Impact of erythrocyte long-chain omega-3 polyunsaturated fatty acid levels in early pregnancy on birth outcomes: findings from a Belgian cohort study

J Perinatol. 2020 Mar;40(3):488-496. doi: 10.1038/s41372-019-0573-9. Epub 2020 Jan 8.

Abstract

Objective: To examine the association between maternal erythrocyte long-chain omega-3 PUFA (n-3 LCPUFA), measured in early pregnancy, and pregnancy and birth outcomes.

Study design: One hundred and eight healthy women with a singleton pregnancy were included. Erythrocyte fatty acids were analyzed using gas chromatography. Gestational length, birth anthropometric measures, and pregnancy-associated complications were collected from hospital medical records.

Results: We observed significant positive associations between maternal docosahexaenoic acid (DHA) levels (p = 0.024) and omega-3 index values (p = 0.021) and gestational length in adjusted linear regression models. Each point in maternal DHA level was associated with 2.19 days longer gestational duration (β = 2.19; 95% CI 0.29-4.09). No consistent associations were found between n-3 PUFA levels and composite pregnancy outcome.

Conclusion: These findings suggest that the gestational length is positively affected by maternal n-3 LCPUFA status as soon as the early stages of pregnancy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Belgium
  • Cohort Studies
  • Docosahexaenoic Acids / blood
  • Fatty Acids, Omega-3 / blood*
  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Linear Models
  • Logistic Models
  • Pregnancy
  • Pregnancy Complications / blood
  • Pregnancy Outcome*
  • Pregnancy Trimester, First / blood*
  • Pregnancy Trimester, Second / blood*
  • ROC Curve

Substances

  • Fatty Acids, Omega-3
  • Docosahexaenoic Acids