Docosahexaenoic acid (DHA): From the maternal-foetal dyad to the complementary feeding period

被引:17
作者
Agostoni, Carlo [1 ]
机构
[1] Univ Milan, Fdn IRCCS, Osped Granda, Dept Maternal & Pediat Sci, I-20122 Milan, Italy
关键词
Long-chain polyunsaturated fatty acids; Docosahexaenoic acid; Infant feeding; Human milk; Neurodevelopment; Visual function; POLYUNSATURATED FATTY-ACIDS; RANDOMIZED CONTROLLED-TRIAL; FISH-OIL SUPPLEMENTATION; HEALTHY TERM INFANTS; VISUAL-ACUITY; DEVELOPMENTAL QUOTIENT; FUNCTIONAL FOOD; DOUBLE-BLIND; FED FORMULAS; HUMAN-MILK;
D O I
10.1016/j.earlhumdev.2010.01.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The docosahexaenoic acid (DHA, C22:6n-3) status of infants at birth and maternal DHA intake during pregnancy are interconnected and associated with infants' developmental performance. High-dosage supplementation of long-chain polyunsaturated fatty acids (LCPUFAs: particularly DHA) in mothers, started at mid-pregnancy, has been associated with long-term positive effects on intelligence quotient scores of neurodevelopment. Poor maternal and infant DHA status could partly contribute to the observed association between certain conditions and impaired developmental outcome. The dietary DHA enrichment of human milk seems to be functionally effective in breastfed infants only when lactating mothers start supplementation during pregnancy. Results from trials in artificially fed infants are dissimilar and could be related in part to uninvestigated covariates such as infant DHA status at birth and the individual genetic background. Nevertheless. DHA supplementation during the complementary feeding period seems to be effective in improving neurofunctional and visual performance. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:S3 / S6
页数:4
相关论文
共 41 条
[1]   Developmental quotient at 24 months and fatty acid composition of diet in early infancy: A follow up study [J].
Agostoni, C ;
Trojan, S ;
Bellu, R ;
Riva, E ;
Bruzzese, MG ;
Giovannini, M .
ARCHIVES OF DISEASE IN CHILDHOOD, 1997, 76 (05) :421-424
[2]   DOCOSAHEXAENOIC ACID STATUS AND DEVELOPMENTAL QUOTIENT OF HEALTHY TERM INFANTS [J].
AGOSTONI, C ;
RIVA, E ;
TROJAN, S ;
BELLU, R ;
GIOVANNINI, M .
LANCET, 1995, 346 (8975) :638-638
[3]   NEURODEVELOPMENTAL QUOTIENT OF HEALTHY TERM INFANTS AT 4 MONTHS AND FEEDING PRACTICE - THE ROLE OF LONG-CHAIN POLYUNSATURATED FATTY-ACIDS [J].
AGOSTONI, C ;
TROJAN, S ;
BELLU, R ;
GIOVANNINI, M .
PEDIATRIC RESEARCH, 1995, 38 (02) :262-266
[4]   Docosahexaenoic acid supplementation and time at achievement of gross motor milestones in healthy infants: a randomized, prospective, double-blind, placebo-controlled trial [J].
Agostoni, Carlo ;
Zuccotti, Gian Vincenzo ;
Radaelli, Giovanni ;
Besana, Roberto ;
Podesta, Alberto ;
Sterpa, Andrea ;
Rottoli, Amilcare ;
Riva, Enrica ;
Giovannini, Marcello .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2009, 89 (01) :64-70
[5]   Visual acuity, erythrocyte fatty acid composition, and growth in term infants fed formulas with long chain polyunsaturated fatty acids for one year [J].
Auestad, N ;
Montalto, MB ;
Hall, RT ;
Fitzgerald, KM ;
Wheeler, RE ;
Connor, WE ;
Neuringer, M ;
Connor, SL ;
Taylor, JA ;
Hartmann, EE .
PEDIATRIC RESEARCH, 1997, 41 (01) :1-10
[6]   Visual, cognitive, and language assessments at 39 months: A follow-up study of children fed formulas containing long-chain polyunsaturated fatty acids to 1 year of age [J].
Auestad, N ;
Scott, DT ;
Janowsky, JS ;
Jacobsen, C ;
Carroll, RE ;
Montalto, MB ;
Halter, R ;
Qiu, W ;
Jacobs, JR ;
Connor, WE ;
Connor, SL ;
Taylor, JA ;
Neuringer, M ;
Fitzgerald, KM ;
Hall, RT .
PEDIATRICS, 2003, 112 (03) :E177-E183
[7]   Growth and development in term infants fed long-chain polyunsaturated fatty acids: A double-masked, randomized, parallel, prospective, multivariate study [J].
Auestad, N ;
Halter, R ;
Hall, RT ;
Blatter, M ;
Bogle, ML ;
Burks, W ;
Erickson, JR ;
Fitzgerald, KM ;
Dobson, V ;
Innis, SM ;
Singer, LT ;
Montalto, MB ;
Jacobs, JR ;
Qiu, WZ ;
Bornstein, MH .
PEDIATRICS, 2001, 108 (02) :372-381
[8]  
Ben XM, 2004, CHINESE MED J-PEKING, V117, P1268
[9]   Visual maturation of term infants fed long-chain polyunsaturated fatty acid-supplemented or control formula for 12 mo [J].
Birch, EE ;
Castañeda, YS ;
Wheaton, DH ;
Birch, DG ;
Uauy, RD ;
Hoffman, DR .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 2005, 81 (04) :871-879
[10]   A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants [J].
Birch, EE ;
Garfield, S ;
Hoffman, DR ;
Uauy, R ;
Birch, DG .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2000, 42 (03) :174-181