Am J Clin Nutr：母乳中维生素D含量不能满足婴幼儿需求

2016-01-08 Seven L 译 MedSci原创

家长应尽量避免新生儿阳关的直接暴露，因此母乳喂养新生儿维生素D来源主要依靠母乳中该物质含量。研究者进行了一项研究，探究哺乳期前九个月初乳和母乳中维生素D2、维生素D3、25(OH)D+维生素D3含量，以及识别与维生素D浓度重要性相关指标。该研究纳入了哺乳期母亲的血和乳汁样本，其中产后2周有107人，4个月有90人，9个月有48人，同时还收集了4个月和9个月婴幼儿血液样本。研究者使用液相色谱串联质谱

家长应尽量避免新生儿暴露于阳光直射，因此母乳喂养的新生儿维生素D主要来自母乳。研究者进行了一项研究探究哺乳期前九个月，初乳和母乳中维生素D2、维生素D3、25(OH)D+维生素D3含量，以及识别与维生素D浓度重要性相关指标。

该研究纳入了哺乳期母亲的血和乳汁样本，其中产后2周有107人，产后4个月有90人，产后9个月有48人，同时还收集了4个月和9个月婴幼儿血液样本。研究者使用液相色谱串联质谱法测定血液和牛奶中的维生素D代谢物的浓度。

研究数据显示，初乳中维生素D和25(OH)D含量低于其后的母乳。母乳中25(OH)D浓度与血浆中25(OH)D浓度息息相关；初乳和其后母乳占血液中25(OH)D中位数浓度分别是1.35% (1.04-1.84%)和2.10% (1.63-2.65%)(P < 0.01)。母乳浓度呈现明显的季节变化。使用维生素D补充剂的哺乳期母亲母乳中有更高的维生素D浓度。婴幼儿每日从母乳中获取的维生素D和25(OH)D中位数含量分别为0.10 μg (0.02-0.40 μg)和0.34 μg (0.24-0.47 μg)，等同于抗佝偻病活性的量（77 IU/d (52-110 IU/d)）。

研究结果表明，母乳中可供给给婴幼儿的维生素D含量是有限的，达不到婴幼儿出生第一年推荐的维生素D摄入量的20%。

原始出处：

Við Streym S, Højskov CS,et al.Vitamin D content in human breast milk: a 9-mo follow-up study.Am J Clin Nutr. 2016 Jan;103(1):107-14.

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2016-01-24 1de3b290m83(暂无匿称)

补微d

140 0
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2016-01-16 田田1746

是

118 0
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2016-01-14 Lynee劲飞扬

继续

119 0
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2016-01-14 Lynee劲飞扬

做贡献了

184 0
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2016-01-14 Lynee劲飞扬

2000积分不容易

148 0
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2016-01-13 Lynee劲飞扬

与对了

97 0
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2016-01-12 ssummer

所以伊可新是非常有必要的！

148 0
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2016-01-11 三三五五

我们如果想做这样的课题，但是没有条件咋办？病人家属不愿意花这个钱呐

115 0
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2016-01-10 cmn

需要大样本～

69 0
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2016-01-10 villahu

#母乳#

36 0

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