Presence and dynamics of leptin, GLP-1, and PYY in human breast milk at early postpartum.

Presence and dynamics of leptin, GLP-1, and PYY in human breast milk at early postpartum.
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DOI:
10.1002/oby.20345
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发表时间:
2013-07
期刊:
影响因子:
6.9
通讯作者:
Larson-Meyer, D. Enette
Larson-Meyer, D. Enette
中科院分区:
医学2区
文献类型:
--
作者:
Schueler, Jessica;Alexander, Brenda;Hart, Ann Marie;Austin, Kathleen;Larson-Meyer, D. Enette

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目的:母乳中存在食欲激素,即胰高血糖素样肽-1(GLP-1)、肽YY(PYY)和瘦素,可能在婴儿喂养调节和婴儿生长中起重要作用。 本研究评估了GLP-1、PYY和瘦素的浓度是否在单次喂养(从前乳到后乳)中发生变化,并与产妇和婴儿的人体测量学相关。设计和方法:13名产后妇女(平均值± SD:25.6 ± 4.5岁,72.0 ± 11.9 kg)在分娩后4-5周提供了前乳和后乳样本,并通过双X射线吸收法测量了体重和成分。 GLP-1,PYY,瘦素浓度测定采用放射免疫法,乳脂含量测定采用creamatocrit。结果:后乳中GLP-1含量和乳脂含量均高于前乳(P ≤ 0.05)。 PYY和瘦素浓度没有改变前和后乳。瘦素水平和乳脂含量均与母亲肥胖指数相关(r = 0.65-0.85,P < 0.02),与脂肪含量相关(r = 0.65-0.84,P < 0.02)。从出生到6个月,后乳GLP-1与婴儿体重增加相关(r =-0.67,P = 0.034)。结论:母乳中食欲激素的存在可能对婴儿食欲和生长调节很重要。 
Objective: The presence of appetite hormones, namely glucagon-like peptide-1 (GLP-1), peptide YY (PYY), and leptin in breast milk may be important in infant feeding regulation and infant growth. This study evaluated whether concentrations of GLP-1, PYY, and leptin change across a single feeding (from fore- to hindmilk), and are associated with maternal and infant anthropometrics. Design and Methods: Thirteen postpartum women (mean ± SD: 25.6 ± 4.5 years, 72.0 ± 11.9 kg) provided fore- and hindmilk samples 4-5 weeks after delivery and underwent measurements of body weight and composition by Dual X-ray Absorptiometry. GLP-1, PYY, and leptin concentrations were measured using radioimmunoassay, and milk fat content was determined by creamatocrit. Results: Concentration of GLP-1 and content of milk fat was higher in hindmilk than foremilk (P ≤ 0.05). PYY and leptin concentrations did not change between fore- and hindmilk. Both leptin concentration and milk fat content were correlated with indices of maternal adiposity, including body mass index (r = 0.65-0.85, P < 0.02), and fat mass (r = 0.65-0.84, P < 0.02). Hindmilk GLP-1 was correlated with infant weight gain from birth to 6 months (r = −0.67, P = 0.034). Conclusion: The presence of appetite hormones in breast milk may be important in infant appetite and growth regulation.
DOI: 10.1210/en.2008-1221
发表时间: 2009-03-01
期刊: ENDOCRINOLOGY
影响因子: 4.8
作者:
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发表时间: 2011-08-17
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影响因子: --
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影响因子: 56.9
作者:
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