The impact of maternal obesity on breast milk composition,neonatal metabolism,and nutritional status
Objective To explore the impact of maternal obesity on breast milk composition,neonatal metabolism,and nutritional status.Method 320 postpartum women who underwent regular prenatal examinations and delivered at our hospital were selected as re-search object.They were divided into group A 97 cases(normal weight postpartum women),group B 151 cases(overweight postpartum women),and group C 72 cases(obese postpartum women)based on their weight gain.Observe and compare the levels of breast milk composition,newborn blood glucose,blood lipids,and nutritional status indicators.Results There was no significant difference in the protein concentration of breast milk in colostrum,transitional milk,and mature milk among the three groups of postpartum women(P>0.05);The lactose concentrations in colostrum of group B and group C were higher than those of group A(P<0.05);There was no significant difference in lactose concentration in breast milk between transition milk and mature milk among the three groups of postpartum women(P>0.05);There was no significant difference in fat concentration in colostrum between group B and group C(P>0.05),but the fat concentration in transitional milk of group B and group C were lower than that of group A,while the fat concentration in mature milk of group B and group C were higher than that of group A(P<0.05).Compared with the levels of TC,TG,and LDL in newborns,the levels of group B and group C were higher than those in group A;Comparison of HDL and blood glu-cose levels showed that group B and group C were lower than those in group A(P<0.05),but there was no significant difference in neonatal blood glucose and lipid levels between group B and group C(P>0.05).The Kaup index of the three groups of newborns at 6 months of age was significantly higher than that at birth.Among them,the Kaup index of the group B and C at birth and 6 months of age was higher than that of the group A(P<0.05),and there was no significant difference between the group B and C(P>0.05).Conclusion Maternal overweight or obesity can affect the composition of breast milk at different stages,and can to some extent affect neonatal glucose and lipid metabolism and nutritional status.
Maternal obesityBreast milk compositionNeonatal metabolismNutritional status
万方数据
维普
