Babies are now legally obligated to consume omega-3 fatty acids

Dr. Manuel Schlipf
About the Author

Manuel Schlipf is a medical doctor in the Department of Child and Adolescent Psychiatry at the Central Institute of Mental Health in Mannheim, Germany. In 2020 he started working as a new investigator of the VANTASTIC-Study (Part of Eat2beNice), which evaluates the effects of broad-spectrum supplementation on reducing impulsive, compulsive, and aggressive behavior in adolescents.

The European Union regulates many things, even including the food intake of our babies. Therefore, since February 2020, the omega- 3 fatty acid docosahexaenoicacid (DHA) has to be added to infant formulas (1)

Babies need mother’s milk or an appropriate substitute (infant formulas) as an exclusive source of nutrition in the first months of life.  The WHO (World Health Organization) recommends exclusive breastfeeding in the first 6 months of life with continued breastfeeding until the child’s age of 24 months (3). When breastfeeding is not possible, infant formulas are available as a substitute to provide all essential nutrients for adequate growth and development.

Mother’s milk contains a mix of complex proteins, carbohydrates, biologically active components and lipids, including omega-3 fatty acids like DHA.

Babies cannot synthesize an adequate level of DHA themselves and depend on DHA in their nutrition. High amounts of DHA are found especially in a high amount in fish or algae. A large uptake of DHA by mothers (e.g. as a consequence of eating fish) leads to a higher concentration of DHA in mother’s milk.

In the second half of gestation and the first two years of life, the developing brain and retina accumulate large amounts of DHA, so in those periods you especially need DHA for brain and visual development. That’s why the European Food Safety Authority (EFSA) recommends that DHA should be added in infant formulas in similar concentration as in mother’s milk (2).

A recent scientific review article (3) suggests a benefit in cognitive development when children are fed with infant formulas supplemented with DHA, compared to children with formulas without supplementation. Furthermore, DHA is reported to have beneficial effects on immune function (lower incidence of infections or allergic and atopic diseases early in life).

Note:  Mother’s milk is still recommended as the best nutrition for babies – the infant formulas with added DHA only enhances the assessed parameters in a direction that is closer to exclusively breast-fed infants.

Interestingly, current research (4) is exploring the therapeutic effects of DHA for people older than two years, e.g. for ADHD or early psychosis. However, considering that high concentrations of DHA are needed during brain development, the most beneficial results of supplementing DHA can be expected in early life.

There is growing evidence for adding the omega-6-fatty acid arachidonic acid to infant formulas in addition to DHA, and therefore it is already claimed to amend the EU-Regulation in the future (5).

What can we learn? Maybe firstly, that there are useful EU-regulations as well; and, secondly, that while breast-feeding is the preferred way to nourish your child, that formula ingredients really could make a difference.