American Journal of Clinical Nutrition, Vol 57, 703S-709S, Copyright © 1993 by The American Society for Clinical Nutrition, Inc
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ORIGINAL RESEARCH COMMUNICATIONS |
The role of essential fatty acids in neural development: implications for perinatal nutrition
MA Crawford
Institute of Brain Chemistry and Human Nutrition, Hackney Hospital, London, UK.
The brain is 60% structural lipid, which universally uses arachidonic acid
(AA; 20:4n6) and docosahexaenoic acid (DHA; 22:6n-3) for growth, function,
and integrity. Both acids are consistent components of human milk.
Experimental evidence in animals has demonstrated that the effect of
essential fatty acid deficiency during early brain development is
deleterious and permanent. The risk of neurodevelopmental disorder is
highest in the very-low-birth-weight babies. Babies born of low birth
weight or prematurely are most likely to have been born to mothers who were
inadequately nourished, and the babies tend to be born with AA and DHA
deficits. Because disorders of brain development can be permanent, proper
provision should be made to protect the AA and DHA status of both term and
preterm infants to ensure optimum conditions for the development of
membrane-rich systems such as the brain, nervous, and vascular systems.