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Omega-3 and Omega-6 fatty acids and risk of psychotic outcomes in the ALSPAC birth cohort.


ABSTRACT: Background: Long chain polyunsaturated fatty acid (PUFA) levels have been implicated in the pathology of psychotic disorders. We investigated the relationship between childhood PUFA levels and later psychotic experiences (PE's) in a large birth cohort.

Methods: Plasma levels of ?-3 and ?-6 fatty acids (FA's) were assayed at ages 7 and 16 years. PE's were assessed at ages 12 and 18 years using a semi-structured interview. Primary outcome was any PE's at 18 years; sensitivity analyses examined incident PE's between ages 12 and 18 years, persistent PE's (at 12 and 18) and psychotic disorder at 18 years. Genetic instruments for ?-3 and ?-6 were derived and used in a multivariable Mendelian Randomization analysis.

Results: Higher levels of ?-6 FA's AA, OA and AdA at age 7 years were weakly associated with a reduced risk for PE's at 18 years, however, effect sizes were small and attenuated after adjusting for confounders (strongest evidence for OA; adjusted OR, 0.842; 95% CI, 0.711, 0.998; p, 0.048). Total ?-6 levels at age 16 years were associated with an increased odds of psychotic disorder at age 18 years. However, there was no association between ?-6/?-3 ratio and psychosis outcomes, nor with genetic instruments of total ?-3 or ?-6 levels.

Conclusions: There is no strong evidence that total plasma ?-3 FA levels or ?-6/?-3 ratios in childhood and mid-adolescence are associated with increased risk for PE's or psychotic disorder, but very marginal evidence that alterations in the ?-6 pathway at developmental time points might influence risk2.

SUBMITTER: Thompson AD 

PROVIDER: S-EPMC7738752 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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Omega-3 and Omega-6 fatty acids and risk of psychotic outcomes in the ALSPAC birth cohort.

Thompson A D AD   Jones H J HJ   Heron J J   Hibbeln J J   Sullivan S S   Zammit S S  

Schizophrenia research 20201014


<h4>Background</h4>Long chain polyunsaturated fatty acid (PUFA) levels have been implicated in the pathology of psychotic disorders. We investigated the relationship between childhood PUFA levels and later psychotic experiences (PE's) in a large birth cohort.<h4>Methods</h4>Plasma levels of Ω-3 and Ω-6 fatty acids (FA's) were assayed at ages 7 and 16 years. PE's were assessed at ages 12 and 18 years using a semi-structured interview. Primary outcome was any PE's at 18 years; sensitivity analyses  ...[more]

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