Comparison of the effects of flaxseed oil and sunflower seed oil consumption on serum glucose, lipid profile, blood pressure, and lipid peroxidation in patients with metabolic syndrome
Abstract
Background Metabolic syndrome (MetSyn) increases the risk of type II diabetes and morbidity and mortality due to cardiovascular diseases. Flaxseed oil (FO), as a functional food, is one of the major vegetal sources of essential omega-3 fatty acids.Objective This study aimed to compare the effects of consumption of FO and sunflower seed oil (SO) on lipid peroxidation and other symptoms of MetSyn.Methods This randomized controlled interventional trial was conducted on 60 volunteers aged 30 to 60 years who were diagnosed with MetSyn in Shiraz, Iran. The participants who fulfilled the inclusion criteria were randomly assigned to SO (n = 30, receiving 25 mL/d SO) and FO (n = 30, receiving 25 ml/d FO) groups using block randomization. The diets were identical for all the participants. Blood pressure (BP), serum lipid, fasting blood sugar, and malondialdehyde were measured at baseline and at the end of week 7.Result The results showed no significant difference between the 2 groups regarding blood lipid levels and fasting blood sugar at the end of the study. However, significant reductions in total cholesterol, low-density lipoprotein cholesterol (5.6% in FO and 10.8% in SO), and triglyceride levels were seen within each group after treatment with FO and SO (P < .05). Nonetheless, between-group changes were significant (<0.05) for systolic BP (mean [±standard deviation {SD}] changes were -14.0 ± 22.41 in the FO group [P = .004] and 0.92 ± 8.70 in the SO group [P = .594]) and diastolic BP (mean [±SD] changes were -4.26 ± 7.44 in the FO group [P = .007] and 1.30 ± 6.91 in the SO group [P = .344]), but marginally significant (P = .053) for malondialdehyde level (mean [±SD] changes were -1.29 ± 1.48 in the FO group [P < .001] and -0.52 ± 1.34 in the SO group [P = .52]). A significant decrease in weight was also found in both groups. However, waist circumference decreased significantly only in the FO group at the end of the study (P < .05).Conclusion Our results indicated that dietary FO could be effective in amelioration of some symptoms of MetSyn and decrease BP and lipid peroxidation.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Six RCTs had low risk of bias for random sequence generation, three had high risk, and the remaining had unclear risk.
“Six RCTs indicated the method for random sequence generation was low risk [29, 34, 44, 47, 48, 52], three other studies indicated high risk [21, 41, 53], and the remaining studies have unclear risk of bias.”
From Comparisons of the effects of different flaxseed products consumption on lipid profiles, inflammatory cytokines and anthropometric indices in patients with dyslipidemia related diseases: systematic review and a dose-response meta-analysis of randomized controlled trials (2021) · cites this paper as [52]
A study revealed that flaxseed oil mainly plays roles in antioxidant activity to reduce oxidation of LDL-C, rather than its concentrations.
“A study [52] revealed that flaxseed oil mainly plays roles in antioxidant activity to reduce oxidation of low-density lipoprotein cholesterol (LDL-C), rather than its concentrations.”
From Comparisons of the effects of different flaxseed products consumption on lipid profiles, inflammatory cytokines and anthropometric indices in patients with dyslipidemia related diseases: systematic review and a dose-response meta-analysis of randomized controlled trials (2021) · cites this paper as [52]
Cites
1 retracted
A comprehensive review on metabolic syndrome
Kaur, J. (2014) · Cardiology Research and Practice · doi:10.1155/2014/943162 · Cited by 1,889 · see citing works
RetractedDetection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III)
Grundy, S. M., Becker, D. M., Clark, L. T., Cooper, R., Denke, M. A., Howard, J. L., Hunninghake, D. B., Illingworth, D. R., Luepker, R. V., McBride, P. E., et al. (2002) · Civil War Book Review · Cited by 12,198 · see citing works
Ayala, A., Muñoz, M., & Argüelles, S. (2014) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2014/360438 · Cited by 6,561 · see citing works
Lipid peroxidation: its mechanism, measurement, and significance
Halliwell, B. B., & Chirico, S. (1993) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/57.5.715s · Cited by 2,355 · see citing works
Zhao, G., Etherton, T. D., Martin, K. R., West, S. G., Gillies, P. J., & Kris‐Etherton, P. M. (2004) · Journal of Nutrition · doi:10.1093/jn/134.11.2991 · Cited by 529 · see citing works
Omega-3 fatty acids and metabolic syndrome: Effects and emerging mechanisms of action
Poudyal, H., Panchal, S. K., Diwan, V., & Brown, L. (2011) · Progress in Lipid Research · doi:10.1016/j.plipres.2011.06.003 · Cited by 373 · see citing works
Das, U. N. (2008) · Lipids in Health and Disease · doi:10.1186/1476-511x-7-37 · Cited by 245 · see citing works
Flaxseed and Cardiovascular Risk
Bloedon, L. T., & Szapary, P. O. (2004) · Nutrition Reviews · doi:10.1111/j.1753-4887.2004.tb00002.x · Cited by 217 · see citing works
Plasman-3 polyunsaturated fatty acids are negatively associated with obesity
Micallef, M. A., Munro, I., Phang, M., & Garg, M. L. (2009) · British Journal Of Nutrition · doi:10.1017/s0007114509382173 · Cited by 204 · see citing works
Melanson, E. L., Astrup, A. V., & Donahoo, W. T. (2009) · Annals of Nutrition and Metabolism · doi:10.1159/000229004 · Cited by 175 · see citing works
What about non-alcoholic fatty liver disease as a new criterion to define metabolic syndrome?
Tarantino, G. (2013) · World Journal of Gastroenterology · doi:10.3748/wjg.v19.i22.3375 · Cited by 167 · see citing works
Mayneris‐Perxachs, J., Guerendiain, M., Castellote, A. I., Estruch, R., Covas, M. I., Fitó, M., Salas‐Salvadó, J., Martínez‐González, M. Á., Arós, F., Lamuela-Raventós, R. M., et al. (2013) · Clinical Nutrition · doi:10.1016/j.clnu.2013.03.001 · Cited by 157 · see citing works
Quality evaluation of flaxseed oil obtained by different extraction techniques
Khattab, R. Y., & Zeitoun, M. A. M. (2013) · LWT · doi:10.1016/j.lwt.2013.01.004 · Cited by 144 · see citing works
Gillingham, L. G., Gustafson, J. A., Han, S.-Y., Jassal, D. S., & Jones, P. J. H. (2011) · British Journal of Nutrition · doi:10.1017/s0007114510003697 · Cited by 143 · see citing works
Makni, M., Fetoui, H., Gargouri, N. K., Garoui, E. M., Jaber, H., Makni, J., Boudawara, T. S., & Zeghal, N. (2008) · Food and Chemical Toxicology · doi:10.1016/j.fct.2008.09.057 · Cited by 141 · see citing works
Dietary supplementation with flaxseed oil lowers blood pressure in dyslipidaemic patients
Paschos, G. K., Magkos, F., Panagiotakos, D. B., Votteas, V., & Zampelas, A. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602631 · Cited by 133 · see citing works
Khalesi, S., Irwin, C. G., & Schubert, M. M. (2015) · Journal of Nutrition · doi:10.3945/jn.114.205302 · Cited by 131 · see citing works
Oxidized LDL and the metabolic syndrome
Holvoet, P., Keyzer, D. D., & Jacobs, D. R. (2008) · Future Lipidology · doi:10.2217/17460875.3.6.637 · Cited by 129 · see citing works
Effect of Dietary Fatty Acids on Human Lipoprotein Metabolism: A Comprehensive Update
Ooi, E. M. M., Watts, G. F., Ng, T., & Barrett, P. H. R. (2015) · Nutrients · doi:10.3390/nu7064416 · Cited by 125 · see citing works
Wilkinson, P. M. H., Leach, C., Ah-Sing, E., Hussain, N., Miller, G. J., Millward, D. J., & Griffin, B. A. (2005) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2004.12.029 · Cited by 121 · see citing works
Ursoniu, S., Sahebkar, A., Andrica, F., Șerban, M.-C., & Banach, M. (2015) · Clinical Nutrition · doi:10.1016/j.clnu.2015.05.012 · Cited by 113 · see citing works
Pickens, C. A., Sordillo, L. M., Zhang, C., & Fenton, J. I. (2017) · Metabolism · doi:10.1016/j.metabol.2017.01.034 · Cited by 109 · see citing works
Does dietary linolenic acid influence blood pressure?
Berry, E., & Hirsch, J. (1986) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/44.3.336 · Cited by 102 · see citing works
Omega 6 fatty acids for the primary prevention of cardiovascular disease
Al-Khudairy, L., Hartley, L., Clar, C., Flowers, N., Hooper, L., & Rees, K. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011094.pub2 · Cited by 79 · see citing works
The 5-lipoxygenase/leukotriene pathway in obesity, insulin resistance, and fatty liver disease
Martínez‐Clemente, M., Clària, J., & Titos, E. (2011) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0b013e32834777fa · Cited by 64 · see citing works
Kawakami, Y., Yamanaka-Okumura, H., Naniwa-Kuroki, Y., Sakuma, M., Taketani, Y., & Takeda, E. (2015) · Nutrition Journal · doi:10.1186/s12937-015-0023-2 · Cited by 61 · see citing works
Mirmiran, P., Hosseinpour‐Niazi, S., Naderi, Z., Bahadoran, Z., Sadeghi, M., & Azizi, F. (2012) · Nutrition · doi:10.1016/j.nut.2011.11.031 · Cited by 58 · see citing works
Pignatelli, P., Sanguigni, V., Lenti, L., Loffredo, L., Carnevale, R., Sorge, R. P., & Violi, F. (2007) · Journal of Thrombosis and Haemostasis · doi:10.1111/j.1538-7836.2007.02533.x · Cited by 52 · see citing works
Cardel, M. I., Lemas, D. J., Jackson, K. H., Friedman, J. E., & Fernández, J. R. (2015) · Journal of Nutrition · doi:10.3945/jn.115.212365 · Cited by 35 · see citing works
Lands, B. (2014) · Military Medicine · doi:10.7205/milmed-d-14-00149 · Cited by 26 · see citing works
Hypolipidemic effect of fat spreads containing flaxseed oil
El-Waseif, M., El-Dayem, H. H. A., Hashem, H. A., et al. (2014) · Annals of Agricultural Science Cairo · doi:10.1016/j.aoas.2014.06.003 · Cited by 14 · see citing works
Metabolic syndrome and dyslipidemia in youth
McNeal, C. J., & Wilson, D. P. (2008) · Journal of clinical lipidology · doi:10.1016/j.jacl.2008.04.005 · Cited by 10 · see citing works
Antioxidant effect of Flaxseed against liver Cirrhosis induced in Thioacetamide intoxicated rats
Shousha, W. G., El‐mezayen, H. A., Abdul-Halim, S. S., et al. (2013) · The Egyptian Journal of Hospital Medicine · doi:10.12816/ejhm.2013.15994 · Cited by 2 · see citing works
Toth, P. P., Henriksson, K. M., & Palmer, M. K. (2016) · Journal of clinical lipidology · doi:10.1016/j.jacl.2016.03.101 · Cited by 2 · see citing works
Antioxidant Effect of Flaxseed Against Liver Cirrhosis Induced in Thioacetamide Intoxicated Rats
Shousha, W. G., El‐mezayen, H. A., Abdul-Halim, S. S., et al. (2013) · The Egyptian Journal of Hospital Medicine · doi:10.12816/0000860 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Hadi, A., Askarpour, M., Salamat, S., Ghaedi, E., Symonds, M. E., & Miraghajani, M. (2020) · Pharmacological Research · doi:10.1016/j.phrs.2019.104622 · Cited by 71 · see citing works
Yang, C., Xia, H., Wan, M., Lu, Y., Xu, D., Yang, X., Yang, L., & Sun, G. (2021) · Nutrition & Metabolism · doi:10.1186/s12986-021-00619-3 · Cited by 40 · see citing works
Yang, B., Shi, M.-Q., Li, Z.-H., Shi, L., Wang, A.-M., Guo, X.-J., & Li, D. (2019) · Food & Function · doi:10.1039/c8fo01707g · Cited by 28 · see citing works
- Authors
- Akrami, A., Nikaein, F., Babajafari, S., Faghih, S., & Yarmohammadi, H.
- Affiliations
- Shiraz University of Medical Sciences (IR)
- Corresponding author
- Babajafari, Siavash
- Venue
- Journal of Clinical Lipidology
- Publisher
- Elsevier BV
- Published
- 2018-01
- Volume
- 12
- Issue
- 1
- Pages
- 70-77
- ISSN
- 1876-4789 (ISSN-L)
- 1933-2874
- OpenAlex
- W2768831597
- Cited by
- 85
- References
- 36
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 8 · 2023: 15 · 2022: 11 · 2021: 19 · 2020: 8 · 2019: 8 · 2018: 5
- FWCI
- 4.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of clinical lipidology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Shiraz University of Medical Sciences (7420)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Physical Sciences › Chemistry › Organic Chemistry › Edible Oils Quality and Analysis
- Keywords
- metabolic syndrome, linseed oil, sunflower oil, omega-3 fatty acids, lipid peroxidation, malondialdehyde, serum lipids, LDL cholesterol, triglycerides, blood pressure, fasting blood glucose, weight loss, waist circumference, dietary intervention, functional foods, cardiovascular risk factors, type 2 diabetes risk, HDL cholesterol, HDL2
- MeSH terms
- Sunflower Oil, Adult, Blood Glucose, Blood Pressure, Diet, Female, Humans, Linseed Oil, Cholesterol, HDL, Cholesterol, LDL, Male, Malondialdehyde, Gas Chromatography-Mass Spectrometry, Middle Aged, Triglycerides, Lipid Peroxidation, Metabolic Syndrome, Waist Circumference
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review