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Revisión sistemática2009

Fish consumption, long-chain omega-3 fatty acids and risk of cognitive decline or Alzheimer disease: a complex association

Fotuhi M, Mohassel P, Yaffe K

Nature clinical practice. Neurology · 215 citas

Cómo se estudió

Diseño
Revisión sistemática (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Eventos clínicos como enfermedad o muerte

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Institutes of Health
Gobierno
National Institute on Aging
Gobierno
NIA NIH HHS
Subvenciones
National Institute on Aging (AG031155)

Según 3 financiadores declarados.

Publicación

Publicado
2009-03-01 · Nat Clin Pract Neurol · vol. 5 · número 3 · págs. 140–152
Editorial
Nature Portfolio
Citado
343 citas · más que el 96% de estudios similares · 3.3× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
82 trabajos
Acceso
De pago
Áreas de investigación
Fatty Acid Research and Health · Dementia and Cognitive Impairment Research · Alzheimer's disease research and treatments
Palabras clave
fish consumption, n-3 long-chain polyunsaturated fatty acids, cognitive decline, Alzheimer's disease, dementia, neuroprotection, omega-3 supplements, omega-6 fatty acids, dementia prevention, clinical trials
MeSH
animals, fishes, humans, dementia, alzheimer disease, fatty acids, omega-3, neuroprotective agents, diet, risk factors, cognition, cognition disorders, dietary supplements, clinical trials as topic

3 autores

  • Majid Fotuhi🇺🇸 · autor de correspondenciaJohns Hopkins University; Johns Hopkins Medicine; Sinai Hospital; LifeBridge Health
  • Payam Mohassel🇺🇸Johns Hopkins University; Johns Hopkins Medicine; LifeBridge Health
  • Kristine S. Yaffe🇺🇸San Francisco VA Medical Center; University of California, San Francisco

Resumen

El texto original del estudio, en el idioma en que se publicó.

Long-chain omega-3 fatty acids could have neuroprotective properties against dementia, which is becoming a major global public health issue. We conducted a systematic review of the literature to establish the association between eating fish (a source of long-chain omega-3 fatty acids) or taking long-chain omega-3 fatty acid supplements and the risk of cognitive decline or Alzheimer disease (AD). We identified eleven observational studies and four clinical trials. All three observational studies that used cognitive decline as an outcome reported significant benefits, whereas only four of eight observational studies that used incidence of AD or dementia as an outcome reported positive findings. None of four small clinical trials provided convincing evidence for the use of this approach in the prevention or treatment of any form of dementia. In summary, the existing data favor a role for long-chain omega-3 fatty acids in slowing cognitive decline in elderly individuals without dementia, but not for the prevention or treatment of dementia (including AD). This apparent dichotomy might reflect differences in study designs with regard to participants, dosages, the ratio of long-chain omega-3 to omega-6 fatty acids, or the choice of outcome measurements. Large clinical trials of extended duration should help to provide definitive answers.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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