Skip to main content
Erschienen in: European Journal of Nutrition 3/2010

01.04.2010 | Original Contribution

Dietary intake and plasma concentrations of PUFA and LC-PUFA in breastfed and formula fed infants under real-life conditions

verfasst von: Jana Schwartz, Claudia Drossard, Katharina Dube, Frank Kannenberg, Clemens Kunz, Hermann Kalhoff, Mathilde Kersting

Erschienen in: European Journal of Nutrition | Ausgabe 3/2010

Einloggen, um Zugang zu erhalten

Abstract

Background

The breastfed infant is usually used as standard for formula feeding, also regarding long-chain polyunsaturated fatty acids (LC-PUFA). Here, plasma fatty acid concentrations in formula fed infants and the effects of LC-PUFA supplementation were investigated under real-life conditions.

Method

Term healthy infants being fully milk fed until the age of 4 months were categorized as breast milk “BM” (n = 73) if consuming >95% of energy from breast milk or formula (F) if consuming >95% of energy from formula subdivided into formula without (F−) (n = 15) and with LC-PUFA supplementation (F+) (n = 15). Formula as marketed was chosen by the parents. Dietary fatty acids (FA) intake was calculated from continuous dietary records from 2 months of age onwards. Total plasma FA were analyzed at the age of 4 months with docosahexaenoic acid (DHA) as primary outcome.

Results

Dietary ratios of the polyunsaturated fatty acids (PUFA; linoleic acid/alpha-linolenic acid) were smaller in both F groups than in the BM group. Plasma DHA as % of total FA was similar in BM and F(+) but higher in BM in absolute amounts (mg/L). Plasma DHA as % of total FA in F(−) was higher than what might be supposed on the basis of dietary intake.

Conclusion

Infants consuming present-day LC-PUFA-supplemented formula achieved plasma LC-PUFA concentrations similar to breastfed infants. In infants consuming non-LC-PUFA-supplemented formula, the favorable PUFA pattern of the formula may have supported n-3 LC-PUFA biosynthesis.
Literatur
1.
Zurück zum Zitat Arab L (2003) Biomarkers of fat and fatty acid intake. J Nutr 133(Suppl 3):925S–932S Arab L (2003) Biomarkers of fat and fatty acid intake. J Nutr 133(Suppl 3):925S–932S
2.
Zurück zum Zitat Bergmann RL, Haschke-Becher E, Klassen-Wigger P, Bergmann KE, Richter R, Dudenhausen JW, Grathwohl D, Haschke F (2008) Supplementation with 200 mg/day docosahexaenoic acid from mid-pregnancy through lactation improves the docosahexaenoic acid status of mothers with a habitually low fish intake and of their infants. Ann Nutr Metab 52:157–166CrossRef Bergmann RL, Haschke-Becher E, Klassen-Wigger P, Bergmann KE, Richter R, Dudenhausen JW, Grathwohl D, Haschke F (2008) Supplementation with 200 mg/day docosahexaenoic acid from mid-pregnancy through lactation improves the docosahexaenoic acid status of mothers with a habitually low fish intake and of their infants. Ann Nutr Metab 52:157–166CrossRef
3.
Zurück zum Zitat Brenna JT, Varamini B, Jensen RG, Diersen-Schade DA, Boettcher JA, Arterburn LM (2007) Docosahexaenoic and arachidonic acid concentrations in human breast milk worldwide. Am J Clin Nutr 85:1457–1464 Brenna JT, Varamini B, Jensen RG, Diersen-Schade DA, Boettcher JA, Arterburn LM (2007) Docosahexaenoic and arachidonic acid concentrations in human breast milk worldwide. Am J Clin Nutr 85:1457–1464
4.
Zurück zum Zitat Butte NF (2005) Energy requirements of infants. Public Health Nutr 8:953–967 Butte NF (2005) Energy requirements of infants. Public Health Nutr 8:953–967
5.
Zurück zum Zitat Commission D (2006) Commission Directive 2006/141/EC of 22 December 2006 on infant formulae and follow-on formulae and amending Directive 1999/21/EC. In, p L 401/402 Commission D (2006) Commission Directive 2006/141/EC of 22 December 2006 on infant formulae and follow-on formulae and amending Directive 1999/21/EC. In, p L 401/402
6.
Zurück zum Zitat Fidler N, Sauerwald T, Pohl A, Demmelmair H, Koletzko B (2000) Docosahexaenoic acid transfer into human milk after dietary supplementation: a randomized clinical trial. J Lipid Res 41:1376–1383 Fidler N, Sauerwald T, Pohl A, Demmelmair H, Koletzko B (2000) Docosahexaenoic acid transfer into human milk after dietary supplementation: a randomized clinical trial. J Lipid Res 41:1376–1383
7.
Zurück zum Zitat Guerra A, Demmelmair H, Toschke AM, Koletzko B (2007) Three-year tracking of fatty acid composition of plasma phospholipids in healthy children. Ann Nutr Metab 51:433–438CrossRef Guerra A, Demmelmair H, Toschke AM, Koletzko B (2007) Three-year tracking of fatty acid composition of plasma phospholipids in healthy children. Ann Nutr Metab 51:433–438CrossRef
8.
Zurück zum Zitat Innis SM (2007) Dietary (n-3) fatty acids and brain development. J Nutr 137:855–859 Innis SM (2007) Dietary (n-3) fatty acids and brain development. J Nutr 137:855–859
9.
Zurück zum Zitat Innis SM (2003) Perinatal biochemistry and physiology of long-chain polyunsaturated fatty acids. J Pediatr 143:S1–S8 Innis SM (2003) Perinatal biochemistry and physiology of long-chain polyunsaturated fatty acids. J Pediatr 143:S1–S8
10.
Zurück zum Zitat Jensen CL, Chen H, Fraley JK, Anderson RE, Heird WC (1996) Biochemical effects of dietary linoleic/alpha-linolenic acid ratio in term infants. Lipids 31:107–113CrossRef Jensen CL, Chen H, Fraley JK, Anderson RE, Heird WC (1996) Biochemical effects of dietary linoleic/alpha-linolenic acid ratio in term infants. Lipids 31:107–113CrossRef
11.
12.
Zurück zum Zitat Jensen RG, Bitman J, Carlson SE, Hamosh M, Newburg DS (1995) Milk lipids. In: Jensen RG (ed) Handbook of milk composition. Academic Press, San Diego, pp 495–576CrossRef Jensen RG, Bitman J, Carlson SE, Hamosh M, Newburg DS (1995) Milk lipids. In: Jensen RG (ed) Handbook of milk composition. Academic Press, San Diego, pp 495–576CrossRef
13.
Zurück zum Zitat Kim HY (2007) Novel metabolism of docosahexaenoic acid in neural cells. J Biol Chem 282(26):18661–18665CrossRef Kim HY (2007) Novel metabolism of docosahexaenoic acid in neural cells. J Biol Chem 282(26):18661–18665CrossRef
14.
Zurück zum Zitat Koletzko B, Cetin I, Brenna JT (2007) Dietary fat intakes for pregnant and lactating women. Br J Nutr 98:873–877CrossRef Koletzko B, Cetin I, Brenna JT (2007) Dietary fat intakes for pregnant and lactating women. Br J Nutr 98:873–877CrossRef
15.
Zurück zum Zitat Koletzko B, Lien E, Agostoni C, Bohles H, Campoy C, Cetin I, Decsi T, Dudenhausen JW, Dupont C, Forsyth S, Hoesli I, Holzgreve W, Lapillonne A, Putet G, Secher NJ, Symonds M, Szajewska H, Willatts P, Uauy R (2008) The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations. J Perinat Med 36:5–14CrossRef Koletzko B, Lien E, Agostoni C, Bohles H, Campoy C, Cetin I, Decsi T, Dudenhausen JW, Dupont C, Forsyth S, Hoesli I, Holzgreve W, Lapillonne A, Putet G, Secher NJ, Symonds M, Szajewska H, Willatts P, Uauy R (2008) The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy: review of current knowledge and consensus recommendations. J Perinat Med 36:5–14CrossRef
16.
Zurück zum Zitat Kratz M, Cullen P, Kannenberg F, Kassner A, Fobker M, Abuja PM, Assmann G, Wahrburg U (2002) Effects of dietary fatty acids on the composition and oxidizability of low-density lipoprotein. Eur J Clin Nutr 56:72–81CrossRef Kratz M, Cullen P, Kannenberg F, Kassner A, Fobker M, Abuja PM, Assmann G, Wahrburg U (2002) Effects of dietary fatty acids on the composition and oxidizability of low-density lipoprotein. Eur J Clin Nutr 56:72–81CrossRef
17.
Zurück zum Zitat Lauritzen L, Hansen HS, Jorgensen MH, Michaelsen KF (2001) The essentiality of long chain n-3 fatty acids in relation to development and function of the brain and retina. Prog Lipid Res 40:1–94CrossRef Lauritzen L, Hansen HS, Jorgensen MH, Michaelsen KF (2001) The essentiality of long chain n-3 fatty acids in relation to development and function of the brain and retina. Prog Lipid Res 40:1–94CrossRef
18.
Zurück zum Zitat Makrides M, Neumann MA, Jeffrey B, Lien EL, Gibson RA (2000) A randomized trial of different ratios of linoleic to alpha-linolenic acid in the diet of term infants: effects on visual function and growth. Am J Clin Nutr 71:120–129 Makrides M, Neumann MA, Jeffrey B, Lien EL, Gibson RA (2000) A randomized trial of different ratios of linoleic to alpha-linolenic acid in the diet of term infants: effects on visual function and growth. Am J Clin Nutr 71:120–129
19.
Zurück zum Zitat Michalsen A, Lehmann N, Pithan C, Knoblauch NT, Moebus S, Kannenberg F, Binder L, Budde T, Dobos GJ (2006) Mediterranean diet has no effect on markers of inflammation and metabolic risk factors in patients with coronary artery disease. Eur J Clin Nutr 60:478–485CrossRef Michalsen A, Lehmann N, Pithan C, Knoblauch NT, Moebus S, Kannenberg F, Binder L, Budde T, Dobos GJ (2006) Mediterranean diet has no effect on markers of inflammation and metabolic risk factors in patients with coronary artery disease. Eur J Clin Nutr 60:478–485CrossRef
20.
Zurück zum Zitat Salem N Jr, Wegher B, Mena P, Uauy R (1996) Arachidonic and docosahexaenoic acids are biosynthesized from their 18-carbon precursors in human infants. Proc Natl Acad Sci USA 93:49–54CrossRef Salem N Jr, Wegher B, Mena P, Uauy R (1996) Arachidonic and docosahexaenoic acids are biosynthesized from their 18-carbon precursors in human infants. Proc Natl Acad Sci USA 93:49–54CrossRef
21.
Zurück zum Zitat Sauerwald TU, Hachey DL, Jensen CL, Chen H, Anderson RE, Heird WC (1997) Intermediates in endogenous synthesis of C22:6 omega 3 and C20:4 omega 6 by term and preterm infants. Pediatr Res 41:183–187CrossRef Sauerwald TU, Hachey DL, Jensen CL, Chen H, Anderson RE, Heird WC (1997) Intermediates in endogenous synthesis of C22:6 omega 3 and C20:4 omega 6 by term and preterm infants. Pediatr Res 41:183–187CrossRef
22.
Zurück zum Zitat Scanlon K, Alexander M, Serdula M, Davis M, Bowman B (2002) Assessment of infant feeding: the validity of measuring milk intake. Nutr Rev 60:235–251CrossRef Scanlon K, Alexander M, Serdula M, Davis M, Bowman B (2002) Assessment of infant feeding: the validity of measuring milk intake. Nutr Rev 60:235–251CrossRef
23.
Zurück zum Zitat Schoen S, Sichert-Hellert W, Kersting M (2009) Validation of energy requirement equations for estimation of breast milk consumption in infants. Public Health Nutr (in press) Schoen S, Sichert-Hellert W, Kersting M (2009) Validation of energy requirement equations for estimation of breast milk consumption in infants. Public Health Nutr (in press)
24.
Zurück zum Zitat Schwartz J, Dube K, Sichert-Hellert W, Kannenberg F, Kunz C, Kalhoff H, Kersting M (2009) Modification of dietary PUFA via complementary food enhances n-3 LC-PUFA synthesis in healthy infants—a double blinded randomized controlled trial. Arch Dis Child [Epub ahead of print] Schwartz J, Dube K, Sichert-Hellert W, Kannenberg F, Kunz C, Kalhoff H, Kersting M (2009) Modification of dietary PUFA via complementary food enhances n-3 LC-PUFA synthesis in healthy infants—a double blinded randomized controlled trial. Arch Dis Child [Epub ahead of print]
25.
Zurück zum Zitat Scott BL, Bazan NG (1989) Membrane docosahexaenoate is supplied to the developing brain and retina by the liver. Proc Natl Acad Sci USA 86:2903–2907CrossRef Scott BL, Bazan NG (1989) Membrane docosahexaenoate is supplied to the developing brain and retina by the liver. Proc Natl Acad Sci USA 86:2903–2907CrossRef
26.
Zurück zum Zitat Sichert-Hellert W, Kersting M, Chada C, Schäfer R, Kroke A (2007) German food composition database for dietary evaluations in children and adolescents. J Food Compos Anal 20:63–70CrossRef Sichert-Hellert W, Kersting M, Chada C, Schäfer R, Kroke A (2007) German food composition database for dietary evaluations in children and adolescents. J Food Compos Anal 20:63–70CrossRef
27.
Zurück zum Zitat Simmer K, Patole SK, Rao SC (2008) Longchain polyunsaturated fatty acid supplementation in infants born at term. Cochrane Database Syst Rev:CD000376 Simmer K, Patole SK, Rao SC (2008) Longchain polyunsaturated fatty acid supplementation in infants born at term. Cochrane Database Syst Rev:CD000376
28.
Zurück zum Zitat Simmer K, Schulzke SM, Patole S (2008) Longchain polyunsaturated fatty acid supplementation in preterm infants. Cochrane Database Syst Rev:CD000375 Simmer K, Schulzke SM, Patole S (2008) Longchain polyunsaturated fatty acid supplementation in preterm infants. Cochrane Database Syst Rev:CD000375
29.
Zurück zum Zitat Simopoulos AP (2003) Importance of the ratio of omega-6/omega-3 essential fatty acids: evolutionary aspects. In: Simopoulos AP, Cleland LG (eds) Omega-6/omega-3 essential fatty acid ratio: the scientific evidence. World Rev Nutr Diet, Karger, Basel, pp 1–22CrossRef Simopoulos AP (2003) Importance of the ratio of omega-6/omega-3 essential fatty acids: evolutionary aspects. In: Simopoulos AP, Cleland LG (eds) Omega-6/omega-3 essential fatty acid ratio: the scientific evidence. World Rev Nutr Diet, Karger, Basel, pp 1–22CrossRef
30.
Zurück zum Zitat Souci SW, Fachmann W, Kraut H (2000) Die Zusammensetzung der Lebensmittel Nährwert-Tabellen. Medpharm Scientific Publishers, Stuttgart Souci SW, Fachmann W, Kraut H (2000) Die Zusammensetzung der Lebensmittel Nährwert-Tabellen. Medpharm Scientific Publishers, Stuttgart
31.
Zurück zum Zitat Uauy R, Mena P, Wegher B, Nieto S, Salem N Jr (2000) Long chain polyunsaturated fatty acid formation in neonates: effect of gestational age and intrauterine growth. Pediatr Res 47:127–135CrossRef Uauy R, Mena P, Wegher B, Nieto S, Salem N Jr (2000) Long chain polyunsaturated fatty acid formation in neonates: effect of gestational age and intrauterine growth. Pediatr Res 47:127–135CrossRef
32.
Zurück zum Zitat Uauy R, Rojas C, Llanos A, Mena P (2005) Dietary essential fatty acids in early postnatal life: long-term outcomes. Nestlé Nutrition Workshop Series Pediatric Program 55:101–136CrossRef Uauy R, Rojas C, Llanos A, Mena P (2005) Dietary essential fatty acids in early postnatal life: long-term outcomes. Nestlé Nutrition Workshop Series Pediatric Program 55:101–136CrossRef
Metadaten
Titel
Dietary intake and plasma concentrations of PUFA and LC-PUFA in breastfed and formula fed infants under real-life conditions
verfasst von
Jana Schwartz
Claudia Drossard
Katharina Dube
Frank Kannenberg
Clemens Kunz
Hermann Kalhoff
Mathilde Kersting
Publikationsdatum
01.04.2010
Verlag
Springer-Verlag
Erschienen in
European Journal of Nutrition / Ausgabe 3/2010
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-009-0067-1

Weitere Artikel der Ausgabe 3/2010

European Journal of Nutrition 3/2010 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.