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Fares S, Sethom MM, Hammami MB, Cheour M, Kacem S, Hadj-Taieb S, Feki M. Increased docosahexaenoic acid and n-3 polyunsaturated fatty acids in milk from mothers of small for gestational age preterm infants. Prostaglandins Leukot Essent Fatty Acids 2018; 135:42-46. [PMID: 30103931 DOI: 10.1016/j.plefa.2018.07.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Revised: 07/06/2018] [Accepted: 07/06/2018] [Indexed: 10/28/2022]
Abstract
The study aimed to test whether or not milk fatty acid composition in mothers of small for gestational age (SGA) infants is similar to that in mothers of adequate for gestational age (AGA) infants. Thirty three mothers of SGA preterm infants and 66 mothers of AGA preterm infants were included. Milk and plasma fatty acids were analyzed using capillary gas chromatography. Milk DHA (0.68 ± 0.37 vs. 0.44 ± 0.24; p < 0.01) was higher and n-6:n-3 PUFA ratio (12.0 ± 4.64 vs. 16.0 ± 6.32; p < 0.05) was lower in mothers of SGA infants. Plasma ARA and DHA were increased in mothers of SGA infants and decreased in their infants. Milk ARA or DHA was positively related to the correspondent fatty acid in plasma (r = 0.374, p = 0.010 for ARA and r = 0.690, p < 0.001 for DHA). Breast milk in mothers of preterm infants born SGA is enriched in DHA and n-3 PUFA. Breastfeeding SGA preterm infant with own mother's milk is recommended.
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Affiliation(s)
- S Fares
- University of Tunis El Manar, Faculty of Medicine of Tunis, Rabta hospital, Laboratory of Biochemistry, LR99ES11, Jebbari, Tunis 1007, Tunisia
| | - M M Sethom
- University of Tunis El Manar, Faculty of Medicine of Tunis, Rabta hospital, Laboratory of Biochemistry, LR99ES11, Jebbari, Tunis 1007, Tunisia
| | - M B Hammami
- University of Tunis El Manar, Faculty of Medicine of Tunis, Rabta hospital, Laboratory of Biochemistry, LR99ES11, Jebbari, Tunis 1007, Tunisia
| | - M Cheour
- Center of Maternity and Neonatology of Tunis, Department of de Neonatology, Jebbari, Tunis 1007 , Tunisia
| | - S Kacem
- Center of Maternity and Neonatology of Tunis, Department of de Neonatology, Jebbari, Tunis 1007 , Tunisia
| | - S Hadj-Taieb
- University of Tunis El Manar, Faculty of Medicine of Tunis, Rabta hospital, Laboratory of Biochemistry, LR99ES11, Jebbari, Tunis 1007, Tunisia
| | - M Feki
- University of Tunis El Manar, Faculty of Medicine of Tunis, Rabta hospital, Laboratory of Biochemistry, LR99ES11, Jebbari, Tunis 1007, Tunisia.
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Fares S, Sethom MM, Hammami MB, Cheour M, Feki M, Hadj-Taieb S, Kacem S. Postnatal RBC arachidonic and docosahexaenoic acids deficiencies are associated with higher risk of neonatal morbidities and mortality in preterm infants. Prostaglandins Leukot Essent Fatty Acids 2017; 126:112-116. [PMID: 29031388 DOI: 10.1016/j.plefa.2017.09.015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2017] [Revised: 09/12/2017] [Accepted: 09/19/2017] [Indexed: 01/03/2023]
Abstract
Arachidonic (AA) and docosahexaenoic (DHA) acids are essential for the health and development of the neonate. Red blood cell (RBC) fatty acids were analyzed in 583 very low birth weight (VLBW) infants and 274 term infants using capillary gas chromatography. VLBW infants exhibited significantly lower RBC AA (13.0 ± 0.89 vs. 13.5 ± 0.98) and DHA (3.77 ± 0.60 vs. 3.80 ± 0.62), but higher n6:n3 ratio (3.97 ± 0.46 vs. 3.63 ± 0.37) than term infants. In VLBW infants, DHA was lower in those born with small for gestational age (3.69 ± 0.57 vs. 3.86 ± 0.58) and those who suffered from neonatal sepsis (3.73 ± 0.60 vs. 3.86 ± 0.55). Both AA and DHA were significantly lower in infants who developed respiratory distress syndrome or intraventricular hemorrhage, and those who died during the hospital stay. VLBW infants had lower postnatal RBC AA and DHA levels than term infants did. These deficits are associated with higher risk of neonatal morbidities and mortality.
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Affiliation(s)
- S Fares
- Université de Tunis El Manar, Faculté de Médecine de Tunis, CHU La Rabta, Laboratoire de Biochimie, LR99ES11, 1007 Jebbari, Tunis, Tunisia.
| | - M M Sethom
- Université de Tunis El Manar, Faculté de Médecine de Tunis, CHU La Rabta, Laboratoire de Biochimie, LR99ES11, 1007 Jebbari, Tunis, Tunisia
| | - M B Hammami
- Université de Tunis El Manar, Faculté de Médecine de Tunis, CHU La Rabta, Laboratoire de Biochimie, LR99ES11, 1007 Jebbari, Tunis, Tunisia
| | - M Cheour
- Centre de Maternité et de Néonatologie de Tunis, Service de Néonatologie, 1007 Jebbari, Tunis, Tunisia
| | - M Feki
- Université de Tunis El Manar, Faculté de Médecine de Tunis, CHU La Rabta, Laboratoire de Biochimie, LR99ES11, 1007 Jebbari, Tunis, Tunisia
| | - S Hadj-Taieb
- Université de Tunis El Manar, Faculté de Médecine de Tunis, CHU La Rabta, Laboratoire de Biochimie, LR99ES11, 1007 Jebbari, Tunis, Tunisia
| | - S Kacem
- Centre de Maternité et de Néonatologie de Tunis, Service de Néonatologie, 1007 Jebbari, Tunis, Tunisia
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Fares S, Sethom MM, Feki M, Cheour M, Sanhaji H, Kacem S, Kaabachi N. Fatty acids profile in preterm Colostrum of Tunisian women. Association with selected maternal characteristics. Prostaglandins Leukot Essent Fatty Acids 2016; 112:32-6. [PMID: 27637338 DOI: 10.1016/j.plefa.2016.08.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Revised: 07/12/2016] [Accepted: 08/15/2016] [Indexed: 11/17/2022]
Abstract
Fatty acids (FA), especially arachidonic (AA, 20:4ω6) and docosahexaenoic (DHA, 22:6ω3) acids are critical for the health and development of infants. Colostrum FA composition has been examined in 101 lactating Tunisian women delivering prematurely using gas chromatography. Among polyunsaturated FA, linoleic acid predominated whereas each of the other polyunsaturated FA accounted for 1% or less of total FA. Colostrum AA and DHA contents were lower in women aged above 34 years compared to those less than 34 years. Preeclampsia was associated with lower DHA (0.40±0.22 vs. 0.53±0.27; p=0.018), but higher AA (1.14±0.44 vs. 0.93±0.30; p<0.006) and AA:DHA ratio (4.31±4.04 vs. 2.29±2.79; p<0.001). In multivariate analysis, colostrum DHA correlated with plasma DHA (β, 0.417; p=0.002), maternal age (β, -0.290; p=0.028) and preeclampsia (β, -0.270; p=0.042). Preterm colostrum FA profile in Tunisian women is comparable to those of other populations. Colostrum AA and DHA levels are altered in aged and pre-eclamptic women.
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Affiliation(s)
- S Fares
- UR05/08-08, LR99ES11, Department of Biochemistry, Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007 Jebbari, Tunis, Tunisia
| | - M M Sethom
- UR05/08-08, LR99ES11, Department of Biochemistry, Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007 Jebbari, Tunis, Tunisia
| | - M Feki
- UR05/08-08, LR99ES11, Department of Biochemistry, Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007 Jebbari, Tunis, Tunisia.
| | - M Cheour
- Service of Neonatology, Centre of Maternity and Neonatology, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007 Jebbari, Tunis, Tunisia
| | - H Sanhaji
- UR05/08-08, LR99ES11, Department of Biochemistry, Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007 Jebbari, Tunis, Tunisia
| | - S Kacem
- Service of Neonatology, Centre of Maternity and Neonatology, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007 Jebbari, Tunis, Tunisia
| | - N Kaabachi
- UR05/08-08, LR99ES11, Department of Biochemistry, Rabta Hospital, Faculty of Medicine of Tunis, University of Tunis El Manar, 1007 Jebbari, Tunis, Tunisia
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Sethom MM, Fares S, Feki M, Hadj-Taieb S, Elasmi M, Omar S, Sanhaji H, Jemaa R, Kaabachi N. Plasma fatty acids profile and estimated elongase and desaturases activities in Tunisian patients with the metabolic syndrome. Prostaglandins Leukot Essent Fatty Acids 2011; 85:137-41. [PMID: 21782403 DOI: 10.1016/j.plefa.2011.06.006] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2011] [Revised: 06/27/2011] [Accepted: 06/28/2011] [Indexed: 11/17/2022]
Abstract
This study aimed to determine plasma fatty acids pattern and to estimate desaturases activities in Tunisian subjects with metabolic syndrome (MetS). A total of 1975 adults were randomly selected from the Great Tunis region (Tunisia). MetS was defined according to the International Diabetes Federation criteria. Saturated and monounsaturated fatty acids levels and delta 9 desaturase activity were increased, but polyunsaturated fatty acids (PUFA) levels and delta 5 desaturase activity were decreased in patients with MetS. Using multivariate analysis, MetS was found inversely associated with PUFA; compared to first quartile, multi-adjusted odd ratios (95% confidence interval) of MetS were 0.80 (0.54-1.17), 0.47 (0.27-0.81) and 0.32 (0.15-0.68) for second, third and fourth quartiles of PUFA, respectively. Altered fatty acids pattern in MetS is likely related to both dietary and metabolic changes.
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Affiliation(s)
- M M Sethom
- UR05/08-08 and LR99ES11, Department of Biochemistry, Rabta Hospital and Faculty of Medicine of Tunis, El Manar University, Tunis, Tunisia
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Sethom MM, Fares S, Bouaziz N, Melki W, Jemaa R, Feki M, Hechmi Z, Kaabachi N. Polyunsaturated fatty acids deficits are associated with psychotic state and negative symptoms in patients with schizophrenia. Prostaglandins Leukot Essent Fatty Acids 2010; 83:131-6. [PMID: 20667702 DOI: 10.1016/j.plefa.2010.07.001] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2010] [Revised: 06/28/2010] [Accepted: 07/01/2010] [Indexed: 12/12/2022]
Abstract
The study was aimed to examine membrane polyunsaturated fatty acids (PUFAs) profile in patients with schizophrenia (SZ) before and after antipsychotic medication and test their association with psychopathology. Erythrocyte membrane fatty acids were analysed by gas chromatography in 36 drug-free patients with SZ and 36 controls. Psychometric evaluation and blood sampling were achieved at baseline and after 3 months of antipsychotic treatment. At enrolment, levels of total PUFAs and arachidonic (AA) and docosahexaenoic (DHA) acids were significantly lower, but ω6/ω3 PUFAs ratio was higher in patients. AA and DHA were negatively related to the Andreason's scale for assessment of negative symptoms (SANS) score. DHA was inversely related to "alogia", "anhedonia", "avolition", and "blunted affect" subitems of SANS. After 3 months under typical antipsychotic drugs, fatty acid profile turned into comparable to controls in parallel with psychopathology improvement. Data indicate that PUFAs deficits are associated with psychotic state and negative symptoms of SZ.
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Affiliation(s)
- M M Sethom
- UR05/08-08 and LR99ES11, Department of Biochemistry, Rabta Hospital, Tunis, Tunisia
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