Objective: To evaluate phospholipid response of a preterm infant formula supplemented with Arachidonic Acid (ARA) and Docosahexanoic Acid (DHA) from microbial fermentation oils.

Methods: In a prospective, randomized, parallel, double blind, multicenter trial, infants 750-2000 grams exclusively received human milk(HM), a 24 Kcal/oz control preterm formula (C), or the same preterm formula(LCP) with C20:4n6 (ARA) and C22:6n3 (DHA). Blood samples drawn at enrollment(prior to feeds) and at 40 weeks Post Conceptional Age (PCA) were analyzed for fatty acids of 5 phospholipid subfractions.

Results: Differences in phospholipid composition of RBC membranes and plasma between formula groups reflected formula ARA and DHA content (See Table, different scripts = p < 0.05.).

Table 1

Conclusion: The addition of ARA (0.6%) and DHA (0.4%) to a preterm formula maintains a phospholipid profile in preterm infants that is closer to preterm infants fed HM and different from preterm infants fed unsupplemented preterm formula. Supported by Wyeth Nutritionals International