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Vitamin A Concentration in Human Milk: A Meta-Analysis
Huanmei Zhang1,2, Xiangnan Ren1,2, Zhenyu Yang1,2
1Department of Maternal and Child Nutrition, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Nutrients
|November 26, 2022
Summary
Human milk vitamin A (VA) levels decrease significantly throughout lactation. This meta-analysis provides crucial data for revising infant dietary reference intakes (DRIs) for better infant nutrition.
Area of Science:
- Human milk composition
- Nutritional science
- Lactation studies
Background:
- Vitamin A (VA) is essential for human health, yet international data on its concentration in human milk is scarce.
- Existing data offers limited support for revising dietary reference intakes (DRIs) for infants under six months.
- Understanding VA dynamics in breast milk is critical for optimizing infant nutrition.
Approach:
- A comprehensive literature review and meta-analysis of 76 studies (9171 samples) published between 1985 and 2021.
- Included studies focused on nursing mothers (18-45 years) with healthy, full-term infants, using HPLC/UPLC methods for retinol quantification.
- Data was synthesized using a random-effects model to analyze VA concentration across lactation stages.
Key Points:
- Human milk vitamin A concentration significantly declines as lactation progresses.
- VA levels (µg/L) at different lactation stages: colostrum (920.7), transitional (523.7), early mature (402.4), and late mature (254.7).
- No significant differences in VA concentration were found between Chinese and non-Chinese samples at any lactation stage.
Conclusions:
- The study provides robust evidence on the decline of vitamin A in human milk over time.
- Findings have significant implications for the potential revision of DRIs for infants under six months.
- This research contributes valuable data for public health recommendations concerning infant nutrition and VA intake.
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