L’augmentation de la longévité et une meilleure prise en charge des maladies cardiovasculaires entraînent un accroissement de la fréquence des maladies liées au vieillissement cérébral, les accidents vasculaires cérébraux (AVC) et la démence étant les plus fréquents. Les marqueurs IRM de vieillissement cérébrovasculaire (hypersignaux de la substance blanche [HSB], infarctus silencieux, microhémorragies) sont de forts prédicteurs d’AVC et de démence, très fréquents en population générale âgée et facilement mesurables. Nous avons étudié l’association entre des composantes du métabolisme lipidique (taux de lipides plasmatiques, génotype ε de l’Apolipoprotéine E [APOE]) et les marqueurs IRM de vieillissement cérébrovasculaire. Nous rapportons dans une revue systématique et méta-analyse que l’allèle APOEε4 est associé à un volume accru de HSB et à un risque accru de microhémorragies et que l’allèle APOEε2 est associé avec un volume accru de HSB et une fréquence plus élevée d’infarctus silencieux. Nous rapportons dans les études 3C-Dijon et EVA, que les taux croissants de triglycérides (TG) sont associés à un volume accru de HSB et à une fréquence plus élevée de lacunes (petits infarctus silencieux). Enfin nous avons exploré la signification clinique de ces associations dans l’étude 3C. Nous rapportons que des taux plus élevés de TG, LDL-cholestérol, et cholestérol total sont associés à un risque accru de démence et de ses sous-types, en population générale âgée de 74 ans à l’inclusion et suivie pendant 12 ans. Nous concluons que le métabolisme lipidique est associé aux marqueurs IRM de vieillissement cérébrovasculaire et à la démence. / Increasing longevity and improved management of cardiovascular diseases has led to an increase in the frequency of age-related neurological diseases, especially stroke and dementia. MRI markers of vascular brain injury (white matter hyperintensities [WMH], silent infarcts and microbleeds) are powerful predictors of stroke and dementia, very frequent in the elderly, and can be measured easily. We studied the association between some components of lipid metabolism (plasma lipid levels, Apolipoprotein E [APOE] ε genotype) and MRI markers of vascular brain injury. We found in a systematic review with meta-analysis that the ε4 allele of the APOE gene is associated with larger WMH volume and a higher frequency of cerebral microbleeds, and that the APOEε2 allele is associated with larger WMH volume and a higher frequency of silent brain infarcts. We also report in the 3C-Dijon Study and in the EVA study that higher triglyceride levels are associated with an increased WMH volume and with a higher frequency of silent lacunar (small subcortical) brain infarcts. Finally, we investigated the clinical significance of these associations the 3C Study. We observed that higher triglycerides, LDL-cholesterol and total cholesterol levels, were associated with an increased risk of all dementia and its subtypes, in community persons aged 74 years at baseline and followed for up to 12 years. We conclude that lipid metabolism is associated with MRI-markers of cerebrovascular aging and dementia.

CNPq / Brazil presents an important commercial fishing pole, which turns it to become relevant considering the benefits that consumption of fish plays in human nutrition. Canned fish promotes long shelf life of these food. However, foods that are rich sources of polyunsaturated fatty acids and cholesterol, such as tuna, have a great susceptibility for lipid oxidation when exposed to thermal processing. Cholesterol oxidation products (COP?s) are related to several diseases such as atherosclerosis, and can be absorbed from the diet. Thus, this study aimed to evaluate the lipid composition and COP?s production in canned tuna purchased from metropolitan area of Rio de Janeiro. Three trademarks of ?grated in brine? and ?in oil? canned tuna were evaluated. To determinate lipid oxidation, the fatty acid composition from the methyl esters of the fish and their brine were identified using gas chromatography with flame ionisation detector; cholesterol and cholesterol oxides were determined simultaneously, using high-performance liquid chromatography and confirmed by liquid chromatograph mass spectrometer (chemical ionization interface for atmospheric pressure) (APCI-MS). Tuna in ?brine? samples presented moisture contents in a range of 24.60 to 27.23g/100g; lipids contents ranging from 4.21 to 5.59g/100g; polyunsaturated fatty acids (PUFA) levels between 9.13 to 16,20g/100g, and high saturated fatty acids (SFA) contents (in a range of 54.66 to 59.85g/100g) (dry basis-DB). The nutritional quality index showed that lipid fractions presented undesirable values. These samples presented cholesterol concentration ranging from 190.95 to 399.28mg/100g, and high cholesterol oxidation products contents (between 321.42 and 414.94?g/100g- DB). Samples of ?in oil? canned tuna presented moisture and lipids contents of 31.93 to 51.33g/100g and 23.70 to 43.99g/100g, respectively; high polyunsaturated fatty acids concentration (46.06 to 49.92g/100g), especially the w6 series; and low levels of EPA and DHA amounts (in a range of 0.59 and 1.73g/100g). Cholesterol and COP?s contents varied from 135.90 to 191.92mg/100g and from 110.97 to 207.19?g/100g, respectively. Significate concentrations of cholesterol were identified in brine (18.99 to 37.10mg/100g) and ?in oil? samples (113.09 to 259.12mg/100g), and high COP?s contents were found (in a range of 230.54 and 477.12?g/100g from brine and 44.15 to 151.18?g/100g from ?in oil? samples). It was observed that there is a transference of lipids from fish to brine, as well as migration between fish lipids and vegetable oils in the ?oil? covers, changing the fatty acids profiles of both. It is considered that the production of canned fish contributes to loss of lipid quality, promotes fatty acids oxidation and induces the formation of cholesterol oxidation products. These results indicate that is necessary to conduct further studies to evaluate the occurrence of these undesirable compounds in fish products. / O Brasil possui um importante polo de pesca comercial, fato que se torna relevante considerando os benef?cios que o consumo de pescados desempenha na nutri??o humana. As conservas de peixes promovem nestes alimentos tempos de vida ?til prolongados. Entretanto, os alimentos ricos em ?cidos graxos poliinsaturados e colesterol, como os atuns, quando submetidos ao processamento t?rmico, apresentam grande potencial para a oxida??o lip?dica. Os produtos da oxida??o do colesterol (POC?s) est?o envolvidos no desenvolvimento de doen?as, como a aterosclerose, e podem ser absorvidos a partir da dieta. Desta forma, este trabalho teve como objetivos avaliar a composi??o lip?dica e a forma??o dos POC?s em conservas de atuns comercializadas na regi?o metropolitana do Rio de Janeiro. Foram avaliadas amostras de conservas ?raladas? em ?salmoura? e em ??leo? de 3 marcas comerciais. Para determina??o da oxida??o lip?dica, identificou-se a composi??o de ?cidos graxos dos atuns e respectivos l?quidos de coberturas a partir dos ?steres met?licos, atrav?s de Cromatografia Gasosa com detector de ioniza??o por chama; al?m da quantifica??o simult?nea do colesterol e dos POC?s, atrav?s de cromatografia l?quida de alta efici?ncia e confirmados por cromat?grafo l?quido com espetr?metro de massas (interface de ioniza??o qu?mica por press?o atmosf?rica) (APCI-MS). Os atuns em ?salmoura? apresentaram m?dias entre 24,60 a 27,23g/100g de umidade; entre 4,21 a 5,59g/100g de lip?deos; teores de 9,13 a 16,20g/100g de ?cidos graxos poliinsaturados (AGPI), e elevadas concentra??es de ?cidos graxos saturados (AGS) (entre 54,66 a 59,85g/100g), em base seca (BS). Foram evidenciados nos ?ndices de qualidade nutricional das fra??es lip?dicas com valores pouco desej?veis sob o ponto de vista nutricional. As concentra??es de colesterol nessas amostras variaram entre 190,95 a 399,28mg/100g, e foram identificados elevados teores de produtos de oxida??o do colesterol (entre 321,42 e 414,94?g/g/100g), em BS. As amostras de atuns em conservas contendo ??leo? apresentaram teores entre 31,93 e 51,33g/100g de umidade; entre 23,70 e 43,99g/100g de lip?deos, elevadas concentra??es de ?cidos graxos poliinsaturados (de 46,06 a 49,92g/100g), em especial os da s?rie w6 e reduzidos teores na soma de EPA e DHA (entre 0,59 e 1,73g/100g). As concentra??es de colesterol variaram entre 135,90 e 191,92mg/100g e os POC?s de 110,97 a 207,19?g/100g. Em rela??o aos l?quidos de coberturas, foram identificadas concentra??es significativas de colesterol (de 18,99 a 37,10mg/100g nas salmouras e de 113,09 a 259,12mg/100g nos ?leos, respectivamente), al?m de elevados teores de produtos de oxida??o do colesterol (entre 230,54 e 477,12?g/100g nas salmouras e entre 44,15 e 151,18?g/100g nos ?leos). Observou-se a transfer?ncia de lip?deos dos pescados para os l?quidos em ?salmoura?, al?m da migra??o de lip?deos entre os pescados e os ?leos vegetais nas conservas em ??leo?, alterando os perfis de ?cidos graxos de ambos os meios. Considera-se que a produ??o de conservas de peixes favorece a perda da sua qualidade lip?dica, promovem oxida??o de ?cidos graxos e induzem a forma??o de produtos de oxida??o do colesterol, fato que indica a necessidade da condu??o de novos estudos que avaliem a ocorr?ncia desses compostos indesej?veis oriundos da oxida??o lip?dica em produtos de pescados.