Skip to main content
Top
Published in: Nutrition Journal 1/2013

Open Access 01-12-2013 | Research

A randomized trial of fish oil omega-3 fatty acids on arterial health, inflammation, and metabolic syndrome in a young healthy population

Authors: Martin Root, Scott R Collier, Kevin A Zwetsloot, Katrina L West, Megan C McGinn

Published in: Nutrition Journal | Issue 1/2013

Login to get access

Abstract

Background

Long chain omega-3 fatty acids from fish oils (O3) are known to have beneficial effects on a number of vascular risk factors in at-risk populations. The effects of a highly bioavailable emulsified preparation on an overweight young adult population are less well known.

Methods

Young adults, age 18–30, with body mass indices (BMIs) greater than 23 (average = 28.1) were administered 1.7 g of O3 per day (N = 30) or safflower oil placebo (N = 27) in an emulsified preparation (Coromega, Inc.) for 4 weeks in a double-blind randomized design. Blood was drawn and anthropometric measurements taken before and after dosing. Hemodynamic measures (central pulse wave velocity, augmentation index, and aortic systolic blood pressure), inflammatory cytokines (IL-6, IL-8, IL-10, and tumor necrosis factor-α), red blood cell and plasma phospholipid fatty acid profiles, fasting serum lipids, glucose, and C-reactive protein were measured.

Results

Red cell and plasma phospholipid eicosapentaenoic acid and docosahexaenoic acid concentrations increased over the four weeks of dosing in the O3 group. Dosing with O3 did not affect central pulse wave velocity, augmentation index, or aortic systolic blood pressure. None of the five American Heart Association metabolic syndrome components improved over the dosing period. None of the inflammatory cytokines, C-reactive protein, or lipids (total or LDL cholesterol) improved over the dosing period.

Conclusions

No salutary effects of O3 were observed in hemodynamic, metabolic syndrome criteria or inflammatory markers as a result of this relatively short period of administration in this relatively overweight, but healthy young adult cohort.
Appendix
Available only for authorised users
Literature
1.
go back to reference Committee DGA: Part D. Section 3: Fatty Acids and Cholesterol. Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2010. 2010 Committee DGA: Part D. Section 3: Fatty Acids and Cholesterol. Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2010. 2010
2.
go back to reference Ahn M-S, Kim J-Y, Youn YJ, Kim S-Y, Koh S-B, Lee K, Yoo B-S, Lee S-H, Yoon J, Park J-K, Choe K-H: Cardiovascular Parameters Correlated with Metabolic Syndrome in a Rural Community Cohort of Korea: The ARIRANG Study. J Korean Med Sci. 2010, 25: 1045-1052. 10.3346/jkms.2010.25.7.1045.CrossRefPubMedPubMedCentral Ahn M-S, Kim J-Y, Youn YJ, Kim S-Y, Koh S-B, Lee K, Yoo B-S, Lee S-H, Yoon J, Park J-K, Choe K-H: Cardiovascular Parameters Correlated with Metabolic Syndrome in a Rural Community Cohort of Korea: The ARIRANG Study. J Korean Med Sci. 2010, 25: 1045-1052. 10.3346/jkms.2010.25.7.1045.CrossRefPubMedPubMedCentral
3.
4.
go back to reference Chong MF, Lockyer S, Saunders CJ, Lovegrove JA: Long chain n-3 PUFA-rich meal reduced postprandial measures of arterial stiffness. Clin Nutr. 2010, 29: 678-681. 10.1016/j.clnu.2010.02.001.CrossRefPubMed Chong MF, Lockyer S, Saunders CJ, Lovegrove JA: Long chain n-3 PUFA-rich meal reduced postprandial measures of arterial stiffness. Clin Nutr. 2010, 29: 678-681. 10.1016/j.clnu.2010.02.001.CrossRefPubMed
5.
go back to reference Dangardt F, Osika W, Chen Y, Nilsson U, Gan L-M, Gronowitz E, Strandvik B, Friberg P: Omega-3 fatty acid supplementation improves vascular function and reduces inflammation in obese adolescents. Atherosclerosis. 2010, 212: 580-585. 10.1016/j.atherosclerosis.2010.06.046.CrossRefPubMed Dangardt F, Osika W, Chen Y, Nilsson U, Gan L-M, Gronowitz E, Strandvik B, Friberg P: Omega-3 fatty acid supplementation improves vascular function and reduces inflammation in obese adolescents. Atherosclerosis. 2010, 212: 580-585. 10.1016/j.atherosclerosis.2010.06.046.CrossRefPubMed
6.
go back to reference Mackay I, Ford I, Thies F, Fielding S, Bachoo P, Brittenden J: Effect of Omega-3 fatty acid supplementation on markers of platelet and endothelial function in patients with peripheral arterial disease. Atherosclerosis. 2012, 221: 514-520. 10.1016/j.atherosclerosis.2011.12.041.CrossRefPubMed Mackay I, Ford I, Thies F, Fielding S, Bachoo P, Brittenden J: Effect of Omega-3 fatty acid supplementation on markers of platelet and endothelial function in patients with peripheral arterial disease. Atherosclerosis. 2012, 221: 514-520. 10.1016/j.atherosclerosis.2011.12.041.CrossRefPubMed
7.
go back to reference Tai CC, Ding ST: N-3 polyunsaturated fatty acids regulate lipid metabolism through several inflammation mediators: mechanisms and implications for obesity prevention. J Nutr Biochem. 2010, 21: 357-363. 10.1016/j.jnutbio.2009.09.010.CrossRefPubMed Tai CC, Ding ST: N-3 polyunsaturated fatty acids regulate lipid metabolism through several inflammation mediators: mechanisms and implications for obesity prevention. J Nutr Biochem. 2010, 21: 357-363. 10.1016/j.jnutbio.2009.09.010.CrossRefPubMed
8.
go back to reference Adkins Y, Kelley DS: Mechanisms underlying the cardioprotective effects of omega-3 polyunsaturated fatty acids. J Nutr Biochem. 2010, 21: 781-792. 10.1016/j.jnutbio.2009.12.004.CrossRefPubMed Adkins Y, Kelley DS: Mechanisms underlying the cardioprotective effects of omega-3 polyunsaturated fatty acids. J Nutr Biochem. 2010, 21: 781-792. 10.1016/j.jnutbio.2009.12.004.CrossRefPubMed
9.
go back to reference Nestel P, Shige H, Pomeroy S, Cehun M, Abbey M, Raederstorff D: The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans. Am J Clin Nutr. 2002, 76: 326-330.PubMed Nestel P, Shige H, Pomeroy S, Cehun M, Abbey M, Raederstorff D: The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans. Am J Clin Nutr. 2002, 76: 326-330.PubMed
10.
go back to reference Theobald HE, Goodall AH, Sattar N, Talbot DC, Chowienczyk PJ, Sanders TA: Low-dose docosahexaenoic acid lowers diastolic blood pressure in middle-aged men and women. J Nutr. 2007, 137: 973-978.PubMed Theobald HE, Goodall AH, Sattar N, Talbot DC, Chowienczyk PJ, Sanders TA: Low-dose docosahexaenoic acid lowers diastolic blood pressure in middle-aged men and women. J Nutr. 2007, 137: 973-978.PubMed
11.
go back to reference Gunnarsdottir I, Tomasson H, Kiely M, Martinez JA, Bandarra NM, Morais MG, Thorsdottir I: Inclusion of fish or fish oil in weight-loss diets for young adults: effects on blood lipids. Int J Obes (Lond). 2008, 32: 1105-1112. 10.1038/ijo.2008.64.CrossRef Gunnarsdottir I, Tomasson H, Kiely M, Martinez JA, Bandarra NM, Morais MG, Thorsdottir I: Inclusion of fish or fish oil in weight-loss diets for young adults: effects on blood lipids. Int J Obes (Lond). 2008, 32: 1105-1112. 10.1038/ijo.2008.64.CrossRef
12.
go back to reference Ramel A, Martinez A, Kiely M, Morais G, Bandarra NM, Thorsdottir I: Beneficial effects of long-chain n-3 fatty acids included in an energy-restricted diet on insulin resistance in overweight and obese European young adults. Diabetologia. 2008, 51: 1261-1268. 10.1007/s00125-008-1035-7.CrossRefPubMed Ramel A, Martinez A, Kiely M, Morais G, Bandarra NM, Thorsdottir I: Beneficial effects of long-chain n-3 fatty acids included in an energy-restricted diet on insulin resistance in overweight and obese European young adults. Diabetologia. 2008, 51: 1261-1268. 10.1007/s00125-008-1035-7.CrossRefPubMed
13.
go back to reference Ramel A, Martinez JA, Kiely M, Bandarra NM, Thorsdottir I: Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction. Nutrition. 2010, 26: 168-174. 10.1016/j.nut.2009.04.002.CrossRefPubMed Ramel A, Martinez JA, Kiely M, Bandarra NM, Thorsdottir I: Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction. Nutrition. 2010, 26: 168-174. 10.1016/j.nut.2009.04.002.CrossRefPubMed
14.
go back to reference Ramel A, Parra D, Martinez JA, Kiely M, Thorsdottir I: Effects of seafood consumption and weight loss on fasting leptin and ghrelin concentrations in overweight and obese European young adults. Eur J Nutr. 2009, 48: 107-114. 10.1007/s00394-008-0769-9.CrossRefPubMed Ramel A, Parra D, Martinez JA, Kiely M, Thorsdottir I: Effects of seafood consumption and weight loss on fasting leptin and ghrelin concentrations in overweight and obese European young adults. Eur J Nutr. 2009, 48: 107-114. 10.1007/s00394-008-0769-9.CrossRefPubMed
15.
go back to reference Ian Givens D, Gibbs RA: Current intakes of EPA and DHA in European populations and the potential of animal-derived foods to increase them. Proc Nutr Soc. 2008, 67: 273-280. 10.1017/S0029665108007167.CrossRefPubMed Ian Givens D, Gibbs RA: Current intakes of EPA and DHA in European populations and the potential of animal-derived foods to increase them. Proc Nutr Soc. 2008, 67: 273-280. 10.1017/S0029665108007167.CrossRefPubMed
16.
go back to reference Urbina EM, Kimball TR, Khoury PR, Daniels SR, Dolan LM: Increased arterial stiffness is found in adolescents with obesity or obesity-related type 2 diabetes mellitus. J Hypertens. 2010, 28: 1692-1698. 10.1097/HJH.0b013e32833a6132.CrossRefPubMedPubMedCentral Urbina EM, Kimball TR, Khoury PR, Daniels SR, Dolan LM: Increased arterial stiffness is found in adolescents with obesity or obesity-related type 2 diabetes mellitus. J Hypertens. 2010, 28: 1692-1698. 10.1097/HJH.0b013e32833a6132.CrossRefPubMedPubMedCentral
17.
go back to reference Adkisson EJ, Casey DP, Beck DT, Gurovich AN, Martin JS, Braith RW: Central, peripheral and resistance arterial reactivity: fluctuates during the phases of the menstrual cycle. Exp Biol Med. 2010, 235: 111-118. 10.1258/ebm.2009.009186.CrossRef Adkisson EJ, Casey DP, Beck DT, Gurovich AN, Martin JS, Braith RW: Central, peripheral and resistance arterial reactivity: fluctuates during the phases of the menstrual cycle. Exp Biol Med. 2010, 235: 111-118. 10.1258/ebm.2009.009186.CrossRef
18.
go back to reference Lands WE, Libelt B, Morris A, Kramer NC, Prewitt TE, Bowen P, Schmeisser D, Davidson MH, Burns JH: Maintenance of lower proportions of (n - 6) eicosanoid precursors in phospholipids of human plasma in response to added dietary (n - 3) fatty acids. Biochim Biophys Acta. 1992, 1180: 147-162. 10.1016/0925-4439(92)90063-S.CrossRefPubMed Lands WE, Libelt B, Morris A, Kramer NC, Prewitt TE, Bowen P, Schmeisser D, Davidson MH, Burns JH: Maintenance of lower proportions of (n - 6) eicosanoid precursors in phospholipids of human plasma in response to added dietary (n - 3) fatty acids. Biochim Biophys Acta. 1992, 1180: 147-162. 10.1016/0925-4439(92)90063-S.CrossRefPubMed
19.
go back to reference Bligh EG, Dyer WJ: A rapid method of total lipid extraction and purification. Can J Biochem Physiol. 1959, 37: 911-917. 10.1139/o59-099.CrossRefPubMed Bligh EG, Dyer WJ: A rapid method of total lipid extraction and purification. Can J Biochem Physiol. 1959, 37: 911-917. 10.1139/o59-099.CrossRefPubMed
20.
go back to reference Raatz SK, Redmon JB, Wimmergren N, Donadio JV, Bibus DM: Enhanced absorption of n-3 fatty acids from emulsified compared with encapsulated fish oil. J Am Diet Assoc. 2009, 109: 1076-1081. 10.1016/j.jada.2009.03.006.CrossRefPubMedPubMedCentral Raatz SK, Redmon JB, Wimmergren N, Donadio JV, Bibus DM: Enhanced absorption of n-3 fatty acids from emulsified compared with encapsulated fish oil. J Am Diet Assoc. 2009, 109: 1076-1081. 10.1016/j.jada.2009.03.006.CrossRefPubMedPubMedCentral
21.
go back to reference Riggio S, Mandraffino G, Sardo MA, Iudicello R, Camarda N, Imbalzano E, Alibrandi A, Saitta C, Carerj S, Arrigo T, Saitta A: Pulse wave velocity and augmentation index, but not intima-media thickness, are early indicators of vascular damage in hypercholesterolemic children. Eur J Clin Invest. 2010, 40: 250-257. 10.1111/j.1365-2362.2010.02260.x.CrossRefPubMed Riggio S, Mandraffino G, Sardo MA, Iudicello R, Camarda N, Imbalzano E, Alibrandi A, Saitta C, Carerj S, Arrigo T, Saitta A: Pulse wave velocity and augmentation index, but not intima-media thickness, are early indicators of vascular damage in hypercholesterolemic children. Eur J Clin Invest. 2010, 40: 250-257. 10.1111/j.1365-2362.2010.02260.x.CrossRefPubMed
22.
go back to reference Sjoberg NJ, Milte CM, Buckley JD, Howe PRC, Coates AM, Saint DA: Dose-dependent increases in heart rate variability and arterial compliance in overweight and obese adults with DHA-rich fish oil supplementation. Br J Nutr. 2010, 103: 243-248. 10.1017/S000711450999153X.CrossRefPubMed Sjoberg NJ, Milte CM, Buckley JD, Howe PRC, Coates AM, Saint DA: Dose-dependent increases in heart rate variability and arterial compliance in overweight and obese adults with DHA-rich fish oil supplementation. Br J Nutr. 2010, 103: 243-248. 10.1017/S000711450999153X.CrossRefPubMed
23.
go back to reference Sanders TA, Hall WL, Maniou Z, Lewis F, Seed PT, Chowienczyk PJ: Effect of low doses of long-chain n-3 PUFAs on endothelial function and arterial stiffness: a randomized controlled trial. Am J Clin Nutr. 2011, 94: 973-980. 10.3945/ajcn.111.018036.CrossRefPubMed Sanders TA, Hall WL, Maniou Z, Lewis F, Seed PT, Chowienczyk PJ: Effect of low doses of long-chain n-3 PUFAs on endothelial function and arterial stiffness: a randomized controlled trial. Am J Clin Nutr. 2011, 94: 973-980. 10.3945/ajcn.111.018036.CrossRefPubMed
24.
go back to reference Pedersen MH, Mølgaard C, Hellgren LI, Lauritzen L: Effects of Fish Oil Supplementation on Markers of the Metabolic Syndrome. J Pediatr. 2010, 157: 395-400. 10.1016/j.jpeds.2010.04.001.CrossRefPubMed Pedersen MH, Mølgaard C, Hellgren LI, Lauritzen L: Effects of Fish Oil Supplementation on Markers of the Metabolic Syndrome. J Pediatr. 2010, 157: 395-400. 10.1016/j.jpeds.2010.04.001.CrossRefPubMed
25.
go back to reference Benito P, Caballero J, Moreno J, Gutiérrez-Alcántara C, Muñoz C, Rojo G, Garcia S, Soriguer FC: Effects of milk enriched with [omega]-3 fatty acid, oleic acid and folic acid in patients with metabolic syndrome. Clin Nutr. 2006, 25: 581-587. 10.1016/j.clnu.2005.12.006.CrossRefPubMed Benito P, Caballero J, Moreno J, Gutiérrez-Alcántara C, Muñoz C, Rojo G, Garcia S, Soriguer FC: Effects of milk enriched with [omega]-3 fatty acid, oleic acid and folic acid in patients with metabolic syndrome. Clin Nutr. 2006, 25: 581-587. 10.1016/j.clnu.2005.12.006.CrossRefPubMed
26.
go back to reference Giugliano D, Ceriello A, Esposito K: The Effects of Diet on Inflammation: Emphasis on the Metabolic Syndrome. J Am Coll Cardiol. 2006, 48: 677-685. 10.1016/j.jacc.2006.03.052.CrossRefPubMed Giugliano D, Ceriello A, Esposito K: The Effects of Diet on Inflammation: Emphasis on the Metabolic Syndrome. J Am Coll Cardiol. 2006, 48: 677-685. 10.1016/j.jacc.2006.03.052.CrossRefPubMed
27.
go back to reference Nakhai-Pour HR, Grobbee DE, Bots ML, Muller M, van der Schouw YT: C-reactive protein and aortic stiffness and wave reflection in middle-aged and elderly men from the community. J Hum Hypertens. 2007, 21: 949-955. 10.1038/sj.jhh.1002255.CrossRefPubMed Nakhai-Pour HR, Grobbee DE, Bots ML, Muller M, van der Schouw YT: C-reactive protein and aortic stiffness and wave reflection in middle-aged and elderly men from the community. J Hum Hypertens. 2007, 21: 949-955. 10.1038/sj.jhh.1002255.CrossRefPubMed
28.
go back to reference Makhoul Z, Kristal AR, Gulati R, Luick B, Bersamin A, Boyer B, Mohatt GV: Associations of very high intakes of eicosapentaenoic and docosahexaenoic acids with biomarkers of chronic disease risk among Yup'ik Eskimos. Am J Clin Nutr. 2010, 91: 777-785. 10.3945/ajcn.2009.28820.CrossRefPubMedPubMedCentral Makhoul Z, Kristal AR, Gulati R, Luick B, Bersamin A, Boyer B, Mohatt GV: Associations of very high intakes of eicosapentaenoic and docosahexaenoic acids with biomarkers of chronic disease risk among Yup'ik Eskimos. Am J Clin Nutr. 2010, 91: 777-785. 10.3945/ajcn.2009.28820.CrossRefPubMedPubMedCentral
Metadata
Title
A randomized trial of fish oil omega-3 fatty acids on arterial health, inflammation, and metabolic syndrome in a young healthy population
Authors
Martin Root
Scott R Collier
Kevin A Zwetsloot
Katrina L West
Megan C McGinn
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Nutrition Journal / Issue 1/2013
Electronic ISSN: 1475-2891
DOI
https://doi.org/10.1186/1475-2891-12-40

Other articles of this Issue 1/2013

Nutrition Journal 1/2013 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.