Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-20T12:18:13.320Z Has data issue: false hasContentIssue false

Ascorbic acid levels in maternal milk: differences with respect to ascorbic acid status during the third trimester of pregnancy

Published online by Cambridge University Press:  09 March 2007

Rosa M. Ortega*
Affiliation:
Departamento de Nutrición, Facultad de Farmacia, Universidad Complutense, Madrid, Spain
M. Elena Quintas
Affiliation:
Departamento de Nutrición, Facultad de Farmacia, Universidad Complutense, Madrid, Spain
Pedro Andrés
Affiliation:
Laboratorio de Técnicas Instrumentales, Facultad de Farmacia, Universidad Complutense, Madrid, Spain
Rosa M. Martínez
Affiliation:
Servicio de Análisis Clínicos, Servicio de Obstetricia y Ginecología, Hospital INSALUD, Cuenca, Spain
Ana M. López-Sobaler
Affiliation:
Departamento de Nutrición, Facultad de Farmacia, Universidad Complutense, Madrid, Spain
*
*Corresponding author: Professor Rosa Ortega, fax +34 1 394 1732, email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The aim of the present investigation was to study the relationship between ascorbic acid status during the third trimester of pregnancy and levels of this vitamin in transition milk (days 13–14 of lactation) and mature milk (day 40 of lactation). To this end, the pregnancies and lactation periods of fifty-seven healthy women between 18 and 35 years of age (27 (sd 3.7) years) were monitored. Vitamin intake during the third trimester was determined by recording the consumption of foods over 5 d, and by registering the quantities provided by dietary supplements. Ascorbic acid levels in maternal serum during this stage of pregnancy, and in transition and mature milk samples, were determined by spectrophotometry. Those subjects with ascorbic acid intakes below that recommended (80 mg/d) (group L) showed lower consumption of fruit and vegetables than did those with greater intakes (group H). The consumption of ascorbic acid supplements was very low, and was only seen in three group H subjects. The difference in ascorbic acid intake was reflected at serum level. Group L subjects showed significantly lower serum values than did group H subjects (30.1 (sd 36.3) μmol/l compared with 101.1 (sd 168.1) μmol/l). Vitamin intake also influenced the composition of transition milk. Group L subjects showed significantly lower levels of ascorbic acid in milk than did group H subjects (255.5 (sd 220.3) μmol/l compared with 437.8 (sd 288.4) μmol/l). The results of the present study reveal the need to increase the consumption of fruits and vegetables during pregnancy and to monitor maternal ascorbic acid intake and vitamin C status.

Type
Human and Clinical Nutrition
Copyright
Copyright © The Nutrition Society 1998

References

Açkurt, F, Wetherlit, H, Löker, M & Hacibekiroglu, M (1995) Biochemical assessment and nutritional status in pre- and postnatal Turkish women and outcome of pregnancy. European Journal of Clinical Nutrition 49, 613622.Google ScholarPubMed
Anderson, DM & Pittard, WB (1985) Vitamin E and C concentrations in human milk with maternal megadosing: a case report. Journal of the American Dietetic Association 85, 715717.CrossRefGoogle Scholar
Antal, M, Regöly-Mérei, A, Varsányi, H, Biró, L, Sági, K, Molnár, DV, Zajkás, G, Nagy, K, Avar, Z & Biró, G (1997) Nutritional survey of pregnant women in Hungary. International Journal for Vitamin and Nutrition Research 67, 115122.Google ScholarPubMed
Ash, S (1995) Dietary intakes of pregnant women in Sydney, New South Wales. Australian Journal of Nutrition and Dietetics 52, 149153.Google Scholar
Bates, CJ, Prentice, AM & Paul, AA (1994) Seasonal variations in vitamins A, C, riboflavin and folate intakes and status of pregnant and lactating women in a rural Gambian community: some possible implications. European Journal of Clinical Nutrition 48, 660668.Google Scholar
Bates, CJ, Prentice, AM, Prentice, A, Lamb, WH & Whitehead, RG (1983) The effect of vitamin C supplementation on lactating women in Keneba, a West African rural community. International Journal for Vitamin and Nutrition Research 53, 6876.Google ScholarPubMed
Bates, CJ, Prentice, AM, Prentice, A, Paul, AA & Whitehead, RG (1982) Seasonal variations in ascorbic acid status and breast milk ascorbic acid levels in rural Gambian women in relation to dietary intake. Transactions of the Royal Society of Tropical Medicine and Hygiene 76, 341347.CrossRefGoogle ScholarPubMed
Beutler, HO & Beinstingl, G (1980) Bestimmung von L-Ascorbinsäure in Lebensmitteln (Determination of L-ascorbic acid in foods). Deutsche Lebensmitteln-Rundschau 76, 6975.Google Scholar
Borrud, LG, Krebs-Smith, SM, Friedman, L & Guenther, PM (1993) Food and nutrient intakes of pregnant and lactating women in the United States. Journal of Nutrition Education 25, 176185.CrossRefGoogle Scholar
Byerley, LO & Kirksey, A (1985) Effects of different levels of vitamin C intake on the vitamin C concentration in human milk and the vitamin C intakes of breast-fed infants. American Journal of Clinical Nutrition 41, 665671.CrossRefGoogle ScholarPubMed
Casanueva, E, Polo, E, Tejero, E & Meza, C (1993) Premature rupture of amniotic membranes; a functional assessment of vitamin C status during pregnancy. Annals of the New York Academy of Sciences 678, 369370.CrossRefGoogle ScholarPubMed
Committee on Nutrition (1985) Composition of human milk: normative data. In Pediatric Nutrition Handbook, 2nd ed., pp. 363368. Illinois: American Academy of Pediatrics.Google Scholar
Departamento de Nutrición (1994) Ingestas Recomendadas de Energía y Nutrientes para la Población Española (Recommended Energy and Nutrient Intakes for the Spanish Population). Madrid: Departamento de Nutrición.Google Scholar
Dostálová, L (1984) Vitamin status during puerperium and lactation. Annals of Nutrition and Metabolism 28, 385408.Google ScholarPubMed
Fomon, SJ (1974) Infant Nutrition, 2nd ed., p. 362. Philadelphia, PA: W.B. Saunders.Google Scholar
García, PA, Brewer, WB, Merritt, CW & Mead, HB (1974) Nutritional status of adolescent primigravidae; blood indices during pregnancy and postpartum. Iowa State Journal Research Medicae 49, 219229.Google Scholar
González-Cossio, T & Delgado, H (1991) Functional consequences of maternal malnutrition. World Review of Nutrition and Dietetics 64, 139173.CrossRefGoogle ScholarPubMed
Henninger, G (1981) Enzymatische Bestimmung von L-Ascor-binsaure in Lebensmitteln, Pharmzeutika und biologischen flussingkeiten (Enzymatic determination of L-ascorbic acid in foods, medicines and biological liquids). Alimenta 20, 1214.Google Scholar
Hunt, I, Murphy, N, Martner-Hewes, P, Faraji, B, Swendseid, M, Reynolds, R, Sanchez, A & Mejia, A (1987) Zinc, vitamin B-6 and other nutrients in pregnant women attending prenatal clinics in Mexico. American Journal of Clinical Nutrition 46, 563569.CrossRefGoogle ScholarPubMed
Institute of Medicine (1991) Nutrition During Lactation, pp. 57219. Washington, DC: National Academy Press.Google Scholar
Instituto de Nutrición (1994) Tablas de Composición de Alimentos Españoles (Tables of Composition of Spanish Foods). Madrid: Instituto de Nutrición.Google Scholar
Jendryczko, A & Tomala, J (1995) The total free radical trapping ability of blood plasma in eclampsia. Zentralblatt fuer Gynakologie 117, 126129.Google ScholarPubMed
Job, J, Capra, S & Ash, S (1995) Nutritional assessment of pregnant teenagers attending a metropolitan, public, maternity hospital in Brisbane. 1. Nutrient intakes. Australian Journal of Nutrition and Dietetics 52, 7682.Google Scholar
Johnson, RK, Goran, MI & Pohlman, ET (1994) Correlates of over-and underreporting of energy intake in healthy older men and women. American Journal of Clinical Nutrition 59, 12861290.CrossRefGoogle ScholarPubMed
Keizer, SE, Gibson, RS & O'Connor, DL (1995) Postpartum folic acid supplementation of adolescents: impact on maternal folate and zinc status and milk composition. American Journal of Clinical Nutrition 62, 377384.CrossRefGoogle ScholarPubMed
Keller, HE & Salkeld, RM (1988) Bereichswerte van analysenpar-ametern für den Vitaminstatus (Analytical parameters applicable to the determination of vitamin status), GCR B 106, 334.Google Scholar
King, JC & Weininger, J (1991) Embarazo y lactancia (Pregnancy and lactation). In Conocimientos Actuates Sobre Nutricíon (Present Knowledge on Nutrition), pp. 362369. Washington, DC: ILSI-North America.Google Scholar
Knight, EM, Spurlock, BG, Edwards, CH, Johnson, AA, Oyemade, UJ, Cole, OJ, West, WL, Manning, M, James, H, Laryea, H, Westney, OE, Jones, S & Westney, LS (1994) Biochemical profile of African American women during three trimesters of pregnancy and at delivery. Journal of Nutrition 124, 943S953S.Google ScholarPubMed
Kübler, W (1988) Vitaminmagel und Folgen (Suboptimal vitamin supply and its sequelae). Bibliotheca Nutritio et Dieta 42, 88100.Google Scholar
O'Connor, DL (1994) Folate status during pregnancy and lactation. In Nutrient Regulation During Pregnancy, Lactation and Infant Growth, pp. 151166 [KingL Allen, J L Allen, J, Lonnerdal, B, editors]. New York: Plenum Press.Google Scholar
Ortega, RM, Andrés, P, Martínez, RM & López-Sobaler, AM (1997 a) Vitamin A status during the third trimester of pregnancy in Spanish women: influence on concentrations of vitamin A in breast milk. American Journal of Clinical Nutrition 66, 564568.CrossRefGoogle ScholarPubMed
Ortega, RM, Andrés, P, Martínez, RM, López-Sobaler, AM & Quintas, ME (1997 b) Zinc levels in maternal milk: the influence of nutritional status with respect to zinc during the third trimester of pregnancy. European Journal of Clinical Nutrition 51, 253258.CrossRefGoogle ScholarPubMed
Ortega, RM, Gaspar, MJ & Cantero, M (1996 a) Influence of maternal serum lipids and maternal diet during the third trimester of pregnancy on umbilical cord blood lipids in two populations of Spanish newborns. International Journal for Vitamin and Nutrition Research 66, 250257.Google ScholarPubMed
Ortega, RM, Gaspar, MJ & Moreiras, O (1994) Dietary assessment of a pregnant Spanish women group. International Journal for Vitamin and Nutrition Research 64, 130134.Google ScholarPubMed
Ortega, RM, Requejo, AM, Quintas, ME, Sánches-Quiles, B, López-Sobaler, AM & Andrés, P (1996 b) Estimated energy balance in female university students: differences with respect to body mass index and concern about body weight. International Journal of Obesity 20, 11271129.Google ScholarPubMed
Patton, S, Canfield, LM, Huston, GE, Ferris, AM & Jensen, RG (1990) Carotenoids of human colostrum. Lipids 25, 159165.CrossRefGoogle ScholarPubMed
Pfeffer, F, Valdés-Ramos, R, Avila-Rosas, H, Meza, C & Casanueva, E (1996) Iron, zinc and vitamin C nutritional status is not related to weight gain in pregnant women. Nutrition Research 16, 555564.CrossRefGoogle Scholar
Picone, T, Allan, LH, Schramm, MH & Olsen, D (1982) Pregnancy outcome in North American women. 1. Effects of diet, cigarette smoking and psychological stress on maternal weight gain. American Journal of Clinical Nutrition 36, 12051213.CrossRefGoogle Scholar
Salmenpera, L (1984) Vitamin C nutrition during prolonged lactation: optimal in infants while marginal in some mothers. American Journal of Clinical Nutrition 40, 10501056.CrossRefGoogle ScholarPubMed
Schwarz, KB (1985) Vitamins in Nutrition in Pediatrics, pp. 5866. Boston, MA: Little Brown.Google Scholar
Sneed, SM, Zane, C & Thomas, MR (1981) The effects of ascorbic acid, vitamin B6, vitamin B12, and folic acid supplementation on the breast milk and maternal nutritional status of low socioeconomic lactating women. American Journal of Clinical Nutrition 34, 13381346.CrossRefGoogle ScholarPubMed
Thomas, MR, Kawamoto, J, Sneed, SM & Eakin, R (1979) The effects of vitamin C, vitamin B6, and vitamin B12 supplementation on the breast milk and maternal status of well-nourished women. American Journal of Clinical Nutrition 32, 16791685.CrossRefGoogle ScholarPubMed
Tlaskal, P & Novakova, V (1990) Vitamins C and E in neonates and their mothers. Ceskoslovenska Pediatrika 45, 339343.Google Scholar
Udipi, SA, Kirksey, A, West, K & Giacoia, G (1985) Vitamin B6, vitamin C and folacin levels in milk from mothers of term and preterm infants during the neonatal period. American Journal of Clinical Nutrition 42, 522530.CrossRefGoogle ScholarPubMed
West, WL, Knight, EM, Edwards, CH, Manning, M, Spurlock, B, James, H, Johnson, AA, Oyemade, UJ, Cole, OJ, Westney, OE, Laryea, H, Jones, S & Westney, LS (1994) Maternal low level lead and pregnancy outcomes. Journal of Nutrition 124, 981S986S.Google ScholarPubMed
Wonnacott, HW & Wonnacott, RJ (1977) Introductory Statistics. New York: John Wiley and Sons, Inc.Google Scholar
World Health Organization (1976) Methodology of Nutritional Surveillance. Technical Report Series no. 53, pp. 20–60. Geneva: World Health Organization.Google Scholar
World Health Organization (1985) Energy and Protein Requirements. Technical Report Series no. 724, pp. 71–80. Geneva: World Health Organization.Google Scholar
Zeman, FJ & Ney, DM (1988) Nutrition during pregnancy and lactation. In Applications of Clinical Nutrition, pp. 5472. New Jersey: Prentice Hall.Google Scholar