Evidence map›Paper›PMID 42612825›Full record

ArticleThe Journal of nutrition2026

Moderate Compared With Low Serum ω-3 PUFAs Are Associated With Favorable Scholastic Outcomes in Ugandan Adolescents Regardless of Perinatal HIV Status.

Vanessa N Cardino, Eshika Avidi, Bushra Shah, Bruno Giordani, Sarah K Zalwango, Jenifer I Fenton, Amara E Ezeamama

Abstract read
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Article in The Journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Vanessa N CardinoDepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI, United States.
Eshika AvidiDepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI, United States.
Bushra ShahDepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI, United States.
Bruno GiordaniDepartments of Psychiatry, Neurology, Psychology, and School of Nursing, University of Michigan, Ann Arbor, MI, United States.
Sarah K ZalwangoDirectorate of Public Health and Environment, Kampala Capital City Authority, Kampala, Uganda.
Jenifer I FentonDepartment of Food Science and Human Nutrition, Michigan State University, East Lansing, MI, United States. Electronic address: imigjeni@msu.edu.
Amara E EzeamamaDepartment of Psychiatry, Michigan State University, East Lansing, MI, United States.

Funding

Identifying Adolescents at High Risk of Neurocognitive Disorder: Development and Validation of a Composite Risk IndexR01NS122510 · NINDS · MICHIGAN STATE UNIVERSITY · PI EZEAMAMA, AMARA E · 2020 to 2023
$3.1M
Perinatal HIV infection/exposure, stress and long-term functional survival in Ugandan adolescentsR21HD088169 · NICHD · MICHIGAN STATE UNIVERSITY · PI EZEAMAMA, AMARA E · 2017 to 2018
$696k
NICHD NIH HHS R21 HD088169NINDS NIH HHS R01 NS122510
6 · The paper itself

Abstract

backgroundAssociations between fatty acids (FAs) and scholastic outcomes in adolescents are understudied. These relationships may be especially important in adolescents with perinatal HIV exposure or infection who are more vulnerable to FA insufficiency and educational disruption.

objectivesTo evaluate associations between baseline FAs, including essential FA deficiency (EFAD), and scholastic outcomes over 18 mo, and to assess heterogeneity by perinatal HIV status among Ugandan adolescents.

methodsAdolescents (n = 373) were followed for 18 mo. Baseline serum FAs, including the triene:tetraene (T:T) ratio, were categorized into tertiles ("low," "moderate," and "high"). Scholastic outcomes were assessed every 6 mo via questionnaires. Self-report scholastic disadvantage, school aversion, and teacher challenge were age- and sex-standardized to z-scores; grade repetition, non-enrollment, and morbidity-related educational loss were dichotomous. Time-averaged mean differences (MDs) or odds ratios (ORs) and 95% confidence intervals (CIs) were measured using adjusted linear mixed-effects models or generalized estimating equations. FA × HIV interactions assessed heterogeneity by perinatal HIV status.

resultsModerate compared with low total omega (ω)-3 polyunsaturated FAs (PUFAs) were associated with lower teacher challenge [MD (95% CI): -0.27 (-0.47, -0.07)], whereas a higher ω-6:ω-3 ratio was associated with greater teacher challenge [0.30 (0.07, 0.52)]. Contrary to hypotheses, a high compared with low T:T ratio was associated with lower school aversion [-0.36 (-0.73, 0.00)] and non-enrollment OR [OR (95% CI): 0.57 (0.35, 0.94)]. High Mead acid concentrations, however, correlated with higher odds of morbidity-related educational loss [2.48 (1.01, 6.15)]. Associations were more consistent for standardized z-score outcomes than dichotomous outcomes. When heterogeneity was present, associations differed by HIV status, with patterns varying across outcomes.

conclusionsω-3 PUFAs and the ω-6:ω-3 ratio are more consistently associated with scholastic outcomes than EFAD markers, highlighting the importance of ω-3 PUFA status among adolescents affected by perinatal HIV. Future studies may consider these findings to develop tailored nutritional interventions.

Indexed as

Fatty Acids, Omega-3HIV InfectionsAdolescentFemaleHumansMaleUgandaFatty Acids, Omega-3adolescentfatty acidsHIVscholastic outcomesUganda

Identifiers

PMID42612825
PMCPMC13678630

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.