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Very-long-chain ω-3 fatty acids as markers for habitual fish intake in a population consuming mainly lean fish: the EPIC cohort of Gipuzkoa

Abstract

Objective: To assess the relationship between habitual fish intake and fatty acid levels in serum as well as in the LDL fractions of serum phospholipids and cholesteryl esters.

Design: Cross-sectional study.

Setting: Cohort of Gipuzkoa (Basque Country, northern Spain) included in the European Prospective Investigation into Cancer and Nutrition (EPIC) project.

Subjects: Random sample of 120 healthy volunteers of both sexes aged 35–65 y, divided into various consumption groups according to daily fish intake.

Methods: Data on habitual intake over the previous year was collected by trained interviewers by means of a computerized questionnaire based on the diet history method. Fasting venous blood samples were drawn and fatty acids were measured by gas-liquid chromatography.

Results: Lean fish accounted for 78% of all fish consumption in the highest consumption group (>115 g/day) and for 60% in the lowest (<31 g/day). The mean concentrations of ω-3 polyunsaturated fatty acids (PUFA), eicosapentaenoic acid (EPA, C20:5, ω-3), and docosahexaenoic acid (DHA, C22:6, ω-3) in serum and in the LDL fractions of serum phospholipids and cholesteryl esters increased significantly from the lowest to the highest fish consumption categories. Fish intake showed a statistically significant relationship with ω-3 PUFA, EPA and DHA in serum and in the LDL fractions of serum phospholipids and cholesteryl esters both in the simple linear regression analysis and in a multiple regression model adjusted by age, body mass index (BMI) and vegetable intake.

Conclusions: Habitual fish intake is reflected in the content of EPA and DHA in serum and in the LDL phospholipid and cholesteryl esters fractions. The concentrations of very-long-chain ω-3 fatty acids are useful biomarkers for dietary fish intake, mainly lean fish.

Sponsorship: Europe Against Cancer Programme of the European Union (agreement SOC 97 200302 05F02); ‘Fondo de Investigaciones Sanitarias’, Spanish Ministry of Health (FIS grant 99/0024-05); Government of the Basque Country; and ‘Fundación Científica de la Asociación Española contra el Cáncer’.

European Journal of Clinical Nutrition (2001) 55, 817–832

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References

  • Andersen LF, Solvoll K & Drevon CA (1996) Very-long-chain n-3 fatty acids as biomarkers for intake of fish and n-3 fatty acid concentrates Am. J. Clin. Nutr. 64 305–311

    CAS  PubMed  Google Scholar 

  • Andersen LF, Solvoll K, Johansson LRK, Salminen I, Aro A & Drevon CA (1999) Evaluation of a food frequency questionnaire with weighed records, fatty acids, and alpha-tocopherol in adipose tissue and serum Am. J. Epidemiol. 150 75–87

    CAS  PubMed  Google Scholar 

  • Anttolainen M, Valsta LM, Alfthan G, Kleemola P, Salminen I & Tamminen M (1996) Effect of extreme fish consumption on dietary and plasma antioxidant levels and fatty acid composition Eur. J. Clin. Nutr. 50 741–746

    CAS  PubMed  Google Scholar 

  • Bang HO, Dyerberg J & Sinclair HM (1980) The composition of Eskimo food in north western Greenland Am. J. Clin. Nutr. 3 2657–2661

    Google Scholar 

  • Bjerve KS, Brubakk AM, Fougner KJ, Johnsen H, Midthjell K & Vik T (1993) Ω-3 fatty acids: essential fatty acids with important biological effects, and serum phospholipid fatty acids as markers of dietary ω3-fatty acid intake Am. J. Clin. Nutr. 57 (Suppl), 801S–806S

    PubMed  Google Scholar 

  • Bligh EG & Dyer WJ (1959) A rapid method for total lipid extraction and purification Can. J. Biochem. Physiol. 37 911–917

    PubMed  Google Scholar 

  • Bønaa KH, Bjerve KS & Nordøy A (1992) Habitual fish consumption, plasma phosopholipid fatty acids, and serum lipids: the Tromsø Study Am. J. Clin. Nutr. 55 1126–1134

    PubMed  Google Scholar 

  • Connor WE (2000) Importance of n-3 fatty acids in health and disease Am. J. Clin. Nutr. 71 (Suppl), 171S–175S

    PubMed  Google Scholar 

  • Dyerberg J, Bang HO, Stoffersen E, Moncada S & Vane JR (1978) Eicosapentaenoic acid and prevention of thrombosis and atherosclerosis? Lancet ii 117–119

    Google Scholar 

  • EPIC Group of Spain (1997a) Relative validity and reproducibility of a diet history questionnaire in Spain. I. Foods Int. J. Epidemiol. 26 (Suppl 1), S91–S99

    Google Scholar 

  • EPIC Group of Spain (1997b) Relative validity and reproducibility of a diet history questionnaire in Spain. II. Nutrients Int. J. Epidemiol. 26 (Suppl 1), S100–S109

    Google Scholar 

  • Garcia-Closas R, Serra-Majem L & Segura R (1993) Fish consumption, ω-3 fatty acids and the Mediterranean diet Eur. J. Clin. Nutr. 47 (Suppl 1), S85–S90

    Google Scholar 

  • Grupo EPIC de España (1994) Estudio prospectivo europeo sobre dieta, cáncer y salud Med. Clin. (Barc.) 102 781–785

    Google Scholar 

  • Harris WS (1997) n-3 Fatty acids and serum lipoproteins: human studies Am. J. Clin. Nutr. 65 (Suppl), 1645S–1654S

    PubMed  Google Scholar 

  • Henderson RJ & Tocher DR (1992) Thin-layer chromatography In: Lipid Analysis. A Practical Approach, ed. RJ Hamilton & S Hamilton 65–109 Oxford: Oxford University Press

    Google Scholar 

  • Hjartåker A, Lund E & Bjerve KS (1997) Serum phospholipid fatty acid composition and habitual intake of marine foods registered by a semi-quantitative food frequency questionnaire Eur. J. Clin. Nutr. 51 736–742

    PubMed  Google Scholar 

  • Houwelingen AC, Kester ADM, Kromhout D & Hornstra G (1989) Comparison between habitual intake of polyunsaturated fatty acids and their concentrations in serum lipid fractions Eur. J. Clin. Nutr. 43 11–20

    Google Scholar 

  • Kagawa Y, Nishizawa M, Suzuki M, Miyatake T, Hamamoto T, Goto K, Motonaga E, Izumikawa H, Hirata H & Ebihara A (1982) Eicosapolyenoic acids of serum lipids of Japanese islanders with low incidence of cardiovascular disease J. Nutr. Sci. Vitaminol. 28 441–453

    CAS  PubMed  Google Scholar 

  • Katan MB, van Birgelen A, Deslypere JP, Penders M & van Staveren WA (1991) Biological markers of dietary intake, with emphasis on fatty acids Ann. Nutr. Metab. 35 249–252

    CAS  PubMed  Google Scholar 

  • Kleinbaum DG, Kupper LL & Muller KE (1988) Applied Regression Analysis and other Multivariable Methods, 2nd edn. Boston: PWS-Kent

    Google Scholar 

  • Knuiman JT, West CE, Hermus RJ & Hautvast JG (1980) Fatty composition of cholesteryl esters in serum in boys from 16 developing and developed countries Atherosclerosis 37 617–624

    CAS  PubMed  Google Scholar 

  • Lepage G & Roy CC (1986) Direct transesterification of all classes of lipids in a one-step reaction J. Lipid Res. 27 114–120

    PubMed  Google Scholar 

  • Ma J, Foldon AR, Shahar E & Eckfeldt JH (1995) Plasma fatty acid composition as an indicator of habitual dietary fat intake in middle-aged adults. The Atherosclerosis Risk in Communities (ARIC) Study Investigators Am. J. Clin. Nutr. 62 564–571

    CAS  PubMed  Google Scholar 

  • Marckmann P (1999) Footprint of fish: docosahexaenoic acid (DHA) in adipose tissue (Editorial). Nutrition 15 407–408

    CAS  PubMed  Google Scholar 

  • Moilanen T, Räsänen L, Viikari J, Åkerblom HK & Nikkari T (1992) Correlation of serum fatty acid composition with dietary intake data in children and young adults Ann. Med. 24 67–70

    CAS  PubMed  Google Scholar 

  • Nakamura T, Takebe J, Tando Y, Arai Y, Yamada N, Ishii M, Kikuchi H, Machida K, Imanura K & Terade A (1995) Serum fatty acid composition in normal Japanese and its relationship with dietary fish and vegetable oil contents and blood lipid levels Ann. Nutr. Metab. 24 67–70

    Google Scholar 

  • Nikkari T, Luukkainen P, Pietinen P & Puska P (1995) Fatty acid composition of serum lipid fractions in relation to gender and quality of dietary fat Ann. Med. 27 491–498

    CAS  PubMed  Google Scholar 

  • Parkinson AJ, Cruz AL, Heyward WL, Bulkow LR, Hall D, Barstaed L & Connor WE (1994) Elevated concentrations of plasma ω-3 polyunsaturated fatty acids among Alaskan Eskimos Am. J. Clin. Nutr. 59 384–388

    CAS  PubMed  Google Scholar 

  • Portero M, Aragón M, Vilardell F, Pamplona R, Bellmunt MJ & Prat J (1996) Composición en ácidos grasos de los pescados en conserva más comunes en la dieta española. Dieta y lípidos marinos (II). Clin. Invest. Arterioscler. 8 9–14

    Google Scholar 

  • Riboli E (1992) Nutrition and cancer: background and rational of the European Prospective Investigation into Cancer and Nutrition (EPIC) Ann. Oncol. 3 783–791

    CAS  PubMed  Google Scholar 

  • Simopoulos AP (1991) ω-3 Fatty acids in health and disease and in growth and development Am. J. Clin. Nutr. 54 438–463

    CAS  PubMed  Google Scholar 

  • Sociedad Española de Nutrición Comunitaria (SENC) (1995) Documento de consenso. Guías alimentarias para la población española 33–121 Barcelona: SG Editores

    Google Scholar 

  • Sugano M (1996) Characteristics of fats in Japanese diets and current recommendations Lipids 31 (Suppl), S283–S286

    PubMed  Google Scholar 

  • Svensson BG, Åkesson B, Nilsson A & Skerfving S (1993) Fatty acid composition of serum phosphatidylcholine in healthy subjects consuming varying amounts of fish Eur. J. Clin. Nutr. 47 132–140

    CAS  PubMed  Google Scholar 

  • Vilardell F, Portero M, Aragón M, Bellmunt MJ, Pamplona R & Prat J (1995) Composición en ácidos grasos de los pescados más comunes en la dieta española. Dieta y lípidos marinos. Clin. Invest. Arterioscler. 7 45–51

    Google Scholar 

  • Willet W (1998) Nutritional Epidemiology Oxford: Oxford University Press

    Google Scholar 

  • Zock PL, Mensink RP, Harryvan J, de Vries JHM & Katan MB (1997) Fatty acids in serum cholesteryl esters as quantitative biomarkers of dietary intake in humans Am. J. Epidemiol. 145 1114–1122

    CAS  PubMed  Google Scholar 

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Acknowledgements

We thank Jone Segués for assistance in reviewing the surveys, Eva Fernández de Labastida and Ana del Cerro for technical assistance, Nerea Larrañaga and Gloria Osakar for review of the manuscript, and Marta Pulido, MD, for editing the manuscript and editorial assistance.

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Amiano, P., Dorronsoro, M., de Renobales, M. et al. Very-long-chain ω-3 fatty acids as markers for habitual fish intake in a population consuming mainly lean fish: the EPIC cohort of Gipuzkoa. Eur J Clin Nutr 55, 827–832 (2001). https://doi.org/10.1038/sj.ejcn.1601242

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