Maternal polyunsaturated fatty acid concentrations during pregnancy and childhood liver fat accumulation

Rama J Wahab1, Vincent W V Jaddoe1, Angelo G Mezzoiuso2

  • 1The Generation R Study Group, Erasmus MC, University Medical Center, Rotterdam, the Netherlands; Department of Pediatrics, Sophia Children's Hospital, Erasmus MC, University Medical Center, Rotterdam, the Netherlands.

Insights

Maternal intake of polyunsaturated fatty acids (PUFA) during pregnancy impacts childhood liver fat. Higher n-3 PUFA and lower n-6 PUFA in mothers are linked to reduced liver fat accumulation in offspring.

Area of Science:

  • Reproductive Health
  • Pediatric Nutrition
  • Metabolic Health

Background:

  • Maternal polyunsaturated fatty acids (PUFA) are crucial for fetal development.
  • The impact of maternal PUFA levels on offspring liver fat is not well understood.
  • This study investigates the link between maternal PUFA status and childhood liver fat.

Purpose of the Study:

  • To examine the association between maternal n-3 and n-6 PUFA concentrations during pregnancy and liver fat accumulation in children.
  • To identify specific PUFA types that may influence offspring liver health.
  • To explore potential preventative strategies for childhood liver fat accumulation.

Main Methods:

  • A population-based prospective cohort study of 2424 mother-child pairs.
  • Maternal plasma PUFA concentrations measured during mid-pregnancy.
  • Childhood liver fat fraction assessed by MRI at age 10.

Main Results:

  • Higher maternal n-3 PUFA (especially DHA) was associated with lower childhood liver fat fraction.
  • Higher maternal dihomo-gamma-linolenic acid (a n-6 PUFA) was linked to increased childhood liver fat.
  • Associations were stronger in boys, with higher maternal n-3 PUFA reducing non-alcoholic fatty liver disease risk.

Conclusions:

  • Maternal n-3 PUFA deficiency and n-6 PUFA excess during pregnancy are associated with offspring liver fat accumulation.
  • Optimizing maternal PUFA status may be a key strategy for preventing childhood liver fat issues.
  • Targeting maternal nutrition offers a potential avenue for improving pediatric metabolic health.
Abstract