Review Article

Dietary Strategies and Novel Pharmaceutical Approaches Targeting Serum ApoA-I Metabolism: A Systematic Overview

Table 4

Effect of fish oil or fish on apoA-I concentrations.

First author, yearFood component/productStudy design and durationParticipantsIntakeEffect

Schectman et al. (1988) [54]Low versus high fish oil versus safflower oil capsulesRCT crossover
1 month
13 patients with noninsulin-dependent diabetes mellitus type 24.0 versus 7.5 g omega-3/day
12 g safflower oil/day
(i) No differences in fasting plasma apoA-I concentrations

Wilt et al. (1989) [55]Fish oil versus safflower oil capsuleRCT parallel
12 weeks
38 healthy men20 g/day(i) No differences in fasting plasma apoA-I concentrations

Childs et al. (1990) [56]Pollock oil (EPA) versus tuna (DHA) versus salmon (DHA) versus butter capsuleRCT crossover
3 weeks
8 healthy menEPA: 11.7, 5.4, and 6.1 g/day
DHA: 3.1, 15.5, and 7.7 g/day
(i) 22.0% in fasting plasma apoA-I concentrations comparing pollock oil with control
(ii) 14.0% in fasting plasma apoA-I concentrations comparing salmon oil with control
(iii) No differences in fasting plasma apoA-I concentrations comparing tuna oil with control

DeLany et al. (1990) [57]Low versus high fish oil versus margarine (similar macronutrient composition)RCT parallel
5 weeks
15 healthy men0, 5, and 20 g fish oil/day with 0, 2, and 8 g omega-3/day(i) No differences in fasting serum apoA-I concentrations

Levinson et al. (1990) [58]Fish oil versus vegetable oil capsuleRCT parallel
6 weeks
16 mild hypertensive patients50 g oil/day, 9 g EPA, and 6 g DHA(i) No differences in fasting serum apoA-I concentrations

Mori et al. (1990) [59]Fish oil versus no fish oilRCT parallel
3 weeks
22 insulin-dependent diabetic men2.7 g EPA and 1.7 g DHA/day(i) No differences in fasting serum apoA-I concentrations

Boønaa et al. (1992) [60]EPA and DHA oil versus corn oil capsuleRCT parallel
10 weeks
156 healthy subjects5.1 g/day(i) No differences in fasting serum apoA-I concentrations

Richter et al. (1992) [61]Omega-3 versus omega-6 capsuleRCT crossover
3 weeks
26 healthy men5.0 g/day(i) No differences in fasting plasma apoA-I concentrations

Tatò et al. (1993) [62]EPA and DHA versus olive oil capsulesRCT crossover
4 weeks
9 patients with familial hyperlipidemia3.0 and 4.5 g EPA and DHA/day(i) No differences in fasting serum apoA-I concentrations

Zampelas et al. (1994) [63]SFA oil versus corn oil versus fish oil capsuleRCT crossover
1 day
12 healthy men40 g/day(i) No differences in postprandial serum apoA-I concentrations

Eritsland et al. (1995) [64]Fish oil capsule versus no capsuleRCT parallel
9 months
511 patients with coronary artery disease4 g/day: 3.4 g EPA and DHA(i) No differences in fasting serum apoA-I concentrations

Herrmann et al. (1995) [65]Omega-3 versus rapeseed oil capsuleRCT parallel
4 weeks
53 patients with coronary artery disease8.5 g/day(i) No differences in fasting plasma apoA-I concentrations

Hamazaki et al. (1996) [66]DHA versus control oil capsuleRCT parallel
13 weeks
24 healthy subjects1.5–1.8 g/day
(i) No differences in fasting serum apoA-I concentrations

Grimsgaard et al. (1997) [67]EPA versus DHA versus corn oil capsuleRCT parallel
7 weeks
234 healthy menEPA: 3.8 g/day
DHA: 3.6 g/day
Corn oil: 4.0 g/day
(i) 5.0% in fasting serum apoA-I concentrations comparing EPA with corn
(ii) No differences in fasting serum apoA-I concentrations comparing DHA with corn

Sorensen et al. (1998) [68]Fish oil versus sunflower oil margarineRCT parallel
4 weeks
47 healthy subjects4.0 g/day(i) No differences in fasting plasma apoA-I concentrations

Buckley et al. (2004) [69]EPA versus DHA versus olive oil capsulesRCT parallel
4 weeks
42 healthy subjectsEPA: 4.8 g/day
DHA: 4.9 g/day
(i) No differences in fasting plasma apoA-I concentrations

Calabresi et al. (2004) [70]Omega-3 versus placebo capsuleRCT crossover
8 weeks
14 patients with familial hyperlipidemiaEPA: 1.88 g/day
DHA: 1.48 g/day
(i) No differences in fasting plasma apoA-I concentrations

Shidfar et al. (2003) [71]Omega-3 versus placeboRCT parallel
10 weeks
68 hyperlipidemic patients1 g/day(i) No differences in fasting serum apoA-I concentrations

Li et al. (2004) [72]High versus low fish-fatty acids dietRCT parallel
24 weeks
22 healthy subjects30 energy% of fat(i) 14.0% in fasting plasma apoA-I concentrations comparing high with low fish-fatty acids consumption

Goyens and Mensink (2006) [73]ALA versus EPA and DHA capsuleRCT parallel
6 weeks
37 elderly healthy subjectsALA 6.8 g/day, EPA, and DHA: 1.05 + 0.55 g/day(i) No differences in fasting serum apoA-I concentrations

De Roos et al. (2008) [74]Fish oil versus high oleic sunflower oil capsuleRCT parallel
6 weeks
81 healthy subjects3.5 g/day: 700 mg EPA and 560 mg DHA(i) No differences in fasting serum apoA-I concentrations

Shidfar et al. (2008) [75]Omega-3 versus 300 mg SFA, 100 mg MUFA, and 600 mg linoleic acid capsuleRCT parallel
10 weeks
50 patients with diabetes mellitus type 22 g/day: 520 mg EPA and 480 mg DHA(i) No differences in fasting serum apoA-I concentrations

Maki et al. (2011) [76]Omega-3 versus soy oilRCT crossover
6 weeks
31 patients with primary, isolated hypercholesterolemia4 g/day(i) No differences in fasting serum apoA-I concentrations

Ooi et al. (2012) [77]Therapeutic lifestyle change diet low versus high in fish (capsule)RCT parallel
24 weeks
20 healthy subjectsEPA and DHA: 1.23 g/day versus 0.27 g/day(i) No differences in fasting plasma apoA-I concentrations

Song et al. (2013) [78]High omega-3 and low omega-6 versus low omega-3 and high omega-6 fatty acid dietRCT crossover
1 day
8 healthy and 8 hypertriacylglycerolemic subjects0.97 versus 8.80 n-6/n-3 ratio(i) No differences in postprandial serum apoA-I concentrations

Oliveira et al. (2014) [79]Fish oil versus soya oil supplementsRCT parallel
24 weeks
83 HIV-infected subjects on antiretroviral therapy3 g/day: 540 mg EPA and 360 mg DHA(i) No differences in postprandial serum apoA-I concentrations

Stewart et al. (1990) [80]Mackerel versus lean meatRCT crossover
6 weeks
84 healthy male subjects135 g/day(i) No differences in fasting serum apoA-I concentrations

Gascon et al. (1996) [81]Lean fish (cod, sole, pollack, and haddock) versus animal protein (lean beef, pork, veal, eggs, skimmed milk, and milk products)RCT crossover
4 weeks
14 premenopausal healthy women69–71 energy% protein(i) No differences in lean fish on fasting plasma apoA-I concentrations

Lindqvist et al. (2007) [82]Herring versus lean meat (pork and chicken)RCT crossover
4 weeks
13 healthy obese subjects50 g/day
5 days/week
(i) No differences in fasting plasma apoA-I concentrations

Erkkilä et al. (2008) [83]Fatty (salmon, rainbow trout, Baltic herring, whitefish, vendace, and tuna) versus lean fish (pike, pike-perch, perch, saithe, and cod) versus lean meat (beef and pork)RCT parallel
8 weeks
33 patients with coronary heart disease100–150 g fish
4 meals/week
(i) 7.1 and 9.1% in fasting serum apoA-I concentrations comparing lean fish with lean meat or fatty fish

Isherwood et al. (2010) [84]Prawns versus crab sticksRCT crossover
12 weeks
23 healthy males225 g/day(i) No differences in fasting plasma apoA-I concentrations

Percentages calculated from the mean values; EPA: eicosapentaenoic acid, DHA: docosahexaenoic acid, SFA: saturated fatty acids, and ALA: alpha lipoic acid.