Medium‐ and long‐chain triacylglycerol in human breast milk and association with maternal dietary patterns

Abstract

This study aims to investigate the influences of maternal dietary patterns on the triacylglycerol (TAG) composition, particular medium‐ and long‐chain triacylglycerol (MLCT) in human breast milk. A total of 180 Chinese human breast milk samples were collected and divided into three dietary patterns groups accounting to semi‐quantitative food intake frequency questionnaire and a 24‐h dietary recall. The 180 samples were from 121 mothers in Nanjing, all of whom were mature milk (1 month postpartum and 3 months postpartum). Using high performance liquid chromatography combined with quadrupole time‐of‐flight mass spectrometry, 108 TAGs were identified and quantified. In breast milk samples, MLCTs accounted for 25.76% (median of 24.63%; 95% CI: 24.60, 26.92) of the total TAGs. In human breast milk, the main type of MLCT is the triacylglycerol with one medium‐chain fatty acid and two long‐chain fatty acids (MLL type) which accounted for ~81% of total MLCTs. Among the molecular species of MLCT, O‐P‐La and O‐L‐La are the two most abundant configurations in MLCT (2.28% and 2.17% of total TAGs, respectively). MLCT in breast milk was positively correlated with the energy supply ratio of carbohydrates (p = 0.205), which was significantly higher than that of the other two groups (p = −0.150 and −0.232).