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Updated: Jul 20, 2025

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
Polyunsaturated Fatty Acid Intake during Complementary Feeding and Neurodevelopmental Outcome in Very Low Birth
Melanie Gsoellpointner1, Margarita Thanhaeuser2, Fabian Eibensteiner2
1Department of Clinical Pharmacology, Medical University of Vienna, 1090 Vienna, Austria.
Insights
Higher intake of polyunsaturated fatty acids (PUFAs), including docosahexaenoic acid (DHA) and arachidonic acid (AA), during complementary feeding is linked to better neurodevelopment in very low birth weight infants. However, current intakes often fall below recommended levels.
Area of Science:
- Neuroscience
- Nutritional Science
- Pediatrics
Background:
- Polyunsaturated fatty acids (PUFAs) are crucial for infant brain development.
- Limited data exists on PUFA intake during complementary feeding (CF) and its neurodevelopmental effects in very low birth weight (VLBW) infants.
Purpose of the Study:
- To examine the association between dietary PUFA, arachidonic acid (AA), and docosahexaenoic acid (DHA) intake during CF and neurodevelopmental outcomes in VLBW infants.
- To assess neurodevelopment at 12 and 24 months corrected age (CA).
Main Methods:
- Secondary analysis of a randomized intervention trial.
- Dietary intake assessed via monthly 3-day protocols (3-12 months CA).
- Neurodevelopment evaluated using Bayley Scales of Infant Development-III.
Main Results:
- Higher total PUFA and DHA intake correlated with improved cognitive and motor function at 12 months CA.
- Increased AA intake was associated with enhanced motor scores at 12 months CA.
- Median AA and DHA intakes were below recommended levels throughout the study period.
Conclusions:
- Enhancing total PUFA, DHA, and AA intake during CF is essential for VLBW infants.
- Meeting recommended intake levels may optimize neurodevelopmental outcomes in this vulnerable population.
Abstract:
Polyunsaturated fatty acids (PUFAs) are vital for brain development, yet limited knowledge exists regarding PUFA intake during complementary feeding (CF) and its impact on neurodevelopmental outcomes in very low birth weight (VLBW) infants. This secondary analysis of a randomized intervention trial, aimed to investigate the association between dietary intake of total PUFAs, arachidonic acid (AA), and docosahexaenoic acid (DHA) during CF and neurodevelopmental outcomes at 12 and 24 months of corrected age (CA). Dietary intakes were assessed using monthly 3 day dietary protocols from 3 to 12 months CA. Neurodevelopmental outcome was evaluated using the Bayley Scales of Infant Development-III. Among the 177 randomized patients, PUFA intake and neurodevelopmental outcomes were evaluated in 140 (79%) infants. Higher total PUFA and DHA intakes significantly correlated with improved cognitive and motor function at 12 months CA, while increased AA intake notably enhanced motor scores at 12 months CA. However, median dietary intakes of AA and DHA (AA: 53.50-84.25 mg/d; DHA: 51.47-76.23 mg/d) fell short of recommended levels (AA: 140 mg/d; DHA: 100 mg/d) at any of the investigated timepoints. These findings emphasize the need to enhance total PUFA, DHA and AA intakes during CF, ensuring adherence to guidelines and unlocking the potential to improve neurodevelopmental outcomes in VLBW infants.
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