Am J Clin Nutr：哺乳期女性可以随便吃喝吗？

2016-08-24 Moon 译 MedSci原创

母乳是婴儿成长最自然、最安全、最完整的天然食物，它含有婴儿成长所需的所有营养和抗体，特别是母乳含有百分之五十的脂肪，除了供给宝宝身体热量之外，还满足宝宝脑部发育所需的脂肪(脑部60%的结构来自于脂肪);丰富的钙和磷可以使宝宝长的又高又壮;免疫球蛋白可以有效预防及保护婴儿免于感染及慢性病的发生;比非得因子和寡糖可以抑制肠道病菌增生和帮助消化。除此之外，哺喂母乳的亲密接触和亲子关系可刺激婴儿脑部及心智

母乳是婴儿成长最自然、最安全、最完整的天然食物，它含有婴儿成长所需的所有营养和抗体，特别是母乳含有百分之五十的脂肪，除了供给宝宝身体热量之外，还满足宝宝脑部发育所需的脂肪(脑部60%的结构来自于脂肪);丰富的钙和磷可以使宝宝长的又高又壮;免疫球蛋白可以有效预防及保护婴儿免于感染及慢性病的发生;比非得因子和寡糖可以抑制肠道病菌增生和帮助消化。除此之外，哺喂母乳的亲密接触和亲子关系可刺激婴儿脑部及心智发育。

不过有报道称，母亲的饮食会影响母乳的营养成分。但归因于饮食的母乳变化量仍是未知的。关于饮食对母乳成分影响的最原始研究报告并没有直接评估饮食对母乳成分的直接影响。

我们对PubMed和MEDLINE进行了系统的检索，收集关于这一问题的定量依据。只有提供了关于母亲饮食和母乳数据的定量信息，以及测量健康足月婴儿母亲的个人健康数据，基于原始观测或实验设计纳入系统回顾。排除标准主要集中在补充剂、有毒金属或从饮食到母乳的其他污染物，或轻微营养不良的女性。

36篇出版物包含了1977名哺乳期女性，符合我们的纳入标准，进行了系统回顾。十七项研究调查了饮食对母乳中脂肪酸含量的影响。其余的研究专注于母乳的其他营养特性。

最大的证据，关于孕妇饮食与母乳营养特性关联的文章中，3项研究支持摄入鱼类与母乳中高二十二碳六烯酸含量有关；2项研究认为饮食中维生素C含量与母乳中维生素C含量呈正相关。

关于这个主题的信息是稀缺且多元化的，目前还不能对临床实践提供有用证据，这些建议也是有限的，只有间接关联的研究。希望在未来看到更多的研究。

原始出处：

Bravi F.et al.Impact of maternal nutrition on breast-milk composition: a systematic review.Am J Clin Nutr. 2016 Aug 17. pii: ajcn120881. [Epub ahead of print]

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2016-09-27 ylzr123

好文，从这里学习了好多新知识，新信息。赞了！

51 0
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2016-08-27 ylzr123

赞！文章有深度，值得收藏拜读。

52 0
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2016-08-26 1dd8a7c5m95(暂无匿称)

学习了，赞一个！！！

50 0
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2016-08-26 1dd8a7c5m95(暂无匿称)

学习了，赞一个！！！

54 0
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2016-08-26 1dd8a7c5m95(暂无匿称)

学习了，赞一个！！！

68 0
[GetPortalCommentsPageByObjectIdResponse(id=136377, encodeId=c3951363e7b5, content=好文，从这里学习了好多新知识，新信息。赞了！, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Tue Sep 27 18:53:40 CST 2016, time=2016-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=105362, encodeId=3ee71053621d, content=赞！文章有深度，值得收藏拜读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat Aug 27 08:30:00 CST 2016, time=2016-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=105002, encodeId=2f3e10500203, content=学习了，赞一个！！！, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRuUXgacXpPeW0x8Z3Qr9c3I2kTic4ZIpR29iaftYgkjRcbv982icYMtqANBPYBgPnOia6mVtX76qMXuc/0, createdBy=ebe61630855, createdName=1dd8a7c5m95(暂无匿称), createdTime=Fri Aug 26 19:36:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=105005, encodeId=003c105005d8, content=学习了，赞一个！！！, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRuUXgacXpPeW0x8Z3Qr9c3I2kTic4ZIpR29iaftYgkjRcbv982icYMtqANBPYBgPnOia6mVtX76qMXuc/0, createdBy=ebe61630855, createdName=1dd8a7c5m95(暂无匿称), createdTime=Fri Aug 26 19:36:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=104999, encodeId=6c93104999d4, content=学习了，赞一个！！！, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRuUXgacXpPeW0x8Z3Qr9c3I2kTic4ZIpR29iaftYgkjRcbv982icYMtqANBPYBgPnOia6mVtX76qMXuc/0, createdBy=ebe61630855, createdName=1dd8a7c5m95(暂无匿称), createdTime=Fri Aug 26 19:35:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1286215, encodeId=3479128621599, content=<a href='/topic/show?id=ac4f3996e0f' target=_blank style='color:#2F92EE;'>#哺乳期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39967, encryptionId=ac4f3996e0f, topicName=哺乳期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e05e201, createdName=appleandpeer, createdTime=Fri Aug 26 12:29:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1513983, encodeId=1bfd1513983e2, content=<a href='/topic/show?id=845339961b7' target=_blank style='color:#2F92EE;'>#哺乳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39961, encryptionId=845339961b7, topicName=哺乳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8fd10610597, createdName=ms1065684921169360, createdTime=Fri Aug 26 12:29:00 CST 2016, time=2016-08-26, status=1, ipAttribution=)]
2016-08-26 appleandpeer

#哺乳期#

0 0
[GetPortalCommentsPageByObjectIdResponse(id=136377, encodeId=c3951363e7b5, content=好文，从这里学习了好多新知识，新信息。赞了！, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Tue Sep 27 18:53:40 CST 2016, time=2016-09-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=105362, encodeId=3ee71053621d, content=赞！文章有深度，值得收藏拜读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Sat Aug 27 08:30:00 CST 2016, time=2016-08-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=105002, encodeId=2f3e10500203, content=学习了，赞一个！！！, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRuUXgacXpPeW0x8Z3Qr9c3I2kTic4ZIpR29iaftYgkjRcbv982icYMtqANBPYBgPnOia6mVtX76qMXuc/0, createdBy=ebe61630855, createdName=1dd8a7c5m95(暂无匿称), createdTime=Fri Aug 26 19:36:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=105005, encodeId=003c105005d8, content=学习了，赞一个！！！, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRuUXgacXpPeW0x8Z3Qr9c3I2kTic4ZIpR29iaftYgkjRcbv982icYMtqANBPYBgPnOia6mVtX76qMXuc/0, createdBy=ebe61630855, createdName=1dd8a7c5m95(暂无匿称), createdTime=Fri Aug 26 19:36:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=104999, encodeId=6c93104999d4, content=学习了，赞一个！！！, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRuUXgacXpPeW0x8Z3Qr9c3I2kTic4ZIpR29iaftYgkjRcbv982icYMtqANBPYBgPnOia6mVtX76qMXuc/0, createdBy=ebe61630855, createdName=1dd8a7c5m95(暂无匿称), createdTime=Fri Aug 26 19:35:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1286215, encodeId=3479128621599, content=<a href='/topic/show?id=ac4f3996e0f' target=_blank style='color:#2F92EE;'>#哺乳期#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39967, encryptionId=ac4f3996e0f, topicName=哺乳期)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e05e201, createdName=appleandpeer, createdTime=Fri Aug 26 12:29:00 CST 2016, time=2016-08-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1513983, encodeId=1bfd1513983e2, content=<a href='/topic/show?id=845339961b7' target=_blank style='color:#2F92EE;'>#哺乳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=39961, encryptionId=845339961b7, topicName=哺乳)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c8fd10610597, createdName=ms1065684921169360, createdTime=Fri Aug 26 12:29:00 CST 2016, time=2016-08-26, status=1, ipAttribution=)]
2016-08-26 ms1065684921169360

#哺乳#

29 0

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