Normal lactating mothers were administered a single dose of 60 or 210 mg beta-carotene and changes in serum and milk retinol, alpha-tocopherol, and carotenoids were monitored for 8 d. Average serum beta-carotene concentrations increased 4.1- and 4.0-fold after the 60- and 210-mg doses, respectively. Milk beta-carotene concentrations increased 4.1- and 3.0-fold after the 60- and 210-mg doses, respectively. Maximum serum concentrations were reached 24 h after both supplements, although concentrations of milk beta-carotene continued to rise for 2-3 d. After 8 d, both serum and milk beta-carotene continued to rise for 2-3 d. After 8 d, both serum and milk beta-carotene concentrations remained about twofold higher than baseline concentrations. Increases in serum or milk beta-carotene concentrations were not dose-dependent. Initial serum and milk concentrations of beta-carotene predicted increases after supplementation, and increases in serum beta-carotene concentrations predicted those in milk. Concentrations of milk carotenoids were less than one-tenth their respective concentrations in serum. Lutein, beta-cryptoxanthin, lycopene, alpha-carotene, retinol, and alpha-tocopherol concentrations in serum or milk did not change significantly after beta-carotene supplementation. Retinol esters account for most of the retinol equivalents in the milk of well-nourished mothers. Initial and maximum concentrations of beta-carotene in serum and milk were strongly correlated for individual mothers. Collectively, the data showed that a single 60-mg supplement of beta-carotene sustained elevated beta-carotene concentrations in serum and milk for > 1 wk in normal mothers but did not affect concentrations of other major carotenoids, retinol, or alpha-tocopherol.
Changes in concentrations of milk and serum carotenoids, retinol, and alpha-tocopherol of five healthy, well-nourished, lactating women were measured over a 28-d supplementation trial with 30 mg beta-carotene and for 4 wk thereafter. Beta-carotene supplementation increased mean beta-carotene concentrations in milk and serum 6.4- and 7.4-fold, respectively. Concentrations of other major carotenoids, retinol, and alpha-tocopherol did not change substantially in either milk or serum. Uptake of beta-carotene into both serum and milk followed apparent first-order kinetics, occurring more rapidly into serum (t(1/2) = 5.5 d) than into milk (t(1/2) = 9 d). After supplementation, milk and serum beta-carotene concentrations decayed slowly, reaching approximately twofold initial concentrations by 4 wk. Kinetics of uptake and decay in milk beta-carotene concentrations paralleled those in serum. The data show that short-term supplementation of healthy, lactating mothers with purified beta-carotene at approximately fivefold the average daily dietary intake substantially increased milk and serum beta-carotene concentrations while not interfering with concentrations of other carotenoids, retinol, or alpha-tocopherol in milk or serum. Thus, an increased intake of beta-carotene by healthy, lactating women increases the supply of milk beta-carotene available to their breast-feeding infants.
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