Taisa M Venäläinen1, Anna M Viitasalo2, Ursula S Schwab3, Aino-Maija Eloranta2, Eero A Haapala4, Henna P Jalkanen2, Vanessa Df de Mello5, David E Laaksonen6, Virpi I Lindi2, Jyrki J Ågren2, Timo A Lakka7. 1. Institutes of Biomedicine and Public Health and Clinical Nutrition, Clinical Nutrition, School of Medicine, University of Eastern Finland, Kuopio, Finland; taisa.venalainen@uef.fi. 2. Institutes of Biomedicine and. 3. Public Health and Clinical Nutrition, Clinical Nutrition, School of Medicine, University of Eastern Finland, Kuopio, Finland; Institute of Clinical Medicine, Internal Medicine and. 4. Institutes of Biomedicine and Department of Biology of Physical Activity, University of Jyväskylä, Jyväskylä, Finland; and. 5. Public Health and Clinical Nutrition, Clinical Nutrition, School of Medicine, University of Eastern Finland, Kuopio, Finland. 6. Institutes of Biomedicine and Institute of Clinical Medicine, Internal Medicine and. 7. Institutes of Biomedicine and Department of Clinical Physiology and Nuclear Medicine, School of Medicine, Kuopio University Hospital, Kuopio, Finland; Kuopio Research Institute of Exercise Medicine, Kuopio, Finland.
Abstract
BACKGROUND: Evidence on the effects of lifestyle interventions on plasma fatty acid composition in children is limited. OBJECTIVE: We investigated the effects of a dietary and physical activity intervention on plasma fatty acid composition of cholesteryl esters (CEs) and phospholipids and estimated desaturase and elongase activities in children. DESIGN: We conducted a 2-y controlled dietary and physical activity intervention based on Finnish nutrition and physical activity recommendations in a population sample of 506 children aged 6-8 y. We assessed plasma fatty acid composition by gas chromatography and estimated desaturase and elongase activities as the ratio of product fatty acids to precursor fatty acids. We analyzed data by using linear mixed models adjusted for age and sex. RESULTS: The proportion of total polyunsaturated fatty acids (PUFAs) in CEs tended to increase in the intervention group compared with the control group (P = 0.007 for group × time interaction). The proportion of total PUFAs in phospholipids (P = 0.019 for group × time interaction) and the proportion of linoleic acid in CEs (P = 0.038 for group × time interaction) decreased in the control group. The proportion of α-linolenic acid in CEs (P < 0.001 for group × time interaction) increased and in phospholipids (P = 0.015 for group × time interaction) tended to increase in the intervention group. The proportion of stearic acid in CEs decreased in the intervention group (P = 0.001 for group × time interaction). The proportion of oleic acid in CEs (P = 0.002 for group × time interaction) increased and in phospholipids (P = 0.023 for group × time interaction) tended to increase in the control group. Estimated elongase activity in CEs decreased in the control group (P = 0.050 for group × time interaction). Intervention had no effect on estimated desaturase activities. CONCLUSIONS: Dietary and physical activity intervention had a beneficial effect on plasma fatty acid composition in children by preventing the decrease in the proportion of total PUFAs and linoleic acid and by increasing the proportion of α-linolenic acid. This study was registered at clinicaltrials.gov as NCT01803776.
BACKGROUND: Evidence on the effects of lifestyle interventions on plasma fatty acid composition in children is limited. OBJECTIVE: We investigated the effects of a dietary and physical activity intervention on plasma fatty acid composition of cholesteryl esters (CEs) and phospholipids and estimated desaturase and elongase activities in children. DESIGN: We conducted a 2-y controlled dietary and physical activity intervention based on Finnish nutrition and physical activity recommendations in a population sample of 506 children aged 6-8 y. We assessed plasma fatty acid composition by gas chromatography and estimated desaturase and elongase activities as the ratio of product fatty acids to precursor fatty acids. We analyzed data by using linear mixed models adjusted for age and sex. RESULTS: The proportion of total polyunsaturated fatty acids (PUFAs) in CEs tended to increase in the intervention group compared with the control group (P = 0.007 for group × time interaction). The proportion of total PUFAs in phospholipids (P = 0.019 for group × time interaction) and the proportion of linoleic acid in CEs (P = 0.038 for group × time interaction) decreased in the control group. The proportion of α-linolenic acid in CEs (P < 0.001 for group × time interaction) increased and in phospholipids (P = 0.015 for group × time interaction) tended to increase in the intervention group. The proportion of stearic acid in CEs decreased in the intervention group (P = 0.001 for group × time interaction). The proportion of oleic acid in CEs (P = 0.002 for group × time interaction) increased and in phospholipids (P = 0.023 for group × time interaction) tended to increase in the control group. Estimated elongase activity in CEs decreased in the control group (P = 0.050 for group × time interaction). Intervention had no effect on estimated desaturase activities. CONCLUSIONS: Dietary and physical activity intervention had a beneficial effect on plasma fatty acid composition in children by preventing the decrease in the proportion of total PUFAs and linoleic acid and by increasing the proportion of α-linolenic acid. This study was registered at clinicaltrials.gov as NCT01803776.
Authors: Timo A Lakka; Niina Lintu; Juuso Väistö; Anna Viitasalo; Taisa Sallinen; Eero A Haapala; Tuomo T Tompuri; Sonja Soininen; Panu Karjalainen; Theresia M Schnurr; Santtu Mikkonen; Mustafa Atalay; Tuomas O Kilpeläinen; Tomi Laitinen; David E Laaksonen; Kai Savonen; Soren Brage; Ursula Schwab; Jarmo Jääskeläinen; Virpi Lindi; Aino-Maija Eloranta Journal: Diabetologia Date: 2020-08-20 Impact factor: 10.122