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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
[Omega-6/omega-3 ratio and cognition in children with epilepsy]
Karima Abdelfattah Bahagat1, Marwa Elhady1, Ali Abdel Aziz2
1Departamento de Pediatría, Facultad de Medicina, Universidad de Al-Azhar, El Cairo, Egipto.
Insights
Children with epilepsy show altered omega-6 to omega-3 fatty acid ratios, impacting cognitive function. Lower omega-3 and higher omega-6 levels correlate with poorer cognitive performance in pediatric epilepsy.
Area of Science:
- Pediatric Neurology
- Nutritional Neuroscience
Background:
- Cognitive impairment is a frequent outcome in children with epilepsy.
- The role of omega-6 to omega-3 fatty acid balance in this impairment is not fully understood.
Purpose of the Study:
- To evaluate the omega-6/omega-3 fatty acid ratio in children with idiopathic epilepsy.
- To determine the association between these fatty acid levels and cognitive function.
Main Methods:
- A case-control study involving 30 children with idiopathic epilepsy and 20 healthy controls.
- Gas-liquid chromatography was used to measure serum levels of alpha-linolenic acid (omega-3) and linoleic acid (omega-6).
- Cognitive function was assessed using the Stanford-Binet test and P300 event-related potentials.
Main Results:
- Children with epilepsy exhibited significantly lower omega-3 and higher omega-6 fatty acid levels, resulting in an abnormal omega-6/omega-3 ratio compared to controls.
- Serum omega-3 levels positively correlated with cognitive scores and P300 latency.
- Serum omega-6 levels negatively correlated with cognitive scores and P300 latency.
Conclusions:
- Idiopathic epilepsy in children is associated with dysregulated serum omega-6 to omega-3 fatty acid ratios.
- These altered fatty acid profiles are linked to impaired cognitive function in pediatric epilepsy.
Introduction:
Cognitive impairment is a common consequence of epilepsy in children. This study aimed to assess the ratio of omega-6 to omega-3 fatty acid levels and its impact on cognitive function in children with idiopathic epilepsy.
Patients And Methods:
We performed a case-control study in 30 children with idiopathic epilepsy and 20 healthy children. We measured levels of alpha-linolenic acid (omega-3) and linoleic acid (omega-6) by means of gas-liquid chromatography. We assessed cognitive function with the Arabic version of the fourth edition of the Stanford-Binet test and the P300 component of event-related potentials. All children had an intelligent quotient greater than 70.
Results:
Children with epilepsy had lower levels of omega-3 and higher levels of omega-6 fatty acids and an abnormal omega-6/omega-3 ratio compared to non-epileptic children. We found a significant positive correlation of serum omega-3 levels and a significant negative correlation of serum omega-6 levels with cognitive function scores and P300 latency in children with epilepsy.
Conclusion:
Children with epilepsy have abnormal ratios of omega-6 to omega-3 fatty acid serum levels, which is associated with impaired cognitive function in these children.
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