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[3 系列多不饱和脂肪酸药理剂量对血浆脂蛋白浓度的影响]

[Effects of pharmacological doses of polyunsaturated fatty acids of the series 3 on the concentration of plasma lipoproteins].

作者信息

García Osle M, Mourente G, Mangas A, Santi M J, Baraibar E, García Calzado M C, Lorenzo A, Barba A, Millán J

机构信息

Departamento de Medicina, Universidad de Cádiz.

出版信息

An Med Interna. 1994 Oct;11(10):473-8.

PMID:7865652
Abstract

Cardiovascular disease is one of the main causes of death in developed countries. Its incidence may be modified through dietary changes, this being supported by the low incidence of the disease among populations with high intake of fatty fishes. The aim of this work was to study the modifications on plasmatic levels of polyunsaturated fatty acids omega 3 after an additional supply of fish oils and to assess its effect on the metabolism of lipids and lipoproteins. The study was conducted on 8 healthy volunteers, their age ranging between 24 and 37 years. They received, during 30 days and in tablets of 500 mg, 7.5 gr/24 h of fish oil concentrate which supplied 2.5 gr/24 h of fatty acids omega 3. After 12 hours of fasting, blood samples were taken before and after the intake of this concentrate. Methyl esters from fatty acids omega 3 were assessed through gas chromatography; cholesterol, triglycerides, LDL, VLDL, HDLt, HDL2 and HDL3, through several enzymatic techniques; and lipoprotein(a) Lp(a), through ELISA. The statistical analysis was conducted using the Student's method for matched data. After 30 days of supplement, we observed: a significant increase in the plasmatic percentage of fatty acids omega 3 (EPA + DHA) along with a significant decrease of triglycerides, VLDL and HDL3 and a significant increase of HDL2, We did not observe any significant changes in cholesterol, LDL and HDLt. With respect to Lp(a), after one month of dietary supplement, its plasmatic levels did not change. Our results supports the clinical usefulness of the dietary supplementation with fatty acid omega 3 for the management of hypertriglyceridemias.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

心血管疾病是发达国家主要的死因之一。其发病率可通过饮食改变得到改善,大量食用富含脂肪鱼类的人群中该疾病发病率较低,这一现象支持了上述观点。本研究的目的是研究额外补充鱼油后对血浆中多不饱和脂肪酸ω-3水平的影响,并评估其对脂质和脂蛋白代谢的作用。该研究选取了8名年龄在24至37岁之间的健康志愿者。他们连续30天每天服用500毫克片剂形式的鱼油浓缩物,每天摄入量为7.5克,其中提供2.5克ω-3脂肪酸。在禁食12小时后,在摄入该浓缩物前后采集血样。通过气相色谱法评估ω-3脂肪酸的甲酯;通过多种酶促技术评估胆固醇、甘油三酯、低密度脂蛋白、极低密度脂蛋白、总高密度脂蛋白、高密度脂蛋白2和高密度脂蛋白3;通过酶联免疫吸附测定法评估脂蛋白(a)。采用配对数据的学生方法进行统计分析。补充30天后,我们观察到:ω-3脂肪酸(二十碳五烯酸+二十二碳六烯酸)的血浆百分比显著增加,同时甘油三酯、极低密度脂蛋白和高密度脂蛋白3显著降低,高密度脂蛋白2显著增加。我们未观察到胆固醇、低密度脂蛋白和总高密度脂蛋白有任何显著变化。关于脂蛋白(a),饮食补充一个月后,其血浆水平未发生变化。我们的研究结果支持了ω-3脂肪酸饮食补充剂在治疗高甘油三酯血症方面的临床实用性。(摘要截选至250字)

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