Role of long-chain polyunsaturated fatty acids in neurodevelopment and growth

Maria Makrides1, Lisa G Smithers, Robert A Gibson

  • 1Women's and Children's Health Research Institute and University of Adelaide, S.A., Australia.

Insights

Docosahexaenoic acid (DHA) supplementation is safe for all infants. While developmental benefits are not consistently seen in term infants, preterm infants show improved outcomes due to higher DHA needs during critical growth periods.

Area of Science:

  • Nutritional Science
  • Developmental Pediatrics
  • Maternal-Fetal Medicine

Background:

  • Docosahexaenoic acid (DHA), an n-3 long-chain polyunsaturated fatty acid (LCPUFA), is crucial for infant growth and development.
  • Extensive research, including numerous randomized controlled trials (RCTs), has evaluated DHA supplementation in infant formulas and during pregnancy/lactation.

Purpose of the Study:

  • To review the existing literature on the effects of DHA supplementation on infant growth and development.
  • To identify specific infant populations that may benefit most from DHA supplementation.
  • To highlight emerging research directions in optimizing DHA supplementation strategies.

Main Methods:

  • Systematic review of published randomized controlled trials (RCTs) up to 2009.
  • Analysis of studies involving preterm infants, term infants, and supplementation during pregnancy/lactation.
  • Synthesis of findings regarding safety and developmental outcomes.

Main Results:

  • Dietary LCPUFA supplementation, including DHA, has demonstrated no harm in both preterm and term infants.
  • Developmental benefits from DHA supplementation are more consistently observed in preterm infants.
  • Preterm infants are at higher risk of DHA deficiency due to missed in-utero accumulation during the third trimester.

Conclusions:

  • DHA supplementation is safe for infants, regardless of gestational age.
  • Preterm infants represent a key population benefiting from DHA supplementation due to critical neurodevelopmental needs.
  • Future research should focus on determining optimal DHA dosage and timing for infants, particularly preterm infants.

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