Subscribe to RSS
DOI: 10.1055/s-2007-986695
Oxidative Stress in Preterm Infants Fed a Formula Containing Long-Chain Polyunsaturated Fatty Acids (LCPUFA)
Publication History
Publication Date:
14 September 2007 (online)

ABSTRACT
Our study examined if dietary long-chain polyunsaturated fatty acids (LCPUFA) have an impact on oxidative stress in preterm infants. Serum malonyldialdehyde (MDA), total peroxide concentrations, and total antioxidant capacity were determined at mean (standard deviation [SD]) 34.7 (10.9) days of life in 104 healthy preterm infants (gestational age, 32.6 [2.9] weeks; birthweight; 1605 [285] g) who were randomly assigned to be fed since birth either a formula containing LCPUFA (arachidonic and docosahexaenoic) (group A, n = 50) or a LCPUFA-free formula with identical compositions for other nutrients (group B, n = 54). Clinical and anthropometric characteristics did not differ significantly between the two groups. Mean (SD) serum MDA levels did not differ significantly between groups A (0.23 [0.04] μmol/L) and B (0.22 [0.05] μmol/L). The concentrations of total peroxides were below the detection limits of the assay in 41 of 50 (82%) infants of group A and 43 of 54 (79%) infants of group B and not significantly different between the two infant groups. No difference was observed in serum total antioxidant capacity between groups A (340.0 [46.2] μmol/L) and B (354.7 [46.5] μmol/L). We concluded that supplementation of infant formulas with LCPUFA does not affect lipid peroxidation in healthy preterm infants.
KEYWORDS
LCPUFA - oxidative stress - neonates - preterm infants
REFERENCES
- 1 Jensen C L, Heird W C. Lipids with an emphasis on long-chain polyunsaturated fatty acids. Clin Perinatol. 2002; 29 261-281
- 2 Fleith M, Clandinin M T. Dietary PUFA for preterm and term infants: review of clinical studies. Crit Rev Food Sci Nutr. 2005; 45 205-229
- 3 Song J H, Miyazawa T. Enhanced level of n-3 fatty acid in membrane phospholipids induces lipid peroxidation in rats fed dietary docosahexanoic acid oil. Atherosclerosis. 2001; 155 9-18
- 4 Turini M E, Crozier G L, Donnet-Hughes A, Richelle M A. Short-term fish oil supplementation improved innate immunity, but increased ex vivo oxidation of LDL in man-a pilot study. Eur J Nutr. 2001; 40 56-65
- 5 Nalsen C, Vessby B, Berglund L et al.. Dietary (n-3) fatty acids reduce plasma F2-isoprostanes but not prostaglandin F2α in healthy humans. J Nutr. 2006; 136 1222-1228
- 6 Barbosa D S, Cecchini R, El Kadri M Z, Rodriguez M A, Burini R C, Dichi I. Decreased oxidative stress in patients with ulcerative colitis supplemented with fish oil omega-3 fatty acids. Nutrition. 2003; 19 837-842
- 7 Georgeson G D, Szony B J, Streitman K et al.. Antioxidant enzyme activities are decreased in preterm infants and in neonates born via caesarean section. Eur J Obstet Gynecol Reprod Biol. 2002; 103 136-139
- 8 Robles R, Palomino N, Robles A. Oxidative stress in the neonate. Early Hum Dev. 2001; 65 S75-S81
- 9 Ahola T, Fellman V, Kjellmer I, Raivio K O, Lapatto R. Plasma 8-isoprostane is increased in preterm infants who develop bronchopulmonary dysplasia or periventricular leukomalacia. Pediatr Res. 2004; 56 88-93
- 10 Saugstad O D. Update on oxygen radical disease in neonatology. Curr Opin Obstet Gynecol. 2001; 13 147-153
- 11 Weinberger B, Nisar S, Anwar M, Ostfeld B, Hegyi T. Lipid peroxidation in cord blood and neonatal outcome. Pediatr Int. 2006; 48 479-483
- 12 Saugstad O D. Oxidative stress in the newborn. A 30-year perspective. Biol Neonate. 2005; 88 228-236
- 13 Luo Z C, Fraser W D, Julien P et al.. Tracing the origins of “fetal origins” of adult diseases: Programming by oxidative stress?. Med Hypotheses. 2005; 66 38-44
- 14 Koletzko B, Sauerwald U, Keicher U et al.. Fatty acid profiles, antioxidant status, and growth of preterm infants fed diets without or with long-chain polyunsaturated fatty acids. Eur J Nutr. 2003; 42 243-253
- 15 Stier C, Hess M, Watzer B, Schweer H, Seyberth H W, Leonhardt A. Prostanoid formation during feeding of a preterm formula with long-chain polyunsaturated fatty acids in healthy preterm infants during the first weeks of life. Pediatr Res. 1997; 42 509-513
- 16 Stier C, Schweer H, Jelinek J, Watzer B, Seyberth H W, Leonhardt A. Effect of preterm formula with and without long-chain polyunsaturated fatty acids on the urinary excretion of F2-isoprostanes and 8-Epi-Prostaglandin F2α . J Pediatr Gastroenterol Nutr. 2001; 32 137-141
- 17 Jacobs N JM, van Zoeren-Grobben D, Drejer G F, Bindels J G, Berger H M. Influence of long-chain polyunsaturated fatty acids in formula feeds on lipid peroxidation and antioxidants in preterm infants. Pediatr Res. 1996; 40 680-686
- 18 Ballard J L, Khoury J C, Wedig K, Wang L, Eilers-Walsman B L, Lipp R. New Ballard Score, expanded to include extremely premature infants. J Pediatr. 1991; 119 417-423
- 19 Oken E, Kleinman K P, Rich-Edwards J et al.. A nearly continuous measure of birth weight for gestational age using a United States national reference. BMC Pediatr. 2003; 3 6
-
20 Volpe J J.
Intracranial hemorrhage: germinal matrix-intraventricular hemorrhage of the premature infant . In: Volpe JJ Neurology of the newborn. Philadelphia; WB Saunders 2001: 428-493 - 21 Dalle-Donne I, Rossi R, Colombo R, Giustarini D, Milzani A. Biomarkers of oxidative damage in human disease. Clin Chem. 2006; 52 601-623
- 22 Schimke I, Muller J, Priem F et al.. Decreased oxidative stress in patients with idiopathic dilated cardiomyopathy one year after immunoglobulin adsorption. J Am Coll Cardiol. 2001; 38 178-183
- 23 Korchazhkina O, Jones E, Czauderna M, Spencer S A. Effects of exclusive formula or breast milk feeding on oxidative stress in healthy preterm infants. Arch Dis Child. 2006; 91 327-329
- 24 Yeung M Y. Influence of early postnatal nutritional management on oxidative stress and antioxidant defence in extreme prematurity. Acta Paediatr. 2006; 95 153-163
- 25 Wardle S P, Drury J, Garr R, Weidling A M. Effect of blood transfusion on lipid peroxidation in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2002; 86 F46-F48
- 26 Sola R, La Ville A E, Richard J L et al.. Oleic acid rich diet protects against the oxidative modification of high density lipoprotein. Free Radic Biol Med. 1997; 22 1037-1045
- 27 Hargrove R L, Etherton T D, Pearson T A, Harrison E H, Kris-Etherton P M. Low fat and high monounsaturated fat diets decrease human low-density lipoprotein oxidative susceptibility in vitro. J Nutr. 2001; 131 1758-1763
- 28 Siahanidou T, Mandyla H, Papassotiriou G P, Papassotiriou I, Chrousos G. Circulating levels of adiponectin in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2007; 92 F286-F290
- 29 Forsyth J S, Willatts P, Agostoni C, Bissenden J, Casaer P, Boehm G. Long chain polyunsaturated fatty acid supplementation in infant formula and blood pressure in later childhood: follow-up of a randomized controlled trial. BMJ. 2003; 326 953
Tania SiahanidouM.D. Ph.D.
Neonatal Unit, First Department of Pediatrics, Athens University
“Aghia Sophia” Children's Hospital, 115 27 Athens, Greece