Identification of Factors on Blood Selenium Levels in the US Adults: A Cross-Sectional Study.

Selenium (Se) is an essential trace element for humans and its low or high concentration in vivo is associated with the high risk of many diseases. It is important to identify influential factors of Se status. The present study aimed to explore the association between several factors (Se intake, gender, age, race, education, body mass index (BMI), income, smoking and alcohol status) and blood Se concentration using the National Health and Nutrition Examination Survey 2017-2020 data. Demographic characteristics, physical examination, health interviews and diets were compared among quartiles of blood Se concentration using the Rao-Scott χ2 test. Se levels were compared between the different groups of factors studied, measuring the strength of their association. A total of 6205 participants were finally included. The normal reference ranges of blood Se concentration were 142.3 (2.5th percentile) and 240.8 µg/L (97.5th percentile), respectively. The mean values of dietary Se intake, total Se intake and blood Se concentration of the participants were 111.5 µg/day, 122.7 µg/day and 188.7 µg/L, respectively, indicating they were in the normal range. Total Se intake was the most important contributor of blood Se concentration. Gender, race, education status, income, BMI, smoking and alcohol status were associated with blood Se concentration.

The Associations of Vitamin D Level with Metabolic Syndrome and Its Components Among Adult Population: Evidence from National Health and Nutrition Examination Survey 2017-2018.

Background and Purpose: Vitamin D can both stimulate and inhibit adipogenesis, indicating that associations of the vitamin D level with some metabolic disorders may be nonlinear. This cross-sectional study aims to explore potential nonlinear associations of the 25-hydroxy vitamin D [25(OH)D] level with metabolic syndrome (MetS) and its components. Methods: Adults without previously diagnosed specific noncommunicable disease were selected from the National Health and Nutrition Examination Survey 2017-2018 (n = 870). Their demographic, physical, and laboratory data were obtained. The associations of serum 25(OH)D with MetS and its components were analyzed using logistic regression. Restricted cubic spline was applied to flexibly model the nonlinear association if the nonlinearity test was statistically significant. Results: The 25(OH)D level was inversely associated with risk of MetS [adjusted odds ratio (OR) = 0.986; 95% confidence interval (CI) = 0.978-0.993] and most MetS components, but not with the risk of raised triglycerides (adjusted OR = 0.996; 95% CI = 0.988-1.005). The association of serum 25(OH)D with central obesity risk was significantly nonlinear (P for the nonlinearity test: 0.037). The OR for risk of central obesity decreased rapidly with increase in serum 25(OH)D concentration until the concentration reached 50 nmol/L, and then, the intensity of decrease in OR slowed down. Conclusions: Vitamin D is inversely associated with MetS, but not all MetS components. A nonlinear association between the vitamin D level and risk of central obesity has been found for the first time among the adult population, which reflects the complex roles of vitamin D in lipid metabolism. Although vitamin D deficiency (<50 nmol/L) was defined to avoid abnormal calcium and phosphorus metabolism, preventing its deficiency may also be beneficial for reduction of central obesity risk.

The association of prediabetes with dietary patterns, life behavior and cardiovascular risk factors among adult population without previously diagnosed non-communicable diseases.

BACKGROUND AND AIMS: Prediabetes and its risk factors are difficult to recognize because there may be no clear symptoms in that stage of diabetes mellitus (DM) progression. This cross-sectional study aims to examine associations between prediabetes and potential risk factors among adult population without previously diagnosed non-communicable diseases. METHODS AND RESULTS: Study participants (n = 30823) were selected all over China. Their dietary, life behavior and laboratory data were obtained through questionnaires, physical examination or biochemical measurement. Factor analysis was applied to identify dietary patterns. Non-proportional odds model was applied to analyze associations between those data and stages of DM progression. The prevalence of prediabetes and DM was 20.6% and 4.5%, respectively. Two dietary patterns were identified: the first pattern was characterized by high consumption of diverse plant- and animal-based food items, and the second pattern was characterized by high consumption of starchy food items. The risk of prediabetes was inversely associated with sufficient sleep duration (OR: 0.939, 95% CI: 0.888-0.993) and the second pattern (OR: 0.882, 95% CI: 0.850-0.914), but not significantly associated with the first pattern (OR: 1.030, 95% CI: 0.995-1.067). High density lipoprotein cholesterol was inversely associated with DM risk (OR: 0.811, 95% CI: 0.667-0.986) but not prediabetes (OR: 1.035, 95% CI: 0.942-1.137). CONCLUSIONS: The prevalence of undetected prediabetes was high among adult population, and some factors may exert different effects on different stages of DM progression. Dietary diversity, which was reflected by the first pattern to a certain extent, may be not significantly associated with risk of prediabetes.

The association between vitamin D levels and metabolic syndrome components among metropolitan adolescent population.

OBJECTIVES: Vitamin D promotes both lipolysis and lipogenesis, and some pediatric studies showed inconsistent associations between vitamin D and metabolic syndrome (MetS). This cross-sectional study aimed to examine the association between vitamin D levels and MetS components among metropolitan adolescents. METHODS: A total of 4,149 adolescents aged 10-18 years were recruited from 23 metropolises in China. The MetS conditions were assessed according to the International Diabetes Federation consensus definition, and the serum 25-hydroxy vitamin D (25(OH)D) concentrations were analyzed. The association between MetS components and serum 25(OH)D levels was analyzed by the logistic regression model. Restricted cubic spline was applied to the model nonlinear association. RESULTS: Prevalence of vitamin D deficiency was 74.9%, and 41.2% of study participants had at least one MetS component. After adjustment, the significant trend for a lower waist-to-height ratio was not observed in study participants with higher serum 25(OH)D quartile (p=0.57), but a significant nonlinear association between abdominal obesity and serum 25(OH)D levels was found (p=0.04): the highest risk of abdominal obesity occurred at 14.1 ng/mL of serum 25(OH)D. The association of serum 25(OH)D was significantly inverse with MetS (OR: 0.95; 95% CI: 0.92-0.98), but not with raised triglycerides (OR: 0.99; 95% CI: 0.96-1.01), raised blood pressure (OR: 0.99; 95% CI: 0.97-1.01) and impaired fasting glycemia (OR: 1.03; 95% CI: 1.01-1.04). CONCLUSIONS: The net effect of vitamin D on lipid metabolism may be concentration-dependent, and the actual effect of vitamin D on MetS process may be complex among metropolitan adolescents, though serum 25(OH)D is inversely associated with MetS.

The fasting serum triglyceride levels of elderly population with different progression stages of diabetes mellitus in China.

AIMS: This cross-sectional study aimed to investigate triglyceride level among Chinese elderly population with different diabetic progressions and related factors of triglyceride. METHODS: Study participants (≥65years) were recruited from a nationwide cross-sectional surveillance and were divided into four subgroups according to diabetic progression. Their information was obtained via questionnaire and physical examination. Their lipids in fasting serum samples were analyzed. RESULTS: The serum triglyceride levels (mmol/L, mean±SD) were 1.3±0.8 (subgroup of no prediabetes and no DM), 1.5±1.0 (subgroup of prediabetes), 1.6±1.1 (subgroup of newly diagnosed DM) and 1.7±1.1 (subgroup of previously diagnosed DM), respectively. Only one female participant had a higher triglyceride than upper limit for prevention of acute pancreatitis (11.0mmol/L). However, 23.1% of participants and 34.8% of DM participants had higher triglyceride than upper limit for prevention of cardiovascular diseases (1.7mmol/L). Triglyceride level was positively correlated with diabetic progression (rs=0.17, p<0.01). Age, gender, waist-to-height ratio (rather than BMI), systolic pressure, serum total cholesterol and HDL-C levels were statistically correlated with triglyceride level for total participants (R2=0.39, p<0.01). CONCLUSIONS: Aggravation of serum triglyceride level was related to diabetic progression in Chinese elderly population. Triglyceride control was unsatisfactory in Chinese elderly population, especially in elderly population with DM.

Serum 25-hydroxyvitamin D and elderly skeletal muscle mass and function in urban north China.

BACKGROUND AND OBJECTIVES: To investigate the association of serum 25-hydroxyvitamin D (25(OH)D) with skeletal muscle mass (SMM) and function among the elderly in an urban area in northern China. METHODS AND STUDY DESIGN: A total of 912 participants (316 men, 596 women) aged more than 60 years from 4 communities in Beijing were enrolled. Serum concentrations of 25(OH)D were measured through radioimmunoassay. SMM was assessed through bioelectrical impendence analysis, whereas skeletal muscle function was assessed through grip strength and 4-m regular gait speed measurements. On the basis of expert consensus of the Asian Working Group for Sarcopenia, low muscle mass was defined as relative skeletal mass index (RSMI) <7.0 kg/m2 for men and <5.7 kg/m2 for women. A noncondition logistical regression model was employed to explore the association between vitamin D and both muscle mass and function. RESULTS: Serum 25(OH)D was positively associated with grip strength (ß=0.16, SE=0.05). The upper quartile of 25(OH)D was negatively associated with loss of grip strength (OR=0.05, 95% CI: 0.01-0.48) in men but not in women. No significant associations were noted between 25(OH)D and appendicular skeletal muscle mass, RSMI, and gait speed. CONCLUSIONS: The present study demonstrated a positive association between vitamin D and skeletal muscle strength in elderly Chinese men but not women.

[Analysis of the dietary factors on sarcopenia in elderly in Beijing].

OBJECTIVE: To analyze the dietary factors on sarcopenia in elderly in Beijing and provide nutritional recommendations for the sarcopenia. METHOD: A total of 830 participants aged 60 and above and without serious diseases were selected from two representative communities in Beijing. A cross-sectional research design was used, including inquiry investigation, dietary surveys (food frequency questionnaire) anthropometry, muscle mass and functional assessment. RESULTS: The prevalence of sarcopenia was 20.1% in this area, the men was 17.1%, while the women was 21.6% (P > 0.05). The prevalence of sarcopenia in the five age groups has significant statistically difference (chi2 = 19.03, P = 0.0008) and increased with age rising (Z = -4.18, P < 0.0001). The prevalence of sarcopenia would be downward if the time of exercise prolonged and body mass index (BMI) increased (P < 0.05). The prevalence of sarcopenia in the group of meat consumption <35, 35-70, > 70 g/d was 24.5%,19.9% and 15. 3% (chi2 = 6.02, P = 0.0492), respectively (trend test for groups comparison, Z = 2.45, P =0.0141). The prevalence of sarcopenia in the group of egg consumption <35, 35-60, >60 g/d was 25.8%, 18.7% and 11.3% (chi2 = 6.50, P = 0.0388), respectively ( trend test for groups comparison, Z =2. 55, P = 0.0109). The prevalence of sarcopenia in the group of energy consumption < 1612, 1612-2109, > 2109 kcal/d was 25.8%,19.5% and 15. 0% (x2 = 8. 19 , P = 0. 0158), respectively (trend test for groups comparison, Z = 2.87, P = 0.0042). The prevalence of sarcopenia in the group of protein consumption < 58.2, 58.2 - 78.4, > 78.4 g/d was 25.3%, 18.2% and 16.7% (chi2 = 5.97, P = 0. 0505 ) , respectively (Z = 2.28, P = 0.0227). After controlling the influence of age, BMI, exercise and education, meat consumption (beta = -0.1703, P = 0.0119), egg consumption (beta = -0.1545, P = 0.0302) and the high quality protein consumption (beta = -0.1805, P = 0.0302) were negatively related with sarcopenia. CONCLUSION: Animal food, such as meet and egg, is an important protective factor for sarcopenia. Therefore, it is the first important thing for the elderly to ensure adequate energy intake, then you should increase the animal food intake which contains high quality protein to prevent sarcopenia.

[Relationship between dietary pattern and maternal state of fatty acids during pregnancy in three regions of China].

OBJECTIVE: To investigate the dietary pattern during pregnancy and the compositions of fatty acids of phosphatidylcholine (PC) during pregnancy in different regions of China. METHOD: 35 Health women of each region were recruited from three different geographical regions in China: Jurong (an inland region close to freshwater), Rizhao (a coastal region) and Xushui (an inland region with limited access to freshwater). All women were long-term residents of their respective region. Their dietary status (including consumption frequency of food and consumption of culinary oil) during second trimester pregnancy was recorded and the fatty acid composition of PC in plasma during late pregnancy (34 weeks gestation) was quantified by GC. RESULTS: The consumption frequency of marine fish in Rizhao was significant higher than in other two regions. The main n-3 polyunsaturated fatty acids of PC in plasma was docosahexaenoic acid (DHA) in all regions. The composition of DHA in three regions were (3.31 +/- 0.77) %, (3.74 +/- 1.21) % and (2.44 +/- 0.63) %, respectively. The composition of DHA in Xushui was significant lower than in other two regions (P < 0.017). There was positive relationship between consumption frequency of marine fish and composition of DHA of PC in plasma (r = 0.337, P < 0.05). CONCLUSION: There was relationship between pregnant women's fatty acids composition of PC in plasma and their dietary. The consumption of food with high content of n-3 long chain polyunsaturated fatty acids during pregnancy would be more practical for DHA store of pregnant women.

[Status of livestock and poultry meat intake of Chinese aged 65 and above in 2010-2012].

OBJECTIVE: To analyze the livestock and poultry intake of Chinese elderly. METHODS: Data were collected from 2010- 2012 China National Nutrition and Health Surveillance. Information on livestock and poultry intake was collected by using the food frequency questionnaire. Using the multi-stage stratified cluster randomization sampling method. The participants selected were more than 65 years old of 150 counties from 31 provinces in China. RESULTS: The average daily intake of livestock and poultry for Chinese elderly was 42. 0 g / d, In the big cities, small cities, general rural and poor rural, those were 60. 0 g / d, 42. 9 g / d, 34. 9 g / d and 26. 4 g / d, respectively. The average daily intake of livestock and poultry for Chinese elderly were 33. 0 g / d, 3. 3 g / d, respectively. In big cities, small cities, general rural and poor rural, the proportion of elderly whose intake exceed Chinese dietary guidelines recommended level were 58. 3%, 44. 8%, 39. 7% and 30. 1%. CONCLUSION: The livestock and poultry intake of Chinese elderlywere difference between urban and rural. The excessive intake was in urban elderly and the inadequate intake was in rural.

[Consumption of aquatic foods of Chinese aged 60 and above in 2010-2012].

OBJECTIVE: To investigate the consumption of aquatic foods of old people in China. METHODS: The elderly( 60 years or older) were from the 2010- 2012 Chinese Residents Nutrition and Health Surveillance. Their basic information were surveyed, and their consumption of aquatic foods were recorded by food frequency questionnaire. RESULTS: The median of consumption of aquatic foods of the elderly in China was 12. 1 g / d. The60- 70 years old male subjects from metropolis had the highest consumption of aquatic foods( median: 31. 5 g / d), and the 70- 80 years old female subjects from poor rural area had the lowest consumption( median: 0. 0 g / d). The elderly whose consumption of aquatic foods were lower than recommended consumption provided over 50% of total elderly subjects in all areas and in all age groups. The factors which influenced the consumption of aquatic foods of the elderly included but not limited to education, income and concern for own health( P < 0. 01). CONCLUSION: There was significant difference among consumption of aquatic foods of different old people groups, but the consumption were generally low in all old people groups. It is necessary to take measures to encourage the old people to appropriately increase the consumption of aquatic foods.

[Relationship between dietary pattern during late pregnancy and fatty acid composition of transitional milk in inland regions of China].

OBJECTIVE: To investigate dietary pattern during late pregnancy and fatty acid composition of transitional milk in inland regions of China. METHODS: Eighty Chinese women were recruited from two different geographical inland regions (Jurong, an inland region close to freshwater. Xushui, an inland region with limited access to freshwater, forty women from each region) during late pregnancy. Their dietary status during late pregnancy was recorded and fatty acid composition in transitional milk was quantified. RESULTS: Both marine fish consumption frequencies during late pregnancy were less than one time/week. The consumption of rapeseed oil in Jurong was significantly higher than in Xushui (P < 0.05). The total lipids contents of Jurong and Xushui were (4.39 ± 1.18) g/100g and (3.92 ± 1.47) g/100g, respectively (P = 0.11), and DHA composition were (0.46 ± 0.20 )% and (0.29 ± 0.09 )%, respectively (P < 0.05). There was positive relationship between rapeseed oil consumption and DHA in transitional milk (r = 0.362, P < 0.05). CONCLUSION: Fatty acid composition in transitional milk differed between these two inland regions of China, which may be caused by difference of maternal dietary pattern during late pregnancy. The intake of precursor of n-3 long chain polyunsaturated fatty acid could compensate its dietary deficiency to some extent.

Risk and benefit assessment of potential neurodevelopmental effect resulting from consumption of marine fish from a coastal archipelago in China.

The aim of this study was to assess net neurodevelopmental effect via maternal consumption of marine fish. A total of thirty-one species were collected from Zhoushan, China. The net IQ point gain was assessed by FAO/WHO deterministic approach and probabilistic computation (if necessary). Results of the deterministic assessment of two samples belonging to Scoliodon sorrakowah showed negative IQ point gain in both common and extreme consumption scenarios (175 and 450 g/week, respectively); the net IQ gain caused by both consumption scenarios of other species were positive. Both consumption scenarios of Scoliodon sorrakowah showed beneficial neurodevelopmental effect according to probabilistic computation (95% CI for mean of net IQ gain: 0.0536-0.0554 and 0.1377-0.1425, respectively). Except for Scoliodon sorrakowah, this study indicates that both consumption scenarios of other studied species would be recommended according to the FAO/WHO approach. There would be no recommendation of consumption scenarios of Scoliodon sorrakowah for the reason for carefulness.

[Fatty acid composition of edible marine fish in Zhoushan, Zhejiang province].

OBJECTIVE: To analyze the main fatty acids in edible marine fish from Zhoushan, Zhejiang province. METHODS: From September to October 2011, a total of 186 edible marine fish (31 species,6 individual fishes/species) were collected in local markets. Total lipids of edible part were extracted by Folch's method and fatty acids were separated and quantified by gas chromatographic after the homogenization of edible part. The differences of composition of n-6 polyunsaturated fatty acid (n-6 PUFA), n-3 polyunsaturated fatty acid (n-3 PUFA),saturated fatty acid (SFA) and monounsaturated fatty acid (MUFA) among fishes were analyzed. RESULTS: Among the 31 fishes, total lipids were highest in Auxis thazard ((13.2 ± 1.2)g/100 g edible part) and lowest in Thamnaconus modestus ((0.6 ± 0.1)g/100 g edible part). Total n-6 PUFA were highest in Mugil cephalus ((875.7 ± 506.4)mg/100 g edible part) and lowest in Seriola quinqueradiata((2.1 ± 1.9)mg/100 g edible part). Total n-3 PUFA were highest in Auxis thazard ((2623.8 ± 426.1)mg/100 g edible part) and lowest in Scoliodon sorrakowah ((82.0 ± 13.9)mg/100 g edible part). SFA were highest in Trachinotus ovatus((3014.9 ± 379.0)mg/100 g edible part) and lowest in Seriola quinqueradiata ((89.7 ± 5.8)mg/100 g edible part). MUFA were highest in Coilia nasus ((3335.7 ± 383.5)mg/100 g edible part) and lowest in Thamnaconus modestus ((32.1 ± 16.9)mg/100 g edible part). CONCLUSION: There were significant differences of composition of total lipids and of fatty acids among 31 edible marine fish species from Zhoushan.

Different intakes of n-3 fatty acids among pregnant women in 3 regions of China with contrasting dietary patterns are reflected in maternal but not in umbilical erythrocyte phosphatidylcholine fatty acid composition.

There is limited information regarding the intake and status of polyunsaturated fatty acids (PUFA) in Chinese pregnant women with different dietary patterns. We hypothesize that there will be significant differences in long chain n-3 and n-6 PUFA status in pregnant women from 3 regions of China (river/lake, coastal and inland). Dietary fatty acid intakes and fatty acid profiles in maternal and umbilical erythrocyte phosphatidylcholine (PC) were analyzed. The median daily intakes (mg) of eicosapentanoic acid and docosahexaenoic acid (DHA) in the coastal group (64.6 and 93.9, n = 42) were significantly higher than those in the river/lake group (27.9 and 41.8, n = 41) and the inland group (12.1 and 41.1, n = 40). Daily intake of arachidonic acid (AA) was highest (170.2 mg) in the inland group. The median DHA level (%) of maternal erythrocyte PC was comparable between river/lake and inland groups (5.7 vs. 5.6) while both were significantly lower than in coastal group (8.4). The median AA level (%) of maternal erythrocyte PC tended to be lower in the coastal group than in the inland group but the difference was not significant. The AA and DHA levels in umbilical erythrocyte PC were comparable among the 3 groups. In conclusion, differences in long chain n-3 PUFA intake between geographic regions, in particular in DHA, were reflected in differences in maternal erythrocyte PC DHA status but did not result in differences in umbilical erythrocyte PC.

The fatty acid composition of colostrum in three geographic regions of China.

PURPOSE: To describe the fatty acid composition of human colostrum in three different regions of China. METHODS: Women were recruited from river/lake, coastal and inland regions of China during late pregnancy. Their diet frequency was assessed during the 34th week of pregnancy. Colostrum samples were collected between postpartum days 3 and 5. Thirty-one different fatty acids were separated and identified in colostrum. RESULTS: There were significant differences among the women in the three regions with respect to food and culinary oil consumption patterns. The mean±SD fat content (g/100 g) of colostrum from river/lake, coastal and inland regions was 2.17±1.26, 2.50±1.39 and 2.68±1.26, respectively (p=0.265, adjusted by pregnant women's age). The main saturated, monounsaturated, n-6 polyunsaturated and n-3 polyunsaturated fatty acids in colostrum were 16:0, 18:1n9, 18:2n6 and 18:3n3, respectively. Colostrum from river/lake region had the lowest composition of total SFA and of total n-6 PUFA and the highest composition of total MUFA and of total n-3 PUFA. The amount of DHA (22:6n3) in colostrum (mean±SD, % wt/wt) was 0.51±0.18, 0.52±0.20 and 0.35±0.13 in the river/lake, coastal and inland regions, respectively (p=0.0002, adjusted by pregnant women's age). Frequency of maternal marine fish intake during the late pregnancy was positively correlated with DHA in colostrum (r=0.203, p=0.040). CONCLUSIONS: The fatty acid composition of colostrum differs across geographical regions in China, which may be related to differences in maternal dietary pattern.

Immune factors and fatty acid composition in human milk from river/lake, coastal and inland regions of China.

Breast milk fatty acid composition may be affected by the maternal diet during gestation and lactation. The influence of dietary and breastmilk fatty acids on breast milk immune factors is poorly defined. We determined the fatty acid composition and immune factor concentrations of breast milk from women residing in river/lake, coastal and inland regions of China, which differ in their consumption of lean fish and oily fish. Breast milk samples were collected on days 3­5 (colostrum), 14 and 28 post-partum (PP) and analysed for soluble CD14 (sCD14), transforming growth factor (TGF)-b1, TGF-b2, secretory IgA (sIgA) and fatty acids. The fatty acid composition of breast milk differed between the regions and with time PP. The concentrations of all four immune factors in breast milk decreased over time, with sCD14, sIgA and TGF-b1 being highest in the colostrum in the river and lake region. Breast milk DHA and arachidonic acid (AA) were positively associated, and g-linolenic acid and EPA negatively associated, with the concentrations of each of the four immune factors. In conclusion, breast milk fatty acids and immune factors differ between the regions in China characterised by different patterns of fish consumption and change during the course of lactation. A higher breast milk DHA and AA concentration is associated with higher concentrations of immune factors in breast milk, suggesting a role for these fatty acids in promoting gastrointestinal and immune maturation of the infant.

[Fatty acid composition of mature human milk in three regions of China].

OBJECTIVE: To analyse the fatty acid composition of mature human milk in three different geographical positions of China. METHOD: Chinese women were recruited from three regions during their pregnancy. The regions closed to freshwater river/lake (Jurong), coastal (Rizhao) and inland (Xushui). Mature milk samples were collected on the 28th day of lactation, 31 kinds of fatty acids were separated and quantified by gas-chromatographic method. RESULTS: The median of total lipids in 100g of milk were 4.47g in 47 women from Jurong, 1.50g in 50 women from Rizhao and 3.91g in 46 women from Xushui. The median of total fatty acids were 3934, 1319 and 3437 mg/100g milk respectively. Total lipids and total fatty acids from Rizhao region milk samples were significantly lower than those from other two regions. The main fatty acids of SFA, MUFA, n-6PUFA and n-3PUFA in three regions were C16: 0, C18: 1 n-9 cis, C18: 2 n-6 cis and C18: 3 n-3 respectively. The median of the percentage of ARA in total fatty acid were 0.72%, 0.63% and 0.63%, respectively. The median of the percentage of DHA in total fatty acid were 0.41%, 0.47% and 0.24%, respectively. CONCLUSION; There is significant difference among fatty acid composition of mature human milk from women live in the three different geographical positions, which could be caused by different dietary habits amomg regions.