Effect of catfish and salmon diet on
platelet phospholipid and blood clotting
in healthy men
Casimir C. Akoh and James O. Hearnsberger
Department of Food Science and Technology, Mississippi State University,
Mississippi State, MS, USA
The effect of diets containing either catfish or salmon fish on blood clotting and platelet phospholipid
fatty acid composition was studied in 17 healthy, young men. The subjects received a control diet for
21 days followed by either catfish diets (n = 9) or salmon diets (n = 8)for an additional 19 days.
Catfish and salmon diets prolonged the subjects' bleeding times (by 66% and 57%, respectively) and
clotting times (by 25% and 31%, respectively), P < 0.05. The platelet count in catfish and salmon
groups decreased by 7% and 9%, respectively. There were no differences in the prothrombin time (PT)
and activated partial thromboplastin time (APTT). A small but significant increase (P < 0.05) in
fibrinogen concentration was observed in catfish (243.7 mg/dL) and salmon diet groups (246.5 mg/dL)
compared to the control group (223.9 mg/dL). Diets containing catfish and salmon led to significant
incorporation of total n-3 polyunsaturated fatty acids, PUFAs (from 5.04% on the control to 6.14%
and 10.26%, respectively) and total EPA + DHA (from 3.77% on the control to 4.84% and 8.83%,
respectively). The n-3/n-6 ratio increased in both groups while the ratio of 20:5/20:4 increased only
in the salmon group from 0.05 on the control diet to 0.14. The reduction in arachidonic acid (20:4
n-6) and total n-6 PUFAs was not statistically significant in the catfish group but was significant in
the salmon group. The findings suggest that there were minor differences between hemostatic parame-
ters in men fed catfish and salmon. The consumption of either diet led to incorporation of dietary n-3
PUFAs into platelet phospholipids, and may result in alteration in platelet and hemostatic filnction
in men.
Keywords: catfish; salmon; blood clotting; phospholipid
Introduction
It has been suggested that the n-3 polyunsaturated
fatty acids (PUFAs) found in marine fish and fish oils
might help prevent cardiovascular disorders, result in
increased amounts of n-3 PUFAs and decreased
amounts of n-6 PUFAs in the serum, and increased
bleeding times. 1-8 It was proposed that large quantities
of n-3 PUFAs, mainly eicosapentaenoic acid (EPA),
in the diet protects Eskimos against thrombotic car-
diovascular disorders.l'2 Their intake of monounsatu-
Address reprint requests to Dr. Casimir C. Akoh, at his present
address: Department of Food Science and Animal Industries, P.O.
Box 264, Alabama A&M University, Normal, AL 35762, USA.
This study was supported in part by a grant from the U.S. Depart-
ment of Agriculture, USDA, Project No. 0813-350.
Received July 16, 1990; accepted December 27, 1990.
rated and n-3 PUFAs is high and that of linoleic and
arachidonic acids is low. Both their plasma and plate-
let lipids have similar fatty acid profiles to that present
in their diet. EPA (C20 : 5 n-3) appears to be important
among the dietary fatty acids because of its potent
antiaggregatory effects. 1'7 It has been suggested that
C20:5 in the platelets is converted by the vascular
wall tissue to an anti-aggregatory prostacyclin, and
may have antithrombotic influence on hemostasis and
thrombosis. 2 The antithrombotic influence produced
by an altered prostaglandin substrate pool may pro-
long the bleeding time by reducing platelet aggre-
gation.
The results of intervention studies on other indices
of coagulation, such as platelet number, prothrombin
time (PT), activated partial thromboplastin time
(APTT), and fibrinogen concentration are inconsis-
tent/ Changing the dietary fatty acids to resemble
those taken by Greenland Eskimos may help the West-
© 1991 Butterworth-Heinemann J. Nutr. Biochem., 1991, vol. 2, June 329