棕榈油酸
医学
高甘油三酯血症
血脂异常
甘油三酯
C反应蛋白
内科学
高脂血症
安慰剂
内分泌学
随机对照试验
血脂
脂蛋白
双盲
胃肠病学
胆固醇
脂肪酸
炎症
亚油酸
生物化学
化学
肥胖
病理
糖尿病
替代医学
作者
Adam Bernstein,Michael F. Roizen,Luis Martinez
标识
DOI:10.1016/j.jacl.2014.08.001
摘要
Purified palmitoleic acid (16-1; omega-7) has shown lipid-lowering and anti-inflammatory benefits in open label, epidemiologic, and animal studies.Our objective was to perform the first randomized controlled trial of purified palmitoleic acid supplementation in humans.Adults with dyslipidemia and evidence of mild systemic inflammation (high-sensitivity C-reactive protein [hs-CRP] between 2 and 5 mg/L) were randomly allocated to receive either 220.5 mg of cis-palmitoleic acid (n = 30) or an identical capsule with placebo (1000 mg of medium chain triglycerides, n = 30) once per day for 30 days. Participants were asked to maintain their current diet. Serum lipids and hs-CRP were drawn at baseline and study completion.At 30 days, there were significant mean (95% confidence interval [CI]) reductions in CRP (-1.9 [-2.3 to -1.4] mg/L), triglyceride (-30.2 [-40.2 to -25.3] mg/dL), and low-density lipoprotein (LDL) (-8.9 [-12.0 to -5.8] mg/dL), and a significant increase in high-density lipoprotein (HDL) (2.4 [1.5, 3.3] mg/dL) in the intervention group compared with control. These changes equated to 44%, 15%, and 8% reductions in CRP, triglyceride, and LDL respectively, and a 5% increase in HDL compared with control.Purified palmitoleic acid may be useful in the treatment of hypertriglyceridemia with the beneficial added effects of decreasing LDL and hs-CRP and raising HDL. Further study is needed to elucidate mechanisms and establish appropriate human doses.
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