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Læknablaðið - 01.05.2022, Blaðsíða 23

Læknablaðið - 01.05.2022, Blaðsíða 23
L ÆKNABL AÐIÐ 2022/108 243 R A N N S Ó K N Heimildir 1. Jensen CL. Effects of n−3 fatty acids during pregnancy and lactation. Am J Cin Nutr 2006; 83: 1452S-1457S. 2. Chavan-Gautam P, Rani A, Freeman DJ. Chapter Six - Distribution of Fatty Acids and Lipids During Pregnancy. In: Makowski GS, ritstj. Advances in Clinical Chemistry Elsevier 2018: 209-39. 3. Innis SM. Essential fatty acid transfer and fetal development. Placenta 2005; 26: S70-S75. 4. Koletzko B, Cetin I, Brenna JT, et al. Dietary fat intakes for pregnant and lactating women. Br J Nutr 2007; 98: 873-7. 5. Nordic Nutrition Recommendations. Integrating nutrition and physical activity. 2014. norden.diva-portal.org/smash/get/diva2:704251/FULLTEXT01.pdf - febrúar 2022. 6. Szajewska H, Horvath A, Koletzko B. Effect of n-3 long-chain polyunsaturated fatty acid supplementation of women with low-risk pregnancies on pregnancy outcomes and growth measures at birth: a meta-analysis of randomized controlled trials. Am J Clin Nutr 2006; 83: 1337-44. 7. Mataræði á meðgöngu. Fróðleikur fyrir konur á barneignaaldri. Embætti landlæknis, Reykjavík 2018. 8. National Food Institute Technical University of Denmark. Food data, version 4. 2019. 9. Willet W. Nutritional Epidemiology, third edition. Oxford University Press New York 2012. 10. Hamada Y. Objective Data Assessment (ODA) Methods as Nutritional Assessment Tools. J Med Invest 2015; 62: 119-22. 11. Hrolfsdottir L, Halldorsson TI, Birgisdottir BE, et al. Development of a dietary screening questionnaire to predict excessive weight gain in pregnancy. Matern Child Nutr 2019; 15: e12639. 12. Adalsteinsdottir S, Tryggvadottir EA, Hrolfsdottir L, et al. Insufficient iodine status in pregnant women as a consequence of dietary changes. Food Nutr Res 2020; 64. 13. Tryggvadottir EA, Halldorsson TI, Landberg R, et al. Higher Alkylresorcinol Concentrations, a Consequence of Whole-Grain Intake, are Inversely Associated with Gestational Diabetes Mellitus in Iceland. J Nutr 2021; 151: 1159-66. 14. Magnusdottir KS, Tryggvadottir EA, Magnusdottir OK, et al. Vitamin D status and associ- ation with gestational diabetes mellitus in a pregnant cohort in Iceland. Food Nutr Res 2021; 65. 15. Tryggvadottir EA, Gunnarsdottir I, Birgisdottir BE, et al. Early pregnancy plasma fatty acid profiles of women later diagnosed with gestational diabetes. BMJ Open Diabetes Res Care 2021; 9: e002326. 16. Lysi. Innihald Lýsisperlur. lysi.is/neytendavara/thorskalysi/thorskalysisperlur - febrúar 2022. 17. Lysi. Innihald Omega 3 perlur. lysi.is/neytendavara/omega-3/omega-3-d - febrúar 2022. 18. Heilsa. Innhaldslýsing. Með barni. heilsa.is/fraedsla/baetiefni/serhaefdar-baetiefnablond- ur/med-barni - febrúar 2022. 19. Grundvöllur ráðlegginga um mataræði og ráðlagðir dagskammtar næringarefna. Embætti landlæknis, Reykjavík 2016. landlaeknir.is/utgefid-efni/skjal/item25582/ - mars 2022. 20. Laufey H. Examining the link between maternal nutrition, gestational weight gain, and later offspring health. Doktorsritgerð. Háskóli Íslands 2018. 21. Gunnarsdóttir I, Tryggvadóttir EA, Birgisdóttir BE, et al. Fæðuval og næring kvenna á meðgöngu með tilliti til líkamsþyngdar. Læknablaðið 2016; 102: 378-84. 22. Burdge GC. Is essential fatty acid interconversion an important source of PUFA in humans? Br J Nutr 2019; 121: 615-24. 23. Gibson RA, Muhlhausler B, Makrides M. Conversion of linoleic acid and alpha-linolenic acid to long-chain polyunsaturated fatty acids (LCPUFAs), with a focus on pregnancy, lactation and the first 2 years of life. Matern Child Nutr 2011; 7 Suppl 2 (Suppl 2): 17-26. 24. Davis BC, Kris-Etherton PM. Achieving optimal essential fatty acid status in veget- arians: current knowledge and practical implications. Am J Clin Nutr 2003; 78 (3 Suppl): 640s-646s. 25. Kim D, Choi JE, Park Y. Low-linoleic acid diet and oestrogen enhance the conversion of α-linolenic acid into DHA through modification of conversion enzymes and transcription factors. Br J Nutr 2019; 121: 137-45. 26. Sanders TA. Essential fatty acid requirements of vegetarians in pregnancy, lactation, and infancy. Am J Clin Nutr 1999; 70 (3 Suppl): 555s-559s. 27. Burns-Whitmore B, Froyen E, Heskey C, et al. Alpha-Linolenic and Linoleic Fatty Acids in the Vegan Diet: Do They Require Dietary Reference Intake/Adequate Intake Special Consideration? Nutrients 2019; 11: 2365. 28. Zimmermann M, Delange F. Iodine supplementation of pregnant women in Europe: a review and recommendations. Eur J Clin Nutr 2004; 58: 979-84. 29. Schuchardt JP, Hahn A. Bioavailability of long-chain omega-3 fatty acids. Prostaglandins Leukot Essent Fatty Acids 2013; 89: 1-8. 30. Chevalier L, Plourde M. Comparison of pharmacokinetics of omega-3 fatty acid supplem- ents in monoacylglycerol or ethyl ester in humans: a randomized controlled trial. Eur J Clin Nutr 2021; 75: 680-8. 31. Maki KC, Dicklin MR. Strategies to improve bioavailability of omega-3 fatty acids from ethyl ester concentrates. Curr Opin Clin Nutr Metab Care 2019; 22: 116-23. 32. Neubronner J, Schuchardt JP, Kressel G, et al. Enhanced increase of omega-3 index in response to long-term n-3 fatty acid supplementation from triacylglycerides versus ethyl esters. Eur J Clin Nutr 2011; 65: 247-54. 33. Cade J, Thompson R, Burley V, Warm D. Development, validation and utilisation of food- -frequency questionnaires – a review. Publ Health Nutr 2002; 5: 567-87. E N G L I S H S U M M A R Y Ellen A. Tryggvadóttir1 Þórhallur I. Halldórsson1 Bryndís E. Birgisdóttir1 Laufey Hrólfsdóttir1,2 Rikard Landberg3 Ingibjörg Th. Hreiðarsdóttir4,5 Hildur Harðardóttir5,6 Ingibjörg Gunnarsdóttir1,7 1Unit for Nutrition Research, Landspitali University Hospital and Faculty of Food Science and Nutrition, University of Iceland, Reykjavik, Iceland, 2Institution of Health Science Research, University of Akureyri and Akureyri Hospital, 3Division of Food and Nutrition Science, Chalmers University of Technology, Gothenburg-Sweden, 4Department of Obstetrics and Gynecology, Landspitali University Hospital, Reykjavík, Iceland, 5Faculty of Medicine, University of Iceland Reykjavík, Iceland, 6Livio Reykjavík, Reproductive Center in Reykjavík, Iceland 7Landspitali University hospital; Nutrition Department. Correspondence: Ellen Alma Tryggvadóttir, eat2@hi.is, Key words: Pregnancy, diet, fatty acids, biomarker, supplements. Correlation between intake of fish or supplements containing omega-3 fatty acids and early pregnancy plasma concentrations. INTRODUCTION: Long-chain polyunsaturated omega-3 fatty acids are considered important for fetal development, but previous studies suggest suboptimal intake in part of pregnant women in Iceland. The study aim was to evaluate intake of food and supplements containing omega-3 fatty acids, among pregnant women in Iceland and correlations to fatty acid composition in plasma. MATERIALS AND METHODS: Subjects were 853 pregnant women attending their 11-14 weeks ultrasound appointment. Information on intake of food and supplements containing long-chain omega-3 fatty acids (eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA)) as well as background was obtained by a questionnaire. Blood samples were collected for analysis of plasma fatty acids. Correlation was evaluated using the Spearman correlation. RESULTS: Median intake of lean fish was 1.3 times per week, while fatty fish was consumed once monthly. About 50% of the women took omega-3 containing supplements daily. Higher intake of both fish and omega-3 containing supplements was reflected in higher omega-3 plasma levels (r=0.37 p<0.001). A positive correlation was seen between intake of cod liver oil/capsules (r=0.23, p=0.001), omega-3 oil/capsules (r=0.20, p=0.001) and plasma concentration of omega-3. However, no correlation was seen between intake of a maternal multivitamin containing omega-3 and corresponding plasma concentration (r=0.03, p=0.98). CONCLUSION: Intake of food and supplements containing omega-3 fatty acids was reflected in plasma concentration, except for an Icelandic maternal multivitamin. One third of the women followed the recommendation of eating fish at least twice weekly. About 50% had a daily intake of supplements containing omega-3 fatty acids. doi 10.17992/lbl.2022.05.691

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