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首页> 外文期刊>Journal of human nutrition and dietetics >Reducing the maternal dietary intake of indigestible and slowly absorbed short‐chain carbohydrates is associated with improved infantile colic: a proof‐of‐concept study
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Reducing the maternal dietary intake of indigestible and slowly absorbed short‐chain carbohydrates is associated with improved infantile colic: a proof‐of‐concept study

机译：减少难民和缓慢吸收的短链碳水化合物的母体膳食摄入与改善的婴儿院有关：概念证明研究有关

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Abstract Background To investigate if a low fermentable oligo‐, di‐ and mono‐saccharides and polyols (FODMAP) diet consumed by breastfeeding mothers may be associated with reduced symptoms of infantile colic. Methods Exclusively breastfeeding mothers and their typically‐developing healthy infants who met the Wessel Criteria for infantile colic were recruited from the community, to this single‐blind, open‐label, interventional study. After a 3‐day qualifying period, mothers were provided a low FODMAP 7‐day diet. On days 5, 6 and 7 mothers completed a Baby Day Diary. At baseline and at the end of the 7‐day dietary intervention, breast milk was analysed for FODMAP content and infant faecal samples for pH . Results Eighteen breastfeeding mothers (aged 27–40 years) adhered (100%) to the low FODMAP diet. Infants were of gestational age 37–40.3 weeks and aged 2–17 weeks. At entry, crying durations were a mean [95% CI ] of 142 [106–61] min and fell by 52 [178–120] min ( P = 0.005; ancova ). Combined crying‐fussing durations fell by 73 [301–223] min ( n = 13; P = 0.007), as did crying episodes ( P = 0.01) and fussing durations ( P = 0.011). Infant sleeping, feeding, or awake‐and‐content durations did not change. Infant faecal pH did not change. Breast milk lactose content was stable and other known FODMAP s were not detected. At end of study, mothers reported their baby ‘is much more content’ and ‘can be put down without crying’. Conclusions Maternal low FODMAP diet may be associated with a reduction in infant colic symptoms. A randomized controlled study is warranted to determine if a maternal low FODMAP diet is effective in reducing symptoms.
机译：摘要背景是调查母乳喂养母亲消耗的低可发酵的寡糖，二糖和多元醇（FODMAP）饮食可能与婴儿绞痛的症状减少有关。方法从社区中招募了专门母乳喂养母亲及其典型发展的健康婴儿，该母亲从社区中招募了这个单一盲目，开放标签的介入研究。经过为期3天的排位赛，母亲提供了低FODMAP 7日饮食。在第5天，第6天，7名母亲完成了一个婴儿日记日。在基线和7天膳食干预结束时，分析母乳用于FODMAP含量和婴儿粪便样品进行pH。结果88名母乳喂养母亲（年龄27 - 40岁）粘附（100％）到低FODMAP饮食。婴儿的孕龄37-40.3周和2-17周龄。在进入时，哭泣持续时间是142 [106-61] min的平均值[95％ci]，并下降52 [178-120] min（p = 0.005; Ancova）。组合的哭声持续时间倒入73 [301-223] min（n = 13; p = 0.007），如哭泣发作（p = 0.01）和丢失持续时间（p = 0.011）。婴儿睡眠，喂养或清醒和内容持续时间没有改变。婴儿粪便pH没有改变。母乳乳糖含量稳定，未检测到其他已知的FODMAP S.在学习结束时，母亲报告了他们的宝贝“更多内容”，“可以在没有哭泣的情况下放下”。结论母体低FODMAP饮食可能与婴儿疝症状的减少有关。有必要进行随机对照研究以确定母体低FODMAP饮食是否有效降低症状。

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