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Financiado en parte por H. Lundbeck A/S

Effect of fish oil supplementation in pregnancy on bone, lean, and fat mass at six years: randomised clinical trial

Vinding RK, Stokholm J, Sevelsted A, Sejersen T, Chawes BL, Bønnelykke K, Thorsen J, Howe LD, Krakauer M, Bisgaard H

BMJ (Clinical research ed.) · 34 citas

Etiquetas de revisión

Financiado por la industria

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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
Financiado por la industria
Gobierno
Strategiske Forskningsråd
Universidad u hospital
University of Bristol
Organización sin fines de lucro
Lundbeckfonden
Empresa
H. Lundbeck A/S
Gobierno
Medical Research Council
Subvenciones
Strategiske Forskningsråd (0603–00280B); Medical Research Council (MC_UU_12013_5); Lundbeckfonden (R16‐A1694); Medical Research Council (MC_UU_12013); Medical Research Council (MR/M020894); Medical Research Council (MR/M020894/1); University of Bristol (MC_UU_12013/5); Medical Research Council (MR/M020894/1)

Según 5 financiadores declarados.

Publicación

Publicado
2018-09-04 · BMJ · vol. 362 · pág. k3312
Citado
57 citas · más que el 97% de estudios similares · 5.4× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
37 trabajos
Acceso
Acceso abierto (revista híbrida) · CC-BY-NC
Áreas de investigación
Fatty Acid Research and Health · Birth, Development, and Health · Gestational Diabetes Research and Management
Palabras clave
Fish oil, Pregnancy, Medicine, Lean body mass, Fish <Actinopterygii>, Clinical trial, Fish bone, Randomized controlled trial, Obstetrics, Internal medicine, Biology, Body weight, Fishery
MeSH
humans, prenatal exposure delayed effects, fatty acids, omega-3, fish oils, absorptiometry, photon, body mass index, prenatal care, prospective studies, double-blind method, bone development, pregnancy, bone density, dietary supplements, adult, child, infant, female, infant nutritional physiological phenomena, maternal nutritional physiological phenomena

10 autores

  • Rebecca Vinding🇩🇰University of Copenhagen; Gentofte Hospital; Næstved Sygehus; Copenhagen Prospective Studies on Asthma in Childhood
  • Jakob Stokholm🇩🇰University of Copenhagen; Gentofte Hospital; Copenhagen Prospective Studies on Asthma in Childhood
  • Astrid Sevelsted🇩🇰University of Copenhagen; Gentofte Hospital; Copenhagen Prospective Studies on Asthma in Childhood
  • Tobias Steen Sejersen🇩🇰University of Copenhagen; Gentofte Hospital; Næstved Sygehus; Copenhagen Prospective Studies on Asthma in Childhood
  • Bo Chawes🇩🇰University of Copenhagen; Gentofte Hospital; Copenhagen Prospective Studies on Asthma in Childhood
  • Klaus Bønnelykke🇩🇰University of Copenhagen; Gentofte Hospital; Copenhagen Prospective Studies on Asthma in Childhood
  • Jonathan Thorsen🇩🇰University of Copenhagen; Gentofte Hospital; Copenhagen Prospective Studies on Asthma in Childhood
  • Laura D Howe🇬🇧University of Bristol
  • Martin Krakauer🇩🇰Gentofte Hospital
  • Hans Bisgaard🇩🇰 · autor de correspondenciaUniversity of Copenhagen; Gentofte Hospital; Copenhagen Prospective Studies on Asthma in Childhood

Resumen

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

Objective

To examine the effect of supplementation with n-3 long chain polyunsaturated fatty acids (n-3 LCPUFA) in pregnancy on anthropometry and body composition in offspring.

Design

Double blinded, randomised controlled trial.

Setting

Copenhagen Prospective Studies on Asthma in Childhood2010 cohort.

Participants

736 pregnant women and their offspring.

Intervention

n-3 LCPUFA (fish oil) or control (olive oil) daily from pregnancy week 24 until one week after birth.

Main outcome measures

Height/length, weight, head, and waist measurements and body composition from dual energy x ray absorptiometry (all pre-specified secondary endpoints of the n-3 LCPUFA trial; the primary outcome for the trial was persistent wheeze/asthma).

Results

The mean body mass index (BMI) z score was increased between age 0 and 6 years in the fish oil supplementation group compared with the control group (0.14 (95% confidence interval 0.04 to 0.23); P=0.006). At 6 years, supplementation was associated with a higher BMI z score (0.19 (0.06 to 0.32); P=0.004), a higher weight/height (3.48 (0.38 to 6.57) g/cm; P=0.03), and a larger waist circumference (0.6 (0.0 to 1.2) cm; P=0.04) but not a higher proportion of obese children, using International Obesity Task Force grades. The dual energy x ray absorptiometry scan at age 6 years showed a higher total mass (395.4 (86.6 to 704.3) g; P=0.01) in the supplementation versus the control group, explained by a higher lean mass (280.7 (98.9 to 462.4) g; P=0.002), a higher bone mineral content (10.3 (2.3 to 18.1) g; P=0.01), and a non-significantly higher fat mass (116.3 (-92.9 to 325.5) g; P=0.28), but no differences were seen in total body fat or lean mass percentage.

Conclusion

Fish oil supplementation from the 24th week of pregnancy led to a higher BMI in the offspring from 0 to 6 years of age but not an increased risk of obesity at age 6. The body composition at age 6 years in children given fish oil supplementation was characterised by a proportional increase in lean, bone, and fat mass suggesting a general growth stimulating effect of n-3 LCPUFA.

Trial registration

Clinicaltrials.gov NCT00798226.

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

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