Effect of omega-3 fatty acids supplementation on homocysteine level in patients undergoing continuous ambulatory peritoneal dialysis
Objective: One of the most common diseases with high morbidity and mortality rates is chronic kidney disease. Cardiovascular disease affects most patients with chronic kidney disorders, particularly patients undergoing dialysis; hence, appropriate prevention and management approaches are essential....
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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Series: | Journal of Research in Pharmacy Practice |
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Online Access: | http://www.jrpp.net/article.asp?issn=2319-9644;year=2022;volume=11;issue=2;spage=80;epage=86;aulast=Gholipur-Shahraki |
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author | Tahereh Gholipur-Shahraki Sahar Vahdat Shiva Seirafian Morteza Pourfarzam Shirinsadat Badri |
author_facet | Tahereh Gholipur-Shahraki Sahar Vahdat Shiva Seirafian Morteza Pourfarzam Shirinsadat Badri |
author_sort | Tahereh Gholipur-Shahraki |
collection | DOAJ |
description | Objective: One of the most common diseases with high morbidity and mortality rates is chronic kidney disease. Cardiovascular disease affects most patients with chronic kidney disorders, particularly patients undergoing dialysis; hence, appropriate prevention and management approaches are essential. This study aimed to evaluate the reduction of inflammatory biomarkers, especially homocysteine, by omega-3 fatty acids in peritoneal dialysis patients. Methods: This study enrolled 60 peritoneal dialysis patients who met specified inclusion and exclusion criteria and were randomized to intervention or placebo groups. Omega-3 capsules were given at a dose of 3 g/d for 8 weeks. Inflammatory markers, including high-sensitivity C-reactive protein (hs-CRP), homocysteine, albumin, and lipid profile measured before and after the study. Findings: Results of this trial revealed that the levels of homocysteine, hs-CRP, and albumin did not change significantly during the study. Analysis of lipid profiles before and after intervention showed omega-3 has no significant effect on the level of total cholesterol or low-density lipoprotein cholesterol; However, the level of triglyceride reduced remarkably (P = 0.002). In addition, serum levels of high-density lipoprotein cholesterol increased at the end of the study (P < 0.001). Conclusion: Omega-3 does not seem to be able to change the inflammatory markers significantly, particularly homocysteine. More extensive trials must be conducted to better understand the impact of omega-3 on inflammatory and nutritional markers, particularly in peritoneal dialysis patients. |
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format | Article |
id | doaj.art-bf4a50e4eda447a9987edc1c596374c9 |
institution | Directory Open Access Journal |
issn | 2319-9644 2279-042X |
language | English |
last_indexed | 2024-04-10T23:23:26Z |
publishDate | 2022-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Research in Pharmacy Practice |
spelling | doaj.art-bf4a50e4eda447a9987edc1c596374c92023-01-12T13:26:52ZengWolters Kluwer Medknow PublicationsJournal of Research in Pharmacy Practice2319-96442279-042X2022-01-01112808610.4103/jrpp.jrpp_67_22Effect of omega-3 fatty acids supplementation on homocysteine level in patients undergoing continuous ambulatory peritoneal dialysisTahereh Gholipur-ShahrakiSahar VahdatShiva SeirafianMorteza PourfarzamShirinsadat BadriObjective: One of the most common diseases with high morbidity and mortality rates is chronic kidney disease. Cardiovascular disease affects most patients with chronic kidney disorders, particularly patients undergoing dialysis; hence, appropriate prevention and management approaches are essential. This study aimed to evaluate the reduction of inflammatory biomarkers, especially homocysteine, by omega-3 fatty acids in peritoneal dialysis patients. Methods: This study enrolled 60 peritoneal dialysis patients who met specified inclusion and exclusion criteria and were randomized to intervention or placebo groups. Omega-3 capsules were given at a dose of 3 g/d for 8 weeks. Inflammatory markers, including high-sensitivity C-reactive protein (hs-CRP), homocysteine, albumin, and lipid profile measured before and after the study. Findings: Results of this trial revealed that the levels of homocysteine, hs-CRP, and albumin did not change significantly during the study. Analysis of lipid profiles before and after intervention showed omega-3 has no significant effect on the level of total cholesterol or low-density lipoprotein cholesterol; However, the level of triglyceride reduced remarkably (P = 0.002). In addition, serum levels of high-density lipoprotein cholesterol increased at the end of the study (P < 0.001). Conclusion: Omega-3 does not seem to be able to change the inflammatory markers significantly, particularly homocysteine. More extensive trials must be conducted to better understand the impact of omega-3 on inflammatory and nutritional markers, particularly in peritoneal dialysis patients.http://www.jrpp.net/article.asp?issn=2319-9644;year=2022;volume=11;issue=2;spage=80;epage=86;aulast=Gholipur-Shahrakiend-stage renal diseasehomocysteineomega-3 fatty acidsperitoneal dialysis |
spellingShingle | Tahereh Gholipur-Shahraki Sahar Vahdat Shiva Seirafian Morteza Pourfarzam Shirinsadat Badri Effect of omega-3 fatty acids supplementation on homocysteine level in patients undergoing continuous ambulatory peritoneal dialysis Journal of Research in Pharmacy Practice end-stage renal disease homocysteine omega-3 fatty acids peritoneal dialysis |
title | Effect of omega-3 fatty acids supplementation on homocysteine level in patients undergoing continuous ambulatory peritoneal dialysis |
title_full | Effect of omega-3 fatty acids supplementation on homocysteine level in patients undergoing continuous ambulatory peritoneal dialysis |
title_fullStr | Effect of omega-3 fatty acids supplementation on homocysteine level in patients undergoing continuous ambulatory peritoneal dialysis |
title_full_unstemmed | Effect of omega-3 fatty acids supplementation on homocysteine level in patients undergoing continuous ambulatory peritoneal dialysis |
title_short | Effect of omega-3 fatty acids supplementation on homocysteine level in patients undergoing continuous ambulatory peritoneal dialysis |
title_sort | effect of omega 3 fatty acids supplementation on homocysteine level in patients undergoing continuous ambulatory peritoneal dialysis |
topic | end-stage renal disease homocysteine omega-3 fatty acids peritoneal dialysis |
url | http://www.jrpp.net/article.asp?issn=2319-9644;year=2022;volume=11;issue=2;spage=80;epage=86;aulast=Gholipur-Shahraki |
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