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膳食中的ω-3脂肪酸与精神病学:情绪、行为、压力、抑郁、痴呆及衰老

Dietary omega-3 Fatty acids and psychiatry: mood, behaviour, stress, depression, dementia and aging.

作者信息

Bourre J M

机构信息

French Academy of Medicine, INSERM department of Neuro-pharmaco-nutrition, Hôpital Fernand Widal, 75475 Paris cedex 10.

出版信息

J Nutr Health Aging. 2005;9(1):31-8.

Abstract

In view of the high omega-3 poly unsaturated fatty acid content of the brain, it is evident that these fats are involved in brain biochemistry, physiology and functioning; and thus in some neuropsychiatric diseases and in the cognitive decline of ageing. Though omega-3 fatty acids (from fatty fish in the human diet) appear effective in the prevention of stress, their role as regulator of mood and of libido is a matter for discussion pending experimental proof in animal and human models. Dietary omega-3 fatty acids play a role in the prevention of some disorders including depression, as well as in dementia, particularly Alzheimer's disease. Their direct role in major depression, bipolar disorder (manic-depressive disease) and schizophrenia is not yet established. Their deficiency can prevent the renewal of membranes, and thus accelerate cerebral ageing; none the less, the respective roles of the vascular component on one hand (where the omega-3's are active) and the cerebral parenchyma itself on the other, have not yet been clearly resolved. The role of omega-3 in certain diseases such as dyslexia and autism is suggested. In fact, omega-3 fatty acids participated in the first coherent experimental demonstration of the effect of dietary substances (nutrients) on the structure and function of the brain. Experiments were first of all carried out one x-vivo cultured brain cells (1), then on in vivo brain cells(2), finally on physiochemical, biochemical, physiological, neurosensory, and behavioural parameters (3). These findings indicated that the nature of poly unsaturated fatty acids(in particular omega-3) present in formula milks for infants (both premature and term) determines the visual, cerebral,and intellectual abilities, as described in a recent review (4). Indeed,the insufficient dietary supply of omega-3 fatty acids in today's French and occidental diet raises the problem of how to correct dietary habits so that the consumer will select foods that are genuinely rich in omega-3/ the omega-3 family ; mainly rapeseed, (canola) and walnut oils on one hand and fatty fish on the other.

摘要

鉴于大脑中ω-3多不饱和脂肪酸含量很高,显然这些脂肪参与大脑生物化学、生理学及功能;因此也参与某些神经精神疾病及衰老过程中的认知衰退。虽然ω-3脂肪酸(来自人类饮食中的富含脂肪的鱼类)在预防压力方面似乎有效,但其作为情绪和性欲调节剂的作用,在动物和人类模型获得实验证据之前仍有待讨论。膳食中的ω-3脂肪酸在预防包括抑郁症在内的一些疾病以及痴呆症,尤其是阿尔茨海默病方面发挥作用。它们在重度抑郁症、双相情感障碍(躁郁症)和精神分裂症中的直接作用尚未确定。其缺乏会阻碍细胞膜更新,从而加速大脑衰老;然而,一方面血管成分(ω-3脂肪酸在其中发挥作用)与另一方面脑实质本身各自的作用尚未明确厘清。ω-3在诵读困难和自闭症等某些疾病中的作用也被提及。事实上,ω-3脂肪酸参与了关于膳食物质(营养素)对大脑结构和功能影响的首个连贯实验证明。实验首先在体外培养的脑细胞上进行(1),然后在体内脑细胞上进行(2),最后在物理化学、生物化学、生理学、神经感觉和行为参数上进行(3)。这些发现表明,婴儿配方奶粉(包括早产儿和足月儿)中存在的多不饱和脂肪酸(特别是ω-3)的性质决定了视觉、大脑和智力能力,正如最近一篇综述中所描述的(4)。的确,在当今法国和西方饮食中,ω-3脂肪酸的膳食供应不足,引发了如何纠正饮食习惯的问题,以便消费者选择真正富含ω-3/ω-3家族的食物;一方面主要是菜籽油(加拿大油菜籽油)和核桃油,另一方面是富含脂肪的鱼类。

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