Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Communication
  • Published:

The effect of flaxseed supplementation in processed foods on serum fatty acids and enterolactone

Abstract

Objective: The purpose was to study the effects of flaxseed supplementation as a part of daily diet on serum lipids, fatty acids and plasma enterolactone.

Design: Eighty volunteers participated in this clinical nutrition study which was carried out in a controlled, double-blind and cross-over manner. The subjects were randomized to diet sequences AB or BA. Diet A meals contained 1.3 g/100 g ground flaxseed and 5 g/100 g flaxseed oil. Also 3–4 g/100 of inulin and wheat fiber was added. AB diet with non-supplemented foods served as control. Test subjects were on both diets for 4 weeks separated by a 4-week wash-out period. Fifteen test subjects continued an open part of the study for 4 additional months.

Interventions: The dietary intake, basic blood values, serum lipids, fatty acids and enterolactone were measured at baseline, after both intervention periods and during the open study, at baseline and after 2 and 4 months. Serum thiocyanate and blood cadmium were controlled after both intervention periods.

Results: The percentage of flaxseed supplemented test food out of total dietary intake was 20% of energy. The test food contained significantly higher amounts of fiber, polyunsaturated fatty acids (PUFAs) and especially α-linolenic acid than the control food.

No significant changes were observed in the basic laboratory values or in blood lipids. There was a significant increase in serum α-linolenic acid, eicosapentaenoic acid and docosapentaenoic acid. Serum enterolactone concentration was doubled during flaxseed supplementation. Serum thiocyanate and blood cadmium values did not exceed reference values and there was no difference between the diets.

Conclusions: In this study we were able to show that, by adding ground flaxseed and flaxseed oil to one or two daily meals, it is possible to obtain significant effects on serum levels of enterolactone and α-linolenic acid.

Sponsorship: The study was sponsored by the National Technology Agency of Finland (Tekes).

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7

Similar content being viewed by others

References

  • Adlercreutz H, Fotsis T, Heikkinen R, Dwyer JT, Goldin BR, Gorbach SL, Lawson AM, Setchell KDR . 1981 Diet and urinary excretion of lignans in female subjects Med. Biol. 59: 259–261

    CAS  PubMed  Google Scholar 

  • Adlercreutz H, Mazur W . 1997 Phyto-oestrogens and western diseases Ann. Med. 29: 95–120

    Article  CAS  Google Scholar 

  • Adlercreutz H, Fotsis T, Bannwart C, Wähälä K, Mäkelä T, Brunow G, Hase T . 1986 Determination of urinary lignans and phytoestrogen metabolites, potential antiestrogens and anticarcinogens, in urine of women on various habitual diets J. Steroid Biochem. 25: 791–797

    Article  CAS  Google Scholar 

  • Adlercreutz H, Wang GJ, Lapcik O, Hampl R, Wähälä K, Mäkelä T, Lusa K, Talme M, Mikola H . 1998 Time-resolved fluoroimmunoassay for plasma enterolactone Anal. Biochem. 265: 208–215

    Article  CAS  Google Scholar 

  • Adlercreutz H, Mazur W, Stumpf K, Kilkkinen A, Pietinen P, Hallmans G . 2000 Food containing phytoestrogens and breast cancer Biofactors 12: 89–93

    Article  CAS  Google Scholar 

  • Allman-Farinelli MA, Hall D, Kingham K, Pang D, Petocz P, Favaloro EJ . 1999 Comparison of the effeccs of two low fat diets with different α-linolenic:linoleic acid ratios on coagulation and fibrinolysis Atherosclerosis 142: 159–168

    Article  CAS  Google Scholar 

  • Ascherio A, Rimm EM, Giovannucci EL, Spiegelman D, Stampfer M, Willet WC . 1996 Dietary fat and risk in coronary heart disease in men: cohort follow up study in the United States Br. Med. J. 313: 7049: 84–90

    Article  CAS  Google Scholar 

  • Baro L, Hermoso JC, Nunez MC, Jimenez-Rios J-A, Gil A . 1998 Abnormalities in plasma and red blood cell fatty acid profiles of patients with colorectal cancer Br. J. Cancer 77: 1978–1983

    Article  CAS  Google Scholar 

  • Cognault S, Jourdan ML, Germain E, Pitavy R, Morel E, Durand G, Bougnoux P, Lhuillery C . 2000 Effect of an α-linolenic acid-rich diet on rat mammary tumor growth depends on the dietary oxidative status Nutr. Cancer 36: 33–41

    Article  CAS  Google Scholar 

  • De Lorgeril M, Renaud S, Mamelle N, Salen P, Martin J-L, Monjaud I, Guidollet J, Touboul P, Delaye J . 1994 Mediterranean alpha-linolenic acid-rich diet in secondary prevention of coronary heart disease Lancet 343: 1454–1459

    Article  Google Scholar 

  • De Stefani E, Deneo-Pellgrini H, Boffetta P, Ronco A, Mendilaharsu M . 2000 Alpha-linolenic acid and risk of prostate cancer: a case-control study in Uruguay Cancer Epidemiol. Biomarkers Prev. 9: 335–338

    Google Scholar 

  • Folch J, Lees M, Stanley GHS . 1957 A simple method for the isolation and purification of total lipids from animal tissues J. Biol. Chem. 226: 497–507

    CAS  PubMed  Google Scholar 

  • Freese R, Mutanen M . 1997 α-linolenic acid and marine long-chain n-3 fatty acids differ only slightly in their effects on hemostatic factors in healthy subjects Am. J. Clin. Nutr. 66: 591–598

    Article  CAS  Google Scholar 

  • Geerling BJ, v Houwelingen AC, Badart-Smook A, Stockbrugger RW, Brummer RJ . 1999 Fat intake and fatty acid profile in plasma phospholipids and adipose tissue in patients with Crohn's disease, compared with controls Am. J. Gastroenterol. 94: 410–417

    Article  CAS  Google Scholar 

  • Grizzle JE . 1965 The two-period change-over design and its use in clinical trials Biometrics 21: 467–480

    Article  CAS  Google Scholar 

  • Hartman IS . 1995 Alpha-linolenic acid: a preventive in secondary coronary events? Nutr. Rev. 53: 194–197

    Article  CAS  Google Scholar 

  • Heinonen S, Nurmi T, Liukkonen K, Poutanen K, Mazur W, Wähälä K, Deyama T, Nishibe S, Adlercreutz H . 2001 In vitro metabolism of plant lignans: new precursors of mammalian lignans enterolactone and enterodiol J. Agric. Food Chem. 49: 3178–3186

    Article  CAS  Google Scholar 

  • Howe GR, Benito E, Castellato R, Cornee J, Esteve J, Gallagher RP, Iscovich JM, Dengao J, Kaaks R, Kune GA et al. 1992 Dietary intake of fiber and decreased risk of cancer of the colon and rectum: evidence from the combined analysis of 13 case-control studies J. Natl. Canc. Inst. 84: 1887–1896

    Article  CAS  Google Scholar 

  • Hu FB, Stampfer MJ, Manson JE, Rimm EB, Wolk A, Colditz GA, Hennekens CH, Willett WC . 1999 Dietary intake of α-linolenic acid and risk of fatal ischemic heart disease among women Am. J. Clin. Nutr. 69: 890–897

    Article  CAS  Google Scholar 

  • Ingram D, Sanders K, Kolybaba M, Lopez D . 1997 Case–control study of phyto-oestrogens and breast cancer Lancet 350: 990–994

    Article  CAS  Google Scholar 

  • Inui K, Fukuta Y, Ikeda A, Kameda H, Kokuba Y, Sato M . 1996 The effect of alpha-linolenic acid-rich emulsion on fatty acid metabolism and leukotriene generation of the colon in rat model with inflammatory bowel disease Ann. Nutr. Metab. 40: 175–182

    Article  CAS  Google Scholar 

  • Johnston PV . 1995 Flaxseed oil and cancer: α-linolenic acid and carcinogenesis In Flaxseed in Human Nutrition, ed. SC Cunnane & LU Thompson 207–218 Champaign, IL: Human Kinetics.

    Google Scholar 

  • Jones B, Kenward MG . 1989 Design and Analysis of Cross-over Trials. London: Chapman and Hall

  • Kankaanpää P, Sutas Y, Salminen S, Lichtenstein A, Isolauri E . 1999 Dietary fatty acids and allergy Ann. Med. 31: 282–287

    Article  Google Scholar 

  • Klein V, Chajes V, Germain E, Schilgen G, Pinault M, Malvy D, Lefrancq T, Fignon A, Le Floch O, Lhuillery C, Bougnoux P . 2000 Low alpha-linolenic acid content of adipose breast tissue is associated with an increased risk of breast cancer Eur. J. Cancer 36: 335–340

    Article  CAS  Google Scholar 

  • Knekt P, Adlercreutz H, Rissanen H, Aromaa A, Teppo L, Heliovaara M . 2000 Does antibacterial treatment for urinary tract infection contribute to the risk of breast cancer? Br. J. Cancer 82: 1107–1110

    Article  CAS  Google Scholar 

  • Nelson GJ, Chamberlain JG . 1995 The effect of α-linolenic acid on blood lipids and lipoproteins in humans In Flaxseed in Human Nutrition, ed. SC Cunnane, LU Thompson 187–206 Champaign, IL: Human Kinetics.

    Google Scholar 

  • Nordic Nutrition Recommendations . 1996 Scand. J. Nutr. 40: 161–165

  • Ovaskainen M-L, Lauronen J, Haapakoski J . 1994 Epidemiological food and nutrient database at the National Public Health Institute Scand. J. Nutr. 38 Suppl 29: 10

    Google Scholar 

  • Pietinen P, Hartman AM, Haapa E . 1988 Reproducibility and validity of dietary assessment instruments, I. A self-administered food use questionnaire with a portion size picture booklet Am. J. Epidemiol. 128: 655–666

    Article  CAS  Google Scholar 

  • Pietinen P, Stumpf K, Männistö S, Kataja V, Adlercreutz H . 2001 Serum enterolactone and risk of breast cancer: a case-control study in eastern Finland Cancer Epidemiol. Biomark. Prev. 10: 339–344

    CAS  Google Scholar 

  • Pool-Zobel BL, Adlercreutz H, Glei M, Liegibel UM, Sittlingon J, Rowland I, Wähälä K, Rechkemmer G . 2000 Isoflavonoids and lignans have different potentials to modulate oxidative genetic damage in human colon cells Carcinogenesis 21: 1247–1252

    Article  CAS  Google Scholar 

  • Rose D . 1993 Diet, hormones and cancer A. Rev. Public Health 14: 1–17

    Article  CAS  Google Scholar 

  • SAS Institute Inc . 1990 SAS/STAT User's Guide. Version 6, 4th edn, Vol 1–2 Cary, NC: SAS Institute Inc

    Google Scholar 

  • Shoda R, Matsueda K, Yamato S, Umeda N . 1995 Therapeutic efficacy of N-3 polyunsaturated fatty acid in experimental Crohn's disease J Gastroenterol 30 Suppl: 98–101

    CAS  PubMed  Google Scholar 

  • Simopoulos AP . 1999 Essential fatty acids in health and chronic disease Am. J. Clin. Nutr. 70 Suppl: 560S–569S

    Article  CAS  Google Scholar 

  • Stoffel W, Chu F, Ahrens RH Jr . 1959 Analysis of long-chain fatty acids by gas–liquid chromatography Anal. Chem. 31: 307–308

    Article  CAS  Google Scholar 

  • Stumpf K, Uehara M, Nurmi T, Adlercreutz H . 2000 Changes in the time-resolved fluoroimmunoassay for plasma enterolactone Anal. Biochem. 284: 153–157

    Article  CAS  Google Scholar 

  • Tham D, Gardner C, Haskell W . 1998 Potential health benefits of dietary phyto-oestrogens: a review of the clinical, epidemiological, and mechanistic evidence J. Clin. Endocrinol. Metab. 83: 2223–2235

    CAS  PubMed  Google Scholar 

  • Thompson LU, Robb P, Serraino M, Cheung F . 1991 Mammalian lignan production from various foods Nutr. Cancer 16: 43–52

    Article  CAS  Google Scholar 

  • Thompson LU, Rickard SE, Orcheson LJ, Seidl MM . 1996 Flaxseed and its lignan and oil components reduce mammary tumor growth at a late stage of carcinogenesis Carcinogenesis 17: 1373–1376

    Article  CAS  Google Scholar 

  • Tou JCL, Thompson LU . 1999 Exposure to flaxseed or its lignan component during different developmental stages influences rat mammary gland structures Carcinogenesis 20: 1831–1835

    Article  CAS  Google Scholar 

  • Trock BJ, Lanza E, Greenwald P . 1990 High fiber diet and colon cancer: a critical review Prog. Clin. Biol. Res. 346: 145–157

    CAS  PubMed  Google Scholar 

  • Valsta LM, Salminen I, Aro A, Mutanen M . 1996 α-linolenic acid in rapeseed oil partially compensates for the effect of fish restriction on plasma long-chain n-3 fatty acids Eur. J. Clin. Nutr. 50: 229–235

    CAS  PubMed  Google Scholar 

  • Vanharanta M, Voutilainen S, Lakka TA, van der Lee M, Adlercreutz H, Salonen JT . 1999 Risk of acute coronary events according to serum concentrations of enterolactone: a prospective population-base case control study Lancet 354: 2112–2115

    Article  CAS  Google Scholar 

  • Youdim KA, Martin A, Joseph JA . 2000 Essential fatty acids and the brain: possible health implications Int. J. Dev. Neurosci. 18: 383–399

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S Tarpila.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tarpila, S., Aro, A., Salminen, I. et al. The effect of flaxseed supplementation in processed foods on serum fatty acids and enterolactone. Eur J Clin Nutr 56, 157–165 (2002). https://doi.org/10.1038/sj.ejcn.1601298

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1601298

Keywords

This article is cited by

Search

Quick links