DeFilippis Andrew P, Sperling Laurence S
Division of General Medicine, Emory University School of Medicine, Atlanta, GA 30303, USA.
Am Heart J. 2006 Mar;151(3):564-70. doi: 10.1016/j.ahj.2005.03.051.
Omega-3 fatty acids are a subset of polyunsaturated fatty acids found in marine sources as eicosapentaenoic acid and docosahexaenoic acid and in some leafy vegetables, nuts, and oils as alpha-linolenic acid (ALA). The metabolism of omega-3's may explain the cardioprotective effects observed in epidemiologic and experimental studies. Although most data for cardioprotective effects come from studies of marine sources, vegetable sources of omega-3 fatty acids (alpha-linolenic acid) may have similar effects through in vivo conversion to eicosapentaenoic acid and docosahexaenoic acid. This document will provide an overview of omega-3 fatty acids with a focus on specific sources, metabolism, safety issues, and their potential indication for cardiovascular prevention.
欧米伽-3脂肪酸是多不饱和脂肪酸的一个子集,在海洋来源中以二十碳五烯酸和二十二碳六烯酸的形式存在,在一些绿叶蔬菜、坚果和油类中以α-亚麻酸(ALA)的形式存在。欧米伽-3脂肪酸的代谢可能解释了在流行病学和实验研究中观察到的心脏保护作用。尽管大多数关于心脏保护作用的数据来自对海洋来源的研究,但欧米伽-3脂肪酸的植物来源(α-亚麻酸)通过体内转化为二十碳五烯酸和二十二碳六烯酸可能具有类似的作用。本文将概述欧米伽-3脂肪酸,重点关注特定来源、代谢、安全问题及其在心血管预防方面的潜在适应症。