Quantitative Erythrocyte Omega-3 EPA Plus DHA Levels are Related to Higher Regional Cerebral Blood Flow on Brain SPECT
Abstract
BACKGROUND: The interrelationships between omega-3 fatty acids status, brain perfusion, and cognition are not well understood. OBJECTIVE: To evaluate if SPECT brain imaging of cerebral perfusion and cognition varies as a function of omega-3 fatty acid levels. METHODS: A random sample of 166 study participants was drawn from a psychiatric referral clinical for which erythrocyte quantification of omega-3 eicosapentaenoic acid (EPA) plus docosahexaenoic acid (DHA) (the Omega-3 Index) was available. Quantitative brain SPECT was done on 128 regions based on a standard anatomical Atlas. Persons with erythrocyte EPA+DHA concentrations were dichotomized based on membership in top 50th percentile versus bottom 50th percentile categories. Two-sample t-tests were done to identify statistically significant differences in perfusion between the percentile groups. Partial correlations were modeled between EPA+DHA concentration and SPECT regions. Neurocognitive status was assessed using computerized testing (WebNeuro) and was separately correlated to cerebral perfusion on brain SPECT imaging and omega-3 EPA+DHA levels. RESULTS: Partial correlation analyses showed statistically significant relationships between higher omega-3 levels and cerebral perfusion were in the right parahippocampal gyrus (r = 0.20, p = 0.03), right precuneus (r = 0.20, p = 0.03), and vermis subregion 6 (p = 0.21, p = 0.03). Omega-3 Index levels separately correlated to the feeling subsection of the WebNeuro (r = 0.25, p = 0.01). CONCLUSION: Quantitative omega-3 EPA+DHA erythrocyte concentrations are independently correlated with brain perfusion on SPECT imaging and neurocognitive tests. These results have implications for the role of omega-3 fatty acids toward contributing to cognitive reserve.
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Lower omega-3 fatty acid levels are correlated with reduced brain blood flow to regions important for learning, memory, depression, and dementia.
“Furthermore, lower omega-3 fatty acid levels are correlated to reduced brain blood flow to regions important for learning, memory, depression, and dementia [104].”
From Treatment of Alzheimer’s Disease: Beyond Symptomatic Therapies (2023) · cites this paper as [104]
Cites
The projected effect of risk factor reduction on Alzheimer's disease prevalence
Barnes, D. E., & Yaffe, K. S. (2011) · The Lancet Neurology · doi:10.1016/s1474-4422(11)70072-2 · Cited by 2,668 · see citing works
The Cochrane Database of Systematic Reviews
Handoll, H. H. (2004) · The British Journal of Hand Therapy · doi:10.1177/175899830400900201 · Cited by 1,515 · see citing works
Brain foods: The effects of nutrients on brain function.
Gómez-Pinilla, F. (2008) · Nature Reviews Neuroscience · doi:10.1038/nrn2421 · Cited by 1,372 · see citing works
A Method for Attenuation Correction in Radionuclide Computed Tomography
Chang, L.-T. (1978) · IEEE Transactions on Nuclear Science · doi:10.1109/tns.1978.4329385 · Cited by 1,307 · see citing works
Dyall, S. C. (2015) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2015.00052 · Cited by 943 · see citing works
Schneider, L. S., Mangialasche, F., Andreasen, N., Feldman, H., Giacobini, E., Jones, R., Mantua, V., Mecocci, P., Pani, L., Winblad, B., et al. (2014) · Journal of Internal Medicine · doi:10.1111/joim.12191 · Cited by 651 · see citing works
McNamara, R. K., & Carlson, S. E. (2006) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2006.07.010 · Cited by 546 · see citing works
Mocking, R. J. T., Harmsen, I. M., Assies, J., Koeter, M. W. J., Ruhé, H. G., & Schene, A. H. (2016) · Translational Psychiatry · doi:10.1038/tp.2016.29 · Cited by 284 · see citing works
Insulin increases CSF Aβ42 levels in normal older adults
Watson, G. S., Peskind, E. R., Asthana, S., Purganan, K., Wait, C., Chapman, D., Schwartz, M. W., Plymate, S. R., & Craft, S. (2003) · Neurology · doi:10.1212/01.wnl.0000065916.25128.25 · Cited by 265 · see citing works
Mixed Dementia: Epidemiology, Diagnosis, and Treatment
Zekry, D., Hauw, J., & Gold, G. (2002) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2002.50367.x · Cited by 243 · see citing works
Flock, M. R., Skulas‐Ray, A. C., Harris, W. S., Etherton, T. D., Fleming, J. A., & Kris‐Etherton, P. M. (2013) · Journal of the American Heart Association · doi:10.1161/jaha.113.000513 · Cited by 224 · see citing works
Self-citationOmega-3 fatty acids for the treatment of dementia
Burckhardt, M., Herke, M., Wustmann, T., Watzke, S., Langer, G., & Fink, A. M. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009002.pub3 · Cited by 180 · see citing works
Higher RBC EPA + DHA corresponds with larger total brain and hippocampal volumes: WHIMS-MRI Study
Pottala, J. V., Yaffe, K., Robinson, J. G., Espeland, M. A., Wallace, R., & Harris, W. S. (2014) · Neurology · doi:10.1212/wnl.0000000000000080 · Cited by 169 · see citing works
Self-citationOulhaj, A., Jernerén, F., Refsum, H., Smith, A. D., & de Jager, C. A. (2016) · Journal of Alzheimer s Disease · doi:10.3233/jad-150777 · Cited by 160 · see citing works
Development and validation of a World-Wide-Web-based neurocognitive assessment battery: WebNeuro
Silverstein, S. M., Berten, S., Olson, P. A., Paul, R. H., Williams, L. M., Cooper, N. J., & Gordon, E. (2007) · Behavior Research Methods · doi:10.3758/bf03192989 · Cited by 159 · see citing works
Stern, R. A., Silva, S. G., Chaisson, N., & Evans, D. L. (1996) · Archives of Neurology · doi:10.1001/archneur.1996.00550020052015 · Cited by 158 · see citing works
Hooijmans, C. R., Rutters, F., Dederen, P. J. W. C., Gambarota, G., Veltien, A. A., Groen, T. V., Broersen, L. M., Lütjohann, D., Heerschap, A., Tanila, H., et al. (2007) · Neurobiology of Disease · doi:10.1016/j.nbd.2007.06.007 · Cited by 154 · see citing works
Impact of Omega-3 Fatty Acid Supplementation on Memory Functions in Healthy Older Adults
Külzow, N., Witte, A. V., Kerti, L., Grittner, U., Schuchardt, J. P., Hahn, A., & Flöel, A. (2016) · Journal of Alzheimer s Disease · doi:10.3233/jad-150886 · Cited by 144 · see citing works
Ren, H., Luo, C., Feng, Y., Yao, X., Shi, Z., Liang, F., Kang, J. X., Wan, J., Pei, Z., & Su, H. (2016) · The FASEB Journal · doi:10.1096/fj.201600896 · Cited by 136 · see citing works
Effects of Docosahexaenoic Acid on Neurotransmission
Tanaka, K., Farooqui, A. A., Siddiqi, N. J., Alhomida, A. S., & Ong, W. (2012) · Biomolecules & Therapeutics · doi:10.4062/biomolther.2012.20.2.152 · Cited by 130 · see citing works
High-resolution brain SPECT imaging in ADHD.
Amen, D., & Carmichael, B. D. (1997) · Annals of Clinical Psychiatry · doi:10.1023/a:1026201218296 · Cited by 128 · see citing works
Self-citationThe pleiotropic effects of omega-3 docosahexaenoic acid on the hallmarks of Alzheimer's disease
Belkouch, M., Hachem, M., Elgot, A., Van, A. L., Picq, M., Guichardant, M., Lagarde, M., & Bernoud‐Hubac, N. (2016) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2016.03.002 · Cited by 128 · see citing works
Sala-Vila, A., Díaz-López, A., Valls-Pedret, C., Cofán, M., García-Layana, A., Lamuela-Raventós, R.-M., Castañer, O., Zanon-Moreno, V., Martinez-Gonzalez, M. A., Toledo, E., et al. (2016) · JAMA Ophthalmology · doi:10.1001/jamaophthalmol.2016.2906 · Cited by 124 · see citing works
High-Resolution Brain SPECT Imaging in ADHD
Amen, D., & Carmichael, B. D. (1997) · Annals of Clinical Psychiatry · doi:10.3109/10401239709147778 · Cited by 114 · see citing works
Self-citationRegular Fish Consumption and Age-Related Brain Gray Matter Loss
Raji, C. A., Erickson, K. I., López, O. L., Kuller, L. H., Gach, H. M., Thompson, P. M., Riverol, M., & Becker, J. T. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.05.037 · Cited by 106 · see citing works
Self-citationProcedure Guideline for Brain Perfusion SPECT Using 99mTc Radiopharmaceuticals 3.0
Juni, J. E., Waxman, A. D., Devous, M. D., Tikofsky, R. S., Ichise, M., Heertum, R. L. V., Carretta, R. F., & Chen, C. C. (2009) · Journal of Nuclear Medicine Technology · doi:10.2967/jnmt.109.067850 · Cited by 106 · see citing works
Eriksdotter, M., Vedin, I., Falahati, F., Freund‐Levi, Y., Hjorth, E., Irving, G. F., Wahlund, L., Schultzberg, M., Basun, H., Cederholm, T., et al. (2015) · Journal of Alzheimer s Disease · doi:10.3233/jad-150102 · Cited by 106 · see citing works
Raji, C. A., Tarzwell, R., Pavel, D. G., Schneider, H., Uszler, J. M., Thornton, J., van Lierop, M. J., Cohen, P., Amen, D., & Henderson, T. A. (2014) · PLoS ONE · doi:10.1371/journal.pone.0091088 · Cited by 98 · see citing works
Self-citationMuldoon, M. F., Ryan, C. M., Sheu, L., Yao, J. K., Conklin, S. M., & Manuck, S. B. (2010) · The Journal of Nutrition · doi:10.3945/jn.109.119578 · Cited by 91 · see citing works
Measurement of the Omega-3 Index in Dried Blood Spots
Harris, W. S., & Polreis, J. (2016) · Annals of Clinical and Laboratory Research · doi:10.21767/2386-5180.1000137 · Cited by 89 · see citing works
Self-citationMetabolic profiling distinguishes three subtypes of Alzheimer's disease
Bredesen, D. E. (2015) · Aging · doi:10.18632/aging.100801 · Cited by 76 · see citing works
Zerbi, V., Jansen, D., Wiesmann, M., Fang, X. T., Broersen, L. M., Veltien, A. A., Heerschap, A., & Kiliaan, A. J. (2013) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2013.09.038 · Cited by 62 · see citing works
Grimm, M. O. W., Mett, J., Stahlmann, C. P., Haupenthal, V. J., Blümel, T., Stötzel, H., Grimm, H. S., & Hartmann, T. (2016) · Biochemistry and Cell Biology · doi:10.1139/bcb-2015-0149 · Cited by 57 · see citing works
Jackson, P. A., Forster, J. S., Bell, J. G., Dick, J., Younger, I., & Kennedy, D. O. (2016) · Nutrients · doi:10.3390/nu8020086 · Cited by 55 · see citing works
Amen, D., Willeumier, K. C., Omalu, B. I., Newberg, A. B., Raghavendra, C. S., & Raji, C. A. (2016) · Journal of Alzheimer s Disease · doi:10.3233/jad-160207 · Cited by 53 · see citing works
Self-citationAmen, D., Raji, C. A., Willeumier, K. C., Taylor, D. V., Tarzwell, R., Newberg, A. B., & Henderson, T. A. (2015) · PLoS ONE · doi:10.1371/journal.pone.0129659 · Cited by 51 · see citing works
Self-citationRantanen, K. K., Strandberg, A. Y., Salomaa, V. V., Pitkälä, K. H., Tilvis, R. S., Tienari, P. J., & Strandberg, T. E. (2017) · Annals of Medicine · doi:10.1080/07853890.2017.1290821 · Cited by 16 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Importance of EPA and DHA Blood Levels in Brain Structure and Function
von Schacky, C. (2021) · Nutrients · doi:10.3390/nu13041074 · Cited by 174 · see citing works
Fekete, M., Varga, P., Ungvari, Z. I., Fekete, J. T., Buda, A., Szappanos, Á., Lehoczki, A., Mózes, N., Grosso, G., Godos, J., et al. (2025) · GeroScience · doi:10.1007/s11357-024-01488-3 · Cited by 152 · see citing works
Treatment of Alzheimer’s Disease: Beyond Symptomatic Therapies
Buccellato, F. R., D’Anca, M., Tartaglia, G. M., Del Fabbro, M., Scarpini, E., & Galimberti, D. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms241813900 · Cited by 94 · see citing works
“Furthermore, lower omega-3 fatty acid levels are correlated to reduced brain blood flow to regions important for learning, memory, depression, and dementia [104].”
BackgroundInteractions of polyunsaturated fatty acids with amyloid peptides Aβ40 and Aβ42
Shatshat, A. E., Pham, A. T., & Rao, P. P. N. (2018) · Archives of Biochemistry and Biophysics · doi:10.1016/j.abb.2018.12.027 · Cited by 53 · see citing works
Pinçon, A., de Montgolfier, O., Akkoyunlu, N., Daneault, C., Pouliot, P., Villeneuve, L. R., Lesage, F., Levy, B. I., Thorin‐Trescases, N., Thorin, É., et al. (2019) · Metabolites · doi:10.3390/metabo9050104 · Cited by 47 · see citing works
Patterns of Regional Cerebral Blood Flow as a Function of Obesity in Adults
Amen, D., Wu, J. C., George, N., & Newberg, A. B. (2020) · Journal of Alzheimer s Disease · doi:10.3233/jad-200655 · Cited by 40 · see citing works
Self-citationGeng, X. H., Yang, B., Li, R., Teng, T., LaDu, M. J., Sun, G. Y., Greenlief, C. M., & Lee, J. C. (2019) · Molecular Neurobiology · doi:10.1007/s12035-019-01805-4 · Cited by 32 · see citing works
McNamara, R., & Almeida, D. M. (2019) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000199 · Cited by 23 · see citing works
Vauzour, D., Scholey, A. B., White, D., Cohen, N. J., Cassidy, A., Gillings, R., Irvine, M. A., Kay, C. D., Kim, M. G., King, R., et al. (2023) · American Journal of Clinical Nutrition · doi:10.1016/j.ajcnut.2023.06.008 · Cited by 24 · see citing works
Rouch, L., Giudici, K. V., Cantet, C., Guyonnet, S., Delrieu, J., Legrand, P., Catheline, D., Andrieu, S., Weiner, M. W., Barreto, P. D. S., et al. (2022) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/nqac236 · Cited by 23 · see citing works
Fiala, M., Restrepo, L., & Pellegrini, M. (2018) · Journal of Alzheimer’s Disease · doi:10.3233/jad-170579 · Cited by 18 · see citing works
Omega-3 index as risk factor in psychiatric diseases: a narrative review
Antão, H. S., Sacadura‐Leite, E., Bandarra, N. M., & Figueira, M. L. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1200403 · Cited by 15 · see citing works
Dams, S., Holasek, S. J., Tsiountsioura, M., Edelsbrunner, M., Dietz, P., Köfeler, H. C., Malliga, D.-E., Gürbüz, A., Meier‐Allard, N., Poncza, B., et al. (2020) · International Journal of Food Sciences and Nutrition · doi:10.1080/09637486.2020.1725960 · Cited by 12 · see citing works
Beyond cardiovascular medicine: potential future uses of icosapent ethyl
Bhatt, D. L., Hull, M. A., Song, M., Hulle, C. V., Carlsson, C. M., Chapman, M. J., & Toth, P. P. (2020) · European Heart Journal Supplements · doi:10.1093/eurheartj/suaa119 · Cited by 12 · see citing works
Kaufman, C. S., Vidoni, E. D., Burns, J. M., Alwatban, M. R., & Billinger, S. A. (2020) · Nutrients · doi:10.3390/nu12030697 · Cited by 10 · see citing works
Breast cancer during pregnancy.
Saunders, C. M., Hickey, M., & Ives, A. D. (2004) · PubMed · Cited by 10 · see citing works
Matusheski, N. V., Marshall, K., Hartunian‐Sowa, S., & McBurney, M. I. (2017) · Current Developments in Nutrition · doi:10.3945/cdn.117.002188 · Cited by 5 · see citing works
DHA (omega-3 fatty acid) and estradiol: key roles in regional cerebral glucose uptake
Majou, D., & Dermenghem, A.-L. (2023) · OCL · doi:10.1051/ocl/2023023 · Cited by 4 · see citing works
Еда для мозга – 12 продуктов для эффективной работы
Анна, Ш., & Татьяна, Е. (2021) · Журнал здорового питания и диетологии · doi:10.59316/.vi17.116 · Cited by 6 · see citing works
Antão, H. S., Sacadura‐Leite, E., Aguiar, P. M. V., Góis, C., Marques, J., Pombo›, S., & Figueira, M. L. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1425792 · Cited by 1 · see citing works
Fish Oil Supplementation for Depression
McNamara, R. K., Almeida, D. M., & Strawn, J. R. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-811297-7.00029-9
Imaging of the ocular surface with relevance to Meibomian gland dysfunction
Zhou, N. (2021) · Queensland University of Technology · doi:10.5204/thesis.eprints.213226
Engineering Long-Chain Omega-3 Fatty Acids Pathway in Oleaginous Microbes and Oilseeds
Salunke, G. R., & Kadoo, N. Y. (2025) · Springer eBooks · doi:10.1007/978-3-031-84200-9_22
Degens, T., Adam, T. C., Mensink, R. P., & Joris, P. J. (2025) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0000000000001133
Majou, D., & Dermenghem, A.-L. (2025) · OCL · doi:10.1051/ocl/2025032
- Authors
- Amen, D. G., Harris, W. S., Kidd, P. M., Meysami, S., & Raji, C. A.
- Affiliations
- Amen Clinics (US)
- University of South Dakota (US)
- Ronald Reagan UCLA Medical Center (US)
- University of California San Francisco Medical Center (US)
- Corresponding author
- Amen, Daniel G.
- Venue
- Journal of Alzheimer s Disease
- Publisher
- SAGE Publications
- Published
- 2017-05-18
- Volume
- 58
- Issue
- 4
- Pages
- 1189-1199
- ISSN
- 1387-2877 (ISSN-L)
- 1875-8908
- OpenAlex
- W2616114050
- Cited by
- 25
- References
- 37
- Citations by year
- 2025: 4 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 2
- FWCI
- 2.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Alzheimer s Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- omega-3 fatty acids, eicosapentaenoic acid
- MeSH terms
- Adult, Brain, Cerebrovascular Circulation, Docosahexaenoic Acids, Erythrocytes, Female, Humans, Male, Mental Status Schedule, Middle Aged, Eicosapentaenoic Acid, Tomography, Emission-Computed, Single-Photon
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