DLA 9+10

Question 1

Colostrum milk? function?

contents?

Answer 1

supporting immune system and cellular growth

yellow color due to high Vit. A content

High IgA and lactoferrin content

lower in lactose compared to mature milk

4-5 days postpartum

Question 2

Transition milk?

contents?

Answer 2

After 1st week; 5-14 days after birth

Protein content and secretory IgA is less than in colostrum

content of lactose, lipid, water-soluble vitamins, and calories is greater

Question 3

Mature milk?

contents?

Answer 3

carb: lactose and prebiotic HMO

Fat: TAGs and cholesterol (medium to long fatty acid chains)

protein: high whey (easy to digest) to casein ratio, high in essential AA

whey: rich in leucine for protein synthesis
casein: rich in proline for collagen

vitamins: high in Vit A, B, and C
low in K, D

Question 4

What hormones are important in lactation?

Answer 4

prolactin and oxytocin

prolactin: milk production
oxytocin: release of milk

Question 5

advantage to whey in human milk?

proteins?

Answer 5

alpha lactalbumin - dominant protein in whey

lactoferrin: binds iron and inhibits bacterial growth
lysozyme: protect against E.Coli and salmonella

high in IgA: protect against pathogens

Question 6

Vitamin K deficiency bleeding (neonatal hemorrhagic disease)

Answer 6

can occur the first week who do not have Vit. K treatment (1 mg injection)

more lethal the older the baby gets

cerebral or intestinal hemorrhage is deadly

Question 7

why are neonates low in Vit.K?

Answer 7

vitamin K2 is lacking in newborns due to a lack of gyt bacteria

human milk is very low in Vit K

Vitamin K1 is only found in green veggies

Question 8

what must a baby have after 6 months?

Answer 8

iron

Question 9

Protein energy malnutrition (PEM)

Answer 9

most commonly found in the elderly population

due to low intake or disease affecting metabolism

Question 10

what do elderly need more and less of?

Answer 10

More:
calcium, Vit D, Vit B12, folate, Vit A

less:
calories and Vit A