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The effect of long-chain polyunsaturated fatty acids intake during pregnancy on adiposity of healthy full-term offspring at birth

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Abstract

Objective:

The adjusted effect of long-chain polyunsaturated fatty acid (LCPUFA) intake during pregnancy on adiposity at birth of healthy full-term appropriate-for-gestational age neonates was evaluated.

Study Design:

In a cross-sectional convenience sample of 100 mother and infant dyads, LCPUFA intake during pregnancy was assessed by food frequency questionnaire with nutrient intake calculated using Food Processor Plus. Linear regression models for neonatal body composition measurements, assessed by air displacement plethysmography and anthropometry, were adjusted for maternal LCPUFA intakes, energy and macronutrient intakes, prepregnancy body mass index and gestational weight gain.

Result:

Positive associations between maternal docosahexaenoic acid intake and ponderal index in male offspring (β=0.165; 95% confidence interval (CI): 0.031–0.299; P=0.017), and between n-6:n-3 LCPUFA ratio intake and fat mass (β=0.021; 95% CI: 0.002–0.041; P=0.034) and percentage of fat mass (β=0.636; 95% CI: 0.125–1.147; P=0.016) in female offspring were found.

Conclusion:

Using a reliable validated method to assess body composition, adjusted positive associations between maternal docosahexaenoic acid intake and birth size in male offspring and between n-6:n-3 LCPUFA ratio intake and adiposity in female offspring were found, suggesting that maternal LCPUFA intake strongly influences fetal body composition.

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References

  1. Rodríguez G, Iglesia I, Bel-Serrat S, Moreno LA . Effect of n-3 long chain polyunsaturated fatty acids during the perinatal period on later body composition. Br J Nutr 2012; 107 (Suppl 2): S117–S128.

    Article  Google Scholar 

  2. Szajewska H, Horvath A, Koletzko B . Effect of n-3 long-chain polyunsaturated fatty acid supplementation of women with low-risk pregnancies on pregnancy outcomes and growth measures at birth: a meta-analysis of randomized controlled trials. Am J Clin Nutr 2006; 83: 1337–1344.

    Article  CAS  Google Scholar 

  3. Koletzko B, Lien E, Agostoni C, Böhles H, Campoy C, Cetin I et al. The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations. J Perinat Med 2008; 36: 5–14.

    CAS  Google Scholar 

  4. Makrides M, Collins CT, Gibson RA . Impact of fatty acid status on growth and neurobehavioural development in humans. Matern Child Nutr 2011; 7 (Suppl 2): 80–88.

    Article  Google Scholar 

  5. Imhoff-Kunsch B, Briggs V, Goldenberg T, Ramakrishnan U . Effect of n-3 long-chain polyunsaturated fatty acid intake during pregnancy on maternal, infant, and child health outcomes: a systematic review. Paediatr Perinat Epidemiol 2012; 26 (Suppl 1): 91–107.

    Article  Google Scholar 

  6. Hauner H, Brunner S, Amann-Gassner U . The role of dietary fatty acids for early human adipose tissue growth. Am J Clin Nutr 2013; 98: 549S–555S.

    Article  CAS  Google Scholar 

  7. Larqué E, Gil-Sánchez A, Prieto-Sánchez MT, Koletzko B . Omega 3 fatty acids, gestation and pregnancy outcomes. Br J Nutr 2012; 107 (Suppl 2): S77–S84.

    Article  Google Scholar 

  8. Makrides M, Gibson RA, McPhee AJ, Yelland L, Quinlivan J, Ryan P et al. Effect of DHA supplementation during pregnancy on maternal depression and neurodevelopment of young children: a randomized controlled trial. JAMA 2010; 304: 1675–1683.

    Article  CAS  Google Scholar 

  9. Hull HR, Thornton JC, Ji Y, Paley C, Rosenn B, Mathews P et al. Higher infant body fat with excessive gestational weight gain in overweight women. Am J Obstet Gynecol 2011; 205: e1–e7.

    Article  Google Scholar 

  10. Pereira-da-Silva L, Cabo C, Moreira AC, Virella D, Guerra T, Camoes T et al. The adjusted effect of maternal body mass index, energy and macronutrient intakes during pregnancy, and gestational weight gain on body composition of full-term neonates. Am J Perinatol 2013; 31 (10): 875–882.

    Article  Google Scholar 

  11. Ailhaud G, Guesnet P . Fatty acid composition of fats is an early determinant of childhood obesity: a short review and an opinion. Obes Rev 2004; 5: 21–26.

    Article  CAS  Google Scholar 

  12. Korotkova M, Gabrielsson B, Lönn M, Hanson LA, Strandvik B . Leptin levels in rat offspring are modified by the ratio of linoleic to alpha-linolenic acid in the maternal diet. J Lipid Res 2002; 43: 1743–1749.

    Article  CAS  Google Scholar 

  13. Hauner H, Much D, Vollhardt C, Brunner S, Schmid D, Sedlmeier EM et al. Effect of reducing the n-6:n-3 long-chain PUFA ratio during pregnancy and lactation on infant adipose tissue growth within the first year of life: an open-label randomized controlled trial. Am J Clin Nutr 2012; 95: 383–394.

    Article  CAS  Google Scholar 

  14. Much D, Brunner S, Vollhardt C, Schmid D, Sedlmeier EM, Brüderl M et al. Effect of dietary intervention to reduce the n-6/n-3 fatty acid ratio on maternal and fetal fatty acid profile and its relation to offspring growth and body composition at 1 year of age. Eur J Clin Nutr 2013; 67: 282–288.

    Article  CAS  Google Scholar 

  15. Olhager E, Forsum E . Assessment of total body fat using the skinfold technique in full-term and preterm infants. Acta Paediatr 2006; 95: 21–28.

    Article  Google Scholar 

  16. Demerath EW, Fields DA . Body composition assessment in the infant. Am J Hum Biol 2014; 26: 291–304.

    Article  Google Scholar 

  17. Ma G, Yao M, Liu Y, Lin A, Zou H, Urlando A et al. Validation of a new pediatric air-displacement plethysmograph for assessing body composition in infants. Am J Clin Nutr 2004; 79: 653–660.

    Article  CAS  Google Scholar 

  18. Hawkes CP, Hourihane JO, Kenny LC, Irvine AD, Kiely M, Murray DM . Gender- and gestational age-specific body fat percentage at birth. Pediatrics 2011; 128: e645–e651.

    PubMed  Google Scholar 

  19. Olsen IE, Groveman SA, Lawson ML, Clark RH, Zemel BS . New intrauterine growth curves based on United States data. Pediatrics 2010; 125: e214–e224.

    Article  Google Scholar 

  20. Al MD, van Houwelingen AC, Hornstra G . Long-chain polyunsaturated fatty acids, pregnancy, and pregnancy outcome. Am J Clin Nutr 2000; 71 (1 Suppl): 285S–291S.

    Article  CAS  Google Scholar 

  21. Wong S, Ordean A, Kahan M . Maternal Fetal Medicine Committee; Family Physicians Advisory Committee;Medico-Legal Committee; Society of Obstetricians and Gynaecologists of Canada. Substance use in pregnancy. J Obstet Gynaecol Can 2011; 33: 367–384.

    Article  Google Scholar 

  22. Pinto E, Severo M, Correia S, dos Santos Silva I, Lopes C, Barros H . Validity and reproducibility of a semi-quantitative food frequency questionnaire for use among Portuguese pregnant women. Matern Child Nutr 2010; 6: 105–119.

    PubMed  Google Scholar 

  23. Oliveira L, Porto A . Food Composition Table. Instituto Nacional de Saúde Dr. Ricardo Jorge: Lisbon, 2007.

    Google Scholar 

  24. Pereira-da-Silva L . Neonatal anthropometry: a tool to evaluate the nutritional status, and to predict early and late risks. In: Preedy VR (ed). The Handbook of Anthropometry: Physical Measures of Human Form in Health and Disease. Springer: New York, 2012, pp 1079–1104.

    Chapter  Google Scholar 

  25. World Health Organization Multicentre Growth Reference Study Group. WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr 2006; 450 (Suppl): 76–85.

    Google Scholar 

  26. Josefson JL, Zeiss DM, Rademaker AW, Metzger BE . Maternal leptin predicts adiposity of the neonate. Horm Res Paediatr 2014; 81: 13–19.

    Article  CAS  Google Scholar 

  27. Au CP, Raynes-Greenow CH, Turner RM, Carberry AE, Jeffery H . Fetal and maternal factors associated with neonatal adiposity as measured by air displacement plethysmography: a large cross-sectional study. Early Hum Dev 2013; 89: 839–843.

    Article  Google Scholar 

  28. Øverby NC, Serra-Majem L, Andersen LF . Dietary assessment methods on n-3 fatty acid intake: a systematic review. Br J Nutr 2009; 102 (Suppl 1): S56–S63.

    Article  Google Scholar 

  29. Drouillet P, Kaminski M, De Lauzon-Guillain B, Forhan A, Ducimetiere P, Schweitzer M et al. Association between maternal seafood consumption before pregnancy and fetal growth: evidence for an association in overweight women. The EDEN mother-child cohort. Paediatr Perinat Epidemiol 2009; 23: 76–86.

    Article  Google Scholar 

  30. Olsen SF, Grandjean P, Weihe P, Videro T . Frequency of seafood intake in pregnancy as a determinant of birth weight: evidence for a dose dependent relationship. J Epidemiol Community Health 1993; 47: 436–440.

    Article  CAS  Google Scholar 

  31. Thorsdottir I, Birgisdottir BE, Halldorsdottir S, Geirsson RT . Association of fish and fish liver oil intake in pregnancy with infant size at birth among women of normal weight before pregnancy in a fishing community. Am J Epidemiol 2004; 160: 460–465.

    Article  Google Scholar 

  32. Catalano PM, Thomas AJ, Avallone DA, Amini SB . Anthropometric estimation of neonatal body composition. Am J Obstet Gynecol 1995; 173: 1176–1181.

    Article  CAS  Google Scholar 

  33. Lucia Bergmann R, Bergmann KE, Haschke-Becher E, Richter R, Dudenhausen JW, Barclay D et al. Does maternal docosahexaenoic acid supplementation during pregnancy and lactation lower BMI in late infancy? J Perinat Med 2007; 35: 295–300.

    Article  Google Scholar 

  34. Campoy C, Escolano-Margarit MV, Ramos R, Parrilla-Roure M, Csábi G, Beyer J et al. Effects of prenatal fish-oil and 5-methyltetrahydrofolate supplementation on cognitive development of children at 6.5 y of age. Am J Clin Nutr 2011; 94 (Suppl): 1880S–1888S.

    Article  CAS  Google Scholar 

  35. Escolano-Margarit MV, Ramos R, Beyer J, Csábi G, Parrilla-Roure M, Cruz F et al. Prenatal DHA status and neurological outcome in children at age 5.5 years are positively associated. J Nutr 2011; 141: 1216–1223.

    Article  CAS  Google Scholar 

  36. Rytter D, Bech BH, Christensen JH, Schmidt EB, Henriksen TB, Olsen SF . Intake of fish oil during pregnancy and adipositay in 19-y-old offspring: follow-up on a randomized controlled trial. Am J Clin Nutr 2011; 94: 701–708.

    Article  CAS  Google Scholar 

  37. Brantsæter AL, Birgisdottir BE, Meltzer HM, Kvalem HE, Alexander J, Magnus P et al. Maternal seafood consumption and infant birth weight, length and head circumference in the Norwegian Mother and Child Cohort Study. Br J Nutr 2012; 107: 436–444.

    Article  Google Scholar 

  38. Casado-Diaz A, Santiago-Mora R, Dorado G, Quesada-Gomez JM . The omega-6 arachidonic fatty acid, but not the omega-3 fatty acids, inhibits osteoblastogenesis and induces adipogenesis of human mesenchymal stem cells: potential implication in osteoporosis. Osteoporos Int 2013; 24: 1647–1661.

    Article  CAS  Google Scholar 

  39. Lassek WD, Gaulin SJ . Sex differences in the relationship of dietary Fatty acids to cognitive measures in american children. Front Evol Neurosci 2011; 3: 1–8.

    Article  Google Scholar 

Download references

Acknowledgements

The authors are grateful to: Ana Rita Silva, RD, Tatiana Guerra, RD, Tânia Camões, RD, Dietetics and Nutrition, Lisbon School of Health Technology, for their valuable collaboration in the collection of maternal dietary information collection and neonatal measurements; and Marta Alves, MSc, Research Unit of Centro Hospitalar de Lisboa Central, Lisbon, for collaborating in the statistical analysis. Ana Luísa Papoila was partially supported by Fundação para a Ciência e Tecnologia (PEst-OE/MAT/UI0006/2014), Portugal. This project was partially sponsored through the ‘Milupa 2010’ grant for infant nutrition research of the Portuguese Neonatal Society.

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Pereira-da-Silva, L., Cabo, C., Moreira, A. et al. The effect of long-chain polyunsaturated fatty acids intake during pregnancy on adiposity of healthy full-term offspring at birth. J Perinatol 35, 177–180 (2015). https://doi.org/10.1038/jp.2014.188

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