de Lau L M L, Bornebroek M, Witteman J C M, Hofman A, Koudstaal P J, Breteler M M B
Department of Epidemiology and Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands.
Neurology. 2005 Jun 28;64(12):2040-5. doi: 10.1212/01.WNL.0000166038.67153.9F.
Unsaturated fatty acids are important constituents of neuronal cell membranes and have neuroprotective, antioxidant, and anti-inflammatory properties.
To determine if a high intake of unsaturated fatty acids might be associated with a lower risk of Parkinson disease (PD).
In the Rotterdam Study, a prospective population-based cohort study of people ages > or =55, the association between intake of unsaturated fatty acids and the risk of incident PD was evaluated among 5,289 subjects who were free of dementia and parkinsonism and underwent complete dietary assessment at baseline. PD was assessed through repeated in-person examination, and the cohort was continuously monitored by computer linkage to medical records. The data were analyzed using Cox proportional hazards regression models.
After a mean follow-up of 6.0 years, 51 participants with incident PD were identified. Intakes of total fat, monounsaturated fatty acids (MUFAs), and polyunsaturated fatty acids (PUFAs) were significantly associated with a lower risk of PD, with an adjusted hazard ratio per SD increase of energy-adjusted intake of 0.69 (95% CI 0.52 to 0.91) for total fat, of 0.68 (95% CI 0.50 to 0.94) for MUFAs, and 0.66 (95% CI 0.46 to 0.96) for PUFAs. No associations were found for dietary saturated fat, cholesterol, or trans-fat.
These findings suggest that high intake of unsaturated fatty acids might protect against Parkinson disease.
不饱和脂肪酸是神经元细胞膜的重要组成部分,具有神经保护、抗氧化和抗炎特性。
确定高不饱和脂肪酸摄入量是否可能与较低的帕金森病(PD)风险相关。
在鹿特丹研究中,这是一项针对年龄≥55岁人群的基于人群的前瞻性队列研究,在5289名无痴呆和帕金森综合征且在基线时接受了完整饮食评估的受试者中,评估不饱和脂肪酸摄入量与新发PD风险之间的关联。通过反复的亲自检查评估PD,并通过与医疗记录的计算机链接对队列进行持续监测。使用Cox比例风险回归模型分析数据。
平均随访6.0年后,确定了51名新发PD参与者。总脂肪、单不饱和脂肪酸(MUFA)和多不饱和脂肪酸(PUFA)的摄入量与较低的PD风险显著相关,能量调整摄入量每增加1个标准差的调整后风险比,总脂肪为0.69(95%CI 0.52至0.91),MUFA为0.68(95%CI 0.50至0.94),PUFA为0.66(95%CI 0.46至0.96)。未发现膳食饱和脂肪、胆固醇或反式脂肪与PD有关联。
这些发现表明,高不饱和脂肪酸摄入量可能预防帕金森病。