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膳食补充n-6和n-3长链多不饱和脂肪酸对高甘油三酯血症患者血清脂蛋白和血小板功能的影响。

Effects of dietary supplementation with n-6 and n-3 long-chain polyunsaturated fatty acids on serum lipoproteins and platelet function in hypertriglyceridaemic patients.

作者信息

Boberg M, Vessby B, Selinus I

出版信息

Acta Med Scand. 1986;220(2):153-60. doi: 10.1111/j.0954-6820.1986.tb02743.x.

DOI:10.1111/j.0954-6820.1986.tb02743.x
PMID:3535392
Abstract

Twenty-seven patients with hypertriglyceridaemia were given dietary supplementation either with evening primrose oil rich in gammalinolenic acid (GLA, 18:3 n-6) (n = 13) or a marine oil concentrate containing n-3 fatty acids (n = 14) in a double-blind cross-over design during 8 + 8 weeks with olive oil as placebo. During GLA supplementation, increases in GLA and dihomogammalinolenic acid (20:3 n-6) were found in plasma lipid esters and platelet phospholipids, whereas platelet function and serum lipoproteins were unaffected. During supplementation with n-3 fatty acids there was a significant decrease in triglycerides in all lipoprotein fractions with a slight increase in high density lipoprotein and low density lipoprotein cholesterol. A marked increase in the long-chain n-3 fatty acids was found both in plasma and platelets, mainly at the expense of the n-6 fatty acids. No pronounced effects on platelet reactivity could be demonstrated. Our results confirm a triglyceride-lowering effect of n-3 fatty acids, whereas no such effect of GLA could be demonstrated.

摘要

27名高甘油三酯血症患者参与了一项双盲交叉试验,在8 + 8周的时间里,一组(n = 13)给予富含γ-亚麻酸(GLA,18:3 n-6)的月见草油进行饮食补充,另一组(n = 14)给予含n-3脂肪酸的海洋油浓缩物,以橄榄油作为安慰剂。在补充GLA期间,血浆脂质酯和血小板磷脂中的GLA和二高γ-亚麻酸(20:3 n-6)含量增加,但血小板功能和血清脂蛋白未受影响。在补充n-3脂肪酸期间,所有脂蛋白组分中的甘油三酯显著降低,高密度脂蛋白和低密度脂蛋白胆固醇略有增加。血浆和血小板中的长链n-3脂肪酸显著增加,主要是以n-6脂肪酸为代价。未发现对血小板反应性有明显影响。我们的结果证实了n-3脂肪酸具有降低甘油三酯的作用,而未证实GLA有此作用。

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