title: Effect of dietary intake of omega-3 and omega-6 fatty acids on severity of asthma in children.
abstract: We assessed the clinical and biochemical effects in asthmatic children of fish oil supplementation and a diet that increases omega-3 and reduces omega-6 fatty acids. Thirty nine asthmatic children aged 8-12 yrs participated in a double-blind, randomized, controlled trial for 6 months during which they received fish oil capsules plus canola oil and margarine (omega-3 group) or safflower oil capsules plus sunflower oil and margarine (omega-6 group). Plasma fatty acids, stimulated tumour necrosis factor alpha (TNFalpha) production, circulating eosinophil numbers and lung function were measured at baseline and after 3 and 6 months of dietary modification. Day and night symptoms, peak flow rates and medication use were recorded for 1 week prior to laboratory visits. Plasma phospholipid omega-3 fatty acids were significantly greater in the omega-3 group at 3 and 6 months compared to the omega-6 group (p<0.001). In the omega-3 group TNFalpha production fell significantly compared with baseline (p=0.026), but the magnitude of change between groups did not reach significance (p=0.075). There were no significant changes in clinical outcome measures. Dietary enrichment of omega-3 fatty acids over 6 months increased plasma levels of these fatty acids, reduced stimulated tumour necrosis factor alpha production, but had no effect on the clinical severity of asthma in these children.
authors.affiliation: Institute of Respiratory Medicine, Royal Prince Alfred Hospital, Sydney, Australia.
authors.forename: L
authors.initials: L
authors.lastname: Hodge
authors.forename: C M
authors.initials: CM
authors.lastname: Salome
authors.forename: J M
authors.initials: JM
authors.lastname: Hughes
authors.forename: D
authors.initials: D
authors.lastname: Liu-Brennan
authors.forename: J
authors.initials: J
authors.lastname: Rimmer
authors.forename: M
authors.initials: M
authors.lastname: Allman
authors.forename: D
authors.initials: D
authors.lastname: Pang
authors.forename: C
authors.initials: C
authors.lastname: Armour
authors.forename: A J
authors.initials: AJ
authors.lastname: Woolcock
mesh_terms: D001249:Asthma / Q000097:blood / Q000503:physiopathology; D001772:Blood Cell Count; D002648:Child; D004041:Dietary Fats / Q000627:therapeutic use*; D004804:Eosinophils / Q000473:pathology; D015525:Fatty Acids, Omega-3 / Q000627:therapeutic use*; D043371:Fatty Acids, Omega-6; D005231:Fatty Acids, Unsaturated / Q000627:therapeutic use*; D005541:Forced Expiratory Volume / Q000502:physiology; D006801:Humans; D008168:Lung / Q000503:physiopathology; D009000:Monocytes / Q000378:metabolism; D014409:Tumor Necrosis Factor-alpha / Q000096:biosynthesis
chemical_list: D004041:Dietary Fats; D015525:Fatty Acids, Omega-3; D043371:Fatty Acids, Omega-6; D005231:Fatty Acids, Unsaturated; D014409:Tumor Necrosis Factor-alpha