Longevity Institute Newsletter13-4b
Data and Illustrations Related to Newsletter13-4
n-3 Fatty Acids in Stroke. A Multicenter Study.
Abstract:
BACKGROUND AND PURPOSE: To examine the relationship between serum
fatty acids, which reflect dietary intake, and stroke, we conducted a
nested case-control study of 96 men with incident stroke and 96 control
subjects matched by age, clinical center, treatment group, and date of
randomization who were enrolled in the Multiple Risk Factor Intervention
Trial.
METHODS: After confirming the stability of the stored serum samples,
we measured serum cholesterol ester and phospholipid fatty acid levels as
the percentage of total fatty acids by gas-liquid chromatography and
examined their association with incident stroke. Using stepwise conditional
logistic regression that controlled for risk factors for stroke, we
determined which fatty acids were independent correlates of stroke.
RESULTS: In univariate models, a standard deviation (SD) increase (1.37%)
in phospholipid stearic acid (18:0) was associated with a 37% increase in
the risk of stroke, whereas an SD increase (0.06%) in phospholipid omega-3
alpha-linolenic acid (18:3) was associated with a 28% decrease in the risk
of stroke (all P < .05). Only alpha-linolenic acid in the cholesterol ester
fraction was associated with the risk of stroke in multivariate models: an
SD increase (0.13%) in the serum level of alpha-linolenic acid was
associated with a 37% decrease in the risk of stroke (P < .05). Systolic
blood pressure and cigarette smoking were also independently associated
with stroke risk.
CONCLUSIONS: Our findings suggest that higher serum
levels of the essential fatty acid alpha-linolenic acid are independently
associated with a lower risk of stroke in middle-aged men at high risk for
cardiovascular disease.
Simon JA; Fong J; Bernert JT Jr; Browner WS. Serum fatty acids and the risk of stroke. Stroke, 1995 May, 26(5):778-82