Dietary intakes and adipose tissue levels of linoleic acid in peptic ulcer disease

Adipose tissue levels of linoleic acid were determined from biopsies of subcutaneous abdominal fat of normal healthy controls (n 40) and from two patient groups with endoscopically evaluated non-ulcer dyspepsia (n 40) or peptic ulcer disease (n 38). The level (g/100 g) of adipose tissue linoleic acid in the normal healthy controls (15.0 (SD 4.1)) was significantly (P < 0.05) greater than that in patients with non-ulcer dyspepsia (12.8 (SD 3.5)) and in patients with peptic ulcer disease (11.7 (sd 2.7)). A dietary history revealed a lower intake of linoleic acid and a significantly (P < 0.05) lower intake of dietary fibre (g/d) for both the non-ulcer dyspepsia (15.9 (sd 6.2)) and peptic ulcer disease (15–2 (SD7.8)) patients compared with normal healthy controls (20.2 (sd 11.2)). Adipose tissue linoleic acid tended to increase with indices of increasing socioeconomic status, although the differences between patient and controls were not confounded by socioeconomic status. Patients with dyspepsia reported more foods causing symptoms (onion, fried foods, alcohol, citrus fruits and spices) and more foods giving relief (milk, bread) compared with control orthopaedic patients.