Lack of effect of fish oil supplementation on coagulation and transcapillary escape rate of albumin in insulin-dependent diabetic patients with diabetic nephropathy
B. Myrup et al., Lack of effect of fish oil supplementation on coagulation and transcapillary escape rate of albumin in insulin-dependent diabetic patients with diabetic nephropathy, SC J CL INV, 61(5), 2001, pp. 349-356
Citations number
27
Categorie Soggetti
Research/Laboratory Medicine & Medical Tecnology","Medical Research General Topics
Journal title
SCANDINAVIAN JOURNAL OF CLINICAL & LABORATORY INVESTIGATION
Objective: We studied the effect of a diet supplementation with fish oil in
insulin-dependent diabetic patients with nephropathy in order to evaluate
whether abnormal transcapillary escape rate of albumin and procoagulant act
ivity in these patients could be modified. Methods: A double-blind, randomi
zed, controlled study was carried out at a tertiary referral centre. The su
bjects were 29 insulin-dependent diabetic patients with nephropathy. One ye
ar of fish oil supplementation (4.6 g n-3 fatty acids/day) was compared wit
h placebo (olive oil). The main outcome measures were N-3 fatty acid propor
tions of platelet lipids, transcapillary escape rate of albumin, prothrombi
n fragment 1+2, thrombin-antithrombin complexes, markers of fibrinolysis, f
ibrinogen, factor VII antigen and activity, thrombomodulin, von Willebrand
factor, platelet factor 4 and beta -thromboglobulin. These were measured ev
ery 6 months. Results: Neither transcapillary escape rate of albumin (7.4 (
median) (5.0-9.8) (range) % vs. 7.0 (4.6-10.6) %) nor prothrombin fragment
1+2 (0.97 (0.72-2.40)nmol/L vs. 1.01 (0.59-3.11)nmol/L) changed after 12 mo
nths of fish oil supplementation. Conclusion: Increased transcapillary esca
pe rate of albumin and activity could not be modified during diet supplemen
tation with fish oil in insulin-dependent diabetic patients with nephropath
y.