4.5 Article

A Randomized Placebo-Controlled Pilot Trial of Omega-3 Fatty Acids and Alpha Lipoic Acid in Alzheimer's Disease

期刊

JOURNAL OF ALZHEIMERS DISEASE
卷 38, 期 1, 页码 111-120

出版社

IOS PRESS
DOI: 10.3233/JAD-130722

关键词

Alpha-lipoic acid; Alzheimer's disease; clinical trial; omega-3 fatty acids

资金

  1. National Institutes of Health/National Institute of Aging [NIH/NIA R21AG023805, NIH/NIA AG08017]
  2. NIH General Clinical Research [M01RR00334]
  3. NATIONAL CENTER FOR RESEARCH RESOURCES [UL1RR024140, M01RR000334] Funding Source: NIH RePORTER
  4. NATIONAL INSTITUTE ON AGING [R21AG023805, P30AG008017] Funding Source: NIH RePORTER

向作者/读者索取更多资源

Oxidative stress, inflammation, and increased cholesterol levels are all mechanisms that have been associated with Alzheimer's disease (AD) pathology. Several epidemiologic studies have reported a decreased risk of AD with fish consumption. This pilot study was designed to evaluate the effects of supplementation with omega-3 fatty acids alone (omega-3) or omega-3 plus alpha lipoic acid (omega-3 + LA) compared to placebo on oxidative stress biomarkers in AD. The primary outcome measure was peripheral F2-isoprostane levels (oxidative stress measure). Secondary outcome measures included performance on: Mini-Mental State Examination (MMSE), Activities of Daily Living/Instrumental Activities of Daily Living (ADL/IADL), and Alzheimer Disease Assessment Scale-cognitive subscale (ADAS-cog). Thirty-nine AD subjects were randomized to one of three groups: 1) placebo, 2)omega-3, or 3)omega-3 + LA for a treatment duration of 12 months. Eighty seven percent (34/39) of the subjects completed the 12-month intervention. There was no difference between groups at 12 months in peripheral F2-isoprostane levels (p = 0.83). The omega-3 + LA and.-3 were not significantly different than the placebo group in ADAS-cog (p = 0.98, p = 0.86) and in ADL (p = 0.15, p = 0.82). Compared to placebo, the omega-3 + LA showed less decline in MMSE (p < 0.01) and IADL (p = 0.01) and the.-3 group showed less decline in IADL (p < 0.01). The combination of omega-3 + LA slowed cognitive and functional decline in AD over 12 months. Because the results were generated from a small sample size, further evaluation of the combination of omega-3 fatty acids plus alpha-lipoic acid as a potential treatment in AD is warranted.

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