Research: O’SULLIVAN and COLLEAGUES,

Listed in Issue 205

Abstract

O’SULLIVAN and COLLEAGUES, Telethon Institute for Child Health Research, Centre for Child Health Research, University of Western Australia, West Perth, Australia. tosullivan@ichr.uwa.edu.au  determined the Omega-3 Index in adolescents participating in the Western Australian Pregnancy (Raine) Cohort, assessed associations with diet, lifestyle and socioeconomic factors, and investigated independent associations with cardiovascular and metabolic risk factors.

Background

The Omega-3 Index, a measure of long-chain omega-3 fats in red blood cell membranes, predicts heart disease mortality in adults, but its association with cardiovascular risk factors in younger populations is unknown.

Methodology

We determined the Omega-3 Index in adolescents participating in the Western Australian Pregnancy (Raine) Cohort, assessed associations with diet, lifestyle and socioeconomic factors, and investigated independent associations with cardiovascular and metabolic risk factors. Red blood cell fatty acid analysis was determined for 1,301 adolescents aged 13-15 years. Risk factors examined were blood pressure, fasting blood insulin and glucose concentrations, and fasting blood lipids including ratios.

Results

The mean Omega-3 Index was 4.90 +/- 1.04% (range 1.41-8.42%). When compared with categories identified in adults, 15.6% of adolescents were in the high risk category (Index < 4%). Age (P < 0.01), maternal education (P < 0.01) and BMI (P = 0.05) were positively associated with the Omega-3 Index. The Index was positively associated with dietary intakes of eicosapentaenoic and docosahexaenoic acid (P < 0.01), protein (P < 0.01), omega-3 fats (P < 0.04), and food groups of fish and wholegrains (both P < 0.01), and negatively associated with intakes of soft drinks and crisps (both P < 0.01). In boys, the Omega-3 Index was independently associated with total (beta = 0.06, P = 0.01) and HDL-cholesterol (beta = 0.03, P = 0.01), and diastolic blood pressure (beta = -0.68, P = 0.04).

Conclusion

The predictability of the Index for the risk of cardiovascular disease later in life warrants further investigation in the adolescent population.

References

O'Sullivan TA, Ambrosini GL, Mori TA, Beilin LJ and Oddy WH. Omega-3 Index correlates with healthier food consumption in adolescents and with reduced cardiovascular disease risk factors in adolescent boys. Source Lipids. 46(1):59-67. Jan 2011.

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