Ziaei Somayeh, Mohammadi Shooka, Hasani Motahareh, Morvaridi Mehrnaz, Belančić Andrej, Daneshzad Elnaz, Saleh Saleh A K, Adly Heba M, Heshmati Javad
ICU Department, Emam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Nutr Neurosci. 2024 Jul;27(7):715-725. doi: 10.1080/1028415X.2023.2245996. Epub 2023 Aug 17.
Omega-3 fatty acids (omega-3 FAs) have attracted the attention of researchers because of their influence on circulatory levels of brain-derived neurotrophic factor (BDNF). Our objective was to review systematically and Meta-analyze randomized controlled trials (RCTs) to assess the effects of omega-3 FAs supplementation on serum BDNF concentration.
Scopus, PubMed, Web of Science, and Cochrane Library were systematically searched until April 2023. The Cochrane risk of bias assessment tool was utilized to evaluate the quality of the studies. A random-effects model was employed to estimate the overall effect size of BDNF levels, using the Standard Mean Difference (SMD) and a 95% confidence interval (CI). The heterogeneity among the studies was assessed using chi-squared and I2 statistics.
A total of 12 studies involving 587 subjects were included. The supplementation of PUFA was found to be associated with a significant increase in serum levels of BNDF in the group receiving the supplements, as compared to the placebo group (SMD: 0.72 pg/mL, 95% CI: 0.28, 1.15; < 0.001) (I2 = 84.39%, < 0.001). Sub-group analyses revealed similar findings in trials with fewer than 10 weeks, which utilized both animal (fish oil) and herbal (flaxseed) forms of omega-3 supplements with a high daily dosage of 2000mg.
The present systematic review and meta-analysis indicate the efficacy of omega-3 FAs in increasing the serum concentration of BDNF. Therefore, omega-3 FAs should be prioritized as agents for increasing BDNF in interventions.
ω-3脂肪酸(omega-3 FAs)因其对脑源性神经营养因子(BDNF)循环水平的影响而引起了研究人员的关注。我们的目的是系统回顾并荟萃分析随机对照试验(RCTs),以评估补充ω-3脂肪酸对血清BDNF浓度的影响。
系统检索了Scopus、PubMed、Web of Science和Cochrane图书馆,检索截止至2023年4月。采用Cochrane偏倚风险评估工具来评估研究的质量。使用随机效应模型,采用标准平均差(SMD)和95%置信区间(CI)来估计BDNF水平的总体效应大小。使用卡方和I²统计量评估研究之间的异质性。
共纳入12项研究,涉及587名受试者。与安慰剂组相比,发现接受补充剂的组中补充多不饱和脂肪酸(PUFA)与血清BDNF水平显著升高相关(SMD:0.72 pg/mL,95% CI:0.28,1.15;P < 0.001)(I² = 84.39%,P < 0.001)。亚组分析显示,在少于10周的试验中也有类似的结果,这些试验使用了动物(鱼油)和草药(亚麻籽)形式的ω-3补充剂,每日高剂量为2000mg。
本系统评价和荟萃分析表明ω-3脂肪酸在提高血清BDNF浓度方面的有效性。因此,在干预措施中,ω-3脂肪酸应优先作为增加BDNF的药物。