Cardiovascular diseases, depression disorders and potential effects of omega-3 fatty acids
J Trebatická1, A Dukát, Z Ďuračková
1Department of Child and Adolescent Psychiatry, Faculty of Medicine, Comenius University and Child University Hospital, Bratislava, Slovakia; Institute of Medical Chemistry, Biochemistry and Clinical Biochemistry, Faculty of Medicine, Comenius University, Bratislava, Slovakia. jana.muchova@fmed.uniba.sk.
Insights
Cardiovascular disease and depressive disorders share common risk factors linked to metabolic changes. Dietary shifts, particularly the omega-6 to omega-3 fatty acid ratio, may underlie these shared pathophysiological characteristics.
Area of Science:
- Medical Science
- Pathophysiology
- Nutritional Science
Background:
- Cardiovascular disease (CVD) and depressive disorders (DD) are leading global health issues.
- Both conditions, despite different origins, share common pathophysiological characteristics and risk factors.
- These shared factors include inflammation, endothelial dysfunction, metabolic changes, and oxidative stress.
Purpose of the Study:
- To investigate the common underlying factors contributing to both cardiovascular disease and depressive disorders.
- To explore the role of historical dietary changes in the development of these shared pathophysiological characteristics.
Main Methods:
- Review of current scientific findings on CVD and DD.
- Analysis of pathophysiological characteristics and risk factors common to both conditions.
- Examination of the impact of dietary changes, specifically the omega-6 to omega-3 fatty acid ratio, on metabolism.
Main Results:
- Shared risk factors include increased proinflammatory cytokines, endothelial dysfunction, altered glucose metabolism, elevated homocysteine, oxidative stress, and vitamin D metabolism disorders.
- Significant dietary changes in the mid-19th century, altering the omega-6 to omega-3 fatty acid ratio, are linked to common underlying factors.
- This dietary shift induced metabolic changes, increasing pro-inflammatory mediators and modulating signaling pathways relevant to both CVD and DD.
Conclusions:
- Common metabolic pathways and risk factors link cardiovascular disease and depressive disorders.
- Historical dietary shifts, particularly concerning omega-6 and omega-3 fatty acids, are implicated as a significant contributing factor.
- Understanding these shared mechanisms may offer new avenues for prevention and treatment of both conditions.
Abstract:
Cardiovascular disease (CVD) and depressive disorders (DD) are two of the most prevalent health problems in the world. Although CVD and depression have different origin, they share some common pathophysiological characteristics and risk factors, such as the increased production of proinflammatory cytokines, endothelial dysfunction, blood flow abnormalities, decreased glucose metabolism, elevated plasma homocysteine levels, oxidative stress and disorder in vitamin D metabolism. Current findings confirm the common underlying factors for both pathologies, which are related to dramatic dietary changes in the mid-19th century. By changing dietary ratio of omega-6 to omega-3 fatty acids from 1:1 to 15-20:1 some changes in metabolism were induced, such as increased pro-inflammatory mediators and modulations of different signaling pathways following pathophysiological response related to both, cardiovascular diseases and depressive disorders.
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