Differential effects of high dose omega-3 fatty acids on metabolism and inflammation in patients with obesity : eicosapentaenoic and docosahexaenoic acid supplementation

Copyright © 2023 Borja-Magno, Guevara-Cruz, Flores-López, Carrillo-Domínguez, Granados, Arias, Perry, Sears, Bourges and Gómez..

Background: Obesity is complicated by low-grade chronic inflammation characterised by increases in inflammatory proteins and cells in peripheral blood. It has been known that omega-3 fatty acids (FA) like eicosapentaenoic (EPA) and docosahexaenoic (DHA) could modulate the inflammatory process and improve metabolic markers.

Objective: This study aimed to determine the effect of high-dose omega-3 FA on metabolic and inflammatory markers among patients with obesity and healthy volunteers.

Methods: This prospective study included 12 women with obesity (body mass index [BMI] ≥ 35.0 kg/m2) and 12 healthy women (BMI < 24.0 kg/m2) who were supplemented with a dose of 4.8 g/day (3.2 g EPA plus 1.6 g DHA) for 3 months followed by no treatment for 1 month. Plasma metabolic and inflammatory markers and levels of mRNA transcripts of CD4+ T lymphocyte subsets were determined monthly.

Results: None of the participants exhibited changes in weight or body composition after study completion. EPA and DHA supplementation improved metabolic (insulin, Homeostatic Model Assessment of Insulin Resistance [HOMA-IR], triglyceride [TG]/ high-density lipoprotein [HDL] ratio, TG, and arachidonic acid [AA]/EPA ratio) and tumor necrosis factor-alpha (TNF-α). Moreover, the levels of mRNA transcripts of T CD4+ lymphocyte subsets (TBX21, IFNG, GATA-3, interleukin [IL]-4, FOXP3, IL-10 IL-6, and TNF-α), were down-regulated during the intervention phase. After 1 month without supplementation, only insulin, HOMA-IR and the mRNA transcripts remained low, whereas all other markers returned to their levels before supplementation.

Conclusion: Supplementation with high-dose omega-3 FAs could modulate metabolism and inflammation in patients with obesity without weight loss or changes in body composition. However, these modulatory effects were ephemeral and with clear differential effects: short-duration on metabolism and long-lasting on inflammation.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

Frontiers in nutrition - 10(2023) vom: 30., Seite 1156995

Sprache:

Englisch

Beteiligte Personen:

Borja-Magno, Angélica [VerfasserIn]
Guevara-Cruz, Martha [VerfasserIn]
Flores-López, Adriana [VerfasserIn]
Carrillo-Domínguez, Silvia [VerfasserIn]
Granados, Julio [VerfasserIn]
Arias, Clorinda [VerfasserIn]
Perry, Mary [VerfasserIn]
Sears, Barry [VerfasserIn]
Bourges, Hector [VerfasserIn]
Gómez, F Enrique [VerfasserIn]

Links:

Volltext

Themen:

Docosahexaenoic (DHA)
Eicosapentaenoic (EPA)
Inflammation
Journal Article
Metabolism
Nutrition
Obesity
Omega-3 fatty acids

Anmerkungen:

Date Revised 23.05.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.3389/fnut.2023.1156995

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357176898