PMID- 26970335 OWN - NLM STAT- MEDLINE DCOM- 20170317 LR - 20170817 IS - 1651-2227 (Electronic) IS - 0803-5253 (Linking) VI - 105 IP - 11 DP - 2016 Nov TI - High levels of omega-3 fatty acids in milk from omega-3 fatty acid-supplemented mothers are related to less immunoglobulin E-associated disease in infancy. PG - 1337-1347 LID - 10.1111/apa.13395 [doi] AB - AIM: We previously reported a protective effect of maternal omega-3 fatty acid supplements on the development of immunoglobulin E (IgE)-associated disease in infancy. This study assessed omega-3 long-chain polyunsaturated fatty acids (LCPUFA) in maternal milk in relation to omega-3 LCPUFA supplementation and the development of allergic disease in their infants. METHODS: This study randomised 95 pregnant women at risk of having an allergic infant, to daily supplements of 2.6 g omega-3 LCPUFA or a placebo of 2.7 g soya bean oil from gestational week 25 until 3 months of lactation. Breast milk samples were collected as colostrum, at one and 3 months. Milk fatty acids were related to allergic outcome in the infants at 24 months. RESULTS: Omega-3 milk fatty acids were higher in women who received omega-3 supplements than the placebo group (p < 0.01). Higher proportions of milk eicosapentaenoic acid and docosahexaenoic acid and a lower arachidonic/eicosapentaenoic acid ratio were associated with an absence of IgE-associated disease in the infants. None of the children developed IgE-associated atopic eczema above a level of 0.83 mol% eicosapentaenoic acid in colostrum. [Correction added on 7 July 2016, after online publication: In the preceding sentence, the correct word should be "above" instead of "below" and this has been amended in this current version.] CONCLUSION: High omega-3 LCPUFA milk levels in mothers who received omega-3 LCPUFA supplements were related to fewer allergies in their children. CI - (c)2016 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd. FAU - Warstedt, Kristina AU - Warstedt K AD - Division of Pediatrics, Department of Clinical and Experimental Medicine, Faculty of Medicine, Linkoping University, Linkoping, Sweden. AD - Clinical and Experimental Research, Faculty of Medicine, Linkoping University, Linkoping, Sweden. FAU - Furuhjelm, Catrin AU - Furuhjelm C AD - Division of Pediatrics, Department of Clinical and Experimental Medicine, Faculty of Medicine, Linkoping University, Linkoping, Sweden. AD - Childrens Hospital, Linkoping University Hospital, The County Council in Ostergotland, Linkoping, Sweden. FAU - Falth-Magnusson, Karin AU - Falth-Magnusson K AD - Division of Pediatrics, Department of Clinical and Experimental Medicine, Faculty of Medicine, Linkoping University, Linkoping, Sweden. AD - Childrens Hospital, Linkoping University Hospital, The County Council in Ostergotland, Linkoping, Sweden. FAU - Fageras, Malin AU - Fageras M AD - Division of Pediatrics, Department of Clinical and Experimental Medicine, Faculty of Medicine, Linkoping University, Linkoping, Sweden. AD - AstraZeneca, Molndal, Sweden. FAU - Duchen, Karel AU - Duchen K AD - Division of Pediatrics, Department of Clinical and Experimental Medicine, Faculty of Medicine, Linkoping University, Linkoping, Sweden. Karel.Duchen.Munoz@regionostergotland.se. AD - Childrens Hospital, Linkoping University Hospital, The County Council in Ostergotland, Linkoping, Sweden. Karel.Duchen.Munoz@regionostergotland.se. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20160408 PL - Norway TA - Acta Paediatr JT - Acta paediatrica (Oslo, Norway : 1992) JID - 9205968 RN - 0 (Fatty Acids, Omega-3) RN - 37341-29-0 (Immunoglobulin E) SB - IM CIN - Acta Paediatr. 2016 Nov;105(11):1348. PMID: 27381168 MH - Adult MH - *Breast Feeding MH - *Dietary Supplements MH - Fatty Acids, Omega-3/administration & dosage/*immunology MH - Female MH - Follow-Up Studies MH - Humans MH - Hypersensitivity/*prevention & control MH - *Immunity, Maternally-Acquired MH - Immunoglobulin E/immunology MH - Infant MH - Infant, Newborn MH - Maternal Nutritional Physiological Phenomena/drug effects/*immunology MH - Milk, Human/chemistry/*immunology MH - Pregnancy MH - Skin Tests MH - Sweden OTO - NOTNLM OT - Allergic disease OT - Breastfeeding OT - Immunoglobulin E OT - Omega-3 OT - Pregnancy EDAT- 2016/03/13 06:00 MHDA- 2017/03/18 06:00 CRDT- 2016/03/13 06:00 PHST- 2015/09/18 00:00 [received] PHST- 2015/12/30 00:00 [revised] PHST- 2016/03/07 00:00 [accepted] PHST- 2016/03/13 06:00 [pubmed] PHST- 2017/03/18 06:00 [medline] PHST- 2016/03/13 06:00 [entrez] AID - 10.1111/apa.13395 [doi] PST - ppublish SO - Acta Paediatr. 2016 Nov;105(11):1337-1347. doi: 10.1111/apa.13395. Epub 2016 Apr 8.