Abstract. Shark liver oil (SLO) has long been used as a traditional health food, with a particular benefit for vascular health, in Japan. The aim of this study was to assess the effect of dietary supplementation with SLO on arterial stiffness and peripheral microvascular function in otherwise healthy middle-aged and older males with slightly increased arterial stiffness. A randomized, double-blind, placebo-controlled, parallel study design was used to assign 41 healthy males with a mean age of 59.0±4.0 years (range, 45-69 years) to either SLO (n=21) or placebo (n=20) treatment for eight weeks. The effects on arterial stiffness and peripheral microvascular function were assessed by the cardio-ankle vascular index (CAVI) and by measurement of hand blood flow to cutaneous tissues using a laser Doppler perfusion imaging (LDPI) technique, respectively. Although the magnitude of the changes in the CAVI value during the eight-week intervention for the SLO group did not significantly differ from that for the placebo group, the changes in the CAVI value for the former group were significantly associated (r=0.575, P<0.01) with age. It was also found that the LDPI values at week 8 were significantly lowered (P<0.05) compared with the baseline values in the placebo group, while no change was observed in the SLO group, resulting in a significant difference in the changes between the two groups (P=0.002). Neither SLO supplementation-related adverse side-effects nor any abnormal changes in routine laboratory tests, including lipid profiles and anthropometric and haemodynamic parameters, were observed throughout the intervention. SLO may have the potential to safely improve vascular health in middle-aged and elderly males.
IntroductionShark liver oil (SLO) has long been used as a dietary supplement with health-promoting activities, particularly for cardiovascular health, in Japan. At present, several SLO-containing supplements are commercially available and their dietary consumption is increasing among the Japanese middle-aged and elderly populations, most likely due to the fact that there has been considerable interest in alternative therapies.SLO is known to contain large quantities of squalene and, thus, to be considered as the richest source of the compound. Squalene received its name as a result of its first isolation from liver oil of sharks (Squalus spp.) (1). Later, squalene was found in variety of vegetable oils, including olive, palm, wheat-germ and rice bran oils. Chemically, squalene is a polyprenyl compound, having a structural similarity with β-carotene, coenzyme Q10 and vitamins A, E and K (2). Among these squalene-related compounds, vitamin E, known as the most potent lipid-soluble antioxidant in vivo, has been most intensively studied for its effects on cardiovascular health; there have been a number of studies reporting that vitamin E is effective in decreasing arterial stiffening in overweight hypertensive patients (3,4), and others reporting that vitamin E supplementation improves peripheral vascular disease...