Assessing the impact of escalating fish oil consumption on n-3 polyunsaturated fatty acid (PUFA) content of transport, storage and functional pools

ISRCTN ISRCTN48398526
DOI https://doi.org/10.1186/ISRCTN48398526
Secondary identifying numbers N05065/N05066
Submission date
21/03/2006
Registration date
28/04/2006
Last edited
17/01/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

http://www.mrc-hnr.cam.ac.uk/research/research-sections/diet-population-health/dph-projects/fish-study

Contact information

Dr Celia Walker
Scientific

MRC Human Nutrition Research
Fulbourn Road
Cambridge
CB1 9NL
United Kingdom

Phone +44 (0)1223 426356
Email celia.walker@mrc-hnr.cam.ac.uk

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeQuality of life
Scientific titleAssessing the impact of escalating fish oil consumption on n-3 polyunsaturated fatty acid (PUFA) content of transport, storage and functional pools: a randomised controlled trial
Study acronymFISH
Study objectivesThis two-centre study will determine the effect of long-chain (LC) n-3 PUFA supplementation on the fatty acid (FA) content of plasma phospholipids, triacylglycerols, cholesteryl esters and non-esterified fatty acids, platelets, erythrocytes, leukocytes and adipose tissue. Relationships between FA status of different pools and differences according to age and gender will be determined. The intervention is capsule based, to maximise compliance, but will provide LC n-3 PUFA as 'portions' in doses designed to mimic oily fish consumption in free-living.

Please note that, as of 16/01/2009, the anticipated end date of this trial has been amended from 31/12/2008 to 28/02/2009.
Ethics approval(s)Suffolk Research Ethics Committee (REC), approved on 06/02/2006 (ref: 05/Q0102/181)
Health condition(s) or problem(s) studiedImpact of fish-oil consumption on the fatty acid content of plasma
InterventionThe five treatment groups are:
1. Control group (n = 42)
2. Capsules equivalent to 1 portion of oily fish per week (containing approximately 1.8 g eicosapentaenoic acid [EPA] and 1.5 g docosahexaenoic acid [DHA] per week) (n = 42)
3. Capsules equivalent to 2 portions of oily fish per week (containing approximately 3.6 g EPA and 3.0 g DHA per week) (n = 42)
4. Capsules equivalent to 2 portions of oily fish per week, taken continuously rather than in a 'portion' (containing approximately 3.6 g EPA and 3.0 g DHA per week) (n = 42)
5. Capsules equivalent to 4 portions of oily fish per week (containing approximately 7.2 g EPA and 6.0 g DHA per week) (n = 42)
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA)
Primary outcome measureThe primary outcome is plasma docosahexaenoic acid (DHA) status, expressed as a percentage of total plasma fatty acids.

The three primary comparisons (on which sample size has been calculated) are:
1. Differences in plasma DHA status between treatment groups (2 portions versus control group) at 12 months
2. Differences in plasma DHA status between treatment groups (4 portions versus 2 portions group) at 12 months
3. Difference in plasma DHA status between age groups (old versus young) at 12 months
Secondary outcome measuresCurrent secondary outcome measures as of 17/01/2019:
Secondary comparisons will include gender effects, additional age comparisons and within-group time relationships (i.e. up to 12 months). Additionally, interactions between portions, age, time and gender will be explored.

Secondary outcomes will include DHA status of other fatty acid pools (also expressed as a percentage of the total fatty acid profile); EPA status of fatty acid pools, EPA plus DHA status of fatty acid pools, other fatty acids, adipose tissue lipidome, and plasma markers of inflammation and physiological function including lipid mediators (i.e. oxylipins).

Previous secondary outcome measures:
Secondary comparisons will include gender effects, additional age comparisons and within-group time relationships. Additionally, interactions between portions, age, time and gender will be explored.

Secondary outcomes will include DHA status of other fatty acid pools (also expressed as a percentage of the total fatty acid profile).
Overall study start date01/05/2006
Completion date28/02/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit20 Years
Upper age limit80 Years
SexBoth
Target number of participants210
Key inclusion criteriaMen and women, aged 20-80 years with a body mass index (BMI) in the range 18-35 kg/m2 will be recruited to the study.
Key exclusion criteria1. Known diagnosis of diabetes, cancer, cardiovascular disease or other chronic clinical conditions
2. Untreated hypertension
3. Concomitant prescription of anticoagulants, non-steroidal anti-inflammatory drugs (NSAIDS), aspirin, steroids or immunosuppressants
4. Following a special diet, including vegetarians
5. Allergies or intolerance to fish
6. Consumption of oily fish more than once a month
7. Smokers
8. History of substance abuse or alcoholism
9. Pregnant, <1 year post partum or currently planning pregnancy
10. Recent weight change (>2 kg in past 1 month)
11. Planning to change dietary habits, increase physical activity, change body weight, move away from the study centre locality or take a lengthy vacation during the time of the study
Date of first enrolment01/05/2006
Date of final enrolment28/02/2009

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

MRC Human Nutrition Research
Cambridge
CB1 9NL
United Kingdom

Sponsor information

MRC Human Nutrition Research (UK)
Research council

Elsie Widdowson Laboratory
Fulbourn Road
Cambridge
CB1 9NL
United Kingdom

ROR logo "ROR" https://ror.org/050pqs331

Funders

Funder type

Government

Food Standards Agency (UK) (ref: N05065/N05066)
Private sector organisation / Other non-profit organizations
Alternative name(s)
The Food Standards Agency, FSA
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article lipid pool results 01/10/2012 Yes No
Results article results on effects of sex and age 01/02/2014 Yes No
Results article blood cell and plasma results 01/05/2014 Yes No
Results article results on differences in FA distribution between blood cells and plasma 03/08/2015 Yes No
Results article results on use of plasma NEFA as a biomarker 14/09/2015 Yes No
Results article lipidomics analysis results 01/09/2017 Yes No

Editorial Notes

17/01/2019: The following changes have been made:
1. The secondary outcome measures have been changed to include the outcome measures of secondary analyses of the trial data.
2. Publication references added.