Hypertension Clinical Trial
To study the absolute concentrations and percent of fatty acids in 480 plasma samples from an age and sex stratified random sample of subjects in the Framingham Offspring Study in order to calculate the distribution of fatty acids in this general population and to determine the inter-relationships among levels of fatty acids, in particular w3 and w6 fatty acids, with lipoproteins and apolipoproteins.
BACKGROUND:
In 1988, research suggested that high intake of saturated fat increased the risk of
cardiovascular disease and cancer, and feeding polyunsaturated fatty acids decreased plasma
lipid values. However, understanding of the roles of specific types of fatty acids in
nutrition and health remained limited. This was primarily because the technology for
analysis of fatty acid compositions in human tissue had only recently achieved the required
specificities and secondarily because application of the technology on the large scale of an
epidemiologic study had to await recent advances in automation of the chromatography. Also
intervention studies, aimed at reducing dietary intake of polyunsaturated fatty acids for
long periods of time, were either impractical or unethical. The study was conducted to
confirm preliminary results suggesting greater prevalence of low levels of essential fatty
acids, particularly w3 fatty acids, among people with cardiovascular disease and
hypertension, and to provide further confirmatory evidence to results that hyperlipidemia
was inversely associated with essential fatty acid levels.
DESIGN NARRATIVE:
Subjects were randomly selected from existing lists so that six men and six women were
selected from each age-year group from 30 to 69 broken down as follows: ages 30-34; 35-39;
40-44; 45-49; 50-54; 55-59; 60-64; 65-69. Plasma samples for these subjects were retrieved
from storage in batches and analyzed. The prevailing distribution of fatty acids in the
general population was calculated. The interrelationships were studied among levels of fatty
acids, particularly w3 and w6 fatty acids, with lipoproteins and apolipoproteins.
Relationships among fatty acid compositions of different lipid fractions were explored and
their relationship with various cardiovascular risk factors were evaluated. Over 60 fatty
acids were quantitated using capillary gas-liquid chromatography. Tables of reference values
were produced for the general population and for selected subpopulations. Multivariate
analysis was used to correlate fatty acids and other biochemical markers.
The study completion date listed in this record was obtained from the "End Date" entered in
the Protocol Registration and Results System (PRS) record.
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