Dietary Intake of DHA and EPA in a Group of Pregnant Women in the Moncton Area
Publication: Canadian Journal of Dietetic Practice and Research
1 February 2017
Abstract
Purpose: To compare docosahexaenoic acid (DHA), eicosapentaenoic acid (EPA), and fish intake of pregnant women at 30 weeks of gestation to current recommendations and to determine the factors associated with omega-3 (ω-3) intake.
Methods: A food frequency questionnaire was completed by 54 women (54/131 = 41%) at 30 ± 0.8 weeks gestation. Supplement intake, sociodemographic characteristics, and ω-3 food habits were evaluated.
Results: Among this high socioeconomic status (SES) group, 66.7% and 64.8% met the Food and Agriculture Organization of the United Nations (FAO)/World Health Organization (WHO) recommendation of 200 mg/d DHA and 300 mg/d DHA + EPA, respectively, and only 48.1% met the Academy of Nutrition and Dietetics (Academy) recommendation of 500 mg/d DHA + EPA. Eighteen of the 54 women took a ω-3 supplement during the third trimester. This significantly improved their total intake to meet the FAO/WHO (88.9% ≥200 mg/d DHA and 94.4% ≥300 mg/d DHA + EPA) and the Academy (77.8% ≥500 mg/d DHA + EPA) recommendations. Among nonsupplement users (36/54), 50% met the FAO/WHO recommendations and only 33.3% met the Academy recommendations.
Conclusions: Results suggest that the majority of high SES women did not meet ω-3 recommendations from food alone. Continued prenatal education on the importance of fish intake and on the addition of ω-3 prenatal supplement is essential.
Résumé
Objectif : Comparer l’apport en acide docosahexaénoϊque (ADH), acide eicosapentaénoϊque (AEP) et en poisson chez les femmes enceintes à 30 semaines de gestation aux recommandations actuelles et déterminer les facteurs associés avec l’apport en oméga-3 (ω-3).
Méthodes : Un questionnaire de fréquence alimentaire a été complété à 30 ± 0,8 semaines de gestation par 54 femmes (54/131 = 41%). La prise de suppléments, les données socio-démographiques et les habitudes alimentaires ω-3 ont été évaluées.
Résultats : Parmi ce groupe avec un haut statut socio-économique, 66,7 % et 64,8 % ont atteint la recommandation de l’Organisation des Nations Unies pour l’alimentation et l’agriculture (FAO)/Organisation mondiale de la santé (OMS) de 200 mg/j ADH et 300 mg/j ADH + AEP, respectivement, et 48,1 % ont atteint la recommandation de l’Academy of Nutrition and Dietetics (Academy) de 500 mg/j ADH + AEP. Dix-huit des 54 femmes prenaient des suppléments ω-3 au troisième trimestre. Les suppléments ont augmenté leur apport total. Ces 18 femmes ont atteint les recommandations de la FAO/OMS (88,9 % ≥200 mg/j ADH et 94,4 % ≥300 mg/j ADH + AEP) et de l’Academy (77,8 % ≥500 mg/j ADH + AEP). Parmi les non-utilisatrices de supplément (36/54), près de 50 % ont atteint les recommandations de la FAO/OMS et seulement 33,3 % ont atteint la recommandation de l’Academy.
Conclusions : La majorité des femmes n’ont pas atteint les recommandations à partir de l’alimentation seule. L’éducation prénatale concernant l’importance de la consommation en poisson et de l’ajout d’un supplément prénatal ω-3 demeure essentielle.
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Financial support: Faculté des études supérieures et de la recherche, Université de Moncton.
Conflict of interest: The authors declare no conflict of interest.
References
1
Koletzko B, Cetin I, and Brenna JT. Dietary fat intakes for pregnant and lactating women. Br J Nutr.2007;98(5):873–7.
2
Judge MP, Harel O, and Lammi-Keefe CJ. A docosahexaenoic acid-functional food during pregnancy benefits infant visual acuity at four but not six months of age. Lipids.2007;42:117–22.
3
Innis SM. Essential fatty acid transfer and fetal development. Placenta.2005;26(Suppl A):S70–5.
4
Brenna JT. Efficiency of conversion of alpha-linolenic acid to long chain n-3 fatty acids in man. Curr Opin Clin Nutr Metab Care.2002;5(2):127–32.
5
Trumbo P, Schlicker S, Yates AA, and Poos M; Food and Nutrition Board of Institute of Medicine, The National Academies. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc.2002;102(11):1621–30.
6
Food and Agriculture Organization of the United Nations. Fats and fatty acids in human nutrition: report of an expert consultation. Rome: FAO Food and Nutrition; 2010. Paper 91.
7
Vannice G and Rasmussen H. Position of the academy of nutrition and dietetics: dietary fatty acids for healthy adults. J Acad Nutr Diet.2014;114:136–53.
8
Kris-Etherton PM, Grieger JA, and Etherton TD. Dietary reference intakes for DHA and EPA. Prostaglandins Leukot and Essent Fatty Acids.2009;81(2–3):99–104.
9
Kris-Etherton PM and Innis SM. Position of the American dietetic association and dietitians of Canada: dietary fatty acids. J Am Diet Assoc.2007;107(9):1599–1611.
10
Health Canada. Prenatal nutrition guidelines for health professionals—Fish and omega-3 fatty acids. 2009 [cited 2015 Sept 30]. Available from: http://www.hc-sc.gc.ca/fn-an/pubs/nutrition/omega3-eng.php.
11
Meltzer HM, Brantsæter AL, Ydersbond TA, Alexander J, and Haugen M; The MoBa Dietary Support Group. Methodological challenges when monitoring the diet of pregnant women in a large study: experiences from the Norwegian mother and child cohort study (MoBa). Matern Child Nutr.2008;4:14–27.
12
Brantsæter AL, Haugen M, Alexander J, and Meltzer HM.Validity of a new food frequency questionnaire for pregnant women in the Norwegian mother and child cohort study (MoBa). Matern Child Nutr.2008;4:28–43.
13
Brantsaeter AL, Haugen M, Thomassen Y, Ellingsen DG, Ydersbond TA, and Hagve TA, et al.Exploration of biomarkers for total fish intake in pregnant Norwegian women. Public Health Nutr.2010;13(1):54–62.
14
Health Canada Nutrition Research Division. Canadian Nutrient File, version 2010; 2010 [cited 2015 Sept 30]. Available from: http://www.hc-sc.gc.ca/fn-an/nutrition/fiche-nutri-data/cnf_downloads-telechargement_fcen-eng.php.
15
U.S. Departure of Agriculture, Agricultural Research Service. USDA national nutrient database for reference, Release 27. 2014 [cited 2015 Sept 30]. Available from: http://www.ars.usda.gov/nutrientdata.
16
Grieger JA, Miller M, and Cobiac L. Knowledge and barriers relating fish consumption in older Australians. Appetite.2012;59(2):456–63.
17
Trondsen T, Scholderer J, Lund E, and Eggen AE. Perceived barriers to consumption of fish among Norwegian women. Appetite.2003;41(3):301–14.
18
Verbeke W and Vackier I. Individual determinants of fish consumption: application of the theory of planned behaviour. Appetite.2005;44(1):67–82.
19
Bloomingdale A, Guthrie LB, Price S, Wright RO, Platek D, and Haines J, et al.A qualitative study of fish consumption during pregnancy. Am J Clin Nutr.2010;92(5):1234–40.
20
Troxell H, Anderson J, Auld G, Marx N, Harris M, and Reece M, et al.Omega-3 for baby and me: material development for a WIC intervention to increase DHA intake during pregnancy. Matern Child Health J.2005;9(2):189–97.
21
Myrland Ø, Trondsen T, Johnston RS, and Lund E. Determinants of seafood consumption in Norway: Lifestyle, revealed preferences, and barriers to consumption. Food Qual Prefer.2000;11(3):169–88.
22
New Brunswick Health Council. My community at a glance 2014, New Brunswick community profile report. 2014 [cited 2016 May 03]. Available from: http://www.nbhc.ca/data/community#.
23
Statistics Canada. NHS profile, Moncton, CMA, New Brunswick, 2011. 2011 [cited 2016 May 03]. Available from: http://www12.statcan.ca/nhs-enm/2011/dp-pd/prof/details/page.cfm?Lang=E&Geo1=CMA&Code1=305&Data=Count&SearchText=Moncton&SearchType=Begins&SearchPR=13&A1=All&B1=All&Custom=&TABID=1.
24
Denomme J, Stark KD, and Holub BJ. Human nutrition and metabolism directly quantitated dietary (n-3) fatty acid intakes of pregnant Canadian women are lower than current dietary recommendations. J Nutr.2005;135(2):206–11.
25
Friesen RW and Innis SM. Dietary arachidonic acid to EPA and DHA balance is increased among Canadian pregnant women with low fish intake. J Nutr.2009;139(12):2344–50.
26
Friesen RW and Innis SM. Linoleic acid is associated with lower long-chain n-6 and n-3 fatty acids in red blood cell lipids of Canadian pregnant women. Am J Clin Nutr.2010;91:23–31.
27
Innis SM and Elias SL. Intakes of essential n-6 and n-3 polyunsaturated fatty acids among pregnant Canadian women. Am J Clin Nutr.2003;77(2):473–8.
28
Jia X, Pakseresht M, Wattar N, Wildgrube J, Sontag S, and Andrews M, et al.Women who take n-3 long-chain polyunsaturated fatty acid supplements during pregnancy and lactation meet the recommended intake. Appl Physiol Nutr Metab.2015;40:474–81.
29
Sontrop J, Avison WR, Evers SE, Speechley KN, and Campbell MK. Depressive symptoms during pregnancy in relation to fish consumption and intake of n-3 polyunsaturated fatty acids. Paediatr Perinat Epidemiol.2008;22:389–99.
30
Lewis NM, Widga AC, Buck JS, and Frederick AM. Survey of omega-3 fatty acids in diets of midwest low-income pregnant women survey of omega-3 fatty acids in diets. J Agromedicine.1995;2(4):49–58.
31
Nochera CL, Goossen LH, Brutus AR, Cristales M, and Eastman B. Consumption of DHA + EPA by low-income women during pregnancy and lactation. Nutr Clin Pract.2011;26(4):445–50.
32
Krieger N, Williams DR, and Moss NE. Measuring social class in US public health research: concepts, methodologies, and guidelines. Annu Rev Public Health.1997;18:341–78.
33
Sontrop JM, Campbell MK, Evers SE, Speechley KN, and Avison WR. Fish consumption among pregnant women in London, Ontario. Can J Public Health.2007;98(5):389–94.
34
Lando AM, Fein SB, and Choinière CJ. Awareness of methylmercury in fish and fish consumption among pregnant and postpartum women and women of childbearing age in the United States. Environ Res.2012;116:85–92.
35
Zhang J, Wang C, Gao Y, Li L, Man Q, and Song P, et al.Different intakes of n-3 fatty acids among pregnant women in 3 regions of China with contrasting dietary patterns are reflected in maternal but not in umbilical erythrocyte phosphatidylcholine fatty acid composition. Nutr Res.2013;33(8):613–21.
36
Oken E, Radesky JS, Wright RO, Bellinger DC, Amarasiriwardena CJ, and Kleinman KP, et al.Maternal fish intake during pregnancy, blood mercury, and child cognition at age 3 years in a US cohort. Am J Epidemiol.2008;167(10):1171–81.
37
Rifas-Shiman SL, Rich-Edwards JW, Willett WC, Kleinman KP, Oken E, and Gillman MW. Changes in dietary intake from the first to the second trimester of pregnancy. Paediatr Perinat Epidemiol.2006;20(1):35–42.
38
Willett W. Nutritional epidemiology. 2nd ed. New York, NY: Oxford University Press; 1998.
39
Oken E, Guthrie LB, Bloomingdale A, Gillman MW, Olsen SF, and Amarasiriwardena CJ, et al.Assessment of dietary fish consumption in pregnancy: Comparing one-, four- and thirty-six-item questionnaires. Public Health Nutr.2014;17(9):1949–59.
40
Innis SM, Novak EM, and Keller BO. Long chain omega-3 fatty acids: Micronutrients in disguise. Prostaglandins Leukot Essent Fatty Acids.2013;88(1):91–5.
41
Novak EM and Innis SM. Dietary long chain n-3 fatty acids are more closely associated with protein than energy intakes from fat. Prostaglandins Leukot Essent Fatty Acids.2012;86(3):107–12.
42
Flegal KM. Evaluating epidemiologic evidence of the effects of food and nutrient exposures. Am J Clin Nutr.1999;69:1339S–44S.
43
Harris WS, Pottala JV, Sands SA, and Jones PG. Comparison of the effects of fish and fish-oil capsules on the n 3 fatty acid content of blood cells and plasma phospholipids. Am J Clin Nutr.2007;86(6):1621–5.
44
Dziechciarz P, Horvath A, and Szajewska H. Effects of n-3 long-chain polyunsaturated fatty acid supplementation during pregnancy and/or lactation on neurodevelopment and visual function in children: A systematic review randomized controlled trials. J Am Coll Nutr.2010;29:443–54.
45
Starling P, Charlton K, McMahon AT, and Lucas C. Fish intake during pregnancy and foetal neurodevelopment - A systematic review of the evidence. Nutrients.2015;7:2001–14.
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Published In
Canadian Journal of Dietetic Practice and Research
Volume 78 • Number 2 • June 2017
Pages: 59 - 65
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Version of record online: 1 February 2017
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© 2017 © Agricultural Institute Of Canada.
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femalesNicole ArsenaultBishopMSc, RD and Caroline P.LeblancPhD, RD. 2017. Dietary Intake of DHA and EPA in a Group of Pregnant Women in the Moncton Area. Canadian Journal of Dietetic Practice and Research.
78(2): 59-65. https://doi.org/10.3148/cjdpr-2016-033
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