Plasma linoleic acid levels and cardiovascular risk factors: results from the Norwegian ACE 1950 Study.


Journal

European journal of clinical nutrition
ISSN: 1476-5640
Titre abrégé: Eur J Clin Nutr
Pays: England
ID NLM: 8804070

Informations de publication

Date de publication:
12 2020
Historique:
received: 19 09 2019
accepted: 08 04 2020
revised: 08 04 2020
pubmed: 29 4 2020
medline: 25 6 2021
entrez: 29 4 2020
Statut: ppublish

Résumé

A high intake of linoleic acid (LA), the major dietary polyunsaturated fatty acid (PUFA), has previously been associated with reduced cardiovascular (CV) morbidity and mortality in observational studies. However, recent secondary analyses from clinical trials of LA-rich diet suggest harmful effects of LA on CV health. A total of 3706 participants, all born in 1950, were included in this cross-sectional study. We investigated associations between plasma phospholipid levels of LA and CV risk factors in a Norwegian general population, characterized by a relative low LA and high marine n-3 PUFA intake. The main statistical approach was multivariable linear regression. Plasma phospholipid LA levels ranged from 11.4 to 32.0 wt%, with a median level of 20.8 wt% (interquartile range 16.8-24.8 wt%). High plasma LA levels were associated with lower serum low-density lipoprotein cholesterol levels (standardized regression coefficient [Std. β-coeff.] -0.04, p = 0.02), serum triglycerides (Std. β-coeff. -0.10, p < 0.001), fasting plasma glucose (Std. β-coeff. -0.10, p < 0.001), body mass index (Std. β-coeff. -0.13, p < 0.001), systolic and diastolic blood pressure (Std. β-coeff. -0.04, p = 0.03 and Std. β-coeff. -0.02, p = 0.02, respectively) and estimated glomerular filtration rate (Std. β-coeff. -0.09, p < 0.001). We found no association between plasma LA levels and high-density lipoprotein cholesterol levels, glycated hemoglobin, carotid intima-media thickness, or C-reactive protein. High plasma LA levels were favorably associated with several CV risk factors in this study of a Norwegian general population.

Sections du résumé

BACKGROUND
A high intake of linoleic acid (LA), the major dietary polyunsaturated fatty acid (PUFA), has previously been associated with reduced cardiovascular (CV) morbidity and mortality in observational studies. However, recent secondary analyses from clinical trials of LA-rich diet suggest harmful effects of LA on CV health.
METHODS
A total of 3706 participants, all born in 1950, were included in this cross-sectional study. We investigated associations between plasma phospholipid levels of LA and CV risk factors in a Norwegian general population, characterized by a relative low LA and high marine n-3 PUFA intake. The main statistical approach was multivariable linear regression.
RESULTS
Plasma phospholipid LA levels ranged from 11.4 to 32.0 wt%, with a median level of 20.8 wt% (interquartile range 16.8-24.8 wt%). High plasma LA levels were associated with lower serum low-density lipoprotein cholesterol levels (standardized regression coefficient [Std. β-coeff.] -0.04, p = 0.02), serum triglycerides (Std. β-coeff. -0.10, p < 0.001), fasting plasma glucose (Std. β-coeff. -0.10, p < 0.001), body mass index (Std. β-coeff. -0.13, p < 0.001), systolic and diastolic blood pressure (Std. β-coeff. -0.04, p = 0.03 and Std. β-coeff. -0.02, p = 0.02, respectively) and estimated glomerular filtration rate (Std. β-coeff. -0.09, p < 0.001). We found no association between plasma LA levels and high-density lipoprotein cholesterol levels, glycated hemoglobin, carotid intima-media thickness, or C-reactive protein.
CONCLUSION
High plasma LA levels were favorably associated with several CV risk factors in this study of a Norwegian general population.

Identifiants

pubmed: 32341488
doi: 10.1038/s41430-020-0641-4
pii: 10.1038/s41430-020-0641-4
doi:

Substances chimiques

Linoleic Acid 9KJL21T0QJ

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1707-1717

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Auteurs

Anupam Chandra (A)

Department of Renal Medicine, Division of Medicine, Akershus University Hospital, Lørenskog, Norway. Anupam.Chandra@ahus.no.
Institute of Clinical Medicine, University of Oslo, Oslo, Norway. Anupam.Chandra@ahus.no.

Helge Røsjø (H)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Division of Research and Innovation, Akershus University Hospital, Lørenskog, Norway.

My Svensson (M)

Department of Renal Medicine, Division of Medicine, Akershus University Hospital, Lørenskog, Norway.
Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

Thea Vigen (T)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Division of Medicine, Akershus University Hospital, Lørenskog, Norway.

Håkon Ihle-Hansen (H)

Department of Medical Research, Bærum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.

Eivind Bjørkan Orstad (EB)

Division of Medicine, Akershus University Hospital, Lørenskog, Norway.

Ole Morten Rønning (OM)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Division of Medicine, Akershus University Hospital, Lørenskog, Norway.

Magnus Nakrem Lyngbakken (MN)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Division of Medicine, Akershus University Hospital, Lørenskog, Norway.

Ståle Nygård (S)

Centre for Bioinformatics, Department of Informatics, University of Oslo, Oslo, Norway.
Oslo Centre for Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway.

Trygve Berge (T)

Department of Medical Research, Bærum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.

Erik Berg Schmidt (EB)

Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark.

Torbjørn Omland (T)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Division of Medicine, Akershus University Hospital, Lørenskog, Norway.

Arnljot Tveit (A)

Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Department of Medical Research, Bærum Hospital, Vestre Viken Hospital Trust, Drammen, Norway.

Ivar Anders Eide (IA)

Department of Renal Medicine, Division of Medicine, Akershus University Hospital, Lørenskog, Norway.

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