Docosahexenoic Acid (DHA) Supplementation and Cardiovascular Disease in Men With High Triglycerides - Full Text View

Sponsors and Collaborators:	USDA, Western Human Nutrition Research Center VA Northern California Health Care System Martek Biosciences Corporation
Information provided by:	USDA, Western Human Nutrition Research Center
ClinicalTrials.gov Identifier:	NCT00728338

Purpose

The purpose of this study is to determine the effects of supplementing diets of hyperlipidemic men with DHA (docosahexenoic acid) on risk factors for cardiovascular disease. We hypothesize that supplementing diets of hyperlipidemic men with DHA will decrease the plasma concentrations of CRP (C-reactive protein), inflammatory cytokines, and soluble adhesion molecules. We further hypothesize that DHA supplementation will decrease serum triglyceride concentrations and increase HDL concentration.

Condition	Intervention
Hypertriglyceridemia	Dietary Supplement: Docosahexenoic acid (DHA) Dietary Supplement: Olive oil

MedlinePlus related topics: Dietary Supplements Triglycerides

Drug Information available for: Docosahexaenoic acids

U.S. FDA Resources

Study Type:	Interventional
Study Design:	Treatment, Randomized, Double Blind (Subject, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
Official Title:	Effect of Docosahexenoic Acid (22:6n-3, DHA) Supplementation on Risk Factors for Cardiovascular Disease in Hyperlipidemic Men

Further study details as provided by USDA, Western Human Nutrition Research Center:

Primary Outcome Measures:

Plasma biomarkers of inflammation [ Time Frame: 0, 45, and 90 days ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

Granulocyte maturation [ Time Frame: 0, 45, and 90 dyas ] [ Designated as safety issue: No ]
fasting and post-prandial serum lipids and lipoproteins [ Time Frame: 0, 45, and 90 days ] [ Designated as safety issue: No ]
blood pressure and blood clotting [ Time Frame: 0, 45, and 90 days ] [ Designated as safety issue: No ]
plasma biomarkers for diabetes [ Time Frame: 0, 45, and 90 days ] [ Designated as safety issue: No ]

Enrollment:	40
Study Start Date:	June 2003
Study Completion Date:	November 2005
Primary Completion Date:	November 2005 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: Experimental Martek Biosciences Corporation Neuromins Capsules 7.5 g DHA oil/day	Dietary Supplement: Docosahexenoic acid (DHA) The DHA group received 7.5 g/d DHA oil (DHA 3.0 g/d) which is produced in the microalga Crypthecodinium cohinii.
2: Placebo Comparator 7.5 g/ day olive oil	Dietary Supplement: Olive oil 7.5 g olive oil/day

Detailed Description:

Cardiovascular disease (CVD) and stroke are the leading causes of mortality in the United States, accounting for more than 38% of all deaths. Elevated total- and LDL- cholesterol, number of total and small dense LDL particles, triacylglycerols, and low HDL-C are established independent risk factors for the development of CVD. Additional novel blood lipid markers used as risk factors for CVD include, increased plasma concentration of remnant like particle-cholesterol (RLP-C), decreased ratio between plasma eicosapentaenoic acid (EPA) and arachidonic acd (AA), and decreased omega-3 index (sum of EPA and DHA as a percentage of total fatty acid content) of the red blood cells.

Diets rich in omega-3 fatty acids have been shown to be cardio-protective; these diets decreased inflammation, platelet aggregation, cardiac arrhythmias, triglycerides, number of total LDL and small dense LDL particles, and increased omega-3 index, endothelial relaxation and atherosclerotic plaque stability. Most of the earlier studies regarding the effects of long chain n-3 PUFA on blood lipids were conducted with fish oils which contain a mixture of EPA and DHA. Recently a number of studies have been conducted with EPA and DHA individually. Results from studies with individual fatty acids show that EPA and DHA have similar effects on some of the lipid parameters, but they are assimilated to a different concentration in tissues and have different effects on lipoprotein particle size, heart rate and blood pressure. The main purpose of this study is to examine the effects of DHA supplementation on the above three risk factors.

Eligibility

Ages Eligible for Study:	39 Years to 66 Years
Genders Eligible for Study:	Male
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

fasting serum triglyceride values of 150-400 mg/dL
total cholesterol < 300 mg/dL
LDL-cholesterol < 220 mg/dL
BMI between 22 and 35 Kg/m2

Exclusion Criteria:

anti-inflammatory medications including steroids
antihypertensives
non sulfonyl urea medications for diabetes mellitus
drugs that alter serum triacylglycerols and HDL-C levels (i.e. fibrates)
niacin supplements
consumers of illegal substances
consumers of more than 5 drinks of alcohol per week
more than one fish meal per week
dietary supplements of fish oil, flaxseed oil or vitamin C or E

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00728338

Locations

United States, California
Usda, Ars, Whnrc
Davis, California, United States, 95616

Sponsors and Collaborators

USDA, Western Human Nutrition Research Center

VA Northern California Health Care System

Martek Biosciences Corporation

Investigators

Principal Investigator:

Darshan S Kelley, PhD

USDA, ARS, WHNRC

More Information

USDA, ARS, WHNRC This link exits the ClinicalTrials.gov site

Publications of Results:

Kelley DS, Siegel D, Vemuri M, Mackey BE. Docosahexaenoic acid supplementation improves fasting and postprandial lipid profiles in hypertriglyceridemic men. Am J Clin Nutr. 2007 Aug;86(2):324-33.

Kelley DS, Siegel D, Vemuri M, Chung GH, Mackey BE. Docosahexaenoic acid supplementation decreases remnant-like particle-cholesterol and increases the (n-3) index in hypertriglyceridemic men. J Nutr. 2008 Jan;138(1):30-5.

Responsible Party:	USDA, ARS, WHNRC ( Darshan S. Kelley, Ph.D. )
Study ID Numbers:	WHNRC002
Study First Received:	July 31, 2008
Last Updated:	August 7, 2008
ClinicalTrials.gov Identifier:	NCT00728338
Health Authority:	United States: Federal Government

Keywords provided by USDA, Western Human Nutrition Research Center:

docosahexenoic acid (DHA)
dietary supplement
n-3 polyunsaturated fatty acid
cardiovascular disease

Study placed in the following topic categories:

Metabolic Diseases
Hyperlipidemias
Hypertriglyceridemia

Metabolic disorder
Dyslipidemias
Lipid Metabolism Disorders

Additional relevant MeSH terms:

Cardiovascular Diseases

ClinicalTrials.gov processed this record on January 13, 2009