Lactation

泌乳
  • 文章类型: Journal Article
    在以前的工作中,我们发现PC在不同泌乳期的奶牛中差异表达。因此,我们认为PC可能是影响奶牛产奶性状的候选基因。在这项研究中,我们通过重新测序发现了PC的多态性,并通过在牛种群中使用动物模型验证了它们与产奶性状的遗传关联。总的来说,我们在PC中检测到六个单核苷酸多态性(SNP)。单标记关联分析表明,所有SNPs均与5个产奶性状显著相关(p<0.05)。此外,我们预测,等位基因G的29:g.44965658在5\'调控区创建TFGATA1的结合位点,并验证该等位基因抑制PC的转录活性通过双荧光素酶报告基因测定。总之,我们证明了PC对产奶性状具有显著的遗传效应,六个具有突出遗传效应的SNP可作为奶牛基因组选择(GS)的标记,有利于加快我国荷斯坦奶牛产奶量和品质的提高。
    In previous work, we found that PC was differentially expressed in cows at different lactation stages. Thus, we deemed that PC may be a candidate gene affecting milk production traits in dairy cattle. In this study, we found the polymorphisms of PC by resequencing and verified their genetic associations with milk production traits by using an animal model in a cattle population. In total, we detected six single-nucleotide polymorphisms (SNPs) in PC. The single marker association analysis showed that all SNPs were significantly associated with the five milk production traits (p < 0.05). Additionally, we predicted that allele G of 29:g.44965658 in the 5\' regulatory region created binding sites for TF GATA1 and verified that this allele inhibited the transcriptional activity of PC by the dual-luciferase reporter assay. In conclusion, we proved that PC had a prominent genetic effect on milk production traits, and six SNPs with prominent genetic effects could be used as markers for genomic selection (GS) in dairy cattle, which is beneficial for accelerating the improvement in milk yield and quality in Chinese Holstein cows.
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  • 文章类型: Journal Article
    本范围审查旨在调查中国人群中人乳中矿物质和维生素浓度的纵向变化。按照PRISMA-ScR准则,使用英文和中文数据库进行了全面系统的文献检索。提取数据并将其分为六个定义的泌乳阶段。我们发现大多数矿物质的浓度在整个哺乳期下降,尽管钙(Ca)和镁(Mg)在整个泌乳期略有波动。脂溶性维生素在整个哺乳期也显示下降,水溶性维生素呈增加趋势。然而,叶酸,生物素,泛酸呈下降趋势。总的来说,本综述确定了中国人群母乳中矿物质和维生素浓度的纵向变化.为了对母乳成分的母体特征和营养因素进行更深入的检查,建议采用标准化方案收集和分析人乳样本.
    This scoping review aims to investigate longitudinal changes in minerals and vitamins concentrations in human milk among the Chinese population. Following the PRISMA-ScR guidelines, a comprehensive and systematic literature search was conducted using both English and Chinese databases. Data were extracted and categorized into six defined lactation stages. We found that the concentration of most minerals decreased throughout the lactation period, although calcium (Ca) and magnesium (Mg) fluctuated slightly across lactation periods. Fat-soluble vitamins also showed a decline throughout the lactation period, while water-soluble vitamins exhibited an increasing trend. However, folic acid, biotin, and pantothenic acid demonstrated a downward trend. Overall, this review has identified the longitudinal changes in minerals and vitamins concentrations in human milk among the Chinese population. In order to conduct a more in-depth examination of maternal characteristics and nutritional factors of the composition of human milk, it is recommended to utilize standardized protocols for the collection and analysis of human milk samples.
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  • 文章类型: Journal Article
    在这项研究中,我们的主要目的是探索巴卡牛的基因组景观,在半干旱环境中被公认为高产奶量的品种,通过关注在产奶性状中具有已知作用的基因。我们采用了全基因组分析和三种选择性扫描检测方法(ZFST,θπ比,和ZHp)来鉴定与产奶量和组成性状相关的候选基因。值得注意的是,ACAA1,P4HTM,和SLC4A4通过所有方法一致鉴定。功能注释强调了它们在脂肪酸代谢等关键生物过程中的作用,乳腺发育,和牛奶蛋白质合成。这些发现有助于了解Barka牛产奶的遗传基础,为在热带气候下提高奶牛产量提供了机会。通过全基因组关联研究和转录组学分析的进一步验证对于充分利用这些候选基因进行热带奶牛的选择性育种和遗传改良至关重要。
    In this study, our primary aim was to explore the genomic landscape of Barka cattle, a breed recognized for high milk production in a semi-arid environment, by focusing on genes with known roles in milk production traits. We employed genome-wide analysis and three selective sweep detection methods (ZFST, θπ ratio, and ZHp) to identify candidate genes associated with milk production and composition traits. Notably, ACAA1, P4HTM, and SLC4A4 were consistently identified by all methods. Functional annotation highlighted their roles in crucial biological processes such as fatty acid metabolism, mammary gland development, and milk protein synthesis. These findings contribute to understanding the genetic basis of milk production in Barka cattle, presenting opportunities for enhancing dairy cattle production in tropical climates. Further validation through genome-wide association studies and transcriptomic analyses is essential to fully exploit these candidate genes for selective breeding and genetic improvement in tropical dairy cattle.
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  • 文章类型: Journal Article
    本研究研究了蒲公英提取物对泌乳性能的影响,免疫指数,和高浓缩日粮喂养的泌乳奶牛的乳腺氧化应激。本研究采用完全随机区组设计,和最初的牛奶生产,体细胞计数,并将奇偶校验设置为阻滞因子。将60头健康状况和泌乳期(70±15d)相似的荷斯坦奶牛分为3组,每组重复20只。治疗方法包括LCD组(低精饮食,集中饲料=4:6),HCD组(高浓缩组,集中饲料=6:4),和DAE组(蒲公英水提取物组,含0.5%DAE的HCD组)。实验时间为35d,早上喂奶牛三次,下午,晚上免费取水。结果表明:(1)从WK4开始,HCD和DAE组的牛奶产量明显高于LCD组(p<0.05),并且在实验期间牛奶质量存在差异。(2)HCD组的pH值与LCD和DAE组的pH值显着差异(p<0.01)。(3)在实验期的WK2和WK4,HCD组奶牛体细胞计数明显高于DAE组(p<0.05)。(4)HCD组血清中8-羟基-2'-脱氧鸟苷(8-OHdG)和蛋白羰基(PC)的浓度明显高于LCD组(p<0.05)。LCD和DAE组的过氧化氢酶(CAT)活性强于HCD组(p<0.01)。(5)相关分析显示血浆LPS浓度与血清8-OHdG浓度呈显著正相关(p<0.01),PC(p<0.01),和丙二醛(MDA,p<0.05),血浆LPS浓度与CAT和超氧化物歧化酶活性之间呈显着负相关(p<0.01)。(6)与HCD和DAE组相比,α的mRNA表达,β,和κ酪蛋白和乙酰辅酶A羧化酶在奶牛乳腺上皮细胞中显著高于LCD组(p<0.05),LCD组脂肪酸合成酶和硬脂酰CoA去饱和酶的mRNA表达明显高于HCD组(p<0.01)。(7)与LCD和HCD组相比,DAE组Nrf2mRNA表达明显增高(p<0.01),DAE组的胱氨酸/谷氨酸转运体和NAD(P)H醌氧化还原酶1的mRNA表达明显高于HCD组(p<0.05)。总的来说,饲喂高浓缩饮食可以提高奶牛的产奶量,但是牛奶的质量,瘤胃稳态,和抗氧化能力受到不利影响。在高浓缩饮食中补充DAE通过激活Nrf2调节因子来增强抗氧化能力,并改善瘤胃稳态和生产性能。
    This study investigated the effects of rumen bypass dandelion extract on the lactation performance, immune index, and mammary oxidative stress of lactating dairy cows fed a high-concentrate diet. This study used a complete randomized block design, and initial milk production, somatic cell counts, and parities were set as block factors. Sixty Holstein cows with similar health conditions and lactating periods (70 ± 15 d) were divided into three groups with 20 replicates per group. The treatments included the LCD group (low-concentrate diet, concentrate-forage = 4:6), HCD group (high-concentrate group, concentrate-forage = 6:4), and DAE group (dandelion aqueous extract group, HCD group with 0.5% DAE). The experimental period was 35 d, and cows were fed three times in the morning, afternoon, and night with free access to water. The results showed the following: (1) Milk production in the HCD and DAE groups was significantly higher (p < 0.05) than that in the LCD group from WK4, and the milk quality differed during the experimental period. (2) The HCD group\'s pH values significantly differed (p < 0.01) from those of the LCD and DAE groups. (3) In WK2 and WK4 of the experimental period, the somatic cell counts of dairy cows in the HCD group were significantly higher (p < 0.05) than those in the DAE group. (4) The serum concentrations of 8-hydroxy-2\'-deoxyguanosine (8-OHdG) and protein carbonyl (PC) in the HCD group were significantly higher (p < 0.05) than those in the LCD group. The activity of catalase (CAT) in the LCD and DAE groups was stronger (p < 0.01) than that in the HCD group. (5) The correlation analysis revealed significantly positive correlations between the plasma LPS concentration and serum concentrations of 8-OHdG (p < 0.01), PC (p < 0.01), and malondialdehyde (MDA, p < 0.05) and significantly negative correlations (p < 0.01) between the plasma LPS concentration and activities of CAT and superoxide dismutase. (6) Compared with that in the HCD and DAE groups, the mRNA expression of α, β, and κ casein and acetyl CoA carboxylase in bovine mammary epithelial cells was significantly higher (p < 0.05) in the LCD group, and the mRNA expression of fatty acid synthetase and stearoyl CoA desaturase in the LCD group was significantly higher (p < 0.01) than that in the HCD group. (7) Compared with that in the LCD and HCD groups, the mRNA expression of Nrf2 was significantly higher (p < 0.01) in the DAE group, and the mRNA expression of cystine/glutamate transporter and NAD (P) H quinone oxidoreductase 1 in the DAE group was significantly higher (p < 0.05) than that in the HCD group. Overall, feeding a high-concentrate diet could increase the milk yield of dairy cows, but the milk quality, rumen homeostasis, and antioxidative capability were adversely affected. The supplementation of DAE in a high-concentrate diet enhanced antioxidative capability by activating the Nrf2 regulatory factor and improved rumen homeostasis and production performance.
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  • 文章类型: Journal Article
    山羊奶被认为是人乳的最佳替代品,其特征在于其脂肪球的脂质组成在整个泌乳阶段发生变化。因此,这项研究的目的是彻底分析不同泌乳期间的羊奶和人乳之间的差异,旨在为功能性乳制品的生产提供科学指导。与过渡牛奶和成熟牛奶相比,研究结果表明,山羊初乳中的总膜蛋白含量与人乳中的总膜蛋白含量具有更大的相似性。此外,山羊奶表现出更高的牛奶脂肪球大小,以及总脂质和蛋白质含量高于人乳。在羊奶和人乳中鉴定出61个亚类的总共1461个脂质分子。羊初乳中甘油酯和甘油磷脂含量较高,而人乳中鞘脂和脂肪酸含量更高。同时,脂质亚类的组成不一致。在人乳和山羊奶之间鉴定出584种差异表达的脂质,包括47个主要参与甘油磷脂代谢的亚类,鞘脂,和甘油三酯。总之,膜蛋白和脂质成分,不同羊乳和人乳的乳汁存在差异。
    Goat milk is considered the optimal substitute for human milk and is characterized by variations in the lipid composition of its fat globules across lactation phases. Therefore, the objective of this study was to thoroughly analyze the differences between goat milk during different lactations and human milk, aiming to offer scientific guidance for the production of functional dairy products. Compared with transitional and mature milk, the findings indicated that the total membrane protein content in goat colostrum exhibited greater similarity to that found in human milk. Additionally, goat milk exhibited higher milk fat globule size, as well as a higher total lipid and protein content than human milk. A total of 1461 lipid molecules across 61 subclasses were identified in goat milk and human milk. The contents of glycerides and glycerophospholipids were higher in goat colostrum, whereas sphingolipids and fatty acids were more abundant in human milk. Meanwhile, the compositions of lipid subclasses were inconsistent. There were 584 differentially expressed lipids identified between human and goat milk, including 47 subclasses that were primarily involved in the metabolism of glycerophospholipids, sphingolipids, and triglycerides. In summary, for both the membrane protein and the lipid composition, there were differences between the milk of different goat lactations and human milk.
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  • 文章类型: Journal Article
    乳腺炎是威胁奶牛健康的最严重疾病之一。牛奶中的体细胞计数(SCC)广泛用于监测乳腺炎。本研究旨在揭示高体细胞数(SCC≥3×105个细胞/mL,n=30)和低体细胞计数(SCC≤5×104个细胞/mL,n=10),并在当地水牛农场中确定引起乳腺炎的优势细菌。我们还研究了治疗细菌性乳腺炎的潜在方法。对16SrDNA的V3-V4区进行测序。结果表明,与低SCC的牛奶相比,高SCC样本显示较低的微生物多样性,而是大量的细菌和操作分类单位(OTU)。通过体外分离培养,大肠杆菌,金黄色葡萄球菌,肺炎克雷伯菌被发现是主要的病原体,这与16SrDNA测序数据一致。我们进一步分离了3种主要病原体,树立了基于ELISA的病原体检测办法。此外,还研究了10种抗菌剂和15种中草药提取物的抗菌作用。结果表明,微生物对几种抗菌剂产生了耐受性。而五倍子等中草药的水提取物,黄连,TerminaliachebulaRetz,并能有效抑制主要病原菌的生长。本研究为水牛乳中微生物多样性的研究提供了新的见解,诊断,和治疗乳腺炎。
    Mastitis is one of the most serious diseases that threatens the health of dairy animals. The somatic cell count (SCC) in milk is widely used to monitor mastitis. This study aimed to reveal the diversity of microorganisms in buffalo milk with high somatic cell count (SCC ≥ 3 × 105 cells/mL, n = 30) and low somatic cell count (SCC ≤ 5 × 104 cells/mL, n = 10), and identify the dominant bacteria that cause mastitis in a local buffalo farm. We also investigated the potential method to treat bacterial mastitis. The V3-V4 region of 16 S rDNA was sequenced. Results showed that, compared to the milk with low SCC, the high SCC samples showed lower microbial diversity, but a high abundance of bacteria and operational taxonomic units (OTUs). By in vitro isolation and culture, Escherichia coli, Staphylococcus aureus, and Klebsiella pneumoniae were found to be the leading pathogens, which is consistent with the 16 S rDNA sequencing data. We further isolated 3 of the main pathogens and established a pathogen detection method based on ELISA. In addition, the antibacterial effects of 10 antimicrobials and 15 Chinese herbal extracts were also investigated. Results showed that the microbial has developed tolerance to several of the antimicrobials. While the water extracts of Chinese herbal medicine such as Galla Chinensis, Coptis chinensis Franch, Terminalia chebula Retz, and Sanguisorba officinalis L can effectively inhibit the growth of main pathogens. This study provides novel insight into the microbial diversity in buffalo milk and a reference for the prevention, diagnosis, and treatment of mastitis.
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  • 文章类型: Journal Article
    微塑料已经成为一种突出的全球环境污染物,它们在人类胎盘和母乳中都有发现。然而,孕妇在不同妊娠阶段接触微塑料对后代神经发育的潜在影响和机制仍然知之甚少。这项研究探讨了孕妇在怀孕和哺乳的不同阶段暴露于聚苯乙烯纳米塑料(PS-NP)的潜在神经发育后果。靶向代谢组学表明,怀孕和哺乳期间的共同暴露主要导致皮质内单胺神经递质和海马内氨基酸神经递质的改变。产前暴露于PS-NP后,胎鼠表现出明显减少的皮质厚度和增加的皮质细胞增殖。然而,这种暴露不影响放射状胶质细胞和中间祖细胞的神经分化.此外,后代伴随着无序的新皮层迁移,以升级的浅层神经元增殖和减少的深层神经元群体为代表。此外,海马突触显示突触裂隙明显变宽,突触后密度降低。因此,PS-NP最终导致青春期后代的抗焦虑行为和空间记忆不足,与并发神经递质和突触改变对齐。总之,这项研究阐明了早期纳米塑料暴露的敏感窗口以及对后代神经发育的相应影响。
    Microplastics have emerged as a prominent global environmental contaminant, and they have been found in both human placenta and breast milk. However, the potential effects and mechanisms of maternal exposure to microplastics at various gestational stages on offspring neurodevelopment remain poorly understood. This investigation delves into the potential neurodevelopmental ramifications of maternal exposure to polystyrene nanoplastics (PS-NPs) during distinct phases of pregnancy and lactation. Targeted metabolomics shows that co-exposure during both pregnancy and lactation primarily engendered alterations in monoamine neurotransmitters within the cortex and amino acid neurotransmitters within the hippocampus. After prenatal exposure to PS-NPs, fetal rats showed appreciably diminished cortical thickness and heightened cortical cell proliferation. However, this exposure did not affect the neurodifferentiation of radial glial cells and intermediate progenitor cells. In addition, offspring are accompanied by disordered neocortical migration, typified by escalated superficial layer neurons proliferation and reduced deep layer neurons populations. Moreover, the hippocampal synapses showed significantly widened synaptic clefts and diminished postsynaptic density. Consequently, PS-NPs culminated in deficits in anxiolytic-like behaviors and spatial memory in adolescent offspring, aligning with concurrent neurotransmitter and synaptic alterations. In conclusion, this study elucidates the sensitive windows of early-life nanoplastic exposure and the consequential impact on offspring neurodevelopment.
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  • 文章类型: Journal Article
    背景:利用活酵母(酿酒酵母,YE)在奶牛中作为提高饲料效率和产奶量的潜在策略,在乳制品生产中获得了吸引力。然而,YE对奶牛生产性能的影响在各研究中仍然不一致,留下的潜在机制不清楚。因此,这项研究的主要目的是调查补充YE对泌乳性能的影响,瘤胃微生物组成和发酵模式,以及奶牛血清抗氧化能力和免疫功能。
    结果:补充YE(20g/d/头)可提高奶牛的干物质摄入量(DMI)(P=0.016),以及牛奶及其成分的产量增加(P=0.002),包括固体(P=0.003),脂肪(P=0.014),蛋白质(P=0.002),和乳糖(P=0.001)产量。添加YE导致氨氮(NH3-N)浓度显着增加(P=0.023),乙酸盐(P=0.005),丙酸(P=0.025),戊酸(P=0.003),瘤胃发酵参数和总挥发性脂肪酸(VFAs)(P<0.001)。对16srRNA基因测序数据的分析表明,YE的施用导致包括Ruminococcus_2在内的三个主要属的相对丰度增加(P=0.010),犬科RC9肠组(P=0.009),和属水平的反刍动物科_NK4A214_组(P=0.054)。此外,这种增加伴随着与氨基酸代谢相关的富集途径。此外,在YE组中还观察到增强的血清抗氧化(P<0.05)和免疫功能(P<0.05)。
    结论:除了改善牛奶性能外,YE补充也引起瘤胃细菌群落组成和发酵的变化,同时增强泌乳中期的血清抗氧化和免疫反应。这些发现表明,YE可能对泌乳中期奶牛的瘤胃和血液代谢产生有益影响。
    BACKGROUND: The utilization of live yeast (Saccharomyces cerevisiae, YE) in dairy cows is gaining traction in dairy production as a potential strategy to improve feed efficiency and milk yield. However, the effects of YE on dairy cow performance remain inconsistent across studies, leaving the underlying mechanisms unclear. Hence, the primary aim of this study was to investigate the impact of YE supplementation on lactation performance, ruminal microbiota composition and fermentation patterns, as well as serum antioxidant capacity and immune functions in dairy cows.
    RESULTS: Supplementation with YE (20 g/d/head) resulted in enhancements in dairy cow\'s dry matter intake (DMI) (P = 0.016), as well as increased yields of milk (P = 0.002) and its components, including solids (P = 0.003), fat (P = 0.014), protein (P = 0.002), and lactose (P = 0.001) yields. The addition of YE led to significant increases in the concentrations of ammonia nitrogen (NH3-N) (P = 0.023), acetate (P = 0.005), propionate (P = 0.025), valerate (P = 0.003), and total volatile fatty acids (VFAs) (P < 0.001) in rumen fermentation parameters. The analysis of 16s rRNA gene sequencing data revealed that the administration of YE resulted in a rise in the relative abundances of three primary genera including Ruminococcus_2 (P = 0.010), Rikenellaceae_RC9_gut_group (P = 0.009), and Ruminococcaceae_NK4A214_group (P = 0.054) at the genus level. Furthermore, this increase was accompanied with an enriched pathway related to amino acid metabolism. Additionally, enhanced serum antioxidative (P < 0.05) and immune functionalities (P < 0.05) were also observed in the YE group.
    CONCLUSIONS: In addition to improving milk performance, YE supplementation also induced changes in ruminal bacterial community composition and fermentation, while enhancing serum antioxidative and immunological responses during the mid-lactation stage. These findings suggest that YE may exert beneficial effects on both rumen and blood metabolism in mid-lactation dairy cows.
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  • 文章类型: Journal Article
    为了避免哺乳期间现代瘦母猪体内蛋白质的高动员,充足的膳食氨基酸(AA)供应和有效的AA利用至关重要。本研究评估了饲粮CP和体外蛋白消化动力学对母猪体况变化的影响,窝体重增加,牛奶成分,血液代谢产物,蛋白质利用效率和随后的繁殖性能。我们假设饮食蛋白质的较慢消化会提高AA的利用率和利用率。总的来说,110多胎母猪以2×2析因设计饲喂四种泌乳日粮之一,两种CP浓度:140g/kgvs180g/kg,和两种蛋白质消化动力学,以慢蛋白的百分比表示(30至240分钟之间的体外降解):8vs16%的总蛋白。饲喂高CP日粮的母猪可减少母猪的体重减轻(Δ=7.6kg,P<0.01),估计身体脂肪损失(Δ=2.6kg,P=0.02),和估计的身体蛋白质损失(Δ=1.0kg,P=0.08),但只有在高比例的慢蛋白。在整个泌乳过程中,缓慢蛋白质的百分比增加了产仔数的增加(Δ=2.6kg,P=0.04),无论CP浓度如何,而较高的CP只会增加泌乳第3周的产仔增重(Δ=1.2kg,P=0.01)。分娩后第15天,从饲喂高CP饮食的母猪的子样本中采集系列血液样本。在这些母猪中,高百分比的慢蛋白导致在进食后150和180分钟血浆AA浓度较高(Δ=0.89,P=0.02,Δ=0.78,P=0.03,mmol/L,分别)和饲喂后90和120分钟的尿素增加较低(Δ=0.67,P=0.04,Δ=0.70,P=0.03,mmol/L,分别)。较高的饮食CP浓度增加了对环境的总氮损失(Δ=604g,P<0.01),蛋白质效率降低(Δ=14.8%,P<0.01)。在接下来的分娩中,较高百分比的慢蛋白增加了随后的活产产仔数(Δ=0.7,P<0.05)。总之,饲喂高日粮CP浓度的母猪,当日粮蛋白质消化率较慢时,可以减轻哺乳期母体的体重减轻,但降低了蛋白质的效率。较慢的蛋白质消化改善了窝体重增加,可能通过减少AA氧化和提高血浆AA的可用性,因此,提高蛋白质效率。
    To avoid a high body protein mobilization in modern lean sows during lactation, an adequate dietary amino acid (AA) supply and an efficient AA utilization are crucial. This study evaluated the effects of dietary CP and in vitro protein digestion kinetics on changes in sow body condition, litter weight gain, milk composition, blood metabolites, protein utilization efficiency and subsequent reproductive performance. We hypothesized that a slower digestion of dietary protein would improve AA availability and utilization. In total, 110 multiparous sows were fed one of four lactation diets in a 2 × 2 factorial design, with two CP concentrations: 140 g/kg vs 180 g/kg, and two protein digestion kinetics, expressed as a percentage of slow protein (in vitro degradation between 30 and 240 min): 8 vs 16% of total protein. Feeding sows the high CP diets reduced sow weight loss (Δ = 7.6 kg, P < 0.01), estimated body fat loss (Δ = 2.6 kg, P = 0.02), and estimated body protein loss (Δ = 1.0 kg, P = 0.08), but only at a high percentage of slow protein. A higher percentage of slow protein increased litter weight gain throughout lactation (Δ = 2.6 kg, P = 0.04) regardless of CP concentrations, whereas a higher CP only increased litter weight gain during week 3 of lactation (Δ = 1.2 kg, P = 0.01). On Day 15 postfarrowing, serial blood samples were taken from a subsample of sows fed with the high CP diets. In these sows, a high percentage of slow protein resulted in higher plasma AA concentrations at 150 and 180 min after feeding (Δ = 0.89, P = 0.02, Δ = 0.78, P = 0.03, mmol/L, respectively) and lower increases in urea at 90 and 120 min after feeding (Δ = 0.67, P = 0.04, Δ = 0.70, P = 0.03, mmol/L, respectively). The higher dietary CP concentration increased total nitrogen loss to the environment (Δ = 604 g, P < 0.01) with a reduction of protein efficiency (Δ = 14.8%, P < 0.01). In the next farrowing, a higher percentage of slow protein increased subsequent liveborn litter size (Δ = 0.7, P < 0.05). In conclusion, feeding sows with a high dietary CP concentration alleviated maternal weight loss during lactation when the dietary protein digestion rate was slower, but lowered protein efficiency. A slower protein digestion improved litter weight gain, possibly by reducing AA oxidation and improving plasma AA availability, thus, improving protein efficiency.
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  • 文章类型: Journal Article
    背景:产后无乳(PH)在哺乳期很突出,可能对母亲或婴儿的健康产生负面影响。针灸被广泛用于增加产妇的母乳产量。然而,针刺对PH的影响尚不清楚。因此,这篇综述旨在评估针灸在PH患者中的疗效和安全性。
    方法:从PubMed检索了从数据库开始到2023年10月发表的关于针灸治疗PH的潜在合格随机对照试验(RCT)的文章,WebofScience,科克伦图书馆,EMBASE,EBSCO,Scopus,中国国家知识基础设施,中国生物医学文献数据库,万方,VIP数据库。两名审稿人独立筛选记录,提取的基本信息,并使用修订后的Cochrane偏倚风险(RoB)工具评估RCT的方法学质量。主要结果是治疗前后血清催乳素(PRL)水平的变化。次要结果包括乳汁分泌量(MSV),总有效率(TER),乳房丰满度(MFD),纯母乳喂养率(EBR)。使用RevManv5.4进行Meta分析。最后,使用建议分级评估证据质量,评估,发展,和评估工具。
    结果:本研究包括19项RCT,涉及2,400名参与者。纳入的研究被归类为具有不明确的至高的RoB。我们的研究结果表明,总的来说,针刺在增加血清PRL水平方面具有显着作用(标准化平均差[SMD]=1.09,95%置信区间[CI]:0.50,1.68),MSV(SMD=1.69,95%CI:0.53,2.86),TER(相对风险[RR]=1.25,95%CI:1.10,1.42),与对照组相比,EBR(RR=2.01,95%CI:1.07,3.78);但是,MFD无差异(SMD=1.17,95%CI:-0.09,2.42)。在亚组分析中,针刺结合中药或常规治疗在提高血清PRL水平方面显着更有效,MSV,和TER比中药或常规治疗单独。此外,与中草药相比,单纯针刺导致血清PRL水平明显更高;然而,对于TER和MFD没有观察到这种益处.证据质量极低。
    结论:针刺可有效增加PH女性的乳汁分泌。然而,由于证据质量低,我们需要进一步严格设计的研究来证实我们的发现.
    BACKGROUND: Postpartum hypogalactia (PH) is prominent during lactation and may negatively impact the mother\'s or infant\'s health. Acupuncture is widely used to increase maternal breast milk production. However, the effects of acupuncture on PH remain unclear. Therefore, this review aimed to evaluate the efficacy and safety of acupuncture in individuals with PH.
    METHODS: Articles on potentially eligible randomized controlled trials (RCTs) on acupuncture for PH published from database inception to October 2023 were retrieved from the PubMed, Web of Science, Cochrane Library, EMBASE, EBSCO, Scopus, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, WanFang, and VIP databases. Two reviewers independently screened the records, extracted essential information, and evaluated the methodological quality of the RCTs using the revised Cochrane risk-of-bias (RoB) tool. The primary outcome was a change in serum prolactin (PRL) levels before and after treatment. Secondary outcomes included milk secretion volume (MSV), total effective rate (TER), mammary fullness degree (MFD), and exclusive breastfeeding rate (EBR). Meta-analyses were performed using RevMan v5.4. Finally, the quality of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation tool.
    RESULTS: This study included 19 RCTs involving 2,400 participants. The included studies were classified as having an unclear to high RoB. Our findings indicated that, overall, acupuncture showed a significant effect in increasing serum PRL levels (standardized mean differences [SMDs] = 1.09, 95% confidence interval [CI]: 0.50, 1.68), MSV (SMD = 1.69, 95% CI: 0.53, 2.86), TER (relative risk [RR] = 1.25, 95% CI: 1.10, 1.42), and EBR (RR = 2.01, 95% CI: 1.07, 3.78) compared to that in the control group; however, no difference in MFD (SMD = 1.17, 95% CI: -0.09, 2.42) was observed. In the subgroup analysis, acupuncture combined with Chinese herbs or conventional treatment was significantly more effective in increasing serum PRL levels, MSV, and TER than did Chinese herbs or conventional treatment alone. Moreover, acupuncture alone resulted in significantly higher serum PRL levels compared to Chinese herbs; however, this benefit was not observed for TER and MFD. The quality of evidence was critically low.
    CONCLUSIONS: Acupuncture may effectively increase milk secretion in women with PH. However, owing to the low quality of evidence, further rigorously designed studies are warranted to confirm our findings.
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