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Ensayo controlado aleatorizado2009Financiación no declarada

Omega-3 fatty acid supplementation decreases liver fat content in polycystic ovary syndrome: a randomized controlled trial employing proton magnetic resonance spectroscopy

Cussons AJ, Watts GF, Mori TA, Stuckey BG

The Journal of clinical endocrinology and metabolism · 133 citas

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2009-07-22 · J Clin Endocrinol Metab · vol. 94 · número 10 · págs. 3842–3848
Editorial
Oxford University Press
Citado
181 citas · más que el 98% de estudios similares · 9.3× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
37 trabajos
Acceso
De pago
Áreas de investigación
Fatty Acid Research and Health · Liver Disease Diagnosis and Treatment · Ovarian function and disorders
Palabras clave
omega-3 fatty acids, polycystic ovary syndrome, hepatic steatosis, liver fat, non-alcoholic fatty liver disease, triglycerides, blood pressure, cardiovascular risk factors, women's health, 1H NMR, dietary supplementation, dyslipidemia, hypertriglyceridemia, hypercholesterolemia
MeSH
humans, polycystic ovary syndrome, fatty liver, obesity, protons, fatty acids, omega-3, magnetic resonance spectroscopy, administration, oral, drug administration schedule, cross-over studies, dietary supplements, adult, middle aged, female

4 autores

  • Andrea J. Cussons🇦🇺 · autor de correspondenciaThe University of Western Australia; Royal Perth Hospital
  • Gerald F. Watts🇦🇺The University of Western Australia; Royal Perth Hospital
  • Trevor Anthony Mori🇦🇺The University of Western Australia; Royal Perth Hospital
  • Bronwyn G. A. Stuckey🇦🇺The University of Western Australia; Royal Perth Hospital; Sir Charles Gairdner Hospital; Keogh Institute for Medical Research

Resumen

El texto original del estudio, en el idioma en que se publicó.

Context

There is an association between nonalcoholic fatty liver disease (NAFLD) and the polycystic ovary syndrome (PCOS). Marine-derived omega-3 fatty acids have favorable effects on cardiovascular risk and could reduce liver fat in NAFLD.

Objective

The primary aim of this study was to examine the effects of omega-3 fatty acids on liver fat in PCOS. The secondary aim was to assess their effects on traditional cardiovascular risk factors.

Design and setting

We conducted a randomized, crossover study at a tertiary cardiovascular research center.

Subjects

Twenty-five women with PCOS (mean age, 32.7 yr; mean body mass index, 34.8 kg/m(2)) participated in the study.

Intervention

We compared 4g/d of omega-3 fatty acids with placebo over 8 wk.

Main outcome measures

The primary outcome measure was hepatic fat content quantified using proton magnetic resonance spectroscopy. Secondary outcome measures included fasting lipids and blood pressure.

Results

Omega-3 fatty acids significantly decreased liver fat content compared with placebo [10.2 (1.1) vs. 8.4 (0.9)%; P = 0.022]. There was also a reduction in triglycerides [1.19 (1.03-1.47) vs. 1.02 (0.93-1.18) mmol/liter; P = 0.002], systolic blood pressure [124.1 (12.1) vs. 122.3 (14.5) mm Hg; P = 0.018], and diastolic blood pressure [73.2 (8.4) vs. 69.7 (8.3) mm Hg; P = 0.005] with omega-3 fatty acids compared with placebo. Omega-3 fatty acids particularly decreased hepatic fat in women with hepatic steatosis, defined as liver fat percentage greater than 5% [18.2 (11.1) vs. 14.8 (9.3)%; P = 0.03].

Conclusions

Omega-3 fatty acid supplementation has a beneficial effect on liver fat content and other cardiovascular risk factors in women with PCOS, including those with hepatic steatosis. Whether this translates into a reduction in cardiometabolic events warrants further study.

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