Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications.

Background: Intake of fish and long-chain n-3 fatty acids has been of wide interest due to their beneficial effects on cardiovascular risk factors and lower coronary heart disease (CHD) risk. Aim of the study: The aim of this pilot study was to examine the effects of fatty fish and lean (white) fish...

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Publicado en:European Journal of Nutrition Vol. 47; no. 6; pp. 319 - 329
Autores principales: Erkkilä AT, Schwab US, de Mello VDF, Lappalainen T, Mussalo H, Lehto S, Kemi V, Lamberg-Allardt C, Uusitupa MIJ
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2008
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2008
      vid: 47
      iid: 6
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-008-0728-5
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        atl: Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications.
      aug:
        au:
          Erkkilä AT
          Schwab US
          de Mello VDF
          Lappalainen T
          Mussalo H
          Lehto S
          Kemi V
          Lamberg-Allardt C
          Uusitupa MIJ
        affil: Department of Public Health, School of Public Health and Clinical Nutrition, University of Kuopio, Kuopio, Finland
      sug:
        subj:
          Blood Pressure
          Cardiovascular Risk Factors
          Coronary Disease
          Drugs, Prescription
          Fish Metabolism
          Fish Physiology
          Lipids
          Aged
          Analysis of Variance
          Apolipoproteins
          Chi Square Test
          Docosahexaenoic Acids
          Eicosapentaenoic Acid
          Female
          Finland
          Funding Source
          Heart Rate
          Lipoproteins, HDL Cholesterol
          Male
          Middle Age
          Myocardial Infarction
          Myocardial Ischemia
          Pilot Studies
          Post Hoc Analysis
          T-Tests
          Triglycerides
          Vitamin D
          Human
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Intake of fish and long-chain n-3 fatty acids has been of wide interest due to their beneficial effects on cardiovascular risk factors and lower coronary heart disease (CHD) risk. Aim of the study: The aim of this pilot study was to examine the effects of fatty fish and lean (white) fish on fatty acid composition of serum lipids and cardiovascular risk factors in subjects with CHD using multiple drugs for this condition. Methods: The study was an 8-week controlled, parallel intervention. Inclusion criteria were myocardial infarction or unstable ischemic attack, age under 70 years, use of betablockers and presence of sinus rhythm. The subjects were randomized to one of the following groups: 4 meals/week fatty fish (n = 11), 4 meals/week lean fish (n = 12) and control diet including lean meat (n = 10). Results: The mean (+/-SD) of reported fish meals per week was 4.3 +/- 0.4, 4.7 +/- 1.1 and 0.6 +/- 0.4 in the groups, respectively. The proportions of eicosapentaenoic and docosahexaenoic acids in serum lipids increased in the fatty fish group only (P < 0.05). Systolic and diastolic blood pressure levels decreased in the lean fish group (0 vs. 8 week: 3.5 +/- 3.2 and 4.6 +/- 3.6%, respectively, P < 0.05). Serum total triglyceride concentration did not significantly change. HDL cholesterol concentration change differed among groups but without significant post hoc differences. Apolipoprotein A-1 concentration decreased in the control group (0 vs. 8 week, P < 0.05). Coagulation factors, 25-hydroxy vitamin D, and heart rate variability (24 h Holter) did not change among the groups. Conclusions: Our results suggest that intake of lean fish at least four times per week could reduce blood pressure levels in CHD patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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