Overweight modifies the nutritional composition of human milk? A systematic review.

Autor: Oliveira E; Fundação Oswaldo Cruz. Av. Brasil 4365, Manguinhos. 21040-900 Rio de Janeiro RJ Brasil. elissa.c.oliveira@gmail.com., Marano D; Instituto Nacional da Saúde da Mulher. da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro RJ Brasil., Amaral YNDVD; Instituto Nacional da Saúde da Mulher. da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro RJ Brasil., Abranches A; Instituto Nacional da Saúde da Mulher. da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro RJ Brasil., Soares FVM; Instituto Nacional da Saúde da Mulher. da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro RJ Brasil., Moreira MEL; Instituto Nacional da Saúde da Mulher. da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro RJ Brasil.
Jazyk: Portuguese; English
Zdroj: Ciencia & saude coletiva [Cien Saude Colet] 2020 Oct; Vol. 25 (10), pp. 3969-3980. Date of Electronic Publication: 2019 Feb 13.
DOI: 10.1590/1413-812320202510.29902018
Abstrakt: This paper aims to identify the association between overweight and the nutritional composition of human milk. A systematic review was performed by searching on PubMed, Virtual Health Library (BVS), EMBASE, Web of Science, and SCOPUS databases, from May to June 2018, using keywords "Human Milk" AND "Overweight" OR "Obesity" OR "Body Mass Index". The bibliographic search returned 435 papers after the duplicates were removed. Of this total, 12 papers were selected for abstract reading, and nine works were incorporated into this systematic review. Eight papers showed that overweight increased the total concentration of lipids or glucose or macronutrient fractions, and only one study found no association between overweight and the nutritional composition of human milk. Most works selected evidenced that obesity changed the total concentration of lipids and their fractions. Thus, we recommend that women's weight and height be evaluated in the pregestational visit to identify and monitor nutritional deviations, contributing to weight adequacy before pregnancy and assisting in the production of milk with adequate nutritional composition.
Databáze: MEDLINE