This study was conducted to examine the effect of ω3 fatty acid supplementation on plasma lipid, cholesterol and lipoprotein
fatty acid content of non-insulin-dependent diabetic individuals consuming a higher (0.65,
n = 10) or lower (0.44,
n = 18) ratio of dietary polyunsaturated to saturated fatty acid (P/S). The participants were initially given an olive oil
supplement (placebo) equivalent to 35 mg of 18:1 · kg body weight
–1· day
–1 for 3 months. This was followed by two ω3 supplement periods in a randomized crossover. In these 3-month periods, participants
were given a linseed oil supplement equivalent to 35 mg of 18:3ω3 · kg body weight
–1· day
–1 or a fish oil supplement equivalent to 35 mg of 20:5ω3 + 22:6ω3 · kg body weight
–1· day
–1. At the end of each supplement period, a blood sample was drawn from each participant for lipid, lipoprotein, insulin, glucagon
and C-peptide analyses. At the end of each 3-month period a 7-day dietary record was completed to calculate dietary fat intake
and P/S ratio. Results indicate that fish oil significantly reduced plasma triacylglycerol level (
p < 0.05) and increased 20:5ω3 and 22:6ω3 content of all lipoprotein lipid classes. Linolenic acid supplementation had no effect
on plasma triacylglycerol level, but it increased 18:3ω3 content of lipoprotein cholesterol ester fractions (
p < 0.05). A slight increase in 20:5ω3, but not 22:6ω3, content was noted in lipoprotein lipid classes as a result of 18:3ω3
supplementation. LDL and HDL cholesterol, insulin, glucagon and C-peptide levels were not affected by either ω3 supplement.
It is concluded that a modest intake of ω3 fatty acids, such as could be obtained from consuming fish regularly, will reduce
plasma triglyceride level without affecting LDL or HDL cholesterol levels. [Diabetologia (1997) 40: 45–52]
Keywords Diet - diabetes - lipoprotein - fatty acid - human.
Received: 13 February 1996 and in final revised form: 16 September 1996