Atopy, eczema and breast milk fatty acids in a high-risk cohort of children followed from birth to 5 yr

Wendy H Oddy, Sebely Pal, Merci M H Kusel, Donna Vine, Nicholas H de Klerk, Peter Hartmann, Patrick G Holt, Peter D Sly, Paul R Burton, Fiona J Stanley, Louis I Landau

Research output: Contribution to journalArticle (Academic Journal)peer-review

65 Citations (Scopus)


BACKGROUND: The incidence of atopic diseases such as eczema is increasing in westernized societies. The suggestion that there is a "protective" association between the unique fatty acid composition of breast milk, particularly the omega-3 (n-3) and omega-6 (n-6) essential polyunsaturated fatty acid content, and the development of atopic disease in children was investigated in a cohort study of 263 infants born into families with a history of allergy (one or both parents had asthma, hayfever, eczema). The objectives of this study were to determine the lipid profile [specifically in relation to long-chain polyunsaturated fatty acid (LC-PUFA) composition] in maternal breast milk samples collected at 6 wk and at 6 months following birth, and to investigate the potential role of these fatty acids in modulating the phenotype of children at high genetic risk of developing atopic disease.

METHOD: Breast milk samples were available from 91 atopic mothers at their child's ages of 6 wk and 6 months. These samples were analysed for the fatty acid spectrum. Analysis of variance was used to detect differences between groups of outcomes (no atopy or eczema, non-atopic eczema, atopy, atopic eczema) at ages 6 months and 5 yr, and a multiple comparisons procedure was conducted to isolate the parameters producing the different results (F-test, LSD test). For the exposure variables, n-3 and n-6 fatty acids are expressed as weight percentage and as a ratio (at both time-points).

RESULTS: The fatty acid profiles of maternal breast milk at 6 wk and 6 months were similar. An increased ratio of n-6: n-3 fatty acids in both 6 wk and 6 month milk samples was associated with non-atopic eczema (p < 0.005) but not atopy alone or atopic eczema.

CONCLUSION: We found milk fatty acids were a significant modulator of non-atopic eczema but not atopy or atopic eczema in infants at 6 months. In mothers with a history of asthma, hayfever or eczema, their 6-month-old infants were more likely to develop non-atopic eczema if their milk had a higher ratio of n-6: n-3 LC-PUFA.

Original languageEnglish
Pages (from-to)4-10
Number of pages7
JournalPediatric Allergy and Immunology
Issue number1
Publication statusPublished - Feb 2006


  • Child, Preschool
  • Cohort Studies
  • Eczema
  • Fatty Acids
  • Female
  • Humans
  • Hypersensitivity, Immediate
  • Infant
  • Milk, Human
  • Pregnancy
  • Pregnancy, High-Risk


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