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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Serum polyunsaturated fatty acids in infancy are associated with body composition in adolescence
Kerry Flannagan1, Sheila Gahagan2, Arun Das3
1Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Insights
Certain polyunsaturated fatty acids (PUFA) in infancy are linked to increased adiposity later in childhood. Specifically, alpha-linolenic acid and docosapentaenoic acid at age 1 were associated with higher body fat at age 16.
Area of Science:
- Nutritional Science
- Pediatric Health
- Metabolic Research
Background:
- Polyunsaturated fatty acids (PUFA) influence adiposity, with n-3 PUFA potentially protective and n-6 PUFA linked to increased adiposity.
- Most existing research focuses on adults, leaving the role of PUFA in infant adiposity development largely unknown.
Purpose of the Study:
- To investigate the association between serum PUFA levels in 1-year-old infants and changes in body mass index Z score (BMIZ) up to age 16.
- To evaluate the relationship between infant serum PUFA and body composition (fat mass, lean mass) at age 16.
Main Methods:
- Serum PUFA levels were measured in 636 Chilean infants at age 1.
- Body Mass Index Z score (BMIZ) was tracked at ages 1, 5, 10, and 16 years.
- Body composition at age 16 was assessed using dual-energy X-ray absorptiometry (DXA).
Main Results:
- No significant association was found between overall PUFA levels and BMIZ change from age 1 to 16.
- Alpha-linolenic acid (ALA) and docosapentaenoic acid (DPA) were positively associated with increased total and truncal fat mass at age 16.
- Eicosapentaenoic acid (EPA) showed an inverse association with percent truncal fat mass, while gamma-linolenic acid (GLA) and the Delta-6-desaturase (D6D) index were positively associated with fat mass.
Conclusions:
- Specific PUFA, including ALA and DPA, along with the D6D activity index, are positively associated with adiposity in childhood.
- EPA and the Delta-5-desaturase (D5D) index show inverse associations with central adiposity, aligning with some prior research.
- These findings highlight the differential impact of various PUFA on infant adiposity development and body composition later in life.
Background:
Polyunsaturated fatty acids (PUFA) have been related to the development of adiposity. N-3 PUFA appears to be protective against obesity risk, while n-6 PUFA may be associated with greater adiposity. However, most studies have been conducted among adults. The role of PUFA in infancy is unknown.
Objective:
To examine associations of serum PUFA at age 1 year with age- and sex-adjusted body mass index Z score (BMIZ) change through age 16 years and body composition at 16 years.
Methods:
We quantified serum PUFA in 636 Chilean infants aged 1 year. We measured BMIZ at ages 1, 5, 10 and 16 years, and body composition by dual energy X-ray absorptiometry at 16 years. We estimated differences in 1- to 16-years BMIZ change between PUFA quartiles from multivariable linear mixed models with restricted cubic splines. At 16 years, we estimated differences in total fat mass (ToFM), truncal fat mass (TrFM), total lean mass (TLM), percent total fat mass (%ToFM) and percent truncal fat mass (%TrFM) between PUFA quartiles using linear regression.
Results:
PUFA were not associated with BMIZ change. Alpha-linolenic acid (ALA) was positively associated with TrFM (P = .03) and %TrFM (P < .0001) at 16 years while eicosapentaenoic acid (EPA) was inversely associated with %TrFM (P = .001). Docosapentaenoic acid (DPA) was positively associated with ToFM (P = .01), TrFM (P = .009), %ToFM (P = .02) and %TrFM (P = .02). Gamma-linolenic acid (GLA) and the Δ6-desaturase (D6D) activity index were each positively, linearly associated with ToFM, TrFM and %ToFM. The Δ5-desaturase (D5D) activity index was inversely associated with %TrFM (P = .04).
Conclusions:
ALA, DPA, GLA and the D6D index at 1 year of age were positively associated with adiposity at age 16 years, while EPA and the D5D index were inversely associated with central adiposity. Our results related to EPA and desaturase indices are in agreement with limited prior studies.
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