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16.07.2018 | Short Communication

A longitudinal study of the association of the eicosapentaenoic acid/arachidonic acid ratio derived from fish consumption with the serum lipid levels: a pilot study

verfasst von: Shigemasa Tani, Rei Matsuo, Naoya Matsumoto

Erschienen in: Heart and Vessels | Ausgabe 1/2019

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Abstract

It has been demonstrated that regular fish consumption is associated with a reduced mortality from atherosclerotic cardiovascular disease (ASCVD). However, data are scarce regarding the correlation between the changes in the serum eicosapentaenoic acid/arachidonic acid (EPA/AA) ratio associated with regular fish consumption and the changes in the serum lipid profile variables. This study was designed as a hospital-based longitudinal study to investigate the relationship between the changes in the serum EPA/AA ratio and changes of the serum lipid levels in patients with one or more risk factors for ASCVD. In 475 patients followed-up for at least 1 year, univariable and multivariable regression analyses conducted after adjustments for the risk factors of ASCVD revealed that the absolute change of the EPA/AA ratio (∆EPA/AA ratio) was independently and significantly associated with the changes of the serum levels of low-density lipoprotein cholesterol (LDL-C) (β = − 0.129, p = 0.005), triglyceride (TG) (β = − 0.108, p = 0.019), non-high-density lipoprotein cholesterol (non-HDL-C) (β = − 0.149, p = 0.001), and TG/HDL-C ratio, a marker of the LDL particle size (β = − 0.104, p = 0.02), while not being correlated with any other lipid parameters. On the other hand, while the ∆ docosahexaenoic acid (DHA)/AA ratio was inversely correlated with the changes of the serum HDL-C level and positively correlated with the changes of the TG/HDL-C ratio, possibly serving to promote development of atherosclerosis. The results suggest that an increase of the EPA/AA ratio might be associated with decrease of the serum levels of LDL-C, TG and non-HDL-C levels, as well as with an increase of the TG/HDL-C ratio, which represents increased LDL particle size, all of which play a role in the development of ASCVD. A high EPA/AA ratio, but not DHA/AA ratio, derived from fish consumption might reduce the risk of ASCVD through reducing the risk of development of atherosclerosis.

Clinical Trial Registration Information: UMIN (http://www.umin.ac.jp/), Study ID: UMIN000010603.

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Titel: A longitudinal study of the association of the eicosapentaenoic acid/arachidonic acid ratio derived from fish consumption with the serum lipid levels: a pilot study
verfasst von: Shigemasa Tani
Rei Matsuo
Naoya Matsumoto
Publikationsdatum: 16.07.2018
Verlag: Springer Japan
Erschienen in: Heart and Vessels / Ausgabe 1/2019
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI: https://doi.org/10.1007/s00380-018-1226-1

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