Overweight modifies the nutritional composition of human milk? A systematic review.
Elissa de Oliveira CoutoDaniele Marano da RochaYasmin Notarbartolo di Villarosa do AmaralAndrea Dunshee de AbranchesFernanda Valente Mendes SoaresMaria Elisabeth Lopes MoreiraPublished in: Ciencia & saude coletiva (2019)
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.
Keyphrases
- human milk
- weight gain
- weight loss
- body mass index
- low birth weight
- physical activity
- systematic review
- preterm birth
- preterm infants
- public health
- healthcare
- metabolic syndrome
- insulin resistance
- polycystic ovary syndrome
- glycemic control
- type diabetes
- mental health
- randomized controlled trial
- pregnancy outcomes
- fatty acid
- adipose tissue
- risk assessment
- blood glucose
- big data
- blood pressure
- climate change
- skeletal muscle