婴儿时期接触大豆配方奶粉和年轻成人时内分泌和生殖结果
B L Strom1, R Schinnar, E E Ziegler
1University of Pennsylvania, Center for Clinical Epidemiology and Biostatistics, 824 Blockley Hall, 423 Guardian Dr, Philadelphia, PA 19104-6021, USA. bstrom@cceb.med.upenn.edu
JAMA
|August 22, 2001
概括
与牛奶配方奶粉相比,婴儿大豆配方奶粉暴露没有显著的长期健康差异. 一些妇女报告更长的月经出血和不适,保证进一步调查大豆异黄的影响.
科学领域:
- 内分泌学 在内分泌学.
- 儿童营养学 儿童营养学
- 生殖健康 生殖健康
背景情况:
- 植物雌激素,像大豆异黄,影响荷尔蒙依赖状态.
- 在关键的发育时期,食大豆配方奶粉的婴儿会获得高剂量的植物雌激素.
- 关于婴儿大豆配方食暴露对长期健康影响的数据有限.
研究的目的:
- 调查婴儿大豆配方奶粉消费与年轻成人健康结果之间的关联.
- 专门研究婴儿时暴露于大豆配方奶粉的成年人对生殖健康的长期影响.
主要方法:
- 一个回顾性队列研究,涉及20-34岁的成年人.
- 参与者根据婴儿养情况进行分类:大豆配方 (n=248) 或牛奶配方 (n=563).
- 收集的数据包括自我报告的青春期成熟,生殖史和一般健康状况.
主要成果:
- 在大豆和牛奶配方组之间,在30多个健康或生殖结果中没有发现统计学上显著的差异.
- 暴露于大豆配方奶粉的女性报告月经出血持续时间略长 (0.37天).
- 暴露于大豆配方奶粉的妇女报告月经不适增加 (RR 1.77).
结论:
- 与牛奶配方奶粉相比,婴儿接触大豆配方奶粉似乎不会导致不利的一般或生殖健康结果.
- 虽然有关月经特征的一些发现需要进一步研究,但这项研究为大豆婴儿配方奶粉的安全性提供了保证.
- 婴儿配方奶粉中的大豆异黄的长期影响需要继续探索.
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