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共轭亚油酸和ω-3脂肪酸补充剂对动脉粥样硬化血脂水平的影响。

The effect of conjugated linoleic acids and omega-3 fatty acids supplementation on lipid profile in atherosclerosis.

作者信息

Eftekhari Mohammad Hassan, Aliasghari Fereshte, Beigi Mohammad Ali Babaei, Hasanzadeh Jafar

机构信息

Nutrition Department, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Iran.

Heart Department, School of Medical Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Adv Biomed Res. 2014 Jan 9;3:15. doi: 10.4103/2277-9175.124644. eCollection 2014.

Abstract

BACKGROUND

Cardiovascular diseases (CVD) are the most serious cause of mortality in developed and developing countries. Epidemiological studies indicated that dyslipidemia is the major risk factor of CVD. Dyslipidemia can be modified either by proper lifestyle or medical intervention or by the combination of both. Conjugated linoleic acids (CLA) and ω3 fatty acids have beneficial effects on plasma lipids and lipoproteins. The aim of this study was to evaluate the effect of CLA and omega-3 fatty acids (ω-3 fatty acids) supplementation on lipid profile in atherosclerosis patient.

MATERIALS AND METHODS

This study was a 2-month clinical randomized trial. Ninety atherosclerotic patients with angiographically diagnosed coronary atherosclerosis who were referred to Emam Reza Heart Clinic of Shiraz University of Medical Sciences from February to march 2011 were selected if they fulfilled the inclusion criteria. The participants were randomly classified into 3 groups receiving 3 g/d CLA or 1 920 mg/d ω3 or placebo for 2 months. High-density lipoprotein-cholesterol (HDL-C), low-density lipoprotein-cholesterol (LDL-C), triglycerides (TG), and total cholesterol were measured before and after the intervention. This study was a two-month clinical randomized trial.

RESULTS

Data were analyzed using SPSS software (SPSS Inc, Chicago, version19). Although CLA did not appear to have a significant effect on TG, ω3 supplementation significantly reduced TG level. Consumption of CLA and ω3 supplementation did not significantly affect HDL cholesterol, LDL cholesterol, and total cholesterol.

CONCLUSIONS

ω3 supplementation significantly reduced TG level but CLA and ω3 did not show significant changes in other indices of lipid profile in atherosclerotic patients.

摘要

背景

心血管疾病(CVD)是发达国家和发展中国家最严重的死亡原因。流行病学研究表明,血脂异常是心血管疾病的主要危险因素。血脂异常可通过适当的生活方式或医学干预或两者结合来改善。共轭亚油酸(CLA)和ω-3脂肪酸对血浆脂质和脂蛋白具有有益作用。本研究的目的是评估补充CLA和ω-3脂肪酸对动脉粥样硬化患者血脂谱的影响。

材料与方法

本研究为一项为期2个月的临床随机试验。2011年2月至3月转诊至设拉子医科大学伊玛目礼萨心脏诊所的90例经血管造影诊断为冠状动脉粥样硬化的患者,若符合纳入标准则被选中。参与者被随机分为3组,分别接受3g/d的CLA或1920mg/d的ω-3或安慰剂,为期2个月。在干预前后测量高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)和总胆固醇。本研究为一项为期两个月的临床随机试验。

结果

使用SPSS软件(SPSS公司,芝加哥,第19版)对数据进行分析。虽然CLA似乎对TG没有显著影响,但补充ω-3可显著降低TG水平。摄入CLA和补充ω-3对HDL胆固醇、LDL胆固醇和总胆固醇没有显著影响。

结论

补充ω-3可显著降低TG水平,但CLA和ω-3在动脉粥样硬化患者的其他血脂谱指标上未显示出显著变化。

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