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3 Status of Vegans and Lacto-Ovo-Vegetarians
Department of Pathology and Laboratory Medicine, Groningen University Hospital (M.R.F., H.M.v.R., E.N.S., F.A.J.M.)
Sigma-Tau Ethifarma BV, Assen (O.J.B.), THE NETHERLANDS
Address reprint requests to: Dr. M.R. Fokkema, Pathology and Laboratory Medicine, University Hospital Groningen, CMC-V, room Y1.165, P.O. Box 30.001, NL-9700 RB Groningen, THE NETHERLANDS. E-mail: m.r.fokkema{at}path.azg.nl
Objective: Long-chain polyunsaturated omega-3 fatty acids (LCP
3) synthesis, notably that of docosahexaenoic acid (DHA), from the precursor alpha-linolenic acid (ALA) proceeds with difficulty. We investigated whether carnitine supplementation augments the LCP
3 status of apparently healthy vegans and lacto-ovo-vegetarians, who are expected to have low carnitine status.
Methods: Group A (n = 11) took 990 mg/day l-carnitine from weeks 14, and 990 mg/day l-carnitine + 4 mL/day linseed oil from weeks 58. Group B (n = 9) took 4 mL/day linseed oil from weeks 14, and 4 mL/day linseed oil + 990 mg/day l-carnitine from weeks 58. Fatty acid compositions of red blood cells, platelets, plasma cholesterol esters and plasma triglycerides were measured in the fasting state at baseline, and after 4 and 8 weeks.
Results: Carnitine supplementation increased plasma free and total carnitine concentrations with 30 and 25%, respectively, but did not affect eicosapentaenoic acid (EPA) and DHA contents of any of the investigated compartments. EPA and DHA changes were negatively related to initial carnitine status.
Conclusions: Our results suggest that carnitine is not an important limiting factor, if any, for LCP
3 synthesis in vegans and lacto-ovo-vegetarians. This conclusion is also likely to apply to omnivores. The most efficient means to augment EPA and particularly DHA status remains consumption of LCP
3 from e.g. fish or supplements.
Key words: carnitine, alpha-linolenic acid, eicosapentaenoic acid, docosahexaenoic acid, vegans, vegetarians
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