Key result
Fish oil supplementation (4 g daily for 12 weeks) attenuated the mean BP response to orthostatic stress in older adults (0 vs -4 mmHg, P<0.05) but did not affect renal vasoconstriction.
Why the study?
Does omega-3 polyunsaturated fatty acid supplementation reduce the renal vasoconstrictor response to orthostatic stress in healthy young and older adults?
Does omega-3 polyunsaturated fatty acid supplementation reduce the renal vasoconstrictor response to orthostatic stress in healthy young and older adults?
Fish oil supplementation for 12 weeks attenuates the mean blood pressure response to orthostatic stress in older adults but does not alter renal vasoconstriction.
Answers are grounded in this paper and cite their sources.
May blunt orthostatic BP response in older adults without affecting renal vasoconstriction; hypothesis-generating, needs RCTs before clinical consideration.
Older adults exhibit augmented renal vasoconstriction during orthostatic stress compared to young adults. Consumption of omega-3 polyunsaturated fatty acids, such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) found in fish oil (FO), modulates autonomic nerve activity. However, the effect of omega-3 polyunsaturated fatty acid consumption on the renal vasoconstrictor response to orthostatic stress in young and older adults is unknown. Therefore, 10 young (25 ± 1 years; mean ± SEM) and 10 older (66 ± 2 years) healthy adults ingested 4 g FO daily for 12 weeks, and underwent graded lower body negative pressure (LBNP; -15 and -30 mmHg) pre- and post-FO supplementation. Renal blood flow velocity (RBFV; Doppler ultrasound), arterial blood pressure (BP; photoplethysmographic finger cuff), and heart rate (electrocardiogram) were recorded. Renal vascular resistance (RVR), an index of renal vasoconstriction, was calculated as mean BP/RBFV. All baseline cardiovascular values were similar between groups and visits, except diastolic BP was higher in the older group (P < 0.05). FO supplementation increased erythrocyte EPA and DHA content in both groups (P < 0.05). FO did not affect RVR or RBFV responses to LBNP in either group, but attenuated the mean BP response to LBNP in the older group (older -30 mmHg: pre-FO -4 ± 1 vs. post-FO 0 ± 1 mmHg, P < 0.05; young -30 mmHg: pre-FO -5 ± 1 vs. post-FO -5 ± 2 mmHg). In conclusion, FO supplementation attenuates the mean BP response but does not affect the renal vasoconstrictor response to orthostatic stress in older adults.
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Clark et al. (2018) studied Healthy adults (n=20). Fish oil (omega-3 polyunsaturated fatty acids) vs. Pre-supplementation baseline was evaluated on Mean blood pressure response to lower body negative pressure (-30 mmHg) in older adults (p=< 0.05). Fish oil supplementation (4 g daily for 12 weeks) attenuated the mean BP response to orthostatic stress in older adults (0 vs -4 mmHg, P<0.05) but did not affect renal vasoconstriction.
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