During
the last trimester of fetal life and the first two years of childhood, the
brain undergoes a period of rapid growth – the “brain growth spurt.” Nutrient insufficiency
during this period can compromise brain function.
DHA
is one nutrient absolutely required for the development of the sensory, perceptual,
cognitive, and motor neural systems during the brain growth spurt.
EPA’s
importance for the brain’s development in utero is unclear, but
colostrum and breast milk contain EPA, albeit in lesser amounts than DHA.
The
fundamental importance of DHA for brain development is beyond dispute. The
neurons are continually forming axons and dendritic extensions with
accompanying cell membranes. Growing membrane must be relatively fluid, and DHA
is the most fluidizing element in cell membranes. Even the synapses that are
the primary functional units of brain circuits are made from membranes preferentially
enriched in DHA.
The
retina, functionally an extension of the brain, contains rods and cones with
the most fluid membranes of all the body’s cell types; they are also highly
enriched in DHA.
Laboratory
animals (rodents, primates) with experimentally induced omega-3 deficiencies show
deficits in retinal structure, visual acuity development, and cognitive
performance.
McCann and Ames published an extensive review of the evidence that DHA is important for the development of
cognition and other normal brain functions (McCann and Ames 2005). Their 258 references included meta-analyses, randomized controlled
trials (RCT) on cognitive and behavioral performance, studies with rodents and
nonhuman primates, and breastfeeding studies. Within the limits imposed by
performance testing of infants and
toddlers,
they concluded that:
- · In animals whose brain concentrations of DHA were severely reduced, dietary supplementation with DHA restored control performance levels.
- · Studies with human infants suggest supplementation with DHA in formula or by boosting maternal levels enhances neuromotor development.
- · Application of a wide range of tests yielded a positive association between breastfeeding and infant mental performance.
Although
it is difficult to test cognitive performance within the first year, infants
who were fed breast milk or formulas with DHA were found (within a few months
after birth) to have superior visual acuity compared to those fed less than
adequate DHA. This superior visual function persists through the first year
after birth11 and perhaps into the seventh year or later.1
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