Price Oliver J, Hull James H, Howatson Glyn, Robson-Ansley Paula, Ansley Les
Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, Tyne, UK.
Expert Rev Respir Med. 2015 Jun;9(3):369-78. doi: 10.1586/17476348.2015.1036032. Epub 2015 Apr 12.
The aim of this pilot study was to determine the combined effect of vitamin D and omega-3 polyunsaturated fatty acid (PUFA) supplementation on airway function and inflammation in recreational athletes with exercise-induced bronchoconstriction (EIB).
Ten recreational athletes with EIB participated in a single-blind, placebo-controlled trial over six consecutive weeks. All subjects attended the laboratory on three occasions. Each visit was separated by a period of 3 weeks: visit 1 (usual diet), visit 2 (placebo) and visit 3 (SMARTFISH® NutriFriend 2000; 30 µg vitamin D3-3000 mg eicosapentaenoic acid, 3000 mg docosahexaenoic acid) consumed once daily for a period of 3 weeks. Venous blood was collected at the beginning of each trial to determine vitamin D status. Spirometry was performed pre- and post-eucapnic voluntary hyperpnoea (EVH).
The Maximum fall in FEV1 (ΔFEV1max) post-EVH was not different between visits (usual diet: -15.9 ± 3.6%, placebo: -16.1 ± 6.1%, vitamin D + omega-3 PUFA: -17.8 ± 7.2%). Serum vitamin D remained unchanged between visits.
Vitamin D and omega-3 PUFA supplementation does not attenuate the reduction in lung function post-EVH. This finding should be viewed as preliminary until the results of randomised controlled trials are made available.
本初步研究的目的是确定补充维生素D和ω-3多不饱和脂肪酸(PUFA)对患有运动诱发支气管收缩(EIB)的业余运动员气道功能和炎症的联合作用。
10名患有EIB的业余运动员连续六周参加了一项单盲、安慰剂对照试验。所有受试者三次到实验室。每次就诊间隔3周:就诊1(常规饮食)、就诊2(安慰剂)和就诊3(SMARTFISH® NutriFriend 2000;30μg维生素D3 - 3000mg二十碳五烯酸,3000mg二十二碳六烯酸),每天服用一次,持续3周。在每次试验开始时采集静脉血以确定维生素D状态。在等二氧化碳自主过度通气(EVH)前后进行肺活量测定。
EVH后第一秒用力呼气量(FEV1)的最大下降(ΔFEV1max)在各次就诊之间无差异(常规饮食:-15.9±3.6%,安慰剂:-16.1±6.1%,维生素D + ω-3 PUFA:-17.8±7.2%)。各次就诊之间血清维生素D保持不变。
补充维生素D和ω-3 PUFA并不能减轻EVH后肺功能的下降。在随机对照试验结果公布之前,这一发现应视为初步结果。