Title: | What Are the Maternal Factors that Potentially Intervenes in the Nutritional Composition of Human Milk? |
Author(s): | Amaral Y; Silva L; Soares F; Marano D; Nehab S; Abranches A; Costa AC; Moreira ME; |
Address: | "Unidade de Pesquisa Clinica, Instituto Nacional de Saude da Mulher, da Crianca e do Adolescente Fernandes Figueira (IFF), Fundacao Oswaldo Cruz (Fiocruz), Rio de Janeiro 22250-020, Brazil. Programa de Pos-Graduacao em Pesquisa Aplicada a Saude da Crianca e da Mulher, IFF, Fiocruz, Rio de Janeiro 22250-020, Brazil" |
ISSN/ISBN: | 2072-6643 (Electronic) 2072-6643 (Linking) |
Abstract: | "BACKGROUND: To evaluate the potential factors associated with the nutritional composition of human milk of puerperal women. METHODS: cross-sectional study, conducted between March 2016 and August 2017, with 107 women, selected in a Tertiary Health Care Tertiary Health Facility of the Unified Health System (SUS) in the Municipality of Rio de Janeiro. Data were collected two months after delivery. The dependent variable of the study was the nutritional composition of human milk. We divided the independent variables into hierarchical levels: distal (age, schooling, parity and pregestational nutritional status), intermediate (number of prenatal visits and gestational weight gain) and proximal (alcohol consumption, smoking, diabetes mellitus and hypertension). For data analysis, we applied the multiple linear regression, centered on the hierarchical model. Only the variables associated with the nutritional composition of breast milk remained in the final model at a 5% level of significance. RESULTS: The nutritional composition of human milk yielded by women with pregestational overweight, smokers and hypertensive had higher amounts of lipids and energy. Conversely, women with gestational weight gain below the recommended had lower amounts of these components. CONCLUSION: The evaluation of factors associated with the nutritional composition of human milk is extremely important to assist post-partum care practices. In this study, we observed that lipid and energy contents were associated to pregestational nutritional status, gestational weight gain, smoking and hypertension" |
Keywords: | "Adult Brazil Cross-Sectional Studies Female Gestational Weight Gain Health Behavior Humans Maternal Nutritional Physiological Phenomena Mating Factor Milk, Human/*chemistry Nutritional Status *Nutritive Value Overweight Parity Risk Factors Socioeconomic F;" |
Notes: | "MedlineAmaral, Yasmin Silva, Leila Soares, Fernanda Marano, Daniele Nehab, Sylvia Abranches, Andrea Costa, Ana Carolina Moreira, Maria Elisabeth eng Switzerland 2021/06/03 Nutrients. 2021 May 10; 13(5):1587. doi: 10.3390/nu13051587" |