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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

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IMPACT FACTOR 2016: 1.577
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1619-3997
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Volume 36, Issue 1 (Jan 2008)

Issues

The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations

Berthold Koletzko / Eric Lien / Carlo Agostoni / Hansjosef Böhles / Cristina Campoy / Irene Cetin
  • 6Department of Gynecology and Obstetrics, IRCCS Policlinico, Mangiagalli and Regina Elena, University of Milan, Italy
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/ Tamas Decsi / Joachim W. Dudenhausen / Cristophe Dupont / Stewart Forsyth / Irene Hoesli / Wolfgang Holzgreve / Alexandre Lapillonne
  • 13Rene Descartes Paris 5 University, Paris, France and Baylor College of Medicine, Houston, Texas, USA
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/ Guy Putet / Niels J. Secher / Mike Symonds
  • 16Academic Division of Child Health, Center for Reproduction and Early Life, University of Nottingham, UK
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/ Hania Szajewska / Peter Willatts / Ricardo Uauy
  • 19Department of Human Nutrition, University of Chile, Santiago, Chile, and London School of Hygiene and Tropical Medicine, London, UK
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Published Online: 2008-01-10 | DOI: https://doi.org/10.1515/JPM.2008.001

Abstract

This paper reviews current knowledge on the role of the long-chain polyunsaturated fatty acids (LC-PUFA), docosahexaenoic acid (DHA, C22:6n-3) and arachidonic acid (AA, 20:4n-6), in maternal and term infant nutrition as well as infant development. Consensus recommendations and practice guidelines for health-care providers supported by the World Association of Perinatal Medicine, the Early Nutrition Academy, and the Child Health Foundation are provided. The fetus and neonate should receive LC-PUFA in amounts sufficient to support optimal visual and cognitive development. Moreover, the consumption of oils rich in n-3 LC-PUFA during pregnancy reduces the risk for early premature birth. Pregnant and lactating women should aim to achieve an average daily intake of at least 200 mg DHA. For healthy term infants, we recommend and fully endorse breastfeeding, which supplies preformed LC-PUFA, as the preferred method of feeding. When breastfeeding is not possible, we recommend use of an infant formula providing DHA at levels between 0.2 and 0.5 weight percent of total fat, and with the minimum amount of AA equivalent to the contents of DHA. Dietary LC-PUFA supply should continue after the first six months of life, but currently there is not sufficient information for quantitative recommendations.

Keywords: Alpha-linolenic acid; arachidonic acid; docosahexaenoic acid; eicosapentaenoic acid; infant nutrition; linoleic acid; maternal health; maternal nutrition; perinatal development

About the article

Corresponding author: Berthold Koletzko, MD Department of Pediatrics Dr von Hauner Children's Hospital University of Munich Lindwurmstr. 4 D-80337 München Germany


Published Online: 2008-01-10

Published in Print: 2008-01-01


Citation Information: Journal of Perinatal Medicine, ISSN (Online) 16193997, ISSN (Print) 03005577, DOI: https://doi.org/10.1515/JPM.2008.001.

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