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ruby  留話於：2011/6/14 |
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魚油有助於減緩氣喘症狀，但幼兒是否適合長期使用魚油? |
吾兒今年三歲半，年初氣喘常常發作，吃類固醇吃到身體越來越虛弱，經轉診後，幸得其他醫師建議可食用魚油(內含豐富的omega3)減緩過敏現象，食用後過敏症狀確實明顯控制。但查到相關資料顯示魚油不適合嬰幼兒食用(EPA)，並表示嬰幼兒食用植物性DHA/AA較為恰當。我想請問植物性DHA/AA能取代魚油的omega3，有效的減緩過敏現象嗎?或者幼兒食用魚油並無大礙，挑選的標準為何?可接受的量是多少?盼各位醫生能為我解惑，謝謝!! |
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除了藥物治療,目前市面上已有愈來愈多與免疫調節相關的健康食品如含有Omega-3脂肪酸的魚油、益生菌，而魚油是目前擁有最多研究報告的營養素。我們的身體中有一種必需脂肪酸─Omega-6脂肪酸，其衍生的前列腺素（PGI2）會製造出發炎物質，如果人在飲食中攝取過多的Omega-6脂肪酸，就會促進前列腺素分泌，使得發炎物質增加。魚油主要成分是Omega-3脂肪酸（DHA、EHA），其作用就是平衡過量的Omega-6脂肪酸所產生的前列腺素，以減少發炎物質的形成。
目前美國FDA只建議孕婦每週不要攝取超過340公克的深海魚,對幼兒並無禁止食用之建議。俗稱植物性魚油的亞麻子油，也富含omega-3油酸，不過其中的ALA需要在人體內轉化為如深海魚油中的EPA及DHA才能被人體吸收利用; 更年期後的婦女，更會因為女性荷爾蒙的不足，而阻斷ALA轉變成EPA及DHA的過程，所以嬰幼兒服用植物性魚油並不影響效用。
如果要購買魚油，目前衛生署食品衛生處有審核通過的魚油健康食品，可至（http://food.doh.gov.tw/chinese/info/healthfoodlist.doc）查詢。體重在30公斤以下的兒童，每天只需服用1500-2000毫克,目前市售兒童魚油劑量都不同,不同廠牌會有建議劑量
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