配方蛋白与母乳蛋白对比,以及对早产婴儿生长的影响
Jacqueline Muts1,2, Britt J van Keulen1,2, Johannes B van Goudoever1,2
1Department of Pediatrics, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam.
Current opinion in clinical nutrition and metabolic care
|December 11, 2024
概括
母乳和早产婴儿配方奶粉都支持生长,但母乳提供保护性益处,如降低死性肠球炎风险. 对早产婴儿的最佳蛋白质摄入需要进一步的研究.
科学领域:
- 新生儿营养新生儿营养
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 过早出生的婴儿对生长和发育有独特的营养需求.
- 人母乳和婴儿配方奶粉在蛋白质成分和度上有所不同.
- 最佳的蛋白质摄入量对于早产婴儿的结果至关重要.
研究的目的:
- 审查当前的证据,比较母乳蛋白和婴儿配方奶粉蛋白.
- 评估这些蛋白质来源对早产婴儿生长和发育的影响.
主要方法:
- 系统审查最近的科学文献.
- 对蛋白质摄入量,生长参数和神经发育结果的研究分析.
主要成果:
- 高蛋白质摄入量支持初始早产婴儿的生长,但长期影响尚不清楚.
- 母乳对于早产婴儿需要强化;配方奶粉可能会增加早期体重增加,但会增加死性肠球炎的风险.
- 在人乳衍生和牛奶衍生强化剂之间没有发现显著差异; 没有关于神经发育结果的新证据.
结论:
- 强化母乳和早产婴儿奶粉支持生长,但母乳提供保护性益处,使其更可取.
- 关键是平衡即时增长与长期发展.
- 需要进一步的研究来确定早产儿的最佳蛋白质摄入量.
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