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The aim of this study is to determine the effects of supplementation with n-3 fatty acid or placebo for 10 weeks on the expression of Sirt-1, AdipoR1 & AdipoR2 genes in the peripheral blood mononuclear cell (PBMC) and circulatory levels of Resistin, MCP-1 and Adiponectin of type2 diabetes patient
The aim of this study is to determine of the effects of supplementation with n-3 fatty acid or placebo for 10 weeks on the expression of Sirt-1, AdipoR1(adiponectin receptor 1) & AdipoR2 (adiponectin receptor 2) genes in the peripheral blood mononuclear cell (PBMC) and circulatory levels of Resistin, MCP-1 (Monocyte Chemoattractant Protein-1) and Adiponectin of type2 diabetes patient. In this randomized, double-blind clinical trial, placebo-controlled, 88 men and women with type 2 diabetes are enrolled in the study from the Iranian Diabetes Association. After signing informed consent all individuals complete a general information form , 24-hour food recall for 3 days and beck depression questionnaire will be taken from the participants at the beginning and the end of the study. Selected samples are randomly classified into 2 blocks of groups receiving supplement and placebo. The supplement group, will receive mg 1800mg EPA(Eicosapentaenoic acid ) & 900mg DHA( docosahexaenoic acid) (total=2700mg) for 10 weeks and the placebo group will also receive placebo (containing 2700 mg of edible paraffin) (similar in terms of color, shape and size). Patients are recommended to sustain their diets and medication dose (s) during the study and also advised to maintain a constant level of physical activity. Blood samples will be collected after 12 hours fasting and anthropometric variables, biochemical parameters, target gene expression and physical activity before and after the trial will be measured
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| n-3 Fatty Acid Supplemetation | Active Comparator | patients with Type II Diabetes who receive 3 cap omega3, 3 times a day, for 10 weeks. |
|
| Placebo | Placebo Comparator | patients with Type II Diabetes who receive 3 cap of placebo/ for 10 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| n-3 Fatty Acid | Dietary Supplement | n-3 Fatty Acid supplement, 3 × 1000 mg softgel daily (2700 mg EPA+DHA per day), 3 times a day, for 10 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Serum Fasting Blood Sugar(FBS) | Change from baseline at 10 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Serum Insulin | Change from baseline at 10 weeks | |
| Serum HbA1C | Change from baseline at 10 weeks | |
| Serum Resistin |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29900143 | Derived | Mazaherioun M, Saedisomeolia A, Javanbakht MH, Koohdani F, Zarei M, Ansari S, Khoshkhoo Bazargani F, Djalali M. Long Chain n-3 Fatty Acids Improve Depression Syndrome in Type 2 Diabetes Mellitus. Iran J Public Health. 2018 Apr;47(4):575-583. |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D015525 | Fatty Acids, Omega-3 |
| D004281 | Docosahexaenoic Acids |
| ID | Term |
|---|---|
| D004042 | Dietary Fats, Unsaturated |
| D004041 | Dietary Fats |
| D005223 | Fats |
| D008055 | Lipids |
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|
| Placebo | Dietary Supplement | 3 cap 1 g Placebo(paraffin) per day for 10 weeks. Control Group: n-3 Fatty Acid placebo softgel (Containing 3 g edible paraffin oil), 3 × 1000 mg softgel daily (3 g per day), 3 times a day, for 10 weeks. |
|
| Change from baseline at 10 weeks |
| Serum adiponectin | Change from baseline at 10 weeks |
| Serum mcp-1 | Change from baseline at 10 weeks |
| Gene Expression of AdipoR1 | Change from baseline at 10 weeks |
| Gene Expression of AdipoR2 | Change from baseline at 10 weeks |
| Gene Expression of Sirt-1 | Change from baseline at 10 weeks |
| Beck depression score | Change from baseline at 10 weeks |
| Serum cholesterol | Change from baseline at 10 weeks |
| Serum LDL cholesterol | Change from baseline at 10 weeks |
| Serum TG | Change from baseline at 10 weeks |
| Serum HDL cholesterol | Change from baseline at 10 weeks |
| D004700 | Endocrine System Diseases |
| D005231 |
| Fatty Acids, Unsaturated |
| D005227 | Fatty Acids |
| D005395 | Fish Oils |
| D009821 | Oils |