Dietary fat intakes for pregnant and lactating women

Koletzko, Berthold; Cetin, Irene; Brenna, J. Thomas

doi:10.1017/s0007114507764747

Cited by 385 publications

(236 citation statements)

References 43 publications

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“…During the telephone survey, participants were asked to complete a validated FFQ about marine food products (6) . Telephone interviews were conducted by trained interviewers from the largest independent market research (24) 100-200 FNB-IOM, USA (2002) (25) 130-270* Eurodiet (2000) (26) 200 Health Council of the Netherlands (2001) (27) 200 PeriLip (18) Pregnancy and lactation .200 DHA ANC (France) (2001) (28) 450 (DHA, 110-120) NHMRC of Australia (2005) (29) 430-(women), 610-(men) WHO/FAO (2003) (30) 400-1000 (1-2 fish meals/week) UK Scientific Advisory Committee on Nutrition (2004) (31) Minimum two fish meals/week (one fatty fish) E450…”

Section: Study Design and Participantsmentioning

confidence: 99%

n-3 Fatty acid intake from marine food products among Quebecers: comparison to worldwide recommendations

Lucas

Asselin

Plourde

et al. 2009

Public Health Nutr.

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Objective: To quantify marine food product consumption and EPA 1 DHA intake among Quebecers, and to compare the results with the most recent recommendations. Design: Data were obtained from a representative cross-sectional telephone survey (June 2006). Intakes of marine food product species and EPA 1 DHA were estimated from a validated FFQ on the consumption of marine food products during the previous month. Prevalence of fish oil consumption in the last 6 months was also assessed. Setting: Province of Quebec (Canada). Subjects: A representative sample (n 1001) of adults in the province of Quebec. Of these, eight were excluded from the present analysis (n 993). Results: Mean and median EPA 1 DHA intakes for all participants were estimated to be 291 mg/d (SEM 11) and 207 mg/d, respectively. 85?0 % (95 % CI 82?7, 87?3) of Quebecers had an EPA 1 DHA intake lower than 500 mg/d, which is the amount internationally recommended for the prevention of CVD. Mean and median DHA intakes among women of childbearing age (n 128, 18-34 years) were estimated to be 169 mg/d (SEM 17) and 126 mg/d, respectively. Of these women, 27?7 % had a daily intake .200 mg DHA and 15?9 % had an intake .300 mg DHA. We noted that 13 % of Quebecers take $1 capsule of fish oil/d. Conclusions: Consumption of marine food products and EPA 1 DHA among Quebecers clearly appears to be lower than international recommendations. Since EPA 1 DHA confer health benefits and may reduce health costs, strategies to increase their consumption should be implemented to improve public health in Quebec.

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Section: Study Design and Participantsmentioning

confidence: 99%

n-3 Fatty acid intake from marine food products among Quebecers: comparison to worldwide recommendations

Lucas

Asselin

Plourde

et al. 2009

Public Health Nutr.

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“…Maternal DHA supply during pregnancy also appears to modulate the infant's immune response and to lower the allergy risk (Krauss-Etschmann et al, 2008). Recent evidencebased consensus recommendations on dietary fat supply for pregnant and lactating women, developed with support from the European Commission and endorsed by several international scientific organizations, concluded that pregnant and lactating women should aim at achieving an average DHA intake of at least 200 mg DHA per day (Koletzko et al, 2007). This level of intake can usually be reached by 1-2 meals of ocean fish per week if fatty fish is included (for example, herring, mackerel, salmon, sardines).…”

Section: Session 2 Benefits Of Essential Fats For Future Healthmentioning

confidence: 99%

Essential fats for future health. Proceedings of the 9th Unilever Nutrition Symposium, 26–27 May 2010

et al. 2010

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the dietary recommendations for essential fatty acids (EFA); discuss the scientific evidence for the roles of EFA in cognition, immune function and cardiovascular health; and to identify opportunities for joint efforts by industry, academia, governmental and nongovernmental organizations to effectively improve health behaviour. This paper summarizes the main conclusions of the presentations given at the symposium. Linoleic acid (LA) and a-linolenic acid (ALA) are EFA that cannot by synthesized by the human body. Docosahexaenoic acid (DHA) is considered as conditionally essential because of its limited formation from ALA in the human body and its critical role in early normal retinal and brain development and, jointly with eicosapentaenoic acid (EPA), in prevention of cardiovascular disease (CVD). Some evidence for possible beneficial roles of n-3 fatty acids for immune function and adult cognitive function is emerging. A higher consumption of polyunsaturated fatty acids (PUFA; 410%E), including LA, ALA and at least 250-500 mg per day of EPA þ DHA, is recommended for prevention of coronary heart disease (CHD). Two dietary interventions suggest that EFA may affect CVD risk factors in children similarly as in adults. To ensure an adequate EFA intake of the population, including children, public health authorities should develop clear messages based on current science; ensure availability of healthy, palatable foods; and collaborate with scientists, the food industry, schools, hospitals, health-care providers and communities to encourage consumers to make healthy choices.

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“…During pregnancy and during postpartum, they are essential precursors for prostaglandins and they have been reported to play a role in fetal cognitive and visual development [1,2]. During pregnancy, DHA requirements are increased mainly during the last trimester [3]. Maternal DHA concentration is physiologically reduced by 50%, possibly due to a decreased intake but mainly because of the increased maternal blood volume and enhanced placental and fetal requirements [4].…”

Section: Introductionmentioning

confidence: 99%

“…The clinical importance of such effects on infant health has not been fully elucidated and is controversial. Therefore, there is a consensus statement for a minimal daily intake of at least 200 mg DHA/day [3]. Generally, dietary advices for consuming food rich in DHA such as oily fish should increase DHA intake and achieve the recommended daily intake [10].…”

Section: Introductionmentioning

confidence: 99%

Maternal and fetal benefits of DHA supplementation during pregnancy

Hubinont¹,

Savoye²

2017

J Pregnancy Reprod

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During pregnancy, the benefits of long-chain n-3 fatty acids, mainly DHA supplementation has been reported with controversial results. The aim of this review paper is to clarify the role of DHA on maternal and fetal outcomes and to discuss supplementation.Low maternal concentrations of DHA are associated with an increased incidence of preeclampsia, gestational diabetes, postpartum depression, preterm labour and intrauterine fetal growth restriction (IUGR).The effect of a preventive supplementation on these complications is not clearly demonstrated . Some authors report an improved outcome but recent Cochrane database systematic reviews and meta-analysis are not conclusive.DHA supplementation reduces significantly the effects of prenatal stress and the perinatal mortality rate. In patients with previous history of preterm birth, supplementation is also controversial.In conclusion, even if the DHA requirements are increased in pregnancy and if positive correlations are reported between low maternal concentrations and an adverse pregnancy outcome, there are conflicting results on the efficacy of a DHA supplementation. Further studies using different DHA regimens of administration are needed. In the meantime, as it is a safe supplementation with few side effects, DHA should be prescribed in patients with a low dietary intake and risks factors.

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Dietary fat intakes for pregnant and lactating women

Cited by 385 publications

References 43 publications

n-3 Fatty acid intake from marine food products among Quebecers: comparison to worldwide recommendations

n-3 Fatty acid intake from marine food products among Quebecers: comparison to worldwide recommendations

Essential fats for future health. Proceedings of the 9th Unilever Nutrition Symposium, 26–27 May 2010

Maternal and fetal benefits of DHA supplementation during pregnancy

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