Early docosahexaenoic and arachidonic acid supplementation in extremely-low-birth-weight infants

Daniel T Robinson1, Michael Caplan2, Susan E Carlson3

  • 1Ann & Robert H. Lurie Children's Hospital of Chicago and Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.

Pediatric Research
|June 30, 2016
PubMed

Insights

Daily buccal docosahexaenoic acid (DHA) and arachidonic acid (ARA) drops did not increase blood levels in extremely-low-birth-weight (ELBW) infants. This study found no significant changes in fatty acid levels with this supplementation method.

Area of Science:

  • Neonatal nutrition
  • Pediatric fatty acid metabolism
  • Infant supplementation

Background:

  • Extremely-low-birth-weight (ELBW) infants often have significant deficits in docosahexaenoic acid (DHA) and arachidonic acid (ARA).
  • Improved strategies are needed to enhance DHA and ARA levels in these vulnerable infants.
  • Buccal administration of DHA and ARA was investigated as a novel supplementation approach.

Purpose of the Study:

  • To determine if daily buccal administration of DHA and ARA supplements can increase blood levels in ELBW infants.
  • To evaluate the efficacy of buccal DHA+ARA drops in improving docosahexaenoic acid and arachidonic acid status.

Main Methods:

  • A randomized controlled trial involving 30 ELBW infants was conducted.
  • Infants received daily DHA and ARA drops via buccal mucosa or placebo for 8 weeks.
  • Red blood cell phospholipid levels of DHA and ARA were measured at 2 and 8 weeks of age.

Main Results:

  • Twenty-eight infants completed the study.
  • No significant differences in red blood cell DHA or ARA levels were observed between the DHA+ARA supplemented groups and the placebo group at 2 or 8 weeks.
  • While DHA levels showed a trend of increase from 2 to 8 weeks, ARA levels did not change significantly over time.

Conclusions:

  • Daily buccal administration of DHA and ARA supplements did not effectively increase blood fatty acid levels in ELBW infants.
  • The buccal route may not be an efficient method for supplementing DHA and ARA in this population.
  • Further research into alternative or optimized supplementation strategies for ELBW infants is warranted.
Abstract

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