Effects of DHA-Rich n-3 Fatty Acid Supplementation and/or Resistance Training on Body Composition and Cardiometabolic Biomarkers in Overweight and Obese Post-Menopausal Women.

Elisa Félix-Soriano, Alejandro Martínez-Gayo, María José Cobo, Adriana Pérez-Chávez, Javier Ibáñez-Santos, Natalia Palacios Samper, Iñaki Goikoetxea Galarza, Marta Cuervo, Marisol García-Unciti, Pedro González-Muniesa, Silvia Lorente-Cebrián, María J Moreno-Aliaga

Journal: Nutrients 2021;13(7):2465

PMID: 34371972

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Menopause may increase risk for chronic diseases such as obesity, osteoporosis and type 2 diabetes. Interventions to limit menopausal changes such as diet and exercise may improve outcomes. Resistance training and polyunsaturated fats may increase muscle production, however previous studies in postmenopausal women have had mixed outcomes. Therefore this randomised placebo control trial of 124 postmenopausal women aimed to determine if a polyunsaturated fat rich fish oil in combination with resistance training or alone for 16 weeks could affect overweight and obese postmenopausal women. The results showed no combined effect of resistance training and fish oil on body composition, muscle strength, blood pressure, lipids, or blood sugar balance. The resistance training group maintained bone density, increased muscle mass, decreased fat mass and increased blood sugar balance. The fish oil group showed lower blood pressure, lowered triglycerides, and improved muscle quality in lower limbs. It was concluded that resistance training improved body composition, bone density and blood sugar balance and fish oil improved heart health in postmenopausal women. This study could be used by healthcare professionals to recommend fish oil and resistance training to improve all aspects of physiological changes associated with menopause.

Abstract

Resistance training (RT) and n-3 polyunsaturated fatty acids (n-3 PUFA) supplementation have emerged as strategies to improve muscle function in older adults. Overweight/obese postmenopausal women (55-70 years) were randomly allocated to one of four experimental groups, receiving placebo (olive oil) or docosahexaenoic acid (DHA)-rich n-3 PUFA supplementation alone or in combination with a supervised RT-program for 16 weeks. At baseline and at end of the trial, body composition, anthropometrical measures, blood pressure and serum glucose and lipid biomarkers were analyzed. Oral glucose tolerance tests (OGTT) and strength tests were also performed. All groups exhibit a similar moderate reduction in body weight and fat mass, but the RT-groups maintained bone mineral content, increased upper limbs lean mass, decreased lower limbs fat mass, and increased muscle strength and quality compared to untrained-groups. The RT-program also improved glucose tolerance (lowering the OGTT incremental area under the curve). The DHA-rich supplementation lowered diastolic blood pressure and circulating triglycerides and increased muscle quality in lower limbs. In conclusion, 16-week RT-program improved segmented body composition, bone mineral content, and glucose tolerance, while the DHA-rich supplement had beneficial effects on cardiovascular health markers in overweight/obese postmenopausal women. No synergistic effects were observed for DHA supplementation and RT-program combination.

Address: Department of Nutrition, Food Science and Physiology, School of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, Spain.; Center for Nutrition Research, School of Pharmacy and Nutrition, University of Navarra, 31008 Pamplona, Spain.; Studies, Research and Sports Medicine Centre (CEIMD), Government of Navarre, 31005 Pamplona, Spain.; IdISNA, Navarra Institute for Health Research, 31008 Pamplona, Spain.; CIBER Physiopathology of Obesity and Nutrition (CIBERobn), Carlos III Health Institute (ISCIII), 28029 Madrid, Spain.

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