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ω-3补充剂对接受血液透析的慢性肾病患者肾功能指标的影响。

The Effect of Omega-3 Supplements on Renal Function Indices in Chronic Kidney Patients Undergoing Hemodialysis.

作者信息

Zeinalabedini Mobina, Shapouri Mahsa, Mirzaee Pouya, Kamali Majid, Mahmoudi Zahra, Noriani Narjes, Saeedirad Zahra, Adabi Somayyeh Bararnia, Mobarakeh Khadijeh Abbasi, Shamsi-Goushki Ali, Shafaei Hanieh, Alhouei Barbod, Doaei Saeid, Khosravi Masoud, Gholamalizadeh Maryam

机构信息

Department of Cellular and Molecular Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Nutr Metab Insights. 2025 Jun 27;18:11786388251345518. doi: 10.1177/11786388251345518. eCollection 2025.

Abstract

BACKGROUND

Recent studies reported that omega-3 fatty acids may improve renal function in patients with chronic kidney disease (CKD). The aim of the present study was to assess the effect of omega-3 supplements on renal function indices in patients with CKD undergoing hemodialysis.

METHODS

This randomized controlled clinical trial was carried out on 120 CKD patients who were undergoing hemodialysis treatment in Rasht, Iran. The intervention group (n = 60) received 3 capsules of 1000 mg omega-3 fatty acid supplement capsules daily for 2 months. The control group (n = 60) received 3 placebo capsules containing 1000 mg of MCT. Renal function indicators included blood urea nitrogen (BUN), creatinine (Cr), sodium (Na), potassium (K), calcium (Ca), and phosphorus (P) were measured at baseline and after the intervention.

RESULTS

Omega-3 supplementation significantly improved BUN (68.26 ± 2.97 to 56.59 ± 2.14,  = .03) and Cr levels (8.94 ± 0.29 to 7.58 ± 0.41,  < .01) after adjustment for age, gender, body mass index (BMI), smoking, diet, and underlying diseases including diabetes and hypertension. However, no significant effect was found on serum levels of Na, K, Ca, and P.

CONCLUSION

According to the present study, giving omega-3 supplementation to patients with CKD undergoing HD may enhanced their renal function. Additional research is required to verify these results.

摘要

背景

近期研究报道,ω-3脂肪酸可能改善慢性肾脏病(CKD)患者的肾功能。本研究的目的是评估ω-3补充剂对接受血液透析的CKD患者肾功能指标的影响。

方法

这项随机对照临床试验在伊朗拉什特接受血液透析治疗的120例CKD患者中进行。干预组(n = 60)每天服用3粒1000毫克的ω-3脂肪酸补充胶囊,持续2个月。对照组(n = 60)服用3粒含1000毫克中链甘油三酯(MCT)的安慰剂胶囊。在基线和干预后测量肾功能指标,包括血尿素氮(BUN)、肌酐(Cr)、钠(Na)、钾(K)、钙(Ca)和磷(P)。

结果

在对年龄、性别、体重指数(BMI)、吸烟、饮食以及包括糖尿病和高血压在内的基础疾病进行校正后,补充ω-3显著改善了BUN水平(从68.26±2.97降至56.59±2.14,P = 0.03)和Cr水平(从8.94±0.29降至7.58±0.41,P < 0.01)。然而,未发现对血清Na、K、Ca和P水平有显著影响。

结论

根据本研究,对接受血液透析的CKD患者补充ω-3可能会增强他们的肾功能。需要进一步的研究来验证这些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/916d/12206260/2052616eb99b/10.1177_11786388251345518-fig1.jpg

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