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研究生: 楊國珠
論文名稱: 母乳中AA及 DHA含量與影響因子探討
The content of AA and DHA and the influencing factor in breast milk
指導教授: 吳文惠
學位類別: 碩士
Master
系所名稱: 人類發展與家庭學系
Department of Human Development and Family Studies
論文出版年: 2001
畢業學年度: 89
語文別: 中文
論文頁數: 64
中文關鍵詞: 母乳脂肪酸docosahexaenoic acidarachidonic acid
英文關鍵詞: breast milk, fatty acid, dosahesaenoic acid, arachidonic acid
論文種類: 學術論文
相關次數: 點閱:192下載:2
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  • 本研究為探討母乳二十碳四烯酸及二十二碳六烯酸含量差異的影響因子及做為嬰兒配方奶添加量的參考。以高雄長庚醫院婦產科住院哺乳婦169位為樣本。收集生產後2-6天之母乳,以氣相層析儀分析脂肪酸百分比,同時配合問卷調查。
    哺乳婦平均年齡為30.04歲,近三日每日平均吃魚量約50克。哺乳婦烹調用油以葵花油為最多(85人,53﹪),其次為大豆油和橄欖油。哺乳婦「最近兩個月常吃魚」的種類以虱目魚最多,其次為鱈魚;「近三天常吃魚」的種類則以鱸魚最多,其次為虱目魚。
    本研究初乳脂肪酸n-6:n-3比例為8.5:1,低於美國、德國;高於加勒比海小島和澳洲,與法國初乳較相近;本研究linoleic acid 為18﹪,均高於歐美及澳洲初乳。母乳中DHA含量為1.07%,AA含量為1.01﹪,兩種脂肪酸含量均比與歐美澳研究為高,亦高於市售有添加DHA配方乳。「懷孕週數」介於37-39週間分娩的哺乳婦母乳DHA含量比40-41週者為高。產婦最近三日食用魚量與母乳DHA 含量有顯著相關性,近兩個月食用魚量與母乳DHA的相關性則不顯著,故母親於哺乳期如能由飲食中攝取足夠DHA,可迅速反應於母乳中以幫助嬰兒發展所需。

    169 colostrum human milk samples were obtained from lactating women living in the hospital. Fatty acid composition was analyzed by gas-liquid chromatography expressed as percentages of total fatty acids.
    The average age of lactating women sampled was 30.04. The average amount of fish that lactating women ate in the last three days was 50g. Most women used sunflower oil in their cooking. Others also used soy bean oil and olive oil. Among the lactating women studied, the most commonly eaten fish in the last two months is Milkfish and the second most commonly eaten fish being Greenland Halibut. The most commonly eaten fish in last three days are Sea Perch and Milkfish.
    The ratio of n-6: n-3 of our breast milk was 8.5:1. American and German lactating women, had higher ratios whereas Windward Islands lactating women in the Caribbean had lower ratio and Australian and French lactating women had the closest ratio to us. Our linoleic acid content, 18%, is higher than levels found in American, German, Australian, and French lactating women.
    The results showed that our colostrum contains an average of 1.1% docosahexaenoic acid and 1.01% arachidonic acid, both of which is higher than the milk of American, German, Australian, French mothers, and those of infant formula. The amount of fish eaten in last three days showed a more significant correlation to the level of DHA than the amount of fish eaten in the last two months. In conclusion, during lactation, the amount of fish consumed recently can increase the DHA content of milk.

    目 錄 中文摘要……………………………………………………………………I 英文摘要………………………………………………………………… II 目 錄…………………………………………………………………… III 表目錄…………………………………………………………………… IV 圖目錄…………………………………………………………………… V 第一章 前 言……………………………………………………………1 壹、 研究動機…………………………………………………………………………2 貳、 研究目的…………………………………………………………………………3 參、 名詞解釋…………………………………………………………………………3 肆、 名詞縮寫…………………………………………………………………………4 伍、 研究架構圖………………………………………………………………………5 第二章 文獻探討 ………………………………………………………..6 壹、 脂肪酸生理生化………………………………………………………………………………6 貳、 AA和DHA對胎兒生理功能發展的影響………………………………………..12 參、 母乳AA、DHA的研究…………………………………………………………….15 肆、 近年來美國、歐洲、日本吃魚情況………………………………………………20 伍、 歐美澳洲初乳AA、DHA含量………………………………………………….…21 陸、 配方奶之脂肪酸發展趨勢….………………………………………………….22 第三章 材料與方法………………………………………………………25 壹、 樣本收集…………………………………………………………………………25 貳、 母乳分析…………………………………………………………………………25 參、 統計分析…………………………………………………………………………26 肆、 研究限制…………………………………………………………………………27 第四章 結果………………………………………………………..……..28 壹、 受試者問卷調查…………………………………………………………………28 貳、 脂肪酸比例相關分析………………………………………………………..…29 參、 哺乳婦吃魚量與魚種類對母乳EPA、DHA含量影響……………………….…30 肆、 攝取魚油補充品與否乳DHA、EPA含量影響……………………………….…31 伍、 胎次對母乳AA、EPA、DHA之影響………………………………………………31 陸、 懷孕週數對母乳AA、DHA影響………………………………………..………31 柒、 是否攝取海藻類食物對母乳DHA含量影響…………………………………..31 捌、 生產方式對母乳AA含量的影響……………………………….………………32 玖、 生產年齡對母乳DHA含量的影響………………………………………………32 第五章 討論………………………………………………………………33 壹、 母乳DHA和AA含量與先前研究比較……………………………………………33 貳、 母乳脂肪酸比例與先前研究比較………………………………………………34 參、 哺乳婦吃魚量與魚種類對母乳EPA、DHA含量影響……………………………35 肆、 攝取魚油補充品、海藻類食物與否對母乳DHA、EPA含量影響………………36 伍、 「自然產或剖腹產」、「生產年齡」、「懷孕週數」、「胎次」對母乳AA、DHA含量影響………………………………………………………………….…37 第六章 結論………………………………………………………………38 參考文獻……………………………………………………………….…50 附錄一、問卷………………………………………………………….…62 附錄二、台灣常見魚類EPA、DHA含量…………………………………63 附錄三、配方奶粉脂肪酸含量參考表……………………………….…64 表目錄 一、 表受試者問卷調查結果基本資料………………………………………….….39 二、 母乳脂肪酸分析結果基本資料……………………………………………..…39 三、 受試者常食用油脂表………………………………………………………..…40 四、 長鏈脂肪酸之皮爾遜積差相關分析……………………………………..……40 五、 最近「兩個月」吃魚種類人數統計表,以人數(﹪)表示………….….…41 六、 最近「三日」之吃魚種類人數統計表,以人數(﹪)表示……………..…41 七、 母乳AA、EPA、DHA與懷孕年齡、懷孕週數、胎次、近兩月和三日吃魚量之相關分析………………………………………………………………………..…42 八、 比較近三日不同吃魚量之母乳AA、EPA、DHA含量……………..…….……43 九、 有或無補充魚油、有或無食用藻類、近三日攝取淡水魚或海水魚、自然產或剖腹產對母乳AA、EPA、DHA含量影響…………………………………….…44 十、 懷孕週數與母乳AA、EPA、DHA含量比較……………………………….……45 十一、 胎次不同與母乳AA、EPA、DHA含量比較:………………………….……46 十二、 本研究與歐美澳地區初乳脂肪酸組成比較………………………………47 十三、 本研究母乳脂肪酸組成與賓城、台灣、大陸五地區比較…………….…48 圖目錄 一、 本研究與歐美澳地區初乳脂肪酸組成比較……………………………………49 二、 本研究母乳AA EPA DHA含量與先前台中研究比較……………………….…49

    文獻參考:
    Ackman, R.G. and Ratnayake W.M.N.(1989). Fish oils, sea oils, esters and acids—are all forms of omega-3 equal? In: Health Effects of Fish and Fish Oils, R.K. Canada, ed. St. John’s, Newfoundland, Canada: ARTS Biomedical Publishers & Distributors, 373-393.
    AI DM Monique, van Houwelingen AC, and Hornstra G(2000) Long-Chain polyunsaturated fatty acids, pregnancy, and pregnancy outcome. Am J Clin Nutr 71(suppl):285-291S.
    AI MD, von Houwelingen AC, Badart-Smook A, Hornstra G.(1995). Some aspects of neonatal essential fatty acid status are altered by linoleic acid supplementation fo women during pregnancy. J Nutr, 125,2822-30.
    AI MDM, van Houwelingen AC, Kester ADM, Hasaart THM, De Jong AEP, Hornstra G.(1995). Maternal essential fatty acid patterns during normal pregnancy and their relationship to the neonatal essential fatty acid status. Br J Nutr, 74,55-68.
    Arbuckle, L.D. and Innis, S.M.(1992)Docosahexaenoic acid in developing brain and retina of piglets fed high or low α-linolenate formula with and without fish oil. Lipids 27:89-93.
    Beijers, R.J., Schaafsma, A.(1996). Long-chain polyunsaturated fatty acid content in Dutch preterm breast milk; differences in the concentrations of docosahexaenoic acid and arachidonic acid due to length of gestation, Early Hum Dev, 44(3), 215-23.
    Birch, E.E.,Hoffman, D.,Uauy, R., Birch, D.,and Prestidge, C.(1998).Visual Acuity and the Essentiality of Docosahexaenoic acid and arachidonic acid in the diet of term infants.Pediatric Research 44(2):201-209.
    Boehm, G., Borte, M., Bohles, H.J., Muller, H., Kohn, G., Moro, G.(1995). Docosahexaenoic and arachidonic acid content of serum and red blood cell membrane phospholipids of preterm infants fed breast milk, standard formula or formula supplemented with n-3 and n-6 long-chain polyunsaturated fatty acids,Eur J Pediatr , 155(5),410-6.
    Boersma, E.R., Offringa, P. J., Muskiet, F. A. J., Chase, M. W. and Simmons, I. J. Vitamin E, lipid fractions, and fatty acid composition of colostrum, transitional milk, and mature milk: an international comparative study. Am J Clin Nutr 1991;53(5), 1197-1204.
    British Nutrition Foundation(1992a). Unsaturated fatty acids and early development. Unsaturated fatty acids nutritional and physiological significance. Chapman & Hall, 62-67.
    British Nutrition Foundation(1992b). Recommendations for intakes of unsaturated fatty acids. Unsaturated fatty acids nutritional and physiological significance. Chapman & Hall, 152-164.
    Calson, S.E., Werkman, S,H,, Peoples, J.M., Cooke, R,J.,& Rhodes, P.G. (1992). Effect of vegetable and marine oils in preterm infant formulas on blood arachidonic and docosahexaenoic acids. J. Pediatr.120,S159-S167.
    Calson, S.E., Werkman, S.H., Peoples, J.M., Cooke, R.J., Tolley, E.A. (1993). Arachidonic status correlates with first year growth in preterm infants. Proc Natl Acad Sci USA, 90,1073-7.
    Carroll, K.K.(1989)Upper limits of nutrients in infant formulas: polyunsaturated fatty acids and trans fatty acids. J. Nutr.119:1810-1813.
    Chirouze, V., Lapillonne, A., Putet, G., Salle, B.L.(1994). Red blood cell fatty acid composition in low-birth-weight infants fed either human milk or formula during the first months of life. Acta Paediatr Suppl,70-7.
    Chulei R , Xiaofang L, Hongsheng M, Xiulan MA, Guizheng L, Gianhong D, DeFrancesco CA,& Connor WE(1995) Milk composition in women from five different regions of China: the great diversity of milk fatty acids, J Nutr 125(12),2993-8.
    Clandinin, M.T., Chappell, J.E., Heim, T., Swyer, P.E., Chance, G.W. (1980). Intrauterine fatty acid accretion rates in human brain: Implication for fatty acid requirement. Early Hum Dev, 4,121-9.
    Clandinin, M.T., Chappell, J.E., Heim, T., Swyer, P.E., Chance, G.W. (1980). Intrauterine fatty acid accretion rates in human brain: Implication for fatty acid requirement. Early Hum Dev, 4,131-8.
    Clark KJ, Makrides M, Neumann MA, Gibson RA. (1992). Determination fo the optimal ratio of linoleic acid to α-linolenic acid in infant formulas J Pediatr, 120,s151-8.
    Connor, W.E., Neuringer, M., Reisbick, S.(1992).Essential Fatty Acids: The importance of n-3 fatty acids in the retina and brain. Nutr Review,50(4),21-9.
    Crawford MA (1993)The role of essential fatty acids in neural development: implications for perinatal nutrition. Am J Clin Nutr 57(suppl):703S-10S.
    Crawford, MA, Doyle, W., Drury, P., Lennon, A., Costeloe, K. and Leighfield,M.(1989)n-6 and n-3 fatty acids during early human development. J. Int. Med.,225, Suppl. 1, 159-69.
    Cunnane, S.C., Hamadeh, M.J., Liede, A.C., Thompson, L.U., Wolever, T.M.S,& Jenkins, D.J.A. (1994). Nutritional attributes of traditional Flaxseed in healthy young adults. Am J Cli Nutr, 61,62-8.
    Dobbing J, Sands J. Comparative aspects of the brain growth spurt. (1979). Early Hum Dev, 3,79-83.
    Dotson, K. D., Jerrell, J. P., Picciano, M.F, and Perkins, E. G. 1992. High-performance liquid chromatography of human milk triacylglycerols and gas chromatography of component fatty acids. Lipids 27:933-939.
    Drury, P.J. and Crawford, M.A. (1991) Essential fatty acids in human milk. In Clinical Nutrition in the Young Child,pp. 302-312.
    ESPGAN (1991)Committee on Nutrition. Comment on the content and composition of lipid in infant formula. Acta Paediatrica Scandinavica,80,887-896.
    Fliesler, S.J., Anderson, R.E. (1983). Chemintry and metabolism of lipids in vertebrate retina. Perog Lipid Res, 22,79-131.
    Fracois CA, Connor SL, Wander RC, and Connor WE(1998) Acute effects of dietary fatty acids on the fatty acids of human milk. Am J Clin Nutr 67:301-8.
    Garry, M. Kneebone, M.B.B.S., MSc, FRACP, Raquel Kneebone Dip Nut Diet, and Robert A Gibson BSc (1985) Fatty acid composition of breast milk from three racial groups from Penang, Malaysia. Am J Clin Nutr , 41, 765-769.
    Genzel-Boroviczeny,O., Hrboticky, N.(1996). Plasma values of polyunsaturated fatty acids in extremely low birth weight (ELBW)infants fed breast milk or formula very early in life. Eur J Med Res,495-8.
    Gibson, R. A. and Kneebone, G. M. Fatty acid composition of human colostrum and mature breast milk. Am J Clin Nutr 1981;34:252-257.
    Gibson, R.A., and Kneebone, G.M.,(1981).Fatty acid composition of human colostrum and mature breast milk. Am. J. Clin. Nutr. 34:252-257.
    Gibson, R.A., Makrides, M., Neumann, M.A.,Simmer, K., Mantzioris, E.,& James, M.J.(1994). Ratios of linoleic acid to alpha-linolenic acid in formulas for term infants, J Pediatr,125(5),48-55.
    Gurr, M.I. and Harwood, J.L.(1991). Lipid Biochemistry. Chapman & Hall,220-223.
    Hachy DL. (1994). Benefits and risks of modifying maternal fat intake in pregnancy and lactation. Am J Clin Nutr, 59(suppl),454S-64S.
    Handerson RA, Jensen RG, Lammi-Keefe CJ, Ferris AM, Dardick KR(1992) Effect of fish oil on the fatty acid composition of human milk and maternal and infant erythrocytes. Lipid 27:863-9.
    Harris, W.S. (1989).Fish oil and plasma lipid and lipoprotein metabolism in humans a critical review. J Lipid Res ,30,785-807.
    Harris, W.S., Connor, W.E., & Saralyn Lindsey(1984). Will dietary ω-3 fatty acids change the composition of human milk? Am J Clin Nutr,40,780-785.
    Harzer, G., Haug, M., Dieterich, I. And Gentner, P.Changing patterns of human milk lipids in the course of the lactation and during the day. Am Clin Nutr 1983;37(4), 612-621.
    Hoffman, D.R., Uauy, R.(1992). Essentiality of dietary omega-3 fatty acids for premature infants: Plasma and red blood cell fatty acid composition. Lipids,27(11),886-95.
    Holman, R.T. Johnstone, S.B. and Hatch, T.F.(1982)A case of human linoleic acid deficiency involving neurological abnormalities. Am. J. Clin. Nutr., 35,617-23.
    Huisman, M. Van Beusekom C.M. Lanting C.I. Nijeboer H.J. Muskiet FAJ, and Boersma E.R.Comapring composition in human and infant formula milk. 1995,255-260.
    Innis, S.M. (1991). Essential fatty acids in growth and development. Rrog. Lipid Res, 30:39-103.
    Innis, S.M. (1992). n-3 Fatty acid requirements of the newborn. Lipids, 27,879-85.
    Innis, S.M., Akrabawi, S.S., Diersen-Schade, D.A., Dobson, M.V., & Guy, D.G.(1997).Visual acuity and blood lipids in term infants fed human milk or formulae, Lipids, 32(1), 63-72.
    Jackson, M. B., Lammi-Keefe, C. J., Jensen, R. G., Couch, S. C. and Ferris, A. M. Total lipid and fatty acid composition of milk from women with and without insulin-dependent diabetes mellitus. Am J Clin Nutr 1993;60(3):353-361.
    Jansson, L., Akesson, B., and Holmberg, L.(1981)Vitamin E and fatty acid composition of human milk. Am. J. Clin. Nutr. 51:994-1000.
    Jenderson, R. A., Jensen, R. G., Lammi-Keefe, C. J., Ferris, A.M., and Dardick, K.R.(1992). Effect of fish oil on the fatty acid composition of human milk and maternal and infant erythrocytes. Lipids,27:863-869.
    Jensen CL, Maude M, Anderson RE, and Heird WC(2000)Effect of docosahexaenoic acid supplementation of lactating women on the fatty acid composition of breast milk lipids and maternal and infant plasma phospholipids. Am J Clin Nutr Jan;71(1 Suppl):245S-250S.
    Jensen RG. The lipids in Human Milk.Prog Lipid Res 1996;35(1):53-92.
    Jonsbo, F., Jorgensen, M.H., Michaelsen, K.F.(1995)Importance of n-3 and n-6 fatty acids for visual function and development in newborn infants, Ugeskr Laeger, 157(14),1987-91.
    Jorgensen, M.H., Hernell, O., Lund, P., Holmer, G., Michaelsen, K.F.(1996) Visual acuity and erythrocyte docosahexaenoic acid status in breast-fed and formula-fed term infants during the first four months of life, Lipids, 31(1), 99-105.
    Joyce, A, (1995) Omega-3 fatty acids and health. Chapman & Hall, 188-308.
    Koletzko, B., Decsi, T., Demmelmair, H.(1996).Arachidonic acid supply and metabolism in human infants born at full term, Lipids, 31(1)79-83.
    Koletzko, B., Schmidt, E.,Bremer, H.J., Haug, M., Harzer, G.(1989) Effects of dietary long-chain polyunsaturated fatty acids on the essential fatty acid status of premature infants, Eur J Pediatr, 148,669-675.
    Kris-Etherton PM, Taylor DS, Yu-Poth S, Huth P, Moriarty K, Fishell V, Hargrove RL, Zhao G, and Etherton TD(2000) Polyunsaturated fatty acids in the food chain in the United States. Am J Clin Nutr Jan;71(1 Suppl):179S-88S.
    Lepage, G., and C.C. Roy.(1986)Direct transesterification of all classess of lipids in a one-step reaction. J. Lipid Res. 27:114.
    Lucas, A., Morley, R., Cole, T.J. et al.(1992) Breast milk and subsequent intelligence quotient in children born pre-term. Lancet,339, 261-264.
    Makrides, M., Neumann, M.A. Simmer, K.,& Gibson, R.A.(1999). Dietary long-chain polyunsatruated fatty acids do not influence growth of term infants. Pediatrics,468-75.
    Makrides, M., Neumann, M.A., Byard, R.W.(1994)Fatty acid composition of brain, retina, and erythrocytes in breast- and formula-fed infants,Am J Clin Nutr, 60,189-94.
    Makrides, M., Neumann, M.A., Gibson, R.A.(1996) Effect of maternal docosahexaenoic acid (DHA) supplementation on breast milk composition, Eur J Clin Nutr, 50(6),352-7.
    Makrides, M., Neumann, M.A., Gibson, R.A.(1996) Effect of maternal docosahexaenoic acid (DHA) supplementation on breast milk composition, Eur J Clin Nutr, 50(6),352-7.
    Makrides, M., Neumann, M.A., Simmer, K.,& Gibson RA(1993). Erythrocyte docosahexaenoic acid correlates with the visual response of healthy, term infants, Pediatr Res, 425-7.
    Makrides, M., Simmer, K., Neumann, M.,& Gibson, R.(1995). Changes in the polyunsaturated fatty acids of breast milk from mothers of full-term infants over 30 wk of lactation, Am J Clin Nutr, 61(6),1231-3.
    Mantzioris, E., James, M.J., Gibson, R.A.,& Cleland, L.G. (1995). Nutritional attributes of dietary flaxseed oil. Am J Cli Nutr, 62,841.
    Neonatal Unit, Flinders Medical Centre, Bedford Park, Australia (1996). A new breast milk supplement for preterm infants, J Paediatr Child Health, 32(3),233-5.
    Nettleton, J.A.(1993). Are n-3 fatty acids essential nutrients for fetal and infant development? J Am Diet Assoc,93(1),58-64.
    Neuringer, M., Anderson, G.J.& Conner, W.E.(1988) The essentiality of n-3 fatty acids for the development and function of the retina and brain.Ann. Rev. Nutr.,8,517-41.
    Neuringer, M., Connor, W.E., Lin, D.S., Barstad, L.,& Luck, S. (1986). Biochemical and functional effects of prenatalω-3 fatty acid deficiency on retina and brain in rhesus monkeys. Proc Batl Acad Sci USA, 83,4021-25.
    O’Brien J.S., Fillerup, D.L.,& Mean, J.F.(1964) Quantification of fatty acid and fatty aldehyde composition of ethanolamine, choline and serine phosphoglycerides in human cerebral gray and white matter.5,329-30.
    Olegard, R. and Svennerholm, L. (1970)Fatty acid composition of plasma and red cell phosphoglycerides in full term infants and their mothers. Acta Paediat. Scand., 59, 637-47.
    Olsen SF, Hansen HS, Sandstrom B, Jensen B. (1995). Erythrocyte levels compared with reported dietary intake of marine n-3 fatty acids in pregnant women. Br J Nutr, 73,387-95.
    Ponder, D.L.,Innis, S.M., Benson, J.D., (1992).Docosa-hexaenic acid status of term infants fed breast milk or infant formula containing soy oil or rorn oil. Pediatr Res, 32,638-8.
    Putnam,J.C., Carlson, S.E., DeVoe, P.W., and Barness, L.A. (1982). The effect of variations in dietary fatty acids on the fatty acid composition of erythrocyte phosphatidylcholine and phosphatidylethanolamine in human infants. Am J. Clin. Nutr. 36:106-114.
    Ratnayake, W.H.G., Ackman, R.G. (1979). Fatty alcohols in Capelin, Herring and Mackerel oils and muscle lipids: I Fatty alcohol details linking dietary copepod fat with certain fish depot fats. Lipids ,14,795-803.
    Reddy, S., Sanders, T.B.A.,& Obeid. (1994). The influence of maternal vegetarian diet on essential fatty acid status of the newborn. Eur J Clin Nutr, 48,358-68.
    Ruan, C., Liu, X., Man, H., Ma, X., Lu, G., Duan, G., DeFrancesco, C.A.,& Connor, W.E.(1995).Milk composition in women from five different regions of China: the great diversity of milk fatty acids, J Nutr, 125(12),2993-8.
    Sanders TAB(2000)Polyunsaturated fatty acids in the food chain in Europe. Am J Clin Nutr Jan;71(1 Suppl):176S-8S.
    Sanders, T.A.B.(1999). Essential fatty acid requirements of vegetarians in pregnancy, lactation, and infancy. Am J Clin Nutr , 555-9.
    Sanders, T.A.B., Ellis, F.R., & Dickerson, J.W.T.(1979). A comparison of the influence of breastfeeding and bottle-feeding on the fatty acid composition of the erythrocytes. Br. J. Nutr. 41:619-623.
    Sanders, T.A.B., Ellis, F.R., Path, F.R.C., Dickerson, J.W.T,& Biol, F.I. (1978).Studies of vegans: the fatty acid composition of plasma choline phosphoglycerides, erythrocytes, adipose tissue, and breastmilk, and some indicators of suscepotibility to ischemic heart disease in vegans and omnivore controls. Am J Clin Nutr, 31,805-13.
    Sanders, T.A.B., Reddy, S. (1992). The influence of a vegetarian diet on the fatty acid composition of human milk and the essential fatty acid status of the infant. L Pediatr, 120,s71-7.
    Simopoulos AP(2000) Human requirement for N-3 polyunsaturated fatty acids. Poult Sci Jul;79(7);961-70.
    Sugano M, and Hirahara F(2000)Polyunsaturated fatty acids in the food in Japan. Am J Clin Nutr Jan;71(1 Suppl):189S-196S.
    Uauy R, and Hoffman DR(2000)Essential fat requirements of preterm infants. Am J Clin Nutr Jan;71(1 Suppl):245S-250S.
    Uauy-Dagach, R., Mena, P.(1995). Nutritional role of omega-3 fatty acids during the perinatal period.Clin Perinatol,22(1),157-75.
    Valsta, L.M., Salminen, I., Aro, A., Mutanen, M.(1996) α-Linolenic acid in rapeseed oil partly compensates for the effect of fish restriction on plasma long chain n-3 fatty acids. Eur J Clin Nutr,50,229-35.
    Van Houwelingen, A.C., Sorensen, J.D., Hornstra, G., Simonis, M.M.G., Boris,J., Olsen, S.F., Secher, N.J. (1995). Essential fatty acid status in neonates after fish-oil supplementation during late pregnancy. Br J Nutr, 74,723-31.
    Walker, A.F.,& Rolls, B.A.(1995). Infant Nutrition. Chapman & Hall, 108-172.
    Willatts, P., Forsyth, J.S., DiModugno, M.K., Varma, S.,& Colvin M,(1998)Effect of long-chain polyunsaturated fatty acids in infant formula on problem solving at 10 months of age. The Lancet 352:688-691.
    Woltil, H.A., van Beusekom C.M., Schaafsma, A., Muskiet, F.A., Okken, A., (1998). Long-chain polyunsaturated fatty acid status and early growth of low birth weight infants.Eur J Pediatr, 146-52.
    台灣地區食品營養成分資料庫。食品工業發展研究所。(1998)
    宋幸娟、章雅惠、方佳雯、潘文涵(民 88)台灣地區成人攝取食物總重量、熱量及三大營養素的食物來源—NAHSIT 1993-1996,24(1):59-80。
    黃惠瑛、高美丁(民 83)。高雄地區孕婦之膳食攝食狀況。中華民國營養學會雜誌,19(3):280-291。
    周宇光、吳子聰、張淑緘等(民 82)。母乳中長鏈多元不飽和脂肪酸的分析。醫學研究,13(5),301-308。
    陳昭惠(民 82)。有關嬰兒研究之趨勢-兼談醫師之角色。中華民國新生兒學會會刊,4(2)。
    陳揚燕、李美璇、張淑緘(民85)。DHA會使人變總明嗎?從母奶及嬰兒配方奶粉談起。國防醫學,第二十三卷三期。
    趙蓓敏、鄧樹玫(民84)台灣常見食用魚類之脂質、脂肪酸組成及膽固醇含量調查。中華民國營養學會雜誌,147-59.
    趙蓓敏、王璧娟、江明才、柯樺翰、蔡鴻德、林鴻志(民 85)。早產兒與足月兒出生時紅血球細胞膜脂肪酸組成。中華民國營養學會雜誌社,195。

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