The basis for n-3 fatty acid essentiality in humans includes not only
biochemical evidence but functional measures associated with n-3 defic
iency in human and nonhuman primates. Functional development of the re
tina and the occipital cortex are affected by alpha-linolenic acid def
iciency and by a lack of docosahexaenoic acid (DHA) in preterm infant
formulas and, as reported more recently, in term diets. Functional eff
ects of n-3 supply on sleep-wake cycles and heart rate rhythms support
the need for dietary n-3 fatty acids during early development. Our re
sults indicate that n-3 long-chain polyunsaturated fatty acids should
be considered provisionally essential for infant nutrition. DHA may al
so be required by individuals with inherited metabolic defects in elon
gation and desaturation activity such as patients with peroxisomal dis
orders and some forms of retinitis pigmentosa.