Association between fish and shellfish, and omega-3 PUFAs intake and CVD risk factors in middle-aged female patients with type 2 diabetes
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
BACKGROUND/OBJECTIVES: This study was performed to investigate the association between the dietary intake of fish and shellfish, and omega-3 polyunsaturated fatty acids (PUFAs) and cardiovascular disease (CVD) risk factors in the middle-aged Korean female patients with Type 2 diabetes (T2D). SUBJECTS/METHODS: A cross-sectional analysis was performed with 356 female patients (means age: 55.5 years), who were recruited from the Huh’s Diabetes Clinic in Seoul, Korea between 2005 and 2011. The dietary intake was assessed by a validated semi-quantitative food frequency questionnaire and analyzed using the Computer Aided Nutritional Analysis program (CAN-Pro) version 4.0 software. RESULTS: In a multiple regression analysis after the adjustment for confounding factors such as age, BMI, duration of diagnosed T2D, alcohol consumption, fiber intake, sodium intake, and total energy intake, fish and shellfish intake of the subjects was negatively associated with triglyceride and pulse wave velocity (PWV). Omega-3 PUFAs intake was negatively associated with triglyceride, systolic blood pressures, diastolic blood pressures, and PWV. The multiple logistic regression analysis with the covariates showed a significant inverse relationship between the omega-3 PUFAs consumption and prevalence of hypertriglyceridemia [OR (95% CI) for greater than the median compared to less than the median: 0.395 (0.207-0.753)]. CONCLUSIONS: These results suggest that the consumption of fish and shellfish, good sources of omega-3 PUFAs, may reduce the risk factors for CVD in the middle-aged female patients with T2D.
Abstract
BACKGROUND/OBJECTIVES: This study was performed to investigate the association between the dietary intake of fish and shellfish, and omega-3 polyunsaturated fatty acids (PUFAs) and cardiovascular disease (CVD) risk factors in the middle-aged Korean female patients with Type 2 diabetes (T2D). SUBJECTS/METHODS: A cross-sectional analysis was performed with 356 female patients (means age: 55.5 years), who were recruited from the Huh’s Diabetes Clinic in Seoul, Korea between 2005 and 2011. The dietary intake was assessed by a validated semi-quantitative food frequency questionnaire and analyzed using the Computer Aided Nutritional Analysis program (CAN-Pro) version 4.0 software. RESULTS: In a multiple regression analysis after the adjustment for confounding factors such as age, BMI, duration of diagnosed T2D, alcohol consumption, fiber intake, sodium intake, and total energy intake, fish and shellfish intake of the subjects was negatively associated with triglyceride and pulse wave velocity (PWV). Omega-3 PUFAs intake was negatively associated with triglyceride, systolic blood pressures, diastolic blood pressures, and PWV. The multiple logistic regression analysis with the covariates showed a significant inverse relationship between the omega-3 PUFAs consumption and prevalence of hypertriglyceridemia [OR (95% CI) for greater than the median compared to less than the median: 0.395 (0.207-0.753)]. CONCLUSIONS: These results suggest that the consumption of fish and shellfish, good sources of omega-3 PUFAs, may reduce the risk factors for CVD in the middle-aged female patients with T2D.
참고문헌 (49)
- Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1), "Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2011)
- Annual Report on the Cause of Death Statistics, "Statistics Korea", Statistics Korea, ~ (2012)
- Huxley R, "Excess risk of fatal coronary heart disease associated with diabetes in men and women: meta-analysis of 37 prospective cohort studies", BMJ, 332, pp.73~78 (2006)
- Kim HK, "Impaired fasting glucose and risk of cardiovascular disease in Korean men and women: the Korean Heart Study", Diabetes Care, 36, pp.328~335 (2013)
- Zhang J, "Dietary inclusion of salmon, herring and pompano as oily fish reduces CVD risk markers in dyslipidaemic middle-aged and elderly Chinese women", Br J Nutr, 108, pp.1455~1465 (2012)
- Mozaffarian D, "Fish intake, contaminants, and human health: evaluating the risks and the benefits", JAMA, 296, pp.1885~1899 (2006)
- Saravanan P, "Cardiovascular effects of marine omega-3 fatty acids", Lancet, 376, pp.540~550 (2010)
- Siscovick DS, "Dietary intake of long-chain n-3 polyunsaturated fatty acids and the risk of primary cardiac arrest", Am J Clin Nutr, 71, pp.208S~212S (2000)
- Mizushima S, "Fish intake and cardiovascular risk among middle-aged Japanese in Japan and Brazil", J Cardiovasc Risk, 4, pp.191~199 (1997)
- Iso H, "Intake of fish and n3 fatty acids and risk of coronary heart disease among Japanese: the Japan Public Health Center-Based (JPHC) Study Cohort I", Circulation, 113, pp.195~202 (2006)
- Hu FB, "Fish and long-chain omega-3 fatty acid intake and risk of coronary heart disease and total mortality in diabetic women", Circulation, 107, pp.1852~1857 (2003)
- Moore CS, "Oily fish reduces plasma triacylglycerols: a primary prevention study in overweight men and women", Nutrition, 22, pp.1012~1024 (2006)
- Kris-Etherton PM, "Nutrition Committee. Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease", Circulation, 106, pp.2747~2757 (2002)
- Harris WS, "Omega-3fatty acids and coronary heart disease risk: clinical and mechanistic perspectives", Atherosclerosis, 197, pp.12~24 (2008)
- Harris WS, "Safety and efficacy of Omacor in severe hypertriglyceridemia", J Cardiovasc Risk, 4, pp.385~391 (1997)
- Maas AH, "Women's health in menopause with a focus on hypertension", Neth Heart J, 17, pp.68~72 (2009)
- Friedewald WT, "Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge", Clin Chem, 18, pp.499~502 (1972)
- Lauer RM, "Factors affecting the relationship between childhood and adult cholesterol levels: the Muscatine Study", Pediatrics, 82, pp.309~318 (1988)
- Yamashina A, "Validity, reproducibility, and clinical significance of noninvasive brachial-ankle pulse wave velocity measurement", Hypertens Res, 25, pp.359~364 (2002)
- Oh SY, "Development and validation of food frequency questionnaire for adults", Proceedings of the Korean Society of Health Promotion Annual Spring Conference (2007), Korean Society of Health Promotion
- Nutritional assessment program 'CAN-Pro 4.0', "The Korean Nutrition Society", The Korean Nutrition Society, ~ (2011)
- "USDA National Nutrient Database for Standard Reference, Release 26" (2013)[URL]
- Fatty acid composition of fisheries products in Korea, "National Fisheries Research & Development Institute (KR)", National Fisheries Research & Development Institute, ~ (2012)
- Dewailly E E, "Relations between n-3 fatty acid status and cardiovascular disease risk factors among Quebecers", Am J Clin Nutr, 74, pp.603~611 (2001)
- Okuda N, "Relation of long chain n-3 polyunsaturated fatty acid intake to serum high density lipoprotein cholesterol among Japanese men in Japan and Japanese-American men in Hawaii: the INTERLIPID study", Atherosclerosis, 178, pp.371~379 (2005)
- Friday KE, "Elevated plasma glucose and lowered triglyceride levels from omega-3 fatty acid supplementation in type II diabetes", Diabetes Care, 12, pp.276~281 (1989)
- Rivellese AA, "Long-term effects of fish oil on insulin resistance and plasma lipoproteins in NIDDM patients with hypertriglyceridemia", Diabetes Care, 19, pp.1207~1213 (1996)
- Woodman RJ, "Effects of purified eicosapentaenoic and docosahexaenoic acids on glycemic control, blood pressure, and serum lipids in type 2 diabetic patients with treated hypertension", Am J Clin Nutr, 76, pp.1007~1015 (2002)
- Lankinen M, "Effects of whole grain, fish and bilberries on serum metabolic profile and lipid transfer protein activities: a randomized trial (Sysdimet)", PLoS One, 9, pp.e90352~ (2014)
- Nilsen DW, "Effects of a high-dose concentrate of n-3 fatty acids or corn oil introduced early after an acute myocardial infarction on serum triacylglycerol and HDL cholesterol", Am J Clin Nutr, 74, pp.50~56 (2001)
- Harris WS, "n-3 fatty acids and serum lipoproteins: human studies", Am J Clin Nutr, 65, pp.1645S~1654S (1997)
- Park Y, "Omega-3 fatty acid supplementation accelerates chylomicron triglyceride clearance", J Lipid Res, 44, pp.455~463 (2003)
- Rustan AC, "Eicosapentaenoic acid reduces hepatic synthesis and secretion of triacylglycerol by decreasing the activity of acyl-coenzyme A:1,2-diacylglycerol acyltransferase", J Lipid Res, 29, pp.1417~1426 (1988)
- Morris MC, "Does fish oil lower blood pressure? A meta-analysis of controlled trials", Circulation, 88, pp.523~533 (1993)
- Kasim SE, "Effects of omega-3 fish oils on lipid metabolism, glycemic control, and blood pressure in type II diabetic patients", J Clin Endocrinol Metab, 67, pp.1~5 (1988)
- Margolin G, "Blood pressure lowering in elderly subjects:a double-blind crossover study of omega-3 and omega-6 fatty acids", Am J Clin Nutr, 53, pp.562~572 (1991)
- Bønaa KH, "Effect of eicosapentaenoic and docosahexaenoic acids on blood pressure in hypertension. A population-based intervention trial from the Tromsø study", N Engl J Med, 322, pp.795~801 (1990)
- Needleman P, "Triene prostaglandins: prostacyclin and thromboxane biosynthesis and unique biological properties", Proc Natl Acad Sci U S A, 76, pp.944~948 (1979)
- Yin K, "Blood pressure and vascular reactivity changes in spontaneously hypertensive rats fed fish oil", Br J Pharmacol, 102, pp.991~997 (1991)
- Hashimoto M, "Effects of eicosapentaenoic acid and docosahexaenoic acid on plasma membrane fluidity of aortic endothelial cells", Lipids, 34, pp.1297~1304 (1999)
- Lund EK, "Effects of dietary fish oil supplementation on the phospholipid composition and fluidity of cell membranes from human volunteers", Ann Nutr Metab, 43, pp.290~300 (1999)
- Hamazaki T, "Comparison of pulse wave velocity of the aorta between inhabitants of fishing and farming villages in Japan", Atherosclerosis, 73, pp.157~160 (1988)
- Sekikawa A, "Association of total marine fatty acids, eicosapentaenoic and docosahexaenoic acids, with aortic stiffness in Koreans, Whites, and Japanese Americans", Am J Hypertens, 26, pp.1321~1327 (2013)
- Fukuoka Y, "Effects of a fish-based diet and administration of pure eicosapentaenoic acid on brachial-ankle pulse wave velocity in patients with cardiovascular risk factors", J Cardiol, 63, pp.211~217 (2014)
- Payne RA, "Arterial stiffness and hypertension:emerging concepts", Hypertension, 55, pp.9~14 (2010)
- Jia Y, "Altered NF-kappaB gene expression and collagen formation induced by polyunsaturated fatty acids", J Nutr Biochem, 16, pp.500~506 (2005)
- McEniery CM, "Aortic calcification is associated with aortic stiffness and isolated systolic hypertension in healthy individuals", Hypertension, 53, pp.524~531 (2009)
- Abedin M, "N-3 fatty acids inhibit vascular calcification via the p38-mitogen-activated protein kinase and peroxisome proliferator-activated receptorgamma pathways", Circ Res, 98, pp.727~729 (2006)
- Health Insurance Review & Assessment Service, "National Health Insurance Statistical Yearbook 2011" (2012), National Health Insurance Service