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Effects of an energy-restricted diet rich in plant-derived α-linolenic acid on systemic inflammation and endothelial function in overweight-to-obese patients with metabolic syndrome traits.

The British journal of nutrition
January 1, 1970
Sarah Egert et al. (6 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether a hypoenergetic diet rich in ALA (3.4 g/d) improves biomarkers of systemic inflammation and vascular function compared to a low-ALA diet (0.9 g/d) in overweight-to-obese patients with metabolic syndrome traits.

Results Summary

Both diets led to significant reductions in inflammatory and vascular biomarkers, but the high-ALA diet showed a more pronounced reduction in YKL-40 compared to the low-ALA diet. No inter-group differences were observed for other biomarkers, though improvements correlated with body fat loss.

Population

Overweight-to-obese patients with metabolic syndrome traits (n=81).

Effective Dosage

3.4 g/d (high-ALA diet) vs. 0.9 g/d (low-ALA diet).

Duration

6 months.

Interactions

None mentioned.

Extracted Claims (24)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Plant-derived α-linolenic acid (ALA)
decrease
risk of CVD
-
-
may reduce
#1
Plant-derived α-linolenic acid (ALA)
decrease
systemic inflammation
-
-
possibly by decreasing
#2
Plant-derived α-linolenic acid (ALA)
increase
endothelial function
-
-
improving
#3
hypoenergetic diet rich in ALA (3·4 g/d)
decrease
serum concentrations of C-reactive protein (CRP)
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#4
hypoenergetic diet rich in ALA (3·4 g/d)
decrease
serum concentrations of TNF-α
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#5
hypoenergetic diet rich in ALA (3·4 g/d)
decrease
serum concentrations of IL-6
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#6
hypoenergetic diet rich in ALA (3·4 g/d)
decrease
serum concentrations of soluble intercellular adhesion molecule-1 (sICAM-1)
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#7
hypoenergetic diet rich in ALA (3·4 g/d)
decrease
serum concentrations of soluble endothelial selectin (sE-selectin)
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#8
hypoenergetic diet rich in ALA (3·4 g/d)
decrease
serum concentrations of asymmetric dimethylarginine
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#9
hypoenergetic diet low in ALA (0·9 g/d, control)
decrease
serum concentrations of C-reactive protein (CRP)
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#10
hypoenergetic diet low in ALA (0·9 g/d, control)
decrease
serum concentrations of TNF-α
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#11
hypoenergetic diet low in ALA (0·9 g/d, control)
decrease
serum concentrations of IL-6
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#12
hypoenergetic diet low in ALA (0·9 g/d, control)
decrease
serum concentrations of soluble intercellular adhesion molecule-1 (sICAM-1)
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#13
hypoenergetic diet low in ALA (0·9 g/d, control)
decrease
serum concentrations of soluble endothelial selectin (sE-selectin)
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#14
hypoenergetic diet low in ALA (0·9 g/d, control)
decrease
serum concentrations of asymmetric dimethylarginine
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
significant decreases
#15
hypoenergetic diet rich in ALA (3·4 g/d)
no change
serum concentrations of C-reactive protein (CRP), TNF-α, IL-6, soluble intercellular adhesion molecule-1 (sICAM-1), soluble endothelial selectin (sE-selectin) and asymmetric dimethylarginine
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
no inter-group differences were observed
#16
hypoenergetic diet rich in ALA (3·4 g/d)
decrease
serum concentration of YKL-40 (human cartilage glycoprotein 39 or chitinase-3-like protein 1)
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
decreased
#17
hypoenergetic diet rich in ALA (3·4 g/d)
no change
plasma concentrations of fibrinogen
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
did not significantly change
#18
hypoenergetic diet low in ALA (0·9 g/d, control)
no change
plasma concentrations of fibrinogen
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
did not significantly change
#19
hypoenergetic diet rich in ALA (3·4 g/d)
decrease
serum concentrations of sICAM-1, sE-selectin, CRP and YKL-40
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
decreases were significantly correlated with the decreases
#20
hypoenergetic diet rich in ALA (3·4 g/d)
decrease
body fat mass
eighty-one overweight-to-obese patients with metabolic syndrome traits
-
decreases were significantly correlated with the decreases
#21
body-weight loss
increase
vascular function
overweight-to-obese patients with metabolic syndrome traits
-
improved
#22
body-weight loss
decrease
inflammation
overweight-to-obese patients with metabolic syndrome traits
-
improved
#23
high ALA intake
decrease
serum concentration of YKL-40
overweight-to-obese patients with metabolic syndrome traits
-
led to a more pronounced reduction
#24
Abstract

Plant-derived α-linolenic acid (ALA) may reduce the risk of CVD, possibly by decreasing systemic inflammation and improving endothelial function. In the present study, the effects of a hypoenergetic diet rich in ALA (3·4 g/d) on the biomarkers of systemic inflammation and vascular function were investigated in eighty-one overweight-to-obese patients with metabolic syndrome traits in comparison with a hypoenergetic diet low in ALA (0·9 g/d, control). After a 6-month dietary intervention, there were significant decreases in the serum concentrations of C-reactive protein (CRP), TNF-α, IL-6, soluble intercellular adhesion molecule-1 (sICAM-1), soluble endothelial selectin (sE-selectin) and asymmetric dimethylarginine in both dietary groups. However, no inter-group differences were observed for all these changes. The serum concentration of YKL-40 (human cartilage glycoprotein 39 or chitinase-3-like protein 1) decreased after the ALA diet when compared with the control diet (P< 0·05 for time × treatment interaction). Plasma concentrations of fibrinogen did not significantly change in the two dietary groups. The decreases in the serum concentrations of sICAM-1, sE-selectin, CRP and YKL-40 were significantly correlated with the decreases in body fat mass. In conclusion, the present study indicates that in overweight-to-obese patients with metabolic syndrome traits, both vascular function and inflammation are improved during body-weight loss. The high ALA intake led to a more pronounced reduction in the serum concentration of YKL-40 compared with the intake of the low-ALA control diet, indicating the existence of independent favourable physiological effects of ALA during weight loss.

Medical Subject Headings (MeSH)
AdipokinesAdultArginineBiomarkersC-Reactive ProteinChitinase-3-Like Protein 1Diet, ReducingDown-RegulationE-SelectinEndothelium, VascularFatty Acids, MonounsaturatedFemaleHumansInflammation MediatorsIntercellular Adhesion Molecule-1LectinsMaleMetabolic SyndromeMiddle AgedObesityOverweightPlant OilsRapeseed OilVasculitisWeight Lossalpha-Linolenic Acid
Study Links
Quality Scores
Safety85
Efficacy70/10
Quality80/10
Citation Metrics
Total Citations42
Citations/Year3.8
Relative Citation Ratio1.74
NIH Percentile70.1%
Research Impact Scores
APT Score0.75
Weight Score1.84
Normalized Score0.78
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Effects of an energy-restricted diet rich in plant-derived α... | Panacea Index