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Association between maternal vitamin E status and alpha‐tocopherol levels in the newborn and colostrum
Authors:Karla Danielly da Silva Ribeiro  Mayara Santa Rosa Lima  Jeane Franco Pires Medeiros  Amanda de Sousa Rebouças  Raquel Costa Silva Dantas  Danielle Soares Bezerra  Mônica Maria Osório  Roberto Dimenstein
Affiliation:1. Department of Nutrition, Federal University of Rio Grande do Norte, Natal, RN, Brazil;2. Department of Biochemistry, Federal University of Rio Grande do Norte, Natal, RN, Brazil;3. Faculdade de Ciências Médicas do Trairi, Federal University of Rio Grande do Norte, Natal, RN, Brazil;4. Department of Nutrition, Federal University of Pernambuco, Recife, PE, Brazil
Abstract:Vitamin E is important because of its antioxidant activity in situations of oxidative stress, especially postnatally. Hence, the objective was to verify whether maternal alpha‐tocopherol level is associated with the alpha‐tocopherol levels of the newborn and colostrum. This is a cross‐sectional study of 58 women and their term newborns from a public hospital. Blood and colostrum were collected to measure alpha‐tocopherol levels by high‐performance liquid chromatography. Mothers with serum alpha‐tocopherol levels <16.2 mmol L?1 and newborns <11.6 mmol L?1 were indicative of deficiency or low levels. Mothers were divided into two groups: <16.2 mmol L?1 and those with levels ≥16.2 mmol L?1. The mean (95% confidence interval) serum alpha‐tocopherol levels of mothers, umbilical cords and colostrum were 28 (24–32), 6 (5–8) and 39 mmol L?1 (32–45), respectively (P < 0.001); 19% of the women and 90% of the newborns had low alpha‐tocopherol levels. Maternal alpha‐tocopherol level was associated with that of the umbilical cord. Newborns from mothers at risk of deficiency had low alpha‐tocopherol levels (P < 0.001). Colostrum levels of vitamin E were not influenced by maternal serum. Maternal deficiency influenced the vitamin E level of the umbilical cord but does not in the colostrum, evidencing distinct transfer mechanisms via the mammary gland.
Keywords:vitamin E  micronutrients  breast milk  neonate  lactation  nutritional status
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