Background: Vegetarians have lower platelet and plasma concentrations of nϪ3 polyunsaturated fatty acids (PUFAs) than do omnivores. We recently showed that male vegetarians have higher platelet aggregability than do omnivores. Objective: We investigated whether male vegetarians (n = 17) who consumed an increased amount of dietary ␣-linolenic acid (ALA) showed any changes in their tissue profile of PUFAs, plasma thromboxane concentrations, platelet aggregability, or hemostatic factors. Design: During the study, all subjects maintained their habitual vegetarian diets except that a proportion of dietary fat was replaced with vegetable oils and margarines that were provided. Initially, all subjects consumed a low-ALA diet (containing safflower oil and safflower oil-based margarine) for 14 d; they then consumed either a moderate-ALA diet (containing canola oil and canola oil-based margarine) or a high-ALA diet (containing linseed oil and linseed oil-based margarine) for 28 d. Blood samples were collected at day 0 (baseline), day 14, and day 42. Results: Eicosapentaenoic acid, docosapentaenoic acid, total nϪ3 PUFAs, and the ratio of nϪ3 to nϪ6 PUFAs were significantly increased (P < 0.05), whereas the ratio of arachidonic acid to eicosapentaenoic acid was decreased (P < 0.05), in platelet phospholipids, plasma phospholipids, and triacylglycerols after either the moderate-ALA or high-ALA diet compared with the low-ALA diet. No significant differences were observed in thrombotic risk factors. Conclusion: ALA from vegetable oils (canola and linseed) has a beneficial effect on nϪ3 PUFA concentrations of platelet phospholipids and plasma lipids in vegetarian males.Am J Clin Nutr 1999;69:872-82.
KEY WORDSVegetarian diet, ␣-linolenic acid, linoleic acid, platelet fatty acid, plasma fatty acid, polyunsaturated fatty acids, hemostatic factors, thrombosis, lipoprotein lipids, men
INTRODUCTIONThe predominant polyunsaturated fatty acid (PUFA) in the Western diet is linoleic acid (LA; 18:2nϪ6), which is commonly found in vegetable seed oils. LA is the parent fatty acid of the nϪ6 series PUFAs, which can be converted in vivo to 20-and 22-carbon nϪ6 long-chain PUFAs. ␣-Linolenic acid (ALA; 18:3nϪ3) is less abundant than LA; however, it is also present in vegetable oils and is the precursor of 20-and 22-carbon nϪ3 long-chain PUFAs. Omnivores can obtain their 20-and 22-carbon nϪ3 long-chain PUFAs either from dietary ALA or directly by consumption of fish, eggs, or animal products (1). Lactoovovegetarians can gain a limited amount of 20-and 22-carbon nϪ3 long-chain PUFAs from milk, dairy products, and eggs. Because animals can convert ALA to 20-and 22-carbon nϪ3 long-chain PUFAs and plants cannot, there are no 20-or 22-carbon nϪ3 long-chain PUFAs in plant-based vegan diets. Thus, vegans must rely totally on endogenous synthesis from ALA by desaturation and elongation. A diet with a low ratio of nϪ3 to nϪ6 PUFAs (nϪ3:nϪ6) can cause a reduced tissue nϪ3:nϪ6 [ie, increased ratio of arachidonic acid (AA; 20:4nϪ6) to eicosapentaeno...