human milk Archives - Revista Brasileira de Ginecologia e Obstetrícia

  • Review Article

    Do Thyroid Diseases during Pregnancy and Lactation Affect the Nutritional Composition of Human Milk?

    Rev Bras Ginecol Obstet. 2020;42(11):752-758

    Summary

    Review Article

    Do Thyroid Diseases during Pregnancy and Lactation Affect the Nutritional Composition of Human Milk?

    Rev Bras Ginecol Obstet. 2020;42(11):752-758

    DOI 10.1055/s-0040-1718449

    Views4

    Abstract

    Objective:

    To identify whether the effects of thyroid disease during pregnancy and lactation affect the nutritional composition of human milk.

    Methods:

    Systematic review of the scientific literature using the Medical Literature Analysis and Retrieval System Online/MedLine databases to evaluate the association of thyroid diseases during pregnancy and lactation with the nutritional composition of human milk. There was no delimitation by period or by language, and the searches were completed in March 2019. The following descriptors were applied: human milk AND thyroid AND composition, using the preferred reporting items for systematic reviews and meta-analyses (PRISMA) protocol for data search, selection, and extraction. The flowchart proposed for bibliographic search resulted in 12 articles and, of these, four were selected.

    Results:

    The articles elected for this review were published between 1976 and 2018. Two studies found significant differences in the nutritional composition of mothers' milk with hypothyroidism or overweight compared with the milk of those without hypothyroidism. Studies have shown that the presence of the disease led to changes in the nutritional composition of human milk, especially a higher concentration of human milk fat.

    Conclusion:

    It is extremely important that these women have continuous nutritional follow-up to minimize the impact of these morbidities on the nutritional composition of human milk.

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    Do Thyroid Diseases during Pregnancy and Lactation Affect the Nutritional Composition of Human Milk?
  • Review Article

    Are There Changes in the Fatty Acid Profile of Breast Milk with Supplementation of Omega-3 Sources? A Systematic Review

    Rev Bras Ginecol Obstet. 2017;39(3):128-141

    Summary

    Review Article

    Are There Changes in the Fatty Acid Profile of Breast Milk with Supplementation of Omega-3 Sources? A Systematic Review

    Rev Bras Ginecol Obstet. 2017;39(3):128-141

    DOI 10.1055/s-0037-1599094

    Views1

    Abstract

    Purpose

    To evaluate the effect of supplementation with omega-3 sources on the fatty acid composition of human milk.

    Methods

    The review consisted of the search for articles published in PubMed, Biblioteca Virtual de Saúde (Virtual Health Library[VHL]) andWeb of Science databases using the following keywords: fatty acids, omega-3, human milk and supplementation; for this purpose, we have used the program of research to integrate the services for the maintenance of autonomy (PRISMA) checklist. The following selection criteria were used: articles in English, Portuguese, Spanish or Italian, published between 2000 and 2015, and about studies performed in humans. We found 710 articles that met the established criteria; however, only 22 of them were selected to be part of this study.

    Results

    All studies found a positive relationship between the consumption of omega- 3 sources and their concentration in humanmilk. The differences in the findings are due to the distinct methods used, such as the specific time of the omega-3 supplementation, the type of omega-3 source offered, as well as the sample size.

    Conclusion

    Although the studies were different in several methodological aspects, it was possible to observe the importance of omega-3 supplementation during gestation and/or the puerperium.

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    Are There Changes in the Fatty Acid Profile of Breast Milk with Supplementation of Omega-3 Sources? A Systematic Review

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