Long chain polyunsaturated fatty acids in mothers of preterm babies

Anitha S Kilari1, Savita S Mehendale, Kamini D Dangat

  • 1Department of Nutritional Medicine, Interactive Research School for Health Affairs, Bharati Vidyapeeth University, Pune 411043, India.

Insights

Maternal docosahexaenoic acid (DHA) and arachidonic acid (AA) levels are linked to higher concentrations in preterm infants, suggesting a crucial role for maternal nutrition and breast milk in infant development.

Area of Science:

  • Biochemistry
  • Neonatal Nutrition
  • Maternal-Fetal Medicine

Background:

  • Docosahexaenoic acid (DHA) and arachidonic acid (AA) are vital long-chain polyunsaturated fatty acids (LC-PUFAs) for fetal and neonatal development.
  • Preterm birth is associated with altered nutrient transfer and increased demands for essential fatty acids.
  • Understanding maternal-fetal and maternal-infant transfer of DHA and AA is crucial for optimizing preterm infant outcomes.

Purpose of the Study:

  • To investigate the levels of DHA and AA in maternal plasma, cord blood plasma, maternal erythrocytes, and breast milk of mothers delivering preterm infants.
  • To explore the associations between maternal and cord blood levels of DHA and AA.
  • To examine the relationship between maternal fatty acid levels and their presence in breast milk.

Main Methods:

  • A cohort of 63 mothers delivering preterm infants was recruited.
  • Plasma and erythrocyte levels of DHA and AA were measured in mothers and their newborns.
  • Breast milk fatty acid composition was analyzed.

Main Results:

  • Cord blood DHA and AA levels were significantly higher than maternal blood levels.
  • Maternal plasma and erythrocyte DHA/AA levels showed positive correlations.
  • Maternal DHA levels (plasma and erythrocyte) were positively associated with cord blood DHA levels.
  • Maternal plasma omega-3 and omega-6 fatty acids correlated positively with corresponding fatty acids in breast milk.

Conclusions:

  • Elevated fetal DHA and AA levels indicate a specific mechanism to meet fetal demands.
  • Higher DHA in breast milk suggests its importance for preterm infants' postnatal requirements.
  • Lower maternal erythrocyte DHA in preterm delivery cases may be linked to oxidative stress, potentially influencing labor onset.
Abstract

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