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首页> 外文期刊>Breastfeeding medicine: the official journal of the Academy of Breastfeeding Medicine >Comparison of Breast Milk Compositions Among Mothers Delivering Small-for-Gestational Age, Appropriate-for-Gestational Age, and Large-for-Gestational Age Infants
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Comparison of Breast Milk Compositions Among Mothers Delivering Small-for-Gestational Age, Appropriate-for-Gestational Age, and Large-for-Gestational Age Infants

机译：母乳组合物比较母乳组合物，提供小于胎龄，适当的年龄，适当年龄和大胎龄的婴儿

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Objectives: The aim of this study was to compare the breast milk compositions of mothers who delivered babies in three different birth weight categories. Materials and Methods: We collected 75 breast milk samples from mothers of small-for-gestational age (SGA), appropriate-for-gestational age (AGA), and large-for-gestational age (LGA) term infants (25 per group) on the 11th-28th day postpartum using a manual or electric breast pump. Homogenized samples were analyzed using a mid-infrared human milk analyzer within 2 hours of collection, and protein, carbohydrate (CHO), fat, and energy levels were compared. Results: Of 75 participants (median maternal age: 29 years), there was a significant difference in maternal body mass index (BMI), gestational age, and birth weight among the three groups. However, we found no significant variation in breast milk true protein, crude protein, fat, or energy. The CHO composition of breast milk in mothers of SGA infants (7.1g/100mL, range: 6.6-7.3g/100mL) was significantly lower than that in the AGA (7.3g/100mL, range: 7.1-7.5g/100mL) and LGA (7.2g/100mL, range: 6.7-7.4g/100mL) groups. After post hoc multiple comparison, only CHO levels between the SGA and AGA groups were significantly different (p=0.025), whereas no significant correlation was found between maternal BMI, gestational age, and CHO. Conclusions: The CHO component in breast milk from mothers of SGA infants was significantly lower compared with the AGA and LGA groups, but with no clinical significance. Breast milk compositions of mothers of LGA infants were comparable to those of SGA and AGA infants. Therefore, fetal growth status does not significantly influence maternal breast milk nutrients.
机译：目的：本研究的目的是比较母乳组合的母乳组合物，他们以三种不同的出生体重类别交付婴儿。材料和方法：我们收集了来自胎龄（SGA）的母乳母牛样品（SGA），适当妊娠龄（AGA）和大胎龄（LGA）术语婴儿（每组25岁）在第11天第11天使用手动或电动泵的产后。使用中红外人乳分析仪在收集后2小时内分析均化样品，比较蛋白质，碳水化合物（CHO），脂肪和能量水平。结果：75名参与者（中位产妇年龄：29岁），母体体重指数（BMI），妊娠年龄和三组出生体重存在显着差异。然而，我们发现母乳真蛋白，粗蛋白质，脂肪或能量没有显着变化。 SGA婴儿母亲的母乳的CHO组成（7.1g / 100ml，范围：6.6-7.3g / 100ml）显着低于AGA（7.3g / 100ml，范围：7.1-7.5g / 100ml）和LGA（7.2g / 100ml，范围：6.7-7.4g / 100ml）组。在HOC多重比较后，只有SGA和AGA组之间的CHO水平显着不同（P = 0.025），而母体BMI，孕龄和CHO之间没有显着相关性。结论：与AGA和LGA组相比，SGA婴儿母乳中母乳中的CHO组分显着降低，但没有临床意义。 LGA婴儿母乳组合物与SGA和AGA婴儿的母乳组合物相当。因此，胎儿生长状况不会显着影响母体乳房牛奶营养素。

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