The effect of omega-3 fatty acids on depressive symptoms and inflammatory markers in maintenance hemodialysis patients: a randomized, placebo-controlled clinical trial

Purpose This study was designed to investigate the effects of omega-3 fatty acids on depression and chronic inflammation in hemodialysis patients. Method Fifty-four maintenance hemodialysis patients were randomized to ingest two omega-3 (each containing 180 mg eicosapentaenoic acid and 120 mg docosahexaenoic acid) or placebo capsules, three times daily for 4 months. Main outcome measures: Beck Depression Inventory (BDI) score and serum levels of C-reactive protein (CRP), interleukin (IL)-6, IL-10, tumor necrosis factor (TNF)-α, ferritin, intact parathyroid hormone (iPTH), and ratios of IL-10 to IL-6 and IL-10 to TNF-α were measured at baseline and at the end of the study. Results Omega-3 supplement lowered BDI score significantly after 4 months of intervention. Among pro- and anti-inflammatory mediators, only serum ferritin level and IL-10 to IL-6 ratio showed significant changes in favor of omega-3 supplement during the study. In linear regression model adjusted for baseline values, omega-3 treatment was a significant predictor of reduced serum CRP, ferritin, and iPTH levels, and increased IL-10 to IL-6 ratio. No significant association was found between the anti-inflammatory and anti-depressant effects of omega-3 supplement. Conclusions Supplemental use of omega-3 fatty acids decreases depressive symptoms in hemodialysis patients apart from their anti-inflammatory effects..

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:70

Enthalten in:

European journal of clinical pharmacology - 70(2014), 6 vom: 20. März, Seite 655-665

Sprache:

Englisch

Beteiligte Personen:

Gharekhani, Afshin [VerfasserIn]
Khatami, Mohammad-Reza [VerfasserIn]
Dashti-Khavidaki, Simin [VerfasserIn]
Razeghi, Effat [VerfasserIn]
Noorbala, Ahmad-Ali [VerfasserIn]
Hashemi-Nazari, Seyed-Saeed [VerfasserIn]
Mansournia, Mohammad-Ali [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Anti-inflammatory
Depression
Fish oil
Hemodialysis
Inflammation
Omega-3 fatty acids

RVK:

RVK Klassifikation

Anmerkungen:

© Springer-Verlag Berlin Heidelberg 2014

doi:

10.1007/s00228-014-1666-1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2090647507