Peskin B S
The International PEO Society, P.O. Box 56507, Houston, TX 77256, USA.
J Lipids. 2014;2014:495761. doi: 10.1155/2014/495761. Epub 2014 Jan 16.
The medical community suffered three significant fish oil failures/setbacks in 2013. Claims that fish oil's EPA/DHA would stop the progression of heart disease were crushed when The Risk and Prevention Study Collaborative Group (Italy) released a conclusive negative finding regarding fish oil for those patients with high risk factors but no previous myocardial infarction. Fish oil failed in all measures of CVD prevention-both primary and secondary. Another major 2013 setback occurred when fish oil's DHA was shown to significantly increase prostate cancer in men, in particular, high-grade prostate cancer, in the Selenium and Vitamin E Cancer Prevention Trial (SELECT) analysis by Brasky et al. Another monumental failure occurred in 2013 whereby fish oil's EPA/DHA failed to improve macular degeneration. In 2010, fish oil's EPA/DHA failed to help Alzheimer's victims, even those with low DHA levels. These are by no means isolated failures. The promise of fish oil and its so-called active ingredients EPA / DHA fails time and time again in clinical trials. This lipids-based physiologic review will explain precisely why there should have never been expectation for success. This review will focus on underpublicized lipid science with a focus on physiology.
2013年,医学界遭遇了三次重大的鱼油失败/挫折。当风险与预防研究协作组(意大利)发布了一项关于鱼油对那些有高危因素但无既往心肌梗死患者的确定性负面研究结果时,声称鱼油中的二十碳五烯酸(EPA)/二十二碳六烯酸(DHA)能阻止心脏病进展的说法被粉碎。鱼油在心血管疾病预防的所有指标上均告失败,包括一级预防和二级预防。2013年的另一个重大挫折是,在布拉斯基等人对硒和维生素E癌症预防试验(SELECT)的分析中,鱼油中的DHA被证明会显著增加男性患前列腺癌的几率,尤其是高级别前列腺癌。2013年还出现了另一个重大失败,即鱼油中的EPA/DHA未能改善黄斑变性。2010年,鱼油中的EPA/DHA未能帮助阿尔茨海默病患者,即使是那些DHA水平较低的患者。这些绝不是孤立的失败案例。鱼油及其所谓的活性成分EPA/DHA在临床试验中一次次地辜负了人们的期望。这篇基于脂质的生理学综述将准确解释为何人们根本不应寄望于成功。这篇综述将聚焦于未得到充分宣传的脂质科学,并着重探讨生理学方面。