Dretsch Michael N, Johnston Daniel, Bradley Ryan S, MacRae Holden, Deuster Patricia A, Harris William S
Comprehensive Soldier & Family Fitness/Performance, Headquarters Department of the Army, 251 18th Street South, Suite 210, Crystal Park 5, Arlington, VA 22202.
Walter Reed National Naval Medical Center (WRNNMC), 8901 Wisconsin Boulevard, Bethesda, MD 20889.
Mil Med. 2014 Apr;179(4):396-403. doi: 10.7205/MILMED-D-13-00395.
Omega-3 fatty acids (FAs) may have neuroprotective properties for psychological health and cognition. The objective of this study was to evaluate the effectiveness of omega-3 FAs (eicosapentaenoic + docosahexaenoic; Harris-Schacky [HS]-Omega-3 Index) on neuropsychological functioning among U.S. Soldiers deployed to Iraq. This randomized, double-blind, placebo-controlled trial included Soldiers between the ages of 18 and 55 years who were randomly assigned to either the active treatment group (n = 44) or placebo group (n = 34). Active treatment was 2.5 g per day of eicosapentaenoic + docosahexaenoic (Lovaza; GlaxoSmithKline, Research Triangle Park, North Carolina). The placebo was corn oil ethyl esters. HS-Omega-3 Index, a neurocognitive battery (Central Nervous System-Vital Signs, Morrisville, North Carolina), and psychological health scales were assessed at baseline and after 60 days of treatment. Although the results revealed that omega-3 FAs significantly increased the HS-Omega-3 Index (p = 0.001), there were no significant effects on indices psychological health and neurocognitive functioning by treatment group. Nevertheless, there was a significant inverse correlation between the changes in the HS-Omega-3 Index and daytime sleepiness (r = 0.30, p = 0.009). Short-term treatment with 2.5 g of omega-3 FAs did not alter measures of neurocognition or psychological health, but there was evidence of a relationship between omega-3 levels and daytime sleepiness.
ω-3脂肪酸(FAs)可能对心理健康和认知具有神经保护作用。本研究的目的是评估ω-3脂肪酸(二十碳五烯酸+二十二碳六烯酸;哈里斯-沙基[HS]-ω-3指数)对部署到伊拉克的美国士兵神经心理功能的有效性。这项随机、双盲、安慰剂对照试验纳入了年龄在18至55岁之间的士兵,他们被随机分配到活性治疗组(n = 44)或安慰剂组(n = 34)。活性治疗为每天2.5克二十碳五烯酸+二十二碳六烯酸(洛伐他汀;葛兰素史克公司,北卡罗来纳州三角研究园)。安慰剂为玉米油乙酯。在基线和治疗60天后评估HS-ω-3指数、一种神经认知测试组合(中枢神经系统生命体征,北卡罗来纳州莫里斯维尔)和心理健康量表。尽管结果显示ω-3脂肪酸显著提高了HS-ω-3指数(p = 0.001),但治疗组对心理健康和神经认知功能指标没有显著影响。然而,HS-ω-3指数的变化与日间嗜睡之间存在显著的负相关(r = 0.30,p = 0.009)。2.5克ω-3脂肪酸的短期治疗并未改变神经认知或心理健康指标,但有证据表明ω-3水平与日间嗜睡之间存在关联。