Differential Association of Docosahexaenoic and Eicosapentaenoic Acids With Carotid Intima-Media Thickness

Recent studies reported the differential effect of docosahexaenoic (DHA) and eicosapentaenoic acids (EPA). We examined the differential association of DHA and EPA with carotid intima-media thickness (IMT) in Japanese individuals in Japan and in U.S. white individuals and explored whether DHA or EPA...

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Veröffentlicht in:Stroke (1970) 2011-09, Vol.42 (9), p.2538-2543
Hauptverfasser: SEKIKAWA, Akira, KADOWAKI, Takashi, NAKATA, Katsumi, KADOTA, Aya, OTAKE, Terou, MIURA, Katsuyuki, CHOO, Jina, ABBOTT, Robert D, KULLER, Lewis H, DAVID CURB, J, UESHIMA, Hirotsugu, EL-SAED, Aiman, OKAMURA, Tomonori, SUTTON-TYRRELL, Kim, NAKAMURA, Yasuyuki, EVANS, Rhobert W, MITSUNAMI, Ken-Ichi, EDMUNDOWICZ, Daniel, NISHIO, Yoshihiko
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container_end_page 2543
container_issue 9
container_start_page 2538
container_title Stroke (1970)
container_volume 42
creator SEKIKAWA, Akira
KADOWAKI, Takashi
NAKATA, Katsumi
KADOTA, Aya
OTAKE, Terou
MIURA, Katsuyuki
CHOO, Jina
ABBOTT, Robert D
KULLER, Lewis H
DAVID CURB, J
UESHIMA, Hirotsugu
EL-SAED, Aiman
OKAMURA, Tomonori
SUTTON-TYRRELL, Kim
NAKAMURA, Yasuyuki
EVANS, Rhobert W
MITSUNAMI, Ken-Ichi
EDMUNDOWICZ, Daniel
NISHIO, Yoshihiko
description Recent studies reported the differential effect of docosahexaenoic (DHA) and eicosapentaenoic acids (EPA). We examined the differential association of DHA and EPA with carotid intima-media thickness (IMT) in Japanese individuals in Japan and in U.S. white individuals and explored whether DHA or EPA contributes to the difference in IMT between the two groups. A population-based cross-sectional study in 608 Japanese and U.S. white men aged 40 to 49 was conducted to assess IMT, serum DHA, EPA, and other cardiovascular risk factors. Japanese compared to U.S. whites had significantly lower IMT (mean±SD, 618±81 and 672±94 μm for Japanese and whites, respectively; P2-fold higher levels of DHA and EPA. DHA, but not EPA, had an inverse association with IMT in both Japanese and U.S. whites. The inverse association remained only in Japanese men after adjusting for risk and other factors. The significant difference in multivariable-adjusted IMT became nonsignificant after further adjusting for DHA (mean difference, 17 μm; 95% CI, -8 to 43; P=0.177) but not EPA. In this multivariable-adjusted model, DHA but not EPA was a significant predictor of IMT (P=-0.032 versus 0.863, respectively). These data suggest that DHA may have a more potent antiatherogenic effect than EPA, especially in levels observed in the Japanese, independent of risk factors.
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source MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adult
Asian Continental Ancestry Group
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Carotid Arteries - metabolism
Carotid Arteries - pathology
Carotid Artery Diseases - blood
Carotid Artery Diseases - epidemiology
Carotid Artery Diseases - pathology
Cohort Studies
Docosahexaenoic Acids - blood
Eicosapentaenoic Acid - blood
European Continental Ancestry Group
Humans
Japan - epidemiology
Male
Medical sciences
Middle Aged
Neurology
Pennsylvania
Risk Factors
Tunica Intima - metabolism
Tunica Intima - pathology
Tunica Media - metabolism
Tunica Media - pathology
Vascular diseases and vascular malformations of the nervous system
title Differential Association of Docosahexaenoic and Eicosapentaenoic Acids With Carotid Intima-Media Thickness
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