Document Detail


Associations of obesity with triglycerides and C-reactive protein are attenuated in adults with high red blood cell eicosapentaenoic and docosahexaenoic acids.
MedLine Citation:
PMID:  21427737     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: N-3 fatty acids are associated with favorable, and obesity with unfavorable, concentrations of chronic disease risk biomarkers.
OBJECTIVE: We examined whether high eicosapentaenoic (EPA) and docosahexaenoic (DHA) acid intakes, measured as percentages of total red blood cell (RBC) fatty acids, modify associations of obesity with chronic disease risk biomarkers.
METHODS: In a cross-sectional study of 330 Yup'ik Eskimos, generalized additive models (GAM) and linear and quadratic regression models were used to examine associations of BMI with biomarkers across RBC EPA and DHA categories.
RESULTS: Median (5th-95th percentile) RBC EPA and DHA were 2.6% (0.5-5.9%) and 7.3% (3.3-8.9%), respectively. In regression models, associations of BMI with triglycerides, glucose, insulin, C-reactive protein (CRP) and leptin differed significantly by RBC EPA and DHA. The GAM confirmed regression results for triglycerides and CRP: at low RBC EPA and RBC DHA, the predicted increases in triglycerides and CRP concentrations associated with a BMI increase from 25 to 35 were 99.5±45.3 mg/dl (106%) and 137.8±71.0 mg/dl (156%), respectively, for triglycerides and 1.2±0.7 mg/l (61%) and 0.8±1.0 mg/l (35%), respectively, for CRP. At high RBC EPA and RBC DHA, these predicted increases were 13.9±8.1 mg/dl (23%) and 12.0±12.3 mg/dl (18%), respectively, for triglycerides and 0.5±0.5 mg/l (50%) and -0.5±0.6 mg/l (-34%), respectively, for CRP.
CONCLUSIONS: In this population, high RBC EPA and DHA were associated with attenuated dyslipidemia and low-grade systemic inflammation among overweight and obese persons. This may help inform recommendations for n-3 fatty acid intakes in the reduction of obesity-related disease risk.
Authors:
Z Makhoul; A R Kristal; R Gulati; B Luick; A Bersamin; D O'Brien; S E Hopkins; C B Stephensen; K L Stanhope; P J Havel; B Boyer
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2011-03-23
Journal Detail:
Title:  European journal of clinical nutrition     Volume:  65     ISSN:  1476-5640     ISO Abbreviation:  Eur J Clin Nutr     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-06     Completed Date:  2011-11-09     Revised Date:  2012-01-04    
Medline Journal Info:
Nlm Unique ID:  8804070     Medline TA:  Eur J Clin Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  808-17     Citation Subset:  IM    
Affiliation:
Cancer Prevention Program, Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109-1024, USA. zmakhoul@fhcrc.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Alaska / epidemiology
Biological Markers / blood
Body Mass Index
C-Reactive Protein / analysis*
Cross-Sectional Studies
Docosahexaenoic Acids / blood
Dyslipidemias / epidemiology,  etiology*,  prevention & control
Eicosapentaenoic Acid / blood
Erythrocytes / metabolism*
Fatty Acids, Omega-3 / blood*
Female
Humans
Inuits
Male
Middle Aged
Models, Statistical
Obesity / blood,  immunology*,  physiopathology*
Overweight / blood,  immunology,  physiopathology
Risk Factors
Triglycerides / blood*
Young Adult
Grant Support
ID/Acronym/Agency:
P20 RR016430/RR/NCRR NIH HHS; P20 RR016430-08/RR/NCRR NIH HHS; R01 DK074842/DK/NIDDK NIH HHS; R01 DK074842-02/DK/NIDDK NIH HHS; R01 DK074842-05/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Fatty Acids, Omega-3; 0/Triglycerides; 1553-41-9/Eicosapentaenoic Acid; 25167-62-8/Docosahexaenoic Acids; 9007-41-4/C-Reactive Protein

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