Abstract

Fish oil enriched in omega-11 long-chain monounsaturated fatty acids (LCMUFAs; C20:1 and C22:1 isomers combined) have shown lipid-lowering and atheroprotective effects in animal models. To perform a first-in-human trial of LCMUFA-rich saury fish oil supplementation to test its safety and possible effect on plasma lipids. A double-blind, randomized, crossover clinical trial was carried out in 30 healthy normolipidemic adults (BMI <25kg/m2; mean TG, 84mg/dL). Treatment periods of 8weeks were separated by an 8-week washout period. Subjects were randomized to receive either 12g of saury oil (3.5g of LCMUFA and 3.4g of omega-3 FAs) or identical capsules with control oil (a mixture of sardine and olive oil; 4.9g of shorter-chain MUFA oleate and 3g of omega-3 FAs). Saury oil supplementation was safe and resulted in LDL particle counts 12% lower than control oil (P<.001). Saury oil also had a minor effect on increasing HDL particle size (9.8nm vs 9.7nm; P<.05) based on a linear mixed effect model. In contrast, control oil, but not saury oil, increased LDL-C by 7.5% compared with baseline (P<.05). Saury oil had similar effects compared with control oil on lowering plasma TG levels, VLDL, and TG-rich lipoprotein particle counts (by ∼16%, 25%, and 35%, respectively; P<.05), and increasing HDL-C and cholesterol efflux capacity (by ∼6% and 8%, respectively; P<.05) compared with baseline. Saury oil supplementation is well tolerated and has beneficial effects on several cardiovascular parameters, such as LDL particle counts, HDL particle size, and plasma TG levels.

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