國家衛生研究院 NHRI:Item 3990099045/7968
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/7968


    Title: Association of n-3 polyunsaturated fatty acids and inflammatory indicators with renal function decline in type 2 diabetes
    Authors: Chung, HF;Long, KZ;Hsu, CC;Al Mamun, A;Jhang, HR;Shin, SJ;Hwang, SJ;Huang, MC
    Contributors: Division of Health Services and Preventive Medicine
    Abstract: Background & aims: The n-3 polyunsaturated fatty acids (PUFAs) and the inflammatory indicator, interleukin-6 (IL-6), have been implied in the development of renal dysfunction. This longitudinal study examined the effect of n-3 PUFAs and IL-6 on the risk of renal function decline and explored whether n-3 PUFAs modify the effect of inflammatory indicators on renal risk in type 2 diabetes. Methods: Studying 676 type 2 diabetic patients, we analyzed erythrocyte fatty acids and inflammatory markers in 2008 and estimated glomerular filtration rate (eGFR) in 2008 and 2012. Renal function decline was defined as an eGFR decline of ≥25% over a 4-year period. Results:Multivariable logistic regression revealed erythrocyte total PUFAs, n-3 PUFAs, and n-3/n-6 PUFA ratio correlated negatively with risk of renal function decline (OR = 0.75, 0.78, and 0.61, respectively, all p < 0.01), while n-6 PUFAs did not. IL-6 independently predicted risk of renal dysfunction (OR = 1.18, p = 0.015). Stratifying erythrocyte PUFAs into low (<50th percentile) or high group (≥50th percentile), we found a positive association between IL-6 and risk of renal dysfunction only in the low n-3 PUFA (OR = 1.27, p = 0.035), low n-3/n-6 PUFA (OR = 1.27, p = 0.034), and low total PUFA groups (OR = 1.36, p = 0.005), but not in the high groups. Conclusions: High PUFA concentrations, especially n-3 or higher n-3/n-6 PUFA ratio, may exert protective effects against renal function impairment in type 2 diabetic patients. Whether the effect is mediated via modification of inflammatory biomarker such as IL-6 by high n-3 PUFA status warrants further investigation.
    Date: 2015-04
    Relation: Clinical Nutrition. 2015 Apr;34(2):229-234.
    Link to: http://dx.doi.org/10.1016/j.clnu.2014.02.009
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0261-5614&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000351963000010
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84924537847
    Appears in Collections:[Chih-Cheng Hsu] Periodical Articles

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