The effect of perinatal fish oil supplementation on neurodevelopment and growth of infants: a randomized controlled trial.

Introduction: Long-chain polyunsaturated fatty acids, the most abundant fatty acids in the brain, are essential for the growth and development of the brain and the retina.Objective: To evaluate the effect of fish oil supplementation on the development (primary outcome) and growth of 4- and 6-month-o...

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Publicado en:European Journal of Nutrition Vol. 57; no. 7; pp. 2387 - 2398
Autores principales: Ostadrahimi, Alireza, Salehi-pourmehr, Hanieh, Mohammad-Alizadeh-Charandabi, Sakineh, Heidarabady, Seifollah, Farshbaf-Khalili, Azizeh
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Springer Nature Oct2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2018
      vid: 57
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-017-1512-1
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        atl: The effect of perinatal fish oil supplementation on neurodevelopment and growth of infants: a randomized controlled trial.
      aug:
        au:
          Ostadrahimi, Alireza
          Salehi-pourmehr, Hanieh
          Mohammad-Alizadeh-Charandabi, Sakineh
          Heidarabady, Seifollah
          Farshbaf-Khalili, Azizeh
        affil: Nutrition Research Centre, Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran
      sug:
        subj:
          Fish Oils
          Infant Development
          Dietary Supplementation
          Human
          Randomized Controlled Trials
          Triple-Blind Studies
          Adolescence
          Young Adult
          Adult
          Health Facilities Iran
          Iran
          Female
          Docosahexaenoic Acids Administration and Dosage
          Eicosapentaenoic Acid Administration and Dosage
          Childbirth
          Questionnaires
          Birth Weight
          Head Circumference
          Caregivers
          Outcome Assessment
          Severity of Illness
          Nausea
          Infant, Newborn
          Infant
          Communication
          Confidence Intervals
          Expectant Mothers
          Adolescent: 13-18 years
          Adult: 19-44 years
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Female
      ab: Introduction: Long-chain polyunsaturated fatty acids, the most abundant fatty acids in the brain, are essential for the growth and development of the brain and the retina.Objective: To evaluate the effect of fish oil supplementation on the development (primary outcome) and growth of 4- and 6-month-old infants.Methods: In this triple-blind randomized controlled trial, 150 pregnant women aged 18-35 years, who were referred to healthcare centres of Tabriz-Iran, were randomly allocated into two groups. One group of women consumed fish oil supplementation (containing 120 mg docosahexaenoic acid and 180 mg eicosapentaenoic acid) daily, while the other consumed a placebo from the 20th week of pregnancy till 30 days after childbirth in a parallel design by a computer-generated block randomization scheme. The neurodevelopment of infants was the primary outcome; it was assessed using the ages and stages questionnaire (ASQ) at 4- and a-6 months of age. The growth of these infants was measured using weight, length and head circumference. The participants, the caregivers, and those assessing the outcomes were blind to the group assignment.Results: Only one woman in the placebo group discontinued the intervention because of persistent severe nausea. All 75 neonates aged 4- and a-6 months in the fish oil supplementation group, along with 73 and 71 neonates aged 4 and 6 months, respectively in the placebo group, were followed and analysed. Although the mean scores of neurodevelopment at the end of 4 and 6 months were higher in the supplemented group than in the placebo group in each ASQ domain, a statistically significant difference was observed only in the communication domain at the 4th month (adjusted mean difference 2.63; 95% confidence interval 0.36-4.89). There was no significant difference in weight, length, or head circumference between the two groups of infants aged 4 and 6 months (P ≥ 0.05).Conclusion: Based on the results, perinatal fish oil supplementation is beneficial for the communication domain of neurodevelopment of 4-month-old infants. The study results relating to the supplementation effect on other domains are inconclusive. There ought to be further studies with up-to-date lipidomic analysis to find biochemical correlate compared to an intervention and developmental finding.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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