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The role of fats in the lifecycle stages

Maria Makrides and Robert A Gibson
Med J Aust 2002; 176 (11): . || doi: 10.5694/j.1326-5377.2002.tb04568.x
Published online: 3 June 2002

The high birthweights and long duration of pregnancies observed in the fish-eating community of the Faroe Islands in the North Atlantic led to the suggestion that fatty acids from marine food could delay spontaneous delivery and increase birthweight.1 Likewise, the low incidence of pre-eclampsia observed in Greenland Inuit2 provided a basis for the first suggestion that fish oil could prevent this condition. The plausibility of these hypotheses was strengthened by the fact that fish oil (omega-3) fatty acids such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) may alter eicosanoid/cytokine balance to modulate vasoconstriction and endothelial damage associated with gestational hypertension, delay the initiation of labour and cervical ripening, and relax the myometrium.


  • Child Nutrition Research Centre, Child Health Research Institute, Women's and Children's Hospital, and Flinders Medical Centre, Adelaide, SA, Australia.


Correspondence: 

  • 1. Olsen SF, Hansen HS, Sorensen T, et al. Intake of marine fat, rich in (n-3) polyunsaturated fatty acids, may increase birthweight by prolonging gestation. Lancet 1986; 2: 367-369.
  • 2. Dyerberg J, Bang HO. Pre-eclampsia and prostaglandins. Lancet 1985; i: 1267.
  • 3. Makrides M, Gibson RA. Long chain polyunsaturated fatty acid (LCPUFA) requirements during pregnancy and lactation. Am J Clin Nutr 2000; 71: 307S-311S.
  • 4. Olsen SF, Secher NJ, Tabor A, et al. Randomised clinical trials of fish oil supplementation in high risk pregnancies. Br J Obstet Gynaecol 2000; 107: 382-395.
  • 5. Helland IB, Saugstad OD, Smith L, et al. Similar effects on infants of omega-3 and omega-6 fatty acids supplementation to pregnant and lactating women. Pediatrics 2001; 108: E82.
  • 6. Carnielli VP, Wattimena DJL, Luijendijk IHT, et al. The very low birth weight premature infant is capable of synthesizing arachidonic and docosahexaenoic acids from linoleic and linolenic acids. Pediatr Res 1996; 40: 169-174.
  • 7. Gibson RA, Chen W, Makrides M. Randomized trials with polyunsaturated fatty acid interventions in preterm and term infants: functional and clinical outcomes. Lipids 2001; 36: 873-883.
  • 8. O'Connor DL, Hall R, Adamkin D, et al. Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial. Pediatrics 2001; 108: 359-371.
  • 9. Aggett PJ, Haschke F, Heine W, et al. Comment on the content and composition of lipids in infant formulas. Acta Paediatr Scand 1991; 80: 887-896.
  • 10. Food and Agricultural Organization (FAO). Fats and oils in human nutrition. FAO Food and Nutrition Paper 57. Rome: World Health Organization, 1994.
  • 11. Makrides M, Hawkes JS, Neumann MA, Gibson RA. The nutritional impact of including egg yolk in the weaning diet of breastfed and formula fed infants: a randomized trial. Am J Clin Nutr 2002. In press.

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