Investigations on Improving Docosahexaenoic and Arachidonic Acid Content in Preterm Infant Formula
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Purpose
The investigators examined the effect of different levels of docosahexaenoic aicd (a long chain polyunsaturated fatty acid) intake on the fatty acid composition of plasma and erythrocyte phospholipids and on the maturity of visually evoked potentials in preterm infants. As a secondary outcome the conversion of linoleic acid and alpha linolenic acid into their corresponding long chain polyunsaturated fatty acids was studied.
Preterm infants were randomized in a double-blind fashion to one of three formulas containing different amounts of docosahexaenoic acid during the first two weeks of postnatal life. A control group received human milk. Blood samples were collected at study entry and 14 and 28 days thereafter. Uniformly 13C-labeled linoleic acid and alpha linolenic acid were applied orally before blood sampling at day 28. At postconceptional ages 48 weeks and 56 weeks visually evoked potentials were recorded.
| Condition | Intervention |
|---|---|
|
Prematurity of Fetus |
Dietary Supplement: low docosahexaenoic acid formula Dietary Supplement: medium docosahexaenoic acid formula Dietary Supplement: high docosahexaenoic acid formula Dietary Supplement: breast milk |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Supportive Care |
| Official Title: | Investigations on Improving Docosahexaenoic and Arachidonic Acid Content in Preterm Infant Formula |
- plasma phospholipid fatty acid composition [ Time Frame: 28 days after intervention start ] [ Designated as safety issue: No ]
- visually evoked potentials [ Time Frame: 48 weeks and 56 weeks postconceptional age ] [ Designated as safety issue: No ]
- intensity of endogenous conversion of essential fatty acids into long chain polyunsaturated fatty acids [ Time Frame: 28 days after study start ] [ Designated as safety issue: No ]
| Enrollment: | 66 |
| Study Start Date: | June 1995 |
| Study Completion Date: | March 1998 |
| Primary Completion Date: | March 1998 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: low docosahexaenoic acid formula | Dietary Supplement: low docosahexaenoic acid formula |
| Experimental: medium docosahexaenoic acid formula | Dietary Supplement: medium docosahexaenoic acid formula |
| Experimental: high docosahexaenoic acid formula | Dietary Supplement: high docosahexaenoic acid formula |
| Active Comparator: human milk |
Dietary Supplement: breast milk
a non randomized group of breast milk fed infants was included
|
Eligibility| Ages Eligible for Study: | up to 14 Days |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- preterm birth
- birth weight between 1000 and 2200 g
- more than 80 % of energy intake from infant formula or human milk at enrollment
Exclusion Criteria:
- apparent genetic, gastrointestinal or metabolic disorders
- artificial ventilation or oxygen supply > 30% at the time of enrollment
- administration of parenteral fat emulsion (> 1 g/kg/day for more than seven days) before or after study entry
Contacts and Locations| Germany | |
| Children´s Hospital, Zentralklinikum Augsburg | |
| Augsburg, Germany | |
| Josephinum Hospital | |
| Augsburg, Germany | |
| I. Frauenklinik of the Ludwig-Maximilians-University | |
| München, Germany | |
| Lachnerklinik | |
| München, Germany | |
| University Hospital Rechts der Isar | |
| München, Germany | |
| Principal Investigator: | Berthold Koletzko, Prof. | Ludwig-Maximilians - University of Munich |
More Information
No publications provided by Ludwig-Maximilians - University of Munich
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Ludwig-Maximilians - University of Munich |
| ClinicalTrials.gov Identifier: | NCT01300130 History of Changes |
| Other Study ID Numbers: | 45-95 |
| Study First Received: | February 18, 2011 |
| Last Updated: | February 18, 2011 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Ludwig-Maximilians - University of Munich:
|
neurological development preterm infants fatty acid status |
ClinicalTrials.gov processed this record on June 17, 2013