The effect of fish oil on physical aggression in schoolchildren - a randomized, double-blind, placebo-controlled trial

The effect of fish oil on physical aggression in schoolchildren - a randomized, double-blind, placebo-controlled trial
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DOI:
10.1016/j.jnutbio.2004.10.009
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发表时间:
2005-03-01
影响因子:
5.6
通讯作者:
Hamazaki, T
Hamazaki, T
中科院分区:
医学2区
文献类型:
--
作者:
Itomura, M;Hamazaki, K;Hamazaki, T

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目的:这项研究的目的是调查鱼油补充剂是否影响日本学龄儿童的行为,随着时间的推移,侵略的变化作为主要endpoint.Design和科目:安慰剂对照的双盲研究与166名9-12岁的学龄儿童进行。鱼油组的受试者(n = 83)食用鱼油强化食品(面包、香肠和意大利面)。这些食物的提供量使得鱼油组中的每名受试者每周摄入3600 mg二十二碳六烯酸+840 mg二十碳五烯酸(EPA),持续3个月。其余(对照组,n = 83)服用对照补充剂。在研究开始和结束时,分别进行心理测试,以评估其攻击性。结果:采用儿童敌对-攻击性问卷评估的身体攻击性,女生显著增加(中位数:13至15,n = 42),未发生变化(13 - 13,n = 43),组间差异显著(P = 0.008),基线作为协变量。在同意采血的女孩中,身体攻击评分随时间的变化与红细胞中EPA/花生四烯酸的比值(Δ EPA/AA)显著相关(r = -.53,P = .01,n = 23)。相反,男孩的身体攻击性没有显著变化。通过图片挫折研究评估的对他人的攻击(外向)在对照组中没有变化(中位数:5 - 5),但在鱼油组中显著增加(4 - 5),具有显著的组间差异(P = .02),基线作为协变量。这些外移的变化可能部分解释为鱼油组(P = .02)的外移基线值显著低于对照组。49名儿童的Delta外向表达与Delta EPA/AA之间无显著相关性。由父母/监护人使用DSM-IV的注意力缺陷/多动障碍诊断标准评估的女孩冲动性在鱼油组中降低(1至0),与对照组(1至1)相比具有显著(P = .008)组间差异。在血样女孩中,Delta冲动和Delta EPA/AA之间没有显着相关性。在男性中,冲动减少,在两组中没有任何intergroup.Conclusion:有一种可能性,脂肪酸营养的变化可能会影响身体的侵略,特别是在女孩。(c)2005年爱思唯尔公司All rights reserved.
Objectives: The aim of the study was to investigate whether fish oil supplementation affected Japanese schoolchildren's behavior, with changes in aggression over time as the primary endpoint.Design and subjects: A placebo-controlled double-blind study with 166 schoolchildren 9-12 years of age was performed. The subjects of the fish oil group (n = 83) took fish oil-fortified foods (bread, sausage and spaghetti). These foods were provided in amounts such that each subject in the fish oil group had an intake of 3600 mg of docosahexaenoic acid + 840 mg of eicosapentaenoic acid (EPA)/week for 3 months. The rest (the controls, n = 83) took control supplements. At the start and end of the study, psychological tests were performed to assess their aggression.Results: Physical aggression assessed by Hostility-Aggression Questionnaire for Children in girls increased significantly (median: 13 to 15, n = 42) in the control group and did not change (13 to 13, n = 43) in the fish oil group with a significant intergroup difference (P = .008) with baseline as covariate. The changes in physical aggression scores over time and those of the ratio of EPA/arachidonic acid in RBC (Delta EPA/AA) were significantly correlated in girls who agreed to blood collection (r = -.53, P = .01, n = 23). On the contrary, there were no significant changes in physical aggression in boys. Aggression against others (extraggression) assessed by Picture Frustration Study did not change in the control group (median: 5 to 5) but increased significantly in the fish oil group (4 to 5) with a significant intergroup difference (P = .02) with baseline as covariate. These changes in extraggression might be explained partly by significantly lower baseline values of extraggression in the fish oil group (P = .02) than in the control group. There were no significant correlations between Delta extraggression and Delta EPA/AA in blood-sampled children (n = 49). Impulsivity of girls assessed by parents/guardians using the diagnostic criteria for attention deficit/hyperactivity disorder of DSM-IV was reduced in the fish oil group (1 to 0) with a significant (P = .008) intergroup difference from the control group (1 to 1). There were no significant correlations between Delta impulsivity and Delta EPA/AA in blood-sampled girls. In males, impulsivity reduced in both groups without any intergroup differences.Conclusion: There is a possibility that changes in fatty acid nutrition might affect physical aggression especially in girls. (c) 2005 Elsevier Inc. All rights reserved.