Abstract

BackgroundDue to structural differences, bioavailability of krill oil, a phospholipid based oil, could be higher than fish oil, a triglyceride-based oil, conferring properties that render it more effective than fish oil in increasing omega-3 index and thereby, reducing cardiovascular disease (CVD) risk.ObjectiveThe objective was to assess the effects of krill oil compared with fish oil or a placebo control on plasma and red blood cell (RBC) fatty acid profile in healthy volunteers.Participants and methodsTwenty four healthy volunteers were recruited for a double blinded, randomized, placebo-controlled, crossover trial. The study consisted of three treatment phases including krill or fish oil each providing 600 mg of n-3 polyunsaturated fatty acids (PUFA) or placebo control, corn oil in capsule form. Each treatment lasted 4 wk and was separated by 8 wk washout phases.ResultsKrill oil consumption increased plasma (p = 0.0043) and RBC (p = 0.0011) n-3 PUFA concentrations, including EPA and DHA, and reduced n-6:n-3 PUFA ratios (plasma: p = 0.0043, RBC: p = 0.0143) compared with fish oil consumption. Sum of EPA and DHA concentrations in RBC, the omega-3 index, was increased following krill oil supplementation compared with fish oil (p = 0.0143) and control (p < 0.0001). Serum triglycerides and HDL cholesterol concentrations did not change with any of the treatments. However, total and LDL cholesterol concentrations were increased following krill (TC: p = 0.0067, LDL: p = 0.0143) and fish oil supplementation (TC: p = 0.0028, LDL: p = 0.0143) compared with control.ConclusionsConsumption of krill oil was well tolerated with no adverse events. Results indicate that krill oil could be more effective than fish oil in increasing n-3 PUFA, reducing n-6:n-3 PUFA ratio, and improving the omega-3 index.Trial registrationClinicalTrials.gov, NCT01323036

Highlights

  • Due to structural differences, bioavailability of krill oil, a phospholipid based oil, could be higher than fish oil, a triglyceride-based oil, conferring properties that render it more effective than fish oil in increasing omega-3 index and thereby, reducing cardiovascular disease (CVD) risk

  • Sum of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) concentrations in red blood cell (RBC), the omega-3 index, was increased following krill oil supplementation compared with fish oil (p = 0.0143) and control (p < 0.0001)

  • Results indicate that krill oil could be more effective than fish oil in increasing n-3 polyunsaturated fatty acids (PUFA), reducing n-6:n-3 PUFA ratio, and improving the omega-3 index

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Summary

Participants and methods

Safety data were examined descriptively for each arm and compared across treatments Statistical analyses such as Kruskal-Wallis and Friedman tests were used to identify significant differences between different phases regarding baseline result for each treatment separately and if significant differences existed between phases regarding the baseline measures (ignoring the treatment effect). These tests were done to determine the efficiency of the washout period.

Results
Background
Discussion
20. Griffin BA
38. Harris WS
40. GISSI-Prevenzione Investigators
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