Influence of smoking on human milk tumor necrosis factor-alpha, interleukin-1beta, and soluble vascular cell adhesion molecule-1 levels at postpartum seventh day.

摘要

BACKGROUND: The aim of this study was to investigate the effect of maternal smoking during pregnancy on human milk interleukin-1beta, tumor necrosis factor-alpha (TNF-alpha) and soluble vascular cell adhesion molecule-1 levels at the postpartum seventh day. METHODS: Forty-four mothers (age range: 21-34 years) were enrolled in the study. Mothers were interviewed and classified according to their smoking status into one of two groups: the smoking mothers (n= 21) and the nonsmoking mothers (n= 23). RESULTS: There were no significant differences between study groups with respect to human milk interleukin-1beta (P= 0.12) and soluble vascular cell adhesion molecule-1 levels (P= 0.83). However, TNF-alpha levels were found to be significantly lower in the smoking mothers compared with the controls (P= 0.002). CONCLUSION: This study shows that maternal smoking during pregnancy affects the levels of TNF-alpha in milk. The protective effect of human milk against infections seems to be impaired in smoking mothers.