Biomarkers and Fatty Fish Intake: A Randomized Controlled Trial in Norwegian Preschool Children

Biomarkers such as omega-3 (n–3) PUFAs, urinary iodine concentration (UIC), 1-methylhistidine (1-MH), and trimethylamine N-oxide (TMAO) have been associated with fish intake in observational studies, but data from children in randomized controlled trials are limited. The objective of this explorator...

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Veröffentlicht in:The Journal of nutrition 2021-08, Vol.151 (8), p.2134-2141
Hauptverfasser: Solvik, Beate S, Øyen, Jannike, Kvestad, Ingrid, Markhus, Maria W, Ueland, Per M, McCann, Adrian, Strand, Tor A
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container_end_page 2141
container_issue 8
container_start_page 2134
container_title The Journal of nutrition
container_volume 151
creator Solvik, Beate S
Øyen, Jannike
Kvestad, Ingrid
Markhus, Maria W
Ueland, Per M
McCann, Adrian
Strand, Tor A
description Biomarkers such as omega-3 (n–3) PUFAs, urinary iodine concentration (UIC), 1-methylhistidine (1-MH), and trimethylamine N-oxide (TMAO) have been associated with fish intake in observational studies, but data from children in randomized controlled trials are limited. The objective of this exploratory analysis was to investigate the effects of fatty fish intake compared with meat intake on various biomarkers in preschool children. We randomly allocated (1:1) 232 children, aged 4 to 6 y, from 13 kindergartens. The children received lunch meals of either fatty fish (herring/mackerel) or meat (chicken/lamb/beef) 3 times a week for 16 wk. We analyzed 86 biomarkers in plasma (n = 207), serum (n = 195), RBCs (n = 211), urine (n = 200), and hair samples (n = 210). We measured the effects of the intervention on the normalized biomarker concentrations in linear mixed-effect regression models taking the clustering within the kindergartens into account. The results are presented as standardized effect sizes. We found significant effects of the intervention on the following biomarkers: RBC EPA (20:5n–3), 0.61 (95% CI: 0.36, 0.86); DHA (22:6n–3), 0.43 (95% CI: 0.21, 0.66); total n–3 PUFAs, 0.41 (95% CI: 0.20, 0.64); n–3/n–6 ratio, 0.48 (95% CI: 0.24, 0.71); adrenic acid (22:4n–6, −0.65 (95% CI: −0.91, −0.40), arachidonic acid (20:4n–6), −0.54 (95% CI: −0.79, −0.28); total n–6 PUFAs, −0.31 (95% CI: −0.56, −0.06); UIC, 0.32 (95% CI: 0.052, 0.59); hair mercury, 0.83 (95% CI: 0.05, 1.05); and plasma 1-MH, −0.35 (95% CI: −0.61, −0.094). Of the 86 biomarkers, the strongest effect of fatty fish intake was on n–3 PUFAs, UIC, hair mercury, and plasma 1-MH. We observed no or limited effects on biomarkers related to micronutrient status, inflammation, or essential amino acid, choline oxidation, and tryptophan pathways. The trial was registered at clinicaltrials.gov (NCT02331667).
doi_str_mv 10.1093/jn/nxab112
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The objective of this exploratory analysis was to investigate the effects of fatty fish intake compared with meat intake on various biomarkers in preschool children. We randomly allocated (1:1) 232 children, aged 4 to 6 y, from 13 kindergartens. The children received lunch meals of either fatty fish (herring/mackerel) or meat (chicken/lamb/beef) 3 times a week for 16 wk. We analyzed 86 biomarkers in plasma (n = 207), serum (n = 195), RBCs (n = 211), urine (n = 200), and hair samples (n = 210). We measured the effects of the intervention on the normalized biomarker concentrations in linear mixed-effect regression models taking the clustering within the kindergartens into account. The results are presented as standardized effect sizes. We found significant effects of the intervention on the following biomarkers: RBC EPA (20:5n–3), 0.61 (95% CI: 0.36, 0.86); DHA (22:6n–3), 0.43 (95% CI: 0.21, 0.66); total n–3 PUFAs, 0.41 (95% CI: 0.20, 0.64); n–3/n–6 ratio, 0.48 (95% CI: 0.24, 0.71); adrenic acid (22:4n–6, −0.65 (95% CI: −0.91, −0.40), arachidonic acid (20:4n–6), −0.54 (95% CI: −0.79, −0.28); total n–6 PUFAs, −0.31 (95% CI: −0.56, −0.06); UIC, 0.32 (95% CI: 0.052, 0.59); hair mercury, 0.83 (95% CI: 0.05, 1.05); and plasma 1-MH, −0.35 (95% CI: −0.61, −0.094). Of the 86 biomarkers, the strongest effect of fatty fish intake was on n–3 PUFAs, UIC, hair mercury, and plasma 1-MH. We observed no or limited effects on biomarkers related to micronutrient status, inflammation, or essential amino acid, choline oxidation, and tryptophan pathways. 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Dietetics</subject><subject>omega-3</subject><subject>Oxidation</subject><subject>Pediatrics</subject><subject>polyunsaturated fatty acids</subject><subject>Preschool children</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Science &amp; Technology</subject><subject>Seafood</subject><subject>Sheep</subject><subject>Studies</subject><subject>targeted metabolomics</subject><subject>Trimethylamine</subject><subject>Tryptophan</subject><subject>Water pollution effects</subject><issn>0022-3166</issn><issn>1541-6100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkV9rFDEUxYModlt98QNIwBepjM2dZP6kD0IdXC0UFanPIZO50812NqlJtrV-erPsuqj44FMu3N89OYdDyDNgr4FJfrJ0J-677gHKB2QGlYCiBsYekhljZVlwqOsDchjjkjEGQraPyQHnsmmhZjOi3lq_0uEaQ6TaDXSuU7qncxsX9NwlfY2n9Ix-yRu_sj9woJ13KfhpyuNlsHqi1tGPPtzhldWOfg4YzcL7iXYLOw0B3RPyaNRTxKe794h8nb-77D4UF5_en3dnF4URFaQCahAoDfScl5KNshSjlA1r-roRPZeoez3qtjasxh7aSssedCNhRF0h4yj4EXmz1b1Z9yscDGabelI3weZ098prq_7cOLtQV_5WtVxIAJkFXu4Egv-2xpjUykaD06Qd-nVUZVVmj1wKyOiLv9ClXweX42WqZm3DodoIHm8pE3yMAce9GWBq05taOrXrLcPPf7e_R38VlYFXW-AOez9GY9EZ3GO52fxpjsI3HW_o9v_pziadrHedX7uUT8X2FHNbtxaD2p0PNqBJavD2XwF-AmWHx9Q</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Solvik, Beate S</creator><creator>Øyen, Jannike</creator><creator>Kvestad, Ingrid</creator><creator>Markhus, Maria W</creator><creator>Ueland, Per M</creator><creator>McCann, Adrian</creator><creator>Strand, Tor A</creator><general>Elsevier Inc</general><general>Oxford Univ Press</general><general>American Institute of Nutrition</general><general>Oxford University Press</general><scope>6I.</scope><scope>AAFTH</scope><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-4838-0239</orcidid><orcidid>https://orcid.org/0000-0002-0196-5387</orcidid><orcidid>https://orcid.org/0000-0002-7737-1497</orcidid><orcidid>https://orcid.org/0000-0002-1903-0571</orcidid><orcidid>https://orcid.org/0000-0002-5590-5136</orcidid><orcidid>https://orcid.org/0000-0002-5728-5321</orcidid><orcidid>https://orcid.org/0000-0002-4038-151X</orcidid></search><sort><creationdate>20210801</creationdate><title>Biomarkers and Fatty Fish Intake: A Randomized Controlled Trial in Norwegian Preschool Children</title><author>Solvik, Beate S ; Øyen, Jannike ; Kvestad, Ingrid ; Markhus, Maria W ; Ueland, Per M ; McCann, Adrian ; Strand, Tor A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c451t-1614e9c1b33290f924f99707b674b39eabafa86c06eb185a9b1a791fea5e03e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>1-methylhistidine</topic><topic>Amino acids</topic><topic>Animals</topic><topic>Arachidonic acid</topic><topic>Bioaccumulation</topic><topic>Biomarkers</topic><topic>Cattle</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Children &amp; youth</topic><topic>Childrens health</topic><topic>Choline</topic><topic>Clinical trials</topic><topic>Clustering</topic><topic>Diet</topic><topic>Docosahexaenoic Acids</topic><topic>Fatty acids</topic><topic>Fatty Acids, Omega-3</topic><topic>fatty fish</topic><topic>Fish</topic><topic>Fishes</topic><topic>Food intake</topic><topic>Hair</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Iodine</topic><topic>Kindergarten</topic><topic>Life Sciences &amp; 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The objective of this exploratory analysis was to investigate the effects of fatty fish intake compared with meat intake on various biomarkers in preschool children. We randomly allocated (1:1) 232 children, aged 4 to 6 y, from 13 kindergartens. The children received lunch meals of either fatty fish (herring/mackerel) or meat (chicken/lamb/beef) 3 times a week for 16 wk. We analyzed 86 biomarkers in plasma (n = 207), serum (n = 195), RBCs (n = 211), urine (n = 200), and hair samples (n = 210). We measured the effects of the intervention on the normalized biomarker concentrations in linear mixed-effect regression models taking the clustering within the kindergartens into account. The results are presented as standardized effect sizes. We found significant effects of the intervention on the following biomarkers: RBC EPA (20:5n–3), 0.61 (95% CI: 0.36, 0.86); DHA (22:6n–3), 0.43 (95% CI: 0.21, 0.66); total n–3 PUFAs, 0.41 (95% CI: 0.20, 0.64); n–3/n–6 ratio, 0.48 (95% CI: 0.24, 0.71); adrenic acid (22:4n–6, −0.65 (95% CI: −0.91, −0.40), arachidonic acid (20:4n–6), −0.54 (95% CI: −0.79, −0.28); total n–6 PUFAs, −0.31 (95% CI: −0.56, −0.06); UIC, 0.32 (95% CI: 0.052, 0.59); hair mercury, 0.83 (95% CI: 0.05, 1.05); and plasma 1-MH, −0.35 (95% CI: −0.61, −0.094). Of the 86 biomarkers, the strongest effect of fatty fish intake was on n–3 PUFAs, UIC, hair mercury, and plasma 1-MH. We observed no or limited effects on biomarkers related to micronutrient status, inflammation, or essential amino acid, choline oxidation, and tryptophan pathways. 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subjects 1-methylhistidine
Amino acids
Animals
Arachidonic acid
Bioaccumulation
Biomarkers
Cattle
Child, Preschool
Children
Children & youth
Childrens health
Choline
Clinical trials
Clustering
Diet
Docosahexaenoic Acids
Fatty acids
Fatty Acids, Omega-3
fatty fish
Fish
Fishes
Food intake
Hair
Humans
Inflammation
Iodine
Kindergarten
Life Sciences & Biomedicine
Mackerel
Meals
Meat
Mercury
Nutrient Physiology, Metabolism, and Nutrient-Nutrient Interactions
Nutrition
Nutrition & Dietetics
omega-3
Oxidation
Pediatrics
polyunsaturated fatty acids
Preschool children
Regression analysis
Regression models
Science & Technology
Seafood
Sheep
Studies
targeted metabolomics
Trimethylamine
Tryptophan
Water pollution effects
title Biomarkers and Fatty Fish Intake: A Randomized Controlled Trial in Norwegian Preschool Children
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