Thromb Haemost 1983; 50(02): 543-546
DOI: 10.1055/s-0038-1665251
Original Article
Schattauer GmbH Stuttgart

The Effect of N-6 and N-3 Polyunsaturated Fatty Acids on Hemostasis, Blood Lipids and Blood Pressure

J Z Mortensen
The Department of Clinical Chemistry, Section of Blood Coagulation, Aalborg Hospital, Aalborg, Denmark
,
E B Schmidt
The Department of Clinical Chemistry, Section of Blood Coagulation, Aalborg Hospital, Aalborg, Denmark
,
A H Nielsen
The Department of Clinical Chemistry, Section of Blood Coagulation, Aalborg Hospital, Aalborg, Denmark
,
J Dyerberg
The Department of Clinical Chemistry, Section of Blood Coagulation, Aalborg Hospital, Aalborg, Denmark
› Author Affiliations
Further Information

Publication History

Received 21 March 1983

Accepted 25 May 1983

Publication Date:
18 July 2018 (online)

Summary

Diverging results from studies of marine oil supplementation to western diets initiated the undertaking of a double-blind crossover study, with administration to healthy volunteers for 4 weeks of either 10 g of fish oil or 10 g of vegetable oil. Each oil containing approx. 40% of n-3 and n-6 polyunsaturated fatty acids (PUFA) respectively. During the n-3 PUFA period, systolic blood pressure, plasma total lipids, triglycerides and VLDL concentrations fell significantly whereas plasma antithrombin-III (AT-III) rose. Cutaneous bleeding time increased significantly. In contrast only AT-III rose during the n-6 PUFA feeding, however, more marked than during the n-3 oil period. It is concluded that a n-3 PUFA oil supplement to the western diet exerts an effect that generally is considered as beneficial in terms of the risk of developing cardiovascular diseases. It is in this respect superior to that of n-6 PUFA, stressing the necessity of a more differentiated approach to advices on dietary PUFA enrichment than presently is exerted.

 
  • References

  • 1 The State of Health in Greenland from the Chief Medical Officer in Greenland, Nuuk (Godthab) Greenland. Annual Reports. 1973
  • 2 Dyerberg J, Bang HO. Haemostatic function and platelet polyunsaturated fatty acids in Eskimos. Lancet 1979; 2: 433-435
  • 3 Dyerberg J, Bang HO. Lipid metabolism, atherogenesis and haemostasis in Eskimos, the role of the prostaglandin-3 family. Haemostasis 1979; 8: 227-233
  • 4 Sanders TA B, Vickers M, Haines AP. Effect on blood lipids and haemostasis of a supplement of cod-liver oil, rich in eicosapentaenoic and docosahexaenoic acids, in healthy young men. Clin Sci 1981; 61: 317-324
  • 5 Scherhag R, Kramer HJ, Diising R. Dietary administration of eicosapentaenoic and linolenic acid increases arterial blood pressure and suppresses vascular prostacyclin synthesis in the rat. Prostaglandins 1982; 23: 369-382
  • 6 Stoffersen E, Jørgensen KA, Dyerberg J. Antithrombin III and dietary intake of polyunsaturated fatty acids. Scand J Clin Lab Invest 1982; 42: 83-86
  • 7 Brox JH, Killie J-E, Gunnes S, Nordøy A. The effect of cod liver oil and com oil on platelets and vessel wall in man. Thromb Haemostas 1981; 46: 604-611
  • 8 Dyerberg J. Platelet-vessel wall interaction: influence of diet. Phil Trans R Soc Lond 1981; B 294: 373-381
  • 9 Goodnight SH, Harris WS, Connor WE. The effects of dietary w-3 fatty acids on platelet composition and function in man: a prospective, controlled study. Blood 1981; 58: 880-885
  • 10 Hay CR M, Durber AP, Saynor R. Effect of fish oil on platelet kinetics in patients with ischaemic heart disease. Lancet 1982; 1: 1269-1272
  • 11 Saynor R, Verel D. Effect of a marine oil high in eicosapentaenoic acid on blood lipids and coagulation. I.R.C.S Medical Science: Metabolism and Nutrition 1980; 8: 378-379
  • 12 Dyerberg J, Bang HO, Stoffersen E. Eicosapentaenoic acid and prevention of thrombosis and atherosclerosis. Lancet 1978; 2: 117-119
  • 13 Mancini G, Carbonora AO, Heremons JF. Immunochemical quantitation of antigens by a single radial immunodiffusion. Immunochemistry 1965; 2: 235-239
  • 14 Abildgaard U, Lie M, Ødegård OR. Antithrombin (heparin cofactor) assay with new chromogenic substrates. (S-2238 and chromozym TH). Thromb Res 1977; 11: 549-554
  • 15 Sas G, Petö I, Banhegyi D, Blaskó G, Domján G. Heterogeneity of the “Classical” antithrombin III deficiency. Thromb Haemostas 1980; 43: 133-136
  • 16 Dyerberg J, Hjørne N. Quantitative plasma lipoprotein estimation by agarose gel electrophoresis. Clin Chim Acta 1970; 28: 203-208
  • 17 Dyerberg J, Hjørne N. Quantitative plasma lipoprotein electrophoresis. Correction for the difference in dye uptake by the lipoprotein fractions Clin Chim Acta 1970; 30: 407-413
  • 18 Poulsen K, Jørgensen J. An easy radio-immunological microassay of renin activity, concentration and substrate in human and animal plasma and tissues based on angiotensin I trapping by antibody. J Clin Endocrinol Metab 1974; 39: 816-825
  • 19 Baugham DR, Robertson I, Robertson JI S, Robinson CJ, Tree M. An international collaborative study of renin assay: establishment of the international reference preparation of human renin. Clin Sci Mol Med 1975; 48: 135-159
  • 20 Thorngren M, Gustafson A. Effects of 11-week increase in dietary eicosapentaenoic acid on bleeding time, lipids and platelet aggregation. Lancet 1981; 2: 1190-1193
  • 21 Hirai A, Terano T, Hamazaki T, Sajiki J, Kondo S, Ozawa A, Fujita T, Miyamota T, Tamura Y, Kumagai A. The effects of the oral administration of fish oil concentrate on the release and the metabolism of (14C) arachidonic acid and (14C) eicosapentaenoic acid by human platelets. Thromb Res 1982; 28: 285-298
  • 22 Siess W, Roth P, Scherer B, Kurzmann I, Bohlig B, Weber PC. Platelet-membrane fatty acids, platelet aggregation and thromboxane formation during a mackerel diet. Lancet 1980; 1: 441-444
  • 23 Sanders TA B, Roshanai F. The influence of different types of w-3 polyunsaturated fatty acids on blood lipids and platelet function in healthy volunteers. Clin Sci 1983; 64: 91-99
  • 24 Zucker ML, Gomperts ED, Russel D, Joffe B, Feesey M, Kuschke R, Seftel H. Antithrombin functional activity after saturated and unsaturated fatty meals and fasting in normal subjects and some disease states. Thromb Res 1979; 15: 37-48
  • 25 Thaler E, Lechner K. Antithrombin III deficiency on thromboembolism. In Clin, Haematol. Prentice CR M. (ed.) W B Saimders Co Ltd; London: 1981. 10 369
  • 26 Van Gent CM, Luten JB, Bronsgeest-Schoute HC, Ruiter A. Effect, on serum lipid levels of w-3 fatty acids, of ingesting fish-oil concentrate. Lancet 1979; 2: 1249-1250
  • 27 Harris WS, Connor WE. The effects of salmon oil upon plasma lipids, lipoproteins and triglyceride clearance. Trans Assoc Am Phys 1980; 93: 148-155
  • 28 Von Lossonczy TO, Ruiter A, Bronsgeest-Schoute HC, van Gent CM, Hermus RJ J. The effect of a fish diet on serum lipids in healthy human subjects. Am J Clin Nutr 1978; 31: 1340-1346
  • 29 Saynor R, Verel D. Eicosapentaenoic acid, bleeding time and serum lipids. Lancet 1982; 1: 272
  • 30 Bang HO, Dyerberg J. Arktisk blodtryk. Ugeskr Laeg 1976; 138: 2503
  • 31 Simper LB. Blood pressure in polar Eskimos. Ugeskr Laeg 1976; 138: 1757-1758
  • 32 Rouse IL, Armstrong BK, Beilin LJ, Vandongen R. Blood-pressurelowering effect of a vegetarian diet: controlled trial in normotensive subjects. Lancet 1983; 1: 5-10
  • 33 Puska P, Nissinen A, Vartiainen E, Dougherty R, Mutanen M, Iacono JM, Korhonen HJ, Pietinen P, Leino U, Moisio S, Huttunen J. Controlled, randomised trial of the effect of dietary fat on blood pressure. Lancet 1983; 1: 1-5
  • 34 Dyerberg J, Jørgensen KA. The effect of arachidonic acid on the synthesis of prostacyclin-like material in human umbilical vasculature. Artery 1980; 8: 12-17
  • 35 Kobayashi S, Hirai A, Terano T, Hamazaki T, Tamura Y, Kumagai A. Reduction in blood viscosity by eicosapentaenoic acid. Lancet 1981; 1: 197
  • 36 Jones DB, Davies TM E. Eicosapentaenoic acid and ischaemic heart disease. Lancet 1982; 2: 221