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N-3 polyunsaturated fatty acids and atopy in Korean preschoolers
Inkyung Hwang1, Aeri Cha, Hyosun Lee
1Department of Preventive and Occupational Medicine, College of Medicine, Pusan National University, Pusan, South Korea.
Insights
Korean preschoolers with atopy had lower levels of omega-3 polyunsaturated fatty acids (PUFA) in their red blood cells. This suggests a potential link between reduced n-3 PUFA and childhood atopy.
Area of Science:
- Pediatrics
- Nutritional Science
- Immunology
Background:
- Atopy is an increasing health concern in Korean children.
- Omega-3 polyunsaturated fatty acids (PUFA), particularly eicosapentaenoic acid, are precursors to less inflammatory eicosanoids.
- n-3 PUFA may offer a protective effect against atopic conditions.
Purpose of the Study:
- To investigate the association between red blood cell (RBC) n-3 PUFA levels and atopy in Korean preschoolers.
- To compare the fatty acid composition of RBCs in atopic versus non-atopic children.
Main Methods:
- Enrolled 308 Korean children aged 4-6 years.
- Measured total RBC fatty acid composition using gas chromatography.
- Assessed the prevalence of atopic dermatitis, allergic rhinitis, or asthma.
Main Results:
- Children with atopy showed significantly lower total RBC n-3 PUFA (9.8% vs. 11.4%).
- Atopic children had higher n-6 PUFA (33.0% vs. 32.2%) and a greater n-6/n-3 PUFA ratio (3.4 vs. 2.8).
- Lower omega-3 index (EPA + DHA) and higher saturated fatty acids were also observed in atopic children.
Conclusions:
- Reduced n-3 PUFA content in the RBC membrane may be implicated in the development of childhood atopy.
- Maternal history of atopy is a significant risk factor, while lactation is not.
- Further research into n-3 PUFA supplementation for preventing childhood atopy is warranted.
Abstract:
Atopy is a growing problem for Korean children. Since eicosapentaenoic acid is a precursor of less active inflammatory eicosanoids, n-3 polyunsaturated fatty acids (PUFA) may have a protective effect on atopy. This study was undertaken to determine whether n-3 PUFA in red blood cells (RBC) is lower in atopic than in non-atopic preschoolers. Three hundred and eight Korean children aged 4-6 years were enrolled. Total RBC fatty acid composition was measured by gas chromatography. The prevalence of atopic dermatitis, allergic rhinitis, or asthma was 29%. Total RBC n-3 PUFA were lower in preschoolers with atopy than controls (9.8 +/- 1.2 vs. 11.4 +/- 1.6%; P<0.05), while n-6 PUFA (33.0 +/- 1.4 vs. 32.2 +/- 1.0%; P<0.05) and n-6/n-3 PUFA ratio (3.4 +/- 0.6 vs. 2.8 +/- 0.5; P<0.05) were greater. The following factors were also associated with an increase in atopy: higher saturated fatty acids (39.6 +/- 1.4 vs. 40.6 +/- 1.9; P<0.05) and arachidonic acid (15.3 +/- 1.6 vs. 16.0 +/- 2.9; P<0.05), and lower total PUFA (43.8 +/- 0.7 vs. 42.8 +/- 1.4; P<0.05) and omega-3 index (EPA + DHA; 9.1 +/- 0.8 vs. 7.8 +/- 0.5; P<0.05) in RBC. Maternal history of atopy was a significant (P<0.05) risk factor, while lactation was not. The results suggest that a reduced content of n-3 PUFA in the RBC membrane could play a role in early children atopy.
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