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Fish Oil (n-3) Polyunsaturated Fatty Acids Beneficially Affect Biliary Cholesterol Nucleation Time in Obese Women Losing Weight
Abstract
It has been reported that intake of (n-3) polyunsaturated fatty acids (PUFA) reduces the risk of coronary heart disease and decreases biliary cholesterol saturation in the bile of gallstone patients. We investigated the effect of n-3 PUFA on cholesterol saturation index (CSI) and nucleation time (NT) in obese subjects who were losing weight. This was a double-blind, placebo-controlled clinical trial. Obese women (n = 35) with a body mass index (BMI) > or = 30 kg/m(2), with no prior history of gallstones or cholecystectomy by ultrasound were first studied to ensure absence of stones or biliary sludge. The women were then assigned to a hypocaloric regimen [5.02 MJ (1200 kcal)/d] and to receive 1200 mg/d of ursodeoxycholic acid (UDCA), 11.3 g/d of (n-3) PUFA or a placebo for 6 wk. BMI, CSI and NT were recorded at baseline and at the end of the experimental period. BMI decreased 5.75 +/- 2.7%/mo (range, 1.5-12.42%/mo) during the experiment. The CSI did not change in any of the groups. Cholesterol NT decreased significantly in the UDCA and placebo groups, but not in the (n-3) PUFA group. None of the women had developed gallstones at 6 wk. These results suggest that (n-3) PUFA maintain the CSI and NT in obese women during rapid weight loss, which probably results in the prevention of cholesterol gallstone formation.
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Legumes, olive oil, and nuts are reported to reduce the risk of cholecystectomy.
“Other foods reported to reduce the risk of cholecystectomy include legumes, olive oil [68], and nuts [69].”
From Excess Body Weight and Gallstone Disease (2021) · cites this paper as [69]
Citations
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Cited by
Sorted by citations
Stokes, C. S., Gluud, L. L., Casper, M., & Lammert, F. (2014) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2013.11.031 · Cited by 118
Johansson, K., Sundström, J., Marcus, C., Hemmingsson, E., & Neovius, M. (2014) · International Journal of Obesity · doi:10.1038/ijo.2013.83 · Cited by 89
Excess Body Weight and Gallstone Disease
Stokes, C. S., & Lammert, F. (2021) · Visceral Medicine · doi:10.1159/000516418 · Cited by 58
Metadata
- Authors
- Méndez-Sánchez, N., González, V., Aguayo, P., Sánchez, J. M., Tanimoto, M. A., Elizondo, J., & Uribe, M.
- Venue
- The Journal of Nutrition
- Publisher
- Elsevier BV
- Published
- 2001-09
- Volume
- 131
- Issue
- 9
- Pages
- 2300-2303
- ISSN
- 0022-3166
- Cited by
- 41
- References
- 1
- Language
- en
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