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比较高剂量补充 DHA 或 EPA 对心血管风险增加个体血清 TAG 反应:ComparED 研究。

Comparing the serum TAG response to high-dose supplementation of either DHA or EPA among individuals with increased cardiovascular risk: the ComparED study.

机构信息

Institut sur la nutrition et les aliments fonctionnels (INAF), Pavillon des Services,Université Laval,Québec,Canada.

Sanford School of Medicine,The University of South Dakota,Sioux Falls, SD,USA.

出版信息

Br J Nutr. 2019 Jun;121(11):1223-1234. doi: 10.1017/S0007114519000552. Epub 2019 Mar 11.

Abstract

Studies have shown that the reduction in serum TAG concentrations with long-chain n-3 fatty acid supplementation is highly variable among individuals. The objectives of the present study were to compare the proportions of individuals whose TAG concentrations lowered after high-dose DHA and EPA, and to identify the predictors of response to both modalities. In a double-blind, controlled, crossover study, 154 men and women were randomised to three supplemented phases of 10 weeks each: (1) 2·7 g/d of DHA, (2) 2·7 g/d of EPA and (3) 3 g/d of maize oil, separated by 9-week washouts. As secondary analyses, the mean intra-individual variation in TAG was calculated using the standard deviation from the mean of four off-treatment samples. The response remained within the intra-individual variation (±0·25 mmol/l) in 47 and 57 % of participants after DHA and EPA, respectively. Although there was a greater proportion of participants with a reduction >0·25 mmol/l after DHA than after EPA (45 υ. 32 %; P 0·25 mmol/l after both DHA and EPA had higher non-HDL-cholesterol, TAG and insulin concentrations compared with other responders at baseline (all P < 0·05). In conclusion, supplementation with 2·7 g/d DHA or EPA had no meaningful effect on TAG concentrations in a large proportion of individuals with normal mean TAG concentrations at baseline. Although DHA lowered TAG in a greater proportion of individuals compared with EPA, the magnitude of TAG lowering among them was similar.

摘要

研究表明,长链 n-3 脂肪酸补充剂可降低血清 TAG 浓度,但个体间的降低幅度差异很大。本研究的目的是比较高剂量 DHA 和 EPA 补充后 TAG 浓度降低的个体比例,并确定对两种方式反应的预测因素。在一项双盲、对照、交叉研究中,154 名男性和女性被随机分配到三个补充阶段,每个阶段持续 10 周:(1)每天 2·7 g DHA,(2)每天 2·7 g EPA,(3)每天 3 g 玉米油,间隔 9 周洗脱期。作为二次分析,使用四个治疗外样本的平均值的标准差来计算 TAG 的个体内变异的平均值。DHA 和 EPA 分别使 47%和 57%的参与者的 TAG 反应保持在个体内变异(±0·25 mmol/l)范围内。尽管 DHA 后有更多的参与者的降低幅度大于 0·25 mmol/l(45%比 EPA 后 32%;P 0·25 mmol/l 后,非高密度脂蛋白胆固醇、TAG 和胰岛素浓度均高于其他基线反应者(均 P < 0·05)。结论:在基线时 TAG 平均浓度正常的大多数个体中,每天补充 2·7 g DHA 或 EPA 对 TAG 浓度没有明显影响。尽管 DHA 降低 TAG 的比例高于 EPA,但它们之间的 TAG 降低幅度相似。

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