Abstract

Vitamins are the essential elements for human life and, particularly, for infant health. Human milk is the best source of nutrients for newborns, however, the information of vitamins in Asian maternal milk is still limited. In this study, we have collected 580 Asian maternal milk samples from Korea (n = 254), China (n = 137), Pakistan (n = 92), and Vietnam (n = 97). The vitamin concentrations, including vitamin B-groups (8 vitamins), fat-soluble vitamin (retinol, D, E, K) and lutein in the breast milk of were investigated. The concentration of thiamin (B1), biotin (B7), and folic acid (B9) in mother’s milk of four countries were not considerably different, while riboflavin (B2), pantothenic acid (B5), and pyridoxine (B6) level in Vietnam samples were significantly lower than those in other countries. In contrast, retinol (A) and tocopherol (E) were found to be higher levels in Vietnamese maternal milk. Korean and Chinese maternal milk had low concentrations of retinol that may cause vitamin A deficiency in children. However, Chinese mother’s milk was distinguished with a high concentration of lutein. Pakistani mother’s milk was observed as having a significant problem of folic acid (B9) deficiency. Regardless of the country, vitamin B12, K, and D did not seem to be provided sufficiently through maternal milk. The moderate positive correlations were found between vitamin concentrations in each country and the pooled sample. The data obtained in this study were able to provide vital information to assess the nutritional status of breast milk in Asian countries and contributed to the efforts of ensuring the best nutrition for Asian children.

Highlights

  • In recent years, the attention to the concept of early-life metabolic programming and the future health of growing infants was remarkably rising

  • Vitamin B9 were observed 41.1% of Vietnamese mothers milk, only 2% of Pakistani mothers milk contained the folic acid above the limit of quantitations (LOQ) (4.5 μg/L)

  • Breast milk contains almost all the vitamins that a healthy full-term baby needs, the supplementation of vitamin D and K is still recommended for infants

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Summary

Introduction

The attention to the concept of early-life metabolic programming and the future health of growing infants was remarkably rising. Environmental factors, such as chemical exposure, diet, and nutritional supplements might have after-effects on human biology and long-term health. Human milk is recommended as the best source of nutrients for infants from 0 to 6 months [1,2]. It provides metabolic nutrients, and functional elements such as vitamins, minerals, oligosaccharides, and various protective factors that could give long-term effects on physical, mental [3]. Vitamin D is involved in the calcium absorption, mineralization of the skeleton, and the prevention of rickets in children [9,10,11,12]

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