Omega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth

This clinical practice guideline on the supply of the omega-3 docosahexaenoic acid and eicosapentaenoic acid in pregnant women for risk reduction of preterm birth and early preterm birth was developed with support from several medical-scientific organizations, and is based on a review of the availab...

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Main Authors: Cetin, I, Carlson, SE, Burden, C, da Fonseca, EB, di Renzo, GC, Hadjipanayis, A, Harris, WS, Kumar, KR, Olsen, SF, Mader, MS, McAuliffe, FM, Muhlhausler, B, Oken, E, Poon, LC, Poston, L, Ramakrishnan, U, Roehr, CC, Savona-Ventura, C, Smuts, CM, Sotiriadis, A, Su, K-P, Tribe, RM, Vannice, G, Koletzko, B, Clinical Practice Guideline
Other Authors: Asia Pacific Health Association (Pediatric-Neonatology Branch)
Format: Journal article
Language:English
Published: Elsevier 2023
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author Cetin, I
Carlson, SE
Burden, C
da Fonseca, EB
di Renzo, GC
Hadjipanayis, A
Harris, WS
Kumar, KR
Olsen, SF
Mader, MS
McAuliffe, FM
Muhlhausler, B
Oken, E
Poon, LC
Poston, L
Ramakrishnan, U
Roehr, CC
Savona-Ventura, C
Smuts, CM
Sotiriadis, A
Su, K-P
Tribe, RM
Vannice, G
Koletzko, B
Clinical Practice Guideline
author2 Asia Pacific Health Association (Pediatric-Neonatology Branch)
author_facet Asia Pacific Health Association (Pediatric-Neonatology Branch)
Cetin, I
Carlson, SE
Burden, C
da Fonseca, EB
di Renzo, GC
Hadjipanayis, A
Harris, WS
Kumar, KR
Olsen, SF
Mader, MS
McAuliffe, FM
Muhlhausler, B
Oken, E
Poon, LC
Poston, L
Ramakrishnan, U
Roehr, CC
Savona-Ventura, C
Smuts, CM
Sotiriadis, A
Su, K-P
Tribe, RM
Vannice, G
Koletzko, B
Clinical Practice Guideline
author_sort Cetin, I
collection OXFORD
description This clinical practice guideline on the supply of the omega-3 docosahexaenoic acid and eicosapentaenoic acid in pregnant women for risk reduction of preterm birth and early preterm birth was developed with support from several medical-scientific organizations, and is based on a review of the available strong evidence from randomized clinical trials and a formal consensus process. We concluded the following. Women of childbearing age should obtain a supply of at least 250 mg/d of docosahexaenoic+eicosapentaenoic acid from diet or supplements, and in pregnancy an additional intake of ≥100 to 200 mg/d of docosahexaenoic acid. Pregnant women with a low docosahexaenoic acid intake and/or low docosahexaenoic acid blood levels have an increased risk of preterm birth and early preterm birth. Thus, they should receive a supply of approximately 600 to 1000 mg/d of docosahexaenoic+eicosapentaenoic acid, or docosahexaenoic acid alone, given that this dosage showed significant reduction of preterm birth and early preterm birth in randomized controlled trials. This additional supply should preferably begin in the second trimester of pregnancy (not later than approximately 20 weeks’ gestation) and continue until approximately 37 weeks’ gestation or until childbirth if before 37 weeks’ gestation. Identification of women with inadequate omega-3 supply is achievable by a set of standardized questions on intake. Docosahexaenoic acid measurement from blood is another option to identify women with low status, but further standardization of laboratory methods and appropriate cutoff values is needed. Information on how to achieve an appropriate intake of docosahexaenoic acid or docosahexaenoic+eicosapentaenoic acid for women of childbearing age and pregnant women should be provided to women and their partners.
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spelling oxford-uuid:7627589c-6776-49ea-bc64-2d32cc15aabc2024-12-09T09:59:39ZOmega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birthJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7627589c-6776-49ea-bc64-2d32cc15aabcEnglishSymplectic ElementsElsevier2023Cetin, ICarlson, SEBurden, Cda Fonseca, EBdi Renzo, GCHadjipanayis, AHarris, WSKumar, KROlsen, SFMader, MSMcAuliffe, FMMuhlhausler, BOken, EPoon, LCPoston, LRamakrishnan, URoehr, CCSavona-Ventura, CSmuts, CMSotiriadis, ASu, K-PTribe, RMVannice, GKoletzko, BClinical Practice GuidelineAsia Pacific Health Association (Pediatric-Neonatology Branch)Child Health Foundation (Stiftung Kindergesundheit)European Academy of PaediatricsEuropean Board & College of Obstetrics and GynaecologyEuropean Foundation for the Care of Newborn InfantsEuropean Society for Paediatric ResearchInternational Society for Developmental Origins of Health and DiseaseThis clinical practice guideline on the supply of the omega-3 docosahexaenoic acid and eicosapentaenoic acid in pregnant women for risk reduction of preterm birth and early preterm birth was developed with support from several medical-scientific organizations, and is based on a review of the available strong evidence from randomized clinical trials and a formal consensus process. We concluded the following. Women of childbearing age should obtain a supply of at least 250 mg/d of docosahexaenoic+eicosapentaenoic acid from diet or supplements, and in pregnancy an additional intake of ≥100 to 200 mg/d of docosahexaenoic acid. Pregnant women with a low docosahexaenoic acid intake and/or low docosahexaenoic acid blood levels have an increased risk of preterm birth and early preterm birth. Thus, they should receive a supply of approximately 600 to 1000 mg/d of docosahexaenoic+eicosapentaenoic acid, or docosahexaenoic acid alone, given that this dosage showed significant reduction of preterm birth and early preterm birth in randomized controlled trials. This additional supply should preferably begin in the second trimester of pregnancy (not later than approximately 20 weeks’ gestation) and continue until approximately 37 weeks’ gestation or until childbirth if before 37 weeks’ gestation. Identification of women with inadequate omega-3 supply is achievable by a set of standardized questions on intake. Docosahexaenoic acid measurement from blood is another option to identify women with low status, but further standardization of laboratory methods and appropriate cutoff values is needed. Information on how to achieve an appropriate intake of docosahexaenoic acid or docosahexaenoic+eicosapentaenoic acid for women of childbearing age and pregnant women should be provided to women and their partners.
spellingShingle Cetin, I
Carlson, SE
Burden, C
da Fonseca, EB
di Renzo, GC
Hadjipanayis, A
Harris, WS
Kumar, KR
Olsen, SF
Mader, MS
McAuliffe, FM
Muhlhausler, B
Oken, E
Poon, LC
Poston, L
Ramakrishnan, U
Roehr, CC
Savona-Ventura, C
Smuts, CM
Sotiriadis, A
Su, K-P
Tribe, RM
Vannice, G
Koletzko, B
Clinical Practice Guideline
Omega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth
title Omega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth
title_full Omega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth
title_fullStr Omega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth
title_full_unstemmed Omega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth
title_short Omega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth
title_sort omega 3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth
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