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Revista Cubana de Pediatría
On-line version ISSN 1561-3119
Abstract
CUARTAS, Silvina and PEREZ TORRE, María. Metabolism and importance of polyunsaturated fatty acids in pregnancy and lactation. Rev Cubana Pediatr [online]. 2021, vol.93, n.1 Epub Mar 01, 2021. ISSN 1561-3119.
Introduction:
Long-chain polyunsaturated fatty acids are essential in the nutrition of the fetus and newborns.
Objective:
Examine the importance of polyunsaturated fatty acids during pregnancy and lactation to highlight food requirements, recommendations and sources.
Methods:
A systematic review of the international literature of the last 15 years was carried out in databases, in Spanish and English, using the following keywords: pregnancy, lactation, polyunsaturated fatty acids, omega 3/6, sources and requirements. The most relevant and controversial aspects were identified.
Results:
Arachydonic and docosahexaenoic acid influence lipid profile, insulin sensitivity, proliferation and differentiation of preadipocytes. Their levels during gestation are one of the main factors responsible for fetal programming that are metabolic adaptations conditioning the evolution of future health. Optimal levels of omega-3 and 6 fatty acids are vital for the neurological development of the fetus and newborn. Placenta´s functionality can affect adiposity and fetal levels of key nutrients, such as long-chain polyunsaturated fatty acids.
Conclusions:
Diet is one of the main environmental factors during gestation. Breastfeeding is the best nutritional alternative during the first year of life, which is why it is essential to promote it. It is important to provide adequate assistance and generate strategies that stimulate the consumption of omega-3 acids as a long-term prevention tool.
Keywords : Polyunsaturated acids omega 3 and 6; pregnancy; lactation; requirements.