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血浆 ω-3 和 ω-6 多不饱和脂肪酸水平与动脉弹性的关系:动脉粥样硬化的多民族研究。

Associations of plasma omega-3 and omega-6 pufa levels with arterial elasticity: the multi-ethnic study of atherosclerosis.

机构信息

Division of Cardiology, University of Southern California, Los Angeles, CA, USA.

Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

出版信息

Eur J Clin Nutr. 2022 Dec;76(12):1770-1775. doi: 10.1038/s41430-022-01172-9. Epub 2022 Jun 9.

DOI:10.1038/s41430-022-01172-9
PMID:35680969
Abstract

BACKGROUND

Literature examining the relationship of circulating omega-3 and omega-6 polyunsaturated fatty acids [n-3(ω-3) and n-6 (ω-6) PUFAs] and arterial elasticity in large cohort-based populations are lacking. We investigated the association of circulating ω-3and ω-6 PUFAs with large artery elasticity (LAE) and small artery elasticity (SAE) in participants from the Multi-Ethnic Study of Atherosclerosis (MESA).

METHODS

A total of 6124 participants (mean age 61.9; 52% female; 38% White, 27% Black, 22% Hispanic, and 13% Chinese-American) with plasma phospholipid PUFAs and arterial elasticity measured at baseline were included. LAE and SAE were derived from pulse contour analysis of the radial artery in all subjects in a supine position using tonometry. Linear regression models were used to determine associations for levels of (1) each circulating fatty acid, (2) total ω-3PUFAs, and (3) total ω-6 PUFAs with log-transformed LAE and SAE.

RESULTS

Each standard deviation (SD) increment in circulating levels of total ω-3 PUFAs, eicosapentaenoic acid, and docosahexaenoic acid were associated with a 0.017 ml/mmHg, 0.017 ml/mmHg, and 0.015 ml/mmHg higher LAE respectively (p values all <0.01). No significant trends were observed for ω-3 PUFAs levels with SAE.22 Similarly, no significant trends were observed for ω-6 PUFA levels with either LAE or SAE.

CONCLUSIONS

In a multi-ethnic cohort of individuals free of baseline cardiovascular disease, higher plasma levels of total and individual ω-3 PUFAs were associated with an increased LAE. Further understanding into differential associations of ω-6 PUFAs with LAE and SAE is needed.

摘要

背景

缺乏在大型基于人群的队列中研究循环ω-3 和 ω-6 多不饱和脂肪酸(n-3(ω-3)和 n-6(ω-6)PUFAs)与动脉弹性之间关系的文献。我们在动脉粥样硬化多民族研究(MESA)的参与者中研究了循环ω-3 和 ω-6 PUFAs 与大动脉弹性(LAE)和小动脉弹性(SAE)的相关性。

方法

共纳入 6124 名参与者(平均年龄 61.9 岁;52%为女性;38%为白人,27%为黑人,22%为西班牙裔,13%为华裔),基线时测量了血浆磷脂脂肪酸和动脉弹性。在所有受试者仰卧位时,使用张力计通过桡动脉脉搏轮廓分析得出 LAE 和 SAE。线性回归模型用于确定(1)每种循环脂肪酸、(2)总 ω-3PUFA 和(3)总 ω-6 PUFAs 与 log 转换的 LAE 和 SAE 的水平之间的关联。

结果

循环总 ω-3 PUFAs、二十碳五烯酸和二十二碳六烯酸水平每增加一个标准差(SD),LAE 分别增加 0.017ml/mmHg、0.017ml/mmHg 和 0.015ml/mmHg(p 值均<0.01)。ω-3 PUFAs 水平与 SAE 之间没有观察到明显的趋势。22 同样,ω-6 PUFAs 水平与 LAE 或 SAE 之间也没有观察到明显的趋势。

结论

在一个无基线心血管疾病的多民族队列中,较高的血浆总和个体 ω-3 PUFAs 水平与 LAE 增加相关。需要进一步了解 ω-6 PUFAs 与 LAE 和 SAE 的不同关联。

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