Skip to main content

Defining the LCPUFA requirement of term infants

  • Chapter
Recent Developments in Infant Nutrition

Part of the book series: Tenth Nutricia Symposium ((NUSY,volume 9))

Abstract

Much has been written in both the scientific literature and the lay press about the need for long-chain polyunsaturated fatty acids (LCPUFA) in the diets of term infants. In part this has been spurred by the finding that preterm infants fed diets containing LCPUFA have better neural development than preterm infants fed unsupplemented diets. Several studies in term infants have produced mixed results. The controversy can be divided into two separate but related topics: first, is there a difference in outcome between breast-fed and formula-fed term infants, and if so, can this be attributed to LCPUFA content or are there other confounding factors? Second, does the addition of LCPUFA to infant formula actually result in a measurable improvement in developmental outcomes? Establishing a need for LCPUFA in the diet of term infants requires adequate proof of causation. This paper examines the evidence relating to this issue with particular reference to the adequacy of the data in establishing this proof.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Abbreviations

AA:

arachidonic acid, 20:4 n-6

ALA:

α-linolenic acid, 18:3 n-3

DHA:

docosahexaenoic acid, 22:6 n-3

EPA:

eicosapentaenoic acid, 20:5 n-3

GLA:

γ-linolenic acid, 18:3 n-6

LA:

linoleic acid, 18:2 n-6

LCPUFA:

long-chain polyunsaturated fatty acid

VEP:

visual evoked potential

References

  1. Dewey KG, Heinig MJ, Nommsen LA, Peerson JM, Lönnerdal B 1992 Growth of breast-fed and formula-fed infants from 0 to 18 months: The DARLING study. Pediatrics 89:1035–1041

    PubMed  CAS  Google Scholar 

  2. Makrides M, Neumann MA, Byard RW, Simmer K, Gibson RA 1994 Fatty acid composition of brain, retina, and erythrocytes in breast- and formula-fed infants. Am J Clin Nutr 60:189–194

    PubMed  CAS  Google Scholar 

  3. Farquharson J, Cockburn F, Patrick WA, Jamieson EC, Logan RW 1992 Infant cerebral cortex phospholipid fatty-acid composition and diet. Lancet 340:810–813

    Article  PubMed  CAS  Google Scholar 

  4. Wiedmann TS, Pates RD, Beach JM, Salmon A, Brown MF 1988 Lipid-protein interactions mediate the photochemical function of rhodopsin. Biochemistry 27:6469–6474

    Article  PubMed  CAS  Google Scholar 

  5. Makrides M, Simmer K, Goggin M, Gibson RA 1993 Erythrocyte docosahexaenoic acid correlates with the visual response of healthy, term infants. Pediatr Res 33:425–427

    PubMed  CAS  Google Scholar 

  6. Birch EE, Birch DG, Hoffman DR, Hale L, Everett M, Uauy R 1993 Breast-feeding and optimal visual development. J Pediatr Ophthalmol Strabismus 30:33–38

    PubMed  CAS  Google Scholar 

  7. Jørgensen MH, Hernell O, Lund P, Holmer G, Fleischer, Michaelsen KF 1996 Visual acuity and erythrocyte docosahexaenoic acid status in breast-fed and formula-fed infants during the first 4 months of life. Lipids 31:99–105

    Article  PubMed  Google Scholar 

  8. Innis SM, Nelson CM, Rioux MF, King DJ 1994 Development of visual acuity in relation to plasma and erythrocyte ω-6 and ω-3 fatty acids in healthy term gestation infants. Am J Clin Nutr 60:347–352

    PubMed  CAS  Google Scholar 

  9. Makrides M, Neumann M, Simmer K, Pater J, Gibson R 1995 Are long-chain polyunsaturated fatty acids essential nutrients in infancy? Lancet 345:1463–1468

    Article  PubMed  CAS  Google Scholar 

  10. Carlson SE, Ford AJ, Werkman SH, Peeples JM, Koo WWK 1996 Visual acuity and fatty acid status of term infants fed human milk and formulas with and without docosahexaenoate and arachidonate from egg yolk lecithin. Pediatr Res (in press)

    Google Scholar 

  11. Auestad N, Montalto MB, Wheeler RE, Fitzgerald KR, Hall RT, Neuringer M, Connor WE, Hartmann EE, Taylor JA 1995 Visual acuity, RBC fatty acids and growth in term infants fed formulas with and without long chain polyunsaturated fatty acids (LCP). Pediatr Res 37:302A

    Google Scholar 

  12. Agostoni C, Trojan S, Bellu R, Riva E, Giovannini M 1995 Neurodevelopmental quotient of healthy term infants at 4 months and feeding practice: The role of long-chain polyunsaturated fatty acids. Pediatr Res 38:262–266

    Article  PubMed  CAS  Google Scholar 

  13. Carlson SE, Cooke RJ, Werkman SH, Tolley EA 1992 First year growth of preterm infants fed standard compared to marine oil n-3 supplemented formula. Lipids 27:901–907

    Article  PubMed  Google Scholar 

  14. Agostoni C, Riva E, Bellù R, Trojan S, Luotti D, Giovannini M 1994 Effects of diet on the lipid and fatty acid status of full-term infants at 4 months. J Am Coll Nutr 13:658–664

    PubMed  CAS  Google Scholar 

  15. Innis SM 1991 Essential fatty acids in growth and development. Prog Lipid Res 30:39–103

    Article  PubMed  CAS  Google Scholar 

  16. Makrides M, Simmer K, Neumann M, Gibson R 1995 Changes in the polyunsaturated fatty acids of breast milk from mothers of full-term infants over 30 weeks of lactation. Am J Clin Nutr 61:1231–1233

    PubMed  CAS  Google Scholar 

  17. Orel-Bixler DA, Norcia AM 1987 Differential growth of acuity for steady-state pattern reversal and transient pattern onset-offset VEP’s. Clin Vis Sci 2:1–9

    Google Scholar 

  18. Janowsky JS, Scott DT, Wheeler RE, Auestad N 1995 Fatty acids affect early language development. Pediatr Res 37:310A

    Google Scholar 

  19. Taylor B, Wadsworth J 1984 Breast feeding and child development at five years. Dev Med Child Neurol 26:73–80

    Article  PubMed  CAS  Google Scholar 

  20. Rogan WJ, Gladen BC 1993 Breast-feeding and cognitive development. Early Hum Dev 31: 181–193

    Article  PubMed  CAS  Google Scholar 

  21. Morrow Tlucak M, Haude RH, Ernhart CB 1988 Breastfeeding and cognitive development in the first 2 years of life. Soc Sci Med 26:635–639

    Article  Google Scholar 

  22. Bauer G, Ewald LS, Hoffman Y, Dubanoski R 1991 Breastfeeding and cognitive development of three-year-old children. Psychol Rep 68:1218

    Article  PubMed  CAS  Google Scholar 

  23. Silva PA, Buckfield P, Spears GF 1978 Some maternal and child developmental characteristics associated with breast feeding: a report from the Dunedin Multidisciplinary Child Development Study. Aust Paediatr J 14:265–268

    PubMed  CAS  Google Scholar 

  24. Lucas A, Morley R, Cole TJ, Lister G, Leeson-Payne C 1992 Breast milk and subsequent intelligence quotient in children born preterm. Lancet 339:261–264

    Article  PubMed  Google Scholar 

  25. Chen Y-J, Kang W-M 1995 Effects of bilirubin on visual evoked potentials in term infants. Eur J Pediatr 154:662–666

    Article  PubMed  CAS  Google Scholar 

  26. Bradford-Hill A 1965 The environment and disease: association or causation? Proc R Soc Med 58:295–300

    Google Scholar 

  27. Neuringer M, Connor WE, Van Petten C, Barstad L 1984 Dietary omega-3 fatty acid deficiency and visual loss in infant rhesus monkeys. J Clin Invest 73:272–276

    Article  PubMed  CAS  Google Scholar 

  28. Neuringer M, Connor WE, Lin DS, Barstad L, Luck S 1986 Biochemical and functional effects of prenatal and postnatal ω3 fatty acid deficiency on retina and brain in rhesus monkeys. Proc Natl Acad Sci USA 83:4021–4025

    Article  PubMed  CAS  Google Scholar 

  29. Lamptey MS, Walker BL 1976 A possible essential role for dietary linolenic acid in the development of the young rat. J Nutr 106:86–93

    PubMed  CAS  Google Scholar 

  30. Bourre J-M, Francois M, Youyou A, Dumont O, Piciotti M, Pascal G, Durand G 1989 The effects of dietary α-linolenic acid on the composition of nerve membranes, enzymatic activity, amplitude of electrophysiological parameters, resistance to poisons and performance of learning tasks in rats. J Nutr 119:1880–1892

    PubMed  CAS  Google Scholar 

  31. Agostoni C, Riva E, Trojan S, Bellù R, Giovannini M 1995 Docosahexaenoic acid status and developmental quotient of healthy term infants. Lancet 346:638

    Article  PubMed  CAS  Google Scholar 

  32. Gaull GE 1989 Taurine in pediatric nutrition: review and update. Pediatrics 83:433–442

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1996 Kluwer Academic Publishers

About this chapter

Cite this chapter

Makrides, M., Gibson, R.A. (1996). Defining the LCPUFA requirement of term infants. In: Bindels, J.G., Goedhart, A.C., Visser, H.K.A. (eds) Recent Developments in Infant Nutrition. Tenth Nutricia Symposium, vol 9. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1790-3_13

Download citation

  • DOI: https://doi.org/10.1007/978-94-009-1790-3_13

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-7298-4

  • Online ISBN: 978-94-009-1790-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics