Omega-3 fatty acids supplementation improves endothelial function and arterial stiffness in hypertensive patients

Marcela A Casanova1, Fernanda Medeiros2, Michelle Trindade1

  • 1Department of Clinical Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil.

Insights

Omega-3 fatty acids improved vascular aging in high-risk patients with hypertriglyceridemia by enhancing endothelial function and reducing arterial stiffness. Ciprofibrate lowered blood pressure in low-risk patients.

Area of Science:

  • Cardiology
  • Pharmacology
  • Vascular Biology

Background:

  • The association between hypertriglyceridemia and cardiovascular disease remains debated.
  • Hypertension and hypertriglyceridemia are significant risk factors for cardiovascular events.

Purpose of the Study:

  • To compare the effects of omega-3 fatty acids and ciprofibrate on vascular structure and function.
  • To evaluate these effects in hypertensive patients with hypertriglyceridemia stratified by cardiovascular risk.

Main Methods:

  • A randomized trial involving 29 hypertensive adults with hypertriglyceridemia (triglycerides 150-499 mg/dL).
  • Participants were divided into low (<7.5%) and high (≥7.5%) cardiovascular risk groups.
  • Intervention involved 12 weeks of omega-3 fatty acids (1800 mg/d) or ciprofibrate (100 mg/d), followed by an 8-week washout and cross-over.

Main Results:

  • Ciprofibrate significantly decreased peripheral and aortic systolic blood pressure in low-risk patients.
  • Omega-3 fatty acids significantly reduced pulse wave velocity (arterial stiffness) and increased flow-mediated dilation (endothelial function) in high-risk patients.

Conclusions:

  • Omega-3 fatty acids demonstrate a beneficial effect on vascular aging, specifically improving arterial stiffness and endothelial function in high-risk hypertensive patients with hypertriglyceridemia.
  • Ciprofibrate effectively reduced blood pressure in low-risk hypertensive patients with hypertriglyceridemia.

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