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- W2890213671 abstract "Some observational studies have suggested associations of higher prenatal fish intake with protection against offspring asthma, attributing associations to greater exposure to marine n-3 long-chain polyunsaturated fatty acids (LCPUFAs). Two recent randomized clinical trials have tested that hypothesis. Bisgaard and colleagues [1] Bisgaard H Stokholm J Chawes BL et al. Fish oil-derived fatty acids in pregnancy and wheeze and asthma in offspring. N Engl J Med. 2016; 375: 2530-2539 Crossref PubMed Scopus (282) Google Scholar found that supplementation with n-3 LCPUFAs reduced the risk of persistent wheeze or asthma and lower respiratory tract infections, but not allergic sensitization or eczema, in offspring followed up for the first 3 years of life. Their report, which included a succinct review of the literature, was accompanied by an interactive pro–con debate about the merits of prenatal fatty acid supplementation. [2] Ramaswami R Serhan CN Levy BD Makrides M Fish oil supplementation in pregnancy. N Engl J Med. 2016; 375: 2599-2601 Crossref PubMed Scopus (11) Google Scholar Ramaswami et al [2] Ramaswami R Serhan CN Levy BD Makrides M Fish oil supplementation in pregnancy. N Engl J Med. 2016; 375: 2599-2601 Crossref PubMed Scopus (11) Google Scholar cited an essentially negative trial by Best et al, [3] Best KP Sullivan T Palmer D et al. Prenatal fish oil supplementation and allergy: 6-year follow-up of a randomized controlled trial. Pediatrics. 2016; 137 Crossref PubMed Scopus (44) Google Scholar suggesting that after 6 years of follow-up, evidence supporting maternal n-3 LCPUFAs supplementation to protect against either allergic disease or asthma in the offspring remained weak. Ramaswami et al [2] Ramaswami R Serhan CN Levy BD Makrides M Fish oil supplementation in pregnancy. N Engl J Med. 2016; 375: 2599-2601 Crossref PubMed Scopus (11) Google Scholar countered that the Bisgaard findings made biologic sense: the n-3 LCPUFAs, mainly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are substrates for mediators that resolve inflammation and infection (resolvins and protectives), specifically decreasing airway inflammation, mucus metaplasia, and hyperreactivity, while promoting host defense against respiratory infection, acting along pathways that are not directly related to allergic sensitization." @default.
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- W2890213671 date "2019-01-01" @default.
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- W2890213671 title "Fatty acids in pregnancy and risk of allergic sensitization and respiratory outcomes in childhood" @default.
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- W2890213671 doi "https://doi.org/10.1016/j.anai.2018.09.450" @default.
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