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The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations

Koletzko, Berthold ; Lien, Eric ; Agostoni, Carlo ; Böhles, Hansjosef ; Campoy, Cristina ; Cetin, Irene ; Decsi, Tamas ; Dudenhausen, Joachim W. ; Dupont, Cristophe ; Forsyth, Stewart ; Hoesli, Irene ; Holzgreve, Wolfgang ; Lapillonne, Alexandre ; Putet, Guy ; Secher, Niels J. ; Symonds, Mike ; Szajewska, Hania ; Willatts, Peter ; Uauy, Ricardo

In: Journal of Perinatal Medicine, 2008, vol. 36, no. 1, p. 5-14

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    Titre
    • The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations
    Auteur
    • Koletzko, Berthold. Department of Pediatrics, University of Munich, Germany
    • Lien, Eric. Department of Food Science and Human Nutrition, University of Illinois, Urbana, USA
    • Agostoni, Carlo. Department of Pediatrics, San Paolo Hospital, University of Milan, Italy
    • Böhles, Hansjosef. Department of Pediatrics, University of Frankfurt, Germany
    • Campoy, Cristina. Department of Pediatrics, University of Granada, Spain
    • Cetin, Irene. Department of Gynecology and Obstetrics, IRCCS Policlinico, Mangiagalli and Regina Elena, University of Milan, Italy
    • Decsi, Tamas. University of Pecs, Pecs, Hungary
    • Dudenhausen, Joachim W.. Department of Obstetrics, Charité-Universitätsmedizin Berlin, Germany
    • Dupont, Cristophe. Hopital St Vincent de Paul, Paris, France
    • Forsyth, Stewart. Department of Pediatrics, Ninewells Hospital and Medical School, Dundee, UK
    • Hoesli, Irene. Department of Gynecology and Obstetrics, University of Basel, Switzerland
    • Holzgreve, Wolfgang. Department of Gynecology and Obstetrics, University of Basel, Switzerland
    • Lapillonne, Alexandre. Rene Descartes Paris 5 University, Paris, France and Baylor College of Medicine, Houston, Texas, USA
    • Putet, Guy. Department of Pediatrics, Hôpital de la Croix Rousse, Lyon, France
    • Secher, Niels J.. Department of Gynecology and Obstetrics, Hvidovre Hospital, Hvidore, Denmark
    • Symonds, Mike. Academic Division of Child Health, Center for Reproduction and Early Life, University of Nottingham, UK
    • Szajewska, Hania. Department of Pediatrics, The Medical University of Warsaw, Warsaw, Poland
    • Willatts, Peter. School of Psychology, University of Dundee, UK
    • Uauy, Ricardo. Department of Human Nutrition, University of Chile, Santiago, Chile, and London School of Hygiene and Tropical Medicine, London, UK
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Journal of Perinatal Medicine, 2008, vol. 36, no. 1, p. 5-14. Walter de Gruyter
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:289635
    Summary
    This paper reviews current knowledge on the role of the long-chain polyunsaturated fatty acids (LC-PUFA), docosahexaenoic acid (DHA, C22:6n-3) and arachidonic acid (AA, 20:4n-6), in maternal and term infant nutrition as well as infant development. Consensus recommendations and practice guidelines for health-care providers supported by the World Association of Perinatal Medicine, the Early Nutrition Academy, and the Child Health Foundation are provided. The fetus and neonate should receive LC-PUFA in amounts sufficient to support optimal visual and cognitive development. Moreover, the consumption of oils rich in n-3 LC-PUFA during pregnancy reduces the risk for early premature birth. Pregnant and lactating women should aim to achieve an average daily intake of at least 200mg DHA. For healthy term infants, we recommend and fully endorse breastfeeding, which supplies preformed LC-PUFA, as the preferred method of feeding. When breastfeeding is not possible, we recommend use of an infant formula providing DHA at levels between 0.2 and 0.5 weight percent of total fat, and with the minimum amount of AA equivalent to the contents of DHA. Dietary LC-PUFA supply should continue after the first six months of life, but currently there is not sufficient information for quantitative recommendations