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Obstetrics and Gynegology2021№8
Optimization of the trace element...

Optimization of the trace element composition of breast milk, by enriching a women’s diet

DOI
https://dx.doi.org/10.18565/aig.2021.8.60-68

Kodentsova V.M., Risnik D.V., Pavlovich S.V., Ladodo O.B.

1) Federal Research Centre of Nutrition, Biotechnology, and Food Safety, Moscow, Russian Federation; 2) M.V.Lomonosov Moscow State University, Moscow, Russian Federation; 3) Academician V.I.Kulakov National Medical Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, Moscow, Russian Federation
Objective: to assess the possibility of optimizing the gross and trace element composition of breast milk and a baby’s demand, by enriching a woman’s diet. Literature was sought using the PubMed, Google Scholar, ResearchGate, Russian Science Citation Index, and CyberLeninka databases. According to the possibility of affecting their breast milk concentrations, minerals are divided into 3 groups. The breast milk concentrations of calcium, phosphorus, and magnesium are maintained within a certain range, even in women who have their deficiencies. The concentrations of iron, copper, and zinc depend not so much on the current dietary intake in the mother as on her mineral status. The low mineral status formed in a woman during pregnancy leads to a decrease in the breast milk concentration of the minerals. A woman who has their deficiencies during pregnancy is susceptible to further depletion during breastfeeding. The breast milk concentrations of iodine and selenium depend not so much on the maternal status as on the current intake of these trace elements. The content of iodine and selenium in breast milk and the status of infants may be upgraded by increasing their current intake through the consumption of vitamin-mineral supplements or fortified foods by their breastfeeding mother. Since the breast milk levels of many elements are maintained due to the breastfeeding woman’s body, it is necessary to optimize the mineral status of an expectant mother even before the start of breastfeeding, which will prevent the depletion of these trace elements during breastfeeding and ensure the maintenance of her and her baby’s health.
Conclusion. The intake of vitamin and mineral supplements during pregnancy and lactation not only eliminates multiple dietary trace nutrient deficiencies and improves the status of a breastfeeding woman, but also optimizes the trace nutrient composition of her breast milk and the baby’s supply.

Keywords

gross elements
trace elements
breast milk
pregnant women
breastfeeding women
mineral status
vitamin-mineral supplements
foods fortified with trace nutrients
Full text (in Russian)

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Received 28.01.2021

Accepted 13.04.2021

About the Authors

Vera M. Kodentsova, Dr. Bio. Sci., Professor, Chief Researcher of the Laboratory of Vitamins and Minerals, Federal Research Centre of Nutrition and Biotechnology.
Tel: +7(495)698-53-30; +7(985)124-74-29. E-mail: kodentsova@ion.ru; biant3@mail.ru. ORCID: 0000-0002-5288-1132. 109240, Russia, Moscow, Ustyinskiy proezd, 2/14.
Dmitry V. Risnik, PhD (Bio. Sci.), Leading Researcher, Faculty of Biology, M.V. Lomonosov Moscow State University. Tel.: +7(926)759-31-61. E-mail: biant3@mail.ru.
ORCID: 0000-0002-3389-8115. 119234, Russia, Moscow, Leninskiye gory, 1.
Stanislav V. Pavlovich, PhD (Med), Associate Professor, Scientific Secretary, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of the Russian Federation. Tel.: +7(495)438-52-25. E-mail: s_pavlovich@oparina4.ru. ORCID: 0000-0002-1313-7079.
117997, Russia, Moscow, Academician Oparin str., 4.
Olga B. Ladodo, PhD (Med), Head of the National Coordinating Center for Breastfeeding Support, Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Healthcare of the Russian Federation. Tel.: +7(925)508-55-02. E-mail: o_ladodo@oparina4.ru.
ORCID: 0000-0002-4720-7231. 117997, Russia, Moscow, Academician Oparin str., 4.

For citation: Kodentsova V.M., Risnik D.V., Pavlovich S.V., Ladodo O.B. Optimization of the trace element composition of breast milk, by enriching a women’s diet.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2021; 8: 60-68 (in Russian)
https://dx.doi.org/10.18565/aig.2021.8.60-68

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Shafieva K.A., Malgina G.B., Pestryaeva L.A., Mustafina M.Yu., Zakharova S.Yu., Shiryaeva E.K., Pepelyaeva N.A.
A lactational function rehabilitation system in women after extremely preterm labor
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