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The journal of nutrition, health & aging

, Volume 22, Issue 6, pp 718–725 | Cite as

Associations between Plasmatic Polyunsaturated Fatty Acids Concentrations and Cognitive Status and Decline in Neurocognitive Disorders

  • Marine Haution-Bitker
  • T. Gilbert
  • A. Vignoles
  • C. Lecardonnel
  • S. Watelet
  • E. Blond
  • J. Drai
  • M. Bonnefoy
Article

Abstract

Objective

To examine the association of plasmatic and erythrocyte concentrations polyunsaturated fatty acids (PUFA) with both cognitive status and decline.

Design

Longitudinal observational cohort study. Setting: Memory Clinic of Lyon Sud university hospital.

Participants

140 patients, aged 60 and older, were referred to the memory clinic, and successively included in the cohort, between March 2010 and February 2014.

Measurements

Concentration of ω-3 PUFA (eicosapentaenoic: EPA and docosahexaenoic: DHA) and ω-6 PUFA (arachidonic: AA), were measured at baseline in plasma and in the erythrocytes membrane. Cognitive status was assessed using the mini mental state examination (MMSE), at baseline and every six months during follow-up. The median follow-up period was of 11,5 months.

Results

Compared to participants with minor neurocognitive disorders (MMSE≥24), participants with major neurocognitive disorders (NCD) had lower plasmatic concentrations of EPA and DHA (p<0.05) at baseline. Erythrocyte AA and DHA concentrations were significantly lower in patients with cognitive decline (defined as a ≥2 points loss of MMSE per year), while no difference in plasmatic concentrations was observed.

Conclusions

Our study suggests that ω-3 PUFA plasma concentrations (mainly EPA and DHA) could be associated with cognitive status in older people. Moreover, in this exploratory study, lower erythrocyte PUFA concentrations (AA and DHA) were associated with accelerated decline and could be proposed as a surrogate marker for prediction of cognitive decline.

Key words

Dementia neurocognitive disorders biomarkers fatty acids erythrocytes membrane 

Abbreviations

AA

arachidonic acid

AAL

alpha-linolenic acid

AD

Alzheimer disease

ADL

Activities of daily living

AL

linolenic acid

CPG

choline phosphoglycerides

CSF

Cerebrospinal fluid

DHA

docosahexaenoic acid

EC

cholesteryl esters

EPA

eicosapentaenoic acid

EPG

ethanolamine phosphoglycerides

FA

fatty acids

IADL

Instrumental activities of daily living

MCI

mild cognitive impairment

MMSE

mini mental state examination

MRI

Magnetic resonance imaging

NCD

Neurocognitive disorders

Palm

palmitic acid

PL

phospholipid

PUFA

poly unsaturated fatty acids.

Supplementary material

12603_2018_1010_MOESM1_ESM.pdf (159 kb)
SUPPLEMENTARY TABLES

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Copyright information

© Serdi and Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  • Marine Haution-Bitker
    • 1
    • 5
  • T. Gilbert
    • 1
  • A. Vignoles
    • 1
    • 2
  • C. Lecardonnel
    • 1
  • S. Watelet
    • 1
  • E. Blond
    • 2
    • 3
  • J. Drai
    • 2
  • M. Bonnefoy
    • 1
    • 3
    • 4
  1. 1.Geriatric medicine unit, Lyon Sud academic hospitalHospices Civils de LyonPierre-BéniteFrance
  2. 2.France Biochemistry unit, Lyon Sud academic hospitalHospices Civils de LyonPierre-BéniteFrance
  3. 3.INSERM U1060, CarMen research unit (Cardiovasculaire, métabolisme, diabétologie et nutrition)Université Claude Bernard Lyon 1LyonFrance
  4. 4.Université Claude Bernard Lyon 1LyonFrance
  5. 5.Service de Court Séjour GériatriqueCentre Hospitalier Lyon SudPierre-BéniteFrance

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