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不饱和脂肪酸、ω-3 指数与 Misc 住院

Unsaturated fatty acids, omega-3 index and hospitalization in MISC.

机构信息

Department of Health Sciences, University of Milan, 20142 Milan, Italy.

Department of Pharmaceutical Sciences, University of Milan, 20133 Milan, Italy.

出版信息

Prostaglandins Leukot Essent Fatty Acids. 2024 Mar;202:102627. doi: 10.1016/j.plefa.2024.102627. Epub 2024 Jul 1.

DOI:10.1016/j.plefa.2024.102627
PMID:38964007
Abstract

The growing interest in Omega-3 fatty acids as diagnostic markers or new therapeutic approaches also for COVID-19 disease, led us to investigate the presence of potential correlations between Omega-3 fatty acids' levels in whole blood and days of hospitalization or admission to the paediatric intensive care unit (PICU) in 51 children with MIS-C diagnosis following SARS-CoV-2 infection. A statistically significant negative correlation was observed between days of hospitalization and docosapentaenoic acid (22:5n-3,DPA), docosahexaenoic acid (DHA) and total Omega-3 FA levels. Dividing the study group into quartiles according to Omega-3-Index (O3I), no statistically significant difference was observed with respect to the PICU admission rate. In contrast, the number of days of hospitalization in Q4 (O3I ≥ 2.51 %) was different from the number observed in groups Q1-3 (O3I < 2.51 %), with subjects showing higher O3I needing shorter hospitalizations than the subjects with lower O3I. According to previous study investigating O3I in adults affected by Sars-cov-2 we explored the levels of this nutrients in children with MIS-C. Our exploratory study shows that high DPA, DHA and O3I levels could be effective in reducing the length of hospitalization.

摘要

人们对 Omega-3 脂肪酸作为 COVID-19 疾病的诊断标志物或新的治疗方法越来越感兴趣,这促使我们研究了全血中 Omega-3 脂肪酸水平与 51 例感染 SARS-CoV-2 后出现 MIS-C 诊断的儿童住院天数或入住儿科重症监护病房(PICU)之间是否存在潜在相关性。研究观察到,住院天数与二十二碳五烯酸(22:5n-3,DPA)、二十二碳六烯酸(DHA)和总 Omega-3 FA 水平呈显著负相关。根据 Omega-3 指数(O3I)将研究组分为四组,PICU 入院率没有统计学差异。相比之下,O3I≥2.51%的第 4 组(Q4)的住院天数与 O3I<2.51%的第 1-3 组(Q1-3)不同,O3I 较高的患者比 O3I 较低的患者需要的住院时间更短。根据先前研究成人感染 SARS-CoV-2 后 O3I 的调查,我们研究了 MIS-C 患儿的这种营养素水平。我们的探索性研究表明,高 DPA、DHA 和 O3I 水平可能有效缩短住院时间。

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