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World Nutrition 2018

J u n e 1 8 - 1 9 , 2 0 1 8

P a r i s , F r a n c e

Page 34

Journal of Clinical Nutrition & Dietetics

ISSN 2472-1921

W o r l d C o n g r e s s o n

Nutrition and Dietetics

Allergic disease can be referred to as the new mastiga of the 21

st

century.

Childhood asthma is the most common respiratory disorder worldwide

associated with increased morbidity, sometimes early mortality and decreased

quality of life, Even then, the advances in pharmacotherapy, asthma control

in children is poor. Hence, there is an urgent need for an alternative therapy

that reduces burden of this disease. There is growing interest in omega-3

fatty acids in this disease due to anti-inflammatory and immunomodulating

properties. However, their efficacy in asthma is controversial. The purpose of

this study was to investigate the impact of fatty fish consumption in asthmatic

children.

Methods:

Thiswasasix-monthparallel randomizedcontrolled trial. Weselected

72 children (54.2% boys; 45.8% girls), 5-12 years old with doctor-diagnosed

‘mild asthma’ from an asthma clinic in Athens, Greece. Participants were

equally randomized to two groups: the intervention group consumed two fatty

fish meals per week (≥ 150g fillet fatty fish/meal) as part of the Mediterranean

dietary pattern and the control group, their usual diet. Pulmonary function was

assessed using spirometry and exhaled Nitric Oxide analysis (eNO); asthma

control and quality of life by questionnaires.

Results:

At six months, we had 89% (64/72) participation rate. Multiple linear

regressionmodel showed a significant change in eNO for the intervention group

(95% CI: -27.39, -0.91; beta=-14.15; p=0.037) after adjusting for confounders

such as age, sex, regular physical activity and BMI. A unit increment in fatty

fish consumption decreased lung inflammation by 14 ppb for the intervention

group as compared to the control. No differences were observed for spirometry

parameters, asthma control or quality of life scores.

Conclusion:

The current study suggests that a healthy diet including two fatty

fish meals per week should be included in asthma dietary guidelines.

Biography

Maria Papamichael is a Registered Dietician/Sports

Nutritionist who has dedicated her life in educating people the

importance of good nutrition and exercise in the prevention and

management of disease as well as in improving health and well-

being. Being an asthma sufferer since childhood, has motivated

her to undertake a PhD research project at La Trobe University

(Australia) to investigate the prophylactic potential of a

Mediterranean diet enriched with fatty fish in the management

of asthma in children.

sassipap@hotmail.com

Fatty fish (

Ω

3): is a diet therapy for paediatric asthma?

Papamichael Maria Michelle

1

, Κatsardis Charis

2

, Koutsilieris

Michael

2

, Tsoukalas Dimitris

3

, Lambert Katrina

1

, Erbas Bircan

1

and

Itsiopoulos Catherine

1

1

La Trobe University, Australia

2

National & Kapodistrian University of Athens, Athens, Greece

3

European Institute of Nutritional Medicine, Rome, Italy

Papamichael Maria Michelle et al., J Clin Nutr Diet 2018 Volume: 4

DOI: 10.4172/2472-1921-C1-002