A Randomized Clinical Trial on Supplementation of DHA and AA to Preterm Infants
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Purpose
A randomized, double-blind trial of docosahexaenoic and arachidonic acid supplementation in breast-fed preterm infants
Background:
Docosahexaenoic acid (DHA) and arachidonic acid (AA) are essential for preterm infants. Human milk and preterm formulas contain DHA and AA, but at lower concentrations than required to approximate utero accretion rate.
Objective:
To evaluate the effect of a high dose DHA and AA supplement to breast-fed preterm infants in the early neonatal period. Primary endpoints are neurodevelopment at 6 and 20 months of age.
Design:
A randomized double-blind placebo-controlled study is carried out in four Norwegian neonatal centers.
Subjects and methods:
Infants with birth weight < 1.5 kg are randomized to either an intervention or a control group. All infants receive fortified human milk, and a daily dose of 0.5 ml study oil per 100 ml milk. Infants in the intervention group receive oil with DHA and AA (Formulaid, Martek, USA), while the control oil contains vegetable oil without DHA or AA. Blood samples are collected at birth (cord), and at start and stop of the intervention. Plasma is analyzed for fatty acid pattern using high performance liquid chromatography.
| Condition | Intervention |
|---|---|
|
Infant, Low Birth Weight |
Procedure: Supplement of fatty acid (DHA and AA) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
Eligibility| Ages Eligible for Study: | up to 1 Month |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Birth weight < 1500 g
- Born at one of 4 participating neonatal centers in Norway
Exclusion Criteria:
- Cerebral haemorrhage (stage 3 or 4)
- Major congenital malformations that are supposed to affect growth and development
- Illness that require prolonged parenteral nutrition (>4 weeks)
Contacts and Locations
More Information
No publications provided by University of Oslo
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00226187 History of Changes |
| Other Study ID Numbers: | 1 |
| Study First Received: | September 22, 2005 |
| Last Updated: | February 14, 2007 |
| Health Authority: | Norway:National Committee for Medical and Health Research Ethics |
Keywords provided by University of Oslo:
|
Fatty acids Human milk Infant development Very low birthweight infants |
Additional relevant MeSH terms:
|
Birth Weight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 22, 2013