The Influence of Fish Consumption on Polyunsaturated Fatty Acid (PUFA) Status

Study Overview
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Brief Summary
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Polyunsaturated fatty acids (PUFA) are important for health, for example for the immune system, heart health and the brain. PUFA are found in fish, nuts and oils; including these foods in the diet provides the body with PUFA. The body can also produce some PUFA in a series of steps. It has been found that genetics influences the levels of PUFA produced in the body. This study will investigate whether fish consumption influences PUFA status in women of childbearing age when accounting for FADS genotype by conducting a controlled human intervention study. Participants will be asked to consume none, one or two portions of oily fish per week for 8 weeks and their response in PUFA status measured. This study will also use collected blood, hair, urine and faecal samples collected from the intervention study to explore other biomarkers of fish consumption. The aim of this study is to investigate whether fish consumption influences PUFA status in women of childbearing age when accounting for FADS genotype and to explore the potential of a novel biomarker, using hair MeHg:δ34S values, to accurately predict fish consumption. The study will initially involve providing a buccal swab sample which will investigate genes which are related to fatty acids. The participant will provide a buccal swab sample so that their genotype can be determined. The researcher who will contact the participant once genotype has been determined to arrange a baseline appointment. Participants will attend the Human Intervention Studies Unit at Ulster University, Coleraine once or twice weekly for a period of 8 weeks where they will receive lunch. This lunch will contain either tuna, sardines, or no fish depending on the intervention group you will be allocated to. Examples of lunch time meals they may receive include sandwiches, baked potato or salad which will include the type of fish they have been allocated to receive. Those allocated to the no fish group will receive a fish free alternative lunch. Participants will be asked to continue to follow their normal diet and lifestyle over the intervention period of 8 weeks. All participants will attend a baseline and post intervention appointment where they will have weight, height and body composition measured. Participants will also complete questionnaires to provide medical, lifestyle and dietary information. All participants will be asked to provide a sample of blood, urine, hair and faeces to assess biomarkers of fish consumption at baseline and post intervention appointments. Collected blood, urine, hair and faecal samples will be analysed for biomarkers of fish consumption. Participants will also be asked to return to the Human Intervention Studies Unit (HISU) 8 weeks after the intervention study has been completed (week 16) to provide a third hair sample and complete a Fish Feedback Questionnaire. In the 8 wks following conclusion of the study they will be free to return to their normal diet.

Official Title
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The Influence of Fish Consumption on Polyunsaturated Fatty Acid (PUFA) Status (iFish Study)

Conditions
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Polyunsaturated Fatty Acid (PUFA) Status

Intervention / Treatment
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* Dietary Supplement: Fish
* Other: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy females - premenopausal, child-bearing age, not planning to become pregnant Age 18-45years old Low consumers of fish (<2 portions/ week) or those willing to reduce their fish consumption one month prior to commencing the study to the equivalent of 2 portions per month or less Willing to eat 1 or 2 portions (140 grams or 280 grams) of either tuna or sardines per week for a period of 8 weeks Not consuming fish oil supplements Not consuming protein supplements Not allergic to seafood Exclusion Criteria: Regularly eat fish or not willing to do washout period where they reduce fish consumption Are allergic to seafood Are taking fish oil supplements or are taking protein supplements Are pregnant or menopausal Have very short hair (a small section of hair, approximately 200 strands, will be taken at the nap of the neck for analysis purposes)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Control group<br>No fish | Other: Control<br>* Lunch containing no fish<br>|
| Experimental: 1 portion of fish per week<br>140g fish/week | Dietary Supplement: Fish<br>* Lunch containing fish<br>|
| Experimental: 2 portions of fish per week<br>280g fish/week | Dietary Supplement: Fish<br>* Lunch containing fish<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Polyunsaturated fatty acid (PUFA) status | Serum Polyunsaturated fatty acid (PUFA) status | Change at 8 weeks from baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hair mercury | Hair mercury status | Change at 8 & 16 weeks from baseline | 
| Lipid profile | Serum lipid profile | Change at 8 weeks from baseline | 
| Iodine | Urine iodine | Change at 8 weeks from baseline | 
| Inflammatory status | Cytokine concentration (Interleukin (IL)-5, IL-1β, IL-2, IL-4, IL-6, IL-10, MCP-1, TARC, sFlt-1, VEgF-D, CRP, TNF-α, IFN-γ) | Change at 8 weeks from baseline | 
| Oxidative stress | Change in glutathione peroxidase and 8-isoprostanes | Change at 8 weeks from baseline | 
| Microbiota | Faecal microbiota profile | Change at 8 weeks from baseline | 
| Thyroid hormones | Serum T3, T4 and thyroid-stimulating hormone (TSH). Dried blood spot for thyroglobulin, T4 and TSH | Change at 8 weeks from baseline | 
| Stable isotopes | Hair methyl-mercury and sulphur-34 | Change at 8 & 16 weeks from baseline | 
| Methyl-mercury (MeHg) | Whole blood and urine MeHg | Change at 8 weeks from baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Polyunsaturated fatty acids (PUFA), fish, fish consumption, women, childbearing age