Department of Clinical Pharmacy and Pharmaceutical Care, Medical University of Lublin, Chodźki Street 7, 20-093 Lublin, Poland.
Department of Molecular Biology, The John Paul II Catholic University of Lublin, Konstantynów Street 1I, 20-708 Lublin, Poland.
Int J Mol Sci. 2024 Aug 8;25(16):8675. doi: 10.3390/ijms25168675.
Omega-3 polyunsaturated fatty acids have received considerable attention in the field of mental health, in particular regarding the treatment of depression. This review presents an overview of current research on the role of omega-3 fatty acids in the prevention and treatment of depressive disorders. The existing body of evidence demonstrates that omega-3 fatty acids, in particular eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), have antidepressant effects that can be attributed to their modulation of neuroinflammation, neurotransmitter function, and neuroplasticity. Nevertheless, clinical trials of omega-3 supplementation have yielded inconsistent results. Some studies have demonstrated significant reductions in depressive symptoms following omega-3 treatment, whereas others have shown minimal to no beneficial impact. A range of factors, encompassing dosage, the ratio of EPA to DHA, and baseline nutritional status, have been identified as having a potential impact on the noted results. Furthermore, it has been suggested that omega-3 fatty acids may act as an adjunctive treatment for those undergoing antidepressant treatment. Notwithstanding these encouraging findings, discrepancies in study designs and variability in individual responses underscore the necessity of further research in order to establish uniform, standardized guidelines for the use of omega-3 fatty acids in the management of depressive disorders.
ω-3 多不饱和脂肪酸在心理健康领域受到了相当多的关注,特别是在治疗抑郁症方面。本综述介绍了目前关于 ω-3 脂肪酸在预防和治疗抑郁障碍中的作用的研究概述。现有证据表明,ω-3 脂肪酸,特别是二十碳五烯酸 (EPA) 和二十二碳六烯酸 (DHA),具有抗抑郁作用,这可以归因于它们对神经炎症、神经递质功能和神经可塑性的调节。然而,ω-3 补充剂的临床试验结果并不一致。一些研究表明,ω-3 治疗后抑郁症状显著减轻,而另一些研究则显示出最小至无益处。一系列因素,包括剂量、EPA 与 DHA 的比例以及基线营养状况,被认为对这些结果有潜在影响。此外,有人认为 ω-3 脂肪酸可能作为辅助治疗那些正在接受抗抑郁治疗的患者。尽管这些发现令人鼓舞,但研究设计的差异和个体反应的可变性强调了需要进一步研究,以便为使用 ω-3 脂肪酸管理抑郁障碍制定统一、标准化的指南。