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Cognitive assessment of children at age 2(1/2) years after maternal fish oil supplementation in pregnancy: a randomised controlled trial

Dunstan JA, Simmer K, Dixon G, Prescott SL

Archives of disease in childhood. Fetal and neonatal edition · 202 citas

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2006-12-21 · Arch Dis Child Fetal Neonatal Ed · vol. 93 · número 1 · págs. F45–F50
Editorial
BMJ
Citado
338 citas · más que el 99% de estudios similares · 12.3× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
41 trabajos
Acceso
De pago
Áreas de investigación
Fatty Acid Research and Health · Birth, Development, and Health · Child Nutrition and Water Access
Palabras clave
omega-3 fatty acids, docosahexaenoic acid, eicosapentaenoic acid, prenatal nutrition, infant cognitive development, infant growth, arachidonic acid, omega-6 fatty acids, child behavior, receptive language
MeSH
humans, fatty acids, omega-3, docosahexaenoic acids, eicosapentaenoic acid, fish oils, double-blind method, child development, cognition, psychomotor performance, pregnancy, dietary supplements, adult, child, preschool, western australia, female, prenatal nutritional physiological phenomena

4 autores

  • Janet A. Dunstan🇦🇺The University of Western Australia
  • Karen Norrie Simmer🇦🇺The University of Western Australia
  • Glenys Dixon🇦🇺The Kids Research Institute Australia; The University of Western Australia
  • Susan L. Prescott🇦🇺 · autor de correspondenciaThe University of Western Australia

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objective

To assess the effects of antenatal omega 3 long-chain polyunsaturated fatty acid (n-3 LC PUFA) on cognitive development in a cohort of children whose mothers received high-dose fish oil in pregnancy.

Design

A double-blind randomised placebo-controlled trial.

Setting

Perth, Western Australia, Australia.

Patients

98 pregnant women received the supplementation from 20 weeks' gestation until delivery. Their infants (n = 72) were assessed at age 2(1/2) years.

Interventions

Fish oil (2.2 g docosahexaenoic acid (DHA) and 1.1 g eicosapentaenoic acid (EPA)/day) or olive oil from 20 weeks' gestation until delivery.

Outcome measures

Effects on infant growth and developmental quotients (Griffiths Mental Development Scales), receptive language (Peabody Picture Vocabulary Test) and behaviour (Child Behaviour Checklist).

Results

Children in the fish oil-supplemented group (n = 33) attained a significantly higher score for eye and hand coordination (mean ((SD) score 114 (10.2)) than those in the placebo group (n = 39, mean score 108 (SD 11.3); p = 0.021, adjusted p = 0.008). Eye and hand coordination scores correlated with n-3 PUFA levels in cord blood erythrocytes (EPA: r = 0.320, p = 0.007; DHA: r = 0.308, p = 0.009) and inversely correlated with n-6 PUFA (arachidonic acid 20:4n-6: r = -0.331, p = 0.005). Growth measurements in the two groups were similar at age 2(1/2) years.

Conclusion

Maternal fish oil supplementation during pregnancy is safe for the fetus and infant, and may have potentially beneficial effects on the child's eye and hand coordination. Further studies are needed to determine the significance of this finding.

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