Skip to main content
Log in

Effects of dietary α-linolenic acid from blended oils on biochemical indices of coronary heart disease in indians

  • Articles
  • Published:
Lipids

Abstract

PUFA of the n−6 and n−3 series have beneficial effects on key risk factors of coronary heart disease (CHD). Our earlier studies on the intake of FA and on the FA composition of plasma and platelet phospholipids suggested the need to improve the n−3 PUFA nutritional status in the Indian population. The present long-term study was conducted on 80 middle-aged Indian subjects (40 men and 40 women) using the subjects' own home-prepared diets to evaluate the effects of dietary n−3 PUFA on biochemical indices of CHD risk. Substitution of Blend G (equal proportions of groundnut and canola oils) for groundnut oil or substitution of Blend S (equal proportions of sunflower and canola oils) for sunflower oil increased α-linolenic acid (ALNA) fourfold and decreased the linoleic acid (LA)/ALNA ratio from 35 to 6 and 65 to 9, respectively. Twelve subjects (six men and six women) who received Blend G were switched back to groundnut oil and were administered 0.3 g daily of long-chain (LC) n−3 PUFA from fish oil. At the end of the trial period for both blends in both sexes, plasma lipid and apolipoprotein levels had not changed, and ADP-induced aggregation had decreased. In plasma and platelet phospholipids, LA as well as LCn-3 PUFA had increased, suggesting competition between LA and ALNA for metabolism into the respective LC-PUFA. Fish oil supplementation increased LCn-3 PUFA in plasma and platelet phospholipids, decreased ADP-induced platelet aggregation, and increased plasma cholesterol. On the basis of the increased LCn-3 PUFA in plasma phospholipids, it was calculated that 0.75% energy (en%) (2.2 g) ALNA (from vegetable oils) may be required to increase LCn-3 PUFA to about the same extent as 0.1 en% (0.3 g) LCn-3 PUFA (from fish oils). Since both n−6 and n−3 PUFA play a critical role in fetal growth and development and in the programming of diet-related chronic diseases in adults, an improvement in the n−3 PUFA nutritional status in cereal-based diets through long-term use of cooking oils containing 25–40% LA and 4% ALNA may contribute to the prevention of CHD in Indians.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

ALNA:

α-linolenic acid

CHD:

coronary heart disease

DPA:

docosapentaenoic acid

EMR:

estimated maximal response

LA:

linoleic acid

LC:

long-chain

NDDB:

National Dairy Development Board

PPP:

platelet-poor plasma

PRP:

platelet-rich plasma

WB:

whole blood

References

  1. Bang, H.O., and Dyerberg, J. (1972) Plasma Lipids and Lipoproteins in Greenlandic West Coast Eskimos, Acta Med. Scand. 192, 85–89.

    Article  PubMed  CAS  Google Scholar 

  2. Leaf, A., and Kang, J.X. (1998) ω-3 Fatty Acids and Cardiovascular Disease, in The Return of ω-3 Fatty Acids into the Food Supply (Simopoulos, A.P., ed.), World Review of Nutrition and Dietetics, Vol. 83, pp. 24–37, S. Karger, Basel, Switzerland.

    Chapter  Google Scholar 

  3. Hu, F.B., Manson, J.E., and Willett, W.C. (2001) Types of Dietary Fat and Risk of Coronary Heart Disease: A Critical Review, J. Am. Coll. Nutr. 20, 5–19.

    PubMed  Google Scholar 

  4. Leaf, A. (1994) Some Effects of ω-3 Fatty Acids on Coronary Heart Disease, in Effects of Fatty Acids and Lipids in Health and Disease (Galli, C. Simopoulos, A.P., and Trimoli, E., eds.), World Review of Nutrition and Dietetics, Vol. 76, pp. 1–8, S. Karger, Basel, Switzerland.

    Google Scholar 

  5. De Lorgeril, M., Renaud, S., Mamelle, N., Salen, P., Martin, J.L., Monjaud, I., Guidollet, J., Tauboul, P., and Delaye, J. (1994) Mediterranean α-Linolenic Acid-Rich Diet in Secondary Prevention of Coronary Heart Disease, Lancet 343, 1454–1459.

    Article  PubMed  Google Scholar 

  6. Petithory, D.L. (2001) α-Linolenic Acid and Cardiovascular Disease, J. Nutr. Health Aging 5, 179–183.

    Google Scholar 

  7. Hu, F.B., Stampfer, M.J., Manson, J.E., Rimm, E.B., Wolk, A., Colditz, G.A., Hennekens, C.H., and Willett, W.C. (1999) Dietary Intake of α-Linolenic Acid and Risk of Fatal Ischemic Heart Disease Among Women, Am. J. Clin. Nutr. 69, 890–897.

    PubMed  CAS  Google Scholar 

  8. Ascherio, A., Rimm, E.B., Giovannucci, E.L., Spiegelman, D., Stampfer, M.J., and Willett, W.C. (1996) Dietary Fat and Risk of Coronary Heart Disease in Men: Cohort Follow-Up Study in the United States, Br. Med. J. 313, 84–90.

    CAS  Google Scholar 

  9. Ghafoorunissa (1996) Fats in Indian Diets and Their Nutritional and Health Implications, Lipids 31, S287-S291.

    PubMed  CAS  Google Scholar 

  10. Indu, M., and Ghafoorunissa (1992) n−3 Fatty Acids in Indian Diets—Comparison of the Effects of Precursor (α-linolenic acid) vs. Product (long-chain n−3 polyunsaturated fatty acids), Nutr. Res. 12, 569–582.

    Article  CAS  Google Scholar 

  11. Ghafoorunissa (1998) Requirement of Dietary Fats to Meet Nutritional Needs and Prevent the Risk of Atherosclerosis—An Indian Perspective, Ind. J. Med. Res. 108, 191–202.

    CAS  Google Scholar 

  12. Thimmayamma, B.V.S. (1987) A Hand Book on Schedules and Guidelines in Socio-economic and Diet Surveys, pp. 1–70, National Institute of Nutrition, Hyderabad, India.

    Google Scholar 

  13. Gopalan, C., Ramasastry, B.V., and Balasubramanian, S.C. (1989) Nutritive Value of Indian Foods (revised and updated by Narasinga Rao, B.S., Deosthale, Y.G., and Pant, K.C.), pp. 47–91, Indian Council of Medical Research, New Delhi.

    Google Scholar 

  14. Ghafoorunissa, Reddy, V., and Sesikeran, B. (1995) Palmolein and Groundnut Oil Have Comparable Effects on Blood Lipids and Platelet Aggregation in Healthy Indian Subjects, Lipids 30, 1163–1169.

    PubMed  CAS  Google Scholar 

  15. Cardinal, D.L., and Flower, R.J. (1980) The Electronic Aggregometer—A Novel Device for Assessing Platelet Behavior in Blood, J. Pharmacol. Methods 3, 135–158.

    Article  PubMed  CAS  Google Scholar 

  16. Macart, M., Koffi, A., Henocque, G., Mathieu, J.F. and Guilbaud, J.C. (1989) Optimized Microturbidimetric Assay for Fibrinogen, Clin. Chem. 35, 211–214.

    PubMed  CAS  Google Scholar 

  17. Sanders, T.A.B. (2000) Polyunsaturated Fatty Acids in the Food Chain in Europe, Am. J. Clin. Nutr. 71 (Suppl.), 176S-178S.

    PubMed  CAS  Google Scholar 

  18. Kris-Etherton, P.M., Taylor, D.S., Poth, S.Y., Huth, P., Moriazty, K., Fishell, V., Hargrove, R.L., Zhao, G., and Etherton, T.D. (2000) Polyunsaturated Fatty Acids in the Food Chain in the United States, Am. J. Clin. Nutr. 71 (Suppl.), 179S-188S.

    PubMed  CAS  Google Scholar 

  19. Bang, H.O., Dyerberg, J., and Hjorne, N. (1976) The Composition of Food Consumed by Greenland Eskimos, Acta Med. Scand. 200, 69–73.

    Article  PubMed  CAS  Google Scholar 

  20. Sugano, M., and Hirahara, F. (2000) Polyunsaturated Fatty Acids in the Food Chain in Japan, Am. J. Clin. Nutr. 71 (Suppl.), 189S-196S.

    PubMed  CAS  Google Scholar 

  21. Gerster, H. (1998) Can Adults Convert α-Linolenic Acid (18∶3n−3) to Eicosapentaenoic Acid (20∶5n−3) and Docosahexaenoic Acid (22∶6n−3)? Int. J. Vitam. Nutr. Res. 68, 159–173.

    PubMed  CAS  Google Scholar 

  22. Sandker, G.N. (1993) Serum Cholesteryl Ester Fatty Acids and Their Relation with Serum Lipids in Elderly Men in Crete and The Netherlands, Eur. J. Clin. Nutr. 47, 201–208.

    PubMed  CAS  Google Scholar 

  23. Yukio, Y., Nara, Y., Iritani, N., Workman, R.J., and Inagami, T. (1985) Comparison of Serum Phospholipid Fatty Acids Among Fishing and Farming Japanese Populations and American Inlanders, J. Nutr. Sci. Vitaminol. 31, 417–422.

    Google Scholar 

  24. Skúladóttir, G.V., Gudmundsdóttir, S., Ólafsson, G.B., Sigurdsson, S.B., Sigfússon, N., and Axelsson, J. (1995) Plasma Fatty Acids and Lipids in Two Separate but Genetically Comparable, Icelandic Populations, Lipids 30, 649–655.

    PubMed  Google Scholar 

  25. Bulliyya, G., Reddy, P.C., and Reddanna, P. (1997) Traditional Fish Intake and Fatty Acid Composition in Fish-Consuming and Non-fish-Consuming Populations, Asia Pac. J. Clin. Nutr. 6, 230–234.

    Google Scholar 

  26. Thies, F., Nebe-Von-Caron, G., Powell, J.R., Yaqoob, P., Newsholme, E.A., and Calder, P.C. (2001) Dietary Supplementation with Eicosapentaenoic Acid, but Not with Other Long-Chain n−3 or n−6 Polyunsaturated Fatty Acids, Decreases Natural Killer Cell Activity in Healthy Subjects Aged Above 55 Years, Am. J. Clin. Nutr. 73, 539–548.

    PubMed  CAS  Google Scholar 

  27. Sanders, T.A.B., and Roshanai, F. (1983) The Influence of Different Types of ω-3 Polyunsaturated Fatty Acids on Blood Lipids and Platelet Function in Healthy Volunteers, Clin. Sci. 64, 91–99.

    PubMed  CAS  Google Scholar 

  28. Valsta, L.M., Salminen, I., Aro, A., and Mutanen, M. (1996) α-Linolenic Acid in Rapeseed Oil Partly Compensates for the Effect of Fish Restriction on Plasma Long-Chain n−3 Fatty Acids, Eur. J. Clin. Nutr. 50, 229–235.

    PubMed  CAS  Google Scholar 

  29. Uauy, R., and Valenzuela, A. (2000) Marine Oils: The Health Benefits of n−3 Fatty Acids, Nutrition 16, 680–683.

    Article  PubMed  CAS  Google Scholar 

  30. Freese, R., and Mutanen, M. (1997) α-Linolenic Acid and Marine Long-Chain n−3 Fatty Acids Differ Only Slightly in Their Effects of Hemostatic Factors in Healthy Subjects, Am. J. Clin. Nutr. 66, 591–598.

    PubMed  CAS  Google Scholar 

  31. Renaud, S., Backer, D.E.G., Thevenon, C., Joossens, J.V., Vermylen, J., Kornitzer, M., and Verstraetes, M. (1991) Platelet Fatty Acids and Function in Two Distinct Regions of Belgium: Relationship to Age and Dietary Habits, J. Intern. Med. 229, 79–88.

    Article  PubMed  CAS  Google Scholar 

  32. Mutanen, M., and Freese, R. (1996) Polyunsaturated Fatty Acids and Platelet Aggregation, Curr. Opin. Lipidol. 7, 14–19.

    Article  PubMed  CAS  Google Scholar 

  33. Ghafoorunissa (1999) Antiatherogenic Potential of Oils in Indian Subjects Consuming Cereal-Based Diets, Proc. Nutr. Soc. India 46, 33–46.

    Google Scholar 

  34. Schoene, N.W. (2001) Vitamin E and ω-3 Fatty Acids: Effectors of Plaletet Responsiveness, Nutrition 17, 793–796.

    Article  PubMed  CAS  Google Scholar 

  35. Johnson, M., Ramex, E., and Ramwell, P.W. (1975) Sex and Age Differences in Human Platelet Aggregation, Nature 253, 355–357.

    Article  PubMed  CAS  Google Scholar 

  36. Marckmann, P., and Gronbaek, M. (1999) Fish Consumption and Coronary Heart Disease Mortality. A Systematic Review of Prospective Cohort Studies, Eur. J. Clin. Nutr. 53, 585–590.

    Article  PubMed  CAS  Google Scholar 

  37. Gopalan, C. (1995) Micronutrient Deficiencies: Public Health Implications, Ind. J. Pediatr. 62, 157–167.

    CAS  Google Scholar 

  38. Gopalan, C. (2002) Multiple Micronutrient Supplementation in Pregnancy, Nutr. Rev. 60 (5), S2-S6.

    Article  PubMed  CAS  Google Scholar 

  39. UNICEF (1998) The State of the World's Children, Oxford University Press, New York.

    Google Scholar 

  40. Jump, D.B., and Clarke, S.D. (1999) Regulation of Gene Expression by Dietary Fat, Annu. Rev. Nutr. 19, 63–90.

    Article  PubMed  CAS  Google Scholar 

  41. Lapillonne, A., and Carlson, S.E. (2001) Polyunsaturated Fatty Acids and Infant Growth, Lipids 36, 901–911.

    PubMed  CAS  Google Scholar 

  42. Innis, S.M. (1991) Essential Fatty Acids in Growth and Development, Prog. Lipid Res. 30, 39–103.

    Article  PubMed  CAS  Google Scholar 

  43. Barker, D.J.P. (1994) Mothers, Babies and Diseases in Later Life, pp. 80–93, BMJ Publishing, London.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ghafoorunissa.

About this article

Cite this article

Ghafoorunissa, Vani, A., Laxmi, R. et al. Effects of dietary α-linolenic acid from blended oils on biochemical indices of coronary heart disease in indians. Lipids 37, 1077–1086 (2002). https://doi.org/10.1007/s11745-002-1003-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11745-002-1003-2

Keywords

Navigation