Miyamoto S, Miyake Y, Sasaki S, Tanaka K, Ohya Y, Matsunaga I, Yoshida T, Oda H, Ishiko O, Hirota Y
Department of Public Health, Osaka City University Graduate School of Medicine, Osaka, Japan.
Int J Tuberc Lung Dis. 2007 Jan;11(1):103-9.
It remains controversial whether the intake of n-3 polyunsaturated fatty acids and fish is preventive against asthma. This cross-sectional study investigated the relationship between fat and fish intake and the prevalence of asthma using baseline data from a prospective study.
The subjects were 1002 pregnant Japanese females. A diet history questionnaire was used to assess dietary habits. Current asthma and asthma after age 18 were defined as present if subjects had been treated with medications at some time in the previous 12 months and after reaching the age of 18, respectively.
Fish consumption was independently associated with a decreased prevalence of asthma after age 18 and current asthma. A significant inverse relationship was observed between the ratio of n-3 to n-6 polyunsaturated fatty acid intake and the prevalence of current asthma, but not asthma after age 18. Intake of total fat, saturated, monounsaturated, n-3 polyunsaturated and n-6 polyunsaturated fatty acids, cholesterol, meat, eggs or dairy products was not evidently related to either outcome for asthma.
Our results suggest that fish consumption and the high ratio of n-3 to n-6 polyunsaturated fatty acid intake may be associated with a reduced prevalence of asthma in young female Japanese adults.
n-3多不饱和脂肪酸和鱼类的摄入是否对哮喘具有预防作用仍存在争议。这项横断面研究利用一项前瞻性研究的基线数据,调查了脂肪和鱼类摄入与哮喘患病率之间的关系。
研究对象为1002名日本孕妇。采用饮食史问卷评估饮食习惯。如果受试者在过去12个月中的某个时间接受过药物治疗,则将当前哮喘定义为存在;如果受试者在年满18岁后接受过药物治疗,则将18岁以后的哮喘定义为存在。
鱼类消费与18岁以后哮喘患病率降低以及当前哮喘独立相关。n-3与n-6多不饱和脂肪酸摄入量之比与当前哮喘患病率之间存在显著负相关,但与18岁以后的哮喘无关。总脂肪、饱和脂肪、单不饱和脂肪、n-3多不饱和脂肪和n-6多不饱和脂肪酸、胆固醇、肉类、蛋类或乳制品的摄入量与哮喘的任何一种结局均无明显关联。
我们的结果表明,鱼类消费以及n-3与n-6多不饱和脂肪酸的高摄入量可能与日本年轻成年女性哮喘患病率降低有关。