I realize
this has been discussed before, but good ammunition when needed. MM Mother's
iron status, breastmilk iron and lactoferrin - are they related? - European Journal of
Clinical Nutrition , vo9l 60, no 7, July 2006, pp
903-908 Shashiraj; Faridi MM; Singh O; et al - (2006) Objective:Exclusive breastfeeding is recommended till 6 months
age. Factors regulating the
breastmilk iron and lactoferrin levels are incompletely known. Considering high prevalence of nutritional anemia in lactating
mothers, we studied the iron status of lactating mothers, their breastmilk iron
and lactoferrin levels to determine any relationship between
them.Design:Prospective study with 6 months follow-up.Setting:Tertiary care
referral hospital.Subjects:Hundred nonanemic and 100 anemic mothers with their
babies recruited at birth. Fifty-two nonanemic and 50 anemic mothers and their
babies completed the 6-month follow-up.Interventions:Hemoglobin (Hb), total
iron binding capacity (TIBC), percent transferrin saturation (%TS), serum iron
(SI) and serum ferritin measured on day 1 and 6 months postpartum. Breastmilk
iron and lactoferrin measured on day 1, 14 weeks and 6 months after
delivery.Results:Breastmilk iron decreased progressively from day 1 to 14 weeks
and at 6 months in both groups, but no significant difference was noted between
nonanemic and anemic mothers (P>0.05). Significant decline in breastmilk
lactoferrin concentration from day 1 to 14 weeks in nonanemic and anemic
mothers (P<0.001) noted. Hemoglobin, TIBC, %TS, SI and serum ferritin of both
groups had no correlation with breastmilk iron and lactoferrin concentration on
day 1, 14 weeks and 6 months after delivery. Conclusions:Breastmilk iron and lactoferrin concentration had no
relationship with the mother's Hb and iron status. (Author) |