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Department of Pediatrics and Center for Human Nutrition, University of Colorado Health Sciences Center, Denver, Colorado 80262
Although fish oil supplementation may
prevent the onset of diet-induced insulin resistance in rats, it
appears to worsen glycemic control in humans with existing insulin
resistance. In the present study, the euglycemic, hyperinsulinemic
(4× basal) clamp technique with
[3-3H]glucose and
2-deoxy-[1-14C]glucose
was used to directly compare the ability of fish oil to prevent and
reverse sucrose-induced insulin resistance. In study
1 (prevention study), male Wistar rats were fed a
purified high-starch diet (68% of total energy), high-sucrose diet
(68% of total energy), or high-sucrose diet in which 6% of the fat content was replaced by menhaden oil for 5 wk. In
study 2 (reversal study), animals were
fed the high-starch or high-sucrose diets for 5 wk and then the sucrose
animals were assigned to one of the following groups for an additional
5 wk: high starch, high sucrose, or high sucrose with 6% menhaden oil.
Rats fed the high-starch diet for 10 wk served as controls. In
study 3 (2nd reversal study), animals
followed a similar diet protocol as in study
2; however, the reversal period was extended to 15 wk.
In study 1, the presence of the fish
oil in the high-sucrose diet prevented the development of insulin
resistance. Glucose infusion rates (GIR,
mg · kg
1 · min
1)
were 17.0 ± 0.9 in starch, 10.6 ± 1.7 in sucrose, and 15.1 ± 1.5 in sucrose with fish oil animals. However, in
study 2, this same diet was unable to
reverse sucrose-induced insulin resistance (GIR, 16.7 ± 1.4 in
starch, 7.1 ± 1.5 in sucrose, and 4.8 ± 0.9 in sucrose with
fish oil animals). Sucrose-induced insulin resistance was reversed in
rats that were switched back to the starch diet (GIR, 18.6 ± 3.0).
Results from study 3 were similar to
those observed in study 2. In summary,
fish oil was effective in preventing diet-induced insulin resistance
but not able to reverse it. A preexisting insulin-resistant environment
interferes with the positive effects of menhaden oil on insulin action.
liver; triglycerides; fish oil
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