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n-3多不饱和脂肪酸/γ-环糊精复合物对健康志愿者血脂的影响——一项随机、安慰剂对照、双盲试验。

The effect of n - 3 PUFA/gamma-cyclodextrin complex on serum lipids in healthy volunteers--a randomized, placebo-controlled, double-blind trial.

作者信息

Kobayashi Koji, Hamazaki Kei, Fujioka Shuntaro, Terao Keiji, Yamamoto Junji, Kobayashi Satoru

机构信息

Division of Clinical Application, Department of Clinical Sciences, Institute of Natural Medicine, University of Toyama, 2630 Sugitani, Toyama-city, Toyama 9300194, Japan.

出版信息

Asia Pac J Clin Nutr. 2007;16(3):429-34.

Abstract

OBJECTIVES

This study was carried out to examine whether serum triglyceride concentrations were decreased by administration of n-3 polyunsaturated fatty acid (PUFA)/gamma-cyclodextrin (gamma-CD) complex-containing capsules as reported previously with n-3PUFA without gamma-CD.

STUDY DESIGN

A placebo-controlled double-blind study with healthy subjects (n=35) and hypertriglyceridemic subjects (n=7) of 35-66 years of age was performed. The subjects were randomized to a group (n-3 group) supplemented with n-3PUFA/gamma-CD-containing capsules (660 mg EPA + 280 mg DHA/day) or a control group supplemented with capsules containing essentially no n-3 PUFA for 8 weeks with stratification by sex, age, and serum triglyceride levels in a double blind manner. Fasting blood samples were obtained at the start of administration and 4 and 8 weeks afterward.

RESULTS

EPA concentrations in the total phospholipid fraction of red blood cells increased significantly in all subjects in the n-3 group, whereas no changes were seen in the control group. Triglyceride levels were significantly decreased (-17%) in the n-3 group compared with the control group at week 8. The following serum lipids did not significantly change over time: total-cholesterol, low-density lipoprotein-cholesterol and high-density lipoprotein-cholesterol. Only two subjects in the n-3 group guessed at the end of the study that their capsules were active.

CONCLUSION

n-3 PUFA/gamma-CD complex lowered triglyceride levels in normal and slightly hypertriglyceridemic subjects. There was a possibility that gamma-CD might at least partly cover the smell and aftertaste of fish oil.

摘要

目的

本研究旨在探讨给予含n-3多不饱和脂肪酸(PUFA)/γ-环糊精(γ-CD)复合物的胶囊是否如先前报道的不含γ-CD的n-3PUFA那样能降低血清甘油三酯浓度。

研究设计

对35 - 66岁的健康受试者(n = 35)和高甘油三酯血症受试者(n = 7)进行了一项安慰剂对照双盲研究。受试者被随机分为一组(n-3组),补充含n-3PUFA/γ-CD的胶囊(660毫克二十碳五烯酸+ 280毫克二十二碳六烯酸/天),或对照组,补充基本不含n-3PUFA的胶囊,为期8周,采用双盲方式按性别、年龄和血清甘油三酯水平分层。在给药开始时以及给药后4周和8周采集空腹血样。

结果

n-3组所有受试者红细胞总磷脂部分中的二十碳五烯酸浓度显著增加,而对照组未见变化。与对照组相比,n-3组在第8周时甘油三酯水平显著降低(-17%)。以下血脂随时间未出现显著变化:总胆固醇、低密度脂蛋白胆固醇和高密度脂蛋白胆固醇。n-3组只有两名受试者在研究结束时猜测他们服用的胶囊是有效的。

结论

n-3 PUFA/γ-CD复合物可降低正常和轻度高甘油三酯血症受试者的甘油三酯水平。γ-CD有可能至少部分掩盖鱼油的气味和余味。

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