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Published on: September 22, 2023
Early behaviour and development in breast-fed premature infants are influenced by omega-6 and omega-3 fatty acid
Cristina Lundqvist-Persson1, Gerd Lau, Per Nordin
1Skaraborg Institute, Skövde, Sweden. cristina.lundqvist-p@vgregion.se
Insights
Essential fatty acids (EFAs) impact infant brain development. Specific omega-6 fatty acids showed negative associations with early neurological development, while omega-3 fatty acids showed positive associations.
Area of Science:
- Neonatal development
- Nutritional neuroscience
- Developmental pediatrics
Background:
- Essential fatty acids (EFAs) are crucial for brain development.
- Preterm infants may have altered EFA metabolism.
- Understanding EFA's role in early neurodevelopment is vital.
Purpose of the Study:
- To examine the relationship between EFA concentrations in breast milk, maternal plasma, and infant plasma with early neurological development in preterm infants.
- To assess neurodevelopment at term and 44 weeks gestational age.
Main Methods:
- Study included 51 preterm infants and their mothers (median gestational age 34 weeks).
- Neurodevelopment assessed using General Movements (GMs), Brazelton Neonatal Behavioral Assessment Scale (BNBAS), and a Self-Regulation Scale.
- EFA concentrations measured in breast milk, maternal plasma, and infant plasma phospholipids.
Main Results:
- Higher concentrations of Mead acid and arachidonic acid (AA) in breast milk were negatively associated with motor and behavioral development scores.
- Increased linoleic acid in maternal plasma correlated with less improvement in infant orientation.
- Increased eicosapentaenoic acid (EPA) in infant plasma was linked to better autonomic stability.
Conclusions:
- Specific omega-6 fatty acids (Mead acid, AA) were negatively associated with early neurodevelopmental outcomes.
- Omega-3 fatty acids (EPA) showed positive associations with certain aspects of development.
- Maternal education and gestational age were stronger predictors of outcomes than infant or maternal morbidities.
Background:
The requirement of essential fatty acids (EFA) for the development of the brain is well documented.
Objective:
To investigate the early neurological development at term and 44 weeks gestational age in preterm infants in relation to EFA concentrations in breast milk and in infants' and mothers' plasma phospholipids.
Method:
Fifty-one premature infants and their mothers were consecutively included in the study. The median gestational age was 34 weeks (range 24-36). The motor quality, motor and behavioural development were assessed by General Movements (GMs), the Brazelton Neonatal Behavioral Assessment Scale (BNBAS) and a Self Regulation Scale.
Results:
Mother's education and gestational age correlated to several outcome variables. Multiple regression with correction for background factors showed negative associations between early breast milk concentrations of Mead acid and GMs and between AA and the BNBAS clusters Orientation and Range of States, respectively. Between 40 and 44 weeks gestational age, no expected increased scores were observed for Regulation of States, Range of States and Self Regulation. During the corresponding time, increased concentration of linoleic acid in mothers' plasma was negatively associated with improvement in Orientation and increased concentration of EPA in the infants' plasma was positively associated with improvement in Autonomic Stability.
Conclusions:
The major omega-6 fatty acids and Mead acid were negatively associated with early development and omega-3 fatty acids positively associated. Mother's education and the gestational age influenced the outcome more strongly than mother's and infant's morbidities. Further follow-up will elucidate the significance of these early findings.
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