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The DIAMOND (DHA Intake And Measurement Of Neural Development) Study: a double-masked, randomized controlled clinical trial of the maturation of infant visual acuity as a function of the dietary level of docosahexaenoic acid

Birch EE, Carlson SE, Hoffman DR, Fitzgerald-Gustafson KM, Fu VL, Drover JR, Castañeda YS, Minns L, Wheaton DK, Mundy D, Marunycz J, Diersen-Schade DA

The American journal of clinical nutrition · 149 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
2010-02-04 · Am J Clin Nutr · vol. 91 · número 4 · págs. 848–859
Editorial
Elsevier BV
Citado
235 citas · más que el 100% de estudios similares · 18.8× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
36 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY-NC
Áreas de investigación
Fatty Acid Research and Health · Infant Nutrition and Health · Child Nutrition and Water Access
Palabras clave
docosahexaenoic acid, DHA supplementation, infant formula, visual acuity, visual evoked potentials, infant visual development, long-chain polyunsaturated fatty acids, arachidonic acid, red blood cell fatty acids, formula-fed infants, dose-response relationship
MeSH
humans, dietary fats, docosahexaenoic acids, arachidonic acid, diet, double-blind method, evoked potentials, visual, visual acuity, infant formula, infant, newborn, united states, female, male, vision, ocular, neurogenesis

12 autores

  • Eileen E. Birch🇺🇸Retina Foundation of the Southwest
  • Susan E. Carlson
  • Dennis R. Hoffman
  • Kathleen M. Gustafson
  • Valeria L. N. Fu
  • James R. Drover
  • Yolanda S. Castañeda
  • Laura M. Minns
  • Dianna K. Wheaton
  • David Mundy
  • John D Marunycz
  • Deborah A. Diersen-Schade

Resumen

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

Background

The range of human milk docosahexaenoic acid (DHA) concentrations worldwide is much broader than the range explored in randomized clinical trials to date.

Objective

The primary objective was to determine the effect of 4 amounts of DHA supplementation on the visual acuity of formula-fed infants at 12 mo of age. Secondary objectives were to evaluate visual acuity maturation, red blood cell fatty acids, tolerance, anthropometric measures, and adverse events.

Design

This double-masked, randomized trial was conducted at 2 sites (Dallas and Kansas City). Three hundred forty-three healthy, term, formula-fed infants were enrolled at 1-9 d of age and were randomly assigned to be fed 1 of the following 4 infant formulas containing equivalent nutrient amounts, except for long-chain polyunsaturated fatty acids: control (0% DHA), 0.32% DHA, 0.64% DHA, or 0.96% DHA; DHA-supplemented formulas also provided 0.64% arachidonic acid. Visual acuity was measured by visual evoked potentials in 244 infants who completed the 12-mo primary outcome examination.

Results

Infants fed control formula had significantly poorer visual evoked potential visual acuity at 12 mo of age than did infants who received any of the DHA-supplemented formulas (P < 0.001). There were no significant differences in visual evoked potential visual acuity between the 3 amounts of DHA supplementation for either site at any age tested.

Conclusions

DHA supplementation of infant formula at 0.32% of total fatty acids improves visual acuity. Higher amounts of DHA supplementation were not associated with additional improvement of visual acuity. This trial was registered at clinicaltrials.gov as NCT00753818.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).

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