Nurhasan, MuliaRoos, NannaSkau, Jutta K. H.Wieringa, Frank T.Friis, HenrikMichaelsen, Kim F.Dijkhuizen, Marjoleine A.Stark, KenRitz, ChristianChhoun, ChamnanLauritzen, Lotte2018-07-252018-07-252018-08-010952-3278https://dx.doi.org/10.1016/j.plefa.2018.07.002http://hdl.handle.net/10012/13491The final publication is available at Elsevier via https://dx.doi.org/10.1016/j.plefa.2018.07.002”. © 2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/The impact of freshwater fish consumption on the status of long-chain n-3 fatty acids (n-3 LCPUFA) in infants in landlocked, low-income populations is unknown. We used secondary data from a randomized, single-blinded, controlled trial to evaluate the impact of daily consumption of complementary food products with small amounts of freshwater fish on whole blood n-3 LCPUFA in Cambodian infants. Infants (n=419), received daily, one of four food products for 9 months. Two products contained freshwater fish: WinFood (10% fish by dry weight) and WinFood-L (12% fish by dry weight), while two products were non-fish-based: corn-soy blends (CSB+ and CSB++). Whole blood fatty acids and breastfeeding status were assessed at baseline and endline of the intervention. The WinFood products contributed to an estimated maximum intake of 86.5 mg/day n-3 LCPUFA. There was no difference in whole blood n-3 LCPUFA among the four intervention groups or between the fish-based and the non-fish-based groups (p≥0.142). At endline, 71% of the children were still breastfed. Interaction analyses indicated a lower ratio of n-6/n-3 PUFA in non-breastfed infants in the WinFood groups compared to the CSB groups (pinteraction=0.026). Thus, a high intake of n-3 LCPUFA from breastmilk may have blurred a potential impact of small amounts of freshwater fish effect on n-3 LCPUFA status in Cambodian infants.enAttribution-NonCommercial-NoDerivatives 4.0 Internationalfish-based complementary foodn-3 LCPUFA statusdocosahexaenoic acidbreastfeedingArticle