Key result
A 7-day high-PUFA diet significantly reduced postprandial triglyceride levels (AUC 141.2 vs 80.7 mg/dL/h, p=0.01) and ANGPTL3 and 8 responses following high-saturated fat meals in healthy females, but not in males.
Why the study?
PUFAs benefit hypertriglyceridemia, but their effect on ANGPTL3, ANGPTL4, and ANGPTL8 is unknown.
Does a 7-day high-PUFA diet reduce postprandial triglyceride levels and ANGPTL responses following high saturated fat meals in healthy adults?
RCT (n=26)
Single-blind
Parallel group allocation (1:1)
No
Does a 7-day high-PUFA diet reduce postprandial triglyceride levels and ANGPTL responses following high saturated fat meals in healthy adults?
Absolute Event Rate: 80.7% vs 82.5%
p-value: p=0.01
A 7-day PUFA-rich diet reduces postprandial triglycerides and ANGPTL3/8 responses to saturated fat meals in healthy females, suggesting a sex-specific protective metabolic effect.
Supports sex-specific dietary PUFA strategies for postprandial lipid control; extends RCT evidence on dimorphic ANGPTL responses.
BACKGROUND: Polyunsaturated fatty acids (PUFAs) have beneficial effects on hypertriglyceridemia although their effect on angiopoietin-like proteins (ANGPTLs), specifically ANGPTL3, ANGPTL4 and ANGPTL8 is unknown. OBJECTIVE: To determine whether a high-PUFA diet improves postprandial triglyceride (TG) levels through reducing ANGPTL responses following high saturated fat (SFA) meals. METHODS: = 10). Participants completed a pre-diet visit (v1) where they were given two SFA-rich, high-fat meals. Blood draws were taken at fasting and every 2 h postprandially for a total of 8 h. After v1, participants completed a 7d diet of the same macronutrient proportions (50% carbohydrate, 35% fat, 15% protein) but with different fatty acid (FA) compositions (PUFA = 21% of total energy from PUFAs vs. Control = 7% of total energy from PUFA). All participants then completed the post-diet visit (v2) identical to v1. RESULTS: = 0.01, for v1 vs. v2, respectively). Fasting and postprandial AUC levels of ANGPTL3 and 8, but not ANGPTL4, also decreased from v1 to v2 in PUFA females, but not males. No changes from v1 to v2 were seen in either sex in the control group. CONCLUSIONS: A PUFA-rich diet improves TG levels in response to high-SFA meals with reductions in ANGPTL3 and ANGPTL8. PUFAs may be more protective against hypertriglyceridemia in females, compared to males since no diet effect was observed in males. TRIAL REGISTRATION: NCT02246933.
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Kaviani et al. (2019) conducted an RCT in Healthy (n=26). High-PUFA diet vs. Control diet (7% of total energy from PUFAs) was evaluated on Postprandial triglyceride Area Under the Curve (AUC) in females (p=0.01). A 7-day high-PUFA diet significantly reduced postprandial triglyceride levels (AUC 141.2 vs 80.7 mg/dL/h, p=0.01) and ANGPTL3 and 8 responses following high-saturated fat meals in healthy females, but not in males.
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