Effects of LC-PUFA supply via complementary food on infant development-a food based intervention (RCT) embedded in a total diet concept.


Journal

European journal of clinical nutrition
ISSN: 1476-5640
Titre abrégé: Eur J Clin Nutr
Pays: England
ID NLM: 8804070

Informations de publication

Date de publication:
05 2020
Historique:
received: 03 04 2019
accepted: 20 07 2019
revised: 16 07 2019
pubmed: 7 8 2019
medline: 9 6 2021
entrez: 7 8 2019
Statut: ppublish

Résumé

With the introduction of complementary food, long-chain PUFA (LC-PUFA) supply usually decreases during the second 6 months of life. However, the need for LC-PUFA is still high for infant's rapid development. The aim of this randomized, controlled intervention trial was to examine the effects of an increased n-3 (LC-)PUFA supply using alternative complementary foods on infants' visual and cognitive development. Mother-child dyads of term infants were recruited in maternity hospitals and randomly assigned to one of three study groups, which all were fed according to the German dietary schedule for infant nutrition. Intervention group IG-R (n = 54) received jars of complementary food with rapeseed oil, IG-F (n = 48) jars with oily fish twice a week and the control group (CG, n = 58) the same jars as IG-R with corn oil instead of rapeseed oil during the intervention period (5th-10th month of age). The outcome measures were latencies of FVEP, Bayley's mental developmental index (MDI), and psychomotor developmental index (PDI). At 10 months of age, there were no significant differences in latencies of FVEP, Bayley's MDI, or in PDI index between the intervention and control groups. Fish and rapeseed oil used as (LC-)PUFA sources provided with complementary feeding embedded in a structured infant diet did not affect visual or cognitive development of term infants.

Sections du résumé

BACKGROUND
With the introduction of complementary food, long-chain PUFA (LC-PUFA) supply usually decreases during the second 6 months of life. However, the need for LC-PUFA is still high for infant's rapid development. The aim of this randomized, controlled intervention trial was to examine the effects of an increased n-3 (LC-)PUFA supply using alternative complementary foods on infants' visual and cognitive development.
METHODS
Mother-child dyads of term infants were recruited in maternity hospitals and randomly assigned to one of three study groups, which all were fed according to the German dietary schedule for infant nutrition. Intervention group IG-R (n = 54) received jars of complementary food with rapeseed oil, IG-F (n = 48) jars with oily fish twice a week and the control group (CG, n = 58) the same jars as IG-R with corn oil instead of rapeseed oil during the intervention period (5th-10th month of age). The outcome measures were latencies of FVEP, Bayley's mental developmental index (MDI), and psychomotor developmental index (PDI).
RESULTS
At 10 months of age, there were no significant differences in latencies of FVEP, Bayley's MDI, or in PDI index between the intervention and control groups.
CONCLUSIONS
Fish and rapeseed oil used as (LC-)PUFA sources provided with complementary feeding embedded in a structured infant diet did not affect visual or cognitive development of term infants.

Identifiants

pubmed: 31383978
doi: 10.1038/s41430-019-0491-0
pii: 10.1038/s41430-019-0491-0
doi:

Substances chimiques

Fatty Acids, Unsaturated 0
Rapeseed Oil 0
Corn Oil 8001-30-7

Types de publication

Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

682-690

Subventions

Organisme : Bundesministerium für Bildung und Forschung (Federal Ministry of Education and Research)
ID : 01EA1335A
Pays : International
Organisme : Bundesministerium für Bildung, Wissenschaft, Forschung und Technologie (Federal Ministry for Education, Science, Research and Technology)
ID : 01EA1335A
Pays : International

Références

Agostoni C. Role of long-chain polyunsaturated fatty acids in the first year of life. J Pediatr Gastroenterol Nutr. 2008;47:41–44.
doi: 10.1097/01.mpg.0000338811.52062.b2
Koletzko B, Boey CCM, Campoy C, Carlson SE, Chang N, Guillermo-Tuazon MA, et al. Current information and Asian perspectives on long-chain polyunsaturated fatty acids in pregnancy, lactation, and infancy: systematic review and practice recommendations from an early nutrition academy workshop. Ann Nutr Metab. 2014;65:49–80.
doi: 10.1159/000365767
Koletzko B, Lien E, Agostoni C, Bohles H, Campoy C, Cetin I, et al. The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations. J Perinat Med. 2008;36:5–14.
pubmed: 18184094
Martinez M. Tissue levels of polyunsaturated fatty acids during early human development. J Pediatr. 1992;120(4 Pt 2):129–38.
doi: 10.1016/S0022-3476(05)81247-8
Lauritzen L, Hansen HS, Jorgensen MH, Michaelsen KF. The essentiality of long chain n-3 fatty acids in relation to development and function of the brain and retina. Prog Lipid Res. 2001;40:1–94.
doi: 10.1016/S0163-7827(00)00017-5
Simmer K, Patole SK, Rao SC. Cochrane Database Syst Rev. 2011;7:CD000376 https://doi.org/10.1002/14651858.CD000376.pub3.Review .
Qawasmi A, Landeros-Weisenberger A, Bloch MH. Meta-analysis of LCPUFA supplementation of infant formula and visual acuity. Pediatrics. 2013;131:e262–72.
doi: 10.1542/peds.2012-0517
Qawasmi A, Landeros-Weisenberger A, Leckman JF, Bloch MH. Meta-analysis of long-chain polyunsaturated fatty acid supplementation of formula and infant cognition. Pediatrics. 2012;129:1141–9.
doi: 10.1542/peds.2011-2127
Kuratko CN, Barrett EC, Nelson EB, Salem NJR. The relationship of docosahexaenoic acid (DHA) with learning and behavior in healthy children: a review. Nutrients. 2013;5:2777–810.
doi: 10.3390/nu5072777
Gould JF, Smithers LG, Makrides M. The effect of maternal omega-3 (n-3) LCPUFA supplementation during pregnancy on early childhood cognitive and visual development: a systematic review and meta-analysis of randomized controlled trials. Am J Clin Nutr. 2013;97:531–44.
doi: 10.3945/ajcn.112.045781
EFSA Panel on Dietetic Products, Nutrition and Allergies (EFSA NDA Panel). Scientific Opinion on health benefits of seafood (fish and shellfish) consumption in relation to health risks associated with exposure to methylmercury. EFSA J. 2014;12:80.
Campoy C, Escolano-Margarit MV, Anjos T, Szajewska H, Uauy R. Omega 3 fatty acids on child growth, visual acuity and neurodevelopment. Br J Nutr. 2012;107(Suppl 2):85–106.
doi: 10.1017/S0007114512001493
Beyerlein A, Hadders-Algra M, Kennedy K, Fewtrell M, Singhal A, Rosenfeld E, et al. Infant formula supplementation with long-chain polyunsaturated fatty acids has no effect on Bayley developmental scores at 18 months of age–IPD meta-analysis of 4 large clinical trials. J Pediatr Gastroenterol Nutr. 2010;50:79–84.
doi: 10.1097/MPG.0b013e3181acae7d
Martinez M, Ballabriga A, Gil-Gibernau JJ. Lipids of the developing human retina: I. Total fatty acids, plasmalogens, and fatty acid composition of ethanolamine and choline phosphoglycerides. J Neurosci Res. 1988;20:484–90.
doi: 10.1002/jnr.490200412
Schwartz J, Drossard C, Dube K, Kannenberg F, Kunz C, Kalhoff H, et al. Dietary intake and plasma concentrations of PUFA and LC-PUFA in breastfed and formula fed infants under real-life conditions. Eur J Nutr. 2010;49:189–95.
doi: 10.1007/s00394-009-0067-1
Jackson KA, Gibson RA. Weaning foods cannot replace breast milk as sources of long-chain polyunsaturated fatty acids. Am J Clin Nutr. 1989;50:980–2.
doi: 10.1093/ajcn/50.5.980
Hoffman DR, Theuer RC, Castaneda YS, Wheaton DH, Bosworth RG, O’Connor AR, et al. Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk. J Nutr. 2004;134:2307–13.
doi: 10.1093/jn/134.9.2307
Makrides M, Hawkes JS, Neumann MA, Gibson RA. Nutritional effect of including egg yolk in the weaning diet of breast-fed and formula-fed infants: a randomized controlled trial. Am J Clin Nutr. 2002;75:1084–92.
doi: 10.1093/ajcn/75.6.1084
Schwartz J, Dube K, Sichert-Hellert W, Kannenberg F, Kunz C, Kalhoff H, et al. Modification of dietary polyunsaturated fatty acids via complementary food enhances n-3 long-chain polyunsaturated fatty acid synthesis in healthy infants: a double blinded randomised controlled trial. Arch Dis Child. 2009;94:876–82.
doi: 10.1136/adc.2008.146027
Libuda L, Mesch CM, Stimming M, Demmelmair H, Koletzko B, Warschburger P, et al. Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial. Eur J Nutr. 2016;55:1633–44.
doi: 10.1007/s00394-015-0982-2
Mesch C, Stimming M, Wagner A, Libuda L, Kersting M. Recruitment of mothers with infants in an intervention trial – initial findings from the PINGU-study. PINGU—multimodal optimisation of dietary supply of infants with polyunsaturated fatty acids in complimentary food: background and project structure. Ernaehrungs Umsch Int. 2013;60:110–5.
Hilbig A, Lentze MJ, Kersting M. Einführung und Zusammensetzung der Beikost. Monatsschrift Kinderheilkd. 2012;160:1089–95.
doi: 10.1007/s00112-012-2638-0
Birch EE, Garfield S, Castaneda Y, Hughbanks-Wheaton D, Uauy R, Hoffman D. Visual acuity and cognitive outcomes at 4 years of age in a double-blind, randomized trial of long-chain polyunsaturated fatty acid-supplemented infant formula. Early Hum Dev. 2007;83:279–84.
doi: 10.1016/j.earlhumdev.2006.11.003
Janssen C, Kiliaan AJ. Long-chain polyunsaturated fatty acids (LCPUFA) from genesis to senescence: the influence of LCPUFA on neural development, aging, and neurodegeneration. Prog Lipid Res. 2014;53:1–17.
doi: 10.1016/j.plipres.2013.10.002
Koletzko B, Bauer C-P, Cierpka M, Cremer M, Flothkötter M, Graf C, et al. Ernährung und Bewegung von Säuglingen und stillenden Frauen: Aktualisierte Handlungsempfehlungen von “Gesund ins Leben—Netzwerk Junge Familie”, eine Initiative von IN FORM. Monatsschrift Kinderheilkd. 2016;164:765–89.
doi: 10.1007/s00112-016-0173-0
Khedr EMH, Farghaly WMA, Amry S, Osman AAA. Neural maturation of breastfed and formula-fed infants. Acta Paediatr. 2004;93:734–8.
doi: 10.1111/j.1651-2227.2004.tb03011.x
Reuner G, Rosenkranz J, Pietz J, Horn R. Manual for the Bayley Scales of Infant Development. 2nd ed. Goettingen, Germany: Hogrefe Verlag GmbH & Co. KG; 2008.
Hurtado JA, Iznaola C, Peña M, Ruíz J, Peña-Quintana L, Kajarabille N, et al. Effects of maternal Ω-3 supplementation on fatty acids and on visual and cognitive development. J Pediatr Gastroenterol Nutr. 2015;61:472–80.
doi: 10.1097/MPG.0000000000000864
Hoffman DR, Boettcher JA, Diersen-Schade DA. Toward optimizing vision and cognition in term infants by dietary docosahexaenoic and arachidonic acid supplementation: a review of randomized controlled trials. Prostaglandins Leukot Essent Fatty Acids. 2009;8:151–8.
doi: 10.1016/j.plefa.2009.05.003
Auestad N, Scott DT, Janowsky JS, Jacobsen C, Carroll RE, Montalto MB, et al. 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. Pediatrics. 2003;112:e177–83.
doi: 10.1542/peds.112.3.e177
Jacques C, Levy E, Muckle G, Jacobson SW, Bastien C, Dewailly E, et al. Long-term effects of prenatal omega-3 fatty acid intake on visual function in school-age children. J Pediatr. 2011;158:83–90, 90.e1.
doi: 10.1016/j.jpeds.2010.06.056
Keim SA, Boone KM, Klebanoff MA, Turner AN, Rausch J, et al. Effect of docosahexaenoic acid supplementation vs placebo on developmental outcomes of toddlers born preterm-a randomized clinical trial. JAMA Pediatr. 2018;172:1126–34.
doi: 10.1001/jamapediatrics.2018.3082
American Clinical Neurophysiology Society (ACNS). ACNS 2006 Guidelines: Guideline 9B: guidelines on visual evoked potentials. Am J Electron Technol. 2006;46:254–74.
Meldrum SJ, Smith MA, Prescott SL, Hird K, Simmer K. Achieving definitive results in long-chain polyunsaturated fatty acid supplementation trials of term infants: factors for consideration. Nutr Rev. 2011;69:205–14.
doi: 10.1111/j.1753-4887.2011.00381.x
Colombo J, Carlson SE. Is the measure the message: the BSID and nutritional interventions. Pediatrics. 2012;129:1166–7.
doi: 10.1542/peds.2012-0934
Cheatham CL, Colombo J, Carlson SE. N-3 fatty acids and cognitive and visual acuity development: methodologic and conceptual considerations. Am J Clin Nutr. 2006;83:1458–66.
doi: 10.1093/ajcn/83.6.1458S
Szajewska H. The role of meta-analysis in the evaluation of the effects of early nutrition on mental and motor development in children. Am J Clin Nutr. 2011;94:1889–95.
doi: 10.3945/ajcn.110.000653
Georgieff MK, Innis SM. Controversial nutrients that potentially affect preterm neurodevelopment: essential fatty acids and iron. Pediatr Res. 2005;57:99R–103R.
doi: 10.1203/01.PDR.0000160542.69840.0F
Anderson JW, Johnstone BM, Remley DT. Breast-feeding and cognitive development: a meta-analysis. Am J Clin Nutr. 1999;70:525–35.
doi: 10.1093/ajcn/70.4.525
Mesch CM, Stimming M, Foterek K, Hilbig A, Alexy U, Kersting M, et al. Food variety in commercial and homemade complementary meals for infants in Germany. Market survey and dietary practice. Appetite. 2014;76:113–9.
doi: 10.1016/j.appet.2014.01.074
Stimming M, Mesch CM, Kersting M, Libuda L. Fish and rapeseed oil consumption in infants and mothers: dietary habits and determinants in a nationwide sample in Germany. Eur J Nutr. 2015;54:1069–80.
doi: 10.1007/s00394-014-0784-y

Auteurs

Hermann Kalhoff (H)

Pediatric Clinic Dortmund, Dortmund, Germany. hermann.kalhoff@klinikumdo.de.

Christina M Mesch (CM)

Research Department of Child Nutrition (FKE), Pediatric University Clinic, Ruhr University, Bochum, Germany.

Madlen Stimming (M)

Research Department of Child Nutrition (FKE), Pediatric University Clinic, Ruhr University, Bochum, Germany.

Andreas Israel (A)

Neurological Clinic, Lüdenscheid, Germany.

Christoph Spitzer (C)

Klinikum Arnsberg, Arnsberg, Germany.

Latifa Beganovic (L)

Pediatric Clinic Dortmund, Dortmund, Germany.

Rocio Estella Perez (RE)

Pediatric Clinic Dortmund, Dortmund, Germany.

Berthold Koletzko (B)

LMU-Ludwig-Maximilians-Universität Munich, Dr. von Hauner Children's Hospital, University of Munich Medical Centre, Munich, Germany.

Petra Warschburger (P)

Department Psychology, Potsdam University, Potsdam, Germany.

Mathilde Kersting (M)

Research Department of Child Nutrition (FKE), Pediatric University Clinic, Ruhr University, Bochum, Germany.

Lars Libuda (L)

Research Department of Child Nutrition (FKE), Pediatric University Clinic, Ruhr University, Bochum, Germany.
Department of Child and Adolescent Psychiatry, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

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