Manfaat Omega-3 Parenteral di Dunia Medis

Penulis

  • Laurencia Ardi Departemen Medical PT Kalbe Farma, Tbk Jakarta, Indonesia

DOI:

https://doi.org/10.55175/cdk.v46i10.415

Kata Kunci:

Asam lemak omega-3, emulsi lemak, nutrisi parenteral

Abstrak

Emulsi lemak intravena merupakan komponen penting nutrisi parenteral. Awalnya emulsi lemak digunakan sebagai sumber energi non-glukosa yang efisien untuk mengurangi efek samping hiperglikemia dan sebagai sumber asam lemak esensial. Penelitian menunjukkan efek omega-3 dan omega-6 pada metabolisme, inflamasi, respons kekebalan tubuh, koagulasi, dan sinyal sel, sehingga dapat bermanfaat untuk terapi bedah, kanker, dan penyakit kritis serta pada pasien yang membutuhkan nutrisi parenteral jangka panjang. Pembahasan berikut meliputi mekanisme kerja dan manfaat omega-3 di dunia medis.

Intravenous lipid emulsions are essential component of parenteral nutrition regimens, originally employed as an efficient non-glucose energy source to reduce the adverse effects of high glucose intake and provide essential fatty acids. Research demonstrates the effects of omega-3 and omega-6 polyunsaturated fatty acids (PUFA) on key metabolic functions, inflammatory, and immune response, coagulation, and cell signaling; potentially benefit surgical, cancer, and critically ill patients as well as patients requiring long-term parenteral nutrition. This review provides an overview on the mechanisms of action and benefits of omega-3 in medicine.

Unduhan

Data unduhan belum tersedia.

Referensi

Klek S. Omega-3 fatty acids in modern parenteral nutrition: A review of the current evidence. J Clin Med. 2016;5:34. doi:10.3390/jcm5030034.

Sobotka, L. Basics in clinical nutrition. 4th ed. Galen: Prague, Czech Republic; 2011.

Manzanares W, Dhaliwal R, Jurewitsch B, Stapleton RD, Jeejeebhoy KN, Heyland DK. Alternative lipid emulsions in the critically ill: A systematic review of the evidence. Intensive Care Med. 2013;39(10):1683–94. doi:10.1007/s00134-013-2999-4.

Driscoll DF. Lipid injectable emulsions. Nutr Clin Pract. 2006;21(4):381-6.

Surette ME. The science behind dietary omega-3 fatty acids. CMAJ. 2008;178(2):177–80. doi:10.1503/cmaj.071356.

Rustan AC, Drevon CA. Fatty acids: Structures and properties. Encyclopedia of Life Sciences. 2005. doi: 10.1038/npg.els.0003894.

Whelan J, Rust C. Innovative dietary sources of n-3 fatty acids. Annu Rev Nutr. 2006;26:75-103.

Calder PC. Omega-3 polyunsaturated fatty acids and inflammatory processes: Nutrition or pharmacology? Br J Clin Pharmacol. 2012;75(3):645–62.

Calder PC. Omega-3 polyunsaturated fatty acids, inflammation, and inflammatory diseases. Am J Clin Nutr. 2006;83(suppl):1505–19.

Wei Z, Wang W, Chen J, Yang D, Yan R, Cai Q. A prospective, randomized, controlled study of ω-3 fish oil fat emulsion-based parenteral nutrition for patients following surgical resection of gastric tumors. Nutrition J. 2014;13:25.

Weitz D, Weintraub H, Fisher E, Schwartzbard AZ. Fish oil for the treatment of cardiovascular disease. Cardiol Rev. 2010;18(5):258–63. doi:10.1097/CRD.0b013e3181ea0de0.

Gura KM, Lee S, Valim C, Zhou J, Kim S, Modi BP, et al. Safety and efficacy of a fish-oil–based fat emulsion in the treatment of parenteral nutrition–associated liver disease. Pediatrics 2008;121(3):678-86.

Wendel M, Heller AR. Anticancer actions of omega-3 fatty acids—Current state and future perspectives. Anticancer Agents Med Chem. 2009;9:457–70.

Yang P, Jiang Y, Fischer SM. Prostaglandin E3 metabolism and cancer. Cancer Lett. 2014;348:1–11.

Chen W, Yeh S. Effects of fish oil in parenteral nutrition. Nutrition 2003;19:275-9.

Kyle DJ, Schaefer E, Patton G, Beiser A. Low serum docosahexaenoic acid is a significant risk factor for Alzheimer’s dementia. Lipids 1999;34:245.

Boston PF, Bennett A, Horrobin DF, Bennett CN. Ethyl-EPA in Alzheimer’s disease—A pilot study. Prostaglandins Leukot Essent Fatty Acids 2004;71:341-6.

Eslick GD, Howe PR, Smith C, Priest R, Bensoussan A. Benefits of fish oil supplementation in hyperlipidemia: A systematic review and meta-analysis. Int J Cardiol. 2009;136:4–16.

Calder PC. Use of fish oil in parenteral nutrition: Rationale and reality. Proc Nutr Soc. 2006;65:264–77.

Campos FG, Waitzberg DL, Logulo AF, Torrinhas RS, Teixeira WG, Habr- Gama A. Immunonutrition in experimental colitis: Beneficial effects of omega-3 fatty acids. Arq. Gastroenterol. 2002;39:48–54.

Manzanares W, Langlois PL, Dhaliwal R, Lemieux M, Heyland DK. Intravenous fish oil lipid emulsions in critically ill patients: An updated systematic review and metaanalysis. Crit Care. 2015;19:167. doi: 10.1186/s13054-015-0888-7.

Pompeia C, Lopes LR, Miyasaka CK, Procopio J, Sannomiya P, Curi R. Effect of fatty acids on leukocyte function. Braz J Med Biol Res. 2000;33:1255–68

Diterbitkan

2019-10-01

Cara Mengutip

Ardi, L. (2019). Manfaat Omega-3 Parenteral di Dunia Medis. Cermin Dunia Kedokteran, 46(10), 12–15. https://doi.org/10.55175/cdk.v46i10.415