Docosahexenoic Acid (DHA) Supplementation and Cardiovascular Disease in Men With High Triglycerides

NCT ID: NCT00728338

Last Updated: 2008-08-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-06-30

Study Completion Date

2005-11-30

Brief Summary

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The purpose of this study is to determine the effects of supplementing diets of hyperlipidemic men with DHA (docosahexenoic acid) on risk factors for cardiovascular disease. We hypothesize that supplementing diets of hyperlipidemic men with DHA will decrease the plasma concentrations of CRP (C-reactive protein), inflammatory cytokines, and soluble adhesion molecules. We further hypothesize that DHA supplementation will decrease serum triglyceride concentrations and increase HDL concentration.

Detailed Description

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Cardiovascular disease (CVD) and stroke are the leading causes of mortality in the United States, accounting for more than 38% of all deaths. Elevated total- and LDL- cholesterol, number of total and small dense LDL particles, triacylglycerols, and low HDL-C are established independent risk factors for the development of CVD. Additional novel blood lipid markers used as risk factors for CVD include, increased plasma concentration of remnant like particle-cholesterol (RLP-C), decreased ratio between plasma eicosapentaenoic acid (EPA) and arachidonic acd (AA), and decreased omega-3 index (sum of EPA and DHA as a percentage of total fatty acid content) of the red blood cells.

Diets rich in omega-3 fatty acids have been shown to be cardio-protective; these diets decreased inflammation, platelet aggregation, cardiac arrhythmias, triglycerides, number of total LDL and small dense LDL particles, and increased omega-3 index, endothelial relaxation and atherosclerotic plaque stability. Most of the earlier studies regarding the effects of long chain n-3 PUFA on blood lipids were conducted with fish oils which contain a mixture of EPA and DHA. Recently a number of studies have been conducted with EPA and DHA individually. Results from studies with individual fatty acids show that EPA and DHA have similar effects on some of the lipid parameters, but they are assimilated to a different concentration in tissues and have different effects on lipoprotein particle size, heart rate and blood pressure. The main purpose of this study is to examine the effects of DHA supplementation on the above three risk factors.

Conditions

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Hypertriglyceridemia

Keywords

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docosahexenoic acid (DHA) dietary supplement n-3 polyunsaturated fatty acid cardiovascular disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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1

Martek Biosciences Corporation Neuromins Capsules 7.5 g DHA oil/day

Group Type EXPERIMENTAL

Docosahexenoic acid (DHA)

Intervention Type DIETARY_SUPPLEMENT

The DHA group received 7.5 g/d DHA oil (DHA 3.0 g/d) which is produced in the microalga Crypthecodinium cohinii.

2

7.5 g/ day olive oil

Group Type PLACEBO_COMPARATOR

Olive oil

Intervention Type DIETARY_SUPPLEMENT

7.5 g olive oil/day

Interventions

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Docosahexenoic acid (DHA)

The DHA group received 7.5 g/d DHA oil (DHA 3.0 g/d) which is produced in the microalga Crypthecodinium cohinii.

Intervention Type DIETARY_SUPPLEMENT

Olive oil

7.5 g olive oil/day

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Martek Biosciences Corporation, Neuromins Capsules

Eligibility Criteria

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Inclusion Criteria

* fasting serum triglyceride values of 150-400 mg/dL
* total cholesterol \< 300 mg/dL
* LDL-cholesterol \< 220 mg/dL
* BMI between 22 and 35 Kg/m2

Exclusion Criteria

* anti-inflammatory medications including steroids
* antihypertensives
* non sulfonyl urea medications for diabetes mellitus
* drugs that alter serum triacylglycerols and HDL-C levels (i.e. fibrates)
* niacin supplements
* consumers of illegal substances
* consumers of more than 5 drinks of alcohol per week
* more than one fish meal per week
* dietary supplements of fish oil, flaxseed oil or vitamin C or E
Minimum Eligible Age

39 Years

Maximum Eligible Age

66 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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VA Northern California Health Care System

FED

Sponsor Role collaborator

DSM Nutritional Products, Inc.

INDUSTRY

Sponsor Role collaborator

USDA, Western Human Nutrition Research Center

FED

Sponsor Role lead

Responsible Party

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USDA, ARS, WHNRC

Principal Investigators

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Darshan S Kelley, PhD

Role: PRINCIPAL_INVESTIGATOR

USDA, ARS, WHNRC

Locations

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Usda, Ars, Whnrc

Davis, California, United States

Site Status

Countries

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United States

References

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Kelley DS, Siegel D, Vemuri M, Mackey BE. Docosahexaenoic acid supplementation improves fasting and postprandial lipid profiles in hypertriglyceridemic men. Am J Clin Nutr. 2007 Aug;86(2):324-33. doi: 10.1093/ajcn/86.2.324.

Reference Type RESULT
PMID: 17684201 (View on PubMed)

Kelley DS, Siegel D, Vemuri M, Chung GH, Mackey BE. Docosahexaenoic acid supplementation decreases remnant-like particle-cholesterol and increases the (n-3) index in hypertriglyceridemic men. J Nutr. 2008 Jan;138(1):30-5. doi: 10.1093/jn/138.1.30.

Reference Type RESULT
PMID: 18156400 (View on PubMed)

Kelley DS, Adkins Y, Woodhouse LR, Swislocki A, Mackey BE, Siegel D. Docosahexaenoic acid supplementation improved lipocentric but not glucocentric markers of insulin sensitivity in hypertriglyceridemic men. Metab Syndr Relat Disord. 2012 Feb;10(1):32-8. doi: 10.1089/met.2011.0081. Epub 2011 Oct 14.

Reference Type DERIVED
PMID: 21999398 (View on PubMed)

Dawson K, Zhao L, Adkins Y, Vemuri M, Rodriguez RL, Gregg JP, Kelley DS, Hwang DH. Modulation of blood cell gene expression by DHA supplementation in hypertriglyceridemic men. J Nutr Biochem. 2012 Jun;23(6):616-21. doi: 10.1016/j.jnutbio.2011.03.004. Epub 2011 Jul 19.

Reference Type DERIVED
PMID: 21775114 (View on PubMed)

Related Links

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Other Identifiers

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WHNRC002

Identifier Type: -

Identifier Source: org_study_id