Does a Diet With the Recommended Amount of Polyunsaturated Fatty Acids, Increase Their Proportion in Maternal Milk? (ALLAITEMENT)

July 30, 2024 updated by: Rennes University Hospital

Does a Diet With the Recommended Amount of Polyunsaturated Fatty Acids, Increase Their Proportion in Maternal Milk? A Prospective Randomized Open Study

During pregnancy and lactation, the consumption of PUFA n-3, through the consumption of food products that contain more ALA than conventional products, could impact nutritional and non-nutritional breast milk quality (immune criteria, metabolites, hormones), and also the implantation of the intestinal microbiota of the newborn, which is involved in preservation of short term and long term health of the child.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

66

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Rennes, France, 35000
        • CIC CHU de Rennes

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • women over 18;
  • ≤ 28th week of amenorrhea
  • having a project of exclusive breastfeeding until at least the 45th day postpartum;
  • BMI before pregnancy between 18.5 and 30.0;
  • consuming frequently dairy products, eggs, meat (pork, beef, poultry);
  • accepting the consumption of all food products delivered;
  • written consent received and signed.

Non-inclusion criteria:

  • multiple pregnancy;
  • eating disorders or suspicion (defined by SCOFF score);
  • vegetarian, vegan or flexitarian;
  • allergic to food product(s) involved in the study;
  • home with more than 2 adults and 3 children (excluding foetus);
  • adults on legal protection (guardianship, trusteeship…), persons deprived of liberty;

Exclusion Criteria:

  • Interruption of breastfeeding before the 21st postpartum day
  • Prematurity: childbirth before the 37th week of amenorrhea

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental Group
consumption of Bleu-Blanc-Cœur products from the 29th week of amenorrhea to the 45th postpartum day
participants will benefit of dietary device 30-minute dietary advice carried out by a doctor at the University Hospital of Rennes, in order to provide nutritional advice adapted to pregnant women.
consumption of Bleu-Blanc-Cœur products from the 29th week of amenorrhea to the 45th postpartum day
the fatty acid profile of the women red blood cells of the woman wil be test at the inclusion and at 21 days post-partum
Participants of the group A will be contacted by phone,sms, mail by a technician every 15 days from 7th month of pregnancy to the 8th month of pregnancy and then every week from the 9th month of pregnancy to the 45th postpartum day (except the week of childbirth), in order to collect their consumption data of the delivered food products.
Participants will have to complete a food questionnaire at the inclusion and at 21 days post-partum
Newborn faeces sample will be collected at 21 Days post partum
Breast milk sample will be collected at 21 days and 45 days post partum
Placebo Comparator: Control Group
no consumption of Bleu-Blanc-Cœur products from the 29th week of amenorrhea to the 45th postpartum day. This group will receive Système U vouchers.
participants will benefit of dietary device 30-minute dietary advice carried out by a doctor at the University Hospital of Rennes, in order to provide nutritional advice adapted to pregnant women.
the fatty acid profile of the women red blood cells of the woman wil be test at the inclusion and at 21 days post-partum
Participants will have to complete a food questionnaire at the inclusion and at 21 days post-partum
Newborn faeces sample will be collected at 21 Days post partum
Breast milk sample will be collected at 21 days and 45 days post partum
no consumption of Bleu-Blanc-Cœur products from the 29th week of amenorrhea to the 45th postpartum day. This group will receive Système U vouchers.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Level of α-linolenic acid in milk
Time Frame: on the 21st postpartum day.
The primary evaluation criterion is the level of α-linolenic acid in milk on the 21st postpartum day.
on the 21st postpartum day.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The α-linolenic acid level of breast milk
Time Frame: at the 45th postpartum day;
The α-linolenic acid level of breast milk at the 45th postpartum day;
at the 45th postpartum day;
The fatty acid content of breast milk ;
Time Frame: on the 21st and the 45th postpartum days
The fatty acid content of breast milk on the 21st and the 45th postpartum days;
on the 21st and the 45th postpartum days
The cytokine content of breast milk
Time Frame: on the 21st and the 45th postpartum days
The cytokine content of breast milk on the 21st and the 45th postpartum days: IL-6, TNFα, TGFβ
on the 21st and the 45th postpartum days
The immunoglobulin A and G content of breast milk
Time Frame: on the 21st and the 45th postpartum days;
The immunoglobulin A and G content of breast milk on the 21st and the 45th postpartum days;
on the 21st and the 45th postpartum days;
The lactoferrin content (antimicrobial factor) of breast milk
Time Frame: on the 21st and the 45th postpartum days;
The lactoferrin content (antimicrobial factor) of breast milk on the 21st and the 45th postpartum days;
on the 21st and the 45th postpartum days;
The hormone content of breast milk
Time Frame: on the 21st and the 45th postpartum days
The hormone content of breast milk on the 21st and the 45th postpartum days: adiponectin, leptin, insulin;
on the 21st and the 45th postpartum days
The oligosaccharide content of breast milk
Time Frame: on the 21st and the 45th postpartum days
The oligosaccharide content of breast milk on the 21st and the 45th postpartum days;
on the 21st and the 45th postpartum days
The breast milk microbiota content
Time Frame: on the 21st and the 45th postpartum days
The breast milk microbiota content on the 21st and the 45th postpartum days;
on the 21st and the 45th postpartum days
the bacterial intestinal microbiota content from the feces of the newborn
Time Frame: on the 21st postpartum day;
the bacterial intestinal microbiota content from the feces of the newborn on the 21st postpartum day;
on the 21st postpartum day;
Fatty acid content
Time Frame: before the 7th month of pregnancy and on the 21st postpartum day.
the fatty acid content of the women red blood cells of the woman before the 7th month of pregnancy and on the 21st postpartum day.
before the 7th month of pregnancy and on the 21st postpartum day.
The breast milk lipidome
Time Frame: on the 21st postpartum day
the breast milk lipidome on the 21st postpartum day: 26 lipid classes comprising more than 300 different lipid species (in addition to the total fatty acid analyses of breast milk, in order to make a complete description of the lipid species provided);
on the 21st postpartum day
The maternal milk metabolome
Time Frame: On the 21st postpartum day
the maternal milk metabolome on the 21st postpartum day: metabolites, hormones and other signal molecules (this analysis complements the previous ones by producing a complete description of non-lipid metabolites in breast milk);
On the 21st postpartum day

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 8, 2019

Primary Completion (Actual)

April 22, 2022

Study Completion (Actual)

April 22, 2022

Study Registration Dates

First Submitted

January 11, 2019

First Submitted That Met QC Criteria

January 15, 2019

First Posted (Actual)

January 16, 2019

Study Record Updates

Last Update Posted (Actual)

July 31, 2024

Last Update Submitted That Met QC Criteria

July 30, 2024

Last Verified

July 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • 35RC17_8820

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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