چگالی انرژی رژیم غذایی مادر شیرده و روند رشد نوزاد

نوع مقاله : مقاله های پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد، مرکز تحقیقات امنیت غذایی و گروه تغذیه‌ی جامعه، دانشکده‌ی تغذیه و علوم غذایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 استاد، گروه اپیدمیولوژی و آمار زیستی، دانشکده‌ی بهداشت، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 استاد، مرکز تحقیقات امنیت غذایی و گروه تغذیه‌ی جامعه، دانشکده‌ی تغذیه و علوم غذایی، دانشگاه علوم پزشکی اصفهان، اصفهان و مرکز تحقیقات چاقی و عادات غذایی، پژوهشکده‌ی علوم سلولی- مولکولی غدد و متابولیسم و گروه تغذیه‌ی جامعه، دانشکده‌ی علوم تغذیه و رژیم‌شناسی، دانشگاه علوم پزشکی تهران، تهران، ایران

4 استاد، مرکز تحقیقات امنیت غذایی، گروه تغذیه‌ی جامعه، دانشکده‌ی تغذیه و علوم غذایی، دانشگاه علوم پزشکی اصفهان، اصفهان و مرکز تحقیقات دیابت، پژوهشکده‌ی علوم بالینی غدد و متابولیسم و گروه تغذیه‌ی جامعه، دانشکده‌ی علوم تغذیه و رژیم‌شناسی، دانشگاه علوم پزشکی تهران، تهران، ایران

چکیده

مقدمه: متخصصین اپیدمیولوژی تغذیه در سال‌های اخیر در مقایسه با انتخاب گروه‌های غذایی بر کیفیت و چگونگی کل رژیم تأکید دارند. چگالی انرژی به خوبی گویای چگونگی کیفیت کل رژیم است. در حالی که چگالی انرژی مفهومی بسیار جامع‌تر نسبت به انرژی دریافتی به تنهایی دارد، اما هیچ یک از مطالعات انجام شده، چگالی انرژی را در نظر نگرفته‌اند. هدف از انجام این مطالعه، بررسی ارتباط چگالی انرژی کل رژیم دریافتی مادر شیرده با رشد نوزاد بود.روش‌ها: پرسش‌نامه‌ی اطلاعات عمومی و پرسش‌نامه‌ی تکرر غذایی 168 آیتمی با روایی و پایایی تأیید شده، برای 300 مادر شیرده پاسخ داده شد. همچنین، به منظور ارزیابی میزان فعالیت فیزیکی مادران شیرده، از پرسش‌نامه‌ی بین‌المللی فعالیت بدنی (International physical activity questionnaire یا I-PAQ) استفاده شد. وزن، قد و دور سر شیرخوار در بدو تولد، 2 و 4 ماهگی ثبت شد. تنها مادرانی وارد مطالعه شدند که نوزادشان به طور انحصاری از شیر مادر تغذیه می‌کرد.یافته‌ها: وزن، قد، دور سر و نسبت وزن به قد در هنگام تولد، 2 و 4 ماهگی در هیچ یک از سطوح چارک‌های چگالی انرژی تفاوت معنی‌داری را نشان نداد.نتیجه‌گیری: هیچ ارتباطی بین چارک‌های چگالی انرژی رژیم غذایی مادر و رشد وزن، قد، وزن به قد و دور سر نوزاد در 2 ماهگی و 4 ماهگی در شیرخواران تغذیه شونده با شیر مادر وجود ندارد.

کلیدواژه‌ها

عنوان مقاله [English]

Lactating Mothers’ Dietary Energy Density and Infants’ Growth

نویسندگان [English]

  • Maedeh Moradi 1
  • Mohammad Reza Maracy 2
  • Ahmad Esmaeilzadeh 3
  • Leila Azadbakht 4
1 MSc Student, Food Security Research Center AND Department of Community Nutrition, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran
2 Professor, Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
3 Professor, Food Security Research Center AND Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan AND Obesity and Eating Habits Research Center, Endocrine and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
4 Professor, Food Security Research Center AND Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan AND Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
چکیده [English]

Background: Great interests have been drawn to the quality of diet. Dietary energy density is a good indicator of diet quality. In spite of the comprehensive concept of energy density rather than energy intake, no studies have evaluated the dietary energy density of lactating mothers. The purpose of the current study was to evaluate the association between dietary energy density and infants’ growth.Methods: Dietary intake data were collected from 300 lactating mothers through the 168-item food frequency questionnaire. Data on physical activity were reported by participant’s responding International Physical Activity Questionnaire (IPAQ). The anthropometric features were taken from the health records in health centers.Findings: Infants’ weight, height, head circumference, and weight for height at birth, and 2 and 4 months later were not significantly different within any of 4 categories of energy density.Conclusion: The results of this study suggest that there is no association between quartiles of mothers’ dietary energy density and infants’ weight, length, weight for length, and head circumference growth by the age of 2 and 4 months.

کلیدواژه‌ها [English]

  • Mothers
  • Breastfeeding
  • Infants
  • Infant development

مراجع

  1. Fewtrell MS, Morgan JB, Duggan C, Gunnlaugsson G, Hibberd PL, Lucas A, et al. Optimal duration of exclusive breastfeeding: what is the evidence to support current recommendations? Am J Clin Nutr 2007; 85(2): 635S-8S.
  2. Wambach K, Riordan J. Breastfeeding and Human Lactation. 3rd ed. Sudbury, MA: Jones and Bartlett; 2005.
  3. Strode MA, Dewey KG, Lonnerdal B. Effects of short-term caloric restriction on lactational performance of well-nourished women. Acta Paediatr Scand 1986; 75(2): 222-9.
  4. Institute of Medicine of the National Academy. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids. Washington, DC: The National Academy Press; 2002.
  5. Institute of Medicine, (US) Committee on Nutritional Status During Pregnancy and Lactation. Nutrition during lactation. Washington, DC: National Academy Press; 1991.
  6. Mahdavi R, Nikniaz L, Arefhosseini SR. Energy, fluids intake and beverages consumption pattern among lactating women in Tabriz, Iran. Pakistan Journal of Nutrition 2009; 8: 69-73.
  7. Ayatollahi SM. Nutritional assessment of lactating women in Shiraz in relation to recommended dietary allowances. East Mediterr Health J 2004; 10(6): 822-7.
  8. Alam DS, Van Raaij JM, Hautvast JG, Yunus M, Fuchs GJ. Energy stress during pregnancy and lactation: consequences for maternal nutrition in rural Bangladesh. Eur J Clin Nutr 2003; 57(1): 151-6.
  9. da Cunha J, Macedo da Costa TH, Ito MK. Influences of maternal dietary intake and suckling on breast milk lipid and fatty acid composition in low-income women from Brasilia, Brazil. Early Hum Dev 2005; 81(3): 303-11.
  10. Rolls BJ. The relationship between dietary energy density and energy intake. Physiol Behav 2009; 97(5): 609-15.
  11. Esmaillzadeh A, Azadbakht L. Dietary energy density and the metabolic syndrome among Iranian women. Eur J Clin Nutr 2011; 65(5): 598-605.
  12. United States Department of Agriculture. MyPyramid Food Guidance System Education Framework. Washington, DC: United States Department of Agriculture; 2005.
  13. World Cancer Research Fund/American Institute for Cancer Research. Food, nutrition, physical activity, and the prevention of cancer: a global perspective. Washington DC: AICR; 2007.
  14. Prentice A, Paul A, Prentice A, Black A, Cole T, Whitehead R. Cross-cultural differences in lactational performance. In: Hamosh M, Goldman AS, editors. Human Lactation 2; Maternal and Environmental Factors. New York, NY: Springer; 1986. p. 13-44.
  15. Rouhani MH, Haghighatdoost F, Surkan PJ, Azadbakht L. Associations between dietary energy density and obesity: A systematic review and meta-analysis of observational studies. Nutrition 2016; 32(10): 1037-47.
  16. Fung TT, Rimm EB, Spiegelman D, Rifai N, Tofler GH, Willett WC, et al. Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk. Am J Clin Nutr 2001; 73(1): 61-7.
  17. Pryer JA, Cook A, Shetty P. Identification of groups who report similar patterns of diet among a representative national sample of British adults aged 65 years of age or more. Public Health Nutr 2001; 4(3): 787-95.
  18. Ledikwe JH, Smiciklas-Wright H, Mitchell DC, Miller CK, Jensen GL. Dietary patterns of rural older adults are associated with weight and nutritional status. J Am Geriatr Soc 2004; 52(4): 589-95.
  19. US Department of Health and Human Services (HHS), US Department of Agriculture (USDA). Dietary Guidelines for Americans. 6th ed. Washington, DC: US Government Printing Office; 2005.
  20. Azadbakht L, Haghighatdoost F, Esmaillzadeh A. Dietary energy density is inversely associated with the diet quality indices among Iranian young adults. J Nutr Sci Vitaminol (Tokyo) 2012; 58(1): 29-35.
  21. Goldberg GR, Prentice AM, Coward WA, Davies HL, Murgatroyd PR, Wensing C, et al. Longitudinal assessment of energy expenditure in pregnancy by the doubly labeled water method. Am J Clin Nutr 1993; 57(4): 494-505.
  22. Guillermo-Tuazon MA, Barba CV, Van Raaij JM, Hautvast JG. Energy intake, energy expenditure, and body composition of poor rural Philippine women throughout the first 6 mo of lactation. Am J Clin Nutr 1992; 56(5): 874-80.
  23. Actis-Goretta L, Carrasquedo F, Fraga CG. The regular supplementation with an antioxidant mixture decreases oxidative stress in healthy humans. Gender effect. Clin Chim Acta 2004; 349(1-2): 97-103.
  24. Dusdieker LB, Hemingway DL, Stumbo PJ. Is milk production impaired by dieting during lactation? Am J Clin Nutr 1994; 59(4): 833-40.
  25. McCrory MA, Nommsen-Rivers LA, Mole PA, Lonnerdal B, Dewey KG. Randomized trial of the short-term effects of dieting compared with dieting plus aerobic exercise on lactation performance. Am J Clin Nutr 1999; 69(5): 959-67.
  26. Motil KJ, Montandon CM, Hachey DL, Boutton TW, Klein PD, Garza C. Relationships among lactation performance, maternal diet, and body protein metabolism in humans. Eur J Clin Nutr 1989; 43(10): 681-91.
  27. Butte NF, Garza C, Stuff JE, Smith EO, Nichols BL. Effect of maternal diet and body composition on lactational performance. Am J Clin Nutr 1984; 39(2): 296-306.
  28. Brown KH, Dewey KG. Relationship between maternal nutritional status and milk energy output of women in developing countries. In: Picciano MF, Lonnerdal B, editors. Mechanisms Regulating Lactation and Infant Nutrient Utilization. New York, NY: Wiley-Liss; 1992. p. 77-99.
  29. Dewey KG, Heinig MJ, Nommsen LA, Lonnerdal B. Maternal versus infant factors related to breast milk intake and residual milk volume: the DARLING study. Pediatrics 1991; 87(6): 829-37.
  30. Carmo MGT, Colares LGT, Gilza SP, Sandre-Pereira Gilza, Soares EA. Nutritional status of Brazilian lactating women. Nutr Food Sci 2001; 31(4): 194-200.
  31. Whitehead RG. Maternal diet, breast-feeding capacity, and lactational infertility. Tokyo, Japan: The United Nations University; 1983.
  32. Brown KH, Akhtar NA, Robertson AD, Ahmed MG. Lactational capacity of marginally nourished mothers: relationships between maternal nutritional status and quantity and proximate composition of milk. Pediatrics 1986; 78(5): 909-19.
مجله دانشکده پزشکی اصفهان
دوره 35، شماره 425 - شماره پیاپی 425
خرداد و تیر 1396
صفحه 393-399

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سابقه مقاله

  • تاریخ دریافت: 08 دی 1395
  • تاریخ بازنگری: 12 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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