The Effects of Maternal Passive Smoking on Maternal Milk Lipid
-
Azam Baheiraei
,
Azar Shamsi
,
Shahnaz Khaghani
,
Sedigheh Shams
,
Maryam Chamari
,
Hoda Boushehri
,
Azam Khedri
Abstract
Passive smoking was long overlooked by those in the medical and legal professions as being harmful to one's health, but in recent years the negative effect of passive smoking has come to the fore in the media and laws have been changed so that less people are obliged to unwillingly suffer from passive smoking, particularly in the workplace and in indoor settings. To study the effects of environmental tobacco smoking exposure during the breast-feeding period on maternal milk lipids. This cohort study was conducted on 45 mothers environmental tobacco smoking exposure and 40 non-exposed post-partum mothers referred to the Shahid Ayat health center, Tehran, Iran. Socioeconomic conditions and the demographic characteristics of exposed and non-exposed groups were recorded. Milk samples were collected twice--at baseline (5-7 days after delivery) and four months after delivery. The samples were reserved at -20°C until assay. Milk lipids including cholesterol, triglyceride (TG), high density lipoprotein (HDL) and low density lipoprotein (LDL) were evaluated. Dietary intake assessment was performed by means of the 24-hour dietary recall questionnaire both times. Maternal occupation status and education levels were significantly different between the two groups. Lipids profiles of milk were significantly higher 5-7 days after delivery in the non-exposed group and four months after delivery. Dietary intake was not significantly different between the two groups. Maternal environmental tobacco smoking exposure affects milk lipids which are essential for infant growth.
Leone A. Does Smoking Act as a Friend or Enemy of Blood Pressure? Let Release Pandora’s Box. Cardiol Res Pract 2011;2011(1):1-7.
U.S.Environmental Protection Agency (EPA). Respiratory Health Effects of Passive Smoking: Lung Cancer and Other Disorders. (Accessed in Jan 28, 2014, at http://www.epa.gov/ncea/ets/pdfs/acknowl.pdf).
DiFranza JR, Aligne CA, Weitzman M. Prenatal and postnatal environmental tobacco smoke exposure and children’s health. Pediatrics 2004;113(4 Suppl):1007-15.
Mathai M, Vijayasri R, Babu S, Jeyaseelan L. Passive maternal smoking and birth weight in a south Indian population. Br J Obstet Gynaecol 1992;99(4):342-3.
Hopkinson JM, Schanler RJ, Fraley JK, et al. Milk production by mothers of premature infants: influence of cigarette smoking. Pediatrics 1992;90(6):934-8.
Vio F, Salazar G, Infante C. Smoking during pregnancy and lactation and its effects on breast-milk volume. Am J Clin Nutr 1991;54(6):1011-6.
Milnerowics H, Chalmarek M. Influence of smoking on metallothionein level and other proteins binding essential metals in human milk. Acta Paediatr 2005;94(4):402-6.
Orhon FS, Ulukol B, Kahya D, et al. The influence of maternal smoking on maternal and newborn oxidant and antioxidant status. Eur J Pediatr 2008;168(8):975-81.
Mirmiran P, AzadbakhtL, Azizi F. Dietary Diversity within Food Groups: An Indicator of Specific Nutrient Adequacy in Tehranian Women. J Am Coll Nutr 2006;25(4):354-61.
Di Napoli A, Di Lallo D, Pezzotti P, et al. Effects of parental smoking and level of education on initiation and durationf breastfeeding. Acta Paediatr 2006;95(6):678-85.
Liu J, Rosenberg KD, Sandoval AP. Breast feeding duration and perinatal cigarette smoking in a populationbased cohort. Am J Public Health 2006;96(2):309-14.
Weiser TM, Lin M, Garikapaty V, et al. Association of Maternal Smoking Status with Breastfeeding Practices: Missouri, 2005. Pediatrics 2009;124(6):1603-10.
Nakamura MU, Alexandre SM, Kuhn dos Santos JF, et al. Obstetric and perinatal effects of active and/or passive smoking during pregnancy. Sao Paulo Med J 2004;122(3):94-8.
Hopkinson JM, Schanler RJ, Fraley JK, et al. Milk production by mothers of premature infants: influence of cigarette smoking. Pediatrics 1992;90(6):934-8.
Agostoni C, Marangoni F, Grandi F, et al. Earlier smoking habits are associated with higher serum lipids and lower milk fat and polyunsaturated fatty acid content in the first 6 months of lactation. Eur J Clin Nutr 2003;57(11):1466-72.
Chajek-Shaul T, Scherer G, Barash V, et al. Metabolic effects of nicotine on human adipose tissue in organ culture. Clin Investig 1994;72(2):94-9.
Ashakumary L, Vijayammal PL. Effect of nicotine onlipoprotein metabolism in rats. Lipids 1997;32(3):311-5.
Farquharson J, Cockburn F, Patrick WA, et al. Infant cerebral cortex fatty acid composition and diet. Lancet 1992;340(8823):810-3.
Makrides M, Neumann MA, Byard RW, et al. Fatty acid composition of brain, retina, and erythrocytes in breastand formula-fed infants. Am J Clin Nutr 1994;60(2):189-94.
Luciano A, Bolognani M, Biondani Pet al. The influence of maternal passive and light active smoking on intrauterine growth and body composition of the newborn. Eur J Clin Nutr 1998;52(10):760-3.
Cornelius MD, Day N L. The effects of tobacco use during and after pregnancy on exposed children. Alcohol Res Health 2000;24(4):242-9 .
Pickett AR, Bell ML. Assessment of indoor air pollution in homes with infants. Int J Environ Res Public Health 2011;8(12):4502-20.
Bell ML, Ebisu K. Environmental Inequality in Exposures to Airborne Particulate Matter Components in the UnitedStates. Environ Health Perspect 2012;120(12):1699-704.
Neufeld EJ, Mietus-Snyder M, Beiser AS, et al. Passive Cigarette Smoking and Reduced HDL Cholesterol Levels in Children with High-Risk Lipid Profiles. Circulation 1997;96(5):1403-7.
Renner E, Micronutrients in milk and milk- based food products. 1st ed. New York: Elsevier Applied Science; 1989; p.178-80.
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| Issue | Vol 52, No 4 (2014) | |
| Section | Articles | |
| Keywords | ||
| Active smoke Body composition Newborn Passive Mother Fat mass | ||
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