Effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome

Objective: Postprandial lipemia has been reported to affect endothelial function by thrombogenic and inflammatory pathways. We set out to investigate the impact of a) specific amount (50g vs 20g fat), and b) type of fatty acids (saturated, monounsaturated or n-6 polyunsaturated fatty acids; SFA, MUF...

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Main Authors: Teng, K.T., Chang, C.Y., Kanthimathi, M.S., Tan, A.T.B., Nesaretnam, K.
Format: Article
Published: Elsevier 2015
Subjects:
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author Teng, K.T.
Chang, C.Y.
Kanthimathi, M.S.
Tan, A.T.B.
Nesaretnam, K.
author_facet Teng, K.T.
Chang, C.Y.
Kanthimathi, M.S.
Tan, A.T.B.
Nesaretnam, K.
author_sort Teng, K.T.
collection UM
description Objective: Postprandial lipemia has been reported to affect endothelial function by thrombogenic and inflammatory pathways. We set out to investigate the impact of a) specific amount (50g vs 20g fat), and b) type of fatty acids (saturated, monounsaturated or n-6 polyunsaturated fatty acids; SFA, MUFA, PUFA) on postprandial lipemia, thrombogenic and inflammatory factors in metabolic syndrome subjects. Design: 30 subjects (15 men, 15 women) participated in a double-blind, randomized crossover design study with both the subjects and investigators blinded to treatments. Blood samples were collected at fasting and 30min, hourly interval for a total of 6h. Results: As expected, lower triacylglycerol response was observed for low fat/high carbohydrate meal; whereas no difference was detected between the types of fatty acids. The incremental area under the curve (iAUC) for low fat/high carbohydrate meal was 70%, 81% and 61% lower than the SFA, MUFA and PUFA meals, respectively. The iAUC 0-6h for triacylglycerol was 42% lower in women compared with the men (. P=0.024), with the similar trend observed for non-esterified fatty acids. There were significant meal×time interaction (. P=0.000) for plasma plasminogen activator inhibitor-1 and thromboxane B2 (. P=0.022) from baseline. No differences were observed between meals for plasma D-dimer, interleukin-6, interleukin-1β, tumor necrosis factor-α and high sensitivity C-reactive protein. Conclusion: These data indicate that in metabolic syndrome subjects, only the amount of dietary fatty acids affects postprandial lipemia but both amount and type of dietary fats alter thrombogenic factors. Trial registration: The study was registered at Clinicaltrials.gov (NCT01571947).
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spelling um.eprints-195722018-10-03T07:25:18Z http://eprints.um.edu.my/19572/ Effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome Teng, K.T. Chang, C.Y. Kanthimathi, M.S. Tan, A.T.B. Nesaretnam, K. R Medicine Objective: Postprandial lipemia has been reported to affect endothelial function by thrombogenic and inflammatory pathways. We set out to investigate the impact of a) specific amount (50g vs 20g fat), and b) type of fatty acids (saturated, monounsaturated or n-6 polyunsaturated fatty acids; SFA, MUFA, PUFA) on postprandial lipemia, thrombogenic and inflammatory factors in metabolic syndrome subjects. Design: 30 subjects (15 men, 15 women) participated in a double-blind, randomized crossover design study with both the subjects and investigators blinded to treatments. Blood samples were collected at fasting and 30min, hourly interval for a total of 6h. Results: As expected, lower triacylglycerol response was observed for low fat/high carbohydrate meal; whereas no difference was detected between the types of fatty acids. The incremental area under the curve (iAUC) for low fat/high carbohydrate meal was 70%, 81% and 61% lower than the SFA, MUFA and PUFA meals, respectively. The iAUC 0-6h for triacylglycerol was 42% lower in women compared with the men (. P=0.024), with the similar trend observed for non-esterified fatty acids. There were significant meal×time interaction (. P=0.000) for plasma plasminogen activator inhibitor-1 and thromboxane B2 (. P=0.022) from baseline. No differences were observed between meals for plasma D-dimer, interleukin-6, interleukin-1β, tumor necrosis factor-α and high sensitivity C-reactive protein. Conclusion: These data indicate that in metabolic syndrome subjects, only the amount of dietary fatty acids affects postprandial lipemia but both amount and type of dietary fats alter thrombogenic factors. Trial registration: The study was registered at Clinicaltrials.gov (NCT01571947). Elsevier 2015 Article PeerReviewed Teng, K.T. and Chang, C.Y. and Kanthimathi, M.S. and Tan, A.T.B. and Nesaretnam, K. (2015) Effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome. Atherosclerosis, 242 (1). pp. 281-287. ISSN 0021-9150, DOI https://doi.org/10.1016/j.atherosclerosis.2015.07.003 <https://doi.org/10.1016/j.atherosclerosis.2015.07.003>. http://dx.doi.org/10.1016/j.atherosclerosis.2015.07.003 doi:10.1016/j.atherosclerosis.2015.07.003
spellingShingle R Medicine
Teng, K.T.
Chang, C.Y.
Kanthimathi, M.S.
Tan, A.T.B.
Nesaretnam, K.
Effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome
title Effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome
title_full Effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome
title_fullStr Effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome
title_full_unstemmed Effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome
title_short Effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome
title_sort effects of amount and type of dietary fats on postprandial lipemia and thrombogenic markers in individuals with metabolic syndrome
topic R Medicine
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