高コレステロールのリスク?魚油の摂取が効果的(At risk of high cholesterol? Taking fish oil may help)

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2024-08-05 ジョージア大学 (UGA)

ジョージア大学の研究によると、オメガ-3サプリメントは遺伝的に高コレステロールのリスクがある人々の総コレステロール、LDLコレステロール、トリグリセリドのレベルを低下させることが判明しました。441,000人以上の遺伝データを使用して、研究者は高コレステロールの遺伝的リスクを予測するスコアを算出しましたが、魚油サプリメントを摂取している人々は予測よりも血中脂質レベルが低いことがわかりました。特に総コレステロール、LDLコレステロール、トリグリセリドに効果がありました。また、魚油はHDLコレステロール(「良い」コレステロール)を増加させることも確認されました。この研究はアメリカ臨床栄養学会誌に発表され、魚油サプリメントが高コレステロールの遺伝的リスクを軽減する可能性が示されました。

<関連情報>

魚油の補給は遺伝学的に予測された血中脂質濃度と観察された血中脂質濃度との関連を修正する:英国バイオバンクにおける横断的遺伝子-食事相互作用研究(Fish oil supplementation modifies the associations between genetically predicted and observed concentrations of blood lipids: a cross-sectional gene-diet interaction study in UK Biobank)

Yitang Sun, Tryggvi McDonald, Abigail Baur, Huifang Xu, Naveen Brahman Bateman, Ye Shen, Changwei Li, Kaixiong Ye
The American Journal of Clinical Nutrition  Available online: 15 July 2024
DOI:https://doi.org/10.1016/j.ajcnut.2024.07.009

高コレステロールのリスク?魚油の摂取が効果的(At risk of high cholesterol? Taking fish oil may help)

Abstract

Background
Dyslipidemia is a well-known risk factor for cardiovascular disease, the leading cause of mortality worldwide. Although habitual intake of fish oil is associated with cardioprotective effects through triglyceride reduction, the interactions of fish oil with the genetic predisposition to dysregulated lipids remain elusive.

Objectives
We examined whether fish oil supplementation modifies the association between genetically predicted and observed concentrations of total cholesterol, low-density lipoprotein (LDL) cholesterol, high-density lipoprotein (HDL) cholesterol, and triglycerides.

Methods
A total of 441,985 participants with complete genetic and phenotypic data from the UK Biobank were included. Polygenic scores (PGS) of the 4 lipids were calculated in participants of diverse ancestries. For each lipid, multivariable linear regression models were used to assess if fish oil supplementation modified the association between PGS and the observed circulating concentration, with adjustment for relevant covariates.

Results
Fish oil supplementation attenuates the associations between genetically predicted and observed circulating concentrations of total cholesterol, LDL cholesterol, and triglycerides while accentuating the corresponding association for HDL cholesterol among 424,090 participants of European ancestry. Consistent significant findings were obtained using PGS calculated based on multiple genome-wide association studies or alternative PGS methods. For triglycerides, each standard deviation (SD) increment in PGS is associated with 0.254 [95% confidence interval (CI): 0.248, 0.259] SD increase in the observed concentration among European-ancestry participants who reported fish oil usage. In contrast, a stronger association was observed in nonusers (0.267; 95% CI: 0.263, 0.270). Consistently, we showed that fish oil significantly attenuates the association between genetically predicted and observed concentrations of triglycerides in African-ancestry participants.

Conclusions
Fish oil supplementation attenuates the association between genetically predicted and observed circulating concentrations of total cholesterol, LDL cholesterol, and triglycerides while accentuating the corresponding association for HDL cholesterol in individuals of European ancestry. Further research is needed to understand the clinical implications of these findings.

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