MACRONUTRIENTS OF MOTHERS’ MILK OF VERY LOW BIRTH WEIGHT INFANTS: ANALYSIS ACCORDING TO GESTATIONAL AGE AND MATERNAL VARIABLES
ABSTRACT Objective: To analyze the composition of macronutrients present in the milk of mothers of preterm newborn infants (PTNB) - protein, fat, carbohydrate, and calories - by gestational age (GA), chronological age (CA) and maternal variables. Methods: Longitudinal study that analyzed 215 mil...
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Sociedade de Pediatria de São Paulo
2020-06-01
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| Series: | Revista Paulista de Pediatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822021000100401&tlng=pt |
| _version_ | 1811312946543853568 |
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| author | Maria Elisabeth Lopes Moreira Sabrina Lopes Lucena Patrícia Sffeir Coelho de Magalhães Adriana Duarte Rocha Ana Carolina Carioca Costa Fernanda Valente Mendes Soares |
| author_facet | Maria Elisabeth Lopes Moreira Sabrina Lopes Lucena Patrícia Sffeir Coelho de Magalhães Adriana Duarte Rocha Ana Carolina Carioca Costa Fernanda Valente Mendes Soares |
| author_sort | Maria Elisabeth Lopes Moreira |
| collection | DOAJ |
| description | ABSTRACT Objective: To analyze the composition of macronutrients present in the milk of mothers of preterm newborn infants (PTNB) - protein, fat, carbohydrate, and calories - by gestational age (GA), chronological age (CA) and maternal variables. Methods: Longitudinal study that analyzed 215 milk samples from the 51 mothers of PTNB admitted in three Neonatal Intensive Care Units of Rio de Janeiro from May/2013-January/2014. Milk collection was performed by pickup pump, on a fixed day of each week until discharge. The spectrophotometric technique with Infrared Analysis (MilkoScan Minor 104) was used for the quantitative analysis. A sample of 7 mL of human milk was taken from the total volume of milk extracted by the mother. The data was grouped by GA (25-27, 28-31, 32-36, 37-40 weeks) and by CA (zero to 4, 5-8, 9-12, 13-16 weeks). Results: Protein, carbohydrate, fat and calories did not show any pattern of change, with no difference among groups of GA. When the macronutrients were analyzed by groups of CA, protein decreased, with significant difference between the first two groups of CA. Carbohydrates, fat and calories presented increasing values in all groups, without significant differences. Weight gain during pregnancy, maternal hypertension and maternal age were associated with changes in fat and calories in the first moment of the analysis of milk. Conclusions: There was a significant decrease in the levels of protein during the first eight weeks after birth. CA may be an important factor in the composition of human milk. |
| first_indexed | 2024-04-13T10:45:35Z |
| format | Article |
| id | doaj.art-3d4c5eb2ff2d4539a1704b89badbcf18 |
| institution | Directory Open Access Journal |
| issn | 1984-0462 |
| language | English |
| last_indexed | 2024-04-13T10:45:35Z |
| publishDate | 2020-06-01 |
| publisher | Sociedade de Pediatria de São Paulo |
| record_format | Article |
| series | Revista Paulista de Pediatria |
| spelling | doaj.art-3d4c5eb2ff2d4539a1704b89badbcf182022-12-22T02:49:48ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-04622020-06-013910.1590/1984-0462/2021/39/2019097MACRONUTRIENTS OF MOTHERS’ MILK OF VERY LOW BIRTH WEIGHT INFANTS: ANALYSIS ACCORDING TO GESTATIONAL AGE AND MATERNAL VARIABLESMaria Elisabeth Lopes Moreirahttps://orcid.org/0000-0002-2034-0294Sabrina Lopes Lucenahttps://orcid.org/0000-0002-1999-9411Patrícia Sffeir Coelho de Magalhãeshttps://orcid.org/0000-0002-6855-6916Adriana Duarte Rochahttps://orcid.org/0000-0002-0678-581XAna Carolina Carioca Costahttps://orcid.org/0000-0002-9456-3319Fernanda Valente Mendes Soareshttps://orcid.org/0000-0001-5720-0482ABSTRACT Objective: To analyze the composition of macronutrients present in the milk of mothers of preterm newborn infants (PTNB) - protein, fat, carbohydrate, and calories - by gestational age (GA), chronological age (CA) and maternal variables. Methods: Longitudinal study that analyzed 215 milk samples from the 51 mothers of PTNB admitted in three Neonatal Intensive Care Units of Rio de Janeiro from May/2013-January/2014. Milk collection was performed by pickup pump, on a fixed day of each week until discharge. The spectrophotometric technique with Infrared Analysis (MilkoScan Minor 104) was used for the quantitative analysis. A sample of 7 mL of human milk was taken from the total volume of milk extracted by the mother. The data was grouped by GA (25-27, 28-31, 32-36, 37-40 weeks) and by CA (zero to 4, 5-8, 9-12, 13-16 weeks). Results: Protein, carbohydrate, fat and calories did not show any pattern of change, with no difference among groups of GA. When the macronutrients were analyzed by groups of CA, protein decreased, with significant difference between the first two groups of CA. Carbohydrates, fat and calories presented increasing values in all groups, without significant differences. Weight gain during pregnancy, maternal hypertension and maternal age were associated with changes in fat and calories in the first moment of the analysis of milk. Conclusions: There was a significant decrease in the levels of protein during the first eight weeks after birth. CA may be an important factor in the composition of human milk.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822021000100401&tlng=ptMacronutrientsMilk, humanInfant, premature |
| spellingShingle | Maria Elisabeth Lopes Moreira Sabrina Lopes Lucena Patrícia Sffeir Coelho de Magalhães Adriana Duarte Rocha Ana Carolina Carioca Costa Fernanda Valente Mendes Soares MACRONUTRIENTS OF MOTHERS’ MILK OF VERY LOW BIRTH WEIGHT INFANTS: ANALYSIS ACCORDING TO GESTATIONAL AGE AND MATERNAL VARIABLES Revista Paulista de Pediatria Macronutrients Milk, human Infant, premature |
| title | MACRONUTRIENTS OF MOTHERS’ MILK OF VERY LOW BIRTH WEIGHT INFANTS: ANALYSIS ACCORDING TO GESTATIONAL AGE AND MATERNAL VARIABLES |
| title_full | MACRONUTRIENTS OF MOTHERS’ MILK OF VERY LOW BIRTH WEIGHT INFANTS: ANALYSIS ACCORDING TO GESTATIONAL AGE AND MATERNAL VARIABLES |
| title_fullStr | MACRONUTRIENTS OF MOTHERS’ MILK OF VERY LOW BIRTH WEIGHT INFANTS: ANALYSIS ACCORDING TO GESTATIONAL AGE AND MATERNAL VARIABLES |
| title_full_unstemmed | MACRONUTRIENTS OF MOTHERS’ MILK OF VERY LOW BIRTH WEIGHT INFANTS: ANALYSIS ACCORDING TO GESTATIONAL AGE AND MATERNAL VARIABLES |
| title_short | MACRONUTRIENTS OF MOTHERS’ MILK OF VERY LOW BIRTH WEIGHT INFANTS: ANALYSIS ACCORDING TO GESTATIONAL AGE AND MATERNAL VARIABLES |
| title_sort | macronutrients of mothers milk of very low birth weight infants analysis according to gestational age and maternal variables |
| topic | Macronutrients Milk, human Infant, premature |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822021000100401&tlng=pt |
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