Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.1, No.1, Apr. 2015, Pub. Date: Apr. 2, 2015
The Effect of Omega-3 on Health-Related Quality of Life in Individuals with Spinal Cord Injury: A Double-Blinded Randomized Clinical Trial
Pages: 6-12 Views: 4062 Downloads: 1327
Authors
[01] Hadis Sabour, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
[02] Sahar Latifi, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
[03] Zahra Soltani, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
[04] Abbas Norouzi Javidan, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
[05] Mohammad Reza Hadian, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
[06] Vahid Rafiei Manesh, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
[07] Seyed-Hassan Emami Razavi, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
[08] Seyed-Mohammad Ghodsi, Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran.
Abstract
Objectives: The beneficial influences of omega-3 polyunsaturated fatty acids (PUFAs) in improving health-related quality of life (HR-QoL) have been demonstrated in some neurological diseases. However, this effect has not yet been described in spinal cord injury (SCI). Here, the effects of Omega-3 PUFA on HR-QoL among individuals with SCI have been assessed. Methods: One hundred and ten participants were randomly assigned to treatment and control groups. Patients in treatment group received two MorDHA capsules daily (435mg of docosahexaenoic acid and 65mg of eicosapentaenoic acid). Two placebo capsules were administered in control group. HR-QoL was assessed using Short-Form healthy survey (SF-36) at the beginning of the trial and then after 14 months. Results: After drop outs, 54 and 50 participants remained in treatment and control groups, respectively. In treatment group, mean difference in scores of Physical Component Summary and Mental Component Summary were -0.91 and 3.59, respectively which did not differ compared with control group (P= 0.90 and 0.40, respectively). Total score was 91.35±7.11 at the beginning of the trial in the treatment group and was increased to 93.84 ±6.36 after 14 months. Similarly, Total scores were changed from 92.63±7.03 to 93.31±7.51 in control group (P= 0.46). No significant effect of omega-3 PUFAs on any domains of SF-36 questionnaire could be detected. Conclusion: Our study does not support the beneficial effects of omega-3 fatty acid in improvement of QoL among individuals with SCI which may be due to lack of existence of active inflammatory reactions in stable phase of SCI.
Keywords
Quality of Life, Omega-3 Fatty Acids, Spinal Cord Injury, Health Survey
References
[01] Boswell B, Dawson M, Heininger E. Quality of life as defined by adults with spinal cord injuries. J Rehabil. 1998;64:27–32.
[02] Cardenas DD, Hoffman JM, Kirshblum S, McKinley W. Etiology and incidence of rehospitalization after traumatic spinal cord injury: a multicenter analysis. Arch Phys Med Rehabil. 2004;85:1757–1763.
[03] Post M, VanDijk A, Asbeck F, Schrijvers A. Life satisfaction of persons with SCI compared to a population group. Scand J Rehabil Med. 1998;30:23–30.
[04] Anderson CJ, Vogel LC, Chlan KM, Betz RR, McDonald CM. Depression in adults who sustained spinal cord injuries as children or adolescents. J Spinal Cord Med. 2007;30(Suppl 1):S76–S82.
[05] Dijkers MP. Individualization in quality of life measurement: instruments and approaches. Arch Phys Med Rehabil. 2003;84:S3–S14.
[06] Hammell KW. Quality of life after spinal cord injury: a meta-synthesis of qualitative findings. Spinal Cord. 2007;45:124-139.
[07] May LA, Warren S. Measuring quality of life of persons with spinal cord injury: external and structural validity. Spinal Cord. 2002; 40(7):341–350.
[08] Rahimi-Movaghar V, Sayyah MK, Akbari H, Khorramirouz R, Rasouli MR, Moradi-Lakeh M, et al. Epidemiology of traumatic spinal cord injury in developing countries: a systematic review. Neuroepidemiology. 2013;41(2):65–85.
[09] Krause JS, Kjorsvig JM. Mortality after spinal cord injury: a four year prospective study. Arch Phys Med Rehabil. 1992;73:558–563.
[10] Moons P, Van Deyk K, Budts W, De Geest S. Caliber of quality-of-life assessments in congenital heart disease: a plea for more conceptual and methodological rigor. Arch Pediatr Adolesc Med.2004; 158(11):1062–1069.
[11] Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF- 36). I. Conceptual framework and item selection. Med Care. 1992;30:473-483.
[12] Kennedy P, Rogers B. Reported quality of life of people with spinal cord injuries: a longitudinal analysis of the first 6 months post-discharge. Spinal Cord. 2000;38:498–503.
[13] Putzke JD, Richards JS, Hicken BL, DeVivo MJ. Predictors of life satisfaction: a spinal cord injury cohort study. Arch Phys Med Rehabil. 2002;83:555–561.
[14] Lund ML, Nordlund A, Nygard L, Lexell J, Bernspang B. Perceptions of participation and predictors of perceived problems with participation in persons with spinal cord injury. J Rehabil Med. 2005;37:3–8.
[15] Elfström ML, Rydén A, Kreuter M, Taft C, Sullivan M. Relations between coping strategies and health-related quality of life in patients with spinal cord lesion. J Rehabil Med. 2005;37:9–16.
[16] Liu CW, Huang CC, Yang YH, Chen SC, Weng MC, Huang MH. Relationship between neurogenic bowel dysfunction and health-related quality of life in persons with spinal cord injury. J Rehabil Med. 2009;41(1):35-40.
[17] Lauritzen I, Blondeau N, Heurteaux C, Widmann C, Romey G, Lazdunski M. Polyunsaturated fatty acids are potent neuroprotectors. EMBO J 2000;19(8):1784–93.
[18] Emsley R, Oosthuizen P, van Rensburg SJ. Clinical potential o omega-3 fatty acids in the treatment of schizophrenia. CNS Drugs. 2003;17(15):1081–91.
[19] Endres S, von Schacky C. n-3 polyunsaturated fatty acids and human cytokine synthesis. Curr Opin Lipidol. 1996;7(1):48–52.
[20] Oleñik A, Mahillo-Fernández I, Alejandre-Alba N, Fernández-Sanz G, Pérez MA, Luxan S, et al. Benefits of omega-3 fatty acid dietary supplementation on health-related quality of life in patients with meibomian gland dysfunction. Clin Ophthalmol. 2014;8:831-6.
[21] Dashti-Khavidaki S, Gharekhani A, Khatami MR, Miri ES, Khalili H, Razeghi E, et al. Effects of omega-3 fatty acids on depression and quality of life in maintenance hemodialysis patients. Am J Ther. 2014;21(4):275-87.
[22] Jelinek GA, Hadgkiss EJ, Weiland TJ, Pereira NG, Marck CH, van der Meer DM. Association of fish consumption and Ω 3 supplementation with quality of life, disability and disease activity in an international cohort of people with multiple sclerosis. Int J Neurosci. 2013;123(11):792-800.
[23] Sabour H, Javidan AN, Latifi S, Shidfar F, Heshmat R, Emami Razavi SH, et al. Omega-3 fatty acids' effect on leptin and adiponectin concentrations in patients with spinal cord injury: A double-blinded randomized clinical trial. J Spinal Cord Med. 2014.
[24] Omega-3 fatty acids, fish oil, alpha-linolenic acid. Available at: http://www.mayoclinic.org/drugs-supplements/omega-3-fatty-acids-fish-oil-alpha-linolenic-acid/dosing/hrb-20059372.
[25] Kirshblum SC, Burns SP, Biering-Sørensen F, DonovanW, Graves DE, Jha A, et al. International standards for neurological classification of spinal cord injury (revised 2011). J Spinal Cord Med. 2011;34(6):535–46.
[26] Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Qual Life Res. 2005;14: 875–882.
[27] Ware JE, Kosinski M, Keller SK. SF-36 Physical and Mental Health Summary Scales: A User’s Manual Boston, MA. The Health Institute 1994.
[28] Esparza ML, Sasaki S, Kesteloot H. Nutrition, latitude, and multiple sclerosis mortality: an ecologic study. Am J Epidemiol 1995;142(7):733–7.
[29] Gallai V, Sarchielli P, Trequattrini A, Franceschini M, Floridi A, Firenze C. et al. Cytokine secretion and eicosanoid production in the peripheral blood mononuclear cells of MS patients undergoing dietary supplementation with n-3 polyunsaturated fatty acids. J Neuroimmunol 1995;56:143–53.
[30] King VR, Huang WL, Dyall SC, Curran OE, Priestley JV, Michael-Titus AT. Omega-3 fatty acids improve recovery, whereas omega-6 fatty acids worsen outcome, after spinal cord injury in the adult rat. J Neurosci. 2006;26:4672–4680.
[31] Lang-Lazdunski L, Blondeau N, Jarretou G, Lazdunski M, Heurteaux C. Linolenic acid prevents neuronal cell death and paraplegia after transient spinal cord ischemia in rats. J Vasc Surg. 2003; 38:564–575.
[32] Mori TA, Beilin LJ. Omega-3 fatty acids and inflammation. Curr Atheroscler Rep. 2004;6:461–467.
[33] Hancock KM, Craig AR, Dickson HG, Chang E, Martin J. Anxiety and depression over the first year of spinal cord injury: a longitudinal study. Paraplegia. 1993;31(6):349-57.
[34] da Silva Alves E, de Aquino Lemos V, Ruiz da Silva F, Lira FS, Dos Santos RV, Rosa JP. et al. Low-grade inflammation and spinal cord injury: exercise as therapy? Mediators Inflamm 2013; 2013: 971841.
[35] Wang TD, Wang YH, Huang TS, Su TC, Pan SL, Chen SY. Circulating levels of markers of inflammation and endothelial activation are increased in men with chronic spinal cord injury. J Formos Med Assoc. 2007;106: 919–928.
[36] Norouzi Javidan A, Sabour H, Latifi S, Abrishamkar M, Soltani Z, Shidfar F, et al. Does consumption of polyunsaturated fatty acids influence on neurorehabilitation in traumatic spinal cord-injured individuals? A double-blinded clinical trial. Spinal Cord. 2014;52(5):378-82.
[37] Jain NB, Sullivan M, Kazis LE, Tun CG, Garshick E. Factors associated with health-related quality of life in chronic spinal cord injury. Am J Phys Med Rehabil. 2007;86(5):387-96
[38] Hu Y, Mak JN, Wong YW, Leong JC, Luk KD. Quality of life of traumatic spinal cord injured patients in Hong Kong. J Rehabil Med. 2008;40:126-131.
[39] Fuhrer MJ, Rintala DH, Hart KA, Clearman R, Young ME. Relationship of life satisfaction to impairment, disability, and handicap among persons with spinal cord injury living in the community. Arch Phys Med Rehabil. 1992;73:552–7.
[40] Manns PJ, Chad KE. Determining the relation between quality of life, handicap, fitness, and physical activity for persons with spinal cord injury. Arch Phys Med Rehabil. 1999;80:1566–71.
[41] Lin KH, Chuang CC, Kao MJ, Lien IN, Tsauo JY. Quality of life of spinal cord injured patients in Taiwan: a subgroup study. Spinal Cord. 1997;35(12):841-9.
[42] Lidal IB, Veenstra M, Hjeltnes N, Biering-Sorensen F. Health-related quality of life in person with long-standing spinal cord injury. Spinal Cord. 2008;46:710-715.
[43] Ebrahimzadeh MH, Soltani-Moghaddas SH, Birjandinejad A, Omidi-Kashani F, Bozorgnia S. Quality of life among veterans with chronic spinal cord injury and related variables. Arch Trauma Res. 2014;3(2):e17917.
[44] Clayton KS, Chubon RA. Factors associated with the quality of life of long-term spinal cord injured persons. Arch Phys Med Rehabil. 1994;75(6):633-8.
600 ATLANTIC AVE, BOSTON,
MA 02210, USA
+001-6179630233
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - American Institute of Science except certain content provided by third parties.