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Quantitative Determination of De Novo Fatty Acid Synthesis in Brown Adipose Tissue Using Deuterium Oxide
Published on: May 12, 2023
The role of dietary fatty acids for early human adipose tissue growth
Hans Hauner1, Stefanie Brunner, Ulrike Amann-Gassner
1Else Kröner-Fresenius-Center for Nutritional Medicine, Klinikum rechts der Isar, Technische Universität München, Munich, Germany. hans.hauner@tum.de
Insights
Modifying dietary fat intake during pregnancy and lactation shows limited success in preventing childhood obesity. More research is needed to determine if early-life dietary interventions can reduce obesity risk.
Area of Science:
- Nutrition Science
- Pediatric Health
- Public Health
Background:
- Childhood obesity is a growing global epidemic with limited successful interventions.
- Perinatal factors, including maternal pre-pregnancy BMI, gestational weight gain, and diet, significantly influence offspring obesity risk.
- Early-life dietary fat composition is a potential target for primary prevention of childhood obesity.
Purpose of the Study:
- To review the potential of modulating dietary fat intake and composition during pregnancy and lactation for childhood obesity prevention.
- To investigate the antiobesity effects of n-3 long-chain polyunsaturated fatty acids (LC-PUFAs) supplementation.
- To assess the current evidence for early-life dietary interventions in preventing human obesity.
Main Methods:
- Review of retrospective human randomized controlled trials involving fish-oil interventions during pregnancy and lactation.
- Analysis of a prospective human intervention study modifying the n-6:n-3 LC-PUFA ratio.
- Evaluation of offspring BMI and adipose tissue growth as outcome measures.
Main Results:
- Retrospective studies on fish-oil supplementation during pregnancy and lactation yielded inconsistent results regarding offspring BMI and obesity.
- A prospective study altering the n-6:n-3 LC-PUFA ratio did not demonstrate an effect on infant adipose tissue growth up to one year of age.
- Current evidence is insufficient to support dietary fat composition modification in early life as a primary strategy for preventing childhood obesity.
Conclusions:
- There is currently limited evidence supporting the efficacy of modifying dietary fat composition during pregnancy and lactation for preventing childhood obesity in humans.
- Further research is essential to explore the potential of early-life dietary interventions in mitigating obesity risk.
- Investigating specific dietary components and their impact on offspring's long-term metabolic health requires continued investigation.
Abstract:
Childhood obesity is increasing worldwide, and all previous attempts to stop this epidemic have shown little success. There is now growing evidence that the risk of childhood obesity is strongly influenced by perinatal determinants, including prepregnancy body mass index (BMI), gestational weight gain, and—at least in animal studies—dietary factors during pregnancy and lactation. This review addresses the issue of whether modulation of fat intake and its composition in this early-life period has a potential for primary prevention of childhood obesity. Of particular interest is the question of whether supplementation with n–3 long-chain PUFAs (LC-PUFAs) may exert an antiobesity effect. Retrospective analysis of human randomized controlled trials with fish-oil intervention during pregnancy and lactation gave inconsistent results concerning BMI and obesity development in offspring. A recent prospective human intervention study aimed at reducing the n–6:n–3 LC-PUFA ratio did not show an effect on adipose tissue growth in offspring up to the age of 1 y. Therefore, there is currently little evidence to support the hypothesis that dietary intervention to modify fat composition during pregnancy and lactation would be a promising strategy to prevent childhood obesity in humans, but more research is clearly needed to address the question if and how the risk of developing obesity can be modified by dietary intervention early in life.
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