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Nutritional composition of human milk and its association with maternal and perinatal factors.
Marano, Daniele; Melo, Raquel Ximenes; Silva, Danielle Aparecida da; Vilarim, Marina Machado; Moreira, Maria Elisabeth Lopes.
Afiliación
  • Marano D; Fundação Oswaldo Cruz, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira - Rio de Janeiro, RJ, Brazil.
  • Melo RX; Fundação Oswaldo Cruz, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira - Rio de Janeiro, RJ, Brazil.
  • Silva DAD; Fundação Oswaldo Cruz, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira - Rio de Janeiro, RJ, Brazil.
  • Vilarim MM; Fundação Oswaldo Cruz, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira - Rio de Janeiro, RJ, Brazil.
  • Moreira MEL; Fundação Oswaldo Cruz, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira - Rio de Janeiro, RJ, Brazil.
Rev Paul Pediatr ; 42: e2023001, 2023.
Article en En | MEDLINE | ID: mdl-38055463
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.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bancos de Leche Humana / Ganancia de Peso Gestacional Límite: Female / Humans / Pregnancy Idioma: En Revista: Rev Paul Pediatr Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bancos de Leche Humana / Ganancia de Peso Gestacional Límite: Female / Humans / Pregnancy Idioma: En Revista: Rev Paul Pediatr Año: 2023 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil