Extending the cardiovascular benefits of omega-3 fatty acids

被引:42
作者
Harris W.S. [1 ]
机构
[1] Lipid and Diabetes Research Center, Mid America Heart Institute, Saint Luke's Health System, Kansas City, MO 64111
关键词
Alpha Linolenic Acid; QBUJFOUT XJUI; Fatal Coronary Heart Disease Event; GBUUZ BDJET; IJHI SJTL;
D O I
10.1007/s11883-005-0050-0
中图分类号
学科分类号
摘要
The cardiovascular benefits of omega (n)-3 fatty acids (FA) become clearer with each passing year. Although useful in large doses for lowering serum triglyceride levels, the primary benefits are likely to arise from smaller, nutritional intakes of eicosapentaenoic acid (EPA) and docosahexanoic acid (DHA). Doses of less than 1 g/d appear to reduce risk for fatal coronary heart disease events, perhaps by stabilizing the myocardium and reducing risk for fatal arrhythmias. New evidence points to a possible benefit on atrial fibrillation, particularly in the immediate post-cardiac surgery setting. Studies in women with coronary heart disease now suggest that plaque progression may be slowed by increased intakes of oily fish, even in women with diabetes. The relative importance of the n-6 FA linoleic acid (LA), the short-chain n-3 FA alpha linolenic acid (ALA), and the long-chain n-3 FAs EPA and DHA is becoming clearer. If intakes of the latter are adequate (perhaps over 250 mg/d), then there appears to be little need to consume more ALA or less LA. Copyright © 2005 by Current Science Inc.
引用
收藏
页码:375 / 380
页数:5
相关论文
共 39 条
[21]  
Mori T.A., Woodman R.J., Burke V., Et al., Effect of eicosapentaenoic acid and docosahexaenoic acid on oxidative stress and inflammatory markers in treated-hypertensive type 2 diabetic subjects, Free Radic. Biol. Med., 35, pp. 772-781, (2003)
[22]  
Zhao G., Etherton T.D., Martin K.R., Et al., Dietary alpha-linolenic acid reduces inflammatory and lipid cardiovascular risk factors in hypercholesterolemic men and women, J. Nutr., 134, pp. 2991-2997, (2004)
[23]  
Hjerkinn E.M., Seljeflot I., Ellingsen I., Et al., Influence of long-term intervention with dietary counseling, long-chain n-3 fatty acid supplements, or both on circulating markers of endothelial activation in men with long-standing hyperlipidemia, Am. J. Clin. Nutr., 81, pp. 583-589, (2005)
[24]  
Libby P., Ridker P.M., Maseri A., Inflammation and atherosclerosis, Circulation, 105, pp. 1135-1143, (2002)
[25]  
Dyerberg J., Eskesen D.C., Andersen P.W., Et al., Effects of trans- and n-3 unsaturated fatty acids on cardiovascular risk markers in healthy males. An 8 week dietary intervention study, Eur. J. Clin. Nutr., 58, pp. 1062-1070, (2004)
[26]  
Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E in 11,324 patients with myocardial infarction: Results of the GISSI-Prevenzione trial, Lancet, 354, pp. 447-455, (1999)
[27]  
Nilsen D.W., Albrektsen G., Landmark K., Et al., Effects of a high-dose concentrate of n-3 fatty acids or corn oil introduced early after acute myocardial infarction on serum triacylglycerol and HDL cholesterol, Am. J. Clin. Nutr., 74, pp. 50-56, (2001)
[28]  
von Schacky C., Angerer P., Kothny W., Et al., The effect of dietary w-3 fatty acids on coronary atherosclerosis. a randomized, double-blind, placebo-controlled trial, Ann. Intern. Med., 130, pp. 554-562, (1999)
[29]  
Burr M.L., Fehily A.M., Gilbert J.F., Et al., Effects of changes in fat, fish, and fibre intakes on death and myocardial reinfarction: Diet and reinfarction trial (DART), Lancet, 2, pp. 757-761, (1989)
[30]  
Billman G.E., Kang J.X., Leaf A., Prevention of sudden cardiac death by dietary pure w-3 polyunsaturated fatty acids in dogs, Circulation, 99, pp. 2452-2457, (1999)