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Acute effects of monounsaturated fatty acids with and without omega-3 fatty acids on vascular reactivity in individuals with type 2 diabetes
Open accessAbstract
Aims/hypothesis We examined the acute postprandial effects of meals containing unsaturated fatty acids on flow-mediated dilation (FMD) of the brachial artery and triacylglycerols in individuals with type 2 diabetes. We hypothesised that consumption of omega-3 fatty acids would enhance vascular function. Saturated fat reduces FMD for several hours, but there is inconsistent evidence about whether foods containing unsaturated fats impair FMD acutely. Little is known about the acute effects of omega-3 fatty acids on vascular reactivity.Methods We measured FMD before and 4 h after 3 test meals (50 g fat, 2,615 kJ) in 18 healthy adults with type 2 diabetes. The monounsaturated fatty acids (MUFA) meal contained 50 g fat from high oleic safflower and canola oils. Two additional meals were prepared by replacing 7% to 8% of MUFA with docosahexaenoic acid and eicosapentaenoic acid from sardine oil or alpha-linolenic acid from canola oil.Results In the sample as a whole, FMD was increased 17% at 4 h vs. the fasting baseline. After the MUFA meal, subjects with the largest increases in triacylglycerols had the largest FMD decreases. The opposite pattern was observed after meals containing docosahexaenoic acid and eicosapentaenoic acid or alpha-linolenic acid. In subjects with high fasting triacylglycerols, meals containing 3 to 5 g of omega-3 fatty acids increased FMD by 50% to 80% and MUFA alone had no significant effects on FMD.Conclusions/interpretation Endothelium-dependent vasodilation was not impaired 4 h after meals containing predominantly unsaturated fatty acids. The fatty acid composition of the meal and the metabolic status of the individual determine the vascular effects of a high-fat meal.
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“The 2-h time point was selected because of previous studies indicating that postprandial lipemia reaches a peak at 2 h and is sustained at 4 h (24).”
From A high fat meal increases cardiovascular reactivity to psychological stress in healthy young adults (2007) · cites this paper as [24]
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Metadata
- Authors
- West, S. G., Hecker, K. D., Mustad, V. A., Nicholson, S., Schoemer, S. L., Wagner, P., Hinderliter, A. L., Ulbrecht, J., Ruey, P., & Kris-Etherton, P. M.
- Affiliations
- Pennsylvania State University (US)
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- West, S. G.
- Venue
- Diabetologia
- Published
- 2004-12-29
- Volume
- 48
- Issue
- 1
- Pages
- 113-122
- ISSN
- 0012-186X (ISSN-L)
- 1432-0428
- OpenAlex
- W1972749202
- Cited by
- 105
- References
- 56
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 6 · 2022: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 3 · 2015: 4 · 2014: 2 · 2013: 9 · 2012: 8
- FWCI
- 7.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Diabetologia (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Abbott Laboratories
- University of Pennsylvania
- Wake Forest University
- Michigan State University
- Pennsylvania State University
- National Institutes of Health (M01-RR-10-732)
- College of Engineering, Michigan State University
- National Center for Research Resources (M01 RR10732, M01RR010732)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Keywords
- monounsaturated fatty acids, omega-3 fatty acids, type 2 diabetes, flow-mediated dilation, endothelium-dependent vasodilation, vascular function, high-fat meal, triglycerides, docosahexaenoic acid, eicosapentaenoic acid, alpha-linolenic acid, canola oil, sardine oil
- MeSH terms
- Blood Flow Velocity, Blood Glucose, Blood Pressure, Brachial Artery, Diabetes Mellitus, Type 2, Fatty Acids, Monounsaturated, Female, Glycated Hemoglobin, Humans, Lipids, Male, Middle Aged, Triglycerides, Vasodilation, Fatty Acids, Omega-3, Postprandial Period
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