Three-year tracking of fatty acid composition of plasma phospholipids in healthy children
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Published on: April 17, 2018
António Guerra1, Hans Demmelmair, André Michael Toschke
1Department of Paediatrics, H.S. João Faculty of Medicine, University of Porto, Porto, Portugal.
Insights
Plasma phospholipid fatty acid composition in children shows some tracking over time, particularly for n-6 long-chain polyunsaturated fatty acids (LC-PUFA). This suggests individual metabolism influences fatty acid levels, impacting pediatric nutrition and health assessments.
Area of Science:
- Pediatric Nutrition
- Biochemistry
- Longitudinal Health Studies
Background:
- Plasma phospholipid fatty acid composition reflects dietary intake and endogenous metabolism.
- Understanding fatty acid tracking in children is crucial for assessing nutritional status and health risks.
- Previous research has explored fatty acid profiles, but longitudinal tracking in early childhood requires further investigation.
Purpose of the Study:
- To investigate the longitudinal tracking of plasma phospholipid fatty acid composition in healthy children from birth to 5 years of age.
- To determine if specific fatty acid ratios and long-chain polyunsaturated fatty acids (LC-PUFA) show consistent patterns over time.
- To explore the relationship between dietary fatty acid intake, plasma phospholipid fatty acids, and anthropometric measurements in children.
Main Methods:
- A prospective cohort study involving 26 healthy children enrolled at birth.
- Data collection at 24, 36, and 60 months, including 24-hour dietary recalls, anthropometric measurements, and blood sampling.
- Analysis of plasma phospholipid fatty acid composition using gas chromatography.
Main Results:
- Dietary intake of saturated, monounsaturated, and polyunsaturated fatty acids did not correlate across the time points.
- Plasma levels of monounsaturated fatty acids (MUFA) and the MUFA/saturated fatty acid (SFA) ratio decreased from 24 to 60 months.
- Significant tracking was observed for n-6 long-chain polyunsaturated fatty acids (LC-PUFA), the n-6/n-3 LC-PUFA ratio, and the arachidonic acid/linoleic acid ratio.
Conclusions:
- Plasma phospholipid fatty acid composition exhibits partial tracking in children, particularly for specific n-6 LC-PUFA and related ratios.
- Individual endogenous fatty acid metabolism appears to influence plasma concentrations of certain fatty acids.
- These findings highlight the importance of considering individual metabolic factors in pediatric nutrition and health monitoring.
Objectives:
The fatty acid composition of plasma phospholipids reflects the dietary fatty acid intake as well as endogenous turnover. We aimed at investigating the potential tracking of plasma phospholipid fatty acid composition in children that participated in a prospective cohort study.
Methods:
26 healthy children participated in a longitudinal study on health risks and had been enrolled after birth. All children were born at term with birth weights appropriate for gestational age. Follow-up took place at ages 24, 36 and 60 months. At each time point a 24-hour dietary recall was obtained, anthropometric parameters were measured and a blood sample for phospholipid fatty acid analysis was taken.
Results:
Dietary intake of saturated (SFA), monounsaturated (MUFA) and polyunsaturated (PUFA) fatty acids at the three time points were not correlated. We found lower values for plasma MUFA and the MUFA/SFA ratio at 60 months compared to 24 months. In contrast, total PUFA, total n-6 and n-6 long-chain polyunsaturated fatty acids (LC-PUFA) were higher at 60 months. Significant averaged correlation coefficients (average of Pearson's R for 24 versus 36 months and 36 versus 60 months) were found for n-6 LC-PUFA (r = 0.67), n-6/n-3 LC-PUFA ratio (r = 0.59) and arachidonic acid/linoleic acid ratio (r = 0.64). Partial tracking was found for the docosahexaenoic acid/alpha-linolenic acid ratio (r = 0.33). Body mass index and sum of skinfolds Z-scores were similar in the three evaluations.
Conclusions:
A significant tracking of n-6 LC-PUFA, n-6 LC-PUFA/n-3 LC-PUFA ratio, arachidonic acid/linoleic acid ratio and docosahexaenoic acid/alpha-linolenic acid ratio may reflect an influence of individual endogenous fatty acid metabolism on plasma concentrations of some, but not all, fatty acids.
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