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Published on: February 9, 2018
Association between Maternal and Foetal Erythrocyte Fatty Acid Profiles and Birth Weight
Giulia Cinelli1, Marta Fabrizi2, Lucilla Ravà3
1Research Unit for Multifactorial Diseases and Complex Phenotypes, Bambino Gesù Children Hospital, IRCCS (Istituto di Ricovero e Cura a Carattere Scientifico), viale di San Paolo 15, 00146 Rome, Italy. giuliacinelli@nutrizionista.email.
Insights
Maternal and fetal fatty acid profiles significantly impact birth weight. Higher polyunsaturated and omega-6 fatty acids are linked to increased birth weight, while saturated fats may increase the risk of small for gestational age infants.
Area of Science:
- Nutritional Biochemistry
- Maternal-Fetal Medicine
- Developmental Biology
Background:
- Fetal development and offspring health are critically dependent on maternal nutrition.
- Maternal dietary fatty acid (FA) intake influences fetal growth and birth weight (BW).
- Understanding lipid profiles in mothers and fetuses is key to identifying growth determinants.
Purpose of the Study:
- To investigate the association between maternal/fetal lipid profiles and birth weight.
- To compare lipid profiles between small, appropriate, and large for gestational age (SGA, AGA, LGA) infants.
- To elucidate the role of specific fatty acids in fetal growth regulation.
Main Methods:
- Analysis of fatty acids in erythrocyte membranes from 607 mother-infant pairs using gas chromatography.
- Quantile regression analysis to assess associations between lipid profiles and birth weight.
- Comparative analysis of FA levels across SGA, AGA, and LGA infant groups.
Main Results:
- Maternal linoleic acid (LA), arachidonic acid (AA), docosahexaenoic acid (DHA), and polyunsaturated FAs showed a positive association with birth weight.
- Elevated maternal and fetal myristic and pentadecanoic acids, and maternal erucic acid were associated with SGA infants.
- Maternal LA, AA, and omega-6 FAs were higher in appropriate for gestational age (AGA) infants.
Conclusions:
- Maternal and fetal polyunsaturated and omega-6 fatty acid levels positively correlate with birth weight.
- A lipid profile high in saturated fatty acids and erucic acid may increase the risk of SGA.
- Specific fatty acid profiles are critical determinants of fetal growth and gestational age classification.
Abstract:
Regular foetal development is crucial for assuring good health status in the offspring. The quality and quantity of maternal dietary fatty acids (FAs) can affect growth. The study aimed to: (1) investigate the association of maternal/foetal lipid profiles with birth weight (BW); and (2) compare these profiles in small, appropriate, and large for gestational age (SGA, AGA, and LGA) infants. FAs were measured in erythrocyte membranes using gas chromatography analysis in 607 mother-infant pairs (316 males, 52.1%). In the quantile regression, a significant association between BW and levels of maternal linoleic acid (LA; C18:2, n-6; coefficient: 18.66; p = 0.010), arachidonic acid (AA; C20:4, n-6; coefficient: 11.35; p = 0.007), docosahexaenoic acid (DHA; C22:6, n-3; coefficient: 29.73; p = 0.007), polyunsaturated FAs (coefficient: 8.55; p = 0.001), foetal DHA (coefficient: -22.82; p = 0.037), and saturated FAs (coefficient: -65.41; p = 0.002) was found. Myristic (C14:0) and pentadecanoic acids (C15:0), both maternal (p = 0.000; p = 0.017) and foetal (p = 0.009; p = 0.002), and maternal erucic acid (C22:1, n-9; p = 0.026) were found at higher levels in SGA infants as compared to AGA ones. Conversely, maternal LA, AA, and omega 6 FAs levels were higher in AGA infants (p = 0.037; p = 0.003; p = 0.026, respectively). Maternal and foetal polyunsaturated and omega 6 FAs levels are positively related to BW, while a lipid profile rich in saturated FAs and erucic acid may influence the risk of SGA.
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