中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (11): 1226-1231.DOI: 10.11852/zgetbjzz2024-0500

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乳母饮食回避对母乳营养成分及婴儿生长发育的影响

王芮安, 张萱   

  1. 重庆医科大学附属儿童医院儿童保健科(健康管理部),国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,儿童神经发育与认知障碍重庆市重点实验室,重庆 400014
  • 收稿日期:2024-05-07 修回日期:2024-07-03 发布日期:2024-11-04 出版日期:2024-11-10
  • 通讯作者: 张萱,E-mail:gracexuan330@hospital.cqmu.edu.cn
  • 作者简介:王芮安(1999-),女,住院医师,在读硕士研究生,主要研究方向为食物过敏。
  • 基金资助:
    重庆市科技局自然科学基金面上项目(CSTB2022NSCQ-MSX0797);重庆医科大学2021年未来医学青年创新团队发展支持计划(重医大发[2022]26号,W0120)

Effects of dietary avoidance by lactating mothers on breast milk nutrients composition and infant growth and development

WANG Ruian, ZHANG Xuan   

  1. Department of Child Health Care (Department of Health Management),Children's Hospital of Chongqing Medical University,National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Child Neurodevelopment and Cognitive Disorders,Chongqing 400014,China
  • Received:2024-05-07 Revised:2024-07-03 Online:2024-11-10 Published:2024-11-04
  • Contact: ZHANG Xuan,E-mail:gracexuan330@hospital.cqmu.edu.cn

摘要: 母乳是婴儿生后早期最佳的食物和液体来源。目前国内外研究表明,虽然母乳具有一定稳定性,但母亲回避食物时仍可能对母乳营养素含量产生影响,脂类和蛋白质受到摄入食物的影响更大,碳水化合物受饮食影响较小,有关维生素、矿物质与母亲摄入量之间的关系有待进一步研究明确。而乳母饮食回避是否影响纯母乳喂养婴儿的体格生长仍有待阐明。临床工作及研究均发现不少疑诊或确诊食物过敏的母乳喂养儿童,母亲选择不同程度的饮食回避。对于该类婴儿的母亲,如何科学饮食回避,需要进一步研究其回避的食物种类、时间,以及对婴儿生长发育和过敏转归的影响。

关键词: 母乳成分, 饮食回避, 婴儿, 生长发育, 食物过敏

Abstract: Breast milk is the optimal source of food and fluid for infants in the early postnatal period.Current studies both domestically and internationally demonstrate that while breast milk possesses a certain degree of stability,maternal dietary restrictions can still influence its nutrient content.Fats and proteins are more affected by consumed foods,whereas carbohydrates are less influenced by diet.The relationship of vitamins and minerals with maternal intake requires further research for clarification.Whether maternal dietary avoidance affects the growth and development of exclusively breastfed infants remains to be elucidated.Clinicians and researchers have observed a considerable number of breastfed infants presenting with suspected or confirmed food allergies,leading their mothers to engage in varied levels of dietary restriction.For the mothers of these infants,the implementation of a scientifically informed approach to dietary avoidance necessitates additional research.This includes the identification of specific food items to be avoided,the temporal extent of such avoidance,and its impact for the infants' growth and development,as well as the prognosis of their allergic conditions.

Key words: breast milk composition, dietary avoidance, infant, growth and development, food allergy

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