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Does Omega-3 supplementation decrease carotid intima-media thickening in hemodialysis patients?
Mohammad Hossein Kajbaf1, Fariborz Khorvash2, Mojgan Mortazavi3
1Department of Internal Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Insights
Omega-3 supplementation significantly reduced atherosclerosis progression in hemodialysis patients. This intervention also improved HDL levels and urea reduction ratio, suggesting a protective role.
Area of Science:
- Cardiovascular Science
- Nephrology
- Nutritional Science
Background:
- Atherosclerosis is a major complication in hemodialysis (HD) patients.
- Omega-3 fatty acids possess anti-inflammatory and cardioprotective properties.
- The impact of omega-3 supplementation on atherosclerosis progression in HD patients requires further investigation.
Purpose of the Study:
- To evaluate the effect of omega-3 supplementation on the progression of atherosclerosis.
- To measure changes in carotid intima-media thickness (cIMT) as a marker of atherosclerosis.
- To assess the efficacy of omega-3 in hemodialysis patients.
Main Methods:
- A randomized, double-blind, placebo-controlled trial was conducted.
- 54 hemodialysis patients were randomized into two groups: omega-3 (3 g/day) or placebo for 6 months.
- Carotid artery ultrasound was used to measure cIMT at baseline and 6 months.
Main Results:
- Omega-3 supplementation significantly decreased cIMT (P < 0.001).
- The placebo group showed a nonsignificant increase in cIMT (P = 0.12).
- Significant differences in cIMT, HDL levels, and urea reduction ratio were observed between groups.
Conclusions:
- Omega-3 supplementation demonstrates a protective effect against atherosclerosis progression in hemodialysis patients.
- The findings support the use of omega-3 as an adjunct therapy in managing cardiovascular risk in HD patients.
- Further research may explore long-term outcomes and optimal dosages.
Objective:
A randomized, double-blind, placebo-controlled clinical trial was performed to assess the effect of omega-3 supplementation (3 g/day) on atherosclerosis progression by measuring carotid intima-media thickness (cIMT) in hemodialysis (HD) patients.
Methods:
A total of 54 HD patients were randomized into two groups: Intervention group (n = 27), in which patients were given 3 g/day omega-3 for 6 months and placebo group (n = 27), in which patients received placebo using the same administration protocol. All patients underwent a carotid artery ultrasound scan to measure cIMT at baseline and at 6 months.
Findings:
cIMT decreased significantly in omega-3 group (0.79 ± 0.21 mm at baseline vs. 0.65 ± 0.18 mm at 6 months, P < 0.001). On the other hand, a nonsignificant increase in cIMT was seen in placebo group (0.75 ± 0.17 mm at baseline vs. 0.79 ± 0.17 mm at 6 months, P = 0.12). Moreover, cIMT was statistically significantly different between omega-3 and placebo groups at 6 months (P < 0.001). After 6 months, a statistically significant increase was observed in high-density lipoprotein level in omega-3 group compared to placebo group (P = 0.03). Urea reduction ratio was also statistically significantly higher in omega-3 than placebo group at 6 months (P = 0.03). No significant difference was observed in terms of other variables between the two groups.
Conclusion:
These data suggested that omega-3 supplementation plays a protective role in the progression of atherosclerosis in HD patients.
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