Omega-3 Long-Chain Polyunsaturated Fatty Acids: Are They Beneficial for Physical and Cognitive Functioning in Older Adults?

BACKGROUND: There is equivocal evidence about beneficial properties of omega-3 long-chain polyunsaturated fatty acids (ω-3 LCPUFA) for older adults. OBJECTIVE: This study investigated the relationship between circulating ω-3 LCPUFA, docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) levels and their corresponding dietary intakes with cognition and physical function in a cohort of community-dwelling older adults at risk of dementia. METHODS: A cross-sectional analysis was conducted among 142 community-dwelling older adults (60-85 years) with subjective memory complaints. Erythrocyte fatty acids (ω-3 LCPUFA) and the omega-3 index were measured; dietary DHA and EPA were assessed with a LCPUFA specific questionnaire. Cognition was measured using the Cogstate computerised battery and Trail-making tests. Muscle strength was assessed by grip strength and physical function via the four-square step test, 30-second sit-to-stand, timed up-and-go test, and 4-m walk test. Multiple regression analysis was used to assess the relationship between erythrocyte ω-3 LCPUFA, dietary intake, cognitive and physical function. RESULTS: Higher dietary DHA and EPA were associated with better global cognitive function (DHA: ß=0.164, p=0.042; EPA: ß=0.188, p=0.020). Higher dietary EPA was associated with better attention/psychomotor composite scores (ß=0.196, p=0.024), mobility (four-square step test: ß=-0.202, p=0.015) and gait speed (4m walk test: ß=-0.200, p=0.017). No associations were found between erythrocyte ω-3 LCPUFA and cognitive or functional performance measures. CONCLUSIONS: In community-dwelling older adults with subjective memory complaints, higher dietary ω-3 LCPUFA intake was associated with better cognitive and physical function, supporting the evidence that ω-3 fatty acids play a role in optimising physical and cognitive health during ageing.

Treatment with an Interleukin 1 beta antibody improves glycemic control in diet-induced obesity.

The proinflammatory cytokine Interleukin 1 beta (IL-1beta) is elevated in obese individuals and rodents and it is implicated in impaired insulin secretion, decreased cell proliferation and apoptosis of pancreatic beta cells. In this study we describe the therapeutic effects by an IL-1beta antibody to improve glucose control in hyperglycemic mice with diet-induced obesity. After 13 weeks of treatment the IL-1beta antibody treated group showed reduced glycated hemoglobin (( *)P=0.049), reduced serum levels of proinsulin (( *)P=0.015), reduced levels of insulin and smaller islet size (( *)P=1.65E-13) relative to the control antibody treated group. Neutralization of IL-1beta also significantly reduced serum amyloid A (SAA) which is an indicator of inflammation-induced acute phase response (( *)P=0.024). While there was no improvement of obesity, a significant improvement of glycemic control and of beta cell function is achieved by this pharmacological treatment which may slow/prevent disease progression in Type 2 Diabetes.

Analysis of therapeutic efficacy, cost, and safety of gentamicin lavage solution in orthopaedic surgery prophylaxis.

Prophylactic antibiotic irrigation solutions are used quite commonly during total joint arthroplasty; however, scientific data regarding their efficacy are inconclusive. In a retrospective review of 100 total joint replacements (53 total hips and 47 total knees) that substituted gentamicin for kanamycin as an intraoperative irrigant, no apparent variation from the incidence of infection reported to the literature occurred, and no evidence of drug-induced side effects presented. Antibiotic irrigation solutions are probably noncontributory to infection prevention when used concomitantly with systemic prophylaxis. Most orthopaedic surgeons will continue to utilize them, however, owing to the catastrophic nature of a deep infection and the prevailing medicolegal atmosphere. Gentamicin is therefore a cost-effective antibiotic for intraoperative lavage--it has a sound microbiologic and safety profile, despite its lack of proven efficacy.

The Navy alcoholism prevention program--worldwide.

Where we used to separate alcoholic members, we are now able to keep over 70% on active duty longer, which contributes to stability of the force, reductions in recruitment and training costs, and overall improved personnel readiness to support the Navy mission.

Preliminary studies of some physiological properties of Torula jeanselmei.

The morphological characteristics of pathogenic and saprophytic strains of Torula jeanselmei (Fungi Imperfecti) are indistinguishable. Some basic physiological properties of T. jeanselmei were investigated in the hope of separating the human pathogenic strain from common saprophytes in a clinical laboratory. Nitrogen and carbon assimilation tests were not useful for distinguishing the pathogen, since all strains, pathogenic and saprophytic, were able to assimilate nitrogen from ammonium, nitrate, and nitrite sources, and all were able to utilize glucose, fructose, galactose, cellobiose, lactose, glycerol, and starch. It appeared that temperature range for growth might be useful in the identification of the pathogen. All pathogenic strains grew well at 37 C but poorly at 10 C; in contrast, all saprophytes could grow at 10 C but were unable to grow at 37 C (with two exceptions).