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Effect of Docosahexaenoic Acid on a Biomarker of Head Trauma in American Football

Oliver, JM; Jones, MT; Kirk, KM; Gable, DA; Repshas, JT; Johnson, TA; Andreasson, U; ... Zetterberg, H; + view all (2016) Effect of Docosahexaenoic Acid on a Biomarker of Head Trauma in American Football. Medicine & Science in Sports & Exercise , 48 (6) pp. 974-982. 10.1249/MSS.0000000000000875. Green open access

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Abstract

PURPOSE: American football athletes are exposed to subconcussive impacts over the course of the season resulting in elevations in serum neurofilament light (NFL), a biomarker of axonal injury. Docosahexaenoic acid (DHA) has been reported to reduce axonal trauma associated with traumatic brain injury in rodent models. However, the optimal dose in American football athletes is unknown. This study examined the effect of differing doses of DHA on serum NFL over the course of a season of American football. METHODS: In a randomized, double-blind, placebo-controlled, parallel design, 81 National Collegiate Athletic Association Division I American football athletes were assigned to ingest either 2, 4, 6 g·d−1 of DHA or placebo. Blood was sampled at specific times over the course of 189 d, coincident with changes in intensity, hours of contact, and likely changes in head impacts. Standardized magnitude-based inference was used to define outcomes. RESULTS: DHA supplementation increased plasma DHA in a dose-dependent manner (2 g·d⁻¹: mean difference from baseline; ±90% CL; 2 g·d⁻¹: 1.3; ±0.6; 4 g·d⁻¹: 1.6; ±0.7%; 6 g·d⁻¹: 1.6; ±0.7%; 6 g·d⁻¹) versus nonstarters (1398 ± 581 pg·mL⁻¹; P = 0.024). Irrespective of dose, supplemental DHA likely attenuated serum NFL coincident with increases in serum NFL by likely small and moderate magnitude (effect size = 0.4–0.7). CONCLUSIONS: Findings from this study, the first large-scale study examining potential prophylactic use of DHA in American football athletes, include identification of optimal dose of DHA, suggesting a neuroprotective effect of DHA supplementation.

Type: Article
Title: Effect of Docosahexaenoic Acid on a Biomarker of Head Trauma in American Football
Open access status: An open access version is available from UCL Discovery
DOI: 10.1249/MSS.0000000000000875
Publisher version: http://doi.org/10.1249/MSS.0000000000000875
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
URI: https://discovery.ucl.ac.uk/id/eprint/10068949
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