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鱼类消费、污染物与癫痫患者的意外猝死:益处远多于风险。

Fish consumption, contaminants and sudden unexpected death in epilepsy: many more benefits than risks.

作者信息

Scorza F A, Cysneiros R M, Arida R M, Terra V C, Machado H R, Rabello G M M, Albuquerque M, Cavalheiro E A

机构信息

Disciplina de Neurologia Experimental, Universidade Federal de São Paulo, Escola Paulista de Medicina, Rua Botucatu, 862 Edifício Leal Prado, CEP 04023-900, São Paulo, Brazil.

出版信息

Braz J Biol. 2010 Aug;70(3):665-70. doi: 10.1590/s1519-69842010000300026.

DOI:10.1590/s1519-69842010000300026
PMID:20730355
Abstract

People with epilepsy have an increased risk of dying prematurely and the most common epilepsy-related category of death is sudden unexpected death in epilepsy (SUDEP). SUDEP is mainly a problem for patients with chronic uncontrolled epilepsy. The ultimate goal of research in SUDEP is to develop new methods to prevent it and actions other than medical and surgical therapies that could be very useful. Nutritional aspects, i.e., omega-3 fatty acids deficiency, could have an interesting role in this scenario. Some animal and clinical studies have suggested that omega-3 fatty acids could be useful in the prevention and treatment of epilepsy and hence SUDEP. It has been ascertained that the only foods that provide large amounts of omega-3 are seafood (fish and shellfish); however, some fish are contaminated with methylmercury, which may counteract the positive effects of omega-3 fatty acids. Our update review summarises the knowledge of the role of fish consumption on epilepsy research.

摘要

癫痫患者过早死亡的风险增加,与癫痫相关的最常见死亡类别是癫痫猝死(SUDEP)。SUDEP主要是慢性癫痫控制不佳患者面临的问题。SUDEP研究的最终目标是开发预防它的新方法以及除药物和手术治疗之外可能非常有用的措施。营养方面,即ω-3脂肪酸缺乏,在这种情况下可能发挥有趣的作用。一些动物和临床研究表明,ω-3脂肪酸可能有助于预防和治疗癫痫,从而预防SUDEP。已确定唯一能提供大量ω-3的食物是海鲜(鱼类和贝类);然而,一些鱼类被甲基汞污染,这可能抵消ω-3脂肪酸的积极作用。我们的最新综述总结了鱼类消费在癫痫研究中作用的相关知识。

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引用本文的文献

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Unraveling the nutritional challenges in epilepsy: Risks, deficiencies, and management strategies: A systematic review.解析癫痫中的营养挑战:风险、缺乏症及管理策略:一项系统综述
World J Exp Med. 2025 Jun 20;15(2):104328. doi: 10.5493/wjem.v15.i2.104328.
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Therapeutic Strategies to Ameliorate Neuronal Damage in Epilepsy by Regulating Oxidative Stress, Mitochondrial Dysfunction, and Neuroinflammation.通过调节氧化应激、线粒体功能障碍和神经炎症来改善癫痫中神经元损伤的治疗策略。
Brain Sci. 2023 May 11;13(5):784. doi: 10.3390/brainsci13050784.
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Functional Nutrients for Epilepsy.
功能性营养素与癫痫
Nutrients. 2019 Jun 10;11(6):1309. doi: 10.3390/nu11061309.
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Sea food consumption for improving cardiac and cerebral manifestations of mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes.食用海鲜以改善线粒体脑肌病、乳酸酸中毒和卒中样发作的心脏和脑部表现。
Ann Transl Med. 2017 Sep;5(17):369. doi: 10.21037/atm.2017.07.02.
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Sudden unexpected death in epilepsy: an important concern.癫痫患者的突然意外死亡:一个重要的关注点。
Clinics (Sao Paulo). 2011;66 Suppl 1(Suppl 1):65-9. doi: 10.1590/s1807-59322011001300008.
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The stability of fish populations: how changes in the environment may affect people with epilepsy.鱼类种群的稳定性:环境变化如何影响癫痫患者。
Clinics (Sao Paulo). 2011;66(1):1-2. doi: 10.1590/s1807-59322011000100001.