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A Perinatal Strategy For Preventing Adult Disease: The Role Of Long-Chain Polyunsaturated Fatty Acids (Hardcover, 2002 ed.)
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A Perinatal Strategy For Preventing Adult Disease: The Role Of Long-Chain Polyunsaturated Fatty Acids (Hardcover, 2002 ed.)
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Obesity, type 2 diabetes mellitus, hypertension, and coronary heart
disease are serious diseases affecting asignificantnumberofadults
across the globe. Insulin resistance, low-grade systemic
inflammation, low-birth weight, maternalproteinmalnutrition,
neonatalhighcarbohydratediet, and high fat diet are associated with
these diseases. On the other hand, adequatelybreast-fedsubjects are
substantially at lowerrisk. Ifso, whatis the linkbetweenthese
variousfactors?Onepossibilityisthat humanbreast milk
containsfactorsthatconferresistancetothese modemdiseases.Here I
present arguments that long-chain polyunsaturated fatty acids
(LCPUFAs)
presentinthebreastmilkcouldberesponsibleforthisbeneficialaction.
Though the entire class of LCPUFAs provided dunng perinatal
periodislikelytohavearole inthepreventionofadultdiseases,
itshouldbe understoodthateachofthese LCPUFAsexhibitauniqueand
insome cases opposing bioactive properties.It is important to note
that there is a close interaction between (0-6 and (0-3 fatty
acids. Human breast rmlk contains almost twice (0.78 vs 0.43
%w/w)the amountof(0-6LCPUFAs (gamma linolenic acid,
dihomo-gamma-linolenic acid and arachidonic acid) comparedto
(0-3LCPUFAs(eicosapentaenoicacid, docosapentaenoicacid, and
docosahexaenoic acid). Obviously, the best would be to mimic the
composition/concentrations in which these fatty acids are present
in the breastmilk. The conceptthat LCPUFAs given
duringpennatalperiod(and
inadultlife)isbeneficialinpreventingadultdiseasescertainlyneedsfurther
exploration.Iamconfidentthat someofthe enterprisingreaderswill
delve intothepossibilitiessuggestedafterreadingthisbook.
UndurtiN.Das, M.D., FAMS. To MyWifeLakshmi and Mytwoeyes
DaughterArundhatiandSonAditya Chapter #1 Introduction
Fetal/Perinatalimprintingonlaterlife It isbelievedthat
stimuliormsults during criticalorsensitiveperiods
inearlylifecanhave
lifetimeconsequences.Thisconceptiswellestablished in developmental
biology and has been termed "programming." The evidence for
programming confirmed the critical period for imprinting in
animals, more so in birds'. Programming stimuli may be generated
endogenously, such as hormonal signals', or they may be environm
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