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Effects of purified eicosapentaenoic and docosahexaenoic acids on glycemic control, blood pressure, and serum lipids in type 2 diabetic patients with treated hypertension,,
Open accessAbstract
Background n-3 Fatty acids lower blood pressure, improve lipids, and benefit other cardiovascular disease risk factors. Effects on glycemia in patients with type 2 diabetes are uncertain.Objective We determined whether purified eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) have differential effects on glycemic control, including insulin sensitivity and stimulated insulin secretion; 24-h ambulatory blood pressure; and serum lipids in type 2 diabetic patients with treated hypertension.Design In a double-blind, placebo-controlled trial of parallel design, 59 subjects were randomly assigned to consume 4 g EPA, DHA, or olive oil/d for 6 wk while continuing to consume their usual diet.Results Thirty-nine men and 12 postmenopausal women with a mean (+/- SE) age of 61.2 +/- 1.2 y completed the study. In comparison with the change from baseline in fasting glucose in the olive oil group, fasting glucose in the EPA and DHA groups increased 1.40 +/- 0.29 mmol/L (P = 0.002) and 0.98 +/- 0.29 mmol/L (P = 0.002), respectively. Neither EPA nor DHA had significant effects on glycated hemoglobin, fasting insulin or C-peptide, insulin sensitivity or secretion, or blood pressure. Serum triacylglycerols in the EPA and DHA groups decreased 19% (P = 0.022) and 15% (P = 0.022), respectively. There were no significant changes in serum total, LDL, or HDL cholesterol, although HDL(2) cholesterol in the EPA and DHA groups increased 16% (P = 0.026) and 12% (P = 0.05), respectively. HDL(3) cholesterol decreased 11% (P = 0.026) with EPA supplementation.Conclusions EPA and DHA had similar benefits on lipids but adverse effects on short-term glycemic control in hypertensive diabetic patients. The overall implications for cardiovascular disease require long-term evaluation.
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“In humans, dietary DHA is retroconverted to EPA”
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“while production of DHA from EPA is not observed.”
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“Comparing EPA treatment with DHA treatment, or DHA treatment with OM3FA treatment, generally shows similar and small or no effects on LDL-C levels [18, 19, 23–26].”
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Metadata
- Authors
- Woodman, R. J., Mori, T. A., Burke, V., Puddey, I. B., Watts, G. F., & Beilin, L. J.
- Affiliations
- The University of Western Australia (AU)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2002-11
- Volume
- 76
- Issue
- 5
- Pages
- 1007-1015
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W2114249119
- Cited by
- 338
- References
- 70
- Citations by year
- 2025: 6 · 2024: 8 · 2023: 9 · 2022: 7 · 2021: 10 · 2020: 10 · 2019: 12 · 2018: 12 · 2017: 21 · 2016: 10 · 2015: 16 · 2014: 20 · 2013: 28 · 2012: 20
- FWCI
- 6.38
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Keywords
- eicosapentaenoic acid, docosahexaenoic acid, omega-3 fatty acids, type 2 diabetes, hypertension, glycemic control, fasting blood glucose, insulin sensitivity, insulin secretion, blood pressure, serum lipids, HDL cholesterol, triglycerides, olive oil
- MeSH terms
- Olive Oil, Aged, Blood Glucose, Blood Pressure, Diabetes Mellitus, Type 2, Docosahexaenoic Acids, Double-Blind Method, Fatty Acids, Female, Heart Rate, Humans, Hypertension, Insulin, Lipids, Lipoproteins, Male, Middle Aged, Phospholipids, Plant Oils, Eicosapentaenoic Acid, Blood Pressure Monitoring, Ambulatory
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