PT - JOURNAL ARTICLE AU - R K Woods AU - J M Raven AU - E H Walters AU - M J Abramson AU - F C K Thien TI - Fatty acid levels and risk of asthma in young adults AID - 10.1136/thorax.2003.009498 DP - 2004 Feb 01 TA - Thorax PG - 105--110 VI - 59 IP - 2 4099 - http://thorax.bmj.com/content/59/2/105.short 4100 - http://thorax.bmj.com/content/59/2/105.full SO - Thorax2004 Feb 01; 59 AB - Background: There is current interest in the possible protective effect of long chain (n-3) fatty acids from fish in chronic lung diseases such as asthma. The aim of this community based cross sectional study was to determine whether plasma long chain (n-3) fatty acids, as a measure of dietary intake, differed between 1601 young adults with and without asthma. Methods: Subjects of mean (SD) age 34.6 (7.1) years completed a detailed respiratory questionnaire, food frequency questionnaire, skin prick testing, and lung function tests including methacholine challenge test for bronchial hyperreactivity (BHR) and had venous blood taken for analysis of plasma fatty acids. Plasma fatty acid levels (%) were analysed using multiple logistic regression with alternative definitions of asthma and atopy as the outcomes. Results: Atopy was not associated with any plasma fatty acid. The n-3 polyunsaturated fatty acids and n-6:n-3 ratio were not consistently associated with asthma or atopy. The n-6 polyunsaturated fatty acid dihomo γ-linolenic acid (DHGLA) was positively associated with current asthma (OR = 1.30, 95% CI 1.06 to 1.60), asthma (OR = 1.34, 95% CI 1.13 to 1.60), and doctor diagnosed asthma (OR = 1.25, 95% CI 1.06 to 1.48). Conclusion: Plasma n-3 fatty acids are not associated with a reduced risk of asthma or atopy among young adults. The association of DHGLA with asthma warrants further research to determine a cause-effect relationship.