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Published on: March 13, 2014
Fatty acid composition of plasma and erythrocyte phospholipids in preterm infants
Insights
Preterm infants show significant changes in essential fatty acids within 6 weeks of birth. Their fatty acid profiles, particularly linoleic and arachidonic acids, normalize with modern feeding, indicating satisfactory nutritional status.
Area of Science:
- Neonatal nutrition
- Biochemistry
- Pediatric research
Background:
- Preterm infants have unique nutritional requirements.
- Phospholipid fatty acid composition reflects dietary intake and metabolic status.
- Understanding fatty acid changes is crucial for optimal infant growth and development.
Purpose of the Study:
- To analyze erythrocyte and plasma phospholipid fatty acid changes in preterm infants.
- To assess the impact of feeding regimes on essential fatty acid status.
- To compare fatty acid profiles with those of healthy breast-fed infants.
Main Methods:
- Fatty acid analysis of plasma and erythrocyte phospholipids at 0, 6, and 10 weeks.
- Quantification of specific fatty acids like linoleic and arachidonic acid.
- Comparison of findings with established data for healthy infants.
Main Results:
- Significant alterations in fatty acid composition observed between birth and 6 weeks, especially in phosphatidyl choline.
- Linoleic acid increased substantially (100-200%) in plasma and erythrocyte phospholipids by 6 weeks.
- Arachidonic acid decreased by 54%, while overall essential fatty acid status was deemed satisfactory.
Conclusions:
- Contemporary feeding practices support adequate essential fatty acid status in preterm infants.
- Phospholipid fatty acid profiles in preterm infants reach comparability with breast-fed infants by 6 weeks.
- Early postnatal nutrition significantly influences the fatty acid composition of preterm infants.
Abstract:
Erythrocyte and plasma phospholipid fatty acids were determined in preterm babies at 0, 6 and 10 weeks. There were highly significant changes in fatty acid composition between birth and 6 weeks in both plasma and erythrocyte phospholipids, the changes being more numerous and quantitatively greater in phosphatidyl choline. There was little further change by 10 weeks. Linoleic acid increased by approximately 100% at 6 weeks in plasma phosphatidyl ethanolamine and 200% in phosphatidyl choline. In erythrocyte phosphatidyl ethanolamine, linoleic acid increased by approximately 150% at 6 weeks and in phosphatidyl choline increased 170%. Arachidonic acid decreased by 54%. The essential fatty acid status of the preterm babies studied using contemporary feeding regimes was satisfactory and by 6 weeks phospholipid fatty acid profiles were comparable with published data for normal healthy breast-fed infants.
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