The impact of dietary omega-3 fatty acids and omega-3 to omega-6 fatty acid ratio on cognitive decline in the healthy aging in neighborhoods of diversity across the lifespan (HANDLS) study sample

Date
2017
Journal Title
Journal ISSN
Volume Title
Publisher
University of Delaware
Abstract
Background. Growing evidence suggests an association between decreased dietary intake of omega-3 fatty acids and increased risk for cognitive impairment and cognitive decline. Since the metabolic pathways of omega-3 (n-3) and omega-6 (n-6) fatty acids are mutually competitive, with chiefly antagonistic physiological effects, the ratio of n-3 to n-6 fatty acids may be a better indicator of essential fatty acid status than absolute levels. ☐ Objective. The primary aim of this study was to evaluate the relationship of absolute n-3 fatty acid and relative n-3 to n-6 fatty acid intakes with cognitive decline in an urban biracial population of ages 30-64 years. ☐ Methods. Our study is a prospective longitudinal examination of the relationship of baseline absolute n-3 fatty acid and relative n-3/n-6 dietary intakes with cognitive change between Wave 1 and Wave 3 measured by eleven neuropsychological tests over multiple domains. This study is a secondary analysis of the HANDLS database among those participants (n= 1543) who had a baseline Mini-Mental State Examination total score and two baseline 24-hour dietary recalls. ☐ Results. No relationship was observed between absolute n-3 or n-3/n-6 ratios of fatty acid intakes and cognitive decline in this sample, except for the ratio of n-3 PUFA/n-6 PUFA, which showed a significant negative relationship with Mini-Mental State Examination score rate of cognitive change. ☐ Conclusion. Only one of the relationships tested using the 4 dietary predictors for the 11 cognitive outcomes, was significant. Due to only finding one predictor significant for one outcome, it is likely a type-I error.
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Keywords
Psychology, Health and environmental sciences, Biracial, Cognitive change, Omega-3 fatty acids, Omega-6 fatty acids, Ratio, Urban
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