Skip to main content
Log in

Altered serum fatty acid composition in geriatric depression

  • Psychiatry and Preclinical Psychiatric Studies - Original Article
  • Published:
Journal of Neural Transmission Aims and scope Submit manuscript

Abstract

Fatty acids (FA), mainly polyunsaturated (PUFA) of n-3 or n-6 types, may influence neuropsychobiological processes. Decreased levels of n-3 PUFA have been shown to be related to major depression and supplementation of n-3 PUFA seems to contribute to improved depression treatment outcome. The profiles of serum FA profiles in patients with geriatric depression have not been thoroughly studied yet. The present study investigated the FA profiles of patients with geriatric depression and of mentally healthy elderly individuals. Serum FA profiles of 36 inpatients with geriatric depression who fulfilled DSM-IV criteria for unipolar major depression were compared with those of 37 control subjects. Patients with geriatric depression, irrespective of gender, exhibited lower total FAs, as well as significantly lower concentrations of total n-3 PUFA and eicosapentaenoic acid, though the groups did not differ with regard to Body Mass Index. The findings of the present study point to an association between lower FA serum levels and geriatric depression. Further investigations with larger samples and dietetic interventions may provide deeper insights into the role of eicosapentaenoic acid and total n-3 PUFA in the development and treatment of geriatric depression.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alexopoulos GS, Morimoto SS (2011) The inflammation hypothesis in geriatric depression. Int J Geriatr Psychiatry 26:1109–1118

    PubMed  PubMed Central  Google Scholar 

  • Alexopoulos P, Topalidis S, Irmisch G, Prehn K, Jung SU, Poppe K et al (2010) Homocysteine and cognitive function in geriatric depression. Neuropsychobiology 61:97–104

    Article  CAS  PubMed  Google Scholar 

  • An WS, Lee SM, Son YK, Kim SE, Kim KH, Han JY et al (2012) Effect of omega-3 fatty acids on the modification of erythrocyte membrane fatty acid content including oleic acid in peritoneal dialysis patients. Prostaglandins Leukot Essent Fatty Acids 86:29–34

    Article  CAS  PubMed  Google Scholar 

  • Antypa N, Smelt AH, Strengholt A, Van der Does AJ (2011) Effects of omega-3 fatty acid supplementation on mood and emotional information processing in recovered depressed individuals. J Psychopharmacol 26:738–743

    Article  PubMed  Google Scholar 

  • Astorg P, Bertrais S, Alessandri JM, Guesnet P, Kesse-Guyot E, Linard A et al (2009) Long-chain n-3 fatty acid levels in baseline serum phospholipids do not predict later occurrence of depressive episodes: a nested case-control study within a cohort of middle-aged French men and women. Prostaglandins Leukot Essent Fatty Acids 81:265–271

    Article  CAS  PubMed  Google Scholar 

  • Barua A, Ghosh MK, Kar N, Basilio MA (2011) Prevalence of depressive disorders in the elderly. Ann Saudi Med 31:620–624

    Article  PubMed  PubMed Central  Google Scholar 

  • Beydoun MA, Fanelli Kuczmarski MT, Beydoun HA, Rotant OS, Evans MK, Zonderman AB (2015) Associations of the ratios of n-3 to n-6 dietary fatty acids with longitudinal changes in depressive symptoms among US women. Am J Epidemiol 181:691–705

    Article  PubMed  PubMed Central  Google Scholar 

  • Bloch MH, Hannestad J (2012) Omega-3 fatty acids for the treatment of depression: systematic review and meta-analysis. Mol Psychiatry 17:1272–1282

    Article  CAS  PubMed  Google Scholar 

  • Chilton FH, Lee TC, Willard SL, Ivester P, Sergeant S, Register TC et al (2011) Depression and altered serum lipids in cynomolgus monkeys consuming a Western diet. Physiol Behav 104:222–227

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chouinard-Watkins R, Conway V, Minihane AM, Jackson KG, Lovegrove JA, Plourde M (2015) Interaction between BMI and APOE genotype is associated with changes in the plasma long-chain-PUFA response to a fish-oil supplement in healthy participants. Am J Clin Nutr 102:505–513

    Article  CAS  PubMed  Google Scholar 

  • Conklin SM, Manuck SB, Yao JK, Flory JD, Hibbeln JR, Muldoon MF (2007a) High omega-6 and low omega-3 fatty acids are associated with depressive symptoms and neuroticism. Psychosom Med 69:932–934

    Article  CAS  PubMed  Google Scholar 

  • Conklin SM, Harris JI, Manuck SB, Yao JK, Hibbeln JR, Muldoon MF (2007b) Serum omega-3 fatty acids are associated with variation in mood, personality and behavior in hypercholesterolemic community volunteers. Psychiatry Res 152:1–10

    Article  CAS  PubMed  Google Scholar 

  • Copeland JR, Beekman AT, Dewey ME, Hooijer C, Jordan A, Lawlor BA et al (1999) Depression in Europe. Geographical distribution among older people. Br J Psychiatry 174:312–321

    Article  CAS  PubMed  Google Scholar 

  • Crowe FL, Skeaff CM, Green TJ, Gray AR (2007) Serum phospholipid n 3 long-chain polyunsaturated fatty acids and physical and mental health in a population-based survey of New Zealand adolescents and adults. Am J Clin Nutr 86:1278–1285

    CAS  PubMed  Google Scholar 

  • Deutsche Gesellschaft für Ernährung, Österreichische Gesellschaft für Ernährung, Schweizerische Gesellschaft für Ernährungsforschung, Schweizerische Vereinigung für Ernährung (2001) Referenzwerte für die Nährstoffzufuhr (Rev. ed.). Frankfurt am Main: Umschau Braus GmbH

  • Disabato BM, Sheline YI (2012) Biological Basis of late life depression. Curr Psychiatry Rep 14:273–279

    Article  PubMed  PubMed Central  Google Scholar 

  • Engel JH, Siewerdt F, Jackson R, Akobundu U, Wait C, Sahyoun N (2011) Hardiness, depression and emotional well-being and their association with appetite in older adults. J Am Geriatr Soc 59:482–487

    Article  PubMed  Google Scholar 

  • Fernø J, Skrede S, Vik-Mo AO, Jassim G, Le Hellard S, Steen VM (2011) Lipogenic effects of psychotropic drugs: focus on the SREBP system. Front Biosci 16:49–60

    Article  Google Scholar 

  • German L, Kahana C, Rosenfeld V, Zabrowsky I, Wiezer Z, Fraser D et al (2011) Depressive symptoms are associated with food insufficiency and nutritional deficiencies in poor community-dwelling elderly people. J Nutr Health Aging 15:3–8

    Article  PubMed  Google Scholar 

  • Gow RV, Hibbeln JR, Parletta N (2015) Current evidence and future directions for research with omega-3 fatty acids and attention deficit hyperactivity disorder. Curr Opin Clin Nutr Metab Care 18:133–138

    Article  CAS  PubMed  Google Scholar 

  • Grosso G, Galvano F, Marventano S, Malaguarnera M, Bucolo C et al (2014a) Omega-3 fatty acids and depression: scientific evidence and biological mechanisms. Oxid Med Cell Longev 2014:313570

    Article  PubMed  PubMed Central  Google Scholar 

  • Grosso G, Pajak A, Marventano S, Castellano S, Galvano F et al (2014b) Role of omega-3 fatty acids in the treatment of depressive disorders: a comprehensive meta-analysis of randomized clinical trials. PLoS One 9:e96905

    Article  PubMed  PubMed Central  Google Scholar 

  • Haag M (2003) Essential fatty acids and the brain. Can J Psychiatry 48:195–203

    PubMed  Google Scholar 

  • Haghighi F, Galfalvy H, Chen S, Huang YY, Cooper TB, Burke AK et al (2015) DNA methylation perturbations in genes involved in polyunsaturated Fatty Acid biosynthesis associated with depression and suicide risk. Front Neurol 6:92

    Article  PubMed  PubMed Central  Google Scholar 

  • Hosono T, Nishitsuji K, Nakamura T, Jung CG, Kontani M, Tokuda H et al (2015) Arachidonic acid diet attenuates brain Aβ deposition in Tg2576 mice. Brain Res 1613:92–99

    Article  CAS  PubMed  Google Scholar 

  • Irmisch G, Schläfke D, Gierow W, Herpertz S, Richter J (2007) Fatty Acids and Sleep in depressed inpatients. Prost Leuk Essent Fat Acids 76:1–7

    Article  CAS  Google Scholar 

  • Jadoon A, Chiu CC, McDermott L, Cunningham P, Frangou S, Chang CJ et al (2011) Associations of polyunsaturated fatty acids with residual depression or anxiety in older people with major depression. J Affect Disord 136:918–925

    Article  PubMed  Google Scholar 

  • Jazayeri S, Keshavarz SA, Tehrani-Doost M, Djalali M, Hosseini M, Amini H et al (2010) Effects of eicosapentaenoic acid and fluoxetine on plasma cortisol, serum interleukin-1beta and interleukin-6 concentrations in patients with major depressive disorder. Psychiatry Res 178:112–115

    Article  CAS  PubMed  Google Scholar 

  • Jiao J, Zhang Y (2013) Transgenic biosynthesis of polyunsaturated fatty acids: a sustainable biochemical engineering approach for making essential fatty acids in plants and animals. Chem Rev 113:3799–3814

    Article  CAS  PubMed  Google Scholar 

  • Katan MB, Deslypere JP, van Birgelen AP, Penders M, Zegwaard M (1997) Kinetics of the incorporation of dietary fatty acids into serum cholesteryl esters, erythrocyte membranes, and adipose tissue: an 18-month controlled study. J Lipid Res 38:2012–2022

    CAS  PubMed  Google Scholar 

  • Larrieu T, Hilal LM, Fourrier C, De Smedt-Peyrusse V, Sans N et al (2014) Nutritional omega-3 modulates neuronal morphology in the prefrontal cortex along with depression-related behaviour through corticosterone secretion. Transl Psychiatry 4:e437

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lieberman HR, Kellogg MD, Kramer FM, Bathalon GP, Lesher LL (2012) Lipid and other plasma markers are associated with anxiety, depression, and fatigue. Health Psychol 31:210–216

    Article  PubMed  Google Scholar 

  • Liu JJ, Green P, John Mann J, Rapoport SI, Sublette ME (2015) Pathways of polyunsaturated fatty acid utilization: implications for brain function in neuropsychiatric health and disease. Brain Res 1597:220–246

    Article  CAS  PubMed  Google Scholar 

  • Mamalakis G, Jansen E, Cremers H, Kiriakakis M, Tsibinos G, Kafatos A (2006) Depression and adipose and serum cholesteryl ester polyunsaturated fatty acids in the survivors of the seven countries study population of Crete. Eur J Clin Nutr 60:1016–1023

    Article  CAS  PubMed  Google Scholar 

  • Martins JG (2009) EPA but not DHA appears to be responsible for the efficacy of omega-3 long chain polyunsaturated fatty acid supplementation in depression: evidence from a meta-analysis of randomized controlled trials. J Am Coll Nutr 28:525–542

    Article  CAS  PubMed  Google Scholar 

  • Martins JG, Bentsen H, Puri BK (2012) Eicosapentaenoic acid appears to be the key omega-3 fatty acid component associated with efficacy in major depressive disorder: a critique of Bloch and Hannestad and updated meta-analysis. Mol Psychiatry 17:1144–1149

    Article  CAS  PubMed  Google Scholar 

  • McNamara RK, Liu Y (2011) Reduced expression of fatty acid biosynthesis genes in the prefrontal cortex of patients with major depressive disorder. J Affect Disord 129:359–363

    Article  CAS  PubMed  Google Scholar 

  • Mocking RJ, Verburg HF, Westerink AM, Assies J, Vaz FM, Koeter MW et al (2015) Fatty acid metabolism and its longitudinal relationship with the hypothalamic-pituitary-adrenal axis in major depression: associations with prospective antidepressant response. Psychoneuroendocrinology 59:1–13

    Article  CAS  PubMed  Google Scholar 

  • Murck H, Song C, Horrobin DF, Uhr M (2004) Ethyl-eicosapentaenoate and dexamethasone resistance in therapy-refractory depression. Int J Neuropsychopharmacol 7:341–349

    Article  CAS  PubMed  Google Scholar 

  • Peet M, Stokes C (2005) Omega-3 fatty acids in the treatment of psychiatric disorders. Drugs 65:1051–1059

    Article  CAS  PubMed  Google Scholar 

  • Psaltopoulou T, Sergentanis TN, Panagiotakos DB, Sergentanis IN, Kosti R, Scarmeas N (2013) Mediterranean diet, stroke, cognitive impairment, and depression: a meta-analysis. Ann Neurol 74:580–591

    Article  PubMed  Google Scholar 

  • Raeder MB, Fernø J, Glambek M, Stansberg C, Steen VM (2006) Antidepressant drugs activate SREBP and up-regulate cholesterol and fatty acid biosynthesis in human glial cells. Neurosci Lett 395:185–190

    Article  CAS  PubMed  Google Scholar 

  • Rice SM, Schäfer MR, Klier C, Mossaheb N, Vijayakumar N, Amminger GP (2015) Erythrocyte polyunsaturated fatty acid levels in young people at ultra-high risk for psychotic disorder and healthy adolescent controls. Psychiatry Res 228:174–176

    Article  CAS  PubMed  Google Scholar 

  • Rondanelli M, Giacosa A, Opizzi A, Pilucchi C, La Vecchia C, Montorfano G et al (2011) Long chain omega 3 polyunsaturated fatty acids supplementation in the treatment of elderly depression: effects on depressive symptoms, on phospholipids fatty acids profile and on health-related quality of life. J Nutr Health Aging 15:37–44

    Article  CAS  PubMed  Google Scholar 

  • Samieri C, Lorrain S, Buaud B, Vaysse C, Berr C, Peuchant E et al (2013) Relationship between diet and plasma long-chain n-3 PUFAs in older people: impact of apolipoprotein E genotype. J Lipid Res 54:2559–2567

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sánchez-Villegas A, Martínez-González MA, Estruch R, Salas-Salvadó J, Corella D, Covas ML et al (2013) Mediterranean dietary pattern and depression: the PREDIMED randomized trial. BMC Med 11:208

    Article  PubMed  PubMed Central  Google Scholar 

  • Sayanova OV, Napier JA (2004) Eicosapentaenoic acid: biosynthetic routes and the potential for synthesis in transgenic plants. Phytochemistry 65:147–158

    Article  CAS  PubMed  Google Scholar 

  • Sinn N, Milte CM, Street SJ, Buckley JD, Coates AM, Petkov J et al (2012) Effects of n-3 fatty acids, EPA v. DHA, on depressive symptoms, quality of life, memory and executive function in older adults with mild cognitive impairment: a 6-month randomised controlled trial. Br J Nutr 107:1682–1693

    Article  CAS  PubMed  Google Scholar 

  • Sumich AL, Matsudaira T, Heasman B, Gow RV, Ibrahimovic A, Ghebremeskel K et al (2013) Fatty acid correlates of temperament in adolescent boys with attention deficit hyperactivity disorder. Prostaglandins Leukot Essent Fatty Acids 88:431–436

    Article  CAS  PubMed  Google Scholar 

  • Suominen-Taipale AL, Partonen T, Turunen AW, Männistö S, Jula A, Verkasalo PK (2010) Fish consumption and omega-3 polyunsaturated fatty acids in relation to depressive episodes: a cross-sectional analysis. PLoS One 5:e10530

    Article  PubMed  PubMed Central  Google Scholar 

  • Tajalizadekhoob Y, Sharifi F, Fakhrzadeh H, Mirarefin M, Ghaderpanahi M, Badamchizade Z et al (2011) The effect of low-dose omega 3 fatty acids on the treatment of mild to moderate depression in the elderly: a double-blind randomized placebo-controlled study. Eur Arch Psychiatry Clin Neurosci 261:539–549

    Article  PubMed  Google Scholar 

  • Taylor WD, Aizenstein HJ, Alexopoulos GS (2013) The vascular depression hypothesis: mechanisms linking vascular disease with depression. Mol Psychiatry 18:963–974

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wolfe AR, Ogbonna EM, Lim S, Li Y, Zhang J (2009) Dietary linoleic and oleic fatty acids in relation to severe depressed mood: 10 years follow-up of a national cohort. Prog Neuropsychopharmacol Biol Psychiatry 33:972–977

    Article  CAS  PubMed  Google Scholar 

  • Yusof HM, Miles EA, Calder P (2008) Influence of very long-chain n-3 fatty acids on plasma markers of inflammation in middle-aged men. Prostaglandins Leukot Essent Fatty Acids 78:219–228

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ivo Marx.

Ethics declarations

Conflicts of interest

All authors declare that they have no conflict of interests.

Additional information

I. Marx and P. Alexopoulos equally contributed to this manuscript.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Marx, I., Alexopoulos, P., Irmisch, G. et al. Altered serum fatty acid composition in geriatric depression. J Neural Transm 124 (Suppl 1), 119–126 (2017). https://doi.org/10.1007/s00702-015-1466-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00702-015-1466-5

Keywords

Navigation