims: Aim: Protein in breast milk has diverse functions which gives short and long term benefits. This means human milk must adequately supply the nutritional needs of infants especially during the period of exclusive breast feeding as mandated for lactating mothers. The study assessed quantity of proteins in lactating stages of mother’s breast milk and the factors that influence its availability in Yobe State, Nigeria. Study Design: Quantitative experimental and descriptive survey methods were adopted for the study. Quantitative experimental design was used for the analysis of breast milk samples collected while descriptive survey method was used to derive primary and secondary data to determine factors influencing protein in breast milk. Place and Duration of Study: The collection of the samples was done in three stages of lactation from October to December (2019) in Yobe State, Nigeria. Methodology: Primiparous women residing in Nguru (n= 49/town) were recruited base on agreement with the hospitals prior to their delivery. Breast milk samples were collected at three stages of lactation; colostrums (1-2 days), transition (12 day) and mature (30 day) for protein analysis. Descriptive survey through structured questionnaire was adopted to derive primary data which was used to determine nutrition during pregnancy and factors influencing breast milk composition. Results: The mean proteins are 3.88%, 1.79% and 1.23% for colostrum, transition and mature   milk respectively. It showed that breast milk is a dynamic fluid with changes in its protein content over the course of lactation and varies within and between nutrition and between mothers. Those with low, normal and high BMI accounted for 6.1%, 81.6% and 12.2% respectively. Based on    WHO standard, 82% of the women has normal BMI during pregnancy which translate good  nutrition. Conclusion: The nutrition of the pregnant women influenced breast milk proteins. Age, ethnicity, religion and parity have no significant effect on protein quantity in breast milk. Increased education stratification and income levels contribute positively to proteins in lactation stages.
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