An investigation of the fat content of breast milk was carried out in 71 Brazilian women from a poor socio-economic background and in 10 from a high social class. All were breastfeeding their infants without supplements. Of the 81 women, 28 "poor" women were assessed as "malnourished" according to weight-for-height criteria, and varying proportions as "malnourished" when other criteria were used. The milk of "malnourished" mothers, even when malnutrition was severe, was slightly (but not statistically significantly) richer in fat than that of well-nourished women. The proportion of primiparous women was similar in both nutritional groups, and multiparity up to five pregnancies was associated with an increased fat concentration. Infants from all groups gained weight in a similar "normal" way, demonstrating that poor maternal nutritional status in this population had no adverse effect on the adequacy of lactation. It was concluded that the promotion of exclusive breastfeeding for at least 4 months was a realistic objective of the Brazilian National Breastfeeding Programme.

译文

:对71位来自社会经济背景较差的巴西妇女和10位来自较高社会阶层的巴西妇女进行了母乳中脂肪含量的调查。所有人都在不使用补充剂的情况下母乳喂养婴儿。在这81名妇女中,根据身高体重标准将28名“贫困”妇女评定为“营养不良”,而在使用其他标准时,将不同比例的妇女评定为“营养不良”。即使营养不良严重,“营养不良”的母亲的牛奶也比营养丰富的妇女的牛奶中脂肪含量略高(但统计上并不显着)。在两个营养组中,初产妇女的比例相似,并且多达五个怀孕的多胎性与脂肪浓度增加有关。所有组的婴儿都以类似的“正常”方式增重,表明该人群的孕产妇营养状况不佳对泌乳充足性没有不利影响。结论是,促进纯母乳喂养至少四个月是巴西国家母乳喂养计划的一个现实目标。

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