Title of article :
Effects of Omega-3 Fatty Acid Supplementation on Serum Biomarkers, Inflammatory Agents, and Quality of Life of Patients on Hemodialysis
Author/Authors :
Moeinzadeh, Firouzeh Isfahan Kidney Disease Research Center - Department of Nephrology - Isfahan University of Medical Sciences, Isfahan, Iran , Shahidi, Shahrzad Isfahan Kidney Disease Research Center - Department of Nephrology - Isfahan University of Medical Sciences, Isfahan, Iran , Mortazavi, Mojgan Isfahan Kidney Disease Research Center - Department of Nephrology - Isfahan University of Medical Sciences, Isfahan, Iran , Dolatkhah, Shahaboddin Faculty of Medicine - Isfshan University of Medical Sciences, Isfahan, Iran , Kajbaf, Mohammadhossein Department of Internal Medicine - Isfahan University of Medical Sciences, Isfahan, Iran , Haghjooy Javanmard, Shaghayegh Applied Physiology Research Center - Cardiovascular Research Institute - Department of Physiology, Isfahan , Moghtaderi, Alireza Department of Internal Medicine - Isfahan University of Medical Sciences, Isfahan, Iran
Abstract :
Introduction. Patients on long-term hemodialysis are at a higher risk
of cardiovascular disease and premature mortality. It is generally
believed that omega-3 supplementation can prevent cardiovascular
events due to its anti-inflammatory and anti-atherosclerotic effects.
Materials and Methods. Fifty-two hemodialysis patients were
divided into 2 groups to receive omega-3 and placebo for 6 six
months. Serum biomarkers and inflammatory agents were measured
in both groups before and after the intervention. Quality of life was
also assessed before and after the trial using the Kidney Disease
Quality of Life-Short Form questionnaire.
Results. Patients who received omega-3 showed an increase in
serum calcium level (P = .005), a decrease in vascular cell adhesion
molecule (P = .04), and an increase in the high-density lipoprotein
cholesterol level (P < .001), while such changes were not documented
in the control group. However, omega-3 administration did not
have a significant effect on serum levels of albumin, low-density
lipoprotein cholesterol, or triglyceride. Quality of life scores were
improved after treatment with omega-3 in both scopes of general
and kidney-specific assessment (P = .37 and P = .20, respectively),
while no similar changes were seen in the control group.
Conclusions. Our data showed beneficial effects of omega-3
supplementation during chronic hemodialysis on inflammatory
processes and also quality of life. We suggest administration of
omega-3 in the hemodialysis community in a preventive manner
for improvement of cardiovascular events and quality of life.
Keywords :
omega-3 polyunsaturated fatty acid , inflammatory markers , cardiovascular disease , hemodialysis