A Study on the Influencing Factors of Macrountrient Concentrations in Human Milk

모유의 주요 영양소 농도에 영향을 주는 요인에 관한 연구

  • 이민준 (연세대학교 생활과학대학 식품영양학과)
  • Published : 1997.07.01

Abstract

This study was conducted longitudinally following the total nitrogen , total lipid, and lactose concentrations and their factors on concentrations of energy-yielding nutrients in human milk from 2-5 days to 12 weeks postpartum of 45 lactating Korean mothers. All samples were from well-defined subjects. And uniform collection procedures were used . Total nitrogen concentration of milk decreased significantly from 385mg/이 at 2-5 days to 201mg/dl at 12 weeks postpartum. Total lipid concentration increased from 1.98g/dl at 2-5 days to 3.09g/dl at 12 weeks postpartum. However, there was a large variation in the concentration of total lipids. Lactose concentration increased signifciantly from 6.53g/dl at 2-5 days to 7.48g/dl at 12 weeks. Total nitrogen concentration in milk was positively related to pregnancy weight gains at 2 and 6 weeks postpartum. Total lipid concentration was positively related to infant birth weight : however, it was negatively related to the maternal weight loss. In addition, total lipid concentration was positively related to parity and maternal percentage body fat at 12 weeks postpartum. Milk lactose concentration was positively related to parity at 2 weeks postpartum.

Keywords

References

  1. Acta Paediatr Scan Suppl Guidelines on infant nutrition ESPGN Committee on Nutrition
  2. Pediatrics v.69 The promotion of breast feeding Americam Academy of Pediatrics
  3. The quantity and quality of breast milk Report on the WHO collaborative study on breast-feeding
  4. J Pediatr Gstroenterol Nytr v.11 Variations in macronutrients in himan bank milk : Influencing factors and implications for human milk banking Michaesel KF;Skafte L;Badsberg JH;Jorgensen M
  5. J Am Diet Assoc v.88 Macronutrients in human milk at 2, 12, and 16 weeks postpartum Ferris AM;Dotts MA;Clark RM;Ezrin M;Jesen RG
  6. Am J Clin Nutr v.39 Effect of maternal diet and body composition on lactational performance Buttle NF;Garza C;Stuff JE;Smith EO'B;Nichols BI
  7. 한국영양학회지 v.27 수유부의 식품 및 영양소 섭취와 유줍 생성량 및 조성 이정아;허영란;이종임;임현숙
  8. Am J Clin Nutr v.59 The copenhagen cohort study on infant nutrition and growth : breast-milk intake, human milk macronutrient content, and influencing factors Michaelsen KF;Larsen PS;Thomsen BL;Samuelson G
  9. Pediatrics v.78 Lactational capacity of maternal nutritional status and quantity and proximate composition of milk Brown KH;Akhtar NA;Robertson AD;Ahmed MG
  10. 한국영양학회지 v.29 한국인 수유부에 어유의 보충 급여 효과에 관한 연구 -Ⅱ. 무유의 지질 농도 및 지방산 조성에 미친 영향 - 임현숙;이정아
  11. 한국영양학회지 v.29 수유기에 식이와 함께 섭취한 DHA가 산모의 혈액과 모유의 지질조성에 미치는 영향 조여원;박현서;홍주영;정경숙
  12. Am J Clin Nutr v.40 A new approach for the estimation of body composition : Infared interaction Conway JM;Karl HN;Bodwell CE
  13. 한국영양학회지 v.23 신체 계측을 이용한 각종 체지방량 추정식의 타당성 평가 김은경;이기열;손태연
  14. 식품섭취 실태조사를 위한 식품 및 음식의 눈대중량 한국식품공업협회 식품연구소
  15. 식품분석표, 제 3 차 개정판 농촌진흥청
  16. J Nutr v.117 Compartmentalization and quantitation of protein in human milk Lonnerdal B;Woodhouse LR;Glazier C
  17. Official methods of analysis of the association of analytical chemists(AOAC),(13th ed.) Horwitz W
  18. Pediatr Gastroenterol Nutr v.1 Changes in the lipids of human milk from 2 to 16 weeks postpartum Clark RM;Ferris AM;Key M;Brown PB;Hundrieser KE;Jansen RG
  19. Methods for enzymetic analysis(2nd ed.) v.Ⅰ&Ⅱ Bergmeyer HU
  20. Lactose'Galactose ca # 176303
  21. Norusis MJ. Spss/PC+
  22. 한국소아발육 표준치 한국소아과학회
  23. 한국인 영양권장량, 제 6 차 개정판 한국영양학회
  24. 한국영양학회지 v.24 모체 영양상태가 모유 형성에 미치는 영향 안홍석
  25. Am J Clin Nutr v.53 Determinants of energy, protein, lipid, and lactose concentrations in human milk during the first 12 mo of lactation : The darling study Nommsen LA;Lovelady CA;Heining MJ;Lonnerdal B;Dewey KG
  26. J pediatr Gastroent Nutr v.11 Changes in human milk at 0600. 1000.1400,1800, and 2200h Lammi-keefe CJ;Ferris AM;Jesen RG
  27. Die Nahrung v.33 no.3 Comparative study on breast milk of mothers delivering preterm amd term infants-protein, fat, and lactose Darwish AEH;Darkroury AM;EL Feel MS;Nour NM
  28. Am J Clin Nutr v.33 Energy and macronutrient content of human milk during early lactation from mathers giving birth prematurely and at term Anderson GH;Atkinson SA;Bryan MH
  29. Am J Clin Nutr v.29 A longitudinal study of the protein, nitrogen, and lactose contents of human from Swedish well-nourished mothers Lonnerdal B;Forsum E;Hambraeus L
  30. 한국영양학회지 v.20 한국인 모유의 수유기간별 비중, 총고형분 및 단백질 합량의 변화 이종숙
  31. 한국영양학회지 v.23 수유 기간에 따른 모유의 성분 함량 변화와 수유부의 섭식 태도 및 영아의 성장 발육에 관한 생태학적 연구 송세화;문수재;안홍석
  32. 영유어 용영, 제 2 회 국제심포지움 한국인의 수유 및 모유 영양 연구 안홍석;문수재;박성혜;이민준
  33. 인간과학 v.8 수유 기간의 경과에 따른 인유 총지방질 및 총지 방산 조성의 변화 윤태헌
  34. 소아과 v.28 한국인 모유의 수유 기간별 각종 지질 분획과 지방산 조성 이상길;정태호
  35. 소아과 v.29 한국 산모의 모유 지방에 대한 연구 김상기;나창수
  36. 한국영양학회지 v.24 수유 기간에 따른 모유의 성분 함량 변화와 수유부의 섭식 태도 및 영아의 성장 발육에 관한 생태학적 연구 최문희;문수재;안홍석
  37. 한국영양학회지 v.25 수유 기간에 따른 모유의 총질소, 총지질 및 젖당 함량 변화와 모유 영양아의 에너지 섭취에 관한 연구 문수재;이민준;김정현;강정선;안홍석;송세화;최문희
  38. J Pediatr Gastroenter Nutr v.3 Lipids in human milk : A review-Ⅰ. Sampling, determination and content Ferris AM;Jesen RG
  39. J Pediatr Gastroenter Nutr v.3 Lipids in human milk : A review-Ⅱ. Composition and fat soluble vitamins Lammi-deere CJ;Jesen RG
  40. Am J Clin Nutr v.1 Changing composition of human milk and early development of an aapetite control Hall B
  41. Am J Clin Nutr v.51 Dietary protein and nitrogen balance in lactating and nonlactating women Motil KJ;Mantandon CM;Thotathuchery M;GArza C
  42. Am J Clin Nutr v.61 Maternal anthropometric status and lactation performance in a low-income Honduran population Perez-Escamilla R;Cohen RJ;Brown KH;Rivera LL;Canahuati J;Dewey KG
  43. Pediatr Res v.25 Human lactation Ⅱ : endogenous fatty acid synthesis by the mammary gland Hachey DL;Silber DH;Wong WW;Garza C
  44. Am J Clin Nutr v.33 Effect of protein intake on protein and nitrogen composition of breast milk Forsum E;Lonnerdal B