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ω-6和ω-3脂肪酸的当前临床应用。

Current clinical applications of omega-6 and omega-3 fatty acids.

作者信息

Lee Sang, Gura Kathleen M, Kim Sendia, Arsenault Danielle A, Bistrian Bruce R, Puder Mark

机构信息

Children's Hospital Boston, 300 Longwood Ave., MA 02115, USA.

出版信息

Nutr Clin Pract. 2006 Aug;21(4):323-41. doi: 10.1177/0115426506021004323.

Abstract

BACKGROUND

Recent years have brought a resurgence of research interest in fatty acids, with studied fields running the gamut of human disease. This movement has run in parallel with an increased interest in using nutrition modalities as therapeutic measures, as opposed to their conventional role as energy sources. The aim of this manuscript is to provide a basic review of current clinical applications of omega-6 and omega-3 fatty acids, with a particular focus on the latter.

METHODS

A selective review of the voluminous literature, including randomized controlled trials, meta-analyses, population studies, and case reports, was used to compile data and identify trends in pertinent clinical applications of fatty acid therapy.

CONCLUSIONS

There are a myriad of disorders and maladies that seem to benefit from fatty acid supplementation, specifically omega-3 fatty acids. It has clearly been shown that omega-3 fatty acid supplementation provides a protective benefit in heart disease, and in particular sudden cardiac death. Rheumatoid arthritis (RA) is another disease entity that has been proven to benefit from this nutrition intervention, with improvement in symptoms and diminished nonsteroidal antiinflammatory drug (NSAID) usage. In addition, many psychiatric disorders, particularly schizophrenia and major depressive disorder (MDD), have shown positive results when supplementation has been used as an adjunct to standard pharmacotherapy. The remainder of clinical applications for omega-3 fatty acids requires further investigation. Specifically, according to preliminary clinical evidence, parenteral administration of fatty acids warrants further study.

摘要

背景

近年来,对脂肪酸的研究兴趣再度兴起,研究领域涵盖了人类疾病的各个方面。这一趋势与人们越来越倾向于将营养方式用作治疗手段而非传统的能量来源相并行。本文旨在对ω-6和ω-3脂肪酸的当前临床应用进行基础综述,尤其关注后者。

方法

通过对大量文献进行选择性综述,包括随机对照试验、荟萃分析、人群研究和病例报告,来收集数据并确定脂肪酸治疗相关临床应用的趋势。

结论

有无数的疾病似乎受益于脂肪酸补充,特别是ω-3脂肪酸。已明确表明,补充ω-3脂肪酸对心脏病,尤其是心源性猝死具有保护作用。类风湿性关节炎(RA)是另一种已被证明受益于这种营养干预的疾病,症状得到改善,非甾体抗炎药(NSAID)的使用减少。此外,许多精神疾病,特别是精神分裂症和重度抑郁症(MDD),在补充剂作为标准药物治疗的辅助手段时已显示出积极效果。ω-3脂肪酸的其余临床应用需要进一步研究。具体而言,根据初步临床证据,脂肪酸的肠外给药值得进一步研究。

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