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Polyunsaturated Fatty Acids in Child Nutrition

Watumiaji waliosajiliwa tu ndio wanaweza kutafsiri nakala
Ingia / Ingia
Kiungo kimehifadhiwa kwenye clipboard
HaliImekamilika
Wadhamini
Research Institute of Child Nutrition, Dortmund
Washirika
Dr. von Hauner Children's Hospital, Germany
University of Potsdam
Pediatric Clinic Dortmund, Germany

Maneno muhimu

Kikemikali

Primary objective of this study is to examine the effects of 2 different approaches of dietary strategies to optimise fatty acid composition in complementary food on infant's fatty acid status and its consequences on cognitive and visual development.
Subjects are randomly assigned to one of three groups:
- Rapeseed oil (high in n-3 PUFA and small n-6:n-3 ratio to support endogenous n- 3 LC-PUFA metabolism)
- Fatty fish (preformed n-3 LC-PUFA, especially DHA)
- Corn oil (as control group, high in n-6 PUFA, common in complementary food).
The intervention starts with the beginning of complementary feeding as generally recommended between 4 to 6 months of age and ends at the age of 10 months. For this period of time subjects of all groups receive commercial vegetable-potato-meat-meals as part of complementary food which only differs in the fatty acid composition.

Maelezo

A well balanced supply of polyunsaturated fatty acids, in particular the omega-3 long chain docosahexaenoic acid (DHA), in early childhood is essential for children's cognitive and visual development. DHA can either be supplied preformed in the diet (e.g. via fatty fish) or synthesised by conversion of its essential precursor alpha-linolenic acid (e.g. via rapeseed oil). The study examines the effect of two different approaches to optimise infants´ fatty acid status.

The study sample consists of healthy newborns and their mothers (3 x 57 infants according to a priori power calculation) who are enrolled in delivery hospitals in the region of Dortmund, Germany. In total, the individual study program covers the first 10 months of infant's life. Biomarkers of fatty acid status from the mother are collected 8 weeks pp for the estimation of pre- and perinatal fatty acid supply. Additionally, information on maternal diet during pregnancy and after delivery is assessed. The intervention covers the period of complementary feeding (from 4 to 6 months of age until 10 months of age). In all groups the specific study food is given 5 to 7 times a week, whereas 2 of these are fish meals in the fatty fish group. At the age of 4 and 10 months blood samples are collected from the infants to examine the effect on blood fatty acid status. Parameters of visual and cognitive development are also assessed at the age of 4 and 10 months using VEP examinations and Bayley scales. Infants´ dietary intake is assessed from the end of the 2 months until 10 months of age using continuous weighed dietary records.

Tarehe

Imethibitishwa Mwisho: 10/31/2014
Iliyowasilishwa Kwanza: 09/14/2011
Uandikishaji uliokadiriwa Uliwasilishwa: 12/05/2011
Iliyotumwa Kwanza: 12/07/2011
Sasisho la Mwisho Liliwasilishwa: 11/04/2014
Sasisho la Mwisho Lilichapishwa: 11/05/2014
Tarehe halisi ya kuanza kwa masomo: 03/31/2011
Tarehe ya Kukamilisha Msingi iliyokadiriwa: 08/31/2013
Tarehe ya Kukamilisha Utafiti: 08/31/2013

Hali au ugonjwa

Fatty Acid Status

Uingiliaji / matibabu

Other: Fatty acid composition of complementary food

Awamu

-

Vikundi vya Arm

MkonoUingiliaji / matibabu
Experimental: Rapeseed oil
Study group receive commercial vegetable-potato-meat-meals containing rapeseed oil as part of complementary food
Experimental: Fatty fish
Study group receive 2 times per week a vegetable-potato-meat-meals as part of complementary food.
Active Comparator: Corn oil
Study group receive commercial vegetable-potato-meat-meals containing corn oil as part of complementary food

Vigezo vya Kustahiki

Jinsia Inastahiki KujifunzaAll
Hupokea Wajitolea wa AfyaNdio
Vigezo

Inclusion Criteria:

- a term healthy newborn infant ( birth weight > 2500 g, gestational age > 37 weeks

- German speaking mother

- the intention of the mother to breast-feed the children and to feed study menus at least 5 times per week beginning in the fifth to seventh month of life.

Exclusion Criteria:

- preterm children

- twins

Matokeo

Hatua za Matokeo ya Msingi

1. Infants´ fatty acid status [10 months after delivery]

Fatty acids (saturated fatty acids, monounsaturated fatty acids, polyunsaturated fatty acids including long-chain polyunsaturated fatty acids) are measured in percent of total fatty acids in erythrocyte membranes, whole plasma, and cheek cells in order to assess the fatty acid composition.

Hatua za Matokeo ya Sekondari

1. Infants´ visual development [10 months after delivery]

Infants´ visual development is assessed using the visual evoked potentials method.

2. Infants´ cognitive development [10 months after delivery]

Infants´ cognitive development is assessed using the Bayley II scale.

3. Infants´ haemogram [10 months after delivery]

4. Infants´antioxidant status [10 months after delivery]

5. Infants´ body weight [10 months after delivery]

6. Infants´ dietary intake [from 2 until 10 months after delivery]

7. Maternal dietary intake [pregnancy and first 2 months post partum]

8. Infant's preference for fish [10 month after delivery]

9. Infant's preference for new flavour [10 month after delivery]

10. Parental attitudes about fish and feeding strategies [10 months after delivery]

11. Mother´s fatty acid status [2 months after delivery]

Fatty acids (saturated fatty acids, monounsaturated fatty acids, polyunsaturated fatty acids including long-chain polyunsaturated fatty acids) are measured in percent of total fatty acids in erythrocyte membranes, whole plasma, cheek cells, and breast milk in order to assess the fatty acid composition.

12. Infants´ body length [10 months after delivery]

13. Infant´s head circumference [10 months after delivery]

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