0423/2017 - Morbidades maternas modificam a composição nutricional do leite humano? Uma revisão sistemática. Maternal morbidity modify the nutritional composition of human milk? A systematic review.
• Maria Elisabeth Lopes Moreira - Moreira, Maria Elisabeth Lopes - <bebethiff@gmail.com>
Resumo:
Objetivo: Identificar os efeitos das morbidades maternas sobre a composição nutricional do leite humano. Métodos: Revisão sistemática da literatura utilizando protocolo PRISMA para a busca, seleção e extração de dados. De acordo com o fluxograma proposto a busca bibliográfica resultou em 1582 artigos e destes, 14 foram selecionados. Resultados: Os artigos elegidos para a presente revisão foram publicados entre 1987 e 2016. Nove estudos verificaram diferenças significativas na composição nutricional do leite de mães com diabetes mellitus, hipertensão arterial ou excesso de peso em comparação ao grupo controle. A maioria dos estudos demonstrou que a presença de doenças crônicas acarreta modificações na composição nutricional do leite humano. Os principais resultados evidenciaram menor concentração de lactose e gordura no leite de mulheres com diabetes mellitus. Quanto a hipertensão, foi verificado níveis mais elevados de proteína total no colostro e no leite maduro. Para o excesso de peso, foi observado maior teor de gordura e energia. Discussão: É de extrema importância que essas mulheres tenham acompanhamento nutricional contínuo a fim de minimizar o impacto dessas morbidades sobre a composição nutricional do leite humano.
Palavras-chave:
Doenças Crônicas; Leite Humano; Macronutrientes.
Abstract:
Aim: To identify the effects of maternal morbidities on the nutritional composition of human milk. Methods: Systematic review of the literature using a pre-established protocol for searching, ing and extracting data. According to the flowchart proposed by the PRISMA protocol the bibliographic search resulted in 1582 articles and of these, 14 were ed to compose the present article. Results: The articles ed to compose the present review were published between 1987 and 2016. Nine studies verified significant differences in the nutritional composition of the milk of mothers with diabetes mellitus, hypertension or overweight compared to the control group. Most studies have shown that the presence of chronic diseases leads to changes in the nutritional composition of human milk. The main results showed a lower concentration of lactose and fat in the milk of women with diabetes mellitus. As for hypertension, higher levels of total protein were found in colostrum and mature milk. For overweight, a higher fat and energy content was observed. Discussion: It is extremely important that these women have continuous nutritional monitoring in order to minimize the impact of these morbidities on the nutritional composition of breast milk.
Maternal morbidity modify the nutritional composition of human milk? A systematic review.
Resumo (abstract):
Aim: To identify the effects of maternal morbidities on the nutritional composition of human milk. Methods: Systematic review of the literature using a pre-established protocol for searching, ing and extracting data. According to the flowchart proposed by the PRISMA protocol the bibliographic search resulted in 1582 articles and of these, 14 were ed to compose the present article. Results: The articles ed to compose the present review were published between 1987 and 2016. Nine studies verified significant differences in the nutritional composition of the milk of mothers with diabetes mellitus, hypertension or overweight compared to the control group. Most studies have shown that the presence of chronic diseases leads to changes in the nutritional composition of human milk. The main results showed a lower concentration of lactose and fat in the milk of women with diabetes mellitus. As for hypertension, higher levels of total protein were found in colostrum and mature milk. For overweight, a higher fat and energy content was observed. Discussion: It is extremely important that these women have continuous nutritional monitoring in order to minimize the impact of these morbidities on the nutritional composition of breast milk.
Amaral, Y.N.V, Marano, D, Silva, L.M.P, Soares, FVM, Moreira, Maria Elisabeth Lopes. Morbidades maternas modificam a composição nutricional do leite humano? Uma revisão sistemática.. Cien Saude Colet [periódico na internet] (2017/out). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/morbidades-maternas-modificam-a-composicao-nutricional-do-leite-humano-uma-revisao-sistematica/16475?id=16475
