Professional Documents
Culture Documents
1721
Original article
Breast milk macronutrient composition and the associated factors in
urban Chinese mothers
Yang Titi, Zhang Yumei, Ning Yibing, You Lili, Ma Defu, Zheng Yingdong, Yang Xiaoguang, Li Wenjun,
Wang Junkuan and Wang Peiyu
Keywords: lactation; milk composition; macronutrients; dietary intake; body mass index
Background Infancy is a critical period of growth and physiological development, in which breast milk is the best
source of nutrients. Compared to western countries, research on breast milk of Chinese population are limited. Thus, it is
necessary to measure breast milk energy and macronutrient concentrations of healthy urban Chinese mothers at different
lactation stages, to expand the database of milk composition of Chinese population, and to examine whether dietary or
other maternal factors can affect the levels of macronutrients in breast milk.
Methods Breast milk of full expression of one side breast from 436 urban Chinese lactating mothers at 511 days, 1230
days, 3160 days, 61120 days, and 121240 days postpartum was obtained at 9:00 a.m. to 11:00 a.m. Total energy,
lactose, protein, and fat contents were measured. 24-hour dietary recall was surveyed, and maternal nutrient intakes were
analyzed.
Results Milk composition changed over the course of lactation and large individual variations were documented. The
concentrations were 61.3 kcal/dl for total energy, 7.1 g/dl for lactose, 0.9 g/dl for protein, and 3.4 g/dl for fat in mature milk.
Stage of lactation was a strong factor affecting milk composition. Minimal evidence was found for associations between
maternal current dietary intake and milk macronutrient concentration, consistently with prior research. Maternal body mass
index (BMI) was positively associated with milk fat content, to a greater extent than did dietary intake. All other maternal
characteristics were not significant for milk composition.
Conclusion These findings suggest that milk composition is generally weakly associated with maternal factors except
for stage of lactation, and is likely to be more susceptible to long-term maternal nutritional status than short-term dietary
fluctuation.
Chin Med J 2014;127 (9): 1721-1725
1722
Results (n=436)
27.23.9
160.34.6
59.78.5
23.33.1
20.82.7
16.25.7
6.65.3
45.5
39.9
1 991.2857.1
240.4125.4
81.051.4
82.747.7
1723
Values with different superscript symbols differ significantly, P<0.05. 1 Kcal/dl=41.84 kJ/L.
Lactose
Protein
Fat
0.057
0.083
0.099
0.076
0.081
-0.122
0.006
0.047
-0.139
-0.097
0.159
0.065
0.127
0.169
0.072
0.053
0.068
0.083
0.196
0.125
0.173
0.077
0.216*
0.203
0.186
0.018
0.047
0.13
0.117
0.166
B
7.481
0.001
0.012
0.465
0.266
0.079
0*
0.020
0.104
0*
Lactose
95% CI
(7.123, 7.320)
(0.000, 0.002)
(0.024, 0.000)
(0.562, 0.369)
(0.362, 0.170)
(0.175, 0.016)
(0.068, 0.108)
(0.191, 0.017)
P values
0.000
0.026
0.047
0.000
0.000
0.102
0.654
0.019
B
0.616
0.000
0.007
0.511
0.268
0.107
0*
0.072
0.079
0*
Protein
95% CI
(0.463, 0.769)
(0.001, 0.000)
(0.000, 0.014)
(0.457, 0.565)
(0.214, 0.322)
(0.054, 0.161)
(0.023, 0.121)
(0.031, 0.128)
P values
0.000
0.020
0.037
0.000
0.000
0.000
0.004
0.001
B
1.882
0.054
0.326
0.418
0.251
0*
0.275
0.342
0*
Fat
95% CI
(0.876, 2.889)
(0.009, 0.100)
(0.691, 0.039)
(0.053, 0.783)
(0.112, 0.614)
(0.608, 0.059)
(0.012, 0.671)
P values
0.000
NS
0.019
0.080
0.025
0.175
0.106
0.042
1724
1725
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