The impact of long chain n ‐3 polyunsaturated fatty acid supplementation on inflammation, insulin sensitivity and CVD risk in a group of overweight women with an inflammatory phenotype
Abstract
BACKGROUND: Inflammation is strongly related to obesity and the risk of cardiovascular disease (CVD). The metabolic benefits of long chain (LC) n-3 polyunsaturated fatty acid (PUFA) may be attributable to its anti-inflammatory properties. OBJECTIVE: To investigate whether an individual's habitual inflammatory status influences the impact of a LC n-3 PUFA intervention on CVD risk. DESIGN: The study was a randomized crossover design. Subjects received LC n-3 PUFA capsules or a placebo for 12 weeks, with 4-week washout between phases. Thirty women, in the top and bottom tertiles of baseline sialic acid concentration, formed raised inflammatory status (top, n = 12) and reference (bottom, n = 18) groups. Baseline data were analysed using one-way anova, differences between treatment phases were calculated at each timepoint and analysed using a random effects model. RESULTS: At baseline, the raised inflammatory status group had significantly higher body mass index and area under the curve (AUC) insulin than the reference group. With LC n-3 PUFA supplementation, both groups showed significantly higher plasma eicosapentaenoic acid and docosahexaenoic acid at 4 and 12 weeks (p < 0.001), and lower triacylglycerols (4 weeks p < 0.01 and 12 weeks p < 0.05). The difference in AUC insulin between the two treatment phases at 12 weeks was significantly greater in the raised inflammatory status group compared to the reference group (p < 0.05). Inflammatory markers were significantly lower after 12 weeks LC n-3 PUFA supplementation compared to baseline (C-reactive protein p < 0.05 and interleukin-6 p < 0.01), but there was no significant group effect. CONCLUSIONS: Habitual inflammatory status influences the impact of LC n-3 PUFA supplementation, but it is not clear whether the effect of LC n-3 PUFA on AUC insulin is mediated through inflammatory mechanisms.
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Increases in circulating TNF-a, IL-6, IL-2R, and CRP are strong predictors of all-cause mortality risk in longitudinal studies of elderly cohorts.
“Increases in the levels of circulating TNF-a, IL-6, IL-2R and CRP are also strong predictors of all-cause mortality risk in longitudinal studies of several elderly cohorts (190 -193) .”
From Dietary factors and low-grade inflammation in relation to overweight and obesity (2011) · cites this paper as [193]
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- Authors
- Browning, L. M., Krebs, J. D., Moore, C. S., Mishra, G. D., O’Connell, M. A., & Jebb, S. A.
- Affiliations
- MRC Elsie Widdowson Laboratory (GB)
- Corresponding author
- Browning, L. M.
- Venue
- Diabetes Obesity and Metabolism
- Publisher
- Wiley
- Published
- 2006-04-07
- Volume
- 9
- Issue
- 1
- Pages
- 70-80
- ISSN
- 1462-8902 (ISSN-L)
- 1463-1326
- OpenAlex
- W2156679204
- Cited by
- 162
- References
- 43
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 8 · 2020: 5 · 2019: 6 · 2018: 5 · 2017: 6 · 2016: 12 · 2015: 8 · 2014: 18 · 2013: 13 · 2012: 12
- FWCI
- 7.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetes Obesity and Metabolism (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Funders
- Medical Research Council
- 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 › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- n-3 long-chain polyunsaturated fatty acids, omega-3 supplementation, inflammation, insulin sensitivity, cardiovascular risk, overweight women, sialic acid, inflammatory phenotype, eicosapentaenoic acid, docosahexaenoic acid, C-reactive protein, interleukin-6, triglycerides, obesity
- MeSH terms
- Adult, Blood Glucose, C-Reactive Protein, Cardiovascular Diseases, Female, Humans, Inflammation, Insulin Resistance, Obesity, Phenotype, Fatty Acids, Omega-3, Treatment Outcome, Cross-Over Studies, Inflammation Mediators, N-Acetylneuraminic Acid, Dietary Supplements, Overweight
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