Journal List > Korean J Clin Neurophysiol > v.17(2) > 1084162

Heo, Won, Im, Kim, Kim, and Ahn: The Effect of Omega-3 Fatty Acid Supplementation on Cerebral Blood Flow and Vascular Resistance: A Preliminary Study

Abstract

Background:

The effects of omega-3 polyunsaturated fatty acids (PUFAs) on cerebral vessels have not been clarified until now. Thus we investigated the efficacy of omega-3 PUFAs supplementation on cerebral blood flow velocity and vascular resistance via transcranial doppler (TCD).

Methods:

Consecutive twenty patients (13 male and 7 female) with at least 1 cerebrovascular risk factor or a known cerebrovascular disease were enrolled. Patients were treated with omega-3 PUFAs (1 g, two times per day) for 12 weeks. Cerebral blood flow velocity, resistance index, and pulsatile index were checked before and after 12 weeks of treatment using TCD.

Results:

The change of resistance index in right MCA (from 0.58 ± 0.07 to 0.55 ± 0.07, p = 0.042) and left PCA (from 0.56 ± 0.07 to 0.53 ± 0.06, p = 0.037) showed significant improvement after 12 weeks of omega-3 PUFAs treatment. The changes in other vessels, however, failed to show any significant changes compared to the baseline.

Conclusions:

Omega-3 PUFAs treatment showed feasible efficacies for cerebral vascular resistances in this open label trial. To confirm these results, larger samples of patients and longer period of follow-up is warranted. (Korean J Clin Neurophysiol 2015;17:68-72)

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Table 1.
Baseline characteristics
Variables Values
Age 64.35 ± 10.34
Sex (M:F) 13:7
Vascular risk factors, n (%)
Stroke history 11 (55)
HTN 13 (65)
DM 5 (25)
Dyslipidemia 8 (40)
Heart disease 1 (5)
Smoking 4 (20)
Antiplatelet medication, n (%) 18 (90)
Statin medication, n (%) 15 (75)
Lipid profile (mg/dL)
Total cholesterol 193.44±36.49
TG 216.67±149.80
HDL 45.17±9.87
LDL 115.78±33.89

Values are presented as mean±standard deviation (SD). DM; diabetic mellitus, F; female, HDL; high density lipoprotein, HTN; hypertension, LDL; low density lipoprotein, M; male, TG; triglyceride.

Table 2.
Flow velocity and resistance index change
Variables Baseline Rt 12 weeks p-value Baseline Lt 12 weeks p-value
MCA (Depth 52 mm)
Systolic velocity (cm/s) 83.29±18.81 79.41±10.86 0.383 85.40±24.30 83.53±13.87 0.795
Diastolic velocity (cm/s) 35.29±9.83 35.29±6.77 1.000 35.20±10.99 36.33±6.31 0.606
Mean velocity (cm/s) 54.06±13.05 52.24±7.45 0.522 54.67±16.26 55.07±8.22 0.929
PRI 0.58±0.07 0.55±0.07 0.042 0.58±0.08 0.56±0.07 0.134
GPI 0.90±0.19 0.85±0.17 0.062 0.93±0.20 0.86±0.17 0.058
ACA (Depth 72 mm)
Systolic velocity (cm/s) 73.79±15.64 70.86±11.52 0.430 70.53±16.57 69.60±15.77 0.814
Diastolic velocity (cm/s) 32.71±8.66 31.79±5.81 0.479 30.93±7.53 31.93±7.07 0.394
Mean velocity (cm/s) 48.86±11.62 46.93±7.45 0.424 46.47±10.91 46.40±9.52 0.976
PRI 0.56±0.06 0.55±0.06 0.503 0.56±0.07 0.54±0.06 0.123
GPI 0.85±0.16 0.84±0.15 0.567 0.86±0.16 0.81±0.15 0.116
PCA (Depth 68 mm)
Systolic velocity (cm/s) 47.00±10.09 47.56±7.41 0.838 46.60±8.72 44.40±8.98 0.346
Diastolic velocity (cm/s) 20.31±3.50 21.56±3.63 0.182 20.07±3.73 20.53±4.55 0.706
Mean velocity (cm/s) 30.88±5.86 32.44±4.76 0.314 31.00±5.30 30.13±6.21 0.613
PRI 0.56±0.66 0.54±0.06 0.345 0.56±0.07 0.53±0.06 0.037
GPI 0.85±0.16 0.80±0.14 0.199 0.85±0.17 0.79±0.15 0.090

Values are presented as mean±SD. ACA; anterior cerebral artery, GPI; Gosling pulsatile index, Lt; left, MCA; middle cerebral artery, PCA; posterior cerebral artery, PRI; Pourcelot resistance index, Rt; right.

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