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| Name | Class |
|---|---|
| Ontario Ministry of Agriculture, Food and Rural Affairs | OTHER_GOV |
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Omega 3 fatty acids have been shown to provide a number of cardiometabolic benefits in both healthy and at risk populations. Specifically, the daily consumption of fish oil supplements has been reported to reduce blood triglyceride levels, and influence glucose homeostasis and whole-body inflammation. Furthermore, a number of cardiovascular effects (i.e. reduced blood pressure, reduced coagulation) have been found to result from omega-3 consumption, as well as influencing energy expenditure (i.e. resting metabolic rate). The goal of this study is to examine the cardiometabolic and cardiovascular effects that result from long-term consumption of omega-3 fatty acids.
Cardiovascular disease (CVD) and type 2 diabetes (T2D) are major contributors to healthcare costs in Canada. A cluster of cardiometabolic risk factors including insulin resistance, dyslipidemia, hypertension, and abdominal obesity increases the risk of developing the aforementioned diseases. While drugs can help to treat or slow the development of cardiometabolic problems, they are not always effective and in some instances can have adverse effects on a patient's health. In comparison, changing, modifying or improving dietary habits is now recognized as a safe and effective way to help reduce the risk of developing CVD, as well as treat CVD and T2D. The consumption of omega-3 fatty acids (FAs) is highly recommended due to their known benefits for health and development; however, considerable variability exists in the literature regarding the benefits of omega-3 FAs. This variability stems from differences in study design; differing in dosage, duration of supplementation, population studied, sample size, as well as the amounts of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) used in supplements. The current study will investigate the effects of EPA and DHA on markers of cardiometabolic and cardiovascular health in young adults.
To assess the effectiveness of EPA and DHA on markers of cardiometabolic health, including
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo Olive Oil | Placebo Comparator | Placebo supplement with olive oil |
|
| High EPA Supplement | Experimental | Supplements providing up to 3g per day of Omega-3, with increased EPA |
|
| High DHA Supplement | Experimental | Supplements providing up to 3g per day of Omega-3, with increased DHA |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Placebo Olive Oil | Dietary Supplement | Each participant was instructed to consume the dietary supplement on a daily basis for 12 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Omega-3 Index | Omega-3 Index, as determined by measuring omega-3 fats in red blood cells using gas chromatography | CHANGE from Baseline at 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Triglycerides | Fasted serum triglycerides (mmol/L) | CHANGE from Baseline at 12 weeks |
| High-sensitivity C-Reactive Protein (hs-CRP) | Blood hs-CRP levels |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David M Mutch, PhD | University of Guelph | Principal Investigator |
| Phillip Millar, PhD | University of Guelph | Principal Investigator |
| Lawrence Spriet, PhD | University of Guelph | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24936800 | Background | Roke K, Mutch DM. The role of FADS1/2 polymorphisms on cardiometabolic markers and fatty acid profiles in young adults consuming fish oil supplements. Nutrients. 2014 Jun 16;6(6):2290-304. doi: 10.3390/nu6062290. | |
| 27144909 | Background | Roke K, Jannas-Vela S, Spriet LL, Mutch DM. FADS2 genotype influences whole-body resting fat oxidation in young adult men. Appl Physiol Nutr Metab. 2016 Jul;41(7):791-4. doi: 10.1139/apnm-2016-0043. Epub 2016 Mar 16. |
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| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
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Participant as well as student investigators were blinded to the treatment randomization.
| High EPA Supplement | Dietary Supplement | Each participant was instructed to consume assigned dietary supplement on a daily basis for 12 weeks. |
|
| High DHA Supplement | Dietary Supplement | Each participant was instructed to consume assigned dietary supplement on a daily basis for 12 weeks. |
|
| CHANGE from Baseline at 12 weeks |
| Energy Expenditure | Resting Metabolic Rate | CHANGE from Baseline at 12 weeks |
| Blood Pressure | Both systolic and diastolic blood pressure will be assessed | CHANGE from Baseline at 12 weeks |
| Muscle sympathetic nerve activity (MSNA) | Fibular nerve microneurography | Change from Baseline at 12 weeks |
| 24610882 | Background | Miller PE, Van Elswyk M, Alexander DD. Long-chain omega-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid and blood pressure: a meta-analysis of randomized controlled trials. Am J Hypertens. 2014 Jul;27(7):885-96. doi: 10.1093/ajh/hpu024. Epub 2014 Mar 6. |
| 20565855 | Background | Merino DM, Ma DW, Mutch DM. Genetic variation in lipid desaturases and its impact on the development of human disease. Lipids Health Dis. 2010 Jun 18;9:63. doi: 10.1186/1476-511X-9-63. |
| 29080057 | Background | Klingel SL, Roke K, Hidalgo B, Aslibekyan S, Straka RJ, An P, Province MA, Hopkins PN, Arnett DK, Ordovas JM, Lai CQ, Mutch DM. Sex Differences in Blood HDL-c, the Total Cholesterol/HDL-c Ratio, and Palmitoleic Acid are Not Associated with Variants in Common Candidate Genes. Lipids. 2017 Dec;52(12):969-980. doi: 10.1007/s11745-017-4307-5. Epub 2017 Oct 27. |
| 38649096 | Derived | Metherel AH, Valenzuela R, Klievik BJ, Cisbani G, Rotarescu RD, Gonzalez-Soto M, Cruciani-Guglielmacci C, Laye S, Magnan C, Mutch DM, Bazinet RP. Dietary docosahexaenoic acid (DHA) downregulates liver DHA synthesis by inhibiting eicosapentaenoic acid elongation. J Lipid Res. 2024 Jun;65(6):100548. doi: 10.1016/j.jlr.2024.100548. Epub 2024 Apr 20. |
| 31535138 | Derived | Klingel SL, Metherel AH, Irfan M, Rajna A, Chabowski A, Bazinet RP, Mutch DM. EPA and DHA have divergent effects on serum triglycerides and lipogenesis, but similar effects on lipoprotein lipase activity: a randomized controlled trial. Am J Clin Nutr. 2019 Dec 1;110(6):1502-1509. doi: 10.1093/ajcn/nqz234. |
| 31204771 | Derived | Metherel AH, Irfan M, Klingel SL, Mutch DM, Bazinet RP. Compound-specific isotope analysis reveals no retroconversion of DHA to EPA but substantial conversion of EPA to DHA following supplementation: a randomized control trial. Am J Clin Nutr. 2019 Oct 1;110(4):823-831. doi: 10.1093/ajcn/nqz097. |