Omega 3, inflamación sistémica y su importancia en la salud materno-fetal: un enfoque integral en una revisión bibliográfica

Main Article Content

Jose Eugenio Guerra Cárdenas http://orcid.org/0000-0001-9495-024X
Jaime Paz Avila, Dr. http://orcid.org/0000-0003-0157-3268
Francisco Vazquez Nava, Dr. http://orcid.org/0000-0002-0845-3501
Josefina Altamira Garcia, Dra. http://orcid.org/0000-0001-5486-1437
José Roberto Reyes Flores http://orcid.org/0009-0005-4812-9385
Eunice Amisadai Méndez Estrada http://orcid.org/0009-0001-5696-9182
Gema Marisol Montes Montes http://orcid.org/0009-0000-3090-3778
Ignacio Uriel Macias Paz http://orcid.org/0000-0002-5943-1863

Resumen

La nutrición en una paciente embarazada debe cumplir los requisitos necesarios para la formación del feto y su conocimiento debe ser una pieza clave en la formación de un profesional de la salud, los alimentos ricos en pufa n-3 son en su mayoría de origen marino y son esenciales para algunas funciones fisiológicas, la suplementación con pufa n-3 durante el embarazo puede ofrecer beneficios al binomio madre-hijo. Este artículo integra las investigaciones más recientes sobre omega-3 en el embarazo y evidencia su acción en algunas de las patologías maternas y/o fetales más conocidas.

Article Details

Como citar
GUERRA CÁRDENAS, Jose Eugenio et al. Omega 3, inflamación sistémica y su importancia en la salud materno-fetal: un enfoque integral en una revisión bibliográfica. Medicina e Investigación Universidad Autónoma del Estado de México, [S.l.], v. 14, n. 1, p. 118-127, abr. 2026. ISSN 2594-0600. Disponible en: <https://medicinainvestigacion.uaemex.mx/article/view/25113>. Fecha de acceso: 18 ago. 2026 doi: https://doi.org/10.36677/medicinainvestigacion.v14i1.25113.
Sección
Artículos de revisión

Citas

Chunda-Liyoka C, Lubeya MK, Imakando M, Kisling S, Majid S, Willis MS, et al. Healthy pregnancies and essential fats: focus group discussions with Zambian women on dietary need and acceptability of a novel RUSF containing fish oil DHA [Internet]. BMC Pregnancy Childbirth. 2020; 20(1): 93. Disponible en: http://dx.doi.org/10.1186/s12884-020-2783-8

Bakouei F, Delavar MA, Mashayekh-Amiri S, Esmailzadeh S, Taheri Z. Efficacy of n-3 fatty acids supplementation on the prevention of pregnancy induced-hypertension or preeclampsia: A systematic review and meta-analysis. Taiwan J Obstet Gynecol [Internet]. 2020; 59(1): 8–15. Disponible en: http://dx.doi.org/10.1016/j.tjog.2019.11.002

Mohd Fauzy NK, Haris MS, Ibrahim A, Muhd Helmi MA, Harith S. Beneficial outcomes of omega-6 and omega-3 polyunsaturated fatty acids on malnourished children: A scoping review. Malays J Med Health Sci [Internet]. 2023; 19(6): 285–96. Disponible en: http://dx.doi.org/10.47836/mjmhs.19.6.38

Nevins JEH, Donovan SM, Snetselaar L, Dewey KG, Novotny R, Stang J, et al. Omega-3 fatty acid dietary supplements consumed during pregnancy and lactation and child neurodevelopment: A systematic review. J Nutr [Internet]. 2021; 151(11): 3483–94. Disponible en: http://dx.doi.org/10.1093/jn/nxab238

Serra R, Peñailillo R, Monteiro LJ, Monckeberg M, Peña M, Moyano L, et al. Supplementation of omega 3 during pregnancy and the risk of preterm birth: A systematic review and meta-analysis. Nutrients [Internet]. 2021; 13(5): 1704. Disponible en: http://dx.doi.org/10.3390/nu13051704

Puca D, Estay P, Valenzuela C, Muñoz Y. Effect of omega-3 supplementation during pregnancy and lactation on the fatty acid composition of breast milk in the first months of life: a narrative review. Nutr Hosp [Internet]. 2021; 38(4): 848–70. Disponible en: http://dx.doi.org/10.20960/nh.03486

Christifano DN, Chollet-Hinton L, Hoyer D, Schmidt A, Gustafson KM. Intake of eggs, choline, lutein, zeaxanthin, and DHA during pregnancy and their relationship to fetal neurodevelopment. Nutr Neurosci [Internet]. 2023; 26(8): 749–55. Disponible en: http://dx.doi.org/10.1080/1028415X.2022.2088944

Broś-Konopielko M, Białek A, Oleszczuk-Modzelewska L, Zaleśkiewicz B, Różańska-Walędziak A, Czajkowski K. Nutritional, anthropometric and sociodemographic factors affecting fatty acids profile of pregnant women’s serum at labour-chemometric studies. Nutrients [Internet]. 2021; 13(9): 2948. Disponible en: http://dx.doi.org/10.3390/nu13092948

Nikolajeva K, Aizbalte O, Piskurjova A, Rezgale R, Cauce V, Začs D, et al. Fatty acid composition of a maternal diet and erythrocyte phospholipid status in Latvian pregnant women. Medicina (Kaunas) [Internet]. 2023; 59(9). Disponible en: http://dx.doi.org/10.3390/medicina59091514

Masot O, Ochoa Herrera JJ, Paraíso Pueyo E, Roca J, Miranda J, Lavedán A. The impact of docosahexaenoic acid on maternal mental health: scoping review. Nutr Hosp [Internet]. 2023; 40(4): 848–57. Disponible en: http://dx.doi.org/10.20960/nh.04523

Ishihara T, Yoshida M, Arita M. Omega-3 fatty acid-derived mediators that control inflammation and tissue homeostasis. Int Immunol [Internet]. 2019; 31(9): 559–67. Disponible en: http://dx.doi.org/10.1093/intimm/dxz001

Gardner KG, Gebretsadik T, Hartman TJ, Rosa MJ, Tylavsky FA, Adgent MA, et al. Prenatal omega-3 and omega-6 polyunsaturated fatty acids and childhood atopic dermatitis. J Allergy Clin Immunol Pract [Internet]. 2020; 8(3): 937–44. Disponible en: http://dx.doi.org/10.1016/j.jaip.2019.09.031

Feketea G, Kostara M, Bumbacea RS, Vassilopoulou E, Tsabouri S. Vitamin D and omega-3 (fatty acid) supplementation in pregnancy for the primary prevention of food allergy in children-literature review. Children (Basel) [Internet]. 2023; 10(3). Disponible en: http://dx.doi.org/10.3390/children10030468

Sley EG, Rosen EM, van ’t Erve TJ, Sathyanarayana S, Barrett ES, Nguyen RHN, et al. Omega-3 fatty acid supplement use and oxidative stress levels in pregnancy. PLoS One [Internet]. 2020; 15(10): e0240244. Disponible en: http://dx.doi.org/10.1371/journal.pone.0240244

Rees G, Brough L, Orsatti GM, Lodge A, Walker S. Do micronutrient and omega-3 fatty acid supplements affect human maternal immunity during pregnancy? A scoping review. Nutrients [Internet]. 2022; 14(2): 367. Disponible en: http://dx.doi.org/10.3390/nu14020367

Liu W, Gao M, Yang S, Sun C, Bi Y, Li Y, et al. Effects of omega-3 supplementation on glucose and lipid metabolism in patients with gestational diabetes: A meta-analysis of randomized controlled trials. J Diabetes Complications [Internet]. 2023; 37(4): 108451. Disponible en: http://dx.doi.org/10.1016/j.jdiacomp.2023.108451

Elshani B, Kotori V, Daci A. Role of omega-3 polyunsaturated fatty acids in gestational diabetes, maternal and fetal insights: current use and future directions. J Matern Fetal Neonatal Med [Internet]. 2021; 34(1): 124–36. Disponible en: http://dx.doi.org/10.1080/14767058.2019.1593361

Gao L, Lin L, Shan N, Ren C-Y, Long X, Sun Y-H, et al. The impact of omega-3 fatty acid supplementation on glycemic control in patients with gestational diabetes: a systematic review and meta-analysis of randomized controlled studies. J Matern Fetal Neonatal Med [Internet]. 2020; 33(10): 1767–73. Disponible en: http://dx.doi.org/10.1080/14767058.2018.1526916

Godhamgaonkar AA, Wadhwani NS, Joshi SR. Exploring the role of LC-PUFA metabolism in pregnancy complications. Prostaglandins Leukot Essent Fatty Acids [Internet]. 2020; 163(102203): 102203. Disponible en: http://dx.doi.org/10.1016/j.plefa.2020.102203

Moltu SJ, Nordvik T, Rossholt ME, Wendel K, Chawla M, Server A, et al. Arachidonic and docosahexaenoic acid supplementation and brain maturation in preterm infants; a double blind RCT. Clin Nutr [Internet]. 2024; 43(1): 176–86. Disponible en: http://dx.doi.org/10.1016/j.clnu.2023.11.037

Mohammadzadeh P, Rosenberg JB, Vinding R, Møllegaard Jepsen JR, Lindberg U, Følsgaard N, et al. Effects of prenatal nutrient supplementation and early life exposures on neurodevelopment at age 10: a randomised controlled trial - the COPSYCH study protocol. BMJ Open [Internet]. 2022; 12(2): e047706. Disponible en: http://dx.doi.org/10.1136/bmjopen-2020-047706

Chumak, T., Lecuyer, M. J., Nilsson, A. K., Faustino, J., Ardalan, M., Svedin, P., Sjöbom, U., Ek, J., Obenaus, A., Vexler,
Z. S., & Mallard, C. Maternal n-3 Polyunsaturated Fatty Acid Enriched Diet Commands Fatty Acid Composition in Postnatal Brain and Protects from Neonatal Arterial Focal Stroke. Translational stroke research. 2022; 13(3): 449–461. Disponible en: https://doi.org/10.1007/s12975-021-00947-9

Tahaei H, Gignac F, Pinar A, Fernandez-Barrés S, Romaguera D, Vioque J, et al. Omega-3 fatty acid intake during pregnancy and child neuropsychological development: A multi-centre population-based birth cohort study in Spain. Nutrients [Internet]. 2022; 14(3): 518. Disponible en: http://dx.doi.org/10.3390/nu14030518

Martínez R. M. Lípidos y desarrollo cerebral: importancia del ácido docosahexanoico (DHA) en el niño sano y en el enfermo con síndrome de Zellweger. Pediatrika. 2002; 22: 275-288.

Daruich A, Bremond-Gignac D, Behar-Cohen F, Kermorvant E. Rétinopathie du prématuré: de la prévention au traitement. Med Sci (Paris) [Internet]. 2020;36(10):900–7. [citado el 07 de octubre de 2024]. Disponible en: http://dx.doi.org/10.1051/medsci/2020163

Rupanagunta GP, Nandave M, Rawat D, Upadhyay J, Rashid S, Ansari MN. Postpartum depression: aetiology, pathogenesis and the role of nutrients and dietary supplements in prevention and management. Saudi Pharm J [Internet]. 2023; 31(7): 1274–93. Disponible en: http://dx.doi.org/10.1016/j.jsps.2023.05.008

Monthé-Drèze C, Sen S, Hauguel-de Mouzon S, Catalano PM. Effect of omega-3 supplementation in pregnant women with obesity on newborn body composition, growth and length of gestation: A randomized controlled pilot study. Nutrients [Internet]. 2021; 13(2): 578. Disponible en: http://dx.doi.org/10.3390/nu13020578

Castro JJ, Umana-Perez A, Castaño-Moreno E, Casanello P, Ronco AM. DHA supplementation during pregnancy in women with obesity normalizes IGF2R levels in the placenta of male newborns. Int J Endocrinol [Internet]. 2023; 2023: 1–10. Disponible en: http://dx.doi.org/10.1155/2023/1515033

Care A, Nevitt SJ, Medley N, Donegan S, Good L, Hampson L, et al. Interventions to prevent spontaneous preterm birth in women with singleton pregnancy who are at high risk: systematic review and network meta-analysis. BMJ [Internet]. 2022; 376: e064547. Disponible en: http://dx.doi.org/10.1136/bmj-2021-064547

Best KP, Gibson RA, Makrides M. ISSFAL statement number 7 - Omega-3 fatty acids during pregnancy to reduce preterm birth. Prostaglandins Leukot Essent Fatty Acids [Internet]. 2022; 186(102495): 102495. Disponible en: http://dx.doi.org/10.1016/j.plefa.2022.102495

Cetin I, Carlson SE, Burden C, da Fonseca EB, di Renzo GC, Hadjipanayis A, et al. Omega-3 fatty acid supply in pregnancy for risk reduction of preterm and early preterm birth. Am J Obstet Gynecol MFM [Internet]. 2024; 6(2): 101251. Disponible en: http://dx.doi.org/10.1016/j.ajogmf.2023.101251

Yelland LN, Sullivan TR, Gibson RA, Simmonds LA, Thakkar SK, Huang F, et al. Identifying women who may benefit from higher dose omega-3 supplementation during pregnancy to reduce their risk of prematurity: exploratory analyses from the ORIP trial. BMJ Open [Internet]. 2023; 13(4): e070220. Disponible en: http://dx.doi.org/10.1136/bmjopen-2022-070220

Gustafson KM, Liao K, Mathis NB, Shaddy DJ, Kerling EH, Christifano DN, et al. Prenatal docosahexaenoic acid supplementation has long-term effects on childhood behavioral and brain responses during performance on an inhibitory task: Prenatal DHA and childhood inhibitory performance. Nutr Neurosci [Internet]. 2022; 25(1): 80–90. Disponible en: http://dx.doi.org/10.1080/1028415X.2020.1712535

Kasture V, Sundrani D, Dalvi S, Swamy M, Kale A, Joshi S. Maternal omega-3 fatty acids and vitamin E improve placental angiogenesis in late-onset but not early-onset preeclampsia. Mol Cell Biochem [Internet]. 2019; 461(1–2): 159–70. Disponible en: http://dx.doi.org/10.1007/s11010-019-03599-4

Liu Y, Zu L, Cai W, Cheng Q, Hua T, Peng L, et al. Metabolomics revealed decreased level of omega-3 PUFA-derived protective eicosanoids in pregnant women with pre-eclampsia. Clin Exp Pharmacol Physiol [Internet]. 2019; 46(8): 705–10. Disponible en: http://dx.doi.org/10.1111/1440-1681.13095

Li S-N, Liu Y-H, Luo Z-Y, Cui Y-F, Cao Y, Fu W-J, et al. The association between dietary fatty acid intake and the risk of developing preeclampsia: a matched case-control study. Sci Rep [Internet]. 2021; 11(1): 4048. Disponible en: http://dx.doi.org/10.1038/s41598-021-83674-3

Huynh LBP, Nguyen NN, Fan H-Y, Huang S-Y, Huang C-H, Chen Y-C. Maternal omega-3 supplementation during pregnancy, but not childhood supplementation, reduces the risk of food allergy diseases in offspring. J Allergy Clin Immunol Pract [Internet]. 2023; 11(9): 2862-2871.e8. Disponible en: http://dx.doi.org/10.1016/j.jaip.2023.06.005

Trumbo P, Schlicker S, Yates AA, Poos M. Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. J Am Diet Assoc [Internet]. 2002; 102(11): 1621–30. Disponible en: http://dx.doi.org/10.1016/s0002-8223(02)90346-9

EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA). Scientific Opinion on Dietary Reference Values for fats, including saturated fatty acids, polyunsaturated fatty acids, monounsaturated fatty acids, trans fatty acids, and cholesterol. EFSA J [Internet]. 2010; 8(3). Disponible en: http://dx.doi.org/10.2903/j.efsa.2010.1461

Calder PC. Mechanisms of action of (n-3) fatty acids. J Nutr [Internet]. 2012; 142(3): 592S-599S. Disponible en: http://dx.doi.org/10.3945/jn.111.155259

Calder, PC. Omega-3 fatty acids and inflammatory processes: from molecules to man. Biochemical Society Transactions. 2017; 45(5): 1105–1115. [citado el 14 de octubre de 2024]. Disponible en: https://doi.org/10.1042/BST20160474

Innis SM. Dietary (n-3) fatty acids and brain development. J Nutr [Internet]. 2007; 137(4): 855–9. Disponible en: http://dx.doi.org/10.1093/jn/137.4.855

SanGiovanni JP, Chew EY. The role of omega-3 long-chain polyunsaturated fatty acids in health and disease of the retina. Prog Retin Eye Res [Internet]. 2005; 24(1): 87–138. Disponible en: http://dx.doi.org/10.1016/j.preteyeres.2004.06.002

Freeman MP, Hibbeln JR, Wisner KL, Davis JM, Mischoulon D, Peet M, et al. Omega-3 fatty acids: evidence basis for treatment and future research in psychiatry. J Clin Psychiatry [Internet]. 2006; 67(12): 1954–67. Disponible en: http://dx.doi.org/10.4088/jcp.v67n1217

Burger KS, Stice E. Neural responsivity during soft drink intake, anticipation, and advertisement exposure in habitually consuming youth: Neural Response to Soft Drinks. Obesity (Silver Spring) [Internet]. 2014; 22(2): 441–50. Disponible en: http://dx.doi.org/10.1002/oby.20563

Khan D, Ahmed SA. Epigenetic regulation of non-lymphoid cells by Bisphenol A, a model endocrine disrupter: Potential implications for immunoregulation. Front Endocrinol (Lausanne) [Internet]. 2015; 6: 91. Disponible en: http://dx.doi.org/10.3389/fendo.2015.00091

Carlson SE, Colombo J, Gajewski BJ, Gustafson KM, Mundy D, Yeast J, et al. DHA supplementation and pregnancy outcomes. Am J Clin Nutr [Internet]. 2013; 97(4): 808–15. Disponible en: http://dx.doi.org/10.3945/ajcn.112.050021

Crofts JF, Lenguerrand E, Bentham GL, Tawfik S, Claireaux HA, Odd D, et al. Prevention of brachial plexus injury-12 years of shoulder dystocia training: an interrupted time-series study. BJOG [Internet]. 2016; 123(1): 111–8. Disponible en: http://dx.doi.org/10.1111/1471-0528.13302