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Updated: Feb 10, 2026

Dietary Supplementation of Polyunsaturated Fatty Acids in Caenorhabditis elegans
Published on: November 29, 2013
Impact of prenatal omega-3 fatty acids supplementation on cognitive outcomes: A systematic review with meta-analysis
Chiara Musillo1, Marianna Samà1, Marta Borgi1
1Center for Behavioral Sciences and Mental Health, Istituto Superiore di Sanità, Viale Regina Elena 299, Rome 00161, Italy.
Insights
Maternal omega-3 supplementation during pregnancy enhances offspring memory and brain-derived neurotrophic factor (BDNF) levels. These benefits are more significant in offspring facing prenatal adversities, suggesting a protective role for omega-3 fatty acids.
Area of Science:
- Neuroscience
- Developmental Biology
- Nutritional Science
Background:
- Omega-3 polyunsaturated fatty acids (PUFA) supplementation in pregnancy shows potential benefits like reduced preterm birth.
- However, effects on children's neurodevelopmental trajectories remain inconsistently reported.
- Preclinical studies are crucial for understanding long-term offspring outcomes and guiding clinical research.
Purpose of the Study:
- To systematically review and meta-analyze preclinical studies on prenatal omega-3 supplementation.
- To assess the impact on long-term offspring neurodevelopmental outcomes.
- To identify key neurodevelopmental domains for future clinical study designs.
Main Methods:
- Systematic review and random-effects meta-analysis of preclinical studies.
- Databases searched: PubMed/Medline, Scopus, Web of Science.
- Extracted data: nutritional intervention characteristics, maternal/offspring factors, memory retention, and BDNF levels.
Main Results:
- Maternal omega-3 PUFA supplementation significantly improved offspring memory retention (SMD=0.671; p=0.010).
- Supplementation also increased offspring brain-derived neurotrophic factor (BDNF) levels (SMD=0.838; p=0.000).
- Effects were more pronounced in offspring exposed to prenatal adversities; potential mitigation of oxidative stress and inflammation noted.
Conclusions:
- Maternal omega-3 supplementation during pregnancy is a safe and effective strategy for enhancing offspring neurodevelopment.
- Stronger effects observed under adverse gestational conditions highlight potential for at-risk populations.
- Further research can prioritize specific neurodevelopmental domains based on these findings.
Abstract:
The beneficial effects of omega-3 polyunsaturated fatty acids (PUFA) supplementation during pregnancy have been associated with reduced risk of preterm birth and low birthweight. However, inconsistent findings have been reported regarding their impact on children's neurodevelopmental trajectories. We performed a comprehensive systematic review with meta-analysis of preclinical studies to assess the effects of prenatal omega-3 supplementation on long-term outcomes in offspring and to identify key relevant neurodevelopmental domains to guide the design and prioritization of future clinical follow-up studies. The databases consulted included PubMed/Medline, Scopus and Web of Science. Thirty-five studies were included in the systematic review, and 19 studies were included in the meta-analysis. Relevant information such as characteristics of nutritional interventions, maternal conditions, offspring characteristics and article attributes were extracted. Sample sizes, means, and standard deviation or standard error for the outcome measures were also extracted. The search yielded 3198 articles; 35 met inclusion criteria, with 11 included in a random-effects meta-analysis of memory retention, and 8 in a meta-analysis of brain-derived neurotrophic factor (BDNF) levels. Our findings show that maternal omega-3 PUFA supplementation during pregnancy improves memory retention (SMD=0.671; CI 95 %: 0.163-1.179; p = 0.010) and increases levels of BDNF (SMD=0.838; CI 95 %: 0.369-1.307; p = 0.000) in the offspring. These effects are more pronounced in offspring exposed to prenatal adversities. Maternal omega-3 supplementation shows promise in mitigating oxidative stress and inflammation, although findings remain heterogeneous. Maternal omega-3 supplementation appears as a safe and effective means to improve offspring neurodevelopment, with stronger effects under adverse gestational conditions, highlighting its potential for at-risk populations.
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