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Lewin GA, Schachter HM, Yuen D, et al. Effects of Omega-3 Fatty Acids on Child and Maternal Health. Rockville (MD): Agency for Healthcare Research and Quality (US); 2005 Aug. (Evidence Reports/Technology Assessments, No. 118.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

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Effects of Omega-3 Fatty Acids on Child and Maternal Health.

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Appendix F. List of excluded studies (no RCTs)

    1. Pregnancy outcomes

      1a. Duration of gestation

      1.
      Olsen S F, Hansen H S, Sommer S, Jensen B, Sorensen T I, Secher N J, Zachariassen P. Gestational age in relation to marine n-3 fatty acids in maternal erythrocytes: a study of women in the Faroe Islands and Denmark. Am J Obstet Gynecol. 1991;164(5 Pt 1):p.1203–1209. [PubMed: 1827949]
      2.
      Grandjean P, Bjerve K S, Weihe P, Steuerwald U. Birthweight in a fishing community: significance of essential fatty acids and marine food contaminants.[comment] Int J Epidemiol. 2001;30(6):p.1272–1278. [PubMed: 11821327]
      3.
      Velzing-Aarts F V, van der Klis F R, van der Dijs F P, Muskiet F A. Umbilical vessels of preeclamptic women have low contents of both n-3 and n-6 long-chain polyunsaturated fatty acids. Am J Clin Nutr. 1999;69(2):p.293–298. [PubMed: 9989695]
      4.
      Araya, Araya J, Rojas, Garcia M, Fernandez, Fraile P, Mateluna, Acevedo A. [Differences in percent composition of long chain polyunsaturated fatty acids in maternal-fetal erythrocytes in term and preterm infants]. [Spanish] Arch Latinoam Nutr. 1998;48(3):p.210–215. [PubMed: 9951532]
      5.
      Araya J, Rojas M, Fernandez P, Mateluna A. [Essential fatty acid content of maternal erythrocyte phospholipids. A study in preterm and full-term human newborns]. [Spanish] Rev Med Chil. 1998;126(4):p.391–396. [PubMed: 9699369]
      6.
      Wang J, Zhang Y. Effect of the long chain polyunsaturated fatty acids levels in mothers on fetuses. [Chinese] Chung-Hua Fu Chan Ko Tsa Chih [Chinese Journal of Obstetrics & Gynecology] 1998;33(12):p.722–723. [PubMed: 10806659]
      7.
      Kesmodel U, Olsen S F, Salvig J D. Marine n-3 fatty acid and calcium intake in relation to pregnancy induced hypertension, intrauterine growth retardation, and preterm delivery. A case-control study. Acta Obstet Gynecol Scand. 1997;76(1):p.38–44. [PubMed: 9033242]
      8.
      Foreman-van Drongelen M M, Al M D, van Houwelingen A C, Blanco C E, Hornstra G. Comparison between the essential fatty acid status of preterm and full-term infants, measured in umbilical vessel walls. Early Hum Dev. 1995 18-8;42(3):p.241–251. [PubMed: 7493590]
      9.
      Olsen S F, Hansen H S, Secher N J, Jensen B, Sandstrom B. Gestation length and birth weight in relation to intake of marine n-3 fatty acids. Br J Nutr. 1995;73(3):p.397–404. [PubMed: 7766563]
      10.
      Vizek K, Mourek J, Base J, Smidova L, Mikova M, Cechova I. [Serum fatty acids in premature neonates]. [Czech] Sb Lek. 1993;94(1):p.19–24. [PubMed: 7991993]
      11.
      Olsen S F, Grandjean P, Weihe P, Videro T. Frequency of seafood intake in pregnancy as a determinant of birth weight: evidence for a dose dependent relationship. J Epidemiol Community Health. 1993;47(6):p.436–440. [PMC free article: PMC1059854] [PubMed: 8120495]
      12.
      Leaf A A, Leighfield M J, Costeloe K L, Crawford M A. Long chain polyunsaturated fatty acids and fetal growth. Early Hum Dev. 1992;30(3):p.183–191. [PubMed: 1468382]
      13.
      Leaf A A, Leighfield M J, Costeloe K L, Crawford M A. Factors affecting long-chain polyunsaturated fatty acid composition of plasma choline phosphoglycerides in preterm infants. J Pediatr Gastroenterol Nutr. 1992;14(3):p.300–308. [PubMed: 1535657]
      14.
      Olsen S F, Olsen J, Frische G. Does fish consumption during pregnancy increase fetal growth? A study of the size of the newborn. lacental weight and gestational age in relation to fish consumption during pregnancy. Int J Epidemiol. 1990;19(4):p.971–977. [PubMed: 2084030]
      15.
      Olsen S F, Secher N J. A possible preventive effect of low-dose fish oil on early delivery and pre-eclampsia: indications from a 50-year-old controlled trial. Br J Nutr. 1990;64(3):p.599–609. [PubMed: 2265175]
      16.
      Olsen S F, Hansen H S, Jensen B, Sorensen T I. Pregnancy duration and the ratio of long-chain n-3 fatty acids to arachidonic acid in erythrocytes from Faroese women. J Intern Med Suppl. 1989;225(731):p.185–189. [PubMed: 2706041]
      17.
      Olsen S F, Hansen H S, Sorensen T I, Jensen B, Secher N J, Sommer S, Knudsen L B. Intake of marine fat, rich in (n-3)-polyunsaturated fatty acids, may increase birthweight by prolonging gestation. Lancet. 1986 16-8;2(8503):p.367–369. [PubMed: 2874370]
      18.
      Olsen S F, Secher N J. Low consumption of seafood in early pregnancy as a risk factor for preterm delivery: Prospective cohort study. Br Med J. 2002 23-2;324(7335):p.23. [PMC free article: PMC65663] [PubMed: 11859044]

      1b. Gestational hypertension, pre-eclampsia and eclampsia

      1.
      Clausen T, Slott M, Solvoll K, Drevon C A, Vollset S E, Henriksen T. High intake of energy, sucrose, and polyunsaturated fatty acids is associated with increased risk of preeclampsia. Am J Obstet Gynecol. 2001;185(2):p.451–458. [PubMed: 11518908]
      2.
      Velzing-Aarts F V, van der Klis F R, van der Dijs F P, Muskiet F A. Umbilical vessels of preeclamptic women have low contents of both n-3 and n-6 long-chain polyunsaturated fatty acids. Am J Clin Nutr. 1999;69(2):p.293–298. [PubMed: 9989695]
      3.
      Kesmodel U, Olsen S F, Salvig J D. Marine n-3 fatty acid and calcium intake in relation to pregnancy induced hypertension, intrauterine growth retardation, and preterm delivery. A case-control study. Acta Obstet Gynecol Scand. 1997;76(1):p.38–44. [PubMed: 9033242]
      4.
      Williams M A, Zingheim R W, King I B, Zebelman A M. Omega-3 fatty acids in maternal erythrocytes and risk of preeclampsia. Epidemiology. 1995;6(3):p.232–237. [PubMed: 7619928]
      5.
      Gerrard, J., Popeski, D., Ebbeling, L., Brown, P., and Hornstra, G., Dietary omega 3 fatty acids and gestational hypertension in the Inuit, Arctic Med Res, Suppl, 1991, p.763–767. [PubMed: 1365294]
      6.
      Popeski D, Ebbeling L R, Brown P B, Hornstra G, Gerrard J M. Blood pressure during pregnancy in Canadian Inuit: community differences related to diet. CMAJ. 1991 1-9;145(5):p.445–454. [PMC free article: PMC1335827] [PubMed: 1878826]
      7.
      van der Schouw Y T, Al M D, Hornstra G, Bulstra-Ramakers M T, Huisjes H J. Fatty acid composition of serum lipids of mothers and their babies after normal and hypertensive pregnancies. Prostaglandins Leukot Essent Fatty Acids. 1991;44(4):p.247–252. [PubMed: 1815240]
      8.
      Olsen S F, Secher N J. A possible preventive effect of low-dose fish oil on early delivery and pre-eclampsia: indications from a 50-year-old controlled trial. Br J Nutr. 1990;64(3):p.599–609. [PubMed: 2265175]

      1c. Small for Gestational Age

      1.
      Grandjean P, Bjerve K S, Weihe P, Steuerwald U. Birthweight in a fishing community: significance of essential fatty acids and marine food contaminants.[comment] Int J Epidemiol. 2001;30(6):p.1272–1278. [PubMed: 11821327]
      2.
      Velzing-Aarts F V, van der Klis F R, van der Dijs F P, Muskiet F A. Umbilical vessels of preeclamptic women have low contents of both n-3 and n-6 long-chain polyunsaturated fatty acids. Am J Clin Nutr. 1999;69(2):p.293–298. [PubMed: 9989695]
      3.
      Wang J, Zhang Y. Effect of the long chain polyunsaturated fatty acids levels in mothers on fetuses. [Chinese] Chung-Hua Fu Chan Ko Tsa Chih [Chinese Journal of Obstetrics & Gynecology] 1998;33(12):p.722–723. [PubMed: 10806659]
      4.
      Zhang L. The effects of essential fatty acids preparation in the treatment of intrauterine growth retardation. Am J Perinatol. 1997;14(9):p.535–537. [PubMed: 9394162]
      5.
      Badart-Smook A, van Houwelingen A C, Al M D, Kester A D, Hornstra G. Fetal growth is associated positively with maternal intake of riboflavin and negatively with maternal intake of linoleic acid. J Am Diet Assoc. 1997;97(8):p.867–870. [PubMed: 9259708]
      6.
      Kesmodel U, Olsen S F, Salvig J D. Marine n-3 fatty acid and calcium intake in relation to pregnancy induced hypertension, intrauterine growth retardation, and preterm delivery. A case-control study. Acta Obstet Gynecol Scand. 1997;76(1):p.38–44. [PubMed: 9033242]
      7.
      Mourek J, Dohnalova A. Relationship between birth weight of newborns and unsaturated fatty acid(n-3) proportions in their blood serum. Physiol Res. 1996;45(2):p.165–168. [PubMed: 9496767]
      8.
      Foreman-van Drongelen M M, Al M D, van Houwelingen A C, Blanco C E, Hornstra G. Comparison between the essential fatty acid status of preterm and full-term infants, measured in umbilical vessel walls. Early Hum Dev. 1995 18-8;42(3):p.241–251. [PubMed: 7493590]
      9.
      Olsen S F, Hansen H S, Secher N J, Jensen B, Sandstrom B. Gestation length and birth weight in relation to intake of marine n-3 fatty acids. Br J Nutr. 1995;73(3):p.397–404. [PubMed: 7766563]
      10.
      Foreman-van Drongelen M M, van Houwelingen A C, Kester A D, Hasaart T H, Blanco C E, Hornstra G. Long-chain polyunsaturated fatty acids in preterm infants: status at birth and its influence on postnatal levels. J Pediatr. 1995;126(4):p.611–618. [PubMed: 7699544]
      11.
      Felton C V, Chang T C, Crook D, Marsh M, Robson S C, Spencer J A. Umbilical vessel wall fatty acids after normal and retarded fetal growth. Arch Dis Child Fetal Neonatal Ed. 1994;70(1):p.F36– F39. [PMC free article: PMC1060985] [PubMed: 8117125]
      12.
      Olsen S F, Grandjean P, Weihe P, Videro T. Frequency of seafood intake in pregnancy as a determinant of birth weight: evidence for a dose dependent relationship. J Epidemiol Community Health. 1993;47(6):p.436–440. [PMC free article: PMC1059854] [PubMed: 8120495]
      13.
      Leaf A A, Leighfield M J, Costeloe K L, Crawford M A. Long chain polyunsaturated fatty acids and fetal growth. Early Hum Dev. 1992;30(3):p.183–191. [PubMed: 1468382]
      14.
      Leaf A A, Leighfield M J, Costeloe K L, Crawford M A. Factors affecting long-chain polyunsaturated fatty acid composition of plasma choline phosphoglycerides in preterm infants. J Pediatr Gastroenterol Nutr. 1992;14(3):p.300–308. [PubMed: 1535657]
      15.
      Koletzko B, Braun M. Arachidonic acid and early human growth: is there a relation? Ann Nutr Metab. 1991;35(3):p.128–131. [PubMed: 1952812]
      16.
      Harper V, MacInnes R, Campbell D, Hall M. Increased birth weight in northerly islands: is fish consumption a red herring? BMJ. 1991 20-7;303(6795):p.166. [PMC free article: PMC1670406] [PubMed: 1878642]
      17.
      Olsen S F, Olsen J, Frische G. Does fish consumption during pregnancy increase fetal growth? A study of the size of the newborn, placental weight and gestational age in relation to fish consumption during pregnancy. Int J Epidemiol. 1990;19(4):p.971–977. [PubMed: 2084030]
      18.
      Crawford M A, Costeloe K, Doyle W, Leighfield M J, Lennon E A, Meadows N. Potential diagnostic value of the umbilical artery as a definition of neural fatty acid status of the fetus during its growth: the umbilical artery as a diagnostic tool. Biochem Soc Trans. 1990;18(5):p.761–766. [PubMed: 2083670]
      19.
      Crawford M A, Doyle W, Drury P, Lennon A, Costeloe K, Leighfield M. n-6 and n-3 fatty acids during early human development. J Intern Med Suppl. 1989;225(731):p.159–169. [PubMed: 2706039]
      20.
      Olsen S F, Secher N J. A possible preventive effect of low-dose fish oil on early delivery and pre-eclampsia: indications from a 50-year-old controlled trial. Br J Nutr. 1990;64(3):p.599–609. [PubMed: 2265175]
      21.
      Hansen I B, Friis-Hansen B, Clausen J. The fatty acid composition of umbilical cord serum, infant serum and maternal serum and its relation to the diet. Z Ernahrungswiss. 1969;9(4):p.352–363. [PubMed: 5395483]
      22.
      Olsen S F, Secher N J. Low consumption of seafood in early pregnancy as a risk factor for preterm delivery: Prospective cohort study. Br Med J. 2002 23-2;324(7335):p.23. [PMC free article: PMC65663] [PubMed: 11859044]
      23.
      Matorras R, De Larrucea A L, Sanjurjo P, Ruiz J I, Echevarria Y, Nieto A, Perteagudo L, Aldamiz-Echvarria J L. Increased tissue concentrations of arachidonic acid in umbilical artery and placenta in fetal growth retardation. Acta Obstet Gynecol Scand. 2001;80(9) [PubMed: 11531630]

      2. Growth Pattern Outcomes

      1.
      Foreman-van Drongelen M M, van Houwelingen A C, Kester A D, Hasaart T H, Blanco C E, Hornstra G. Long-chain polyunsaturated fatty acids in preterm infants: status at birth and its influence on postnatal levels. J Pediatr. 1995;126(4):p.611–618. [PubMed: 7699544]
      2.
      Guldan G S, Zhang M Y, Zhang Y P, Hong J R, Zhang H X, Fu S Y, Fu N S. Weaning practices and growth in rural Sichuan infants: a positive deviance study. J Trop Pediatr. 1993;39(3):p.168–175. [PubMed: 8326537]
      3.
      Olsen S F, Olsen J, Frische G. Does fish consumption during pregnancy increase fetal growth? A study of the size of the newborn, placental weight and gestational age in relation to fish consumption during pregnancy. Int J Epidemiol. 1990;19(4):p.971–977. [PubMed: 2084030]
      4.
      Fomon S J, Thomas L N, Filer L J Jr, Ziegler E E, Leonard M T. Food consumption and growth of normal infants fed milk-based formulas. Acta Paediatr Scand Suppl. 1971;223:p.1–36. [PubMed: 5291969]
      5.
      Decsi, T., Kelemen, B., Minda, H., Burus, I., and Kohn, G., Effect of type of early infant feeding on fatty acid composition of plasma lipid classes in full-term infants during the second 6 months of life, J Pediatr Gastroenterol Nutr, 30(5), 2000. [PubMed: 10817286]
      6.
      Clandinin M T, Aerde J E, van Parrott A, Field C J, Euler A R, Lien E, Van Aerde J E. Assessment of feeding different amounts of arachidonic and docosahexaenoic acids in preterm infant formulas on the fatty acid content of lipoprotein lipids. Acta Paediatr. 1999;88(8):p.890–896. [PubMed: 10503691]
      7.
      Clandinin M T, Aerde J E, van Parrott A, Field C J, Euler A R, Lien E L, Van Aerde J E. Assessment of the efficacious dose of arachidonic and docosahexaenoic acids in preterm infant formulas: fatty acid composition of erythrocyte membrane lipids. Pediatr Res. 1997;42(6):p.819–825. [PubMed: 9396564]
      8.
      Tichelaar H Y, Steyn N P, Nel J H, Smuts C M, Jaarsveld P J, van Prinsloo J F, Rooyen J, van Lombard C J, Dhansay M A, Benade A J S, van Jaarsveld P J, van Rooyen J. Effect of catfish supplementation on the fatty acid status and growth of undernourished rural preschool children under 6 years of age: an intervention trial in Lebowa, South Africa. Asia Pac J Clin Nutr. 1999;8(2):p.96–105. [PubMed: 24393792]
      9.
      Courage M L, McCloy U R, Herzberg G R, Andrews W L, Simmons B S, McDonald A C, Mercer C N, Friel J K. Visual acuity development and fatty acid composition of erythrocytes in full-term infants fed breast milk, commercial formula, or evaporated milk. J Dev Behav Pediatr. 1998;19(1):p.9–17. [PubMed: 9524300]

      3. Neurological outcomes

      1.
      Vik T, Bjerve K, Andersson H. Psychomotor development at one year of age in very low birth weight infants and omega-3 fatty acid status. Pediatr Res. 1991;29:p.305a.
      2.
      Bjerve K S, Brubakk A M, Fougner K J, Johnsen H, Midthjell K, Vik T. Omega-3 fatty acids: essential fatty acids with important biological effects, and serum phospholipid fatty acids as markers of dietary omega 3-fatty acid intake. Am J Clin Nutr. 1993;57(5 Suppl):p.801S– 805S. [PubMed: 8475898]
      3.
      Bjerve K S, Thoresen L, Bonaa K, Vik T, Johnsen H, Brubakk A M. Clinical studies with alpha-linolenic acid and long-chain n-3 fatty acids. Nutrition. 1992;8(2):p.130–132. [PubMed: 1350473]
      4.
      Agostoni C, Marangoni F, Giovannini M, Galli C, Riva E. Prolonged breast-feeding (six months or more) and milk fat content at six months are associated with higher developmental scores at one year of age within a breast-fed population. Adv Exp Med Biol. 2001;501:p.137–141. [PubMed: 11787675]
      5.
      Agostoni C, Verduci E, Massetto N, Radaelli G, Riva E, Giovannini M. Plasma long-chain polyunsaturated fatty acids and neurodevelopment through the first 12 months of life in phenylketonuria. Dev Med Child Neurol. 2003;45(4):p.257–261. [PubMed: 12647927]
      6.
      Cheruku S R, Montgomery-Downs H E, Farkas S L, Thoman E B, Lammi-Keefe C J. Higher maternal plasma docosahexaenoic acid during pregnancy is associated with more mature neonatal sleep-state patterning. Am J Clin Nutr. 2002;76(3):p.608–613. [PubMed: 12198007]

      4. Cognitive Outcomes

      1.
      Bakker E C, Ghys A J, Kester A D, Vles J S, Dubas J S, Blanco C E, Hornstra G. Long-chain polyunsaturated fatty acids at birth and cognitive function at 7 y of age. Eur J Clin Nutr. 2003;57(1):p.89–95. [PubMed: 12548302]
      2.
      Santiago, Burruchaga M, Ruiz-Sanz J I, Pijoan-Zubizarreta J I, Benito, Fernandez J, Sanjurjo, Crespo P. Intellectual development in the second year of life in healthy breast-fed children vs. formula-fed children. An Esp Pediatr. 2000;52(6):p.530–536. [PubMed: 11003961]

      5. Visual outcomes

      1.
      Werkman S H, Carlson S E. A randomized trial of visual attention of preterm infants fed docosahexaenoic acid until nine months. Lipids. 1996;31(1):p.91–97. [PubMed: 8649241]
      2.
      Carlson S E, Werkman S H. A randomized trial of visual attention of preterm infants fed docosahexaenoic acid until two months. Lipids. 1996;31(1):p.85–90. [PubMed: 8649239]
      3.
      Carlson S E, Werkman S H, Rhodes P G, Tolley E A. Visual-acuity development in healthy preterm infants: effect of marine-oil supplementation. Am J Clin Nutr. 1993;58(1):p.35–42. [PubMed: 8317386]
      4.
      Birch E E, Birch D G, Hoffman D R, Uauy R. Dietary essential fatty acid supply and visual acuity development. Invest Ophthalmol Vis Sci. 1992;33(11):p.3242–3253. [PubMed: 1399429]
      5.
      Agostoni C, Verduci E, Massetto N, Radaelli G, Riva E, Giovannini M. Plasma long-chain polyunsaturated fatty acids and neurodevelopment through the first 12 months of life in phenylketonuria. Dev Med Child Neurol. 2003;45(4):p.257–261. [PubMed: 12647927]
      6.
      Innis S M, Nelson C M, Lwanga D, Rioux F M, Waslen P. Feeding formula without arachidonic acid and docosahexaenoic acid has no effect on preferential looking acuity or recognition memory in healthy full-term infants at 9 mo of age. Am J Clin Nutr. 1996;64(1):p.40–46. [PubMed: 8669412]
      7.
      Courage M L, McCloy U R, Herzberg G R, Andrews W L, Simmons B S, McDonald A C, Mercer C N, Friel J K. Visual acuity development and fatty acid composition of erythrocytes in full-term infants fed breast milk, commercial formula, or evaporated milk. J Dev Behav Pediatr. 1998;19(1):p.9–17. [PubMed: 9524300]
      8.
      Carlson S E, Peeples J M, Werkman S H. Docosahexaenoate (DHA) and eicosapentaenoate (EPA) status of preterm infants: relationship to the Fagantest of Infant intelligence and the Bayley scale of mental development. FASEB J. 1990;4:p.A1156.
      9.
      Carlson S E, Cooke R J, Peeples J M. Docosahexaenoate (DHA) and eicosapentaenoate (EPA) status of preterm infants: relationship to visual acuity in n-3 supplemented and unsupplemented infants. Pediatr Res. 1989;25:p.285a.

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