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Effects of Dietary Omega-3 Fatty Acids on Reproductive Hormones in Obese Women

Само регистрирани потребители могат да превеждат статии
Вход / Регистрация
Линкът е запазен в клипборда
СъстояниеЗавършен
Спонсори
University of Colorado, Denver
Сътрудници
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Ключови думи

Резюме

The United States has the highest prevalence of obesity among all countries surveyed in 2012 by the Organization for Economic Cooperation and Development. Maternal obesity is linked with anovulation, menstrual cycle abnormalities, subfertility, fetal loss, obstetrical complications and congenital anomalies. Changes in reproductive hormones and diminished oocyte quality have also been demonstrated. A gap of knowledge exists as the mechanisms underlying these harmful effects are poorly understood and no specific treatments exist.
This proposal will test the hypothesis that dietary omega-3 fatty acids (FA) will improve the output of hypothalamicpituitary- ovarian axis in obese women. The investigators will perform paired assessments before and after supplementation in 10 obese and 10 normal weight women. To test the pituitary and hypothalamic output, the investigators will examine the luteinizing hormone (LH) and follicle-stimulating hormone (FSH) responsiveness during frequent blood sampling. To test the corpus luteum function, the investigators will examine urinary reproductive hormones (E1c, estrone conjugates, and pregnanediol glucuronide (Pdg)) over an entire menstrual cycle. The investigators ultimate goal is to collect preliminary data for an adequately powered randomized control trial.

Дати

Последна проверка: 11/30/2016
Първо изпратено: 07/02/2013
Очаквано записване подадено: 07/08/2013
Първо публикувано: 07/09/2013
Изпратена последна актуализация: 12/07/2016
Последна актуализация публикувана: 02/01/2017
Дата на първите подадени резултати: 06/01/2016
Дата на първите подадени резултати от QC: 06/01/2016
Дата на първите публикувани резултати: 07/12/2016
Действителна начална дата на проучването: 06/30/2014
Приблизителна дата на първично завършване: 11/30/2014
Очаквана дата на завършване на проучването: 11/30/2014

Състояние или заболяване

Obesity
Fertility

Интервенция / лечение

Dietary Supplement: LOVAZA

Drug: GnRH

Фаза

-

Групи за ръце

ArmИнтервенция / лечение
Experimental: Obese Women
Women with a BMI of greater than or equal to 30 kg/m2 underwent all study interventions, including taking 5 g daily of LOVAZA. Women underwent 8 hours of frequent blood sampling every 10 minutes both at baseline and after LOVAZA supplementation. Each frequent blood sampling included IV administration of GnRH at 6 hours.
Active Comparator: Normal Weight
Women with a BMI of between 18-25 kg/m2 underwent all study interventions, including taking 5 g daily of LOVAZA for one cycle. Women underwent 8 hours of frequent blood sampling every 10 minutes both at baseline and after LOVAZA supplementation. Each frequent blood sampling included IV administration of GnRH at 6 hours.

Критерии за допустимост

Възрасти, отговарящи на условията за проучване 18 Years Да се 18 Years
Полове, допустими за проучванеFemale
Приема здрави доброволциДа
Критерии

Inclusion Criteria:

1. Age 18-42 at study entry

2. Regular menstrual cycles every 25-40 days

3. BMI at least 30 kg/m2 (obese) or between 18.5 and 25 kg/m2 (normal)

4. Good general health

5. Prolactin and thyroid-stimulating hormone (TSH) within normal laboratory ranges at screening, baseline hemoglobin >11 gm/dl.

Exclusion Criteria:

1. Diagnosis of polycystic ovary syndrome (by ultrasound or hyperandrogenic symptoms)

2. Fish or seafood allergy or hypersensitivity (e.g., anaphylactic reaction) to omega-3-acid ethyl esters or any component of the formulation

3. Coagulopathy or receiving therapeutic anticoagulation (due to potential for interaction with omega-3 FA)

4. History of chronic disease affecting hormone production, metabolism or clearance (including diabetes mellitus)

5. Abnormal renal or liver function at screening

6. Current use of thiazolidinediones or metformin (known to interact with reproductive hormones)

7. Use of hormones affecting hypothalamic output (HPO) axis (such as hormonal contraceptives) within three months of entry

8. Strenuous exercise (>4 hours of intense physical activity per week)

9. Pregnancy

10. Breast-feeding

11. Current active attempts to conceive

12. History of significant recent weight loss or gain

Резултат

Първични изходни мерки

1. Change in the Average LH Pulse Amplitude [10 minute intervals during 8 hour blood sampling studies. Subjects will undergo two menstrual cycles of study, one prior to dietary supplementation and one after supplementation.]

To test the pituitary and hypothalamic output, we examined LH secretion (unstimulated and in response to gonadotropin-releasing hormone (GnRH) stimulation) during 8-hour blood sampling studies at 10 min intervals. The primary outcome measure is the change in the average LH pulse amplitude for each patient from baseline to after supplementation.

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