CN1191828C - 二十二碳六烯酸和花生四烯酸促进不足月婴儿生长的用途 - Google Patents

二十二碳六烯酸和花生四烯酸促进不足月婴儿生长的用途 Download PDF

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CN1191828C
CN1191828C CNB988055694A CN98805569A CN1191828C CN 1191828 C CN1191828 C CN 1191828C CN B988055694 A CNB988055694 A CN B988055694A CN 98805569 A CN98805569 A CN 98805569A CN 1191828 C CN1191828 C CN 1191828C
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D·A·沙德
K·L·默克尔
J·W·汉森
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Abstract

促进不足月婴儿生长的方法,包括使用某种长链多不饱和脂肪酸。优选给这些婴儿使用含二十二碳六烯酸和花生四烯酸的组合的婴儿制剂。

Description

二十二碳六烯酸和花生四烯酸促进不足月婴儿生长的用途
发明领域
本发明涉及提高不足月婴儿的生长,包括给婴儿使用含二十二碳六烯酸和花生四烯酸组合(combination)的制剂。
发明背景
已证明长链多不饱和脂肪酸(LC PUFA)在婴儿发育中很重要。具体地讲,花生四烯酸(ARA)和二十二碳六烯酸(DHA)是对婴儿有特别营养价值的LC PUFA,因为发现它们在大脑(Sastry PS,神经组织的脂类:组成和代谢,Progress Lipid Res 1985;24:69-176)和视网膜(Fliesler SJ and Anderson RE.在脊椎动物视网膜中的脂类化学与代谢,Progress Lipid Res 1983;22:79-131)中的浓度很高。ARA(20:4n-6)和DHA(22:6n-3)由母体基本脂肪酸亚油酸(18:2n-6)和α-亚麻酸(18:3n-3)通过交替去饱和作用和延伸衍生,并在妊娠的最后一个月和产后第一个月迅速在胎儿神经组织蓄积(Makrides M,Neuman MA,Byard RW,Simmer K,Gibson RA,母乳和奶粉喂养婴儿的脑、视网膜和红细胞中的脂肪组成,Am J Clin Nutr1994;60:189-94)。
与足月婴儿不同,不足月婴儿在妊娠的最后3个月内没有从母体和胎盘LC PUFA供应中得到充分的益处。尽管不足月婴儿能从其18碳前体合成DHA和ARA(Carnielli VP,Wattimena DJL,LuijendijkIHT,Boerlage A,Degenhart HJ,Sauer Pjj,体重非常低的早产婴儿能由亚油酸和亚麻酸合成花生四烯酸和二十二碳六烯酸,PediatRes 1996;40:169-174),然而在饮食中缺乏这些脂肪酸的情况下,合成的速度是否适于中枢神经系统生长的最佳需要尚不清楚。不足月婴儿依靠它们自己的饮食供应亚油酸和α-亚麻酸,这些饮食可以是母乳,其中也含有少却有效量的ARA和DHA的,或者是市售的人工配方奶粉,在美国没有奶粉其中含有ARA和DHA。
最近的一些研究表明(Hoffman DR和Uauy R,不足月婴儿的基本的饮食ω-3脂肪酸:血浆和红细胞脂肪酸组成,Lipids 1992;27:886-95),对于接受补充了DHA(总脂肪酸的0.35%)的配方奶粉的婴儿,他们的红细胞膜脂类的脂肪酸组成类似于母乳喂养的婴儿。在同样的研究中,Birch(Birch DG,Birch EE,Hoffman DR,Uauy RD,Ω-3脂肪酸不同的饮食喂养的出生体重非常低的婴儿的视网膜发育,Investigation Ophthalmology Visual Science 1992;33:2365-76)发现对于出生体重非常低的婴儿提供含有DHA的饮食改善了他们的视网膜功能。
Carlson等比较研究了喂标准配方奶粉和喂补充有鱼油LC PUFA的配方奶粉的不足月婴儿第一年的成长情况(Carlson SE,Cooke RJ,Werkman SH,Tolley EA,喂标准配方奶粉和补充了鱼油n-3的配方奶粉的不足月婴儿第一年生长的对比,Lipids 1992;27:901-907)。试验用配方奶粉提供了占总脂肪酸0.2%的DHA,并还提供了0.3%的EPA(20:5n-3)。该EPA浓度高于母乳中的浓度而DHA浓度类似于母乳中的浓度。妊娠的第40周开始,与对照组相比补充了鱼油的婴儿的体重、高度和头围明显小。由此研究中,Carlson(Carlson SE,Werkman SH,Peeles JM,Cooke RJ,Tolley EA,花生四烯酸在不足月婴儿第一年生长中的地位,Proc Natl Acad Sci USA 1993;90:1073-77)假设饮食ARA可改善不足月婴儿第一年的生长,因为与不含LC PUFA的对照配方奶粉的水平相比恢复了生长。
在另一个研究(Montalto FB等,Pediatric Research,Vol 39,316A页,文摘号1878)中,表明喂补充了鱼油的配方奶粉(含DHA但是基本不含ARA)的男性婴儿与喂标准配方奶粉的婴儿相比,在4至6个月,他们的头围小,高度、重量和不含脂肪的物质低。第3个研究也表明,喂养补充了鱼油的配方奶粉(含LC PUFA)的不足月婴儿在其校正年龄为9和12月体重下降,而不含LC PUFA的对照配方奶粉在其校正年龄2个月时体重下降(Carlson SE等,Am.J.Clin.Nutr.,63,687-97页,1996)。
现有技术已说明由于其饮食中缺乏LC PUFA而导致的组织LCPUFA水平变化的婴儿,与母乳喂养的婴儿相比,可能有出现神经问题的危险,在认知试验中的评分也低,且视网膜发育差。世界协调组织如WHO/FAO人类营养中的脂肪和油专家委员会已建议在不足月婴儿配方奶粉中加入LC PUFA。这些建议是在尽管观察到DHA对生长的副作用的情况下做出的。文献中尚未说明ARA和DHA,特别是加入婴儿配方奶粉时,与不含ARA和DHA的对照配方奶粉比较提高了婴儿的生长。
发明概述
令人意外地发现接受补充了DHA和ARA的婴儿配方奶粉的不足月婴儿显示出了增强的生长。本发明直接提高不足月婴儿的生长,包括给市售婴儿生长提高量的DHA和ARA。
发明详述
正如Carlson SE报告的对不足月婴儿生长的综述(The Jrnl ofPediatrics,vol 125,533-8页,1994),“妊娠后年龄调整后,不足月婴儿表现出低于(而不是赶上)正常体重的现象,其程度较正常生产的晚2至4个月”。
现有技术的一些研究报告了给婴儿使用DHA的价值。但是,当DHA作为主要的LC PUFA或与EPA联合给不足月婴儿使用时,所述婴儿的生长降低。已建议ARA可能对生长有益;但是,迄今还不知道使用DHA和ARA对不足月婴儿的生长作用。令人惊奇地发现,使用ARA和DHA的组合较单独喂DHA来讲导致婴儿生长的增强。也已发现使用含ARA和DHA的婴儿配方奶粉的不足月婴儿较喂不含DHA和ARA的对照配方奶粉(如现代育儿中常用的那些配方奶粉)的不足月婴儿表现出更强的生长。还进一步发现本发明方法的实施使不足月婴儿的生长在短得意想不到的时间内赶上足月产的母乳喂养婴儿。
通过实施本发明的方法,达到类似于或等于足月、母乳喂养的婴儿的生长,所需时间小于9个月的校正年龄;优选小于6个月的校正年龄,更优选小于4个月的校正年龄,特别是更优选小于2个月的校正年龄,并最优选不大于足月的校正年龄。
本发明的方法需要DHA和ARA的联合。ARA∶DHA的重量比可以是约1∶2至约5∶1,优选约1∶1至约3∶1,并更优选约2∶1。
本发明的方法中,DHA和ARA的联合优选作为婴儿配方奶粉的一部分使用。用于本发明的婴儿配方奶粉优选是营养全面的,并一般含有适宜类型和适量的脂类、碳水化合物、蛋白质、维生素和矿物质。脂类或脂肪的量一般为约3至约7g/100kcal。蛋白质的量一般为约1至约5g/100kcal。碳水化合物的量一般为约8至约12g/100kcal。蛋白质的来源可以是本领域使用的任何物质,例如,脱脂牛奶、乳清蛋白、酪蛋白、大豆蛋白、水解蛋白、氨基酸等。碳水化合物来源可以是本领域使用的任何物质,例如,乳糖、葡萄糖、玉米浆固体、麦芽糖糊精、蔗糖、淀粉、水稻浆固体等。脂类来源可以是本领域使用的任何物质,例如,植物油如棕榈油、豆油、棕榈油精、花生油、中链甘油三酯油、高油酸葵花油、高油酸红花油等。较便利地是使用商购的婴儿配方奶粉。例如,Enfamil_、Enfamil_不足月配方奶粉(Premature Formula)、强化铁Enfamil_、Lactofree_、Nutramigen_、Pregestimil_、ProSobee_(由Mead Johnson & Company,Evansville,Indiana,U.S.A.提供)、Similac_、Isomil_、Alimentum_、Neocare_和Similac_特别护理(Special Care)(由Ross Laboratories,Columbus,Ohio,U.S.A.提供),可以添加适当浓度的、适当比例的ARA和DHA,并用于本发明方法的实施中。
本发明方法中,DHA和RAR的使用形式不是严格限定的,只要使用促进生长的量即可。最方便的是,将DHA和ARA添加进婴儿配方奶粉,再用该奶粉喂养婴儿。或者,DHA和ARA可以不与配方奶粉作为整体,而是作为对其的补充,以与其它营养添加物如维生素等联合的形式使用,例如,油滴剂、小药囊。
DHA促进生长的量一般为约2.5mg/kg体重/天至约60mg/kg体重/天,优选约6mg/kg体重/天至约40mg/kg体重/天,更优选约12mg/kg体重/天至约30mg/kg体重/天,特别更优选约18mg/kg体重/天至约24mg/kg体重/天。
ARA促进生长的量一般为约5mg/kg体重/天至约120mg/kg体重/天,优选约12mg/kg体重/天至约80mg/kg体重/天,更优选约24mg/kg体重/天至约60mg/kg体重/天,特别更优选约36mg/kg体重/天至约48mg/kg体重/天。
用于本发明的婴儿配方奶粉中的DHA的量一般为约2mg/100kcal(千卡)至约50mg/100kcal,优选约5mg/100kcal至约33mg/100kcal,更优选约10mg/100kcal至约25mg/100kcal,并特别更优选约15mg/100kcal至约20mg/100kcal。
用于本发明的婴儿配方奶粉中的ARA的量一般为约4mg/100kcal至约100mg/l00kcal,优选约10mg/100kcal至约67mg/100kcal,更优选约20mg/100kcal至约50mg/100kcal,并特别更优选约30mg/100kcal至约40mg/100kcal。
可以使用本领域已知的标准技术制备用于本发明的添加含有DHA和ARA的油的婴儿配方奶粉。例如,替换等量的普通存在的油,如高油酸葵花油。
ARA和DHA的来源可以是本领域已知的任何来源,例如,鱼油、单细胞油、蛋黄脂类、脑脂类等。该DHA和ARA可以是天然的形式,条件是LC PUFA原料中的其余物质对婴儿不产生任何有害作用。或者,DHA和ARA可以是精炼的形式。优选用于本发明的LC PUFA含有极少或不含EPA。例如,优选本发明使用的婴儿配方奶粉含有少于约20mg/100kcal的EPA;优选少于约10mg/100kcal;更优选少于约5mg/100kcal;并最优选基本不含EPA。
DHA和ARA的优选来源是单细胞油,如U.S.专利5374657、5550156和5397591教导的,将其公开的内容全部引入作为参考。
下列实施例用于举例说明本发明,不应将其解释为对本发明的限制。
                       实施例
                         I
                     临床研究设计
1.介绍
该试验是双盲的、随机的、平行对照设计的、对含微藻(microalgae)和真菌来源的油的不足月婴儿配方奶粉的预期试验,该油中含有部分作为其组分的花生四烯酸和二十二碳六烯酸。将配方奶粉喂养的对象随机分入3个喂养组之一:
·不足月配方奶粉加DHA(约占能量的0.13%)和ARA(约占能量的0.26%)
·不足月配方奶粉加DHA(约占能量的0.13%)
·不含DHA和ARA的不足月配方奶粉
这些产品具有相同的营养成分(见附录A),只是在DHA和ARA水平上有所不同。这些产物是隐蔽的。配方奶粉的顺序与随机性没有关系。
登记正常的、足月、母乳喂养的婴儿以提供正常视觉分辨能力的参考。
每个组中包括五十个对象。不足月婴儿达到90kcal/kg/天后继续所试验的配方奶粉最少28天或直到出院,二者中采用时间长的。28天或出院后,二者中采用时间长的,所有不足月婴儿接受Enfamil或强化铁的Enfalac。如治疗需要,可以用ProSobee、Lactofree、Alactamil、Nutramigen或Pregestimil代替Enfamil或强化铁的Enfalac。足月婴儿将从母乳中接受最少85%的营养。对效果的主要检测包括视觉分辨能力和红细胞膜脂肪酸特性(即DHA和ARA水平)。对安全性的检测为生长和不利经历的报告。
2.对象
2.1试验组的来源和特征
可接受的不足月对象是吃不足月配方奶粉的、较健康的不足月婴儿。住院期足以允许28天的肠内摄入≥90kcal/kg/天并接受≥85%的试验用配方奶粉。所有种族和两种性别对该研究都是适用的。
2.2包括的标准
不足月婴儿
·出生体重≥900g
·试验登记时,喂养配方奶粉
·预计肠内摄入≥90kcal/kg/天,出院回家前进行时间≥28天
·得到允许
足月婴儿:
·38至42周妊娠
·进行母乳喂养
·得到允许
2.3排除的标准
不足月婴儿
·出生时体重≥1500g
不足月和足月婴儿:
·有患有疾病或先天畸形的病史,这些可能干扰研究者对对象的评价意见
·在出生和完全口服喂养之间大于24天(≥90kcal/kg/天)
·出生时小于妊娠年龄(<10%)(SGA)
·由医生确诊的引起坏死的小肠结肠炎
·其它胃肠道疾病
·出生时视力或眼部损坏
2.4伴随的药物治疗,住院,生病
·在检测的3天内没有可能影响FPL反应的药物治疗
·在FPL试验中没有病毒或细菌感染的迹象
·没有已知的影响脂类代谢的药物治疗(例如,治疗水平的肝素)
3.研究产物信息
3.1配方
包括的营养成分见附录A。
4.研究程序
4.2.1登记
在6个月内登记。理想的是,登记足够的对象,以便每组有10个对象完成多中心试验中的每点上的研究。每个配方奶粉组共50个婴儿完成该试验。
4.2.2试验进程的方案(见流程图,8.4节)
4.2.2.1募集对象
与合格的、健康的、不足月配方奶粉和足月的、母乳喂养的婴儿的母亲联系,给她们解释该试验,如果她们同意,那么签书面的许可材料。
从出生至随访48周的任何时间段的婴儿都可以作为足月婴儿登记。
4.2.2.2随机性
募集的配方奶粉喂养的对象被随机分入试验组中。随机性可发生在肠内喂养后的任何时间,每次50kcal/kg/天,直到全部肠内喂养开始(即≥90kcal/kg/天)。
4.2.2.3喂养
同意后,所有不足月婴儿将接受给她们分配的研究配方奶粉,肠内喂养至少50kcal/kg/天。达到90kcal/kg/天后,该婴儿将继续该试验用配方奶粉28天或者出院,二者之间取时间长的。口服喂养的量、强度和速度将优选对临床处置婴儿适宜的。
指导所有的双亲在此研究期间不喂固体食物。指导这些父母试验用配方奶粉或母乳在登记至试验结束时用作唯一的食物来源。
4.2.2.4基准数据的采集
由调查者在登记和随机的时间以单例报告的形式收集下列数据:
·获得父母的允许。
·孕后年龄。
·对象是不足月婴儿,其出生体重≥900g和≥1500g,或者38至42周孕足月的婴儿。
·不足月的婴儿接受婴儿配方奶粉或足月的婴儿接受母乳喂养。
·预计不足月的婴儿肠内摄取≥90kcal/kg/天,在出院回家前摄取时间≥28天。
·该对象没有潜在疾病、代谢的先天错误或先天畸形的病史,这些对调查者来说容易干扰对试验用配方奶粉的评价。
·该对象出生时不小于(<10%)妊娠年龄。
·该对象没有医生确诊的坏死性小肠结肠炎。
·在出生和全部肠内喂养(即≥90kcal/kg/天)之间不超过24天。
·该对象出生时没有视力或眼部损坏。
·出生日期、性别、种族。
·出生体重、身长和头围
4.2.2.5调查者周期数据的采集
“在住院期间,当它们接受试验用配方奶粉时,每天记录不足月对象的体重。每周记录身长和头围,再附带测量体重。对于所给出的对象,每周称重应该使用同一秤。”
“还在孕后年龄观察的40、48和57周(不足月)和56和119天年龄观察(足月)时,记录体重、身长和头围。”
4.2.2.6采血
当不足月婴儿在试验中登记时,以及在试验用配方奶粉结束时(即出院或接受90kcal/kg/天试验用产品28天后),调查者将确定该婴儿基本上是只喂配方奶粉。如果合乎标准,采血1.2ml检测血脂。将该样品按照附录B所述处理。
当对足月和不足月婴儿都检测视觉分辨能力时,还尝试在PCA观察的48周采集类似的血样。
4.2.2.7在孕后年龄为48周和57周±4天时,通过被迫选择特惠照顾(FPL)进行视觉分辨能力调查
当婴儿孕后年龄为48周和57周±4天时,在每个试验点由训练有素的人员检测所有被试对象的可见分辨能力。只有在FPL过程中接受过测定可见分辨能力训练的人员才能作此试验,这是必要的。如果需要,按照附录C的方法,在华盛顿的西雅图儿童医院医疗中心眼科训练相应的人员并提供圆满结束训练的证明材料。
如果婴儿不能完成在孕后能力为48周或57周±4天时的程序(即太闹、太嗜睡、太注意力不集中),应在7天内重复该试验。
4.2.2.8暂时评价
在不足月婴儿出院或接受试验用配方奶粉喂养达到90kcal/kg/天时(二者中取时间长的),调查者将填写“暂时评价”表。在回顾该对象的记录并与父母和医护人员讨论后,调查者将指出:
·该对象是否完成了至少28周的试验用配方奶粉的摄入≥90kcal/kg/天,以及是否得到了两个血样
·是否试验未完成,以及原因
·对象是否接受了甾类药物(糖皮质激素)
·调查者对试验用配方奶粉的评价
记录开始和最后日期的研究材料。
4.2.2.9最终评价
在最后研究观察(孕后年龄为57周)时或者如果对象要出院则较早,调查者填写“最终评价”个例报告表。在回顾该对象的记录并与其父母讨论后,调查者将指出该对象是否:
(1)完成了喂养方案和所有的研究参数(即人体测量和视觉分辨能力检测)。
(2)未完成喂养方案。
(3)未完成及原因。
4.3临床观察
4.3.1体检
出生时,在住院时每周,然后在孕后年龄为40、48和57+4天时,记录对象的体重、身长和头围。
用电子秤或精确到10g或1/2盎司的双梁平衡秤测量体重,其中重量是不可分的。在住院期间,如果所用秤超过一种,应指定某一种为试验用秤,且所有试验体重在该秤上为特定对象测量,或检查这些秤并确定为在预期的重量范围内称重相同。外部患者的体重由校准办公室的秤测量。
表明在研究的12个月中对外部患者用秤进行校准的文件将提供给保证人。
用适宜的测量仪器由两个检测者对躺着的婴儿进行身长的测量。一个人扶对象的头部将其与固定的垂直头板接触,而第二个人持对象的脚,让脚趾竖直,并还轻轻轻地牵引。用非卷尺测量由头板至脚跟的身体长度。
用可弯曲的、不伸展布或乙烯带检测头围。
4.3.2通过被迫选择特惠照顾(FPL)进行视觉分辨年龄检测
在孕后年龄为48周和57周±4天时,按照附录C给出的方法确定视觉分辨能力。
4.3.3实验室试验
当开始使用或结束使用试验用配方奶粉时,通过刺脚根或静脉穿刺采集不足月婴儿的血样。在48周±4天PCA给足月和不足月婴儿采血。对该血样的处理方法见附录B。
4.4流程图
事件 不足月     足月
出生     肠内摄入>50kcal/kg/d   试验用配方奶粉结束使用  _   观察140wks±4dPCA     观察245wks±4dPCA     观察357wks±4dPCA     观察140wks±4dPCA     观察245wks±4dPCA     观察357wks±4dPCA
随性性     √
试验用配方奶粉     √
Enfamil W/铁   √   √     √     √
人母乳     √     √     √
体检     体检
体重     √*   √   √     √     √     √     √     √
身长     √*   √   √     √     √     √     √     √
头围     √*   √   √     √     √     √     √     √
采血     √   √     √     √
视觉分辨能力试验     √     √     √     √
生病   √     √     √     √     √
暂时评价   √
最终评价 (对象中断或完成的时间) (对象中断或完成的时间)
√当其发生时,应记录与配方奶粉消费有关或影响该消费的医疗问题。
*在住院期间每天记录和每周记录。
_出院时或摄入试验用配方奶粉第28天时(达到90kcal/kg/天),二者中取时间长的。
5.反应的标准
反应的标准依靠下列因素:
·比对照用配方奶粉的视觉分辨能力好。
·视觉分辨能力与母乳喂养的足月婴儿具有可比性
·红细胞磷脂酰乙醇胺DHA和ARA重量百分数大于配方奶粉的对照组。
·在孕后年龄为48和57周时以重量检测表示的生长与配方奶粉对照组具有可比性。
6.统计学
6.1随机性
如果该对象符合包括和排除的标准,对三个配方奶粉组之一将发生随机性。该随机性方案由Mead Johnson Research Center提供。对男性和女性提供独立的随机性方案。
6.2样本量的大小
令人感兴趣的主要参数是视觉分辨能力,其通过被迫选择特惠照顾(FPL)检测。最小的临床相关差异为0.5倍频程。视觉分辨能力领域的顾问医生估计的标准误差为0.5倍频程。该研究中此值在变化性强的例子中增加了0.7。当在α水平为0.05时,每组需要32个对象以达到80%的效力。
样本量的大小估计为每组50个时,对于接受试验用油的婴儿重量在孕后年龄为48周时比对照组低得超过400g,或在孕后年龄为57周时比对照组低得超过500g,标准偏差为800g,确定达到α+0.05,β+0.20。因此,确定50个大小每组将用于本试验。
6.3分析方法
在每厘米周期中记录视觉分辨能力数据。这些值将用下列公式转化为每度周期数:
              周期数/度=(38×周期数/厘米)/55
在分析前,将数据转变为log对数形式。用变量分析技术评估喂养方案组在视觉分辨能力方面的差异。如果喂养方案的整体F检验在α为0.05的水平有显著性,将在α为0.05的水平进行成对比较。如果未检测到显著性差异,则再进行试验后效力分析以说明该试验对检测最小临床相关差异具有适当的效力。
用变量分析来评价喂养方案在每个时间点的磷脂酰胆碱DHA和ARA水平和磷脂酰乙醇胺DHA和ARA水平的差异。如果整体F检验在α为0.05的水平具有显著性,则再在α水平为0.05时进行成对比较。
用变量分析评价喂养方案在孕后年龄为48和57周时的重量差异。统计模型包括喂养方案的期限、研究中心、性别和所有两种方式的相互作用。无显著性的相互作用将从最终的统计模型中除去。比较每个试验配方奶粉(EC)与对照配方奶粉(CF)进行两个单方向检验。被检验的假设如下:
H0=重量(CF)≤重量(EF)
或假设如下:
H1=重量(CF)>重量(EF)
如果H0不合格,而在孕后年龄为48周时对照配方奶粉的平均重量超过试验配方奶粉400mg以上,或在孕后年龄为57周时超过500g,那么结论是在孕后年龄为48周时该试验配方奶粉没有超过试验配方奶粉400g以上或在57周孕后年龄时没有超过500mg以上,则结论是该试验配方奶粉没有提供适当的生长。如果H0合格,那么将进行研究后效力分析以说明该研究有适当的效力来检测上述临床相关差异。如果达到了适当的效力,那么该结论是此试验配方奶粉确实提供了适当的生长。
用Fisher′s精确检验比较每组中在研究期间患病/症状的对象的比例。对报告的每个类型的疾病/症状进行此分析,如果需要,由调查者将其分类命名为相似的技术术语。
                         附录A
                   配方奶粉的营养成分
所有试验用配方奶粉为24kcal/fl oz并除所用试验用油外其成分与市售Enfamil不足月配方奶粉相同。这些油在方案中描述。
营养   试验用配方奶粉量/100kcal    强化铁ENFAMIL
蛋白质,g   3    2.2
脂肪,g   5.1    5.6
碳水化合物,g   11.1    10.3
维生素A,IU   1250    310
维生素D,IU   270    63
维生素E,IU   6.3    2
维生素K,mcg   8    8
硫胺素,mcg   200    78
核黄素,mcg   300    150
维生素B6,mcg   150    63
维生素B12,mcg   0.25    0.23
烟酸,mcg   4000    1250
叶酸,mcg   35    15.6
泛酸,mcg   1200    470
生物素,mcg   4    2.3
维生素C,mg   20    8.1
胆碱,mg   12    15.6
肌醇,mg   17    4.7
钙,mg   165    78
磷,mg   83    53
镁,mg   6.3    7.8
铁,mg   1.8    0.5
锌,mg   1.5    0.78
锰,mcg   6.3    15.6
铜,mcg   125    94
碘,mcg   25    6
钠,mg(mEq)   39(1.7)    27(1.17)
钾,mg(mEq)   103(2.6)    108(2.8)
氯,mg(mEq)   85(2.4)    63(1.77)
                         II
                    最终研究报告
试验设计:在北美洲的16个新生儿中心(研究数目9698-9709,9712,9723,9743和9746),进行此双盲、平行研究(计划3338)。比较三种不足月婴儿的食物。除加入占脂肪混合物的不大于约3%的真菌和/或微藻油以提供试验水平的二十二碳六烯酸(DHA)和花生四烯酸(ARA)外,每种食物的成分相同。对照配方奶粉(C,Enfamil_不足月配方奶粉)不含DHA或ARA,DHA配方奶粉(D)含有约占能量0.15%的DHA(占脂肪的0.34%),而DHA+ARA配方奶粉(DA)含有约占能量0.14的DHA(占脂肪的0.33%)和占能量0.27%的ARA(占脂肪的0.60%)。用这些配方奶粉喂养284个随机的婴儿,这些婴儿出生时重846至1560g,喂养至少28天。试验用配方奶粉摄入完毕时,给他们常规的婴儿配方奶粉,并延续到4个月的妊娠校正年龄。登记了90个只用人母乳喂养的足月婴儿,并延续到4个月龄作为参考组(H)。
试验目的和统计分析:本试验主要的目的是建立在他们开始住院期间给不足月婴儿喂养D或DA的安全性,通过下列检测确定:1)当使用该配方奶粉至少一个月时,检测体重、接受性和耐受性,及2)随后的4至5个月期间内,使用不添加的、常规足月婴儿配方奶粉的同时,严密控制和观察(治疗时间的4-5倍)。选择的主要生长参数为体重,评价使用试验用配方奶粉的重量大于或等于使用对照配方奶粉的重量的假设。对生长的副作用的单向统计学检验使检测应存在的差异的效力最大。对所有的其它参数用双向检验。p值小于0.05证明其有显著性。
本试验的第二个目的是1)在试验喂养的后期评价脂肪酸水平对红细胞磷脂的影响,以及2)在2和4个月的校正年龄时,确定是否能显示出大于半个倍频程的对平均时间分辨能力的任何作用。
结果:6个婴儿刚好超出了该重量参数而5个婴儿刚好比该试验中登记的小于24天的按时间顺序的年龄参数大。在每种情况下,临床和医学监控者作出判断,登记前根据他们与其它试验婴儿的一致性,将他们包括在该试验中,判断的特定因素,例如,健康状况、并发症的类型和妊娠年龄的体重。所有这些婴儿包括在本试验结果的分析中。
在登记时比较配方奶粉组(见表1)。孕后年龄、体重、身长和头围在登记时在组之间无差别。
所有的组进行可比性最终试验状态(表2)。在住院期间,在配方奶粉喂养组之间的离队情况没有差别。在试验完成时,在四个组之间的离队情况也没有差别。
当与配方奶粉C比较时,配方奶粉D和DA提供了适当的生长(见表3,图1和附录1)。在住院期间,就体重的增加来说,D和DA组不比C组小,分别为33.3、34.7和30.7g/天。此外,在孕后年龄为40、48和57周时,D或DA与C相比,体重没有降低的现象(见表4,图2和附录1);检测相关降低的统计学效力大于0.89。
Post-hoc分析表明喂DA的婴儿比接受C和D的婴儿生长快(见表5和图1)。这种提高的生长提供了快速“不足月婴儿追赶”C和D的现象。在孕后年龄为40周时,DA组达到的体重(3198g)大于C(3075g)和D(3051g),但是没有完全赶上H组的足月出生体重(3438g)(见表4和图2)。这种追赶趋势在48至57周继续,那时DA组的平均体重与H组的没有差别,而C和D组还显著地低。
虽然平均身长的顺序与体重的相同,但是在住院和随后的时间内,配方奶粉组之间的身长没有差别(见表7和图3)。这可能是至少部分由于就生长而言身长参数较体重更不敏感。基于相同的原因,在孕后年龄为40、48和57周时,H组的平均身长比所有不足月婴儿组的长,这表明此参数上追赶得较慢。
头围是最不敏感的生长参数,且在除孕后年龄为40周时以外的任何时间在任何这四个组的之间没有差别(见表8和图4)。此时,不出所料,H组的出生头围比配方奶粉喂养的不足月婴儿的小,这可能是由于生产时的挤压和没有足够的时间调整子宫外环境。
在本试验中,报告了视觉分辨能力的提高,其中在医院中及出院后继续用补充DHA的配方奶粉喂养不足月的婴儿。在该研究中,视觉分辨能力检测约3个月,停止试验用配方奶粉后检查约5个月,以确定是否能观察到在至少半个倍频程中残留的有益效果。虽然在这些时间在配方奶粉组之间没有发现在视觉分辨能力上的差异(见表8和图5),但是使用的分辨能力卡方法、试验用配方奶粉的喂养时间和/或不使用试验用配方奶粉的时间长度在检查时可能预防该发现。但是,在孕后年龄为57周时,与被测配方奶粉组相比,母乳喂养的足月婴儿确实具有统计学上较高的视觉分辨能力评分。但是即使这些差别最多只0.33倍频程并没有临床的显著性(见图6)。重要的是注意在随后的3至5个月中母乳喂养婴儿继续接受DHA和ARA,而配方奶粉没有。因此,在表现时的这点小差别在以前的研究发现基础上不是意外的,在足月和不足月婴儿之间的扩大差别也是意料之中的,即使是在相同的妊娠年龄。
在配方奶粉喂养前,在试验配方奶粉喂养结束时,及孕后年龄为48周时,在红细胞的磷脂酰胆碱和磷脂酰乙醇胺部分测定个体脂肪酸水平(见表9和10)。不足月婴儿组在试验配方奶粉喂养开始时比较不足月婴儿组。在试验配方奶粉喂养结束时,在这些组之间的个体脂肪酸水平有所不同。在分别的补充组中DHA和ARA统计学上显著较高。其它脂肪酸水平反映了补充的效果。在约3个月中脂肪酸水平或代谢无临床显著变化。中断试验用配方奶粉并使用不含DHA或ARA食物3个月后,在配方奶粉喂养组之间没有检测到脂肪酸的差别,除了磷脂酰乙醇胺水平为18∶2(范围8.9-9.3)和DHA(范围3.2-4.1%)外,其差异没有确定为临床显著性。但是,母乳喂养组在13脂肪酸水平方面较配方奶粉喂养婴儿显示了统计学显著性差异。无疑这些差异是由于人母乳和足月配方奶粉的脂肪酸组分的差别,该差别包括后者中缺乏DHA和ARA。
不足月婴儿并发症在所有组中相似(见表11)。所有婴儿中超过80%进行了眼科检查,而其中超过90%用超声波评价了头部。具体地讲,早产的视网膜病的几率和严重性(ROP或晶状体后纤维组织形成/RLF)和心室内出血或其并发症的几率在配方奶粉组之间无差异。没有鉴定出与喂养组相关的并发症。
在配方奶粉组之间的严重不利经历没有不同(p=0.93),并在不足月婴儿人群预计的范围内,对于试验用配方奶粉:在C组中为6%,在D组中为5%,而在DA组中为6%(见表12)。试验用配方奶粉阶段结束后,在不足月组之间的严重不利经历也没有差别(见表13):在C组中为13%,在D组中为15%,而在DA组中为15%。但是,足月婴儿母乳喂养组如所预期的显著地极少有严重的不利经历(1%,p-0.002)。报告了两个婴儿患有突发性婴儿死亡综合征(SIDS),一个在C组中,一个在D组中;在所有四个组之间此并发症没有显著差异。
结论:我们推断在它们在孕后年龄为40周前开始住院期间,在不足月婴儿配方奶粉的基础上,给不足月婴儿喂养0.13%卡的来自微藻油的DHA以及0.13%卡的来自微藻油的DHA加上0.26%卡的来自真菌油的ARA,这是安全的。这些微藻和真菌油添加物对生长、临床并发症或不利的事件不会导致不利作用。此外,本研究表明了对不足月婴儿来说,使用添加有这些来源的DHA和ARA的Enfamil不足月配方奶粉,比使用没有添加这些成分的配方奶粉或只添加了DHA的配方奶粉,产生了生长的优势。当在婴儿在补充的配方奶粉中断后约3至5个月(校正年龄2至4个月)进行检测时,没有检测出视觉分辨能力的可检测的优点。但是,提供摄入人母乳水平的长链不饱和酸是有保障的,因为它们符合脑发育,并且在此早期发育期促进了提高了的追赶生长。
                                    表1
                            不足月对象的出生统计
 n     平均(std)     范围     p-值
孕后年龄(周)对照DHADHA+ARA 626666 29.5(1.7)30.0(1.4)29.7(1.7) 25-3326-3226-34 0.076
出生体重(g)对照DHADHA+ARA 626666 1233.1(176.6)1272.8(168.1)1278.9(177.6) 846-1560900-1545910-1535 0.25
出生身长(cm)对照DHADHA+ARA 606666 38.4(2.3)38.6(2.2)38.7(2.3) 34-43.7533-43.533-44 0.62
出生头围(cm)对照DHADHA+ARA 616465 26.9(1.5)27.3(2.1)27.2(1.6) 23.5-30.522-3723.5-30 0.53
                                            表2
最终试验状态总结
    方案 p值
    对照   DHA DHA+ARA     HM
立即离队,从未使用过试验用配方奶粉   2 2
试验用配方奶粉阶段*完成中断 52(84%)10(16%) 59(89%)7(11%) 62(94%)4(6%) 0.20
中断的理由>96累积小时NPO<28天摄入>=90kcal/kg/天与试验用配方奶粉无关的并发症NEC或其它GI疾病配方奶粉不耐受父母的请求在离开前不缺氧违背方案 33121 1312 1111
足月配方奶粉阶段**完成中断 45(87%)7(13%) 47(80%)12(20%) 53(85%)9(15%) 77(86%)13(14%) 0.74
*9709-03(DHA)和9743-304(DHA)的CRFs没有标记为中断,因为这些对象至在27天内符合使用试验用配方奶粉的标准。此处这些对象被计算为完成,因为这些对象在其它点类似于完成了使用。
**基于完成了试验用配方奶粉状态的对象。在足月配方奶粉状态中,给对象喂市售的配方奶粉。不同的市售配方奶粉结束足月配方奶粉阶段。
                                             表3
                             在试验用配方奶粉阶段体重增长的速度
               最小平方                                       对比      试验      性别     性别-经-方案
方案     n                   标准误差      对比
               平均值                                         P-*  P-值     P-值    P-
对照     60    30.7          1.1           对照  vs DHA       0.967     0.00      0.17     0.87
DHA      65    33.3          1.1           对照  vs DHA+ARA   0.998
DHA+ARA  66    34.7          1.1
虚假设的单向检验:检验平均值>=对照平均值
                                                                     表4
                                                        孕后年龄40周、48周和57周时的重量
                         最小平方                                  对比    试验   性别   性别-经-方案
孕后年龄(周)方案                     标准误差     对比
                    n    平均值                                    P-*P-值  P-值  P-
40    对照          52   3075.3      67.9         对照 vs DHA      0.388   0.59   0.45    1.00
      DHA           54   3051.4      66.8         对照 vsDHA+ARA   0.931
      DHA+ARA       59   3198.2      62.9         HM vs DHA        0.000
      HM            90   3437.7      60.6         HM vs DHA+ARA    0.001
                                                  HM vs对照        0.000
48    对照          53   4711.0      94.6         对照 vs DHA      0.360   0.58   0.13    0.29
      DHA           51   4663.8      97.3         对照 vs DHA+ARA  0.995
      DHA+ARA       57   5039.1      93.0         HM vs DHA        0.000
      HM            81   5181.5      85.9         HM vs DHA+ARA    0.114
                                                  HM vs 对照       0.000
57    对照          47   6045.4      139.5        对照 vs DHA      0.371   0.58   0.29    0.33
      DHA           49   5987.2      137.6        对照 vs DHA+ARA  0.940
      DHA+ARA       55   6312.9      127.9        HM vs DHA        0.005
      HM            76   6405.0      126.7        HM vs DHA+ARA    0.278
                                                  HM vs 对照       0.014
*虚假设的单向检验:检验平均值>=对照平均值
                             表5
                       重量的Post-hoC分析
    时间 对比     双向p-值
    在配方奶粉阶段的体重增加 C vs.DHAC vs.DHA+ARADHA vs.DHA+ARA     0.0670.0040.30
    在孕后年龄40周时的体重 C vs.DHAC vs.DHA+ARADHA vs.DHA+ARAHM vs.DHAHM vs.DHA+ARAHM vs.C     0.780.140.074<0.0010.002<0.001
    在孕后年龄48周时的体重 C vs.DHAC vs.DHA+ARADHA vs.DHA+ARAHM vs.DHAHM vs.DHA+ARAHM vs.C     0.720.0110.004<0.0010.23<0.001
    在孕后年龄57周时的体重 C vs.DHAC vs.DHA+ARADHA vs.DHA+ARAHM vs.DHAHM vs.DHA+ARAHM vs.C     0.740.120.0570.0100.560.028
                                                                    表6
                                                     孕后年龄40周、48周和57周时的身长
                                                       方案     成对                 成对      试验      性别    性别-经-方案
孕后年龄(周)   方案     n     最小平方平均值  标准误差 P-值    对比                 P-值    P-值     P-值   P-
40             对照     52    48.4             0.4     0.000    对照 vs DHA          0.242     0.03      0.88     0.63
               DHA      54    47.8             0.4              对照 vs DHA+ARA      0.233
               DHA+ARA  58    49.0             0.4              HM vs DHA            0.000
               HM       89    50.6             0.4              HM vs DHA+ARA        0.000
                                                                对照 vs HM           0.000
                                                                DHA vs DHA+ARA       0.017
48             对照    53     54.7             0.3     0.000    对照 vs DHA          0.824     0.00      0.14     0.52
               DHA     52     54.6             0.3              对照 vs DHA+ARA      0.079
               DHA+ARA 57     55.5             0.3              HM vs DHA            0.000
               HM      81     57.4             0.3              HM vs DHA+ARA        0.000
                                                                Control vs HM        0.000
                                                                DHA vs DHA+ARA       0.050
57             对照    47     60.7             0.4     0.000    对照 vs DHA          0.615     0.00      0.02     0.84
               DHA     49     60.5             0.4              对照 vs DHA+ARA      0.236
               DHA+ARA 54     61.3             0.3              HM vs DHA            0.000
               HM      76     62.4             0.3              HM vs DHA+ARA        0.006
                                                                Control vs HM        0.000
                                                                DHA vs DHA+ARA       0.087
                                                                       表7
                                                   孕后年龄40周、48周和57周时的头围
                                                          方案      对比                成对     试验    性别    性别-经-方案
孕后年龄(周)   方案      n     最小平方平均值  标准误差
                                                          P值       成对                p值      p值     p值     p值
40             对照      51    35.4            0.2        0.000     对照 vs DHA         0.931    0.91    0.00    0.38
               DHA       53    35.4            0.2                  对照 vs DHA+ARA     0.900
               DHA+ARA   58    35.5            0.2                  HM vs DHA           0.000
               HM        85    34.5            0.2                  HM vs DHA+ARA       0.000
                                                                    对照 vs HM          0.000
                                                                    DHA vs DHA+ARA      0.829
48             对照      52    39.1            0.2        0.983                                  0.81    0.00    1.00
               DHA       51    39.0            0.2
               DHA+ARA   56    39.0            0.2
               HM        81    39.0            0.1
57             对照      47    41.9            0.2        0.689                                  0.64    0.00    0.85
               DHA       49    41.6            0.2
               DHA+ARA   53    41.7            0.2
               HM        76    41.7            0.2
                                                                         表8
                                                               孕后年龄48周和57周时的视觉分辨能力
                               几何平均值    最小平方平均值            标准偏差      方案      成对              成对     试验
孕后年龄(周)            n      (周期/度)     (以2为基础的对数周期/度)  (倍频程)       P-值    比较              P-值    P-
48             对照     51     1.72           0.78                      0.10          0.950                                0.000
               DHA      50     1.80           0.85                      0.10
               DHA+ARA  57     1.72           0.78                      0.09
               HM       81     1.75           0.81                      0.09
57             对照     46     3.47           1.79                      0.08          0.004     对照 vs DHA       0.697    0.000
               DHA      47     3.37           1.75                      0.08                    对照 vs DHA+ARA   0.071
               DHA+ARA  55     3.06           1.61                      0.07                    HM vs DHA         0.042
               HM       77     3.85           1.94                      0.07                    HM vs DHA+ARA     0.000
                                                                                                Control vs HM     0.113
                                                                                                DHA vs DHA+ARA    0.158
                                                                   表9
                                                         红细胞磷脂酰胆碱脂肪酸
时间               脂肪酸      方案      n       算术平均值   标准误差     中间值    方案p值    成对比较      成对p值
试验用形式开始     12:0        对照      52      0.081        0.019        0.036     0.762
                               DHA       58      0.066        0.013        0.030
                               DHA+ARA   61      0.057        0.009        0.031
试验用形式开始     14:0        对照      52      0.623        0.036        0.599     0.559
                               DHA       58      0.663        0.031        0.686
                               DHA+ARA   61      0.661        0.031        0.656
试验用形式开始     14:1        对照      52      0.045        0.009        0.021     0.165
                               DHA       58      0.026        0.005        0.016
                               DHA+ARA   61      0.035        0.006        0.018
试验用形式开始     16:0        对照      52      36.706       0.540        36.594    0.884
                               DHA       58      36.363       0.462        35.578
                               DHA+ARA   61      36.877       0.445        35.987
试验用形式开始     16:1        对照      52      0.940        0.049        0.845     0.441
                               DHA       58      0.981        0.050        0.976
                               DHA+ARA   61      1.094        0.064        0.931
试验用形式开始     18:0        对照      52      11.660       0.243        11.468    0.243
                               DHA       58      11.402       0.238        11.201
                               DHA+ARA   61      11.016       0.192        11.174
试验用形式开始     18:1        对照      52      17.053       0.298        17.308    0.679
                               DHA       58      17.219       0.391        16.935
                               DHA+ARA   61      17.256       0.271        16.988
试验用形式开始     18:2        对照      52      18.614       0.525        18.952    0.830
                               DHA       58      18.631       0.505        19.603
                               DHA+ARA   61      18.573       0.466        18.824
试验用形式开始     18:3n6      对照      52      0.120        0.008        0.116     0.034     对照vs DHA       0.196
                               DHA       58      0.136        0.008        0.130               对照vs DHA+ARA   0.010
                               DHA+ARA   61      0.150        0.009        0.134               DHA vs DHA+ARA   01776
                                                      表9
                                             红细胞磷脂酰胆碱脂肪酸
时间              脂肪酸    方案    n     算术平均值   标准误差   中间值   方案p值    成对比较    成对p值
试验用形式开始    20:0      对照    52    0.399        0.050      0.224    0.647
                            DHA     58    0.337        0.035      0.236
                            DHA+ARA 61    0.310        0.037      0.188
试验用形式开始    18:3n3    对照    52    0.315        0.033      0.246    0.234
                            DHA     58    0.257        0.014      0.246
                            DHA+ARA 61    0.233        0.010      0.216
试验用形式开始    20:1      对照    52    0.287        0.020      0.262    0.723
                            DHA     58    0.287        0.015      0.281
                            DHA+ARA 61    0.268        0.011      0.269
试验用形式开始    18:4      对照    52    0.017        0.003      0.000    0.290
                            DHA     58    0.025        0.004      0.017
                            DHA+ARA 61    0.017        0.003      0.008
试验用形式开始    20:2n6    对照    52    0.632        0.025      0.632    0.673
                            DHA     58    0.628        0.025      0.640
                            DHA+ARA 61    0.602        0.021      0.614
试验用形式开始    20:3n6    对照    52    2.144        0.098      2.096    0.507
                            DHA     58    2.208        0.080      2.296
                            DHA+ARA 61    2.218        0.074      2.135
试验用形式开始    20:4n6    对照    52    7.657        0.262      8.124    0.819
                            DHA     58    8.164        0.347      7.876
                            DHA+ARA 61    8.090        0.310      8.207
试验用形式开始    22:1      对照    52    0.106        0.010      0.105    0.155
                            DHA     58    0.127        0.010      0.130
                            DHA+ARA 61    0.126        0.010      0.139
试验用形式开始    20:5n3    对照    52    0.351        0.057      0.298    0.911
                            DHA     58    0.322        0.015      0.302
                            DHA+ARA 61    0.321        0.015      0.329
                                                                            表9
                                                                  红细胞磷脂酰胆碱脂肪酸
 时间             脂肪酸     方案    n     算术平均值     标准误差      中间值      方案p值    成对比较    成对p值
试验用形式开始    22:4n6     对照    52    0.578          0.144         0.423       0.331
                             DHA     58    0.493          0.030         0.481
                             DHA+ARA 61    0.443          0.021         0.425
试验用形式开始    24:1       对照    52    0.208          0.054         0.075       0.665
                             DHA     58    0.115          0.019         0.084
                             DHA+ARA 61    0.180          0.056         0.096
试验用形式开始    22:5n6     对照    52    0.266          0.020         0.232       0.923
                             DHA     58    0.259          0.017         0.239
                             DHA+ARA 61    0.265          0.018         0.256
试验用形式开始    22:4n3     对照    52    0.000          0.000         0.000       0.199
                             DHA     58    0.001          0.001         0.000
                             DHA+ARA 61    0.002          0.001         0.000
试验用形式开始    22:5n3     对照    52    0.213          0.019         0.203       0.885
                             DHA     58    0.215          0.013         0.195
                             DHA+ARA 61    0.203          0.010         0.193
试验用形式开始    22:6n3     对照    52    0.984          0.051         1.000       0.858
                             DHA     58    1.075          0.053         1.034
                             DHA+ARA 61    1.006          0.050         0.970
                                                                      表9
                                                              红细胞磷脂酰胆碱脂肪酸
时间              脂肪酸    方案      n       算术平均值    标准误差     中间值    方案p值       成对比较          成对p值
试验用形式结束    12:0      对照      53      0.100         0.026        0.035     0.843
                            DHA       56      0.111         0.042        0.031
                            DHA+ARA   59      0.064         0.012        0.032
试验用形式结束    14:0      对照      53      0.808         0.039        0.806     0.834
                            DHA       56      0.781         0.035        0.783
                            DHA+ARA   59      0.755         0.036        0.758
试验用形式结束    14:1      对照      53      0.047         0.008        0.033     0.155
                            DHA       56      0.036         0.009        0.015
                            DHA+ARA   59      0.036         0.007        0.018
试验用形式结束    16:0      对照      53      35.837        0.512        34.798    0.767
                            DHA       56      35.560        0.595        34.841
                            DHA+ARA   59      35.069        0.584        33.890
试验用形式结束    16:1      对照      53      0.566         0.026        0.526     0.013         对照 vs DHA       0.118
                            DHA       56      0.594         0.042        0.475                   对照 vs DHA+ARA   0.003
                            DHA+ARA   59      0.526         0.029        0.472                   DHA vs DHA+ARA    0.152
试验用形式结束    18:0      对照      53      13.972        0.261        14.197    0.886
                            DHA       56      14.065        0.237        13.867
                            DHA+ARA   59      14.341        0.253        14.108
试验用形式结束    18:1      对照      53      14.456        0.277        14.291    0.686
                            DHA       56      14.116        0.272        13.998
                            DHA+ARA   59      14.344        0.380        14.218
试验用形式结束    18:2      对照      53      21.673        0.340        21.506    0.001        对照 vs DHA        0.600
                            DHA       56      22.045        0.457        22.517                 对照 vs DHA+ARA    0.005
                            DHA+ARA   59      19.899        0.337        20.662                 DHA vs DHA+ARA     0.001
试验用形式结束    18:3n6    对照      53      0.080         0.006        0.074     0.527
                            DHA       56      0.088         0.009        0.076
                            DHA+ARA   59      0.087         0.013        0.066
                                                                              表9
                                                                    红细胞磷脂酰胆碱脂肪酸
时间              脂肪酸    方案      n       算术平均值    标准误差     中间值    方案p值    成对比较           成对p值
试验用形式结束    20:0      对照      53      0.504         0.050        0.392     0.424
                            DHA       56      0.472         0.053        0.281
                            DHA+ARA   59      0.430         0.049        0.251
试验用形式结束    18:3n3    对照      53      0.321         0.020        0.283     0.031      对照 vs DHA        0.503
                            DHA       56      0.335         0.030        0.285                对照 vs DHA+ARA    0.068
                            DHA+ARA   59      0.273         0.009        0.256                DHA vs DHA+ARA     0.011
试验用形式结束    20:1      对照      53      0.318         0.014        0.302     0.149
                            DHA       56      0.300         0.013        0.283
                            DHA+ARA   59      0.307         0.013        0.283
试验用形式结束    18:4      对照      53      0.022         0.004        0.015     0.672
                            DHA       56      0.022         0.003        0.018
                            DHA+ARA   59      0.014         0.002        0.008
试验用形式结束    20:2n6    对照      53      0.893         0.026        0.910     0.051
                            DHA       56      0.880         0.023        0.873
                            DHA+ARA   59      0.824         0.022        0.821
试验用形式结束    20:3n6    对照      53      2.032         0.073        2.091     0.208
                            DHA       56      2.017         0.070        2.043
                            DHA+ARA   59      1.908         0.064        1.904
试验用形式结束    20:4n6    对照      53      6.046         0.240        6.029     0.000      对照 vs DHA       0.097
                            DHA       56      5.774         0.220        5.892                对照 vs DHA+ARA   0.000
                            DHA+ARA   59      8.465         0.255        8.891                DHA vs DHA+ARA    0.000
试验用形式结束    22:1      对照      53      0.117         0.010        0.125     0.946
                            DHA       56      0.110         0.009        0.114
                            DHA+ARA   59      0.115         0.011        0.104
试验用形式结束    20:5n3    对照      53      0.214         0.022        0.189     0.000      对照vs DHA        0.004
                            DHA       56      0.246         0.012        0.233                对照vs DHA+ARA    0.108
                            DHA+ARA   59      0.186         0.014        0.169                DHA vs DHA+ARA    0.000
                                                                   表9
                                                          红细胞磷脂酰胆碱脂肪酸
时间              脂肪酸    方案      n      算术平均值     标准误差       中间值      方案p值      成对比较          成对p值
试验用形式结束    22:4n6    对照      53     0.484          0.048          0.390       0.093
                            DHA       56     0.489          0.061          0.426
                            DHA+ARA   59     0.496          0.027          0.487
试验用形式结束    24:1      对照      53     0.127          0.039          0.062       0.303
                            DHA       56     0.143          0.036          0.086
                            DHA+ARA   59     0.177          0.040          0.089
试验用形式结束    22:5n6    对照      53     0.181          0.013          0.163       0.006        对照 vs DHA       0.005
                            DHA       56     0.145          0.011          0.133                    对照 vs DHA+ARA   0.895
                            DHA+ARA   59     0.172          0.009          0.165                    DHA vs DHA+ARA    0.006
试验用形式结束    22:4n3    对照      53     0.001          0.001          0.000       0.359
                            DHA       56     0.001          0.001          0.000
                            DHA+ARA   59     0.003          0.002          0.000
试验用形式结束    22:5n3    对照      53     0.306          0.019          0.289       0.221
                            DHA       56     0.293          0.026          0.260
                            DHA+ARA   59     0.265          0.013          0.255
试验用形式结束    22:6n3    对照      53     0.895          0.072          0.812       0.000       对照 vs DHA        0.000
                            DHA       56     1.380          0.063          1.352                   对照 vs DHA+ARA    0.000
                            DHA+ARA   59     1.244          0.049          1.259                   DHA vs DHA+ARA     0.141
                                                                表9
                                                       红细胞磷脂酰胆碱脂肪酸
时间          脂肪酸     方案      n       算术平均值     标准误差          中间值        方案p值     成对比较           成对p值
48周PCA       12:0       对照      37      0.032          0.005             0.026         0.729
                         DHA       32      0.028          0.006             0.016
                         DHA+ARA   38      0.026          0.004             0.021
                         HM        56      0.059          0.016             0.020
48周PCA       14:0       对照      37      0.402          0.039             0.331         0.943
                         DHA       32      0.353          0.032             0.324
                         DHA+ARA   38      0.353          0.024             0.328
                         HM        56      0.381          0.026             0.335
48周PCA       14:1       对照      37      0.025          0.006             0.013         0.448
                         DHA       32      0.026          0.007             0.011
                         DHA+ARA   38      0.026          0.006             0.015
                         HM        56      0.024          0.003             0.020
48周PCA       16:0       对照      37      34.627         0.577             34.319        0.000       对照 vs DHA       0.527
                         DHA       32      35.272         0.689             34.473                    对照 vs DHA+ARA   0.593
                         DHA+ARA   38      34.802         0.506             34.165                    HM vs DHA         0.000
                         HM        56      33.037         0.506             32.228                    HM vs DHA+ARA     0.000
                                                                                                      对照  vs HM       0.000
                                                                                                      DHA vs DHA+ARA    0.906
48周PCA       16:1      对照       37      0.435          0.043             0.338         0.000       对照vs DHA        0.524
                        DHA        32      0.380          0.023             0.352                     对照vs DHA+ARA    0.467
                        DHA+ARA    38      0.395          0.024             0.368                     HM vs DHA         0.000
                        HM         56      0.507          0.020             0.473                     HM vs DHA+ARA     0.006
                                                                                                      对照 vs HM        0.000
                                                                                                      DHA vs DHA+ARA    0.183
                                                                           表9
                                                                 红细胞磷脂酰胆碱脂肪酸
时间        脂肪酸     方案     n       算术平均值       标准误差      中间值        方案p值      成对比较          成对p值
48周PCA     18:0       对照     37      13.016           0.313         12.759        0.000        对照 vs DHA       0.760
                       DHA      32      12.944           0.249         12.786                     对照 vs DHA+ARA   0.889
                       DHA+ARA  38      12.804           0.235         12.793                     HM vs DHA         0.000
                       HM       56      14.583           0.287         14.729                     HM vs DHA+ARA     0.000
                                                                                                  对照 vs HM        0.000
                                                                                                  DHA vs DHA+ARA    0.661
48周PCA    18:1        对照     37      17.894           0.453         18.636        0.256
                       DHA      32      17.766           0.429         18.492
                       DHA+ARA  38      17.850           0.289         18.227
                       HM       56      18.662           0.305         18.727
48周PCA    18:2        对照     37      23.469           0.518         23.552        0.000        对照 vs DHA       0.840
                       DHA      32      23.538           0.516         23.717                     对照 vs DHA+ARA   0.527
                       DHA+ARA  38      23.738           0.422         23.839                     HM vs DHA         0.000
                       HM       56      18.650           0.344         18.482                     HM vs DHA+ARA     0.000
                                                                                                  对照  vsHM        0.000
                                                                                                  DHA vs DHA+ARA    0.685
48周PCA  18:3n6        对照     37      0.071            0.008         0.061        0.002         对照 vs DHA       0.950
                       DHA      32      0.069            0.005         0.067                      对照 vs DHA+ARA   0.774
                       DHA+ARA  38      0.069            0.006         0.062                      HM vs DHA         0.004
                       HM       56      0.042            0.004         0.039                      HM vs DHA+ARA     0.001
                                                                                                  对照 vs HM        0.003
                                                                                                  DHA vs DHA+ARA    0.831
48周PCA  20:0          对照     37      0.348            0.075         0.197        0.785
                       DHA      32      0.339            0.061         0.206
                       DHA+ARA  38      0.304            0.061         0.172
                       HM       56      0.409            0.044         0.215
                                                                              表9
                                                                     红细胞磷脂酰胆碱脂肪酸
时间      脂肪酸     方案     n      算术平均值     标准误差     中间值       方案p值     成对比较           成对p值
48周PCA   18:3n3     对照     37     0.222          0.019        0.182        0.001       对照 vs DHA        0.812
                     DHA      32     0.211          0.015        0.182                    对照 vs DHA+ARA    0.918
                     DHA+ARA  38     0.203          0.010        0.190                    HM vs DHA          0.001
                     HM       56     0.182          0.022        0.120                    HM vs DHA+ARA      0.002
                                                                                          对照 vs HM         0.001
                                                                                          DHA vs DHA+ARA     0.737
48周PCA   20:1       对照     37     0.418          0.019        0.420        0.000       对照 vs DHA        0.579
                     DHA      32     0.406          0.025        0.435                    对照 vs DHA+ARA    0.588
                     DHA+ARA  38     0.382          0.016        0.375                    HM vs DHA          0.001
                     HM       56     0.311          0.014        0.309                    HM vs DHA+ARA      0.001
                                                                                          对照 vs HM         0.000
                                                                                          DHA vs DHA+ARA     0.974
48周PCA   18:4       对照     37     0.018          0.005        0.000        0.010       对照 vs DHA        0.822
                     DHA      32     0.016          0.004        0.000                    对照 vs DHA+ARA    0.161
                     DHA+ARA  38     0.007          0.002        0.000                    HM vs DHA          0.039
                     HM       56     0.024          0.004        0.015                    HM vs DHA+ARA      0.001
                                                                                          对照 vs HM         0.054
                                                                                          DHA vs DHA+ARA     0.262
48周PCA   20:2n6     对照     37     0.543          0.023        0.537        0.629
                     DHA      32     0.557          0.032        0.543
                     DHA+ARA  38     0.636          0.053        0.550
                     HM       56     0.560          0.014        0.531
48周PCA   20:3n6      对照    37     1.709          0.086        1.741        0.000       对照 vs DHA        0.610
                     DHA      32     1.702          0.073        1.684                    对照 vs DHA+ARA    0.735
                     DHA+ARA  38     1.844          0.090        1.717                    HM vs DHA          0.000
                     HM       56     2.265          0.086        2.166                    HM vs DHA+ARA      0.000
                                                                                          对照vs HM          0.000
                                                                                          DHA vs DHA+ARA     0.405
                                                                        表9
                                                                红细胞磷脂酰胆碱脂肪酸
时间        脂肪酸    方案      n       算术平均值     标准误差      中间值     方案p值    成对比较           成对p值
48周PCA     20:4n6    对照      37      4.738          0.255         4.736      0.000      对照 vs DHA        0.508
                      DHA       32      4.475          0.196         4.499                 对照 vs DHA+ARA    0.805
                      DHA+ARA   38      4.550          0.185         4.746                 HM vs DHA          0.000
                      HM        56      7.408          0.250         7.666                 HM vs DHA+ARA      0.000
                                                                                           对照 vs HM         0.000
                                                                                           DHA vs DHA+ARA     0.672
48周PCA     22:1      对照      37      0.166          0.036         0.131      0.664
                      DHA       32      0.116          0.014         0.118
                      DHA+ARA   38      0.131          0.024         0.105
                      HM        56      0.160          0.030         0.104
48周PCA     20:5n3    对照      37      0.102          0.015         0.077      0.000      对照 vs DHA        0.633
                      DHA       32      0.084          0.006         0.083                 对照 vs DHA+ARA    0.086
                      DHA+ARA   38      0.099          0.009         0.078                 HM vs DHA          0.000
                      HM        56      0.138          0.009         0.123                 HM vs DHA+ARA      0.000
                                                                                           对照 vs HM         0.000
                                                                                           DHA vs DHA+ARA     0.239
48周PCA     22:4n6    对照      37      0.426          0.059         0.373      0.244
                      DHA       32      0.382          0.029         0.417
                      DHA+ARA   38      0.440          0.054         0.384
                      HM        56      0.406          0.022         0.377
48周PCA     24:1      对照      37      0.247          0.070         0.112      0.000      对照 vs DHA        0.337
                      DHA       32      0.210          0.062         0.116                 对照 vs DHA+ARA    0.247
                      DHA+ARA   38      0.179          0.055         0.108                 HM vs DHA          0.000
                      HM        56      0.115          0.020         0.079                 HM vs DHA+ARA      0.000
                                                                                           对照 vs HM         0.000
                                                                                           DHA vs DHA+ARA     0.878
                                                                          表9
                                                               红细胞磷脂酰胆碱脂肪酸
时间         脂肪酸       方案      n       算术平均值     标准误差       中间值     方案p值      成对比较           成对p值
48周PCA      22:5n6       对照      37      0.210          0.016          0.212      0.000        对照 vs DHA        0.505
                          DHA       32      0.189          0.012          0.186                   对照 vs DHA+ARA    0.647
                          DHA+ARA   38      0.231          0.022          0.198                   HM vs DHA          0.000
                          HM        56      0.264          0.016          0.265                   HM vs DHA+ARA      0.001
                                                                                                  对照 vs HM         0.000
                                                                                                  DHA vs DHA+ARA     0.270
48周PCA      22:4n3       对照      37      0.000          0.000          0.000      1.000
                          DHA       32      0.000          0.000          0.000
                          DHA+ARA   38      0.000          0.000          0.000
                          HM        56      0.000          0.000          0.000
48周PCA      22:5n3       对照      37      0.286          0.029          0.260      0.000        对照 vs DHA        0.598
                          DHA       32      0.253          0.017          0.251                   对照 vs DHA+ARA    0.759
                          DHA+ARA   38      0.268          0.026          0.256                   HM vs DHA          0.000
                          HM        56      0.339          0.018          0.314                   HM vs DHA+ARA      0.000
                                                                                                  对照 vs HM         0.000
                                                                                                  DHA vs DHA+ARA     0.817
48周PCA      22:6n3       对照     37       0.595          0.047          0.569      0.000        对照 vs DHA        0.111
                          DHA      32       0.685          0.048          0.676                   对照 vs DHA+ARA    0.052
                          DHA+ARA  38       0.662          0.043          0.663                   HM vs DHA          0.000
                          HM       56       1.475          0.081          1.333                   HM vs DHA+ARA      0.000
                                                                                                  对照 vs HM         0.000
                                                                                                  DHA vs DHA+ARA     0.776
                                                                     表10
                                                              红细胞磷脂酰乙醇胺脂肪酸
时间               脂肪酸    方案       n      算术平均值     标准误差      中间值     方案p值      成对比较       成对p值
试验用形式开始     12:0      对照       52     0.069          0.015         0.022      0.546
                             DHA        57     0.075          0.013         0.033
                             DHA+ARA    61     0.063          0.010         0.039
试验用形式开始     14:0      对照       52     0.307          0.038         0.220      0.792
                             DHA        57     0.278          0.025         0.206
                             DHA+ARA    61     0.277          0.021         0.246
试验用形式开始     14:1      对照       52     0.080          0.015         0.032      0.181
                             DHA        57     0.061          0.012         0.028
                             DHA+ARA    61     0.062          0.009         0.050
试验用形式开始     16:0      对照       52     20.021         0.736         17.945     0.967
                             DHA        57     19.847         0.622         19.295
                             DHA+ARA    61     19.796         0.451         19.035
试验用形式开始     16:1      对照       52     0.731          0.035         0.698      0.337
                             DHA        57     0.769          0.034         0.746
                             DHA+ARA    61     0.836          0.035         0.837
试验用形式开始     18:0      对照       52     8.857          0.329         8.469      0.142
                             DHA        57     8.434          0.227         8.308
                             DHA+ARA    61     8.201          0.215         7.904
试验用形式开始     18:1      对照       52     16.450         0.301         16.698     0.412
                             DHA        57     16.20          0.326         16.308
                             DHA+ARA    61     16.41          0.375         16.001
试验用形式开始     18:2      对照       52     6.615          0.253         6.682      0.773
                             DHA        57     6.336          0.280         6.346
                             DHA+ARA    61     6.175          0.294         5.682
试验用形式开始     18:3n6    对照       52     0.165          0.018         0.145      0.040        对照 vs DHA      0.373
                             DHA        57     0.190          0.019         0.152                   对照 vs DHA+ARA  0.013
                             DHA+ARA    61     0.192          0.016         0.169                   DHA vs DHA+ARA   0.101
                                                                         表10
                                                               红细胞磷脂酰乙醇胺脂肪酸
时间                脂肪酸      方案      n       算术平均值     标准误差      中间值       方案p值     成对比较    成对p值
试验用形式开始      20:0        对照      52      0.372          0.043         0.291        0.151
                                DHA       57      0.314          0.030         0.244
                                DHA+ARA   61      0.259          0.024         0.186
试验用形式开始      18:3n3      对照      52      0.305          0.023         0.261        0.641
                                DHA       57      0.269          0.018         0.249
                                DHA+ARA   61      0.257          0.016         0.225
试验用形式开始      20:1        对照      52      0.573          0.036         0.517        0.395
                                DHA       57      0.615          0.034         0.555
                                DHA+ARA   61      0.571          0.027         0.544
试验用形式开始      18:4        对照      52      0.025          0.005         0.000        0.371
                                DHA       57      0.031          0.004         0.025
                                DHA+ARA   61      0.030          0.007         0.021
试验用形式开始      20:2n6      对照      52      0.479          0.023         0.480        0.706
                                DHA       57      0.463          0.024         0.437
                                DHA+ARA   61      0.443          0.028         0.427
试验用形式开始      20:3n6      对照      52      1.843          0.072         1.829        0.099
                                DHA       57      1.965          0.077         1.820
                                DHA+ARA   61      1.973          0.064         1.911
试验用形式开始      20:4n6      对照      52      25.817         0.618         26.820       0.353
                                DHA       57      26.475         0.611         27.376
                                DHA+ARA   61      26.747         0.645         27.708
试验用形式开始      22:1        对照      52      0.150          0.017         0.138        0.572
                                DHA       57      0.167          0.015         0.151
                                DHA+ARA   61      0.168          0.017         0.141
试验用形式开始      20:5n3      对照      52      0.378          0.024         0.357        0.997
                                DHA       57      0.384          0.024         0.370
                                DHA+ARA   61      0.366          0.022         0.335
                                                                        表10
                                                               红细胞磷脂酰乙醇胺脂肪酸
时间               脂肪酸      方案       n       算术平均值     标准误差      中间值     方案p值     成对比较     成对p值
试验用形式开始     22:4n6      对照       52      7.290          0.182         7.402      0.875
                               DHA        57      7.431          0.186         7.638
                               DHA+ARA    61      7.456          0.167         7.270
试验用形式开始     24:1        对照       52      0.100          0.028         0.041      0.068
                               DHA        57      0.059          0.009         0.031
                               DHA+ARA    61      0.072          0.010         0.047
试验用形式开始     22:5n6      对照       52      1.757          0.083         1.782      0.555
                               DHA        57      1.809          0.070         1.857
                               DHA+ARA    61      1.851          0.075         1.775
试验用形式开始     22:4n3      对照       52      0.001          0.001         0.000      0.257
                               DHA        57      0.001          0.001         0.000
                               DHA+ARA    61      0.005          0.002         0.000
试验用形式开始     22:5n3      对照       52      1.496          0.109         1.308      0.195
                               DHA        57      1.375          0.109         0.988
                               DHA+ARA    61      1.380          0.097         1.041
试验用形式开始     22:6n3      对照       52      6.119          0.200         6.381      0.375
                               DHA        57      6.444          0.185         6.468
                               DHA+ARA    61      6.407          0.220         6.579
                                                         表10
                                                红细胞磷脂酰乙醇胺脂肪酸
时间              脂肪酸     方案      n        算术平均值      标准误差      中间值       方案p值    成对比较           成对p值
试验形式结束      12:0       对照      53       0.093           0.018         0.033        0.630
                             DHA       55       0.093           0.019         0.036
                             DHA+ARA   58       0.067           0.012         0.035
试验形式结束      14:0       对照      53       0.360           0.031         0.279        0.782
                             DHA       55       0.380           0.039         0.265
                             DHA+ARA   58       0.348           0.030         0.256
试验形式结束      14:1       对照      53       0.086           0.020         0.041        0.592
                             DHA       55       0.066           0.013         0.000
                             DHA+ARA   58       0.066           0.011         0.043
试验形式结束      16:0       对照      53       19.326          0.673         17.617       0.560
                             DHA       55       19.062          0.614         17.556
                             DHA+ARA   58       18.357          0.467         17.568
试验形式结束      16:1       对照      53       0.511           0.034         0.476        0.604
                             DHA       55       0.579           0.045         0.509
                             DHA+ARA   58       0.618           0.049         0.555
试验形式结束      18:0       对照      53       9.614           0.266         9.406        0.024    对照 vs DHA           0.130
                             DHA       55       9.173           0.208         8.818                 对照 vs DHA+ARA       0.006
                             DHA+ARA   58       8.961           0.242         8.697                 DHA vs DHA+ARA        0.219
试验形式结束      18:1       对照      53       14.763          0.437         14.695       0.333
                             DHA       55       15.177          0.299         14.927
                             DHA+ARA   58       14.814          0.330         14.499
试验形式结束      18:2       对照      53       9.405           0.192         9.359        0.000    对照 vs DHA           0.908
                             DHA       55       9.180           0.207         9.188                 对照 vs DHA+ARA       0.000
                             DHA+ARA   58       7.756           0.141         7.586                 DHA vs DHA+ARA        0.000
试验形式结束      18:3n6     对照      53       0.169           0.012         0.163        0.160
                             DHA       55       0.187           0.017         0.157
                             DHA+ARA   58       0.198           0.018         0.161
                                                         表10
                                            红细胞磷脂酰乙醇胺脂肪酸
时间            脂肪酸     方案      n      算术平均值    标准误差      中间值       方案p值     成对比较           成对p值
试验形式结束    20:0       对照      53     0.404         0.044         0.278        0.146
                           DHA       55     0.336         0.037         0.208
                           DHA+ARA   58     0.288         0.029         0.208
试验形式结束    18:3n3     对照      53     0.382         0.017         0.364        0.134
                           DHA       55     0.368         0.016         0.354
                           DHA+ARA   58     0.329         0.015         0.305
试验形式结束    20:1       对照      53     0.553         0.029         0.526        0.164
                           DHA       55     0.579         0.028         0.537
                           DHA+ARA   58     0.507         0.025         0.483
试验形式结束    18:4       对照      53     0.042         0.010         0.018        0.108
                           DHA       55     0.026         0.005         0.019
                           DHA+ARA   58     0.022         0.004         0.000
试验形式结束    20:2n6     对照      53     0.754         0.029         0.765        0.068
                           DHA       55     0.774         0.030         0.750
                           DHA+ARA   58     0.654         0.026         0.663
试验形式结束    20:3n6     对照      53     2.253         0.111         2.073        0.203
                           DHA       55     2.295         0.094         2.206
                           DHA+ARA   58     2.066         0.073         1.992
试验形式结束    20:4n6     对照      53     24.279        0.527         25.132       0.000       对照 vs DHA       0.119
                           DHA       55     23.464        0.520         24.038                   对照 vs DHA+ARA   0.000
                           DHA+ARA   58     26.760        0.437         27.372                   DHA vs DHA+ARA    0.000
试验形式结束    22:1       对照      53     0.149         0.019         0.122        0.229
                           DHA       55     0.176         0.016         0.169
                           DHA+ARA   58     0.146         0.012         0.130
试验形式结束    20:5n3     对照      53     0.519         0.020         0.493        0.000       对照 vs DHA       0.286
                           DHA       55     0.563         0.025         0.575                    对照 vs DHA+ARA   0.000
                           DHA+ARA   58     0.411         0.015         0.415                    DHA vs DHA+ARA    0.000
                                                                  表10
                                                        红细胞磷脂酰乙醇胺脂肪酸
时间              脂肪酸      方案      n       算术平均值    标准误差      中间值      方案p值       成对比较           成对p值
试验形式结束      22:4n6      对照      53      7.309         0.208         7.656        0.007         对照 vs DHA        0.025
                              DHA       55      7.135         0.154         6.885                      对照 vs DHA+ARA    0.461
                              DHA+ARA   58      7.592         0.155         7.635                      DHA vs DHA+ARA     0.002
试验形式结束      24:1        对照      53      0.092         0.023         0.038        0.294
                              DHA       55      0.056         0.009         0.042
                              DHA+ARA   58      0.062         0.008         0.041
试验形式结束      22:5n6      对照      53      1.444         0.064         1.423        0.010         对照 vs DHA        0.003
                              DHA       55      1.231         0.034         1.213                      对照 vs DHA+ARA    0.255
                              DHA+ARA   58      1.347         0.040         1.330                      DHA vs DHA+ARA     0.050
试验形式结束      22:4n3      对照      53      0.000         0.000         0.000        0.137
                              DHA       55      0.004         0.002         0.000
                              DHA+ARA   58      0.004         0.002         0.000
试验形式结束      22:5n3      对照      53      2.694         0.110         2.839        0.003         对照 vs DHA        0.004
                              DHA       55      2.334         0.091         2.400                      对照 vs DHA+ARA    0.002
                              DHA+ARA   58      2.237         0.069         2.269                      DHA vs DHA+ARA     0.943
试验形式结束      22:6n3      对照      53      4.798         0.151         4.815        0.000         对照 vs DHA        0.000
                              DHA       55      6.762         0.183         7.043                      对照 vs DHA+ARA    0.000
                              DHA+ARA   58      6.389         0.150         6.498                      DHA vs DHA+ARA     0.027
                                                                    表10
                                                           红细胞磷脂酰乙醇胺脂肪酸
时间        脂肪酸     方案      n       算术平均值       标准误差      中间值      方案p值      成对比较             成对p值
48周PCA     12:0       对照      37      0.053            0.019         0.024       0.587
                       DHA       32      0.054            0.016         0.019
                       DHA+ARA   38      0.047            0.014         0.018
                       HM        56      0.045            0.011         0.023
48周PCA    14:0        对照      37      0.243            0.030         0.169       0.598
                       DHA       32      0.251            0.041         0.162
                       DHA+ARA   38      0.235            0.025         0.188
                       HM        56      0.230            0.016         0.210
48周PCA    14:1        对照      37      0.080            0.017         0.037       0.092
                       DHA       32      0.055            0.017         0.000
                       DHA+ARA   38      0.078            0.019         0.044
                       HM        56      0.053            0.011         0.021
48周PCA    16:0        对照      37      17.319           0.595         16.314      0.177
                       DHA       32      17.101           0.729         15.692
                       DHA+ARA   38      17.225           0.538         16.997
                       HM        56      18.138           0.395         17.607
48周PCA    16:1        对照      37      0.440            0.050         0.349       0.000       对照 vs DHA          0.601
                       DHA       32      0.390            0.035         0.336                   对照 vs DHA+ARA      0.524
                       DHA+ARA   38      0.390            0.022         0.376                   HM vs DHA            0.000
                       HM        56      0.596            0.027         0.562                   HM vs DHA+ARA        0.000
                                                                                                对照 vs HM           0.001
                                                                                                DHA vs DHA+ARA       0.928
                                                                     表10
                                                           红细胞磷脂酰乙醇胺脂肪酸
时间      脂肪酸    方案     n       算术平均值      标准误差      中间值     方案p值      成对比较           成对p值
48周PCA   18:0      对照     37      7.935           0.327         7.174      0.000        对照 vs DHA         0.347
                    DHA      32      7.962           0.293         7.552                   对照 vs DHA+ARA     0.483
                    DHA+ARA  38      7.443           0.270         7.173                   HM vs DHA           0.020
                    HM       56      8.754           0.230         8.409                   HM vs DHA+ARA       0.000
                                                                                           对照 vs HM          0.001
                                                                                           DHA vs DHA+ARA      0.108
48周PCA  18:1       对照     37      19.438          0.368         19.4 10    0.038        对照 vs DHA         0.401
                    DHA      32      19.066          0.421         19.534                  对照 vs DHA+ARA     0.234
                    DHA+ARA  38      19.302          0.332         19.433                  HM vs DHA           0.067
                    HM       56      18.469          0.278         18.141                  HM vs DHA+ARA       0.118
                                                                                           对照 vs HM          0.005
                                                                                           DHA vs DHA+ARA      0.758
48周PCA  18:2       对照     37      9.328           0.261         9.267      0.000        对照 vs DHA         0.024
                    DHA      32      8.867           0.210         8.696                   对照 vs DHA+ARA     0.187
                    DHA+ARA  38      9.257           0.216         8.840                   HM vs DHA           0.000
                    HM       56      6.291           0.193         6.027                   HM vs DHA+ARA       0.000
                                                                                           对照vs HM           0.000
                                                                                           DHA vs DHA+ARA      0.318
48周PCA  18:3n6     对照     37      0.198           0.020         0.182      0.050        对照 vs DHA         0.879
                    DHA      32      0.219           0.031         0.171                   对照 vs DHA+ARA     0.590
                    DHA+ARA  38      0.188           0.021         0.158                   HM vsDHA            0.029
                    HM       56      0.129           0.012         0.112                   HM vs DHA+ARA       0.061
                                                                                           对照  vs HM         0.014
                                                                                           DHA vs DHA+ARA      0.714
48周PCA  20:0       对照     37      0.263           0.058         0.146      0.728
                    DHA      32      0.262           0.042         0.145
                    DHA+ARA  38      0.212           0.037         0.125
                    HM       56      0.295           0.031         0.240
                                                                           表10
                                                                 红细胞磷脂酰乙醇胺脂肪酸
时间        脂肪酸      方案     n       算术平均值    标准误差     中间值     方案p值     成对比较           成对p值
48周PCA     18:3n3      对照     37      0.291         0.025        0.225      0.001       对照 vs DHA        0.559
                        DHA      32      0.270         0.017        0.262                  对照 vsDHA+ARA     0.848
                        DHA+ARA  38      0.265         0.015        0.245                  HM vs DHA          0.008
                        HM       56      0.226         0.020        0.169                  HM vs DHA+ARA      0.002
                                                                                           对照  vs HM        0.001
                                                                                           DHA vs DHA+ARA     0.689
48周PCA     20:1        对照     37      0.715         0.031        0.648      0.000       对照 vs DHA        0.339
                        DHA      32      0.772         0.032        0.782                  对照 vsDHA+ARA     0.512
                        DHA+ARA  38      0.936         0.188        0.738                  HM vs DHA          0.000
                        HM       56      0.533         0.024        0.492                  HM vs DHA+ARA      0.000
                                                                                           对照 vs HM         0.000
                                                                                           DHA vs DHA+ARA     0.115
48周PCA     18:4        对照     37      0.017         0.005        0.003      0.057
                        DHA      32      0.017         0.005        0.000
                        DHA+ARA  38      0.023         0.006        0.000
                        HM       56      0.027         0.004        0.019
48周PCA     20:2n6      对照     37      0.672         0.035        0.698      0.000       对照 vs DHA        0.543
                        DHA      32      0.668         0.026        0.684                  对照 vs DHA+ARA    0.532
                        DHA+ARA  38      0.715         0.032        0.689                  HM vs DHA          0.000
                        HM       56      0.444         0.016        0.412                  HM vs DHA+ARA      0.000
                                                                                           对照 vs HM         0.000
                                                                                           DHA vs DHA+ARA     0.995
48周PCA     20:3n6      对照     37      2.138         0.099        1.999      0.012       对照 vs DHA        0.896
                        DHA      32      2.165         0.100        2.045                  对照 vs DHA+ARA    0.955
                        DHA+ARA  38      2.172         0.114        2.132                  HM vs DHA          0.015
                        HM       56      1.715         0.053        1.637                  HM vs DHA+ARA      0.006
                                                                                           对照 vs HM         0.007
                                                                                           DHA vs DHA+ARA     0.835
                                                                   表10
                                                        红细胞磷脂酰乙醇胺脂肪酸
时间        脂肪酸      方案      n      算术平均值     标准误差      中间值      方案p值    成对比较           成对p值
48周PCA     20:4n6      对照      37     24.508         0.536         24.774      0.950
                        DHA       32     24.428         0.491         25.206
                        DHA+ARA   38     24.788         0.429         25.122
                        HM        56     24.625         0.384         25.189
48周PCA     22:1        对照      37     0.168          0.016         0.172       0.121
                        DHA       32     0.189          0.022         0.188
                        DHA+ARA   38     0.154          0.022         0.133
                        HM        56     0.148          0.013         0.134
48周PCA     20:5n3      对照      37     0.382          0.026         0.364       0.497
                        DHA       32     0.369          0.015         0.377
                        DHA+ARA   38     0.347          0.011         0.347
                        HM        56     0.384          0.016         0.360
48周PCA     22:4n6      对照      37     8.580          0.267         8.761       0.001     对照 vs DHA        0.612
                        DHA       32     8.791          0.250         9.132                 对照 vs DHA+ARA    0.416
                        DHA+ARA   38     4.576          0.188         8.472                 HM vs DHA          0.000
                        HM        56     7.727          0.203         7.618                 HM vs DHA+ARA      0.013
                                                                                            对照 vs HM         0.001
                                                                                            DHA vs DHA+ARA     0.199
48周PCA    24:1         对照      37     0.067          0.016         0.035       0.943
                        DHA       32     0.049          0.009         0.034
                        DHA+ARA   38     0.046          0.008         0.036
                        HM        56     0.062          0.016         0.027
                                                                           表10
                                                                 红细胞磷脂酰乙醇胺脂肪酸
时间       脂肪酸     方案    n     算术平均值     标准误差     中间值     方案p值      成对比较          成对p值
48周PCA    22:5n6     对照    37    1.4401         0.066        1.411      0.000        对照vs DHA        0.977
                      DHA     32    1.353          0.057        1.414                   对照vsDHA+ARA     0.997
                      DHA+ARA 38    1.364          0.054        1.359                   HM vs DHA         0.000
                      HM      56    1.883          0.056        1.889                   HM vs DHA+ARA     0.000
                                                                                        对照 vs HM        0.000
                                                                                        DHA vs DHA+ARA    0.975
48周PCA    22:4n3     对照    37    0.000          0.000        0.000      1.000
                      DHA     32    0.000          0.000        0.000
                      DHA+ARA 38    0.000          0.000        0.000
                      HM      56    0.001          0.001        0.000
48周PCA    22:5n3     对照    37    2.567          0.092        2.681      0.000        对照 vs DHA       0.884
                      DHA     32    2.561          0.086        2.630                   对照 vs DHA+ARA   0.148
                      DHA+ARA 38    2.436          0.066        2.443                   HM vs DHA         0.000
                      HM      56    1.942          0.065        1.978                   HM vs DHA+ARA     0.000
                                                                                        对照 vs HM        0.000
                                                                                        DHA vs DHA+ARA    0.213
48周PCA    22:6n3     对照    37    3.196          0.159        3.013      0.000        对照 vs DHA       0.000
                      DHA     32    4.143          0.177        4.079                   对照 vs DHA+ARA   0.000
                      DHA+ARA 38    3.801          0.134        3.721                   HM vs DHA         0.000
                      HM      56    7.283          0.201        7.341                   HM vs DHA+ARA     0.000
                                                                                        对照 vs HM        0.000
                                                                                        DHA vs DHA+ARA    0.281
                                   表11
                              不足月婴儿并发症
    方案   P-*
    对照   DHA   DHA+ARA
  早产试验结果的视网膜病不存在IIIIII存在,但是不分级 34(76%)8(18%)2(4%)1(2%) 44(76%)11(19%)2(3%)1(2%) 41(79%)6(12%)4(8%)1(2%) 0.91
  超声检测心室内出血无阶段1阶段2阶段3阶段4可疑 47(81%)6(10%)3(5%)1(2%)1(2%) 52(84%)9(15%)1(2%) 49(80%)7(11%)2(3%)1(2%)2(3%) 0.78
  出血后脑积水?无有 61(98%)1(2%) 65(98%)1(2%) 64(97%)2(3%) 1.00
*该统计检验基于二分反应:存在或不存在。
                                            表12
                              在试验用配方奶粉阶段报告的严重不利事件
事件  方案 P值
对照 DHA DHA+ARA
    任何事件  4(6%) 3(5%) 4(6%)     0.93
    胎儿和新生儿的其它呼吸系统症状  2(3%) 0 0     0.10
    产期特异性其它感染  1(2%) 0 0     0.32
    心室内出血  0 0 1(2%)     1.00
    消化系统的其它特异产期病  0 1(2%) 0     1.00
    新生儿痉挛  1(2%) 0 0     0.32
    新生儿的喂养问题  0 1(2%) 1(2%)     1.00
    疝气  0 0 1(2%)     1.00
    其它  0 1(2%) 1(2%)     1.00
                                             表13
                                足月配方奶粉阶段报告的严重的不利事件
 方案
  事件  对照 DHA  DHA+ARA   EM       p值
  任何事件  7(13%) 9(15%)  9(15%)   1(1%)       0.002C vs D     0.79C vs D+A   0.79D vs D+A   1.00C vs HM    0.006D vs HM    0.001D+A vs HM  0.001
  感染性结肠炎、肠炎、胃肠炎  0 0  1(2%)   0         0.67
  格鲁布  0 0  1(2%)   0         0.67
  支气管肺炎,微生物未定  2(4%) 3(5%)  6(10%)   0         0.013C vs D     1.00C vs D+A   0.27D vs D+A   0.49C vs HM    0.15D vs HM    0.064D+A vs HM  0.004
  哮喘,未特异性  1(2%) 0  0   0          0.21
  食管反流  0 1(2%)  2(3%)   0          0.23
  消化不良及其它胃功能紊乱  0 0  0   1(1%)          1.0
  胎儿和新生儿的其它呼吸系统症状  1(2%) 1(2%)  3(5%)   0          0.11
  痉挛  1(2%) 0  0   0          0.21
  突然性婴儿死亡综合症  1(2%) 1(2%)  0   0          0.34
  疝气  2(4%) 2(3%)  0   0          0.11
  其它  0 3(5%)  2(3%)   0          0.063
                                                                                  附录1
                                                                        统计学分析包括的重量表
                                                                                               生长速度
性别  方案  对象      变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
男性  对照  9698-0301 体重(g)     1120   1240   1360   1590   1870                               27.7
                      年龄(周pca) 30.3   31.3   32.1   33.1   34.1
男性  对照  9698-0304 体重(g)     1450   1630   1940   2180                                      36.1   3731     5752     6816
                      年龄(周pca) 32.6   33.4   34.7   35.4                                             40.3     48.3     56.6
男性  对照  9699-0302 体重(g)     958.0  1108   1251   1378   1659                               23.9   3064     4993     6553
                      年龄(周pca) 30.7   31.7   32.7   33.7   34.7                                      39.9     48.0     57.9
男性  对照  9699-0306 体重(g)     1185   1261   1437   1647   1933                               26.9   3575     4936     6014
                      年龄(周pca) 31.0   32.0   33.0   34.0   35.0                                      40.3     48.3     57.1
男性  对照 9699-0308  体重(g)     1600   1840   2752                                             43.3   3688     5504     6922
                      年龄(周pca) 34.4   35.4   38.3                                                    40.3     48.3     57.3
男性  对照 9700-0301  体重(g)     1810   1855   2075   2330   2595   3120                        36.2   3745     5080     6610
                      年龄(周pca) 32.1   32.6   33.4   34.4   35.4   37.4                               40.1     47.6     56.7
男性  对照 9701-0303  体重(g)     1181   1298   1494   1785   2012                               31.5   3070     3895     4965
                      年龄(周pca) 32.4   33.4   34.4   35.4   36.3                                      41.6     48.6     57.6
男性  对照 9701-0304  体重(g)     1412   1566   1851   2117   2318                               34.1   3070     5445     7135
                      年龄(周pca) 31.9   32.9   33.7   34.7   35.9                                      39.9     48.3     56.9
男性  对照 9702-0302  体重(g)     1480   1775   2045   2240   2340   2570                        33.8   3590     4840     6110
                      年龄(周pca) 31.0   32.1   33.0   34.0   34.6   35.6                               40.1     48.6     58.4
男性  对照 9703-0302  体重(g)     1785   2040   2375   2685   2955                               41.7   3620     5850      7470
                      年龄(周pca) 33.3   34.6   35.6   36.4   57.4                                      39.7     48.6      57.3
男性  对照 9703-0304  体重(g)     1475   1705   1920   2190   2425                               34.2   3170     5240      6970
                      年龄(周pca) 31.7   33.0   34.0   34.9   35.7                                      40.1     47.7      57.1
男性  对照 9703-0308  体重(g)     1140   1230   1445   1665   1945                               28.9   2520     4010      5030
                      年龄(周pca) 31.7   32.6   33.7   34.7   35.7                                      39.7     48.4      56.9
男性  对照 9704-0303  体重(g)     975.0  1205   1270   1450   1665   1760   2045                 24.4   2150     3700      4950
                      年龄(周pca) 32.3   33.4   34.4   35.4   36.3   37.3   38.3                        39.3     48.3      57.4
*在生长速度计算中4个对象有9次称重,续表见下一页。
                                                                             附录1
                                                                   统计学分析包括的重量表
                                                                                                生长速度
性别  方案  对象       变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
男性  对照  9704-0305  体重(g)     1315   1475   1640   1860                                      23.7
                       年龄(周pca) 30.9   32.0   33.0   34.1
男性  对照  9705-0302  体重(g)     1280   1389   1588   1786   2240                               30.9   2540     4936      5646
                       年龄(周pca) 33.0   34.0   35.0   36.0   37.4                                      39.6     47.4      56.4
男性  对照  9705-030   体重(g)     1270   1280   1570   1810                                      25.3   3291     5816      7490
                       年龄(周pca) 31.3   32.3   33.3   34.6                                             39.7     47.7      56.7
男性  对照  9706-0302  体重(g)     1645   1865   2130   2435                                      37.1   2800     4660      6170
                       年龄(周pca) 35.7   36.6   37.7   38.7                                             40.1     48.7      56.7
男性  对照  9706-0303  体重(g)     1875   1984   2135   2185   2465                               22.2   3050     4550      6675
                       年龄(周pca) 33.7   34.7   35.6   36.4   37.3                                      41.0     48.6      56.9
男性  对照  9706-0308  体重(g)     1655   1734   2005   2495                                      46.9   3835     5155      6090
                       年龄(周pca) 32.9   33.1   34.0   35.4                                             40.6     48.0      56.3
男性  对照  9707-0302  体重(g)     1544   1820   2215   2450   2460                               32.8   2930     3795      5185
                       年龄(周pca) 31.6   32.9   34.4   35.4   35.7                                      40.1     47.7      56.6
男性  对照  9707-0303  体重(g)     1415   1600   1850   2195   2310                               32.7   2530     4235      6530
                       年龄(周pca) 33.1   34.1   35.1   36.6   37.1                                      39.7     47.7      57.1
男性  对照  9707-0309  体重(g)     1046   1442   1644   1910                                      30.7   2965     4465
                       年龄(周pca) 30.9   32.7   33.7   34.9                                             39.9     48.0
男性  对照  9708-0303  体重(g)     1730   1960   2205   2520                                      37.4   3680     5470      7330
                       年龄(周pca) 32.7   33.7   34.7   35.7                                             40.1     48.1      57.0
男性  对照  9709-0302  体重(g)     1090   1440   1660   1910   2040                               30.8   3845     5700      6775
                       年龄(周pca) 29.9   31.7   32.7   33.7   34.3                                      39.9     48.0      56.7
男性  对照  9712-0301*体重(g)    1245    1221   1245   1291   1294   1330   1369   1402   1433   26.1
                       年龄(周pca) 31.6   31.7   31.9   32.0   32.1   32.3   32.4   32.6   32.7
男性  对照  9712-0302  体重(g)     1292   1345   1456   1670   1835   1985                         21.0  2160     3300      3980
                       年龄(周pca) 33.1   34.1   35.1   36.1   37.1   38.1                               40.1     47.7      57.3
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                         附录1
                                                                 统计学分析包括的重量表
                                                                                               生长速度
性别  方案  对象      变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
男性  对照  9743-0301 体重(g)     1520   1570   1670   1720                                      10.0    2260     4535
                      年龄(周pca) 34.1   35.0   36.0   37.1                                              41.0     50.0
男性  对照  9746-0301 体重(g)     2065   2465   2760   3085   3085                               48.9    3085     4795    6695
                      年龄(周pca) 37.6   38.9   39.7   40.6   40.6                                       40.6     47.6    57.6
男性  DHA  9698-0302  体重(g)     1640   1860   3170                                             47.5    3170     5206    7036
                      年龄(周pca) 35.1   36.1   39.9                                                     39.9     47.9    57.1
男性  DHA  9698-0306  体重(g)     1620   1830   2090   2575                                      28.3    2575     4334    6022
                      年龄(周pca) 35.1   36.3   37.3   40.0                                              40.0     48.0    57.0
男性  DHA  9699-0301  体重(g)     1018   12077  1360   1617                                      27.9    3121     5192    6752
                      年龄(周pca) 31.3   32.3   33.3   34.3                                              39.9     48.0    57.9
男性  DHA  9699-0303  体重(g)     1258   1435   1631   1882    2724                              48.3    2724     4341    5674
                      年龄(周pca) 32.4   33.4   34.4   35.4    36.4                                      40.1     48.1    57.0
男性  DHA  9699-0307  体重(g)     1182   1358   1484   1666                                      22.5    1986     3206    4511
                      年龄(周pca) 34.7   35.7   36.7   37.7                                              40.0    48.0     57.0
男性  DHA  9700-0303  体重(g)     1830   1980   2450   3045                                      45.4    3585     5420    7035
                      年龄(周pca) 33.9   34.4   35.9   37.7                                              39.6     47.4    56.7
男性  DHA  9701-0301  体重(g)     1098   1234   1365   1689   1902   2019   2104   2276   2288   20.4    2805     3405    4660
                      年龄(周pca) 29.6   30.6   31.6   33.4   34.6   35.6   36.4   37.4   38.6           40.4     47.6    57.0
男性  DHA  9701-0305  体重(g)     1621   1829   1880   2253   2582                               34.7    3660
                      年龄(周pca) 31.7   33.1   33.7   34.7   35.7                                       39.7
男性  DHA  9703-0303  体重(g)     1775   2030   2285   2595   2780                               38.2    3080     3940    5260
                      年龄(周pca) 33.3   34.1   35.1   36.0   37.1                                       39.9     48.0    56.9
男性  DHA  9703-0306  体重(g)     1725   1870   2180                                             41.7
                      年龄(周pca) 33.4   34.0   35.0
男性  DHA  9703-0307  体重(g)     1525   1725   2020   2390                                      37.6    3120     4410    5600
                      年龄(周pca) 32.7   33.7   34.9   36.0                                              40.7     47.9    56.9
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                      附录1
                                                              统计学分析包括的重量表
                                                                                              生长速度
性别  方案  对象       变量        Wgt1  Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
男性  DHA   9704-0304  体重(g)     1380  1570   1730   1960   2140                               29.3   2880     3900     4300
                       年龄(周pca) 32.1  33.1   34.1   35.0   35.9                                      40.3     48.3     57.3
男性  DHA   9704-0306  体重(g)     1320  1370   1550   1760   2020   2170                        25.6            3750     4800
                       年龄(周pca) 30.7  31.7   32.7   33.7   34.7   35.9                                        48.0     57.0
男性  DHA   9705-0303  体重(g)     1380  1446   1616   1843   2330                               30.8   2370     4170     5787
                       年龄(周pca) 33.0  34.0   35.0   36.0   37.4                                      39.6     47.4     56.4
男性  DHA   9705-0305  体重(g)     1490  1770   1980   2240                                      36.7   3291
                       年龄(周pca) 31.1  32.1   33.1   34.0                                             39.6
男性  DHA   9706-0304  体重(g)     1490  1655   1915   2260                                      36.8   3335     5265     6900
                       年龄(周pca) 33.0  33.7   34.7   36.0                                             40.0     48.1     57.3
男性  DHA   9706-0306  体重(g)     1604  1908   2160                                             42.8   3310     4205     5600
                       年龄(周pca) 34.4  35.4   36.3                                                    41.4     47.6     56.9
男性  DHA   9707-0001  体重(g)     1305  1429                                                    17.7
                       年龄(周pca) 31.0  32.0
男性  DHA   9707-0304  体重(g)     1555  1740   1990   2400   2570                               36.9   3280     5115     6755
                       年龄(周pca) 32.0  33.0   34.0   35.4   36.0                                      39.9     48.0     57.6
男性  DHA   9707-0306  体重(g)     1728  2040   2260   3050   3050                               43.2   3050     5100     7150
                       年龄(周pca) 36.1  37.3   38.1   40.6   40.6                                      40.6     48.6     57.6
男性  DHA   9707-0307*体重(g)     1649  1675   1699   1732   1778   1811   1858   1882   1938   39.6
                       年龄(周pca) 32.4  32.6   32.7   32.9   33.0   33.1   33.3   33.4   33.6
男性  DHA   9707-1308  体重(g)     1780  2045   3004   3004                                      36.7   3004    4420     6090
                                   34.4  35.7   39.3   39.3                                             39.3    47.3     57.7
男性  DHA   9707-2308  体重(g)     1651  1923   2850   2850                                      35.8   2850    4375     5930
                       年龄(周pca) 34.4  35.7   39.3   39.3                                             39.3    47.3     57.7
男性  DHA   9708-0302  体重(g)     1485  1740   2500                                             39.2   3873             6256
                       年龄(周pca) 33.3  34.3   37.0                                                    42.9             57.3
*在生长速度计算中4个对象有9次称重,续表见下一页。
                                                                     附录1
                                                             统计学分析包括的重量表
                                                                                                生长速度
性别  方案  对象        变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
男性  DHA   9709-0301   体重(g)     1490   1740   2000   2400   2800                               44.4   3150     5080     6750
                        年龄(周pca) 32.4   33.4   34.4   35.4   36.7                                      39.4     47.4     56.4
男性  DHA   9709-0304   体重(g)     1470   1520                                                    7.1
                        年龄(周pca) 34.4   35.4
男性  DHA   9712-0304   体重(g)     1545   1800   1985   2160   2550                               30.5   3160      5200     7300
                        年龄(周pca) 33.0   34.0   35.0   36.0   37.6                                      40.3      48.1     57.1
男性  DHA   9712-0306   体重(g)     1240   1435   1695   1945                                      33.9   3040      4680     5860
                        年龄(周pca) 31.5   32.5   33.5   34.5                                             39.6      48.6     57.6
男性  DHA   9743-0303   体重(g)     1700   1810   2100   2300                                      31.1   3100      5500
                        年龄(周pca) 32.9   33.9   34.9   35.7                                             40.6      48.6
男性  DHA   9743-0304   体重(g)     1530   1880   2160   2375   2440                               32.2   3628      5840
                        年龄(周pca) 32.3   34.0   35.0   36.0   36.4                                      38.1      50.6
男性  DHA+ARA 9698-0305 体重(g)     1120   1340   1550                                             20.9   2440      5525    6646
                        年龄(周pca) 30.7   32.6   33.6                                                    37.4      47.6    56.6
男性  DHA+ARA 9698-0308 体重(g)     1410   1690   1870   2120                                      32.0   3553      6007    7937
                        年龄(周pca) 31.1   32.4   33.3   34.3                                             40.3      47.6    57.3
男性  DHA+ARA 9699-0304 体重(g)     1499   1689   1950   2355                                      29.8   2355      3404    4993
                        年龄(周pca) 36.1   37.1   38.1   40.3                                             40.3      48.0    57.1
男性  DHA+ARA 9699-0305 体重(g)     1056   1134   1290   1490                                      17.2   2610      4256    5050
                        年龄(周pca) 32.0   33.0   34.0   35.7                                             40.6      48.7    57.6
男性  DHA+ARA 9700-0302 体重(g)     1635   1880   2235   2570   2735                               40.7   3255      5540    7380
                        年龄(周pca) 33.9   34.7   35.9   36.9   37.9                                      39.7      47.7    56.7
男性  DHA+ARA 9701-0302 体重(g)     1442   1686   2045   2835                                      48.9   3240      5055    6600
                        年龄(周pca) 33.6   34.6   35.6   37.7                                             39.7      46.7    56.7
男性  DHA+ARA 9701-0306 体重(g)     1587   2037   2245   2460   2756   3072   3228                 41.4   3960      5200
                        年龄(周pca) 32.3   33.4   34.4   35.3   36.3   37.3   37.7                        42.3      48.4
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                     附录1
                                                             统计学分析包括的重量表
                                                                                                生长速度
性别  方案    对象      变量        Wgt1  Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   W9t7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48  Wgt_57
男性  DHA+ARA 9701-0307 体重(g)     1397  1710   1919   2932                                      42.5   3445     5930    7475
                        年龄(周pca) 33.3  34.3   35.1   38.4                                             40.6     48.6    57.4
男性  DHA+ARA 9702-0301 体重(g)     1670  1865   2160   2660                                      36.0   3780     5250
                        年龄(周pca) 32.0  33.0   34.0   36.0                                             40.6     47.6
男性  DHA+ARA 9702-0303 体重(g)     1650  1905   2660                                             40.7   3500     5160    6520
                        年龄(周pca) 32.9  33.9   36.4                                                    40.0     48.0    56.4
男性  DHA+ARA 9703-0301 体重(g)     1255  1460   1745   2055   2415                               42.3   4350     6020    6720
                        年龄(周pca) 29.4  30.4   31.3   32.3   33.4                                      40.4     47.4    56.6
男性  DHA+ARA 9703-0305 体重(g)     1440  1635   1830   2115   2390   2590                        34.1   3170     4330    5630
                        年龄(周pca) 32.0  33.0   34.0   35.0   36.1   36.9                               40.0     47.9    56.7
男性  DHA+ARA 9704-0301 体重(g)     1110  1270   490    1740   2050                               35.1   3220     5460    7050
                        年龄(周pca) 30.6  31.6   32.4   33.4   34.4                                      39.9     47.7    56.7
男性  DHA+ARA 9704-0302 体重(g)     1080  1230   1370   1520   1680   1840                        22.2   2570     6540    8050
                        年龄(周pca) 32.0  33.0   34.0   34.9   36.0   36.9                               40.0     48.1    57.4
男性  DHA+ARA 9705-0301 体重(g)     1300  1440   1620   1870                                      27.0   2979     4400    5873
                        年龄(周pca) 32.7  33.7   34.7   35.7                                             40.1     48.1    58.0
男性  DHA+ARA 9705-0306 体重(g)     1320  1490   1700   2020   2300                               32.7   3631     5447    6809
                        年龄(周pca) 31.4  32.4   33.4   34.4   35.9                                      39.9     47.9    56.9
男性  DHA+ARA 9705-0307 体重(g)     1480  1650   1810   2240                                      36.4   3007     5589    6596
                        年龄(周pca) 34.4  35.4   36.1   37.4                                             39.9     48.4    56.7
男性  DHA+ARA 9706-0305 体重(g)     1330  1455   1660   1930                                      31.4   2695     4820    6225
                        年龄(周pca) 33.9  34.4   35.4   36.6                                             39.9     48.1    58.1
男性  DHA+ARA 9706-0307 体重(g)     1355  1585   1825   2270                                      40.0   3585     5955    6925
                        年龄(周pca) 31.9  33.0   33.9   35.1                                             40.4     49.1    57.6
男性  DHA+ARA 9706-0309 体重(g)     1620  1910   2150                                             40.3   3460     5255    5775
                        年龄(周pca) 34.1  35.3   36.0                                                    40.9     48.7    57.4
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                               附录1
                                                                    统计学分析包括的重量表
                                                                                                生长速度
性别  方案    对象      变量        Wgt1  Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48  Wgt_57
男性  DHA+ARA 9707-0301 体重(g)     1553  1980   2280   2720                                      41.5   3395     4950     6285
                        年龄(周pca) 32.6  34.3   35.3   36.6                                             40.1     47.9     56.9
男性  DHA+ARA 9707-0305 体重(g)     1755  1990   2245   2505   2770                               37.4
                        年龄(周pca) 33.9  34.7   35.7   36.7   37.7
男性  DHA+ARA 9707-0310 体重(g)     1620  1828   2140   3195                                      44.8   3585     5170     6725
                        年龄(周pca) 32.7  33.7   34.7   37.9                                             39.7     47.9     56.3
男性  DHA+ARA 9708-0301 体重(g)     1640  1880   2200   2420                                      38.0   3730     4835     6185
                        年龄(周pca) 32.7  33.7   34.7   35.7                                             40.1     47.9     57.0
男性  DHA+ARA 9708-0304 体重(g)     1680  2180                                                    55.6
                        年龄(周pca) 34.6  35.9
男性  DHA+ARA 9709-0303 体重(g)     1470  1810                                                    48.6
                        年龄(周pca) 32.6  33.6
男性  DHA+ARA 9709-0305 体重(g)     1410  1655   1900   2160                                      35.6   2630     4570     5520
                        年龄(周pca) 34.4  35.4   36.4   37.4                                             39.7     47.7     57.1
男性  DHA+ARA 9712-0303 体重(g)     1180  1210   1450   1590                                      20.9   2520     3500     5010
                        年龄(周pca) 31.4  32.3   33.4   34.4                                             40.4     47.4     56.4
男性  DHA+ARA 9712-0305 体重(g)     1325  1505   1785   2010   2300                               34.1   3030     4350     5510
                        年龄(周pca) 31.5  32.5   33.5   34.5   35.6                                      39.6     48.6     57.6
男性  DHA+ARA 9723-0301 体重(g)     1630  1728   1961   2214                                      28.4   3104              5986
                        年龄(周pca) 33.9  34.9   35.9   36.9                                             40.3              58.9
男性  HM      9698-0601                                                                                  3518     5497     6582
                                                                                                         40.0     48.3     56.9
男性  HM      9698-0602                                                                                  3177     5220     6355
                                                                                                         40.0     48.1     57.0
男性  HM      9698-0603                                                                                  3858     5447     6454
                                                                                                         40.0     48.0     57.0
*在生长速度计算中4个对象有9次称重,续表见下一页。
                                                                              附录1
                                                                     统计学分析包括的重量表
                                                                                            生长速度
性别  方案  对象      变量      Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
男性  HM    9698-0604                                                                                 4355     5092     6383
                                                                                                      40.0     48.0     57.0
男性  HM    9698-0605                                                                                 3433     4979     6426
                                                                                                      40.0     48.1     57.1
男性  HM    9699-0501                                                                                 3915     6639     7773
                                                                                                      40.0     48.3     57.4
男性  HM    9699-0502                                                                                 3802     5787     7178
                                                                                                      40.0     48.4     57.4
男性  HM    9701-0601                                                                                 3317     5555     7070
                                                                                                      40.0     47.9     56.4
男性  HM    9701-0602                                                                                 3487     5833     8070
                                                                                                      40.0     47.3     58.3
男性  HM    9701-0603                                                                                 3232     4940     5855
                                                                                                      40.0     47.4     56.4
男性  HM    9701-0604                                                                                 3600     5215     6285
                                                                                                      40.0     47.9     56.9
男性  HM    9701-0605                                                                                 3402     5575     7210
                                                                                                      40.0     47.6     57.6
男性  HM    9701-0606                                                                                 3090     4485     5445
                                                                                                      40.0     47.7     56.7
男性  HM    9702-0601                                                                                 3480     5780     6530
                                                                                                      40.0     48.6     56.6
男性  HM    9702-0602                                                                                 3165     5060     6660
                                                                                                      40.0     48.3     57.1
男性  HM    9703-0502                                                                                 2670     5420     7220
                                                                                                      40.0     48.3     57.1
*在生长速度计算中4个对象有9次称重,续表见下一页。
                                                                                附录1
                                                                        统计学分析包括的重量表
                                                                                           生长速度
性别  方案  对象    变量      Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
男性  HM    9703-0503                                                                               4100     6740     8330
                                                                                                    40.0     47.4     56.4
男性  HM    9703-0504                                                                               3435     6000     7930
                                                                                                    40.0     48.1     57.1
男性  HM    9704-0502                                                                               3285     5220     6560
                                                                                                    40.0     48.1     56.6
男性  HM    9704-0503                                                                               3400     5200     6725
                                                                                                    40.0     48.7     56.9
男性  HM    9705-0601                                                                               3200     5617     6752
                                                                                                    40.0     48.3     57.3
男性  HM    9705-0602                                                                               3860     6227
                                                                                                    40.0     48.0
男性  HM    9706-0601                                                                               3152     5105     6545
                                                                                                    40.0     49.0     57.0
男性  HM    9706-0602                                                                               3557     5175     7315
                                                                                                    40.0     47.4     57.7
男性  HM    9706-0603                                                                               3192     5070     6970
                                                                                                    40.0     47.9     56.7
男性  HM    9706-0604                                                                               3461     4225     5525
                                                                                                    40.0     48.0     57.1
男性  HM    9706-0605                                                                               3870     6220     7660
                                                                                                    40.0     48.1     56.4
男性  HM    9706-0606                                                                               4315     5975     6720
                                                                                                    40.0     48.3     56.6
男性  HM    9707-0601                                                                               3263     4730     5825
                                                                                                    40.0     48.1     57.0
*在生长速度计算中4个对象有9次称重,续表见下一页。
                                                                     附录1
                                                              统计学分析包括的重量表
                                                                                        生长速度
性别  方案  对象    变量   Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
男性  HM    9707-0602                                                                            3206     4515     6220
                                                                                                 40.0     48.1     57.7
男性  HM    9707-0603                                                                            4256     6930     8810
                                                                                                 40.0     48.0     57.0
男性  HM    9707-0604                                                                            3419     5460     6130
                                                                                                 40.0     48.0     56.7
男性  HM    9707-0605                                                                            3433
                                                                                                 40.0
男性  HM    9707-0606                                                                            3603     5825
                                                                                                 40.0     48.4
男性  HM    9707-0607                                                                            3569     5410     6870
                                                                                                 40.0     47.9     56.9
男性  HM    9707-0608                                                                            3348     5135     6370
                                                                                                 40.0     48.0     57.0
男性  HM    9707-0609                                                                            3348
                                                                                                 40.0
男性  HM    9708-0601                                                                            3064     5220     6595
                                                                                                 40.0     47.6     56.4
男性  HM    9708-0602                                                                            4085
                                                                                                 40.0
男性  HM    9708-0603                                                                            3319     5135     6327
                                                                                                 40.0     48.4     57.1
男性  HM    9708-0604                                                                            3291
                                                                                                 40.0
男性  HM    9708-0605                                                                            3796
                                                                                                 40.0
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                       附录1
                                                            统计学分析包括的重量表
                                                                                             生长速度
性别  方案  对象      变量      Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天    Wgt_40   Wgt_48   Wgt_57
男性  HM    9708-0606                                                                                  4020     4645     5405
                                                                                                       40.0     48.4     57.1
男性  HM    9708-0607                                                                                  3333     4043     5180
                                                                                                       40.0     47.9     56.7
男性  HM    9709-0505                                                                                  3400
                                                                                                       40.0
女性  对照 9698-0003*体重(g)   1020   1050   1070   1080   1080   1060   1080   1070          5.6
                    年龄(周pca) 31.1   31.3   31.4   31.6   31.7   31.9   32.0   32.1
女性  对照 9699-0001 体重(g)    1464   1672   1862   2000   2145                               24.1    2610     4369     5220
                    年龄(周pca) 32.7   33.7   34.7   35.7   36.7                                       39.7     47.9     56.9
女性  对照 9699-0003 体重(g)    1473   1629   1860   2497                                      37.3    2780     4596     5816
                    年龄(周pca) 34.0   35.0   36.0   38.0                                              40.0     48.0     57.0
女性  对照 9701-0003 体重(g)    1480   1633   1903   1975   2292                               29.1    2675     4165     5200
                    年龄(周pca) 34.6   35.6   36.6   37.3   38.6                                       40.6     48.6     55.6
女性   对照 9701-0005 体重(g)   1174   1366   1555   1745   1976                               28.3    3175     5140     6280
                    年龄(周pca) 30.7   31.7   32.7   33.7   34.7                                       39.7     48.4     56.4
女性  对照 9701-0008 体重(g)    1391   1569   1898   2198   2406                               41.1    2980     4425     5815
                    年龄(周pca) 34.3   35.3   36.4   37.3   37.9                               40.4    47.4     56.4
女性  对照 9701-0011 体重(g)    1050   1254   1492   1756   2044                               36.6    2870     4420     5505
                    年龄(周pca) 30.6   31.4   32.4   33.4   34.4                                       39.7     48.6     57.4
女性  对照 9702-0002 体重(g)    1222   1371   1570   1750   1995   2390                        29.4    3380     4900
                    年龄(周pca) 31.7   32.7   34.1   35.1   36.0   37.1                                40.4     47.6
女性  对照 9702-0004 体重(g)    1454   1555   1840   2530                                      31.6    3600     5160     6900
                    年龄(周pca) 31.0   31.9   33.1   36.0                                              39.9     47.7     56.7
女性  对照 9702-0010 体重(g)    1775   2065   2410   2645                                      42.2    3060     4820     6690
                    年龄(周pca) 34.0   35.0   36.0   37.0                                              39.9     48.3     57.6
*在生长速度计算中4个对象有9次称重,续表见下一页。
                                                                                 附录1
                                                                        统计学分析包括的重量表
                                                                                              生长速度
性别  方案  对象      变量       Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
女性  对照  9703-0002 体重(g)    1170   1250   1390   1570   1825   2130                        26.4    3210    475O
                     年龄(周pca) 29.1   30.4   31.3   32.4   33.4   34.3                                39.6    47.4
女性  对照  9703-0005 体重(g)    1420   1590   1765   1900   2220                               29.5    2610    4330     5640
                     年龄(周pca) 31.4   32.3   33.3   33.9   35.3                                       37.3    46.0     55.0
女性  对照  9703-0008 体重(g)    1495   1715   2095   2445   2685                               48.3    3360    4780     6410
                     年龄(周pca) 33.0   34.0   35.0   36.0   36.6                                       40.1    47.7     56.1
女性  对照  9705-0004 体重(g)    1120   1290   1490   1660                                      28.3    2722    4085     5646
                     年龄(周pca) 31.3   32.3   33.3   34.0                                              39.7    46.6     55.0
女性  对照  9706-0003 体重(g)    1515   1673   1965   2330                                      37.9
                     年龄(周pca) 35.1   36.3   37.1   38.3
女性  对照  9706-0005 体重(g)    1485   1610   1805   2150                                      31.7    2740    4165     5305
                     年龄(周pca) 33.0   33.7   34.7   36.0                                              40.0    48.1     57.3
女性  对照  9706-0009 体重(g)    1525   1620   1960                                             31.6    3640    5495     7225
                     年龄(周pca) 32.3   32.9   34.3                                                     40.3    47.6     53.4
女性  对照  9706-0010 体重(g)    1905   2185                                                    56.0    3655    5390     6535
                     年龄(周pca) 34.3   35.0                                                            40.0    48.4     56.7
女性  对照  9706-0013 体重(g)    1185   1270   1585   1810                                      31.1    2680    3800
                     年龄(周pca) 31.6   32.4   33.6   34.6                                              40.1    48.4
女性  对照  9706-0016 体重(g)    1510   1765   1935                                             32.6    3320    4535     5297
                     年龄(周pca) 32.0   33.1   33.9                                                     40.7    48.7     56.6
女性  对照  9707-0003 体重(g)    1465   1505   1655   2010   2325   2765                        30.2    3110    4125     4995
                     年龄(周pca) 32.0   32.6   33.6   35.3   36.4   38.3                                40.1    48.1     57.1
女性  对照  9707-0006 体重(g)    1866   3430   3430                                             41.2    3430    5385     7250
                     年龄(周pca) 34.6   40.0   40.0                                                     40.0    48.9     57.3
女性  对照  9707-1006 体重(g)    1815   3330   3330                                             39.9    3330    5490     6920
                     年龄(周pca) 34.6   40.0   40.0                                                     40.0    48.9     57.3
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                             附录1
                                                                     统计学分析包括的重量表
                                                                                              生长速度
性别  方案  对象      变量       Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
女性  对照  9708-0001 体重(g)    1410   1600   1850   2050                                      27.2   2910     4734
                     年龄(周pca) 33.4   34.4   35.4   36.9                                             40.6     48.4
女性  对照  9708-0003 体重(g)    940.0  970.0                                                   4.3
                     年龄(周pca) 30.0   31.0
女性  对照  9708-0008 体重(g)    1380   1605   1860   2180                                      33.1   2582     4110     5361
                     年龄(周pca) 32.9   33.7   34.9   36.3                                             39.3     47.4     57.1
女性  对照  9709-0002 体重(g)    1980   2225   2400                                             30.0
                     年龄(周pca) 32.7   33.7   34.7
女性  对照  9709-0005 体重(g)    1175   1425   1665   l945   2200                               32.3   2975     4700     5900
                     年龄(周pca) 31.9   33.3   34.6   35.6   36.3                                      39.6     48.4     56.7
女性  对照  9712-0005 体重(g)    972.0  1145   1290   1490   1695                               25.6   2930     4450     5880
                     年龄(周pca) 29.1   30.1   31.1   32.1   33.1                                      40.3     47.6     57.1
女性  对照  9712-0006 体重(g)    1203   1358   1585   1790                                      28.4   3030     4560     6230
                     年龄(周pca) 31.9   32.9   33.9   34.9                                             39.7     48.0     57.0
女性  对照  9743-0003 体重(g)    1300   1520   1740   1890                                      24.0            4000     5160
                     年龄(周pca) 31.6   33.4   34.1   35.1                                                      48.4     57.4
女性  对照  9746-0001 体重(g)    1420   1740   2075   2320   2625                               42.7   3170     4145     5192
                     年龄(周pca) 32.6   33.6   34.6   35.6   36.6                                      39.7     47.6     56.6
女性  DHA  9698-0004 体重(g)     1410   1650   1890   2140                                      34.7   3787     4795     6291
                     年龄(周pca) 30.1   31.1   32.1   33.1                                             0.0      48.0     57.0
女性  DHA  9698-0006 体重(g)     1110   1240   1420   1720                                      28.7
                     年龄(周pca) 30.7   31.7   32.7   33.7
女性  DHA  9698-0009 体重(g)     1205   1310   1520   1630   2020                               25.9   2891     3979     5121
                    年龄(周pca) 30.3    31.4   32.4   33.1   34.9                                      40.0     48.0     57.0
女性  DHA  9698-0307 体重(g)    1790    2110   2450                                             29.7   3135     5185     6695
                    年龄(周pca) 34.4    35.7   37.6                                                    39.4     47.4     56.4
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                                  附录1
                                                                                统计学分析包括的重量表
                                                                                               生长速度
性别  方案  对象      变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
女性  DHA   9699-0002 体重(g)     1313   1477   1669   1929   2380                               36.9   3177     5787     7093
                      年龄(周pca) 32.9   33.9   34.9   35.9   36.9                                      39.7     47.7     56.7
女性  DHA   9700-0001 体重(g)     1580   1820   2050   2295   2500                               34.5   3210     5110     6300
                      年龄(周pca) 32.4   33.4   34.3   35.3   36.3                                      40.1     48.1     57.1
女性  DHA   9701-0001 体重(g)     1300   1356   1586   1924   2125                               34.2   2910     4325     5625
                      年龄(周pca) 33.0   34.0   35.0   36.0   36.6                                      39.6     48.0     57.0
女性  DHA   9701-0004 体重(g)     1108   1261   1441   1671   1897                               28.4   3020     4855     6040
                      年龄(周pca) 30.7   31.7   32.7   33.7   34.7                                      39.7     48.4     56.4
女性  DHA   9701-0012 体重(g)     1674   1928   2151   2311   2685   2685                        30.1   2685
                      年龄(周pca) 34.9   35.9   36.9   37.6   39.6   39.6                               39.6
女性  DHA   9701-0014 体重(g)     1422   1631   1858   2455                                      37.2   2970     4605     5140
                      年龄(周pca) 33.9   34.9   35.9   37.9                                             39.9     47.7     56.9
女性  DHA   9702-0001 体重(g)     1780   2115   2390   3000                                      35.8   3850     5610     6600
                      年龄(周pca) 31.6   32.9   33.9   36.4                                             40.0     49.6     57.0
女性  DHA   9702-0006 体重(g)     1850   2005   2650   2650                                      27.3   2650     4450     6020
                      年龄(周pca) 35.4   36.1   39.6   39.6                                             39.6     48.4     56.4
女性  DHA   9702-0007 体重(g)     1285   1459   1780   1965   2035                               29.6
                      年龄(周pca) 31.1   32.1   33.6   34.4   34.9
女性  DHA   9702-0008 体重(g)     1605   1930   3540   3540                                      51.3   3540     5920     7820
                      年龄(周pca) 34.1   35.1   39.6   39.6                                             39.6     47.6     57.1
女性  DHA   9703-0003 体重(g)     1255   1355   1535   1845   2150                               34.8   2430     4130     5010
                      年龄(周pca) 34.4   35.1   36.1   37.1   38.1                                      39.4     48.0     56.1
女性  DHA   9703-0004 体重(g)     1170   1340   1550   1795   2225                               33.9   2870     4610     6490
                      年龄(周pca) 32.6   33.3   34.3   35.3   37.0                                      39.4     48.1     57.1
女性  DHA   9703-0009 体重(g)     1570   1830   2095   2395   2655                               34.6   3160     4480     5570
                      年龄(周pca) 33.3   34.3   35.1   36.3   37.9                                      40.4     48.4      58.0
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                          附录1
                                                                 统计学分析包括的重量表
                                                                                              生长速度
性别  方案  对象      变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
女性  DHA   9704-0004 体重(g)     1440   1670   1740                                             30.5   3100     5830     8630
                      年龄(周pca) 33.6   34.6   35.0                                                    40.0     48.0     57.0
女性  DHA   9704-0005 体重(g)     1050   1310   1490   1700   1890                               30.0   3360     4860     6100
                      年龄(周pca) 29.7   30.9   31.7   32.7   33.7                                      39.6     48.0     57.0
女性  DHA   9705-0001 体重(g)     1220   1370   1590   1880   2098                               31.9   3092     4795     5986
                      年龄(周pca) 32.7   33.6   34.7   35.7   36.7                                      40.1     48.1     57.1
女性  DHA   9706-0006 体重(g)     1270   1405   1630   1930                                      31.7   2705     4145     5320
                      年龄(周pca) 33.0   33.7   34.7   36.0                                             40.0     48.1     57.3
女性  DHA   9706-0008 体重(g)     990.0  1188   1345   1485                                      23.0   2120
                      年龄(周pca) 33.4   34.6   35.7   36.4                                             39.9
女性  DHA   9706-0012 体重(g)     1610   1830   2130   2280                                      32.5   3530    4790
                     年龄(周)pca) 31.6   32.4   33.6   34.6                                             40.1    48.4
女性  DHA   9706-0014 体重(g)     1080   1170   1395   1560   1804                               26.2   3295    5600      7675
                      年龄(周pca) 31.3   32.6   33.4   34.4    35.3                                     40.6    49.4      58.0
女性  DHA   9707-0004 体重(g)     1635   1771   2850                                             38.1   3045    4595      5765
                      年龄(周pca) 34.0   35.0   38.7                                                    40.0    48.0      57.0
女性  DHA   9707-0308 体重(g)     2005   3440   3440                                             42.2   3440    4800      6360
                      年龄(周pca) 34.4   39.3   39.3                                                    39.3    47.3      57.7
女性  DHA   9708-0004 体重(g)     1460   1665   1955   2280   2485                               38.1
                      年龄(周pca) 32.6   33.6   34.6   35.6   36.6
女性  DHA   9708-0006 体重(g)     1485   1775   2110   2380                                      39.5   3010    4620      6530
                      年龄(周pca) 33.7   34.7   35.7   37.0                                             40.1    48.1      57.0
女性  DHA   9709-0001 体重(g)     1250   1490   1755   1970   2250   2520                        33.8   3500
                      年龄(周pca) 29.6   31.0   32.0   33.0   34.0   35.0                               40.1
女性  DHA   9709-0003 体重(g)     1540   1725   2015   2155                                      30.5   2580    4080      5420
                      年龄(周pca) 34.4   35.4   36.4   37.4                                             40.3    47.7      57.1
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                              附录1
                                                                     统计学分析包括的重量表
                                                                                                 生长速度
性别  方案  对象        变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
女性  DHA   9712-0001   体重(g)     987.0  1120   1270   1470   1685                               24.9   2940     3980     5250
                        年龄(周pca) 30.0   31.0   32.0   33.0   34.0                                      40.1     48.1     57.1
女性  DHA   9712-0002   体重(g)     1060   1230   1430                                             26.4
                        年龄(周pca) 32.7   33.7   34.7
女性  DHA   9712-0007   体重(g)     1082   1230   1440   1650                                      27.3   2425     4250     5340
                        年龄(周pca) 32.7   33.7   34.7   35.7                                             39.7     47.9     56.9
女性  DHA   9743-0001   体重(g)     1000   1170   1470   1800   1930                               33.5            4140     5400
                        年龄(周pca) 32.1   33.1   34.4   35.7   36.1                                               48.3     57.3
女性  DHA   9743-0002   体重(g)     1380   1570   1845   1975                                      29.7            4540     5160
                        年龄(周pca) 32.1   33.3   34.1   35.1                                                      48.4     57.4
女性  DHA+ARA 9698-0001 体重(g)     1550   1690   2000   2380                                      37.1   3530     5348     6582
                        年龄(周pca) 31.6   32.6   33.6   34.9                                             40.0     47.7     56.7
女性  DHA+ARA 9698-0002 体重(g)     1580   1870   2130   2260                                      31.8   3241
                        年龄(周pca) 32.6   33.7   34.6   35.7                                             40.7
女性  DHA+ARA 9699-0004 体重(g)     985.0  1122   1283   1536   1788                               28.9   3177     5107     6979
                        年龄(周pca) 31.0   32.0   33.0   34.0   35.0                                      41.3     48.3     57.3
女性  DHA+ARA 9699-0005 体重(g)     1330   1542   1688   2000   2330                               35.1   4029     6752     8341
                        年龄(周pca) 31.9   32.9   33.9   34.9   35.9                                      40.0     48.0     57.0
女性  DHA+ARA 9700-0002 体重(g)     1315   1525   1885   2035   2220   2480                        31.9   3340     4930     6420
                        年龄(周pca) 30.3   31.3   32.3   33.3   34.1   35.6                               40.3     48.1     57.1
女性  DHA+ARA 9701-0002 体重(g)     1398   1609   1887   2210   2420                               37.8   2930     5115     6525
                        年龄(周pca) 33.4   34.4   35.4   36.4   37.4                                      39.4     48.4     56.4
女性  DHA+ARA 9701-0006 体重(g)     1720   1859   2113   2456   2728                               38.3   3600     5045     6270
                        年龄(周pca) 32.3   33.3   34.3   35.3   36.1                                      40.3     48.0     57.3
女性  DHA+ARA 9701-0007 体重(g)     1469   1427   1590   1982   2227                               29.8   2680     493      6955
                        年龄(周pca) 33.7   34.9   35.7   36.7   37.7                                      39.9     47.9     56.9
*在生长速度计算中4个对象有9次称重,续表见下一页。
                                                                          附录1
                                                                     统计学分析包括的重量表
                                                                                                 生长速度
性别  方案    对象        变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40  Wgt_48  Wgt_57
女性  DHA+ARA 9701-0010   体重(g)     1488   1703   1978   2234   2433   2759                        34.6   3500    5545
                          年龄(周pca) 32.3   33.4   34.4   35.3   36.1   37.7                               41.1    48.4
女性  DHA+ARA 9701-0013   体重(g)     1841   2019                                                    35.6           4545    5550
                          年龄(周pca) 33.0   33.7                                                                   48.7    57.4
女性  DHA+ARA 9702-0003   体重(g)     1293   1488   1820   2155   2400                               39.9   4190    6220    7500
                          年龄(周pca) 30.1   31.1   32.1   33.4   34.1                                      40.0    48.4    56.9
女性  DHA+ARA 9702-0005   体重(g)     1895   2060   2300   2525   2710                               29.9   3025    4300    5340
                          年龄(周pca) 34.0   35.0   36.0   37.0   38.0                                      40.0    47.4    56.4
女性  DHA+ARA 9702-0009   体重(g)     1725   2000   2230   2595   2655                               40.9   2905    4680    6410
                          年龄(pca)   34.0   35.0   36.0   37.0   37.3                                      39.9    48.3    57.6
女性  DHA+ARA 9703-0001   体重(g)     1145   1255   1450   1680   1955                               28.9   3030    4250    5420
                          年龄(周pca) 31.3   32.1   33.1   34.3   35.3                                      41.0    48.1    57.3
女性  DHA+ARA 9703-0006   体重(g)     1865   2200   2560   2880                                      49.1   3600    5400    6650
                          年龄(周pca) 34.0   35.0   35.9   37.0                                             40.0    48.1    56.7
女性  DHA+ARA 9703-0007   体重(g)     1390   1495   1620   1880   2030   2240                        27.4   2850    4190    5850
                          年龄(周pca) 32.0   33.1   34.0   35.0   35.7   36.6                               40.0    47.9    56.7
女性  DHA+ARA 9704-0002   体重(g)     960.0  1090   1200   1370   1570   1780   2070                 26.7   3110    5150    6800
                          年龄(周pca) 29.0   30.0   30.9   31.9   32.9   33.9   34.9                        40.0    48.0    57.3
女性  DHA+ARA 9704-0003   体重(g)     1690   1840                                                    30.0   4000    5400    6640
                          年龄(周pca) 32.7   33.4                                                           40.0    48.0    57.0
女性  DHA+ARA 9705-0003   体重(g)     1760   2260   2500   2920                                      49.8   3376    5107    6894
                          年龄(周pca) 34.4   35.7   36.6   37.7                                             39.9    48.4    56.9
女性  DHA+ARA 9705-0005* 体重(g)     1075   1120   1185   1280   1310   1310   1265   1350   1380   22.1   2600    4000    5050
                          年龄(周pca) 31.1   31.4   31.7   32.1   32.4   32.7   33.0   33.3   33.4          40.4    48.0    57.0
女性  DHA+ARA 9706-0001   体重(g)     1290   1515   1685   2060                                      34.5   4100    6550    7655
                          年龄(周pca) 31.7   32.9   33.7   34.9                                             40.1    48.6    56.7
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                                  附录1
                                                                         统计学分析包括的重量表
                                                                                                  生长速度
性别  方案  对象         变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40  Wgt_48  Wgt_57
女性  DHA+ARA 9706-0002  体重(g)     1395   1710   1884   2275                                      34.8   2845     4645     5550
                         年龄(周pca) 31.9   33.0   33.9   35.4                                             40.3     48.9     57.3
女性  DHA+ARA 9706-0004  体重(g)     1550   1705   2050                                             36.1   2645     4225     4935
                         年龄(周pca) 36.7   37.6   38.7                                                    41.7     49.7     58.0
女性  DHA+ARA 9706-0007  体重(g)     1235   1490   1820   1930                                      34.3   2505
                         年龄(周pca) 33.4   34.6   35.7   36.4                                             40.3
女性  DHA+ARA 9706-0011  体重(g)     1900   2105                                                    41.0   3430     5175     6140
                         年龄(周pca) 34.3   35.0                                                           40.0     48.4     56.7
女性  DHA+ARA 9706-0015  体重(g)     1670   1975   2210                                             41.6   3005     4465     5810
                         年龄(周pca) 34.6   35.6   36.4                                                    40.9     48.4     57.6
女性  DHA+ARA 9706-0017  体重(g)     1465   1700   1895   2170                                      33.4
                         年龄(周pca) 32.3   33.4   34.3   35.3
女性  DHA+ARA 9707-0002  体重(g)     1775   2240   2385   2610                                      33.2
                         年龄(周pca) 34.3   36.0   36.9   37.9
女性  DHA+ARA 9708-0002  体重(g)     1535   1700   1980   2200                                      32.5   2724     4645     6315
                         年龄(周pca) 33.0   34.0   35.0   36.0                                             38.1     47.6     55.4
女性  DHA+ARA 97088-0005 体重(g)     1125   1345   1610   1980                                      40.4   3121     5855     7875
                         年龄(周pca) 32.4   33.4   34.4   35.4                                             39.4     47.4     57.4
女性  DHA+ARA 9708-0007  体重(g)     1200   1440   1680   1975                                      36.6
                         年龄(周pca) 31.3   32.3   33.3   34.3
女性  DHA+ARA 9709-0004  体重(g)     1350   1560   1885   2250   2475                               37.0   3295     5250     6685
                         年龄(周pca) 31.9   33.3   34.6   35.6   36.3                                      39.7     48.4     56.7
女性  DHA+ARA 9712-0003  体重(g)     1283   1410   1590   1850   2010                               27.1   2580     4130     5640
                         年龄(周pca  32.0   33.0   34.0   35.0   36.0                                      40.0     48.2     57.5
女性  DHA+ARA 9712-0004  体重(g)     1575   1780   1890   2080   2530                               29.7   3220     4920     6600
                         年龄(周pca) 33.0   34.0   34.6   35.6   37.6                                      40.3     48.1     57.1
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                           附录1
                                                                    统计学分析包括的重量表
                                                                                                 生长速度
性别  方案    对象      变量        Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40  Wgt_48  Wgt_57
女性  DHA+ARA 9712-0008 体重(g)     1590   1780   1990   2475                                      37.2   2960    4470    5760
                        年龄(周pca) 34.0   35.0   35.8   37.4                                             40.1    48.1    57.1
女性  DHA+ARA 9746-0002 体重(g)     1249   1429   1597   1814   2110                               30.1   2680    4010    5362
                        年龄(周pca) 32.7   33.7   34.7   35.7   36.7                                      39.9    46.9    56.9
女性  HM      9698-0501                                                                                   3546    4880
                                                                                                          40.0    48.3
女性  HM      9698-0502                                                                                   3518    5972
                                                                                                          40.0    47.9
女性  HM      9698-0503                                                                                   3390    4213    5319
                                                                                                          40.0    48.3    57.1
女性  HM      9698-0504                                                                                   3383    5234    6667
                                                                                                          40.0    48.7    57.9
女性  HM      9698-0505                                                                                   3646    4638    5653
                                                                                                          40.0    48.3    57.0
女性  HM      9699-0601                                                                                   2582    4766    5731
                                                                                                          40.0    49.0    57.0
女性  HM      9699-0602                                                                                   4284    4823    5986
                                                                                                          40.0    48.0    57.0
女性  HM      9699-0603                                                                                   3716    4482    5674
                                                                                                          40.0    47.7    56.7
女性  HM      9699-0604                                                                                   3660    4738    6355
                                                                                                          40.0    48.0    57.0
女性  HM      9699-0605                                                                                   3433    5617    7603
                                                                                                          40.0    48.4    57.6
女性  HM      9701-0501                                                                                   3884    5630    6450
                                                                                                          40.0    47.7    57.7
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                    附录1
                                                            统计学分析包括的重量表
                                                                                            生长速度
性别  方案  对象      变量     Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
女性  HM    9701-0502                                                                                3858     5420     6700
                                                                                                     40.0     48.6     57.6
女性  HM    9701-0503                                                                                3430     4265     5085
                                                                                                     40.0     47.4     57.4
女性  HM    9701-0504                                                                                3317     5020     6230
                                                                                                     40.0     48.1     57.1
女性  HM    9702-0501                                                                                3302     5540     6630
                                                                                                     40.0     47.7     56.7
女性  HM    9702-0502                                                                                2658     5310     6800
                                                                                                     40.0     47.4     57.1
女性  HM    9702-0503                                                                                2895     3430     4530
                                                                                                     40.0     47.7     57.4
女性  HM    9702-0504                                                                                3401     5390     6270
                                                                                                     40.0     48.0     57.4
女性  HM    9702-0505                                                                                3141     4210     5320
                                                                                                     40.0     47.9     57.0
女性  HM    9702-0506                                                                                3762     6040     7600
                                                                                                     40.0     48.9     57.7
女性  HM    9702-0507                                                                                2718     4050     4940
                                                                                                     40.0     48.9     57.4
女性  HM    9702-0508                                                                                2927     4240     5860
                                                                                                     40.0     47.4     57.0
女性  HM    9703-0501                                                                                4085     5260     6360
                                                                                                     40.0     48.1     57.1
女性  HM    9703-0505                                                                                3390     5760     7670
                                                                                                     40.0     48.3     57.3
*在生长速度计算中4个对象有9次称重、续表见下一页。
                                                                           附录1
                                                                     统计学分析包括的重量表
                                                                                             生长速度
性别  方案  对象       变量     Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
女性  HM    9703-0506                                                                                 3405     6170     7490
                                                                                                      40.0     47.9     56.9
女性  HM    9703-0507                                                                                 3085     5090     6550
                                                                                                      40.0     48.0     56.3
女性  HM    9704-0501                                                                                 3194     4700     5880
                                                                                                      40.0     48.1     57.4
女性  HM    9705-0501                                                                                 3120     4500     5702
                                                                                                      40.0     48.1     57.1
女性  HM    9705-0502                                                                                 4080     6327     7348
                                                                                                      40.0     48.3     57.3
女性  HM    9706-0501                                                                                 3396     5000     6645
                                                                                                      40.0     48.3     58.1
女性  HM    9706-0502                                                                                 3041     4315     5525
                                                                                                      40.0     47.7     57.6
女性  HM    9707-0501                                                                                 4653     5515     6770
                                                                                                      40.0     47.9     56.6
女性  HM    9707-0502                                                                                 3419     5500     7080
                                                                                                      40.0     48.0     57.1
女性  HM    9707-0503                                                                                 3773     5785     7675
                                                                                                      40.0     47.9     56.9
女性  HM    9707-0505                                                                                 3716
                                                                                                      40.0
女性  HM    9708-0501                                                                                 3688     5440     6890
                                                                                                      40.0     48.1     57.6
女性  HM    9708-0502                                                                                 3454     5192     5950
                                                                                                      40.0     48.1     57.4
*在生长速度计算中4个对象有9次称重,续表见下一页。
                                                                    附录1
                                                            统计学分析包括的重量表
                                                                                          生长速度
性别  方案  对象     变量    Wgt1   Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   g/天   Wgt_40   Wgt_48   Wgt_57
女性  HM    9708-0503                                                                              2977     5165     7040
                                                                                                   40.0     48.1     57.4
女性  HM    9708-0504                                                                              3864     5660     6705
                                                                                                   40.0     48.4     57.4
女性  HM    9708-0505                                                                              3831     5800     7435
                                                                                                   40.0     47.7     57.6
女性  HM    9709-0501                                                                              3550
                                                                                                   40.0
女性  HM    9709-0502                                                                              3715     5205    6100
                                                                                                   40.0     48.0    56.9
女性  HM    9709-0503                                                                              3195
                                                                                                   40.0
女性  HM    9709-0504                                                                              3190     4590
                                                                                                   40.0     48.3
女性  HM    9709-0506                                                                              3505     4500    5910
                                                                                                   40.0     48.0    57.1
*在生长速度计算中4个对象有9次称重,续表见下一页。
                                                       附录1
                                                 统计学分析包括的重量表
                                                                                                                                                                                    生长速度
性别     方案        对象       变量          Wgt1    Wgt2   Wgt3   Wgt4   Wgt5   Wgt6   Wgt7   Wgt8   Wgt9   Wgt10   Wgt11   Wgt12   Wgt13   Wgt14   Wgt15   Wg16   Wgt17   Wgt18   g/天
男性     对照        9712-0301  体重(g)       14245   1221   1245   1291   1294   1330   1369   1402   1433   1448    1465                                                           26.1
                                年龄(周pca)   31.6    31.7   31.9   32.0   32.1   32.3   32.4   32.6   32.7   32.9    33.0
男性      DNA        9707-0307  体重(g)       1649    1675   1699   1732   1778   1811   1858   1882   1938   1994    2030    2075                                                   39.6
                                年龄(周pca)   32.4    32.6   32.7   32.9   33.0   33.1   33.3   33.4   33.6   33.7    33.9    34.0
女性      对照       9698-0003  体重(g)       1020    1050   1070   1080   1080   1060   1080   1070                                                                                 5.6
                                年龄(周pca)   31.1    31.3   31.4   31.6   31.7   31.9   32.0   32.1
女性      DHA+ARA    9705-0005  体重(g)       1075    1120   1185   1280   1310   1310   1265   1350   1380  1440     1450    1510   1515    1565     1585    1640   1680   1670     22.1
4                               年龄(周pca)   31.1    31.4   31.7   32.1   32.4   32.7   33.0   33.3   33.4  33.7     33.9    34.0   34.1    34.3     34.4    34.6   34.7   34.9

Claims (9)

1.DHA和ARA在制备用于促进不足月婴儿身体生长的营养产品或营养添加物方面的用途,其中所述的DHA和ARA是以身体生长促进量使用的,包含含量为10mg/100kcal~50mg/100kcal的DHA和含量为30mg/100kcal~100mg/100kcal的ARA。
2.权利要求1的用途,其中DHA和ARA补充入不足月婴儿制剂中。
3.权利要求1的用途,其中ARA∶DHA的比例为1∶2至5∶1。
4.权利要求1的用途,其中ARA∶DHA的比例为1∶1至3∶1。
5。权利要求1的用途,其中ARA∶DHA的比例为2∶1。
6.用于促进不足月婴儿身体生长的婴儿制剂,其包含在所述的不足月婴儿制剂中包括身体生长促进量的DHA和ARA,包含含量为10mg/100kcal~50mg/100kcal的DHA和含量为30mg/100kcal~100mg/100kcal的ARA。
7.权利要求6的婴儿制剂,其中ARA∶DHA的比例为1∶2至5∶1。
8.权利要求6的婴儿制剂,其中ARA∶DHA的比例为1∶1至3∶1。
9.权利要求6的婴儿制剂,其中ARA∶DHA的比例为2∶1。
CNB988055694A 1997-03-27 1998-03-20 二十二碳六烯酸和花生四烯酸促进不足月婴儿生长的用途 Expired - Fee Related CN1191828C (zh)

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