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多不饱和脂肪酸(PUFA)可预防和治疗痴呆吗?

PUFA for prevention and treatment of dementia?

机构信息

Gérontopôle, CHU Toulouse, Department of Geriatric Medicine, Toulouse, France.

出版信息

Curr Pharm Des. 2009;15(36):4173-85. doi: 10.2174/138161209789909764.

Abstract

Polyunsaturated fatty acids (PUFA) play a crucial role in cerebral structure and function. Omega-3 PUFA is an exciting area of research, with docosahexaenoic acid (DHA) emerging as a new potential agent for prevention of cognitive decline and treatment of Alzheimer's disease. Preclinical studies suggest that DHA maintains membrane fluidity, improves synaptic and neurotransmitter functioning, enhances learning and memory performances and displays neuroprotective properties. Several epidemiological studies supported the association between Omega-3 PUFA consumption and a lower prevalence of dementia. Although data are divergent, a growing body of evidence supports the view that regular consumption of dietary fish and seafood (which are rich in omega-3 PUFA) prevents cognitive decline. Finally, at present, few data are available from randomized clinical trials (RCTs). on the association between cognition and Omega-3. Ongoing RCTs that assess the effect of Omega-3 might provide new evidence on prevention and treatment of dementia. In this review, we summarize preclinical and clinical research suggesting that DHA exerts beneficial effects on cognitive function with ageing.

摘要

多不饱和脂肪酸(PUFA)在大脑结构和功能中起着至关重要的作用。ω-3 PUFA 是一个令人兴奋的研究领域,二十二碳六烯酸(DHA)作为预防认知能力下降和治疗阿尔茨海默病的新潜在药物而崭露头角。临床前研究表明,DHA 维持膜的流动性,改善突触和神经递质的功能,增强学习和记忆能力,并具有神经保护作用。几项流行病学研究支持ω-3 PUFA 消耗与痴呆患病率降低之间的关联。尽管数据存在差异,但越来越多的证据支持这样一种观点,即经常食用富含 ω-3 PUFA 的饮食鱼类和海鲜可以预防认知能力下降。最后,目前从随机临床试验(RCT)中获得的数据很少。关于认知与 ω-3 的关系。正在进行的评估 ω-3 效果的 RCT 可能会为预防和治疗痴呆症提供新的证据。在这篇综述中,我们总结了临床前和临床研究,表明 DHA 对衰老过程中的认知功能有有益的影响。

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