Dietary fats and platelet function among Finnish men

Experimental approaches to therapy and prophylaxis for heat stress and heatstroke

New developments in the fields of biochemistry, physiology, sepsis, cancer therapy, and molecular genetics have led to opportunities for the development of new therapies and prophylaxes for heat illnesses and for improving human performance during conditions of environmental stress. These include antilipopolysaccharide agents, anticytokines, potassium channel agents, a diet rich in omega-3 fatty acids, and psychological conditioning. This review summarizes the backgrounds and recent findings in the above fields and provides specific suggestions for potential therapy and prophylaxis for classic and exertional heatstroke and for improving athletic performance.

Fish diet and physical fitness in relation to membrane and serum lipids, prostanoid metabolism and platelet aggregation in female students

The effects of a 14-week fish diet and exercise programme on lipid metabolism and platelet aggregation in healthy female students (n = 99) were studied. The subjects were divided into four groups: a control group, a fish diet group (3.5 meals containing fish per week, 0.9 g n-3 fatty acids per day), an exercise group (at least three training sessions per week) and a combined fish diet and exercise group. The proportion of n-3 fatty acids increased at the expense of n-6 fatty acids in platelets and erythrocyte ghosts in the fish diet groups. Serum triglyceride concentrations tended to decrease in the fish diet and exercise groups and a significant decrease was found in the combined fish diet and exercise group (13%, P less than 0.05). No significant changes took place in the other serum lipid and apolipoprotein concentrations. Platelet production of thromboxane B2, plasma 6-keto-PGF1 alpha concentrations and adenosine 5'-diphosphate (ADP)-induced platelet aggregation also remained unchanged in all groups during the study. However, an inverse correlation was found between physical fitness (maximal oxygen uptake and maximal exercise intensity) and serum triglycerides, total cholesterol, low density lipoprotein cholesterol and platelet aggregation. This suggests that improved physical fitness is related to beneficial changes in serum lipid concentrations and to a decreased aggregation tendency of platelets. The responses of the female subjects to a fish diet were smaller when compared to earlier studies on male subjects. This suggests that there are sex differences in the efficiency of n-3 fatty acids in modifying lipid metabolism.

Species variation in the atherogenic profile of monkeys: relationship between dietary fats, lipoproteins, and platelet aggregation

Because lipoproteins and platelet aggregation have been implicated in atherogenesis, relative differences in the response of these variables to dietary fat saturation were compared in three species of monkeys differing in their susceptibility to atherosclerosis (cebus, rhesus, and squirrel monkeys). Both long-term (8-12 years) and short-term (8 weeks) responses to diets containing 31% fat calories were examined in the same monkeys. As expected, long-term feeding of coconut oil by comparison to corn oil produced significantly higher plasma concentrations of total cholesterol, LDL cholesterol, apoB, and triglycerides, as well as higher ratios of LDL/HDL cholesterol and apo B/apo A-I. These responses were characteristic of all species with cebus being most responsive and rhesus the least. The short-term plasma cholesterol response to animal fats (butter, lard, beef tallow) was significantly less than that to coconut oil. When fish oil was substituted for two-thirds of either corn oil or coconut oil, exceptional decreases occurred in plasma cholesterol and triglycerides, as well as in HDL cholesterol and apo A-I concentrations despite the fact that the fish oil diets contained more saturated fat and less polyenes than the corn oil diet. Platelet aggregation tended to increase with saturated fat consumption and greatly decreased with fish oil intake in all monkeys, although cebus monkeys were ten-fold more resistant to platelet aggregation than the other two species. The molecular species of platelet phosphatidylcholine (PC) varied with both the dietary fat fed and species of monkey. An inverse correlation (r = -0.60; p less than 0.001) was found between changes in one such PC molecular species (18:0-20:4) induced by diet and the platelet aggregation threshold. These results demonstrate that the lipemic and platelet responses to dietary saturated fat depend upon both the type of fat (i.e., the specific combination of dietary fatty acids, including the chain length of saturated fatty acids and the degree of polyunsaturation) and the species of monkey (genetic component) in which the response is elicited.

Dose responses in platelet fatty acid composition, aggregation and prostanoid metabolism during moderate freshwater fish diet

The dose responses in platelet fatty acid composition, aggregation and thromboxane production and in plasma prostacyclin level during moderate freshwater fish diet was studied in healthy male students (n = 100). There were four fish diet groups eating 0.9, 1.5, 2.3 or 3.8 fish-containing meals per week for 12 weeks. The meals provided about 0.25, 0.5, 0.6 or 1.1 g n-3 fatty acids per day, respectively. The increase of n-3 at the expense of n-6 fatty acids in total platelet lipids took place already with 1.5 weekly fish meals (0.5 g n-3 fatty acids/d). Most of the observed changes in platelet fatty acids were seen already after 5 weeks. ADP-and collagen-induced platelet aggregation was measured from controls and 1.5 and 3.8 fish meals per week groups. The maximum platelet aggregation values of the group with the highest fish intake were significantly lower than in the controls at the end of dietary period. A tendency towards reduced platelet aggregability was observed also in the group eating 1.5 fish meals per weeks. Thromboxane B2 and 6-keto-PGF1 alpha were determined from controls and two groups with highest fish intake. The highest intake was needed to decrease the thromboxane B2 production of clotted blood and the plasma 6-keto-PGF1 alpha concentration. A positive correlation between ADP-induced aggregation and thromboxane B2 production was found. These results show that platelet characteristics can already be modified with a very moderate freshwater fish intake.