Dietary Intake of Alpha-linolenic Acid in Elderly

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the antiatherogenic and anti-inflammatory potential of an adequate intake of alpha-linolenic acid in elderly.

Detailed Description
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There is growing evidence that diets high in long chain n-3 polyunsaturated fatty acids (PUFA) decrease the risk of fatal ischemic heart disease.Both epidemiologic studies and clinical trials demonstrate substantial cardioprotective effects of alpha linolenic acid (ALA) from vegetable oils.However, little is known about the relation of the dietary intake of ALA with ischemic heart disease among older adults.In this study, elderly volunteers will be asked to ingest a supplement of a vegetable oil providing 1g of ALA, or an equivalent amount of linoleic acid as sunflower oil, for a diet period of 6 weeks.Serum samples will be collected before the dietary intervention and 6 weeks later.Plasma biomarkers of inflammatory, lipid cardiovascular risk factors and serum and red cell membrane fatty acid composition will be determined on all samples.

Official Title
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Investigation of the Relationship Between Alpha-linolenic Acid and Arterial, Biochemical, Biological Parameters in Older Persons With History of Cardiovascular Events and/or Moderate Cognitive Impairment

Conditions
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Cardiovascular Diseases, Inflammation, Metabolism Disorder, Lipid

Intervention / Treatment
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* Dietary Supplement: Rapeseed oil
* Dietary Supplement: Sunflower oil


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Elderly patients over 65 years old exhibiting clinical indices of cardiovascular disease Male or female Subjects who were hospitalized in the Geriatric Unit of the Emile Roux Hospital (AP-HP) MMSE (Mini Mental State Examination)score > or = 15 Supervision available for study medication Able to ingest oral diet Exclusion Criteria: Patients unable to understand the objectives of the dietary intervention Patients in paliative care Patients receiving supplement diets

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Sunflower arm<br>Participants were supplied with the usual diet of the hospital, daily enriched with 17.5g fat as follows during 42 days: 10 g of sunflower oil (with a high content in linoleic acid) were added into the dinner soup and 7.5g delivered through a 12.5g portion of margarine made with sunflower oil (60% fat) that replaced butter on the breakfast toasts. | Dietary Supplement: Sunflower oil<br>* Placebo comparator arm : Dietary Supplement: sunflower oil supplementation (10g per day) and margarine with a high level of inoleic acid (12.5g per day) during 42 days.<br>* Other names: Linoleic acid;|
| Active Comparator: Rapeseed arm<br>Participants were supplied with the usual diet of the hospital, daily enriched with 17.5g fat as follows during 42 days: 10 g of rapeseed oil (with a high content in alpha-linolenic acid) were added into the dinner soup and 7.5g delivered through a 12.5g portion of margarine made with rapeseed oil (60% fat) that replaced butter on the breakfast toasts. | Dietary Supplement: Rapeseed oil<br>* Active comparator arm : Dietary Supplement: rapeseed oil supplementation (10g per day) and margarine with a high level of alpha-linolenic acid (12.5g per day) during 42 days.<br>* Other names: Alpha-linolenic acid;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effects of diet supplementation on fatty acid composition in serum and red cell membrane phospholipids, at the end of dietary period | Blood samples have been done at the beginning and at the end of the dietary period. Fatty acids analyses of the red cells and serum have been performed by GC method. | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pulse wave velocity (PWV) | Pulse wave velocity values have been performed at the beginning and the end of the dietary period. The purpose was to evaluate the relationship between PWV and dietary intakes of ALA. | 6 weeks | 
| Others | ApoB ApoA1 Oxydative parameters (ie CRP) Lp(a) | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Alphalinolenic acid, Lipid cardiovascular risk factors, Inflammation