Docosahexaenoic Acid
20 benefits mapped to clinical evidence across supplements.
Dose per serving from products
6,506 products in our catalogue print how much Docosahexaenoic Acid a serving holds.
Most common: 100 mg to 250 mg, 34% of 6,506 products.
| Dose per serving | Products |
|---|---|
| 25 mg or less | 253 |
| 25 mg to 50 mg | 521 |
| 50 mg to 100 mg | 730 |
| 100 mg to 250 mg | 2,211 |
| 250 mg to 500 mg | 1,779 |
| 500 mg to 1 g | 937 |
| over 1 g | 75 |
Dose per serving from research
635 study groups in 500 studies say how much Docosahexaenoic Acid participants took a day.
These are the doses the studies gave. They are not a recommendation.
Most common: 500 mg to 1 g, 27% of 635 study groups.
| Daily dose | Study groups |
|---|---|
| 100 mg or less | 23 |
| 100 mg to 250 mg | 81 |
| 250 mg to 500 mg | 131 |
| 500 mg to 1 g | 169 |
| 1 g to 2.5 g | 168 |
| 2.5 g to 5 g | 55 |
| over 5 g | 8 |
Commonly used together
436 of 664 study groups took Docosahexaenoic Acid with something else. Shown: what 3 or more different studies gave. The 10 most common of 24.
What was given together, not what works together.
| Taken with | Study groups |
|---|---|
| Omega-3 Fatty Acids | 243 |
| Fish Oil | 123 |
| eicosapentaenoic acid (EPA) | 56 |
| EPA | 42 |
| Eicosapentaenoic Acid | 35 |
| Arachidonic Acid | 27 |
| Vitamin E | 18 |
| Choline | 12 |
| Folic Acid | 12 |
| Lutein | 12 |
Benefit Evidence
Triglycerides, BP -5 mmHg
AF recurrence 38.5% vs 77.5%
Vascular function, plaque slower
Inflammationâ CRP/IL-6
Inflammationâ TNF-α/IL-6
Inflammationâ CRP -15%
Focused attention + faster processing
+3.5 IQ, -6.9 BPD
Better attention, memory
Steatosis â53%, ALT
Triglycerides, insulin sensitivity
Liver enzymes â
Durationâwakingsâ58min
Efficiencyâlatencyâ1.7pp
PSQIâcortisolâ
Triglycerides, BP -5 mmHg
AF recurrence 38.5% vs 77.5%
Vascular function, plaque slower
Focused attention + faster processing
+3.5 IQ, -6.9 BPD
Better attention, memory
Research sources
Cholesterol (215)
- Bioequivalence of n-3 fatty acids from microencapsulated fish oil formulations in human subjects
PubMed ID: 25711158
Microencapsulated fishâoil powders produced similar plasma/RBC omegaâ3 increases as capsules (supports achieving therapeutic blood levels).
- Effects of free omega-3 carboxylic acids and fenofibrate on liver fat content in patients with hypertriglyceridemia and non-alcoholic fatty liver disease: A double-blind, randomized, placebo-controlled study
PubMed ID: 30197273
OMâ3CA produced a clear triglyceride lowering (~26%) in overweight NAFLD patientsâgood evidence for improving blood fats.
- Long-term metabolic effects of n-3 polyunsaturated fatty acids in patients with coronary artery disease
PubMed ID: 7702027
~9âmonth highâdose fish oil lowered triglycerides by ~19% in CAD patientsârobust clinical triglyceride lowering.
- Docosahexaenoic acid supplementation decreases liver fat content in children with non-alcoholic fatty liver disease: double-blind randomised controlled clinical trial
PubMed ID: 21233083
DHA in children with NAFLD improved triglycerides along with liver fatâstrong metabolic/lipid benefit.
- Docosahexaenoic acid for the treatment of fatty liver: randomised controlled trial in children
PubMed ID: 23220074
Longâterm DHA produced durable triglyceride improvements in children with NAFLDâconsistent healthyâbloodâfat effect.
- A double-blind, placebo-controlled randomized trial to evaluate the efficacy of docosahexaenoic acid supplementation on hepatic fat and associated cardiovascular risk factors in overweight children with nonalcoholic fatty liver disease
PubMed ID: 26026214
DHA produced large hepaticâfat and concurrent triglyceride reductions in overweight childrenârobust metabolic improvement.
- Fish Oil Supplements Lower Serum Lipids and Glucose in Correlation with a Reduction in Plasma Fibroblast Growth Factor 21 and Prostaglandin E2 in Nonalcoholic Fatty Liver Disease Associated with Hyperlipidemia: A Randomized Clinical Trial
PubMed ID: 26226139
Fish oil improved total cholesterol and triglycerides in adults with NAFLD and dyslipidemiaâmeaningful lipid effects.
- Effects of dapagliflozin and n-3 carboxylic acids on non-alcoholic fatty liver disease in people with type 2 diabetes: a double-blind randomised placebo-controlled study
PubMed ID: 29971527
OMâ3 freeâacid raised plasma DHA and reduced liver fat modestly; triglyceride improvements were noted in some armsâmoderate bloodâfat benefit.
- Low essential fatty acid and B-vitamin status in a subgroup of patients with schizophrenia and its response to dietary supplementation
PubMed ID: 16384692
Fish-oil and B-vitamin supplementation corrected low erythrocyte DHA/status in schizophrenia patientsâdirect blood-fat improvement.
- Dietary omega-6 fatty acid lowering increases bioavailability of omega-3 polyunsaturated fatty acids in human plasma lipid pools
PubMed ID: 24675168
Controlled diet (high n-3, low n-6) produced large increases in plasma/phospholipid DHA and EPA and reduced AA across lipid pools.
- Reproductive state and choline intake influence enrichment of plasma lysophosphatidylcholine-DHA: a post hoc analysis of a controlled feeding trial
PubMed ID: 31782377
Isotope feeding demonstrated increased LPC-DHA production with higher choline, clarifying plasma DHA transport and blood-fat status.
- Methodology for altering omega-3 EPA+DHA and omega-6 linoleic acid as controlled variables in a dietary trial
PubMed ID: 34130033
Dietary method substantially increased EPA+DHA intake in freeâliving adults, demonstrating feasibility to raise nâ3 exposure relevant to blood lipid changes.
- n-3 fatty acids of marine origin lower systolic blood pressure and triglycerides but raise LDL cholesterol compared with n-3 and n-6 fatty acids from plants
PubMed ID: 1971991
Marine EPA+DHA diet lowered triglycerides (~â39%) and systolic BP in a controlled feeding crossoverârobust metabolic effects on blood lipids.
- Randomized, double-blind, placebo-controlled trial of fish oil and mustard oil in patients with suspected acute myocardial infarction: the Indian experiment of infarct survival--4
PubMed ID: 9310278
Large RCT showed fish oil reduced cardiac events and nonfatal MI; demonstrates clinically meaningful cardiovascular risk reduction consistent with improved blood lipid/clinical outcomes.
- Fatty acid absorption in preterms on formulas with and without long-chain polyunsaturated fatty acids and in terms on formulas without these added
PubMed ID: 11528489
Preterm infant study showed substantial retention of supplemented DHA, demonstrating increased tissue/plasma DHA availability.
- Eicosapentaenoic acid and docosahexaenoic acid from fish oils: differential associations with lipid responses
PubMed ID: 12010583
In hypertriglyceridemic men fish oil greatly lowered fasting and postprandial triglycerides and massively increased platelet EPA/DHA â strong evidence for improving blood lipid profile (with LDL caveat).
- Plant- and marine-derived n-3 polyunsaturated fatty acids have differential effects on fasting and postprandial blood lipid concentrations and on the susceptibility of LDL to oxidative modification in moderately hyperlipidemic subjects
PubMed ID: 12663273
Randomized trial: EPA+DHA modestly lowered fasting triglycerides compared with highâALA which increased TGâdirect lipid benefit evidence.
- Influence of alpha-linolenic acid and fish-oil on markers of cardiovascular risk in subjects with an atherogenic lipoprotein phenotype
PubMed ID: 15939062
Fish oil substantially increased EPA/DHA and produced clinically significant TG (-23%) and sdLDL reductions in men with atherogenic profile.
- Effect of varying the ratio of n-6 to n-3 fatty acids by increasing the dietary intake of alpha-linolenic acid, eicosapentaenoic and docosahexaenoic acid, or both on fibrinogen and clotting factors VII and XII in persons aged 45-70 y: the OPTILIP study
PubMed ID: 16960164
Dietary lowering of nâ6:nâ3 by adding EPA/DHA reduced fasting and postprandial TAGâstrong triglyceride lowering evidence.
- Effects of altering the ratio of dietary n-6 to n-3 fatty acids on insulin sensitivity, lipoprotein size, and postprandial lipemia in men and postmenopausal women aged 45-70 y: the OPTILIP Study
PubMed ID: 17158408
EPA/DHA addition reduced fasting/postprandial TAG and decreased small dense LDL proportionâfavorable lipid profile changes.
- Flaxseed oil and fish-oil capsule consumption alters human red blood cell n-3 fatty acid composition: a multiple-dosing trial comparing 2 sources of n-3 fatty acid
PubMed ID: 18779299
Fish oil rapidly increased erythrocyte DHA/EPA (biomarker of nâ3 status), reflecting incorporation relevant to bloodâfat biology, though no plasma inflammation change.
- Stearidonic acid-enriched soybean oil increased the omega-3 index, an emerging cardiovascular risk marker
PubMed ID: 18683001
SDA intervention raised omegaâ3 index and RBC EPA (biomarker improvement for bloodâfat profile), though DHA unchanged.
- Dietary alpha-linolenic acid, EPA, and DHA have differential effects on LDL fatty acid composition but similar effects on serum lipid profiles in normolipidemic humans
PubMed ID: 19261730
Controlled dietary interventions showed DHA reduced triglycerides and increased HDL, and distinct LDL fattyâacid changesâstrong lipidâprofile effects.
- Serum long-chain n-3 polyunsaturated fatty acids and risk of hospital diagnosis of atrial fibrillation in men
PubMed ID: 19933935
Higher serum DHA associated with lower incident atrial fibrillation; while an outcome study, it also implies favorable longâterm blood lipid/vascular milieu.
- Change in the fatty acid pattern of erythrocyte membrane phospholipids after oral supplementation of specific fatty acids in patients with gastrointestinal diseases
PubMed ID: 20160750
12âweek oral DHA/ALA supplementation increased erythrocyte ALA, EPA and DHA modestly in GI disease patients (incorporation into membranes).
- Dietary oils and FADS1-FADS2 genetic variants modulate [13C]α-linolenic acid metabolism and plasma fatty acid composition
PubMed ID: 23221573
Dietary oils and FADS genotype influenced ALA conversion to EPA/DPA and altered plasma nâ3sâmechanistic support for bloodâfat changes.
- Margarines fortified with α-linolenic acid, eicosapentaenoic acid, or docosahexaenoic acid alter the fatty acid composition of erythrocytes but do not affect the antioxidant status of healthy adults
PubMed ID: 22810989
6âweek dietary intervention with EPA or DHA margarine produced very large increases in erythrocyte EPA/DHA and omegaâ3 index (strong biomarker effect).
- Effects of flaxseed supplementation on erythrocyte fatty acids and multiple cardiometabolic biomarkers among Chinese with risk factors of metabolic syndrome
PubMed ID: 23179200
30 g/day flaxseed raised redâcell nâ3s and lowered nâ6/nâ3 ratio (biomarker improvements) though no added inflammation benefit.
- Randomized placebo-controlled intervention with n-3 LC-PUFA-supplemented yoghurt: effects on circulating eicosanoids and cardiovascular risk factors
PubMed ID: 23332800
Highâdose nâ3 enriched yogurt over 10 weeks increased plasma/RBC EPA/DHA and significantly decreased triglycerides and raised HDL.
- Low-n-6 and low-n-6 plus high-n-3 diets for use in clinical research
PubMed ID: 23328113
Dietary manipulation produced large increases in erythrocyte EPA/DHAâbiomarker basis for bloodâfat effects.
- Benefits of foods supplemented with vegetable oils rich in α-linolenic, stearidonic or docosahexaenoic acid in hypertriglyceridemic subjects: a double-blind, randomized, controlled trail
PubMed ID: 25216712
Oil interventions raised erythrocyte EPA (conversion) and produced modest, oilâdependent lipid changes.
- The impact of polyunsaturated fatty acid-based dietary supplements on disease biomarkers in a metabolic syndrome/diabetes population
PubMed ID: 25515553
Fishâoil capsules markedly raised DHA and reduced triglycerides and HbA1c in early T2D/metabolic syndromeâstrong favorable lipid effects.
- Effects of n-3 fatty acid supplements on glycemic traits in Chinese type 2 diabetic patients: A double-blind randomized controlled trial
PubMed ID: 27279274
180âday fishâoil improved triacylglycerol and other lipid traits in T2Dâdirect beneficial effects on blood fats.
- Bioavailability of Dietary Omega-3 Fatty Acids Added to a Variety of Sausages in Healthy Individuals
PubMed ID: 28629180
Daily EPA+DHA (~250 mg/day via food) significantly increased Omegaâ3 Index and erythrocyte EPA/DHA.
- Intake of Fatty Fish Alters the Size and the Concentration of Lipid Components of HDL Particles and Camelina Sativa Oil Decreases IDL Particle Concentration in Subjects with Impaired Glucose Metabolism
PubMed ID: 29645359
Fatty fish increased HDL particle size and improved HDL lipid content; camelina reduced IDL concentrationâfavorable lipoprotein effects.
- Effect of supplementation with flaxseed oil and different doses of fish oil for 2 weeks on plasma phosphatidylcholine fatty acids in young women
PubMed ID: 29849178
Doseâresponse study in young women showed linear incorporation of plasma EPA and DHA and triglyceride lowering at higher doses.
- Omega-3 polyunsaturated fatty acids-enriched hen eggs consumption enhances microvascular reactivity in young healthy individuals
PubMed ID: 29633621
Consuming omegaâ3 enriched eggs lowered triglycerides and BP in healthy young adultsâimproved blood lipid profile.
- EPA+DHA, but not ALA, Improved Lipids and Inflammation Status in Hypercholesterolemic Adults: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 30900815
EPA+DHA supplementation produced clinically meaningful triglyceride reductions (12â16%) and changed PBMC fatty acid composition.
- The influence of fish consumption on serum n-3 polyunsaturated fatty acid (PUFA) concentrations in women of childbearing age: a randomised controlled trial (the iFish Study)
PubMed ID: 32725293
Two fish portions/week reliably raised serum EPA/DHA and improved nâ6:nâ3 ratio.
- Effects of marine-derived and plant-derived omega-3 polyunsaturated fatty acids on erythrocyte fatty acid composition in type 2 diabetic patients
PubMed ID: 35144649
6âmonth RCT in T2DM: fish oil raised erythrocyte EPA/DHA (omegaâ3 index) and lowered triglycerides â30% â modern clinical evidence.
- Plasma lipid levels and platelet and neutrophil function in patients with vascular disease following fish oil and olive oil supplementation
PubMed ID: 1328817
Fish oil reduced triglycerides by 26% and reduced platelet aggregation â meaningful bloodâlipid and functional benefits.
- Effect of dietary supplementation with very-long-chain n-3 fatty acids in patients with psoriasis
PubMed ID: 8502270
Fish oil increased serum nâ3 phospholipids and lowered triglycerides in psoriasis patients (biomarker benefit despite no skin improvement).
- Plasma fatty acid responses, metabolic effects, and safety of microalgal and fungal oils rich in arachidonic and docosahexaenoic acids in healthy adults
PubMed ID: 8694015
Doseârelated rises in plasma DHA/AA and reductions in triacylglycerols in healthy adults â strong biochemical evidence for improved bloodâlipid profile.
- Blood pressure, serum lipids, and fatty acids in populations on a lake-fish diet or on a vegetarian diet in Tanzania
PubMed ID: 8729141
Observational comparison found lower total cholesterol associated with habitual lakeâfish (higher DHA) diet.
- The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans
PubMed ID: 12145002
EPA and DHA lowered triacylglycerol and increased arterial compliance in dyslipidemic adultsâstrong favorable lipid effect.
- Moderate fish-oil supplementation reverses low-platelet, long-chain n-3 polyunsaturated fatty acid status and reduces plasma triacylglycerol concentrations in British Indo-Asians
PubMed ID: 15159226
12-week RCT with 4 g/day fish oil decreased plasma triglycerides, increased platelet EPA/DHA and improved lipid markers (robust blood-fat improvement).
- Supplementation of n-3 fatty acids during pregnancy and lactation reduces maternal plasma lipid levels and provides DHA to the infants
PubMed ID: 16923694
Maternal cod liver oil lessened pregnancy triacylglycerol rise and preserved HDL, indicating favorable maternal lipid effects.
- Regular consumption of n-3 fatty acid-enriched pork modifies cardiovascular risk factors
PubMed ID: 18590592
Dietary DHA (DHAâenriched pork) increased erythrocyte DHA and produced a greater reduction in serum TAG vs control.
- Parenteral nutrition of preterm infants with a lipid emulsion containing 10% fish oil: effect on plasma lipids and long-chain polyunsaturated fatty acids
PubMed ID: 21362575
Parenteral fishâoil lipid in preterm infants significantly increased DHA/EPA and decreased AA in plasma/RBC within one week (direct lipid changes).
- Supplemental intravenous n-3 fatty acids and n-3 fatty acid status and outcome in critically ill elderly patients in the ICU receiving enteral nutrition
PubMed ID: 23260750
IV nâ3 increased plasma EPA/DHA and total nâ3 and decreased AA and nâ6:nâ3 ratio; associated with physiological improvement in critically ill patients.
- Effects of serum n-3 to n-6 polyunsaturated fatty acids ratios on coronary atherosclerosis in statin-treated patients with coronary artery disease
PubMed ID: 23040588
Higher serum nâ3:nâ6 ratios correlated with less coronary plaque progression â observational support for favorable lipid milieu.
- A highly bioavailable omega-3 free fatty acid formulation improves the cardiovascular risk profile in high-risk, statin-treated patients with residual hypertriglyceridemia (the ESPRIT trial)
PubMed ID: 23998969
Large RCT in statinâtreated patients: OM3âFFA (2â4 g/d) significantly and doseâdependently reduced triglycerides and nonâHDLâC.
- Omega-3 free fatty acids for the treatment of severe hypertriglyceridemia: the EpanoVa fOr Lowering Very high triglyceridEs (EVOLVE) trial
PubMed ID: 24528690
Multinational RCT in severe hypertriglyceridemia: large, doseâdependent TG reductions and improvements in remnant lipid markers with OM3âFFA (contains DHA).
- Efficacy of a unique omega-3 formulation on the correction of nutritional deficiency and its effects on cardiovascular disease risk factors in a randomized controlled VASCAZEN(Âź) REVEAL Trial
PubMed ID: 25185754
6:1 EPA:DHA formulation rapidly corrected omegaâ3 deficiency and produced marked TG reductions (~48%) in hypertriglyceridemic cohort.
- Baseline plasma fatty acids profile and incident cardiovascular events in the SU.FOL.OM3 trial: the evidence revisited
PubMed ID: 24710321
Baseline plasma fatty acids (including nâ3) associated with lower events in CVD cohort (observational lipid-outcome link).
- The impact of an omega-3 fatty acid rich lipid emulsion on fatty acid profiles in critically ill septic patients
PubMed ID: 27637335
Parenteral fish oil rapidly raised EPA/DHA and improved AA/(EPA+DHA) ratio in septic patients.
- The effect of omega-3 carboxylic acids on apolipoprotein CIII-containing lipoproteins in severe hypertriglyceridemia
PubMed ID: 27919362
OM3âCA reduced apoCIII and favorably altered lipoprotein subspecies and raised EPA/DHAâstrong lipid effect.
- Treatment with high-dose n-3 PUFAs has no effect on platelet function, coagulation, metabolic status or inflammation in patients with atherosclerosis and type 2 diabetes
PubMed ID: 28410617
Highâdose EPA/DHA markedly increased blood nâ3 levels in atherosclerotic/diabetic patients though clinical clotting/endpoints were largely unchanged.
- Effects of n-3 long-chain PUFA supplementation to lactating mothers and their breastfed children on child growth and morbidity: a 2Â ĂÂ 2 factorial randomized controlled trial in rural Ethiopia
PubMed ID: 29566189
Maternal/child fishâoil raised blood nâ3 LCâPUFA and decreased AA:(DHA+EPA) ratioâclear bloodâfat effects.
- Effects of docosahexanoic acid supplementation on inflammatory and subcutaneous adipose tissue gene expression in HIV-infected patients on combination antiretroviral therapy (cART). A sub-study of a randomized, double-blind, placebo-controlled study
PubMed ID: 29471285
48 weeks of DHA in HIV patients produced large early TG reduction and altered fattyâacid profile.
- A comprehensive evaluation of omega-3 fatty acid supplementation in cystic fibrosis patients using lipidomics
PubMed ID: 30414540
12 months of seaweedâDHA produced marked incorporation into multiple plasma lipid classes.
- Influence of Human Milk and Parenteral Lipid Emulsions on Serum Fatty Acid Profiles in Extremely Preterm Infants
PubMed ID: 29679529
Enteral milk DHA strongly drove serum DHA; parenteral fish oil raised DHA/EPAâclear neonatal bloodâfat effects.
- Effects of calorie restriction plus fish oil supplementation on abnormal metabolic characteristics and the iron status of middle-aged obese women
PubMed ID: 29362766
CR±fish oil altered metabolic syndrome parameters and RBC FA ratios (mixed effects).
- Maternal Pre-Pregnancy Obesity Attenuates Response to Omega-3 Fatty Acids Supplementation During Pregnancy
PubMed ID: 30518052
Large pregnancy RCT: DHA+EPA rose substantially and nâ6/nâ3 ratio decreased (attenuated in obesity).
- Omega-3 polyunsaturated fatty acid supplementation improves lipid metabolism and endothelial function by providing a beneficial eicosanoid-pattern in patients with acute myocardial infarction: A randomized, controlled trial
PubMed ID: 33041091
AMI study showed reductions in triglycerides, apoB and large drop in Lp(a) alongside increased DHA/EPA oxylipins (strong lipid improvements).
- Twelve-Week Daily Consumption of ad hoc Fortified Milk with Ï-3, D, and Group B Vitamins Has a Positive Impact on Inflammaging Parameters: A Randomized Cross-Over Trial
PubMed ID: 33266447
Fortified milk raised Ïâ3 index by ~30% and lowered homocysteineâmeaningful improvements in bloodâlipid/vascular risk biomarkers.
- Modification of serum fatty acids in preterm infants by parenteral lipids and enteral docosahexaenoic acid/arachidonic acid: A secondary analysis of the Mega Donna Mega trial
PubMed ID: 37120902
Parenteral vs enteral lipid exposures in preterms altered serum phospholipid AA/DHA trajectoriesâdirectly about circulating lipid composition.
- Comparative membrane incorporation of omega-3 fish oil triglyceride preparations differing by degree of re-esterification: A sixteen-week randomized intervention trial
PubMed ID: 36706088
High % reâesterified TG fish oil produced greater erythrocyte EPA and DHA incorporationâdirect biomarker improvement of omegaâ3 status (omegaâ3 index).
- Efficacy and Safety of SmofKabiven(Âź) Versus Hospital-Compounded All-in-One Parenteral Nutrition in Chinese Patients Undergoing Gastrointestinal Surgery: A Multicenter, Randomized, Active-Controlled, Phase III Trial
PubMed ID: 40598717
Omegaâ3 enriched parenteral nutrition raised plasma EPA/DHA concentrations in surgical patientsâclinical demonstration of bloodâlipid change.
- Effects of DHA-enriched fish oil on monocyte/macrophage activation marker sCD163, asymmetric dimethyl arginine, and insulin resistance in type 2 diabetic patients
PubMed ID: 27578110
DHAâenriched fish oil lowered triglycerides and waist circumference in T2DM (8âweek RCT).
- Efficacy and tolerability of adding prescription omega-3 fatty acids 4 g/d to simvastatin 40 mg/d in hypertriglyceridemic patients: an 8-week, randomized, double-blind, placebo-controlled study
PubMed ID: 17825687
Large RCT: prescription omegaâ3 added to simvastatin significantly improved nonâHDLâC and triglycerides (clinically meaningful lipid changes).
- Inclusion of Atlantic salmon in the Chinese diet reduces cardiovascular disease risk markers in dyslipidemic adult men
PubMed ID: 20797476
Oily fish intervention raised serum EPA/DHA and improved triglycerides and HDL in dyslipidemic men.
- Horse meat consumption affects iron status, lipid profile and fatty acid composition of red blood cells in healthy volunteers
PubMed ID: 23025273
Dietary intervention raising erythrocyte DHA modestly lowered total and LDL cholesterol in a 90âday RCT.
- Maxepa versus bezafibrate in hyperlipidemic cardiac transplant recipients
PubMed ID: 1466329
Fish oil reduced triglycerides by ~36% in heart transplant patients â clinically meaningful TG lowering.
- Fish oil supplements for prevention of restenosis after coronary angioplasty
PubMed ID: 1563884
Postâangioplasty trial: 3 g/day fish oil reduced triglycerides though no restenosis benefit.
- Efficacy and Safety of Adding Omega-3 Fatty Acids in Statin-treated Patients with Residual Hypertriglyceridemia: ROMANTIC (Rosuvastatin-OMAcor iN residual hyperTrIglyCeridemia), a Randomized, Double-blind, and Placebo-controlled Trial
PubMed ID: 29223557
Highâquality RCT: addition of 4 g/day Ïâ3 to rosuvastatin produced large, clinically meaningful reductions in triglycerides and nonâHDL cholesterol.
- Eicosapentaenoic and docosahexaenoic acid supplementation and coronary artery calcium progression in patients with coronary artery disease: A secondary analysis of a randomized trial
PubMed ID: 38056242
EPA+DHA added to statin therapy significantly lowered triglycerides (~â13.6%) though did not affect CAC progression.
- [Metabolic syndrome reversion by polyunsaturated fatty acids ingestion]
PubMed ID: 23522799
nâ3 reduced triglycerides in metabolic syndrome group over 6 weeks â practical improvement in blood fats.
- Effects of fish oil and curcumin supplementation on cerebrovascular function in older adults: A randomized controlled trial
PubMed ID: 32127335
DHA+EPA decreased triglycerides and raised HDL in 16âweek RCT (biomarker improvements).
- Alterations in serum phosphatidylcholine fatty acyl species by eicosapentaenoic and docosahexaenoic ethyl esters in patients with severe hypertriglyceridemia
PubMed ID: 9101424
Marked incorporation of EPA/DHA into serum PCs and â26% triglyceride reduction in severe hypertriglyceridemia.
- Dose-response effects of fish-oil supplementation in healthy volunteers
PubMed ID: 2141757
Doseâdependent incorporation of EPA/DHA with clear, reproducible triglyceride reductions â strong evidence for improving blood fats.
- Effects of fish oil supplements in NIDDM subjects. Controlled study
PubMed ID: 2209315
Clear and significant triglyceride lowering in NIDDM with MaxEPA; robust lipid benefit.
- [Effect on the lipid profile of diet supplemented with fish oil concentrate]
PubMed ID: 2195704
Concentrated EPA+DHA produced ~19.5% median triglyceride reduction in hyperlipidemic patients.
- Influence of fish oil on blood lipids in coronary artery disease
PubMed ID: 1831755
Doseâresponsive TG lowering in coronary patients (robust triglyceride effect).
- Docosahexaenoic and eicosapentaenoic acids in plasma phospholipids are divergently associated with high density lipoprotein in humans
PubMed ID: 1534256
Large trial: triglycerides â21% and modest HDL riseâclear lipid benefit.
- Long-term effects of n-3 fatty acids on serum lipids and glycaemic control
PubMed ID: 7939369
Six months postâbypass EPA+DHA produced ~33% triglyceride lowering and modest insulin effects â robust lipid benefit.
- Short report: the effect of fish oil on blood pressure and high-density lipoprotein-cholesterol levels in phase I of the Trials of Hypertension Prevention
PubMed ID: 8021472
Highâdose fish oil raised HDL2 over 6 months (sexâspecific), a favorable change in lipoprotein subfractions.
- Effects of n-3 polyunsaturated fatty acids on glucose homeostasis and blood pressure in essential hypertension. A randomized, controlled trial
PubMed ID: 7486485
4 g/d EPA+DHA for 16 weeks reduced triglycerides (â0.28 mmol/L vs control) in hypertensive adultsâclinically relevant lipid effect.
- Improvement of serum lipids and blood pressure during intervention with n-3 fatty acids was not associated with changes in insulin levels in subjects with combined hyperlipidaemia
PubMed ID: 7891046
High-EPA/DHA concentrate produced a 28% triglyceride reduction and lowered blood pressure â strong lipid benefit.
- Fish diet, fish oil and docosahexaenoic acid rich oil lower fasting and postprandial plasma lipid levels
PubMed ID: 8933125
Moderate fish/fishâoil or pure DHA intake reduced fasting and postprandial TG and markedly increased HDL2/HDL3 ratio in healthy men.
- Eicosapentaenoic acid is primarily responsible for hypotriglyceridemic effect of fish oil in humans
PubMed ID: 8729093
Study distinguished EPA as main TGâlowering agent while DHA influenced HDL subfractions â informative for interpreting lipid effects.
- The effect of dietary omega-3 fatty acids on coronary atherosclerosis. A randomized, double-blind, placebo-controlled trial
PubMed ID: 10189324
Modest slowing of coronary atherosclerosis may reflect favorable lipid/inflammatory changes over 2 years.
- Atherothrombogenic risk modulation by n-3 fatty acids was not associated with changes in homocysteine in subjects with combined hyperlipidaemia
PubMed ID: 10235439
nâ3 lowered platelet counts and affected PAI in combined hyperlipidaemia; relevant to blood profile changes in dyslipidaemia.
- Purified eicosapentaenoic and docosahexaenoic acids have differential effects on serum lipids and lipoproteins, LDL particle size, glucose, and insulin in mildly hyperlipidemic men
PubMed ID: 10799369
DHA and EPA both lowered triglycerides; DHA altered LDL/HDL subfractions beneficially in mildly hyperlipidemic men.
- Effect of a fish-oil concentrate on serum lipids in postmenopausal women receiving and not receiving hormone replacement therapy in a placebo-controlled, double-blind trial
PubMed ID: 10919932
Postmenopausal women given fish oil had large TG drops (â26%) and improved TG:HDL ratio â clear lipid improvement.
- ApoE polymorphism and fish oil supplementation in subjects with an atherogenic lipoprotein phenotype
PubMed ID: 10938022
Strong reductions in fasting (â35%) and postprandial triglycerides and reduced small dense LDL in men with an atherogenic profile.
- An omega-3 polyunsaturated fatty acid concentrate administered for one year decreased triglycerides in simvastatin treated patients with coronary heart disease and persisting hypertriglyceridaemia
PubMed ID: 11303007
Omacor significantly and sustainably lowered triglycerides and VLDL in statinâtreated CHD patients (clinically meaningful lipid benefit).
- Effects of atorvastatin and omega-3 fatty acids on LDL subfractions and postprandial hyperlipemia in patients with combined hyperlipemia
PubMed ID: 11383326
Low-dose omega-3 added to statin led to increased HDL and reduced triglyceride-related markers (modest lipid benefits).
- Effects of purified eicosapentaenoic and docosahexaenoic acids on glycemic control, blood pressure, and serum lipids in type 2 diabetic patients with treated hypertension
PubMed ID: 12399272
EPA/DHA lowered TGs and raised HDL2 in T2DM with HTN, though fasting glucose increased â lipid benefits present.
- Omega-3 fatty acid supplementation accelerates chylomicron triglyceride clearance
PubMed ID: 12562865
EPA/DHA accelerated postprandial TG clearance, reduced apoBâ48/100 and increased LPL activityâclear beneficial lipid effects.
- Lipid responses in mildly hypertriglyceridemic men and women to consumption of docosahexaenoic acid-enriched eggs
PubMed ID: 14639800
DHA-enriched eggs lowered triglycerides (~12%) and raised HDL compared with regular eggs (clinically meaningful).
- Effects of supplementation with fish oil-derived n-3 fatty acids and gamma-linolenic acid on circulating plasma lipids and fatty acid profiles in women
PubMed ID: 12499320
EPA+DHA-containing supplements lowered triglycerides and reduced LDL in one test groupâfavorable blood-fat changes.
- Circulating triacylglycerol and apoE levels in response to EPA and docosahexaenoic acid supplementation in adult human subjects
PubMed ID: 15469651
High-dose DHA significantly lowered triglycerides and strongly changed plasma phospholipid compositionâdirect, robust lipid benefit.
- Differential eicosapentaenoic acid elevations and altered cardiovascular disease risk factor responses after supplementation with docosahexaenoic acid in postmenopausal women receiving and not receiving hormone replacement therapy
PubMed ID: 15113713
DHA lowered TG (~20%), raised HDL and improved TG:HDL ratioâclear favorable lipid profile changes.
- Evaluation of the effects of Neptune Krill Oil on the clinical course of hyperlipidemia
PubMed ID: 15656713
Krill oil improved total cholesterol, triglycerides and LDL versus fish oil and placebo over three months â supports beneficial lipid changes.
- Docosahexaenoic acid supplementation in vegetarians effectively increases omega-3 index: a randomized trial
PubMed ID: 16296399
Microalgal DHA nearly doubled RBC DHA and raised omegaâ3 index from low to desirable levelsâstrong biomarker improvement.
- Lipid responses to a dietary docosahexaenoic acid supplement in men and women with below average levels of high density lipoprotein cholesterol
PubMed ID: 15930485
DHA lowered TGs and small dense LDL fraction but modestly raised LDL/total cholesterol â net mixed but notable effects on blood fats.
- The bioavailability and pharmacodynamics of different concentrations of omega-3 acid ethyl esters
PubMed ID: 16806871
Higher-concentration omega-3 formulations showed greater EPA/DHA incorporation and larger short-term triglyceride/VLDL reductions.
- The triglyceride-lowering effects of a modest dose of docosahexaenoic acid alone versus in combination with low dose eicosapentaenoic acid in patients with coronary artery disease and elevated triglycerides
PubMed ID: 17229894
Randomized CAD/triglyceride study: DHA (and DHA+EPA) produced substantial ~19â22% triglyceride reductions with many reaching target TG levels.
- Microalgal docosahexaenoic acid decreases plasma triacylglycerol in normolipidaemic vegetarians: a randomised trial
PubMed ID: 16571158
DHA (0.94 g/day) in vegetarians lowered TG by ~23% (robust RCT) but increased LDL, indicating a strong TG effect with mixed lipid profile impact.
- Docosahexaenoic acid supplementation improves fasting and postprandial lipid profiles in hypertriglyceridemic men
PubMed ID: 17684201
3 g/day DHA substantially lowered TG and large VLDL and reduced small dense LDL (though LDLâC rose modestly) â robust triglyceride benefit.
- Dose-dependent effects of docosahexaenoic acid-rich fish oil on erythrocyte docosahexaenoic acid and blood lipid levels
PubMed ID: 17977469
Doseâresponse RCT: DHA produced doseâdependent, large triglyceride reductions and clear rises in erythrocyte DHA â strong lipid effects.
- Dose-dependent effects of docosahexaenoic acid supplementation on blood lipids in statin-treated hyperlipidaemic subjects
PubMed ID: 17393216
Highâdose DHA added to statin therapy produced major triglyceride reductions and further cholesterol lowering in hypertriglyceridemic patients.
- Reduction in triglyceride level with N-3 polyunsaturated fatty acids in HIV-infected patients taking potent antiretroviral therapy: a randomized prospective study
PubMed ID: 17179770
Large RCT in HIV patients: nâ3 PUFA produced â25% median TG reductionârobust triglyceride lowering.
- The impact of long chain n-3 polyunsaturated fatty acid supplementation on inflammation, insulin sensitivity and CVD risk in a group of overweight women with an inflammatory phenotype
PubMed ID: 17199721
Longâchain nâ3 raised plasma EPA/DHA, lowered TG and reduced CRP/ILâ6 (crossover trial).
- Inclusion of fish or fish oil in weight-loss diets for young adults: effects on blood lipids
PubMed ID: 18490931
Adding oily fish or fish oil during weight loss modestly but consistently lowered triglycerides and favorably affected cholesterol measures.
- Milk enriched with "healthy fatty acids" improves cardiovascular risk markers and nutritional status in human volunteers
PubMed ID: 19084376
Milk fortified with fish oil/vitamins reduced TAG and improved HDL/LDL, though additional nutrients confound attribution to DHA alone.
- Beneficial effects of long-chain n-3 fatty acids included in an energy-restricted diet on insulin resistance in overweight and obese European young adults
PubMed ID: 18491071
Fish oil supplementation during calorie restriction independently improved fasting insulin/HOMAâIR and contributed to triglyceride lowering.
- Influence of an eicosapentaenoic and docosahexaenoic acid-enriched enteral nutrition formula on plasma fatty acid composition and biomarkers of insulin resistance in the elderly
PubMed ID: 19573960
nâ3 enriched enteral feeding in elderly patients incorporated EPA/DHA into plasma lipids and lowered triglycerides after 3 months.
- Effect of fish oil (n-3 polyunsaturated fatty acids) on plasma lipids, lipoproteins and inflammatory markers in HIV-infected patients treated with antiretroviral therapy: a randomized, double-blind, placebo-controlled study
PubMed ID: 19685375
Omacor reduced plasma triglycerides in ARTâtreated HIV patients (significant metabolic benefit).
- Effect of n-3 oral supplements on the n-6/n-3 ratio in young adults
PubMed ID: 19915202
Marked reduction in plasma nâ6/nâ3 ratio after 4 weeks of EPA+DHA (favorable lipid composition change).
- Prospective randomized comparison between omega-3 fatty acid supplements plus simvastatin versus simvastatin alone in Korean patients with mixed dyslipidemia: lipoprotein profiles and heart rate variability
PubMed ID: 20877395
Adding omegaâ3 to simvastatin produced a very large additional triglyceride reduction (41% vs 13.9%), strong evidence for improving blood lipids.
- Algal docosahexaenoic acid affects plasma lipoprotein particle size distribution in overweight and obese adults
PubMed ID: 21178084
2 g/day algal DHA lowered triglycerides and shifted VLDL/LDL/HDL particle sizes favorably in overweight/obese adults (small RCT with meaningful lipid changes).
- The effects of low dose n-3 fatty acids on serum lipid profiles and insulin resistance of the elderly: a randomized controlled clinical trial
PubMed ID: 20803425
Lowâdose fish oil modestly prevented serum TG increase in elderly â clinically meaningful albeit small.
- Effects of a convenience drink fortified with n-3 fatty acids on the n-3 index
PubMed ID: 20420756
Daily beverage with 200 mg EPA + 300 mg DHA substantially raised the nâ3 index in lowâstatus subjects over 8 weeks (robust biomarker improvement linked to bloodâfat profile).
- The effect of a 12-week course of omega-3 polyunsaturated fatty acids on lipid parameters in hypertriglyceridemic adult HIV-infected patients undergoing HAART: a randomized, placebo-controlled pilot trial
PubMed ID: 22212377
4 g/day EPA+DHA significantly lowered triglycerides in HAART-treated HIV patients â strong bloodâfat benefit.
- Moderate doses of EPA and DHA from re-esterified triacylglycerols but not from ethyl-esters lower fasting serum triacylglycerols in statin-treated dyslipidemic subjects: Results from a six month randomized controlled trial
PubMed ID: 21862301
Re-esterified omega-3 (rTAG) lowered fasting triglycerides over 6 months in statin-treated dyslipidemic patientsâformulation-specific evidence for TG lowering.
- Effects of prescription omega-3-acid ethyl esters, coadministered with atorvastatin, on circulating levels of lipoprotein particles, apolipoprotein CIII, and lipoprotein-associated phospholipase A2 mass in men and women with mixed dyslipidemia
PubMed ID: 22108152
Prescription omega-3 added to atorvastatin favorably shifted LDL subfractions to larger particles and lowered proatherogenic markersâmeaningful blood-fat remodeling.
- Effect of fish oil supplementation on serum triglycerides, LDL cholesterol and LDL subfractions in hypertriglyceridemic adults
PubMed ID: 21924882
4 g/day EPA+DHA produced marked triglyceride reductions (â26%) in hypertriglyceridemic adultsâstrong direct evidence for improving blood fats.
- Effects of prescription omega-3-acid ethyl esters on fasting lipid profile in subjects with primary hypercholesterolemia
PubMed ID: 21297494
Prescription EPA+DHA lowered TG and VLDL in primary hypercholesterolemia (with a small LDL rise)âsolid triglyceride-lowering evidence.
- Incorporation of eicosapentaenoic and docosahexaenoic acids into lipid pools when given as supplements providing doses equivalent to typical intakes of oily fish
PubMed ID: 22932281
Doseâdependent, wellâcharacterized increases of EPA/DHA across plasma, RBC and platelets with fish intake show robust biochemical changes in blood lipid pools (large controlled trial).
- Effects of prescription niacin and omega-3 fatty acids on lipids and vascular function in metabolic syndrome: a randomized controlled trial
PubMed ID: 22892157
Prescription omegaâ3 and combinations produced meaningful triglyceride reductions (clinical metabolic syndrome trial).
- The change in low-density lipoprotein cholesterol concentration is positively related to plasma docosahexaenoic acid but not eicosapentaenoic acid
PubMed ID: 22653220
JELIS analysis: changes in plasma DHA correlated modestly with LDLâC changes (large dataset, associative evidence).
- Different gene expression profiles in normo- and dyslipidemic men after fish oil supplementation: results from a randomized controlled trial
PubMed ID: 22929118
Substantial increases in RBC omegaâ3 index and trends toward triglyceride lowering after 12 weeks; strong biomarker changes.
- Administration of omega-3 fatty acids and Raloxifene to women at high risk of breast cancer: interim feasibility and biomarkers analysis from a clinical trial
PubMed ID: 22669332
Lovaza in postmenopausal women increased nâ3 status, lowered triglycerides and raised HDL (direct lipid improvements).
- Platelet redox balance in diabetic patients with hypertension improved by n-3 fatty acids
PubMed ID: 23238663
In hypertensive/diabetic patients fish oil increased platelet EPA/DHA and lowered triglycerides and oxidative stressâfavorable blood lipid effects.
- Docosahexaenoic acid supplementation, vascular function and risk factors for cardiovascular disease: a randomized controlled trial in young adults
PubMed ID: 23817470
In healthy young adults DHA substantially lowered fasting triglycerides (~28%) and raised RBC DHAâstrong triglyceride-lowering evidence.
- Determinants of erythrocyte omega-3 fatty acid content in response to fish oil supplementation: a dose-response randomized controlled trial
PubMed ID: 24252845
Wellâpowered doseâresponse RCT showing predictable, doseâdependent increases in the RBC omegaâ3 index (quantitative biomarker improvement of blood fatty acid profile).
- Efficacy and safety of TAK-085 compared with eicosapentaenoic acid in Japanese subjects with hypertriglyceridemia undergoing lifestyle modification: the omega-3 fatty acids randomized double-blind (ORD) study
PubMed ID: 23725919
Large randomized trial in mild hypertriglyceridemia: combined EPA+DHA 4 g/day produced substantially larger triglyceride reductions vs EPA alone (clear clinical lipid benefit).
- Long-term safety and efficacy of TAK-085 in Japanese subjects with hypertriglyceridemia undergoing lifestyle modification: the omega-3 fatty acids randomized long-term (ORL) study
PubMed ID: 24314359
Oneâyear randomized data confirmed sustained and doseâdependent triglyceride lowering with combined EPA+DHA (4 g/day)ârobust longâterm lipid benefit.
- Atorvastatin plus omega-3 fatty acid ethyl ester decreases very-low-density lipoprotein triglyceride production in insulin resistant obese men
PubMed ID: 24299019
Controlled metabolic study: 4 g/day Ïâ3 ethyl esters added to atorvastatin markedly lowered VLDLâTG via reduced production and increased clearanceâstrong TG evidence.
- Blood lipids profile in hyperlipidemic children undergoing different dietary long chain polyunsaturated supplementations: a preliminary clinical trial
PubMed ID: 24228803
Pilot in children with primary hyperlipidemia: DHA showed favorable HDLâ and TGâ signals (preliminary but promising).
- Habitual diets rich in dark-green vegetables are associated with an increased response to Ï-3 fatty acid supplementation in Americans of African ancestry
PubMed ID: 24259553
Responder analysis: high erythrocyte EPA responders had larger decreases in plasma TG and VLDL metricsâsupports TG benefit in responders.
- Eicosapentaenoic acid improves glycemic control in elderly bedridden patients with type 2 diabetes
PubMed ID: 24067797
EPA/DHA liquid diet lowered apoB and improved glycemic markers in elderly diabeticsâfavorable lipid/metabolic signals.
- Krill oil supplementation lowers serum triglycerides without increasing low-density lipoprotein cholesterol in adults with borderline high or high triglyceride levels
PubMed ID: 24461313
12âweek krill oil reduced fasting triglycerides by â10% without raising LDLâCâclinically meaningful TG lowering.
- DHA-enriched high-oleic acid canola oil improves lipid profile and lowers predicted cardiovascular disease risk in the canola oil multicenter randomized controlled trial
PubMed ID: 24829493
DHAâenriched canola oil produced large TG reductions (~â20%) and increased HDL, with meaningful predicted CHD risk reduction in a wellâcontrolled crossover trial.
- Randomized controlled trial examining the effects of fish oil and multivitamin supplementation on the incorporation of n-3 and n-6 fatty acids into red blood cells
PubMed ID: 24830830
Highâdose fish oil increased RBC EPA and the LC nâ3 index substantially; DHA incorporation was variableâbiomarker support for bloodâfat modulation potential.
- Low doses of eicosapentaenoic acid and docosahexaenoic acid from fish oil dose-dependently decrease serum triglyceride concentrations in the presence of plant sterols in hypercholesterolemic men and women
PubMed ID: 25122648
Doseâdependent triglyceride lowering from lowâdose EPA+DHA observed in a large RCT (in a plantâsterol matrix).
- Bioavailability of long-chain n-3 fatty acids from enriched meals and from microencapsulated powder
PubMed ID: 25406967
Both microencapsulated powder and liquid meals doubled blood EPA and raised DHAâclear bloodâlipid (fattyâacid) status improvement.
- A new, microalgal DHA- and EPA-containing oil lowers triacylglycerols in adults with mild-to-moderate hypertriglyceridemia
PubMed ID: 25123060
Microalgal DHA+EPA lowered triglycerides by ~19% vs control in a doubleâblind randomized trialâclinically relevant lipid benefit.
- Dietary echium oil increases long-chain n-3 PUFAs, including docosapentaenoic acid, in blood fractions and alters biochemical markers for cardiovascular disease independently of age, sex, and metabolic syndrome
PubMed ID: 24553695
Echium oil markedly raised EPA/DPA and produced lipid changes including TG reduction (bloodâfat modulation).
- Similar eicosapentaenoic acid and docosahexaenoic acid plasma levels achieved with fish oil or krill oil in a randomized double-blind four-week bioavailability study
PubMed ID: 26328782
Matchedâdose fish oil and krill oil produced similar plasma and RBC EPA/DHA increases (bioavailability relevant to bloodâfat effects).
- Docosahexaenoic Acid Attenuates Cardiovascular Risk Factors via a Decline in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Plasma Levels
PubMed ID: 26620373
DHAâenriched canola oil reduced PCSK9 and triglycerides and altered cholesterol markers (mechanistic bloodâfat benefits).
- Effects of omega-3 carboxylic acids on lipoprotein particles and other cardiovascular risk markers in high-risk statin-treated patients with residual hypertriglyceridemia: a randomized, controlled, double-blind trial
PubMed ID: 26328624
In statin-treated high-risk patients, omegaâ3 carboxylic acids significantly lowered triglycerides, increased LDL particle size and reduced Apo CIIIâclear favorable lipid profile changes.
- Effect of TAK-085 on Low-density Lipoprotein Particle Size in Patients with Hypertriglyceridemia: A Double-blind Randomized Clinical Study
PubMed ID: 26222126
TAKâ085 (EPA+DHA) produced robust reductions in small dense LDL and increased LDL particle size (strong bloodâfat improvement).
- Red Blood Cell Docosapentaenoic Acid (DPA n-3) is Inversely Associated with Triglycerides and C-reactive Protein (CRP) in Healthy Adults and Dose-Dependently Increases Following n-3 Fatty Acid Supplementation
PubMed ID: 26247967
RBC DPA inversely associated with triglycerides at baseline and increased doseâdependently with supplementation (strong lipid biomarker relationships).
- The effect of plant sterols and different low doses of omega-3 fatty acids from fish oil on lipoprotein subclasses
PubMed ID: 26019023
Adding EPA+DHA to plantâsterol spread reduced large VLDL TG/Chol and shifted HDL subclass lipids (beneficial lipid subclass changes).
- Changes in Oxidative Stress and Inflammatory Biomarkers in Fragile Adults over Fifty Years of Age and in Elderly People Exclusively Fed Enteral Nutrition
PubMed ID: 26697137
Enteral EPA/DHA in frail elderly lowered plasma triglycerides while increasing RBC nâ3âevidence of favorable lipid effects in a clinical feeding trial.
- Associations between school meal-induced dietary changes and metabolic syndrome markers in 8-11-year-old Danish children
PubMed ID: 27084093
Higher whole-blood DHA in schoolchildren was associated with lower triglycerides and better insulin resistance measuresâobservational evidence linking DHA status to healthier blood lipids.
- FISH OIL AND VITAMIN E CHANGE LIPID PROFILES AND ANTI-LDL-ANTIBODIES IN TWO DIFFERENT ETHNIC GROUPS OF WOMEN TRANSITIONING THROUGH MENOPAUSE
PubMed ID: 26262712
Fish oil plus vitamin E lowered total and LDL cholesterol in dyslipidemic menopausal women (lipid lowering with combination therapy).
- Effects of eicosapentaenoic acid and docosahexaenoic acid on cardiovascular disease risk factors: a randomized clinical trial
PubMed ID: 27733252
DHA lowered postprandial triglycerides (â20%) though raised LDLâC (mixed but clear TG benefit).
- A randomized, crossover, head-to-head comparison of eicosapentaenoic acid and docosahexaenoic acid supplementation to reduce inflammation markers in men and women: the Comparing EPA to DHA (ComparED) Study
PubMed ID: 27281302
DHA increased HDL, raised adiponectin and reduced ILâ18; produced differential favorable changes in several lipid/inflammatory markers.
- Treatment for 6Â months with fish oil-derived n-3 polyunsaturated fatty acids has neutral effects on glycemic control but improves dyslipidemia in type 2 diabetic patients with abdominal obesity: a randomized, double-blind, placebo-controlled trial
PubMed ID: 27913872
4 g/day fish oil lowered triglycerides and raised HDL in type 2 diabetes with abdominal obesityâmeaningful improvements in blood lipid profile.
- Potential Effects of Omega-3 Fatty Acids on Insulin Resistance and Lipid Profile in Maintenance Hemodialysis Patients: a Randomized Placebo-Controlled Trial
PubMed ID: 27721230
Omegaâ3 in hemodialysis patients decreased triglycerides and total cholesterolâsupporting lipid benefits in this population.
- A Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Assess the Efficacy and Safety of Ethyl-Ester Omega-3 Fatty Acid in Taiwanese Hypertriglyceridemic Patients
PubMed ID: 27600795
Ethylâester omegaâ3 (2â4 g/day) produced robust, dose-expected ~30% triglyceride reductions in hypertriglyceridemic patientsâstrong, consistent evidence for improving blood lipids.
- The benefits of Ï-3 supplementation depend on adiponectin basal level and adiponectin increase after the supplementation: A randomized clinical trial
PubMed ID: 28063515
Fish oil increased adiponectin and subgroup analyses showed lipid and glucose improvements mediated by adiponectin increasesâsupportive mechanism for lipid benefits.
- Predictors of change in omega-3 index with fish oil supplementation in peripheral artery disease
PubMed ID: 28457318
One month highâdose fish oil markedly increased RBC omegaâ3 index (EPA+DHA) â biomarker consistent with improved blood lipid profile.
- Serum metabolomics profiles in response to n-3 fatty acids in Chinese patients with type 2 diabetes: a double-blind randomised controlled trial
PubMed ID: 27404516
Fishâoil in T2D markedly increased erythrocyte EPA/DHA and CMPF; CMPF correlated with lower triglycerides.
- Supplementation with high-dose docosahexaenoic acid increases the Omega-3 Index more than high-dose eicosapentaenoic acid
PubMed ID: 28515020
DHA increased RBC Omegaâ3 Index more than equivalent EPAâstrong evidence DHA raises systemic omegaâ3 status.
- Effect of Eicosapentaenoic and Docosahexaenoic Acids Added to Statin Therapy on Coronary Artery Plaque in Patients With Coronary Artery Disease: A Randomized Clinical Trial
PubMed ID: 29246960
Highâdose EPA+DHA significantly lowered triglycerides and was associated with attenuation of coronary fibrous plaque progression.
- Eicosapentaenoic and Docosahexaenoic Acids Attenuate Progression of Albuminuria in Patients With Type 2 Diabetes Mellitus and Coronary Artery Disease
PubMed ID: 28710178
Lovaza (EPA+DHA) markedly reduced triglycerides and prevented worsening albuminuria in diabeticsâclear metabolic lipid benefits.
- Effects of docosahexanoic acid on metabolic and fat parameters in HIV-infected patients on cART: A randomized, double-blind, placebo-controlled study
PubMed ID: 28648475
DHA produced large, rapid and sustained triglyceride reductions in ARTâtreated HIV patients (strong lipidâlowering effect).
- Omega-3 Fatty Acid Could Increase One of Myokines in Male Patients with Coronary Artery Disease: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 28112528
Omegaâ3 lowered LDL and hsâCRP in men with CAD over 8 weeksâbeneficial lipid and inflammatory effects.
- Effect of Low Dose Docosahexaenoic Acid-Rich Fish Oil on Plasma Lipids and Lipoproteins in Pre-Menopausal Women: A Doseâ»Response Randomized Placebo-Controlled Trial
PubMed ID: 30297663
Doseâresponse RCT in premenopausal women: lowâdose DHA substantially lowered triglycerides (~â23%) and VLDLâTGâstrong evidence for improving blood lipids.
- Effects of n-3 fatty acids and exercise on oxidative stress parameters in type 2 diabetic: a randomized clinical trial
PubMed ID: 29713249
T2D RCT showed significant triglyceride reductions (~17% within group and ~26% vs placebo) supporting bloodâfat benefits.
- Effects of Marine n-3 Polyunsaturated Fatty Acids on Heart Rate Variability and Heart Rate in Patients on Chronic Dialysis: A Randomized Controlled Trial
PubMed ID: 30227610
Omegaâ3 in dialysis patients reduced triglycerides (~â17%) alongside heart rate reductionsâclinically relevant lipid improvement.
- High-Dose DHA Has More Profound Effects on LDL-Related Features Than High-Dose EPA: The ComparED Study
PubMed ID: 29846653
DHA vs EPA trial documented clinically meaningful LDLâC increase but favorable LDL particle enlargement and increased LDL turnover â important lipid phenotype effects.
- Triacylglycerol-Lowering Effect of Docosahexaenoic Acid Is Not Influenced by Single-Nucleotide Polymorphisms Involved in Lipid Metabolism in Humans
PubMed ID: 30407633
Wellâcontrolled feeding trial showed DHA reduced triglycerides by ~24% in metabolicâsyndrome subjects â strong evidence for improving bloodâlipid profile.
- Evaluation of a High Concentrate Omega-3 for Correcting the Omega-3 Fatty Acid Nutritional Deficiency in Non-Alcoholic Fatty Liver Disease (CONDIN)
PubMed ID: 30127297
Highâconcentrate EPA+DHA robustly increased RBC Ïâ3 and produced triglyceride lowering and liverâfat improvements in NAFLD subgroup.
- EPA and DHA have divergent effects on serum triglycerides and lipogenesis, but similar effects on lipoprotein lipase activity: a randomized controlled trial
PubMed ID: 31535138
DHA (âŒ3 g/d) substantially lowered triglycerides (~23.5%) and increased LPL activity in healthy adults.
- Compound-specific isotope analysis reveals no retroconversion of DHA to EPA but substantial conversion of EPA to DHA following supplementation: a randomized control trial
PubMed ID: 31204771
Isotope tracing showed substantial conversion of EPAâDHA and clear metabolic effects on plasma EPA/DHA, informing Ïâ3 bloodâfat biology.
- Effects of oily fish intake on cardiometabolic markers in healthy 8- to 9-y-old children: the FiSK Junior randomized trial
PubMed ID: 31595295
Increased oilyâfish intake in children modestly lowered triglycerides and raised HDL with objective RBC EPA+DHA uptake.
- Effect of supplementation with omega-3 fatty acids on hypertriglyceridemia in pediatric patients with obesity
PubMed ID: 31271554
Highâdose EPA+DHA (3 g/day) in obese youth produced marked triglyceride reduction (~39%) â large, clinically meaningful lipid effect.
- Comparing the serum TAG response to high-dose supplementation of either DHA or EPA among individuals with increased cardiovascular risk: the ComparED study
PubMed ID: 30854986
Crossover trial found DHA lowered triglycerides in a larger fraction of individuals than EPAâdirect lipidâlowering evidence.
- The nutritional and cardiovascular health benefits of rapeseed oil-fed farmed salmon in humans are not decreased compared with those of traditionally farmed salmon: a randomized controlled trial
PubMed ID: 33015732
Two portions/week salmon increased omegaâ3 index and produced modest triglyceride reduction â practical dietary lipid improvement.
- Effects of an Omega-3 and Vitamin D Supplement on Fatty Acids and Vitamin D Serum Levels in Double-Blinded, Randomized, Controlled Trials in Healthy and Crohn's Disease Populations
PubMed ID: 32325778
Combined Ïâ3 + vitamin D supplement robustly raised circulating EPA/DHA levels â strong biomarker evidence for improved blood Ïâ3 status.
- Comparison of Omega-3 Eicosapentaenoic Acid Versus Docosahexaenoic Acid-Rich Fish Oil Supplementation on Plasma Lipids and Lipoproteins in Normolipidemic Adults
PubMed ID: 32178279
Both EPAâ and DHAârich oils lowered triglycerides ~14% in healthy adults; DHA also caused small LDL/HDL particle shifts.
- A Randomized, Double-Blind, Placebo-Controlled Clinical Trial of an Omega-3 Fatty Acid Supplement in Patients With Predialysis Chronic Kidney Disease
PubMed ID: 32732154
Omegaâ3 supplementation raised omegaâ3 index and decreased triglycerides in predialysis CKD patientsâclear improvement in blood fats.
- Microencapsulated Tuna Oil Results in Higher Absorption of DHA in Toddlers
PubMed ID: 31963702
Microencapsulated DHA in toddler formula increased wholeâblood DHA and Omegaâ3 Index substantially versus nonâencapsulated oil.
- The influence of DHA supplementation during pregnancy on language development across childhood: Follow-up of a randomised controlled trial
PubMed ID: 33227646
Prenatal DHA supplementation raised maternal DHA though no longâterm cognitive benefits were found â clear blood biomarker change.
- Discrepancy Between Fasting Flow-Mediated Dilation and Parameter of Lipids in Blood: A Randomized Exploratory Study of the Effect of Omega-3 Fatty Acid Ethyl Esters on Vascular Endothelial Function in Patients With Hyperlipidemia
PubMed ID: 32200533
4 g/day omegaâ3 produced marked reductions in fasting and postprandial triglycerides and some favorable lipid changes in statinâtreated dyslipidemic patients.
- Omega-3 Eicosapentaenoic Acid (EPA) Rich Extract from the Microalga Nannochloropsis Decreases Cholesterol in Healthy Individuals: A Double-Blind, Randomized, Placebo-Controlled, Three-Month Supplementation Study
PubMed ID: 32585854
EPAârich microalgae raised omegaâ3 index and reduced total and VLDL cholesterol in healthy adults â clear lipid benefits.
- Hepatic de novo lipogenesis is suppressed and fat oxidation is increased by omega-3 fatty acids at the expense of glucose metabolism
PubMed ID: 32188593
EPA+DHA lowered hepatic DNL and increased fat oxidation â mechanistically consistent with improving blood lipid profile.
- Effects of Mediterranean Diet or Low-Fat Diet on Blood Fatty Acids in Patients with Coronary Heart Disease. A Randomized Intervention Study
PubMed ID: 34371898
Mediterranean diet increased wholeâblood EPA+DHA and improved nâ6/nâ3 ratio in coronary patients â dietary route to healthier blood fats.
- Prenatal docosahexaenoic acid effect on maternal-infant DHA-equilibrium and fetal neurodevelopment: a randomized clinical trial
PubMed ID: 34552200
800 mg/day prenatal DHA markedly increased maternal RBCâDHA and maternalâinfant DHA equilibrium â strong blood DHA increase.
- 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
PubMed ID: 34371972
DHAârich supplementation in overweight postmenopausal women reduced triglycerides significantly relative to control.
- Short-Term Intake of Yellowstripe Scad versus Salmon Did Not Induce Similar Effects on Lipid Profile and Inflammatory Markers among Healthy Overweight Adults despite Their Comparable EPA+DHA Content
PubMed ID: 34684525
Eating salmon for 8 weeks lowered triglycerides modestly in overweight adults.
- Omega-3 fatty acids reduce cardiometabolic risk in first-episode schizophrenia patients treated with antipsychotics: Findings from the OFFER randomized controlled study
PubMed ID: 33684737
EPA+DHA reduced metabolicâsyndrome frequency and fasting glucose, improving cardiometabolic/lipidârelated outcomes.
- Changes in lipoprotein particle subclasses, standard lipids, and apolipoproteins after supplementation with n-3 or n-6 PUFAs in abdominal obesity: A randomized double-blind crossover study
PubMed ID: 33933722
Highâdose EPA+DHA in abdominally obese adults markedly reduced VLDL particle counts and triglycerides (very strong lipoprotein effect).
- Effectiveness of a Novel Ï-3 Krill Oil Agent in Patients With Severe Hypertriglyceridemia: A Randomized Clinical Trial
PubMed ID: 34989797
Large doubleâblind RCT of krillâderived omegaâ3 produced significant triglyceride lowering and raised plasma EPA+DHA (strong lipid outcome evidence).
- Lipid extract from blue mussel (Mytilus edulis) improves glycemic traits in Chinese type 2 diabetic mellitus patients: a double-blind randomized controlled trial
PubMed ID: 36409163
Blue mussel lipid extract reduced triglycerides and improved insulin/TNF markers (beneficial effects on blood lipids/inflammation).
- N-3 fatty acid supplementation mediates lipid profile, including small dense LDL, when combined with statins: a randomized double blind placebo controlled trial
PubMed ID: 36050695
Robust RCT: 4 g/day EPA+DHA added to statin therapy produced large TG reductions, lowered nonâHDL and markedly reduced small dense LDLâstrong lipid benefits.
- Effects of fish oil-derived n-3 polyunsaturated fatty acid on body composition, muscle strength and physical performance in older people: a secondary analysis of a randomised, double-blind, placebo-controlled trial
PubMed ID: 36571774
Fishâoil improved triglycerides and HDL in older adults along with muscle/function gainsâsupportive cardiometabolic lipid effects.
- Regression of Coronary Fatty Plaque and Risk of Cardiac Events According to Blood Pressure Status: Data From a Randomized Trial of Eicosapentaenoic Acid and Docosahexaenoic Acid in Patients With Coronary Artery Disease
PubMed ID: 37681568
EPA+DHA associated with triglyceride reductions that correlated with coronary fatty plaque regression.
- The Dose-Response Effect of Docosahexaenoic Acid on the Omega-3 Index in American Football Athletes
PubMed ID: 36728325
Doseâresponse DHA study robustly raised RBC/Omegaâ3 Index in a doseâdependent manner; reached cardioprotective targets.
- Effect of coadministration of omega-3 fatty acids with glimepiride on glycemic control, lipid profile, irisin, and sirtuin-1 in type 2 diabetes mellitus patients: a randomized controlled trial
PubMed ID: 38001474
EPA/DHA added to glimepiride improved triglycerides and raised HDL in T2D over 12 weeks â good supportive evidence.
- Omega-3 Fatty Acids Reduce Remnant-like Lipoprotein Cholesterol and Improve the Ankle-Brachial Index of Hemodialysis Patients with Dyslipidemia: A Pilot Study
PubMed ID: 38256336
Highâdose EPA+DHA lowered remnantâlike lipoprotein cholesterol in dialysis patients â relevant to atherogenic blood fats.
- Enhanced Production of EPA-Derived Anti-Inflammatory Metabolites after Oral Administration of a Novel Self-Emulsifying Highly Purified EPA Ethyl Ester Formulation (MND-2119)
PubMed ID: 37532570
Selfâemulsifying EPA raised plasma EPA and EPAâderived antiâinflammatory metabolites rapidly and doseâdependently.
- Impact of omega-3 fatty acids on hypertriglyceridemia, lipidomics, and gut microbiome in patients with type 2 diabetes
PubMed ID: 39163858
4 g/day fish oil produced a large clinically meaningful triglyceride reduction and lipidomic changes.
- Efficacy and safety of omega-3-acid ethyl acetate 90 capsules in severe hypertriglyceridemia: A randomized, controlled, multicenter study
PubMed ID: 38830807
Omegaâ3 ethyl esters significantly lowered triglycerides, nonâHDL, VLDLâC and Apo CâIII in severe hypertriglyceridemia â strong lipidâlowering evidence.
- Effects of Daily Consumption of Scallop Oil Prepared from Internal Organs of Japanese Giant Scallop (Patinopecten yessoensis) on Serum Lipid Composition and Its Safety: A Randomized, Double-blind, Placebo-controlled, Parallel Group Comparison Study
PubMed ID: 39168625
Scallop oil reduced TG and oxidizedâLDL in higherâTG subgroup â modest supportive data.
- Validation of Nutritional Approaches to Modulate Cardiovascular and Diabetic Risk Factors in Patients with Hypertriglyceridemia or Prediabetes-The MoKaRi II Randomized Controlled Study
PubMed ID: 38732508
Controlled dietary intervention including fish oil improved triglycerides, LDL and glycemic markers in metabolic risk groups.
- Effects of Zinc-Biofortified Wheat Intake on Plasma Markers of Fatty Acid Metabolism and Oxidative Stress Among Adolescents
PubMed ID: 39770887
Erythrocyte EPA/DHA and nâ3 index rose substantially in the fishâoil group, consistent with improved blood lipid profile.
- Influence of Fish Consumption and Ï-3 Supplementation on the Ï-3 Index of Young Adults: A 2 Ă 2 Factorial Randomized Controlled Trial (YouFish Study)
PubMed ID: 41082976
Two fish portions/week or EPA+DHA supplement raised omegaâ3 index by â2 percentage pointsârobust change in blood fats.
- Randomized dose-response trial of n-3 fatty acids in hormone receptor negative breast cancer survivors - impact on breast adipose oxylipin and DNA methylation patterns
PubMed ID: 40288580
Highâdose EPA+DHA for 12 months raised tissue Ïâ3 and lowered plasma triglycerides (doseâdependent, clinically relevant TG reduction).
Heart health (148)
- An omega-3 polyunsaturated fatty acid concentrate administered for one year decreased triglycerides in simvastatin treated patients with coronary heart disease and persisting hypertriglyceridaemia
PubMed ID: 11303007
Omacor added to simvastatin produced sustained 20â30% triglyceride reductions in CHD patients â clinically meaningful heartârisk improvement.
- Efficacy of n-3 polyunsaturated fatty acids after myocardial infarction: results of GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico
PubMed ID: 11837985
Large randomized trial: 1 g/day nâ3 PUFA after MI reduced overall and cardiovascular mortality (robust clinical heart benefit).
- Omega-3 fatty acids improve blood pressure control and preserve renal function in hypertensive heart transplant recipients
PubMed ID: 11207085
Omega-3 prevented post-transplant systolic BP rise and preserved renal functionâcardiovascularly relevant in high-risk patients.
- Prevention of postcoronary angioplasty restenosis by omega-3 fatty acids: main results of the Esapent for Prevention of Restenosis ITalian Study (ESPRIT)
PubMed ID: 12075272
Peri-procedural and continued omega-3 therapy reduced angiographic restenosis after angioplasty (clinically relevant cardiac outcome).
- Circulating triacylglycerol and apoE levels in response to EPA and docosahexaenoic acid supplementation in adult human subjects
PubMed ID: 15469651
DHA lowered triglycerides significantly compared with controlâimportant heart-risk improvement.
- Differential eicosapentaenoic acid elevations and altered cardiovascular disease risk factor responses after supplementation with docosahexaenoic acid in postmenopausal women receiving and not receiving hormone replacement therapy
PubMed ID: 15113713
DHA lowered TG, raised HDL and reduced resting heart rate in postmenopausal womenâfavorable heart-risk markers.
- The bioavailability and pharmacodynamics of different concentrations of omega-3 acid ethyl esters
PubMed ID: 16806871
Dose/concentration trial showed higher-concentration omega-3 led to greater EPA/DHA incorporation and larger short-term TG/VLDL reductions.
- The triglyceride-lowering effects of a modest dose of docosahexaenoic acid alone versus in combination with low dose eicosapentaenoic acid in patients with coronary artery disease and elevated triglycerides
PubMed ID: 17229894
Randomized CAD trial: DHA (±EPA) produced clinically meaningful triglyceride reductions in patients with CAD and high TGs.
- Low-dose docosahexaenoic acid lowers diastolic blood pressure in middle-aged men and women
PubMed ID: 17374663
Lowâdose DHA raised erythrocyte DHA and modestly lowered diastolic blood pressure â favorable for cardiovascular risk.
- Dose-dependent effects of docosahexaenoic acid supplementation on blood lipids in statin-treated hyperlipidaemic subjects
PubMed ID: 17393216
Highâdose DHAârich fish oil added to statins substantially lowered triglycerides and further reduced cholesterol â direct cardiometabolic benefit.
- Intake of fish oil, oleic acid, folic acid, and vitamins B-6 and E for 1 year decreases plasma C-reactive protein and reduces coronary heart disease risk factors in male patients in a cardiac rehabilitation program
PubMed ID: 17237316
Fortified dairy drink (including DHA) plus rehab lowered total/LDL cholesterol and hsâCRP after MI â supportive of postâMI heart recovery.
- A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosus
PubMed ID: 17875549
In lupus patients fish oil improved endothelial function (FMD) and disease activityâcardiovascular biomarker benefit.
- Reduction in triglyceride level with N-3 polyunsaturated fatty acids in HIV-infected patients taking potent antiretroviral therapy: a randomized prospective study
PubMed ID: 17179770
nâ3 PUFA substantially lowered elevated triglycerides in HIV patients on ARTâcardiometabolic benefit.
- Docosahexaenoic acid-rich fish oil improves heart rate variability and heart rate responses to exercise in overweight adults
PubMed ID: 18339222
DHAârich oil improved heartârate variability and lowered resting/submaximal exercise HR in overweight adults.
- Inclusion of fish or fish oil in weight-loss diets for young adults: effects on blood lipids
PubMed ID: 18490931
Fish oil or oily fish modestly lowered triglycerides during weight loss, favorable for cardiovascular risk profile.
- The role of n-3 PUFAs in preventing the arrhythmic risk in patients with idiopathic dilated cardiomyopathy
PubMed ID: 18982439
Idiopathic dilated cardiomyopathy trial improved multiple arrhythmic risk markers and lowered catecholamines/cytokinesâstrong cardiac benefit.
- Milk enriched with "healthy fatty acids" improves cardiovascular risk markers and nutritional status in human volunteers
PubMed ID: 19084376
Milk fortified with fish oil and vitamins improved HDL and lowered TAG/LDL, but multiple nutrients confound DHA's specific role.
- Beneficial effects of long-chain n-3 fatty acids included in an energy-restricted diet on insulin resistance in overweight and obese European young adults
PubMed ID: 18491071
Fish oil improved insulin resistance (HOMAâIR) and reduced TG during calorie restrictionâmetabolic heart risk improvements.
- Influence of an eicosapentaenoic and docosahexaenoic acid-enriched enteral nutrition formula on plasma fatty acid composition and biomarkers of insulin resistance in the elderly
PubMed ID: 19573960
Enteral nâ3 feeding in elderly lowered TAG and incorporated EPA/DHA, supporting cardiovascular risk reduction.
- Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells
PubMed ID: 19515734
PBMC gene changes were antiâatherogenic/antiâinflammatory, supporting cardiovascular risk biology.
- Omega-3 fatty acid supplements improve the cardiovascular risk profile of subjects with metabolic syndrome, including markers of inflammation and auto-immunity
PubMed ID: 19593941
6âmonth fish oil in metabolic syndrome lowered weight, systolic BP and lipids (nonâplacebo control), indicating cardiometabolic benefit.
- Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction
PubMed ID: 19487105
Salmon or fish oil during weight loss produced modest but significant diastolic BP reductions in overweight adults (randomized dietary trial).
- Eicosapentaenoic acid (EPA) from highly concentrated n-3 fatty acid ethyl esters is incorporated into advanced atherosclerotic plaques and higher plaque EPA is associated with decreased plaque inflammation and increased stability
PubMed ID: 20542512
Preâsurgical nâ3 increased plaque EPA and was associated with less plaque inflammation and fewer foam cells (plaqueâstabilizing biology).
- Prospective randomized comparison between omega-3 fatty acid supplements plus simvastatin versus simvastatin alone in Korean patients with mixed dyslipidemia: lipoprotein profiles and heart rate variability
PubMed ID: 20877395
Adding omegaâ3 to simvastatin produced a much larger triglyceride drop than statin alone (large clinically relevant lipid effect pertinent to CV risk).
- Algal docosahexaenoic acid affects plasma lipoprotein particle size distribution in overweight and obese adults
PubMed ID: 21178084
2 g/day algal DHA improved lipoprotein particle sizes and lowered triglycerides in overweight/obese adults (small RCT showing favorable cardiometabolic shifts).
- Effects of n-3 fatty acids on macro- and microvascular function in subjects with type 2 diabetes mellitus
PubMed ID: 20071644
Attenuation of meal-induced FMD drop and improved microvascular reactivity indicate vascular cardioprotective effects.
- Effects of fish oil supplementation on markers of the metabolic syndrome
PubMed ID: 20472253
Adolescents had significant SBP/DBP reductions and RBC EPA/DHA increasesâclinically relevant heart-supporting effects.
- The effect of a 12-week course of omega-3 polyunsaturated fatty acids on lipid parameters in hypertriglyceridemic adult HIV-infected patients undergoing HAART: a randomized, placebo-controlled pilot trial
PubMed ID: 22212377
Meaningful triglyceride reductions in HAART-associated hypertriglyceridemia support cardiac risk reduction.
- Differential association of docosahexaenoic and eicosapentaenoic acids with carotid intima-media thickness
PubMed ID: 21757663
Higher serum DHA was associated with lower carotid IMT in middle-aged menâobservational support for vascular benefit.
- Effects of prescription omega-3-acid ethyl esters, coadministered with atorvastatin, on circulating levels of lipoprotein particles, apolipoprotein CIII, and lipoprotein-associated phospholipase A2 mass in men and women with mixed dyslipidemia
PubMed ID: 22108152
Adding prescription omega-3 to atorvastatin shifted LDL toward larger, less atherogenic particles and reduced ApoCIII and Lp-PLA2âfavorable cardiac risk marker changes.
- Effect of fish oil supplementation on serum triglycerides, LDL cholesterol and LDL subfractions in hypertriglyceridemic adults
PubMed ID: 21924882
In hypertriglyceridemic adults, EPA+DHA markedly lowered triglycerides (heart risk factor) though it modestly increased LDL-Câmixed but strong lipid effect relevant to heart support.
- Effects of prescription omega-3-acid ethyl esters on fasting lipid profile in subjects with primary hypercholesterolemia
PubMed ID: 21297494
Prescription EPA+DHA reduced TG/VLDL in hypercholesterolemia with a small LDL riseâfavorable TG effects for cardiovascular risk management.
- DHA-rich fish oil reverses the detrimental effects of saturated fatty acids on postprandial vascular reactivity
PubMed ID: 21831993
DHAârich NEFA improved postprandial endothelial function (FMD) acutely â a direct vascular mechanism relevant to heart health (wellâpowered crossover human study).
- Effects of prescription niacin and omega-3 fatty acids on lipids and vascular function in metabolic syndrome: a randomized controlled trial
PubMed ID: 22892157
Omegaâ3 (prescription) reduced triglycerides and, combined with niacin, produced additive lipid and arterial stiffness benefits in metabolic syndrome (clinical trial supporting CV risk factor improvement).
- The effects of supplemental fish oil on blood pressure and morning cortisol in normotensive adults: a pilot study
PubMed ID: 23104856
Small randomized pilot showed clinically meaningful systolic and pulse pressure reductions after 6 weeks of fish oil including DHA.
- Administration of omega-3 fatty acids and Raloxifene to women at high risk of breast cancer: interim feasibility and biomarkers analysis from a clinical trial
PubMed ID: 22669332
Lovaza raised nâ3 status and lowered triglycerides while raising HDL in postmenopausal women (favorable lipid changes for heart health).
- Platelet redox balance in diabetic patients with hypertension improved by n-3 fatty acids
PubMed ID: 23238663
In hypertensive/diabetic patients fish oil reduced platelet oxidative stress and ROS production and lowered triglyceridesâcardio-relevant improvements.
- Docosahexaenoic acid supplementation, vascular function and risk factors for cardiovascular disease: a randomized controlled trial in young adults
PubMed ID: 23817470
Healthy adults: DHA substantially lowered fasting triglycerides (~28%) and modestly lowered BP in menâfavorable cardiovascular risk changes.
- Eicosapentaenoic and docosahexaenoic acid supplementations reduce platelet aggregation and hemostatic markers differentially in men and women
PubMed ID: 23390192
Randomized trial showed DHA and EPA lowered platelet aggregation (sexâspecific effects), which is cardioprotective via reduced thrombotic tendency.
- A randomized controlled trial to prevent post-operative atrial fibrillation by antioxidant reinforcement
PubMed ID: 23916928
Large RCT (nâ3 + vitamins) markedly reduced postâop atrial fibrillation (large effect) though effect is confounded by added antioxidants.
- Impact of sex on the heart's metabolic and functional responses to diabetic therapies
PubMed ID: 24043256
In T2DM patients adding omegaâ3 improved diastolic function (mainly in men), a direct measure of cardiac function benefit.
- Efficacy and safety of TAK-085 compared with eicosapentaenoic acid in Japanese subjects with hypertriglyceridemia undergoing lifestyle modification: the omega-3 fatty acids randomized double-blind (ORD) study
PubMed ID: 23725919
Combined EPA+DHA at 4 g/day produced clinically meaningful triglyceride lowering vs EPA aloneâlipid improvements that reduce cardiovascular risk.
- Long-term safety and efficacy of TAK-085 in Japanese subjects with hypertriglyceridemia undergoing lifestyle modification: the omega-3 fatty acids randomized long-term (ORL) study
PubMed ID: 24314359
Oneâyear data confirmed sustained triglyceride reductions with combined EPA+DHA (4 g/day), supporting longâterm heartârisk factor improvement.
- Atorvastatin plus omega-3 fatty acid ethyl ester decreases very-low-density lipoprotein triglyceride production in insulin resistant obese men
PubMed ID: 24299019
Ïâ3 ethyl esters added to atorvastatin further reduced VLDLâTG via lower production and higher clearanceâclear beneficial bloodâlipid/heart risk mechanism.
- Krill oil supplementation lowers serum triglycerides without increasing low-density lipoprotein cholesterol in adults with borderline high or high triglyceride levels
PubMed ID: 24461313
12âweek krill oil lowered fasting triglycerides â10% without raising LDLâCârelevant to cardiovascular risk factors.
- Plasma n-3 polyunsaturated fatty acids in chronic heart failure in the GISSI-Heart Failure Trial: relation with fish intake, circulating biomarkers, and mortality
PubMed ID: 23351824
In chronic heart failure patients, supplementation substantially raised circulating EPA/DHA and associated with reduced inflammatory marker (pentraxinâ3), relevant to heart disease.
- DHA-enriched high-oleic acid canola oil improves lipid profile and lowers predicted cardiovascular disease risk in the canola oil multicenter randomized controlled trial
PubMed ID: 24829493
DHAâenriched canola oil raised HDL, lowered triglycerides and systolic BP and reduced predicted 10âyr CHD risk in a controlled crossover trial.
- Low doses of eicosapentaenoic acid and docosahexaenoic acid from fish oil dose-dependently decrease serum triglyceride concentrations in the presence of plant sterols in hypercholesterolemic men and women
PubMed ID: 25122648
Lowâdose EPA+DHA in a plantâsterol food matrix produced doseâdependent triglyceride reductions in a large RCT.
- A new, microalgal DHA- and EPA-containing oil lowers triacylglycerols in adults with mild-to-moderate hypertriglyceridemia
PubMed ID: 25123060
Microalgal DHA+EPA significantly lowered triglycerides (~19%) comparable to fish oilâa relevant cardiometabolic benefit.
- Low serum docosahexaenoic acid is associated with progression of coronary atherosclerosis in statin-treated patients with diabetes mellitus: results of the treatment with statin on atheroma regression evaluated by intravascular ultrasound with virtual histology (TRUTH) study
PubMed ID: 24410834
Lower serum DHA was independently associated with coronary atheroma progression in statinâtreated diabeticsâsupports DHA relevance to coronary disease progression.
- Effects of Ï-3 PUFAs supplementation on myocardial function and oxidative stress markers in typical Rett syndrome
PubMed ID: 24526821
High-dose omega-3 (including DHA) improved subclinical myocardial systolic function in Rett syndrome (RCT, 1 yr).
- Reduced anxiety in forensic inpatients after a long-term intervention with Atlantic salmon
PubMed ID: 25431880
Salmon consumption increased HRV and lowered HRâobjective heartâsupportive effects.
- Increasing long-chain n-3PUFA consumption improves small peripheral artery function in patients at intermediate-high cardiovascular risk
PubMed ID: 24746829
Doseârelated improvement in smallâartery endothelial function and reductions in inflammatory/CV markers support vascular/heart benefit.
- The effects of long-chain omega-3 fish oils and multivitamins on cognitive and cardiovascular function: a randomized, controlled clinical trial
PubMed ID: 25565485
Highâdose fish oil lowered central aortic pressure (aortic stiffness) in one armâfavorable cardiovascular effect.
- Aterofisiol(Âź) in carotid plaque evolution
PubMed ID: 26229448
Preâop nutraceutical including DHA reduced carotid plaque lipid/cholesterol and fewer perioperative neurologic events (atherothrombotic relevance).
- Effects of omega-3 carboxylic acids on lipoprotein particles and other cardiovascular risk markers in high-risk statin-treated patients with residual hypertriglyceridemia: a randomized, controlled, double-blind trial
PubMed ID: 26328624
In statin-treated high-risk patients, high-dose omega-3 reduced triglycerides, shifted LDL to larger particles and lowered Apo CIIIâchanges relevant to cardiovascular risk.
- Effect of TAK-085 on Low-density Lipoprotein Particle Size in Patients with Hypertriglyceridemia: A Double-blind Randomized Clinical Study
PubMed ID: 26222126
TAKâ085 (EPA+DHA) shifted LDL to larger, less atherogenic particles (favourable cardiometabolic profile).
- A randomized, crossover, head-to-head comparison of eicosapentaenoic acid and docosahexaenoic acid supplementation to reduce inflammation markers in men and women: the Comparing EPA to DHA (ComparED) Study
PubMed ID: 27281302
DHA increased HDL and adiponectin and modulated LDL/TG differently than EPAâfavorable CV biomarker changes.
- Treatment for 6Â months with fish oil-derived n-3 polyunsaturated fatty acids has neutral effects on glycemic control but improves dyslipidemia in type 2 diabetic patients with abdominal obesity: a randomized, double-blind, placebo-controlled trial
PubMed ID: 27913872
4 g/day fish oil lowered triglycerides and raised HDL in type 2 diabetic patients with abdominal obesityâfavorable lipid changes for heart health.
- A Randomized, Double-Blind, Placebo-Controlled Clinical Trial to Assess the Efficacy and Safety of Ethyl-Ester Omega-3 Fatty Acid in Taiwanese Hypertriglyceridemic Patients
PubMed ID: 27600795
Prescription ethylâester omegaâ3 produced substantial (~30%) triglyceride reductions in hypertriglyceridemic patientsâclear lipid benefit relevant to cardiac risk.
- Serum metabolomics profiles in response to n-3 fatty acids in Chinese patients with type 2 diabetes: a double-blind randomised controlled trial
PubMed ID: 27404516
In T2D, fishâoil markedly raised EPA/DHA and CMPF; CMPF increase correlated with lower triglycerides (favourable lipid effects).
- Effect of Eicosapentaenoic and Docosahexaenoic Acids Added to Statin Therapy on Coronary Artery Plaque in Patients With Coronary Artery Disease: A Randomized Clinical Trial
PubMed ID: 29246960
Highâdose EPA+DHA added to statin therapy reduced triglycerides and attenuated progression of fibrous coronary plaque (perâprotocol), indicating cardiovascular benefit.
- Effects of docosahexanoic acid on metabolic and fat parameters in HIV-infected patients on cART: A randomized, double-blind, placebo-controlled study
PubMed ID: 28648475
DHA produced large, rapid triglyceride reductions in ARTâtreated HIV patientsâfavorable cardiovascular risk factor effect.
- Omega-3 Fatty Acid Could Increase One of Myokines in Male Patients with Coronary Artery Disease: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 28112528
Omegaâ3 increased irisin and lowered hsâCRP and LDL in men with CAD over 8 weeksâfavorable heartârelevant lipid/inflammatory changes.
- Relationship between the omega-3 index and specialized pro-resolving lipid mediators in patients with peripheral arterial disease taking fish oil supplements
PubMed ID: 28778393
Raised omegaâ3 index and proâresolving mediator precursors in PAD patientsâbiochemical changes relevant to vascular/heart health.
- Effect of Low Dose Docosahexaenoic Acid-Rich Fish Oil on Plasma Lipids and Lipoproteins in Pre-Menopausal Women: A Doseâ»Response Randomized Placebo-Controlled Trial
PubMed ID: 30297663
DHAârich tuna oil substantially reduced triglycerides (clinically meaningful) in premenopausal womenâbeneficial to cardiovascular risk profile.
- The effect of eicosapentaenoic and docosahexaenoic acids on physical function, exercise, and joint replacement in patients with coronary artery disease: A secondary analysis of a randomized clinical trial
PubMed ID: 29752179
Longâterm EPA+DHA in CAD patients preserved function and increased exercise timeâsupports cardiac rehabilitation/functional benefits.
- Effects of Marine n-3 Polyunsaturated Fatty Acids on Heart Rate Variability and Heart Rate in Patients on Chronic Dialysis: A Randomized Controlled Trial
PubMed ID: 30227610
1 g EPA + 1 g DHA/day in dialysis patients lowered heart rate, reduced triglycerides and showed signals of improved vagal HRVâdirect cardiovascular benefits.
- High-Dose DHA Has More Profound Effects on LDL-Related Features Than High-Dose EPA: The ComparED Study
PubMed ID: 29846653
Headâtoâhead DHA vs EPA trial showed DHA modestly increased LDLâC but shifted LDL toward larger particles and increased LDL turnover â clinically relevant lipid changes.
- Triacylglycerol-Lowering Effect of Docosahexaenoic Acid Is Not Influenced by Single-Nucleotide Polymorphisms Involved in Lipid Metabolism in Humans
PubMed ID: 30407633
Randomized crossover feeding study in metabolicâsyndrome subjects showed ~24% triglyceride lowering with dietary DHA â a strong cardiometabolic effect.
- Docosahexaenoic acid reduces resting blood pressure but increases muscle sympathetic outflow compared with eicosapentaenoic acid in healthy men and women
PubMed ID: 30735073
DHA lowered resting systolic and diastolic BP vs EPA in healthy adults (cardiovascular benefit).
- An omega-3 fatty acid plasma index â„4% prevents progression of coronary artery plaque in patients with coronary artery disease on statin treatment
PubMed ID: 31055222
Omegaâ3 index â„4% strongly associated with prevention of coronary plaque progression in statinâtreated patients (clinically relevant cardiac outcome).
- Effects of oily fish intake on cardiometabolic markers in healthy 8- to 9-y-old children: the FiSK Junior randomized trial
PubMed ID: 31595295
Oilyâfish intake in children modestly lowered triglycerides and raised HDL, favorable for cardiovascular risk profile.
- Effect of supplementation with omega-3 fatty acids on hypertriglyceridemia in pediatric patients with obesity
PubMed ID: 31271554
Highâdose omegaâ3 in hypertriglyceridemic obese children produced large triglyceride reductions (~39%).
- Omega-3 index and blood pressure responses to eating foods naturally enriched with omega-3 polyunsaturated fatty acids: a randomized controlled trial
PubMed ID: 32963294
DHAâenriched foods raised tissue omegaâ3 and reduced ambulatory diastolic BP and heart rateâclinically relevant heart/vascular benefits.
- Lowering effects of fish oil supplementation on proinflammatory markers in hypertension: results from a randomized controlled trial
PubMed ID: 32044905
Reduced systemic inflammation (TNFâα, CRP) in hypertensive adults; antiâinflammatory effects are cardioprotective.
- 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
PubMed ID: 34371972
DHAârich supplementation in overweight postmenopausal women lowered triglycerides and modestly reduced diastolic BP â supportive of heart health.
- Changes in lipoprotein particle subclasses, standard lipids, and apolipoproteins after supplementation with n-3 or n-6 PUFAs in abdominal obesity: A randomized double-blind crossover study
PubMed ID: 33933722
Highâdose EPA+DHA in abdominal obesity produced large reductions in VLDL and triglycerides (strong lipid effects relevant to cardiovascular risk).
- Effectiveness of a Novel Ï-3 Krill Oil Agent in Patients With Severe Hypertriglyceridemia: A Randomized Clinical Trial
PubMed ID: 34989797
Large krillâoil RCT lowered triglycerides substantially and raised EPA/DHA (cardiometabolic marker beneficial for heart health).
- Changes in eicosapentaenoic acid and docosahexaenoic acid and risk of cardiovascular events and atrial fibrillation: A secondary analysis of the OMEMI trial
PubMed ID: 34982486
In elderly postâMI patients, larger onâtreatment EPA increases associated with fewer MACE (strong link to cardiovascular protection), though AF risk rose.
- N-3 fatty acid supplementation mediates lipid profile, including small dense LDL, when combined with statins: a randomized double blind placebo controlled trial
PubMed ID: 36050695
Adding 4 g/day EPA+DHA to statin therapy produced large, clinically meaningful reductions in triglycerides, nonâHDL and small dense LDLâstrong cardiometabolic benefit.
- Regression of Coronary Fatty Plaque and Risk of Cardiac Events According to Blood Pressure Status: Data From a Randomized Trial of Eicosapentaenoic Acid and Docosahexaenoic Acid in Patients With Coronary Artery Disease
PubMed ID: 37681568
CCTA trial: EPA+DHA associated with coronary fatty plaque regression, triglyceride lowering and far fewer cardiac events.
- DHA Supplementation During Pregnancy Enhances Maternal Vagally Mediated Cardiac Autonomic Control in Humans
PubMed ID: 35953431
Pregnancy doseâstudy: 800 mg/day DHA lowered heart rate and increased vagal HRV, indicating improved autonomic cardiac control.
- Effect of coadministration of omega-3 fatty acids with glimepiride on glycemic control, lipid profile, irisin, and sirtuin-1 in type 2 diabetes mellitus patients: a randomized controlled trial
PubMed ID: 38001474
EPA/DHA added to glimepiride improved HbA1c, TG and HDL in T2D over 12 weeks â supports cardiometabolic risk profile improvement.
- Omega-3 Fatty Acids Reduce Remnant-like Lipoprotein Cholesterol and Improve the Ankle-Brachial Index of Hemodialysis Patients with Dyslipidemia: A Pilot Study
PubMed ID: 38256336
In dialysis patients highâdose EPA+DHA lowered remnant cholesterol and improved ankleâbrachial index, indicating improved atherogenic lipids and peripheral arterial status.
- Impact of omega-3 fatty acids on hypertriglyceridemia, lipidomics, and gut microbiome in patients with type 2 diabetes
PubMed ID: 39163858
4 g/day fish oil markedly lowered triglycerides (~1.5 mmol/L), a major cardiovascular risk factor.
- Efficacy and safety of omega-3-acid ethyl acetate 90 capsules in severe hypertriglyceridemia: A randomized, controlled, multicenter study
PubMed ID: 38830807
12âweek omegaâ3 ethyl esters produced consistent, significant triglyceride and atherogenic lipid reductions in severe hypertriglyceridemia â strong cardiometabolic evidence.
- Effects of Daily Consumption of Scallop Oil Prepared from Internal Organs of Japanese Giant Scallop (Patinopecten yessoensis) on Serum Lipid Composition and Its Safety: A Randomized, Double-blind, Placebo-controlled, Parallel Group Comparison Study
PubMed ID: 39168625
Scallop oil lowered triglycerides (in higherâTG subgroup) and oxidizedâLDL â modest supportive evidence for bloodâfat mediated heart support.
- Validation of Nutritional Approaches to Modulate Cardiovascular and Diabetic Risk Factors in Patients with Hypertriglyceridemia or Prediabetes-The MoKaRi II Randomized Controlled Study
PubMed ID: 38732508
Dietary intervention including fish oil improved triglycerides and LDL, favorable for cardiovascular risk reduction.
- Fish-Oil Supplementation and Cardiovascular Events in Patients Receiving Hemodialysis
PubMed ID: 41201837
Large RCT in hemodialysis patients: fishâoil (EPA+DHA) substantially reduced major cardiovascular events and cardiac death (robust clinical benefit).
- A Bayesian analysis of the VITAL trial: effects of Ï-3 fatty acid supplementation on cardiovascular events
PubMed ID: 40032221
Large VITAL reanalysis: daily EPA+DHA modestly lowered coronary event/MI risk (consistent cardioprotective signal).
- Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm microcirculation in hyperlipidemic, overweight men
PubMed ID: 10982541
DHA (not EPA) improved forearm vascular reactivity and reduced vasoconstrictor responsivenessâdirect vascular/heartâsupport physiology.
- Long-term omega-3 polyunsaturated fatty acid supplementation reduces the recurrence of persistent atrial fibrillation after electrical cardioversion
PubMed ID: 22120130
Large RCT: long-term EPA+DHA markedly reduced AF recurrence after cardioversion (major clinical cardiac endpoint).
- n-3 fatty acids of marine origin lower systolic blood pressure and triglycerides but raise LDL cholesterol compared with n-3 and n-6 fatty acids from plants
PubMed ID: 1971991
Controlled diet study: marine EPA+DHA reduced systolic BP (~â5.1 mmHg) and markedly lowered triglyceridesâcardiovascular risk marker improvements.
- Randomized, double-blind, placebo-controlled trial of fish oil and mustard oil in patients with suspected acute myocardial infarction: the Indian experiment of infarct survival--4
PubMed ID: 9310278
Large randomized trial showed fish oil substantially reduced total cardiac events and cardiac deathâstrong direct clinical heart benefit.
- Eicosapentaenoic acid and docosahexaenoic acid from fish oils: differential associations with lipid responses
PubMed ID: 12010583
In hypertriglyceridemic men, fish oil substantially lowered fasting and postprandial triglycerides (but raised LDL and LDL oxidation), showing strong effects on lipid risk factors.
- Influence of alpha-linolenic acid and fish-oil on markers of cardiovascular risk in subjects with an atherogenic lipoprotein phenotype
PubMed ID: 15939062
Fish oil substantially lowered triglycerides (-23%) and decreased small dense LDL in men with an atherogenic profileâstrong cardiovascular risk improvement.
- Effect of varying the ratio of n-6 to n-3 fatty acids by increasing the dietary intake of alpha-linolenic acid, eicosapentaenoic and docosahexaenoic acid, or both on fibrinogen and clotting factors VII and XII in persons aged 45-70 y: the OPTILIP study
PubMed ID: 16960164
Lowering nâ6:nâ3 by adding EPA/DHA reduced fasting and postprandial triglyceridesâbeneficial for heart risk profile.
- Effects of altering the ratio of dietary n-6 to n-3 fatty acids on insulin sensitivity, lipoprotein size, and postprandial lipemia in men and postmenopausal women aged 45-70 y: the OPTILIP Study
PubMed ID: 17158408
Dietary EPA/DHA reduced triglycerides and decreased proportion of small dense LDLs in older adultsâfavorable for heart health.
- Higher plasma docosahexaenoic acid is associated with reduced progression of coronary atherosclerosis in women with CAD
PubMed ID: 16983146
Higher plasma DHA linked to slower coronary atherosclerosis progression over ~3 yearsâprospective human evidence of cardio benefit.
- Dietary alpha-linolenic acid, EPA, and DHA have differential effects on LDL fatty acid composition but similar effects on serum lipid profiles in normolipidemic humans
PubMed ID: 19261730
DHA intervention reduced triglycerides and increased HDL (favorable lipid changes for heart health).
- Serum long-chain n-3 polyunsaturated fatty acids and risk of hospital diagnosis of atrial fibrillation in men
PubMed ID: 19933935
Large prospective study: higher serum DHA linked with substantially lower atrial fibrillation risk (epidemiologic cardiac benefit).
- n-3 fatty acids, ventricular arrhythmia-related events, and fatal myocardial infarction in postmyocardial infarction patients with diabetes
PubMed ID: 22110169
Postâhoc subgroup (postâMI with diabetes): combined EPA+DHA+ALA associated with markedly fewer ventricular arrhythmiaârelated events.
- Margarines fortified with α-linolenic acid, eicosapentaenoic acid, or docosahexaenoic acid alter the fatty acid composition of erythrocytes but do not affect the antioxidant status of healthy adults
PubMed ID: 22810989
DHA/EPAâfortified margarine substantially raised erythrocyte EPA/DHA and the omegaâ3 indexâfavourable heart risk biomarker change.
- Effects of n-3 fatty acids on major cardiovascular events in statin users and non-users with a history of myocardial infarction
PubMed ID: 22301766
Large RCT subgroup: in statin nonâusers, EPA+DHA+ALA associated with a large (borderline significant) reduction in major CV events.
- A dietary biomarker approach captures compliance and cardiometabolic effects of a healthy Nordic diet in individuals with metabolic syndrome
PubMed ID: 25080537
Healthy Nordic diet raised EPA/DHA and produced larger cardiometabolic benefits among compliant participantsârelevant to heart health.
- Effects of n-3 fatty acid supplements on glycemic traits in Chinese type 2 diabetic patients: A double-blind randomized controlled trial
PubMed ID: 27279274
180âday fishâoil in T2D improved HbA1c and lipid profileâcardiometabolic improvements supportive of heart health.
- Lowering Effects of n-3 Fatty Acid Supplements on Blood Pressure by Reducing Plasma Angiotensin II in Inner Mongolia Hypertensive Patients: A Double-Blind Randomized Controlled Trial
PubMed ID: 30511840
Fish oil (2 g/day EPA+DHA) reduced systolic BP (~4.5 mmHg) and plasma angiotensin II in hypertensive adults.
- EPA+DHA, but not ALA, Improved Lipids and Inflammation Status in Hypercholesterolemic Adults: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 30900815
EPA+DHA significantly lowered triglycerides (12â16%) and reduced inflammatory signalingâboth cardiometabolic risk factors.
- Plasma Omega-3 Fatty Acids and the Risk of Cardiovascular Events in Patients After an Acute Coronary Syndrome in MERLIN-TIMI 36
PubMed ID: 33840228
Large ACS biomarker caseâcohort: higher longâchain Ïâ3s (including DHA) linked to â18% lower cardiovascular death and 27% lower sudden cardiac death odds.
- Effects of marine-derived and plant-derived omega-3 polyunsaturated fatty acids on erythrocyte fatty acid composition in type 2 diabetic patients
PubMed ID: 35144649
Fish oil in T2DM raised omegaâ3 index and substantially lowered triglycerides â clinically relevant CVD risk modification.
- Blood pressure, serum lipids, and fatty acids in populations on a lake-fish diet or on a vegetarian diet in Tanzania
PubMed ID: 8729141
Crossâpopulation data linked higher DHA with lower systolic BP and lower total cholesterol (observational association with heart health).
- The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans
PubMed ID: 12145002
EPA and DHA (3 g/day) substantially increased arterial elasticity and lowered triglycerides in dyslipidemic adults.
- Moderate fish-oil supplementation reverses low-platelet, long-chain n-3 polyunsaturated fatty acid status and reduces plasma triacylglycerol concentrations in British Indo-Asians
PubMed ID: 15159226
12-week human RCT (4 g/day) lowered plasma TAG, increased platelet EPA/DHA and improved other lipid markers â strong heart-relevant biochemical evidence.
- Regular consumption of n-3 fatty acid-enriched pork modifies cardiovascular risk factors
PubMed ID: 18590592
DHAâenriched pork increased erythrocyte DHA and produced reductions in serum TAG and platelet activation markers.
- Early impact of prescription Omega-3 fatty acids on platelet biomarkers in patients with coronary artery disease and hypertriglyceridemia
PubMed ID: 21701167
Prescription omegaâ3 reduced platelet activation markers in CAD patients (shortâterm RCT), supporting cardiovascular benefit mechanisms.
- Effects of serum n-3 to n-6 polyunsaturated fatty acids ratios on coronary atherosclerosis in statin-treated patients with coronary artery disease
PubMed ID: 23040588
Higher serum nâ3:nâ6 ratios (including DHA) were associated with less coronary plaque progression in statinâtreated patients (observational).
- A highly bioavailable omega-3 free fatty acid formulation improves the cardiovascular risk profile in high-risk, statin-treated patients with residual hypertriglyceridemia (the ESPRIT trial)
PubMed ID: 23998969
Large RCT in statinâtreated highârisk patients: OM3âFFA (contains DHA) significantly lowered triglycerides and nonâHDLâCâcardioârelevant lipid benefits.
- Omega-3 free fatty acids for the treatment of severe hypertriglyceridemia: the EpanoVa fOr Lowering Very high triglyceridEs (EVOLVE) trial
PubMed ID: 24528690
Multinational RCT in severe hypertriglyceridemia: doseâdependent and substantial TG lowering with OM3âFFA (EPA+DHA) supports heartârisk reduction.
- Efficacy of a unique omega-3 formulation on the correction of nutritional deficiency and its effects on cardiovascular disease risk factors in a randomized controlled VASCAZEN(Âź) REVEAL Trial
PubMed ID: 25185754
6:1 EPA:DHA formulation normalized blood omegaâ3 and markedly lowered TGs in hypertriglyceridemic subgroupâcardiometabolic benefit.
- The effect of omega-3 carboxylic acids on apolipoprotein CIII-containing lipoproteins in severe hypertriglyceridemia
PubMed ID: 27919362
OM3âCA reduced apoCIII and favorably shifted LDL subspeciesâstrong cardiometabolic signal.
- Treatment with high-dose n-3 PUFAs has no effect on platelet function, coagulation, metabolic status or inflammation in patients with atherosclerosis and type 2 diabetes
PubMed ID: 28410617
Highâdose EPA/DHA markedly raised blood nâ3 levels in atherosclerotic/diabetic patients (clear biochemical effect), despite minimal changes in some clinical clotting markers.
- Effects of docosahexanoic acid supplementation on inflammatory and subcutaneous adipose tissue gene expression in HIV-infected patients on combination antiretroviral therapy (cART). A sub-study of a randomized, double-blind, placebo-controlled study
PubMed ID: 29471285
Marked TG reduction and improved inflammatory profile in HIV patientsârelevant to heart risk reduction.
- Omega-3 polyunsaturated fatty acid supplementation improves lipid metabolism and endothelial function by providing a beneficial eicosanoid-pattern in patients with acute myocardial infarction: A randomized, controlled trial
PubMed ID: 33041091
PostâAMI RCT showed increases in DHA/EPA oxylipins, reductions in triglycerides/ApoB/Lp(a) and increased nitric oxideâstrong CV biomarker improvements.
- Efficacy and tolerability of adding prescription omega-3 fatty acids 4 g/d to simvastatin 40 mg/d in hypertriglyceridemic patients: an 8-week, randomized, double-blind, placebo-controlled study
PubMed ID: 17825687
Large RCT: prescription omegaâ3 added to simvastatin significantly improved nonâHDL cholesterol and triglycerides (cardiovascular risk markers).
- Effect of supplemented intake of omega-3 fatty acids on arrhythmias in patients with ICD: fish oil therapy may reduce ventricular arrhythmia
PubMed ID: 28664342
RCT in ischemic cardiomyopathy/ICD patients: EPA+DHA reduced ventricular tachyarrhythmia episodes versus placebo.
- Maxepa versus bezafibrate in hyperlipidemic cardiac transplant recipients
PubMed ID: 1466329
Fish oil substantially lowered triglycerides in heart transplant patients (randomized open study) â clinically meaningful TG lowering.
- Efficacy and Safety of Adding Omega-3 Fatty Acids in Statin-treated Patients with Residual Hypertriglyceridemia: ROMANTIC (Rosuvastatin-OMAcor iN residual hyperTrIglyCeridemia), a Randomized, Double-blind, and Placebo-controlled Trial
PubMed ID: 29223557
Wellâpowered RCT: adding 4 g/day Ïâ3 to rosuvastatin produced large triglyceride and nonâHDLâC reductions â cardiometabolic benefit.
- Effects of Fatty Acid Therapy in Addition to Strong Statin on Coronary Plaques in Acute Coronary Syndrome: An Optical Coherence Tomography Study
PubMed ID: 32805184
Randomized study found EPA or EPA+DHA increased fibrous cap thickness in thinâcap coronary plaques, suggesting plaque stabilization/vascular benefit.
- Effects of fish oil and curcumin supplementation on cerebrovascular function in older adults: A randomized controlled trial
PubMed ID: 32127335
RCT with DHA-rich fish oil lowered triglycerides, heart rate, raised HDL and reduced artery stiffness (cardiovascular risk markers).
- Dose-response effects of fish-oil supplementation in healthy volunteers
PubMed ID: 2141757
Doseâdependent incorporation of EPA/DHA with clear, reproducible triglyceride reductions â strong cardiometabolic support.
- Effect of eicosapentaenoic and docosahexaenoic acids on blood pressure in hypertension. A population-based intervention trial from the TromsĂž study
PubMed ID: 2137901
Large RCT in hypertensive adults: modest, clinically meaningful reductions in systolic/diastolic BP with EPA+DHA.
- Influence of fish oil on blood lipids in coronary artery disease
PubMed ID: 1831755
Doseâresponsive triglyceride lowering in coronary disease patients supports cardiac risk improvement.
- Docosahexaenoic and eicosapentaenoic acids in plasma phospholipids are divergently associated with high density lipoprotein in humans
PubMed ID: 1534256
Large trial: TG lowered 21% and HDL modestly raisedâfavorable lipid profile for heart health.
- Double-blind, randomized, controlled trial of fish oil supplements in prevention of recurrence of stenosis after coronary angioplasty
PubMed ID: 1537131
Large RCT showed marked reduction in angiographic restenosis after PTCA (strong cardiovascular benefit).
- Effects of a fish oil supplement on blood pressure and serum lipids in patients treated for coronary artery disease
PubMed ID: 1617510
Coronary patients had clear triglyceride lowering and favorable effect on systolic BP (cardiac patients).
- Long-term effects of n-3 fatty acids on serum lipids and glycaemic control
PubMed ID: 7939369
6âmonth EPA/DHA after bypass surgery produced a large (~33%) triglyceride reduction and modest insulin effects â favorable for cardiac risk profile.
- n-3 fatty acid ethyl ester administration to healthy subjects and to hypertriglyceridemic patients reduces tissue factor activity in adherent monocytes
PubMed ID: 7918310
Large reductions in monocyte tissue factor activity reduce a procoagulant stimulus â potentially cardioprotective.
- Effects of n-3 polyunsaturated fatty acids on glucose homeostasis and blood pressure in essential hypertension. A randomized, controlled trial
PubMed ID: 7486485
16âweek RCT in hypertensive adults: 4 g/day EPA+DHA lowered systolic BP modestly and TGsârelevant to cardiovascular support.
- Improvement of serum lipids and blood pressure during intervention with n-3 fatty acids was not associated with changes in insulin levels in subjects with combined hyperlipidaemia
PubMed ID: 7891046
High EPA/DHA concentrate markedly lowered triglycerides and reduced blood pressure in combined hyperlipidemia.
- Effects of highly purified eicosapentaenoic acid and docosahexaenoic acid on hemodynamics in humans
PubMed ID: 9665096
DHA-specific lowering of heart rate and improved LV diastolic filling (favorable cardiac physiology).
- Effect of medium-term supplementation with a moderate dose of n-3 polyunsaturated fatty acids on blood pressure in mild hypertensive patients
PubMed ID: 9733153
Moderate-dose EPA+DHA lowered systolic and diastolic BP in mild hypertensivesâsupports cardiovascular benefit.
- Docosahexaenoic acid but not eicosapentaenoic acid lowers ambulatory blood pressure and heart rate in humans
PubMed ID: 10454450
Purified DHA significantly reduced 24-hour ambulatory blood pressure and heart rateâdirect cardioprotective effects.
- The effect of dietary omega-3 fatty acids on coronary atherosclerosis. A randomized, double-blind, placebo-controlled trial
PubMed ID: 10189324
Large trial showed modest slowing of coronary atherosclerotic progressionâdirect heart disease relevance.
- Heart rate variability and fatty acid content of blood cell membranes: a dose-response study with n-3 fatty acids
PubMed ID: 10479194
Dose-dependent increases in membrane DHA improved heart rate variability in menâcardiac autonomic support.
- Purified eicosapentaenoic and docosahexaenoic acids have differential effects on serum lipids and lipoproteins, LDL particle size, glucose, and insulin in mildly hyperlipidemic men
PubMed ID: 10799369
DHA/EPA lowered TG (~18â20%) and altered LDL/HDL fractions in mildly hyperlipidemic men â beneficial cardiac lipid effects.
- Effect of a fish-oil concentrate on serum lipids in postmenopausal women receiving and not receiving hormone replacement therapy in a placebo-controlled, double-blind trial
PubMed ID: 10919932
Postmenopausal women on fish oil had large TG drops and improved TG:HDL ratio â favorable for heart risk.
- ApoE polymorphism and fish oil supplementation in subjects with an atherogenic lipoprotein phenotype
PubMed ID: 10938022
In atherogenic men, EPA+DHA greatly reduced fasting and postprandial triglycerides and reduced small dense LDL â cardiometabolic improvements linked to heart benefit.
Growth support (146)
- Prenatal supplementation with DHA improves attention at 5 y of age: a randomized controlled trial
PubMed ID: 27604770
Prenatal DHA improved sustained attention at age 5âevidence of positive cognitive development from prenatal DHA.
- [Docosahexaenoic acid benefits on growth and body composition of septic neonates. Randomized trial]
PubMed ID: 40489675
Enteral DHA in septic neonates preserved growth and fat-free massâimportant for infant development in critical illness.
- Effects of Prenatal DHA Dose on Infant Visual Attention
PubMed ID: 40791013
Higher prenatal DHA (800 mg/day) improved infant visual attention/learning at 4â6 months â direct infant brain/vision outcome.
- Racial disparity in efficacy of docosahexaenoic acid supplementation for prevention of preterm birth: secondary analysis from a randomized, double-blind trial
PubMed ID: 38552960
Higherâdose prenatal DHA raised maternal RBCâDHA and reduced preterm birth risk overall, which supports better infant developmental outcomes indirectly.
- Docosahexaenoic Acid Supplementation for Neonatal Hyperbilirubinemia: A Double-Blind, Randomized Clinical Trial
PubMed ID: 38680033
Newborn RCT showed reductions in neuronal injury marker and abnormal MRI with DHA in infants with hyperbilirubinemiaâneuroprotective evidence.
- Does Growth Velocity Affect Associations between Birth Weight and Neurodevelopment for Infants Born Very Preterm?
PubMed ID: 37268036
Faster early growth partially explained better cognitive and language scores in very preterm infants in omegaâ3 trial context.
- Mediation Analysis to Untangle Opposing Associations of High-Dose Docosahexaenoic Acid With IQ and Bronchopulmonary Dysplasia in Children Born Preterm
PubMed ID: 37294565
Highâdose neonatal DHA increased average IQ in extremely preterm infants â strong infant brain development signal.
- Early and late preterm birth rates in participants adherent to randomly assigned high dose docosahexaenoic acid (DHA) supplementation in pregnancy
PubMed ID: 36680919
Large pregnancy trial: highâdose maternal DHA and achieving higher blood DHA strongly lowered very early and overall preterm birth rates (important for infant neurodevelopment).
- Impact of DHA from Algal Oil on the Breast Milk DHA Levels of Lactating Women: A Randomized Controlled Trial in China
PubMed ID: 36014916
Algal DHA supplementation in lactating women significantly raised breastâmilk DHA and improved nâ6/nâ3 balanceâdirectly supports infant DHA exposure for brain/retina development.
- Docosahexaenoic acid (DHA) intake estimated from a 7-question survey identifies pregnancies most likely to benefit from high-dose DHA supplementation
PubMed ID: 36657936
Pooled RCT analysis: women with low baseline DHA who received highâdose DHA had substantially lower early/preterm birthâimportant for infant neurodevelopmental outcomes.
- Maternal High-Dose DHA Supplementation and Neurodevelopment at 18-22 Months of Preterm Children
PubMed ID: 35652296
Highâdose maternal DHA showed no overall 18â22 month neurodevelopment benefit but a subgroup (<27 wk GA) had better language scoresâselective infant developmental benefit.
- Supplementation of EPA and DHA in pregnant women with type 1 diabetes mellitus
PubMed ID: 34210228
EPA/DHA supplements in pregnant women raised maternal and cord DHA (direct biomarker evidence relevant to fetal brain/vision development).
- Infant Metabolome in Relation to Prenatal DHA Supplementation and Maternal Single-Nucleotide Polymorphism rs174602: Secondary Analysis of a Randomized Controlled Trial in Mexico
PubMed ID: 34494106
Prenatal DHA produced substantial, genotypeâdependent changes in infant plasma metabolome at 3 months â mechanistic support for developmental effects.
- Maternal FADS2 single nucleotide polymorphism modified the impact of prenatal docosahexaenoic acid (DHA) supplementation on child neurodevelopment at 5 years: Follow-up of a randomized clinical trial
PubMed ID: 34543890
Prenatal DHA (400 mg/day) improved 5âyear cognitive outcomes (memory, quantitative) in offspring of mothers with specific FADS2 genotype â strong developmental benefit in subgroup.
- Prenatal docosahexaenoic acid effect on maternal-infant DHA-equilibrium and fetal neurodevelopment: a randomized clinical trial
PubMed ID: 34552200
800 mg/day prenatal DHA significantly increased maternal and cord DHA and maternalâinfant DHA equilibrium â strong biomarker support for fetal DHA supply.
- Microencapsulated Tuna Oil Results in Higher Absorption of DHA in Toddlers
PubMed ID: 31963702
Toddler formula with microencapsulated tuna oil substantially increased wholeâblood DHA and omegaâ3 index â relevant to infant/toddler brain/retina DHA status.
- Multiple Micronutrients and Docosahexaenoic Acid Supplementation during Pregnancy: A Randomized Controlled Study
PubMed ID: 32823606
Prenatal supplementation (200 mg DHA/day) raised maternal RBC DHA/omegaâ3 indexâimproves substrate availability for fetal brain/vision development.
- A Mixed Lipid Emulsion Containing Fish Oil and Its Effect on Electrophysiological Brain Maturation in Infants of Extremely Low Birth Weight: A Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 31030946
ELBW infants receiving fishâoil containing lipid emulsion showed earlier and higher electrophysiological brain maturation â strong neonatal DHAârelevant evidence.
- Enteral Docosahexaenoic Acid and Retinopathy of Prematurity: A Randomized Clinical Trial
PubMed ID: 30614004
DHA reduced severe ROP in very lowâbirthâweight infants, a direct infant vision benefit.
- Fetal DHA inadequacy and the impact on child neurodevelopment: a follow-up of a randomised trial of maternal DHA supplementation in pregnancy
PubMed ID: 29316994
Maternal DHA supplementation showed no groupâlevel neurodevelopment benefit at 5â6 y, but maternal DHA status correlated with some child cognitive measures (associational support).
- Dose-response relationship between docosahexaenoic acid (DHA) intake and lower rates of early preterm birth, low birth weight and very low birth weight
PubMed ID: 30392575
Doseâresponse analysis linked higher maternal DHA intake to substantially fewer very early preterm and very low birthweight infants â strong perinatal outcome with implications for infant neurodevelopment/vision.
- Associations of maternal nutrition during pregnancy and post-partum with maternal cognition and caregiving
PubMed ID: 29098783
Large trial: although overall cognition outcomes were null, higher breastmilk DHA associated with small improvements in infant attention/verbal outcomes and some subgroup benefits.
- The effect of perinatal fish oil supplementation on neurodevelopment and growth of infants: a randomized controlled trial
PubMed ID: 28752418
Maternal fishâoil from midâpregnancy to postpartum modestly improved infant communication scores at 4 months (developmental benefit).
- Improved cognitive development among preterm infants attributable to early supplementation of human milk with docosahexaenoic acid and arachidonic acid
PubMed ID: 18519483
Very preterm infants had improved problem solving and ERP memory markers after DHA+ARA supplementation.
- Daily Enteral DHA Supplementation Alleviates Deficiency in Premature Infants
PubMed ID: 26846324
Daily enteral DHA in preterm infants significantly raised blood DHA and supported linear growth (direct neonatal DHA delivery and growth benefit).
- Docosahexaenoic acid supplementation (DHA) and the return on investment for pregnancy outcomes
PubMed ID: 27499448
Economic analysis of an RCT subset found prenatal DHA associated with lower infant hospital costs (fewer early preterm births), indicating improved early infant health outcomes.
- Prenatal DHA supplementation and infant attention
PubMed ID: 27362506
Prenatal DHA (600 mg/day) produced more stable sustained attention and faster habituation in infants 4â9 monthsâdirect evidence for early brain/attention development effects.
- Omega-3 fatty acid deficiency in infants before birth identified using a randomized trial of maternal DHA supplementation in pregnancy
PubMed ID: 24427279
Maternal 400 mg/day DHA raised maternal RBC DHA and reduced risk of suboptimal early infant language and 2-month visual acuity (large RCT).
- Effect of docosahexaenoic acid supplementation on inflammatory cytokine levels in infants at high genetic risk for type 1 diabetes
PubMed ID: 25039804
Maternal/infant supplementation increased infant RBC DHA substantially and altered inflammatory cytokines in infants â directly relevant to infant development milieu.
- Effect of docosahexaenoic acid-enriched fish oil supplementation in pregnant women with Type 2 diabetes on membrane fatty acids and fetal body composition--double-blinded randomized placebo-controlled trial
PubMed ID: 24925713
600 mg/day maternal DHA markedly raised maternal and neonatal membrane DHA and plasma DHA â direct biomarker evidence relevant to infant brain/vision substrate.
- Proportions and concentrations of serum n-3 fatty acids can be increased by dietary counseling during pregnancy
PubMed ID: 24045792
Dietary counseling modestly increased maternal DHA and total nâ3 by third trimester â relevant to fetal DHA exposure.
- Fish-oil fat emulsion supplementation reduces the risk of retinopathy in very low birth weight infants: a prospective, randomized study
PubMed ID: 23963690
Parenteral fishâoil emulsions in VLBW infants raised DHA and produced major reductions in severe ROP and cholestasisâdirect and large benefits for infant vision and overall neonatal outcomes.
- Effects of docosahexaenoic acid supplementation during pregnancy on fetal heart rate and variability: a randomized clinical trial
PubMed ID: 23433688
Maternal DHA supplementation (600 mg/day) increased fetal HRV and improved newborn motor and autonomic behavior on NBASâstrong evidence for neurobehavioral maturation.
- The Mothers, Omega-3, and Mental Health Study: a double-blind, randomized controlled trial
PubMed ID: 23531328
Maternal DHA lengthened gestation and increased newborn sizeâa perinatal outcome that supports infant health and development though not direct cognitive/visual measures.
- DHA supplementation and pregnancy outcomes
PubMed ID: 23426033
Large RCT in pregnancy: 600 mg/day DHA increased maternal/cord DHA, modestly prolonged gestation and produced heavier/longer infants with fewer very early preterm birthsâsupports neonatal development.
- Short-term use of parenteral nutrition with a lipid emulsion containing a mixture of soybean oil, olive oil, medium-chain triglycerides, and fish oil: a randomized double-blind study in preterm infants
PubMed ID: 22237883
Preterm infants receiving fish-oil containing lipid emulsion had increased plasma/RBC DHA and EPA without short-term safety issuesâimproves neonatal DHA status.
- Effects of high-dose fish oil supplementation during early infancy on neurodevelopment and language: a randomised controlled trial
PubMed ID: 22348468
Highâdose infant fish oil raised DHA and produced small improvements in specific early communicative gestures (developmental domain).
- Dietary counseling to improve fat quality during pregnancy alters maternal fat intake and infant essential fatty acid status
PubMed ID: 21593355
Maternal dietary counseling improved cord DHA sufficiency indices and lowered ETA, supporting better DHA supply to infants â relevant to brain/vision development.
- The Salmon in Pregnancy Study: study design, subject characteristics, maternal fish and marine n-3 fatty acid intake, and marine n-3 fatty acid status in maternal and umbilical cord blood
PubMed ID: 21849598
Maternal dietary salmon (EPA/DHA) reliably increased maternal and cord blood EPA/DHAâsupports biological delivery needed for fetal brain/vision development.
- Plasma or red blood cell phospholipids can be used to assess docosahexaenoic acid status in women during pregnancy
PubMed ID: 19358928
Maternal plasma PL and RBC DHA strongly correlate with cord RBC DHA, validating biomarkers used to assess DHA exposure important for infant brain/vision development.
- Neurodevelopmental outcomes of preterm infants fed high-dose docosahexaenoic acid: a randomized controlled trial
PubMed ID: 19141765
HighâDHA feeds in very preterm infants produced a modest MDI improvement in girls at 18 monthsâsubgroup developmental benefit.
- Essential n-3 fatty acids in pregnant women and early visual acuity maturation in term infants
PubMed ID: 18326591
Maternal 400 mg/day DHA increased odds of better infant visual acuity at 60 days (adjusted OR â3.37), direct developmental outcome.
- Supplementation with 200 mg/day docosahexaenoic acid from mid-pregnancy through lactation improves the docosahexaenoic acid status of mothers with a habitually low fish intake and of their infants
PubMed ID: 18446020
Randomized trial: 200 mg/day maternal DHA from midâpregnancy through lactation clearly increased maternal, milk and infant DHA statusâdirect support for infant brain/vision substrate.
- A docosahexaenoic acid-functional food during pregnancy benefits infant visual acuity at four but not six months of age
PubMed ID: 17393217
Maternal DHA improved infant visual acuity at 4 months (small RCT)âdirect developmental vision effect.
- The effects of fish oil supplementation in pregnancy on breast milk fatty acid composition over the course of lactation: a randomized controlled trial
PubMed ID: 17957152
Maternal fish oil increased breastâmilk DHA/EPA and was associated with better infant DHA status and some developmental scores.
- Effects of fish-oil and folate supplementation of pregnant women on maternal and fetal plasma concentrations of docosahexaenoic acid and eicosapentaenoic acid: a European randomized multicenter trial
PubMed ID: 17490978
Pregnancy fishâoil supplementation significantly increased maternal and cordâblood DHA, directly supporting fetal DHA supply for brain/vision.
- Docosahexaenoic acid supply in pregnancy affects placental expression of fatty acid transport proteins
PubMed ID: 17023713
Placental transporter expression correlated with maternal/cord DHA, implicating mechanisms of fetal DHA transfer relevant to brain/vision.
- Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk
PubMed ID: 15333721
Randomized trial in term breastâfed infants: DHAâenriched food raised RBC DHA and produced a meaningful improvement in visual acuity by 12 months.
- Scotopic electroretinogram in term infants born of mothers supplemented with docosahexaenoic acid during pregnancy
PubMed ID: 12882824
Although supplementation did not change ERG outcomes overall, infants with higher cord DHA had more sensitive retinasâstatus-dependent association relevant to infant vision/brain.
- A randomized trial of docosahexaenoic acid supplementation during the third trimester of pregnancy
PubMed ID: 12636950
Third-trimester DHA increased gestation length (longer gestation can benefit infant development; indirect support).
- A randomized trial of supplementation with docosahexaenoic acid-rich tuna oil and its effects on the human milk cytokines interleukin 1 beta, interleukin 6, and tumor necrosis factor alpha
PubMed ID: 11916764
Maternal DHA in lactation raised milk DHA, increasing infant DHA intake relevant to brain/vision development.
- Nutritional effect of including egg yolk in the weaning diet of breast-fed and formula-fed infants: a randomized controlled trial
PubMed ID: 12036817
Feeding nâ3âenriched egg yolks to infants markedly raised erythrocyte DHA â biomarker consistent with enhanced brain/vision development potential.
- A randomized controlled trial of long-chain polyunsaturated fatty acid supplementation of formula in term infants after weaning at 6 wk of age
PubMed ID: 11864865
Randomized RCT: LCP (including DHA) improved infant visual acuity and stereoacuity â strong evidence for infant vision/brain development.
- Plasma fatty-acid composition and antioxidant capacity in low birth-weight infants fed formula enriched with n-6 and n-3 long-chain polyunsaturated fatty acids from purified phospholipids
PubMed ID: 11161546
Feeding formula with LCP phospholipids raised infant plasma DHA close to breastâfed levels â supportive biomarker evidence for development.
- Visual evoked potentials and dietary long chain polyunsaturated fatty acids in preterm infants
PubMed ID: 8949693
Preterm infants receiving DHA-containing feeds showed faster VEP maturation and higher RBC DHA (robust infant CNS signal).
- Essential fatty acid status in neonates after fish-oil supplementation during late pregnancy
PubMed ID: 8541278
Maternal thirdâtrimester fish oil (2.7 g/d) clearly increased infant/umbilical DHA at birthâdirect biochemical support for infant brain/vision substrate.
- Similar effects on infants of n-3 and n-6 fatty acids supplementation to pregnant and lactating women
PubMed ID: 11694666
Maternal cod-liver oil increased umbilical/cord DHA levels and higher neonatal DHA associated with modestly longer gestation; biomarker support for fetal DHA exposure.
- Multiple Micronutrients, Lutein, and Docosahexaenoic Acid Supplementation during Lactation: A Randomized Controlled Trial
PubMed ID: 33339438
Randomized trial: MMS containing DHA raised breastmilk and maternal blood DHA â direct evidence supporting infant DHA supply for brain/retina development.
- Platelet characteristics in extremely preterm infants after fatty acid supplementation: a randomized controlled trial
PubMed ID: 39702768
AA+DHA reduced severe ROP and early thrombocytopenia in extremely preterm infantsâclinically meaningful vision/hematologic neonatal outcomes.
- Polyunsaturated Fatty Acid Intake during Complementary Feeding and Neurodevelopmental Outcome in Very Low Birth Weight Infants
PubMed ID: 37513559
Higher PUFA/DHA intake during complementary feeding associated with better cognitive and motor development at 12 months in VLBW infants (prospective evidence).
- Modification of serum fatty acids in preterm infants by parenteral lipids and enteral docosahexaenoic acid/arachidonic acid: A secondary analysis of the Mega Donna Mega trial
PubMed ID: 37120902
Longitudinal profiling showed enteral AA:DHA supplementation raises circulating AA/DHA proportions in extremely preterm infantsâsupports biochemical delivery to infant tissues.
- Arachidonic and docosahexaenoic acid supplementation and brain maturation in preterm infants; a double blind RCT
PubMed ID: 38061271
Duplicate entry (same strong whiteâmatter RCT) emphasizing direct infant brain development evidence.
- Evaluation of the Retinopathy of Prematurity Activity Scale (ROP-ActS) in a randomised controlled trial aiming for prevention of severe ROP: a substudy of the Mega Donna Mega trial
PubMed ID: 35495419
AA+DHA halved severe ROP risk in extremely preterm infantsâstrong evidence for protection of infant vision development.
- Docosahexaenoic acid-rich algae oil supplementation on breast milk fatty acid profile of mothers who delivered prematurely: a randomized clinical trial
PubMed ID: 34728723
Maternal algaeâDHA sharply increased breastâmilk DHA and DHA:AA ratioâbiomarker change that supports infant brain and retinal accretion.
- Randomized Controlled Trial of Early Docosahexaenoic Acid and Arachidonic Acid Enteral Supplementation in Very Low Birth Weight Infants
PubMed ID: 33358843
Doseâresponse infant RCT showed rapid, doseâdependent rises in wholeâblood DHA and ARAâdirectly applicable to infant nutrient repletion for brain/retina.
- Effect of Enteral Lipid Supplement on Severe Retinopathy of Prematurity: A Randomized Clinical Trial
PubMed ID: 33523106
Enteral AA+DHA reduced severe ROP (vision) in extremely preterm infantsâstrong clinically meaningful infant visual outcome.
- Effect of fish-oil supplementation on breastmilk long-chain polyunsaturated fatty acid concentration: a randomized controlled trial in rural Ethiopia
PubMed ID: 33159163
Maternal fishâoil in lactation substantially raised breastmilk DHA/EPA (increases infant DHA supply critical for brain/vision development).
- The Effect of an Infant Formula Supplemented with AA and DHA on Fatty Acid Levels of Infants with Different FADS Genotypes: The COGNIS Study
PubMed ID: 30871048
Formula DHA/AA increased infant LCPUFAs but FADS genotypes modulate responseârelevant to personalized infant nutrient status.
- Efficacy of novel small-quantity lipid-based nutrient supplements in improving long-chain polyunsaturated fatty acid status of South African infants: a randomised controlled trial
PubMed ID: 31371795
Large randomized SQâLNS trial raised infant plasma DHA at 12 months (substantial biomarker improvement relevant to brain/vision development).
- Factors associated with plasma n-3 and n-6 polyunsaturated fatty acid levels in Tanzanian infants
PubMed ID: 31024091
Observational cohort showed infant plasma DHA closely tracks maternal levelsâimportant for perinatal DHA supply to brain/vision.
- Effect of small-quantity lipid-based nutrient supplements on growth, psychomotor development, iron status, and morbidity among 6- to 12-mo-old infants in South Africa: a randomized controlled trial
PubMed ID: 30649163
SQâLNS with DHA/ARA improved early locomotor scores and transient length gainsâevidence of developmental benefit in infancy.
- Long-chain polyunsaturated fatty acid supplementation in the first year of life affects brain function, structure, and metabolism at age nine years
PubMed ID: 30311214
Longitudinal randomized infant LCPUFA exposure produced durable functional, connectivity and structural brain differences at age ~9.
- Randomized controlled trial of brain specific fatty acid supplementation in pregnant women increases brain volumes on MRI scans of their newborn infants
PubMed ID: 30392581
Maternal DHA+ARA supplementation increased newborn brain volumes (notably males)âstrong developmental structural evidence.
- Reduction of Arachidonate Is Associated With Increase in B-Cell Activation Marker in Infants: A Randomized Trial
PubMed ID: 27276431
Infant formula with fixed DHA but varying ARA affected lymphocyte ARA and Bâcell activationârelevant to development and immune maturation.
- Fish oil supplemental dose needed to reach 1g% DHA+EPA in mature milk
PubMed ID: 29413361
Pregnancy dosing study provided direct quantitative DHA dose targets to reach RBC and mature milk DHA thresholds required to support infant supply.
- Event-related potential differences in children supplemented with long-chain polyunsaturated fatty acids during infancy
PubMed ID: 27747986
Infant LCPUFA exposure produced durable electrophysiological differences in attention/inhibitionâstrong neural development evidence.
- High levels of omega-3 fatty acids in milk from omega-3 fatty acid-supplemented mothers are related to less immunoglobulin E-associated disease in infancy
PubMed ID: 26970335
Maternal supplementation increased milk DHA and reduced IgE allergyâsupports infant DHA exposure and health.
- Phospholipid Species in Newborn and 4 Month Old Infants after Consumption of Different Formulas or Breast Milk
PubMed ID: 27571269
Infant formula DHA/ARA supplementation produced large increases in DHAâ and ARAâcontaining plasma phospholipids (biomarker of development).
- Red blood cell membrane fatty acid composition in infants fed formulas with different lipid profiles
PubMed ID: 27391868
HigherâDHA formulas raised infant RBC DHA to breastfed levels â robust biochemical support for DHA availability in infancy.
- What is the relationship between gestational age and docosahexaenoic acid (DHA) and arachidonic acid (ARA) levels?
PubMed ID: 26205427
Cross-sectional data showing much lower DHA/ARA in preterms vs term infantsâsupports need for supplementation for development.
- A dose response randomised controlled trial of docosahexaenoic acid (DHA) in preterm infants
PubMed ID: 25997653
Enteral DHA emulsions maintained/increased blood DHA in very preterm infants (prevents deficiency relevant to brain/vision).
- Effects of different arachidonic acid supplementation on psychomotor development in very preterm infants; a randomized controlled trial
PubMed ID: 26424477
Higher AA:DHA (2:1) formula in very preterm infants led to better psychomotor scores at 2 years (strong developmental outcome).
- Liquid human milk fortifier significantly improves docosahexaenoic and arachidonic acid status in preterm infants
PubMed ID: 24863250
Human milk fortified with DHA/ARA raised infant plasma DHA and ARA after 28 days (biomarker relevant to development).
- Effects of long-chain PUFA supplementation in infant formula on cognitive function in later childhood
PubMed ID: 23783296
LCPUFAâsupplemented formula produced faster informationâprocessing at age 6ârelevant to early brain development.
- DHA status is positively related to motor development in breastfed African and Dutch infants
PubMed ID: 23710566
Crossâpopulation study found higher RBCâDHA in breastfed infants correlated with better early motor optimalityâsupports developmental benefit.
- Long-term effects of LCPUFA supplementation on childhood cognitive outcomes
PubMed ID: 23803884
Infant LCPUFA given in early life produced later improvements on specific cognitive and language tasks between ages 3â6.
- Effect of dietary intervention to reduce the n-6/n-3 fatty acid ratio on maternal and fetal fatty acid profile and its relation to offspring growth and body composition at 1 year of age
PubMed ID: 23340492
Randomized maternal nâ3 LCPUFA intervention lowered maternal/cord nâ6:nâ3 and raised cord DHA, associated with larger birth size â strong support for fetal DHA transfer.
- Postnatal fish oil supplementation in high-risk infants to prevent allergy: randomized controlled trial
PubMed ID: 22945403
Daily DHA/EPA supplementation from birth improved infant erythrocyte DHA by 6 months (clear biochemical provision), though clinical allergy outcomes were unchanged.
- Cognitive function in 18-month-old term infants of the DIAMOND study: a randomized, controlled clinical trial with multiple dietary levels of docosahexaenoic acid
PubMed ID: 21295417
Infant RCT: DHA in formula produced a measurable improvement in mental development at 18 months (direct developmental endpoint).
- Attention among very low birth weight infants following early supplementation with docosahexaenoic and arachidonic acid
PubMed ID: 20624152
VLBW RCT: early DHA+ARA improved sustained attention at 20 months; plasma DHA correlated with attentionâdirect infant neurodevelopment benefit.
- The DIAMOND (DHA Intake And Measurement Of Neural Development) Study: a double-masked, randomized controlled clinical trial of the maturation of infant visual acuity as a function of the dietary level of docosahexaenoic acid
PubMed ID: 20130095
Large RCT demonstrating DHA supplementation in formula improved infant visual acuity at 12 months (strong developmental evidence).
- Three randomized controlled trials of early long-chain polyunsaturated Fatty Acid supplementation on means-end problem solving in 9-month-olds
PubMed ID: 19765006
Randomized trials pooled showed better meansâend problem solving in infants fed DHA+ARA.
- Omega-3 fatty acid supplements in women at high risk of breast cancer have dose-dependent effects on breast adipose tissue fatty acid composition
PubMed ID: 20335550
Doseâdependent increases of DHA/EPA in serum and breast adipose tissue indicate effective maternal/tissue deliveryâdirectly relevant to supporting infant brain/vision nutrients.
- Eggs early in complementary feeding increase choline pathway biomarkers and DHA: a randomized controlled trial in Ecuador
PubMed ID: 29092879
Large infant RCT: one egg/day increased plasma DHA and cholineâdirect nutritional support for brain/vision substrates.
- Prenatal choline supplementation improves biomarkers of maternal docosahexaenoic acid (DHA) status among pregnant participants consuming supplemental DHA: a randomized controlled trial
PubMed ID: 35575618
Choline plus DHA supplementation increased maternal plasma/RBC DHA â improves maternalâfetal/infant DHA availability.
- DHA, nutrient intake, and maternal characteristics as predictors of pregnancy outcomes in a randomised clinical trial of DHA supplementation
PubMed ID: 37806075
Large pregnancy trial: higher maternal DHA increased maternal DHA status and associated with longer gestation and fewer preterm birthsâimportant for infant neurodevelopmental outcomes.
- Neuroprotective nutrients in pregnancy and infant brain function
PubMed ID: 40412614
Maternal DHA (and nutrient combinations) associated with infant EEG/ERP differences at 1 and 6 months, indicating effects on early brain function.
- Retinal development in very-low-birth-weight infants fed diets differing in omega-3 fatty acids
PubMed ID: 1386065
Provision of longâchain nâ3s in VLBW infants prevented deficits in retinal functionâdirect functional evidence relevant to infant brain/vision development.
- Effect of long-chain n-3 fatty acid supplementation on visual acuity and growth of preterm infants with and without bronchopulmonary dysplasia
PubMed ID: 8615350
Marine nâ3 LCPUFA in preterm infants improved early visual acuity in subgroupâfunctional infant vision/brain outcome.
- Effects of preterm infant formula supplementation with alpha-linolenic acid with a linoleate/alpha-linolenate ratio of 6: a multicentric study
PubMed ID: 11248877
Multicenter randomized preterm formula trial: highâALA formula maintained RBC DHA comparable to human milkâstrong evidence of DHA status maintenance.
- Visual acuity, erythrocyte fatty acid composition, and growth in term infants fed formulas with long chain polyunsaturated fatty acids for one year. Ross Pediatric Lipid Study
PubMed ID: 8979282
Large randomized infant feeding trial: RBC DHA increased markedly with supplemented formulas though no vision/growth differences over first year.
- Fatty acid profile of buccal cheek cell phospholipids as an index for dietary intake of docosahexaenoic acid in preterm infants
PubMed ID: 10443966
Tissue DHA biomarkers reflected formula intake and correlated with visual neurodevelopmental measures (VEP/ERG).
- Fatty acid absorption in preterms on formulas with and without long-chain polyunsaturated fatty acids and in terms on formulas without these added
PubMed ID: 11528489
Quantitative human data in preterm infants show ~62% DHA net retention after supplementationâstrong bioavailability evidence for infant brain/vision.
- Relationship between omega3 long-chain polyunsaturated fatty acid status during early infancy and neurodevelopmental status at 1 year of age
PubMed ID: 11972740
Lower early DHA status in infants associated with lower developmental scores at 1 year (direct infant neurodevelopment evidence).
- Fatty acid profiles, antioxidant status, and growth of preterm infants fed diets without or with long-chain polyunsaturated fatty acids. A randomized clinical trial
PubMed ID: 14569405
Formula with longâchain PUFA raised infant plasma DHA to breastâmilk levelsâstrong biomarker evidence supporting DHA supply for infant brain/vision development.
- Maternal supplementation with very-long-chain n-3 fatty acids during pregnancy and lactation augments children's IQ at 4 years of age
PubMed ID: 12509593
Maternal codâliver oil (DHA) resulted in ~4âpoint higher cognitive composite in children at age 4âstrong evidence for prenatal DHA benefit.
- Docosahexaenoic acid in red blood cells of term infants receiving two levels of long-chain polyunsaturated fatty acids
PubMed ID: 16540798
Higher preformed DHA in term infant formula markedly raised infant RBC DHAâsupports effective DHA provisioning during infancy.
- Docosahexaenoic acid supplementation from mid-pregnancy to parturition influenced breast milk fatty acid concentrations at 1 month postpartum in Mexican women
PubMed ID: 21178076
Prenatal 400 mg/day DHA significantly raised breastâmilk DHAâdirectly increases infant DHA exposure relevant to brain/vision development.
- Effect of different levels of docosahexaenoic acid supply on fatty acid status and linoleic and α-linolenic acid conversion in preterm infants
PubMed ID: 22008957
Randomized infant formula trial: higher formula DHA produced doseâdependent increases in infant plasma/erythrocyte DHA; 0.33% matched human milk composition.
- Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial
PubMed ID: 26169870
Regular salmon in complementary feeding significantly increased infant RBC/plasma EPA and DHAâdirect provision of preformed LCâDHA to infants.
- Parenteral MCT/Ï-3 Polyunsaturated Fatty Acid-Enriched Intravenous Fat Emulsion Is Associated With Cytokine and Fatty Acid Profiles Consistent With Attenuated Inflammatory Response in Preterm Neonates: A Randomized, Double-Blind Clinical Trial
PubMed ID: 26378118
Ïâ3âenriched IV lipid in preterm neonates raised EPA/DHA and lowered ILâ6/ILâ8âsupports neurodevelopmental environment and DHA supply.
- Modification of Docosahexaenoic Acid Composition of Milk from Nursing Women Who Received Alpha Linolenic Acid from Chia Oil during Gestation and Nursing
PubMed ID: 26247968
Chia (ALA) in pregnancy/nursing raised maternal RBC EPA and transiently increased breastâmilk DHA in early nursingârelevant to infant DHA supply.
- High-Oleic Ready-to-Use Therapeutic Food Maintains Docosahexaenoic Acid Status in Severe Malnutrition
PubMed ID: 25633498
Highâoleic RUTF preserved/increased plasma DHA/EPA in malnourished childrenâimportant for developmental DHA availability.
- Effects on Fatty Acid Metabolism of a New Powdered Human Milk Fortifier Containing Medium-Chain Triacylglycerols and Docosahexaenoic Acid in Preterm Infants
PubMed ID: 29843467
Fortified human milk with preformed DHA + ALA increased infant plasma/RBC DHA/EPA within 21 daysâdirect delivery of DHA to preterm infants.
- The influence of fish consumption on serum n-3 polyunsaturated fatty acid (PUFA) concentrations in women of childbearing age: a randomised controlled trial (the iFish Study)
PubMed ID: 32725293
Two fish meals/week in women of childbearing age increased EPA/DHA, improving maternal nâ3 status relevant to fetal/infant DHA supply.
- Changes in fatty acid levels after consumption of a novel docosahexaenoic supplement from algae: a crossover randomized controlled trial in omnivorous, lacto-ovo vegetarians and vegans
PubMed ID: 36418565
Algal DHA 250 mg/day reliably doubled serum DHA in vegans â practical evidence that supplementation elevates maternal/infant DHA potential.
- Plasma phospholipid polyunsaturated fatty acids composition in early pregnancy and fetal growth trajectories throughout pregnancy: Findings from the US fetal growth studies-singletons cohort
PubMed ID: 35853297
Earlyâpregnancy plasma DHA associated with larger longitudinal fetal growth trajectories â supports role in fetal development.
- Impact of Maternal Fish Consumption on Serum Docosahexaenoic Acid (DHA) Levels in Breastfed Infants: A Cross-Sectional Study of a Randomized Clinical Trial in Japan
PubMed ID: 37892412
Large analysis: maternal fish intake and breastfeeding both associated with higher infant serum DHA at ~5 months â direct relevance to infant DHA status.
- Associations between fatty acids providing support for n-3 and n-6 pathways are strongest in pregnant Indian vegetarians compared with pregnant Australian omnivores
PubMed ID: 41270711
Pregnant Indian women had markedly lower erythrocyte EPA/DHA vs Australian women â indicates need for DHA in pregnancy for infant LCPUFA status.
- Neurodevelopmental quotient of healthy term infants at 4 months and feeding practice: the role of long-chain polyunsaturated fatty acids
PubMed ID: 7478826
LCâPUFA supplemented formula infants scored higher on early neurodevelopmental tests and had higher circulating DHA/AA.
- Visual acuity and fatty acid status of term infants fed human milk and formulas with and without docosahexaenoate and arachidonate from egg yolk lecithin
PubMed ID: 8726246
DHA+AA supplemented formula increased early visual acuity and blood DHA/AA in term infants (transient but functional benefit).
- Influence of feeding artificial-formula milks containing docosahexaenoic and arachidonic acids on the postnatal long-chain polyunsaturated fatty acid status of healthy preterm infants
PubMed ID: 8958000
Same as above (biochemical increases in LCPUFA in preterms); included for emphasis on infant substrate delivery.
- Developmental quotient at 24 months and fatty acid composition of diet in early infancy: a follow up study
PubMed ID: 9196357
Erythrocyte LCâPUFA composition correlated strongly with developmental quotient, supporting an association between DHA status and development.
- Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants
PubMed ID: 9702915
Dietary DHA produced VEP acuity improvements and RBC profiles similar to breast-fed infants (direct vision/development evidence).
- Effect of formula supplemented with docosahexaenoic acid and gamma-linolenic acid on fatty acid status and visual acuity in term infants
PubMed ID: 9552137
DHA-supplemented formulas normalized RBC DHA to breast-fed levels; visual acuity advantages were small/inconclusive but biomarker effect supports development.
- Fatty acid composition of plasma and erythrocytes in term infants fed human milk and formulae with and without docosahexaenoic and arachidonic acids from egg yolk lecithin
PubMed ID: 10102659
Supplementing term infant formula with DHA+AA normalized infant plasma and RBC DHA/AA to breast-fed levels (biomarker normalisation relevant to development).
- A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants
PubMed ID: 10755457
Randomized trial showed ~+7 points on Bayley MDI at 18 months with early DHA+AA supplementationâmeaningful neurodevelopmental effect.
- Impact of early dietary intake and blood lipid composition of long-chain polyunsaturated fatty acids on later visual development
PubMed ID: 11144440
DHAâenriched formula produced breastfedâlike DHA status and clear improvements in electrophysiologic measures and visual acuity up to 1 year.
- A multicenter long-term safety and efficacy trial of preterm formula supplemented with long-chain polyunsaturated fatty acids
PubMed ID: 10941962
Preterm formula with DHA (and AA) raised tissue DHA and was safe longâtermâsupports physiological basis for development.
- Erythrocyte fatty acid composition in term infants fed human milk or a formula enriched with a low eicosapentanoic acid fish oil for 4 months
PubMed ID: 10653329
HighâDHA term infant formula maintained DHA vs standard formula; biochemical preservation relevant to brain/vision development despite AA lowering.
- Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial
PubMed ID: 11483801
Large multicenter RCT in preterms showed improved VEP acuity and some motor development benefits with AA+DHA.
- Docosahexaenoic acid and arachidonic acid enhance growth with no adverse effects in preterm infants fed formula
PubMed ID: 12032520
Premature infants fed DHA+ARA gained weight faster and showed no safety concerns; growth and biochemical data support developmental benefit potential.
- Visual function in breast-fed term infants weaned to formula with or without long-chain polyunsaturates at 4 to 6 months: a randomized clinical trial
PubMed ID: 12838196
Term infants receiving DHA+ARA formula had improved VEP acuity and higher RBCâDHA at 1 yearâfunctional vision/developmental benefit.
- Randomized, double-blind trial of long-chain polyunsaturated fatty acid supplementation with fish oil and borage oil in preterm infants
PubMed ID: 15069395
Preterm LCPUFA supplementation improved Bayley MDI (notably in boys) and growthâstrong developmental evidence.
- Effects of n-3 polyunsaturated fatty acid supplementation in pregnancy on maternal and fetal erythrocyte fatty acid composition
PubMed ID: 14985680
Pregnancy fish-oil RCT raised maternal and neonatal EPA/DHA â strong prenatal biochemical provisioning relevant to infant brain/vision development.
- The effect of supplementation with fish oil during pregnancy on breast milk immunoglobulin A, soluble CD14, cytokine levels and fatty acid composition
PubMed ID: 15298564
Maternal fish-oil increased breast-milk DHA/EPA (biological substrate for infant brain/vision), though clinical infant outcomes not shown here.
- Growth and development of preterm infants fed infant formulas containing docosahexaenoic acid and arachidonic acid
PubMed ID: 15812447
Preterm infants fed DHA+ARA had improved growth and Bayley developmental scoresârobust RCT evidence supporting infant development.
- Body composition in preterm infants who are fed long-chain polyunsaturated fatty acids: a prospective, randomized, controlled trial
PubMed ID: 15718356
Preterm infants fed DHA+ARA showed favorable body-composition changes and no adverse growth/bone effects, supporting healthy physical development along with potential neurodevelopmental benefits.
- Visual maturation of term infants fed long-chain polyunsaturated fatty acid-supplemented or control formula for 12 mo
PubMed ID: 15817866
Term-infant RCT showed better VEP acuity during the first year and marked RBC DHA increasesâstrong infant brain/vision evidence.
- A randomized trial of long-chain polyunsaturated fatty acid supplementation in infants with phenylketonuria
PubMed ID: 16483397
In PKU infants DHA supplementation prevented large declines in erythrocyte DHA and may have helped visual maturationâstrong infant developmental support.
- Cognitive assessment of children at age 2(1/2) years after maternal fish oil supplementation in pregnancy: a randomised controlled trial
PubMed ID: 17185423
Maternal highâdose fish oil modestly improved children's eyeâhand coordination at 2.5 years with cordâblood DHA/EPA correlations.
- Supplementation of n-3 fatty acids during pregnancy and lactation reduces maternal plasma lipid levels and provides DHA to the infants
PubMed ID: 16923694
Maternal codâliver oil increased maternal and infant DHA deliveryâbiochemical transfer supportive of infant development.
- Visual acuity and cognitive outcomes at 4 years of age in a double-blind, randomized trial of long-chain polyunsaturated fatty acid-supplemented infant formula
PubMed ID: 17240089
DHA/ARA infant formulas produced ageâ4 visual acuity comparable to breastâfed children (developmental outcome).
- Soy-based infant formula supplemented with DHA and ARA supports growth and increases circulating levels of these fatty acids in infants
PubMed ID: 17912568
Large trial: DHA+ARA in soy formula significantly raised infant RBC and plasma DHA/ARAâbiochemical support for development.
- Human milk arachidonic acid and docosahexaenoic acid contents increase following supplementation during pregnancy and lactation
PubMed ID: 19118992
Maternal DHA+AA supplementation increased breastâmilk DHA and AAâdirect transfer to nursing infants that supports development.
- Higher dose of docosahexaenoic acid in the neonatal period improves visual acuity of preterm infants: results of a randomized controlled trial
PubMed ID: 18842793
Preterm infants with higher DHA had better visual acuity at 4 monthsâfunctional developmental effect.
Inflammation (142)
- Intake of fish oil, oleic acid, folic acid, and vitamins B-6 and E for 1 year decreases plasma C-reactive protein and reduces coronary heart disease risk factors in male patients in a cardiac rehabilitation program
PubMed ID: 17237316
Multinutrient + DHA regimen after MI lowered hsâCRP â evidence of systemic inflammation reduction.
- n-3 Fatty acid supplementation and regular moderate exercise: differential effects of a combined intervention on neutrophil function
PubMed ID: 17391558
DHA reduced stimulated neutrophil superoxide production and correlated with erythrocyte DHA â direct antiâinflammatory cellular effect.
- A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosus
PubMed ID: 17875549
3 g/day fish oil for 24 weeks lowered lupus disease activity and oxidative stress and improved endothelial markers.
- The impact of long chain n-3 polyunsaturated fatty acid supplementation on inflammation, insulin sensitivity and CVD risk in a group of overweight women with an inflammatory phenotype
PubMed ID: 17199721
Longâchain nâ3 reduced CRP and ILâ6 and triglycerides in a 12âweek randomized crossover trial.
- Docosahexaenoic acid (DHA) supplementation in atopic eczema: a randomized, double-blind, controlled trial
PubMed ID: 18241260
Highâdose DHA reduced eczema severity and IgE productionâantiâinflammatory effect in atopic disease.
- Fish oil n-3 polyunsaturated fatty acids selectively affect plasma cytokines and decrease illness in Thai schoolchildren: a randomized, double-blind, placebo-controlled intervention trial
PubMed ID: 18930251
Children receiving fish oil had smaller rises in TGFâÎČ1 and fewer illnesses, indicating antiâinflammatory/immunoregulatory effects.
- Combined treatment with renin-angiotensin system blockers and polyunsaturated fatty acids in proteinuric IgA nephropathy: a randomized controlled trial
PubMed ID: 18685141
PUFA added to standard therapy produced a large reduction in proteinuria and hematuria in IgA nephropathy, consistent with potent antiâinflammatory/renal immune effects.
- The role of n-3 PUFAs in preventing the arrhythmic risk in patients with idiopathic dilated cardiomyopathy
PubMed ID: 18982439
nâ3 PUFA lowered cytokines and the n6:n3 ratio in dilated cardiomyopathy patients, consistent antiâinflammatory effects.
- Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells
PubMed ID: 19515734
Widespread downregulation of inflammatory pathways (NFâÎșB, eicosanoid synthesis) in PBMCs after 26 weeks EPA+DHA (strong molecular antiâinflammatory signal).
- Effect of fish oil (n-3 polyunsaturated fatty acids) on plasma lipids, lipoproteins and inflammatory markers in HIV-infected patients treated with antiretroviral therapy: a randomized, double-blind, placebo-controlled study
PubMed ID: 19685375
Shift in leukotriene production toward antiâinflammatory LTB5 and increased LTB5/LTB4 ratio in patients on nâ3 PUFA.
- DHA supplementation decreases serum C-reactive protein and other markers of inflammation in hypertriglyceridemic men
PubMed ID: 19158225
3 g/day DHA for 3 months produced significant reductions in CRP, ILâ6 and neutrophils in men with high triglycerides (robust antiâinflammatory biomarker changes).
- Fish oil supplementation lowers C-reactive protein levels independent of triglyceride reduction in patients with end-stage renal disease
PubMed ID: 19461006
6 months of EPA+DHA lowered CRP in endâstage renal disease patients (clinically relevant reduction in systemic inflammation).
- Serum levels of interleukin-18 are reduced by diet and n-3 fatty acid intervention in elderly high-risk men
PubMed ID: 19595382
Longâterm nâ3 intervention in elderly men reduced ILâ18 by about 10% (modest antiâinflammatory effect in a large trial).
- Eicosapentaenoic acid (EPA) from highly concentrated n-3 fatty acid ethyl esters is incorporated into advanced atherosclerotic plaques and higher plaque EPA is associated with decreased plaque inflammation and increased stability
PubMed ID: 20542512
Higher plaque EPA associated with lower plaque inflammation and instability (tissueâlevel antiâinflammatory effect).
- Effects of n-3 fatty acids on macro- and microvascular function in subjects with type 2 diabetes mellitus
PubMed ID: 20071644
Attenuated meal-induced FMD decline and enhanced microvascular RH suggest protection against meal-related vascular inflammation.
- Effect of Clupeonella grimmi (anchovy/kilka) fish oil on dysmenorrhoea
PubMed ID: 20795425
Large symptomatic pain reductions and less analgesic use implicate substantial anti-inflammatory effect.
- Impact of a novel nutritional formula on asthma control and biomarkers of allergic airway inflammation in children
PubMed ID: 20545703
EPAâenriched formula reduced airway inflammation markers (FeNO) in asthmatic children (small RCT inflammatory endpoint).
- Adjunctive treatment of chronic periodontitis with daily dietary supplementation with omega-3 Fatty acids and low-dose aspirin
PubMed ID: 20572767
Adjunct Ïâ3 + lowâdose aspirin reduced periodontal inflammatory biomarkers (salivary RANKL, MMPâ8) and improved clinical inflammation outcomes (aspirin confound).
- Pre-treatment with an intravenous lipid emulsion containing fish oil (eicosapentaenoic and docosahexaenoic acid) decreases inflammatory markers after open-heart surgery in infants: a randomized, controlled trial
PubMed ID: 22136963
Infant lipid emulsion RCT substantially lowered TNFâα â strong anti-inflammatory evidence.
- High-dose docosahexaenoic acid supplementation of preterm infants: respiratory and allergy outcomes
PubMed ID: 21708809
High maternal DHA reduced BPD and hay fever in subgroups â clinically important anti-inflammatory/allergy outcomes.
- Oral administration of docosahexaenoic acid attenuates interleukin-1ÎČ response and clinical course of septic neonates
PubMed ID: 22079797
Oral DHA in neonatal sepsis lowered ILâ1ÎČ and increased leukocyte DHA â evidence of inflammation control.
- Pilot, prospective, randomized, double-masked, placebo-controlled clinical trial of an omega-3 supplement for dry eye
PubMed ID: 21045648
Dryâeye RCT: symptomatic and tear volume improvements consistent with reduced ocular surface inflammation (small clinical trial).
- Effect of n-3 fatty acids on patients with advanced lung cancer: a double-blind, placebo-controlled study
PubMed ID: 22114792
EPA+DHA supplementation during chemotherapy reduced CRP and IL-6 and stabilized oxidative stress markersâclear systemic anti-inflammatory effect in this setting.
- Efficacy of omega-3 fatty acid supplementation on serum levels of tumour necrosis factor-alpha, C-reactive protein and interleukin-2 in type 2 diabetes mellitus patients
PubMed ID: 23023905
8âweek reduction in TNFâα and ILâ2 indicates antiâinflammatory activity in T2D patients.
- Different gene expression profiles in normo- and dyslipidemic men after fish oil supplementation: results from a randomized controlled trial
PubMed ID: 22929118
Marked geneâexpression changes affecting immune and lipid pathways suggest inflammation modulation.
- Platelet redox balance in diabetic patients with hypertension improved by n-3 fatty acids
PubMed ID: 23238663
Lowered platelet 8âisoprostane and stimulated ROS production in hypertensive/diabetic patientsâreduced oxidative/inflammatory platelet activation.
- Effect of n-3 supplementation on hyperactivity, oxidative stress and inflammatory mediators in children with attention-deficit-hyperactivity disorder
PubMed ID: 24568073
Children with ADHD: EPA+DHA lowered CRP and ILâ6 and increased antioxidant enzymesâclear anti-inflammatory marker changes.
- Omega-3 PUFA supplementation and the response to evoked endotoxemia in healthy volunteers
PubMed ID: 24190860
Highâdose EPA+DHA reduced fever response to LPS and produced dose-dependent RBC incorporationâmodest attenuation of acute inflammatory response.
- Omega-3 fatty acids reduce adipose tissue macrophages in human subjects with insulin resistance
PubMed ID: 23328126
12 weeks of 4 g/day fish oil reduced adipose macrophages and MCPâ1 and increased capillariesâclear tissue antiâinflammatory remodeling.
- Efficacy of fish oil on serum of TNF α , IL-1 ÎČ , and IL-6 oxidative stress markers in multiple sclerosis treated with interferon beta-1b
PubMed ID: 23861993
In RRâMS patients, 12 months of 4 g/day fish oil produced large (~40â50%) reductions in multiple inflammatory cytokinesâstrong antiâinflammatory biomarker evidence.
- Docosahexaenoic Acid and Periodontitis in Adults: A Randomized Controlled Trial
PubMed ID: 24970858
DHA + lowâdose aspirin adjunct produced significant reductions in local gingival inflammation markers (hsCRP, ILâ1ÎČ) and pocket depth.
- Effect of docosahexaenoic acid supplementation on inflammatory cytokine levels in infants at high genetic risk for type 1 diabetes
PubMed ID: 25039804
Infant supplementation reduced several stimulated inflammatory cytokines at selected time points in infants at genetic risk for type 1 diabetes.
- Fish Oil (SMOFlipid) and olive oil lipid (Clinoleic) in very preterm neonates
PubMed ID: 24048161
SMOFlipid in very preterm neonates reduced F2âisoprostanes (lipid peroxidation marker) suggesting antioxidant/antiâinflammatory effect.
- Effects of perioperative supplementation with omega-3 fatty acids on leukotriene Bâ and leukotriene Bâ
production by stimulated neutrophils in patients with colorectal cancer: a randomized, placebo-controlled intervention trial
PubMed ID: 25268838
Markedly shifted neutrophil eicosanoid production from LTB4 to LTB5 and increased 5-HEPEâstrong anti-inflammatory mechanistic signal.
- The effect of omega-3 fatty acids on depressive symptoms and inflammatory markers in maintenance hemodialysis patients: a randomized, placebo-controlled clinical trial
PubMed ID: 24643636
Omegaâ3 supplementation in hemodialysis patients decreased depressive symptoms and was accompanied by modest antiâinflammatory marker changes (CRP, ferritin, ILâ10/ILâ6).
- Fish oil supplementation induces expression of genes related to cell cycle, endoplasmic reticulum stress and apoptosis in peripheral blood mononuclear cells: a transcriptomic approach
PubMed ID: 24641624
Large set of differentially expressed immune genes and enrichment of ER stress/apoptosis/cellâcycle pathways after fish oil.
- A prospective, randomized, controlled study of Ï-3 fish oil fat emulsion-based parenteral nutrition for patients following surgical resection of gastric tumors
PubMed ID: 24655407
Perioperative fishâoil blunted ILâ6/TNF rise and markedly reduced postoperative infections (robust antiâinflammatory/clinical effect).
- Omega-3 fatty acid supplementation provides an additional benefit to a low-dust diet in the management of horses with chronic lower airway inflammatory disease
PubMed ID: 25307169
DHAârich supplement in horses reduced airway neutrophilia and clinical signs (clear antiâinflammatory effect in airway disease).
- Increasing long-chain n-3PUFA consumption improves small peripheral artery function in patients at intermediate-high cardiovascular risk
PubMed ID: 24746829
Significant reductions in hsâCRP, TNFâα, sICAMâ1, sVCAMâ1 and oxLDL indicate strong antiâinflammatory effects.
- Effects of oral eicosapentaenoic acid versus docosahexaenoic acid on human peripheral blood mononuclear cell gene expression
PubMed ID: 26074314
EPA and DHA differentially downâregulated multiple inflammationârelated genes in PBMCs (strong mechanistic antiâinflammatory evidence).
- Dietary Omega-3 Fatty Acid Supplementation Reduces Inflammation in Obese Pregnant Women: A Randomized Double-Blind Controlled Clinical Trial
PubMed ID: 26340264
In pregnant obese women EPA+DHA lowered adipose and placental IL6/IL8/TNFα and systemic CRP (clear antiâinflammatory tissue and systemic effects).
- Effects of Iron Supplementation With and Without Docosahexaenoic Acid on the Cardiovascular Disease Risk Based on Paraoxonase-1, hs-CRP, and ApoB/ApoA-I Ratio in Women with Iron Deficiency Anemia
PubMed ID: 26077874
DHA added to iron therapy decreased hsâCRP versus iron alone (clinical marker of inflammation improved).
- Red Blood Cell Docosapentaenoic Acid (DPA n-3) is Inversely Associated with Triglycerides and C-reactive Protein (CRP) in Healthy Adults and Dose-Dependently Increases Following n-3 Fatty Acid Supplementation
PubMed ID: 26247967
RBC DPA inversely associated with CRP at baseline and increased with supplementation (supports antiâinflammatory association).
- Omega 3 (n-3) fatty acids down-regulate nuclear factor-kappa B (NF-ÎșB) gene and blood cell adhesion molecule expression in patients with homozygous sickle cell disease
PubMed ID: 25976467
Sickle cell study showed reduced NFâÎșB and inflammatory/adhesion markers (direct inflammation control).
- A randomized, crossover, head-to-head comparison of eicosapentaenoic acid and docosahexaenoic acid supplementation to reduce inflammation markers in men and women: the Comparing EPA to DHA (ComparED) Study
PubMed ID: 27281302
DHA significantly reduced ILâ18 and increased antiâinflammatory adiponectin in atârisk adults (direct inflammatory marker changes).
- Enteral Docosahexaenoic Acid Reduces Analgesic Administration in Neonates Undergoing Cardiovascular Surgery
PubMed ID: 27806350
Perioperative DHA reduced neonatal opioid requirements post-cardiac surgery, consistent with analgesic/anti-inflammatory effects in the surgical inflammatory context.
- Beneficial Effects of Enteral Docosahexaenoic Acid on the Markers of Inflammation and Clinical Outcomes of Neonates Undergoing Cardiovascular Surgery: An Intervention Study
PubMed ID: 27394149
Perioperative neonatal DHA reduced proinflammatory cytokines (ILâ1ÎČ, ILâ6) and increased ILâ10 timingâclear antiâinflammatory signal.
- Cytokine distribution in mothers and breastfed children after omega-3 LCPUFAs supplementation during the last trimester of pregnancy and the lactation period: A randomized, controlled trial
PubMed ID: 29031393
Maternal DHA lowered proâinflammatory markers and raised antiâinflammatory signals in mothers and infants (small RCT).
- Effects of prenatal n-3 fatty acid supplementation on offspring resolvins at birth and 12 years of age: a double-blind, randomised controlled clinical trial
PubMed ID: 29173199
Prenatal supplementation increased SPM precursors in cord bloodâbiological evidence for enhanced resolution of inflammation at birth.
- The n-3 Polyunsaturated Fatty Acids Supplementation Improved the Cognitive Function in the Chinese Elderly with Mild Cognitive Impairment: A Double-Blind Randomized Controlled Trial
PubMed ID: 28075381
Decreases in ILâ6, TNFâα and sPLA2 activity in MCI subjects support systemic antiâinflammatory effects.
- Potential therapeutic impact of omega-3 long chain-polyunsaturated fatty acids on inflammation markers in Duchenne muscular dystrophy: A double-blind, controlled randomized trial
PubMed ID: 28987470
Highâdose omegaâ3 in DMD significantly reduced ILâ1ÎČ and ILâ6 and increased ILâ10âstrong antiâinflammatory biomarker evidence.
- EPAâ+âDHA supplementation reduces PMN activation in microenvironment of chronic venous leg ulcers: A randomized, double-blind, controlled study
PubMed ID: 28758717
Reduced activated PMNs in wound fluid and improved wound metrics indicate local antiâinflammatory effects.
- Oxidative stress reduction related to the efficacy of n-3 polyunsaturated fatty acids in first episode schizophrenia: Secondary outcome analysis of the OFFER randomized trial
PubMed ID: 28651701
Reduced oxidative stress markers and increased antioxidant capacity in early schizophrenia correlated with symptom improvement (inflammation/oxidative stress modulation).
- Inflammatory gene expression in whole blood cells after EPA vs. DHA supplementation: Results from the ComparED study
PubMed ID: 28131045
Highâdose EPA/DHA produced consistent changes in inflammationârelated gene transcripts (mechanistic antiâinflammatory evidence).
- Effects of fish oils on ex vivo B-cell responses of obese subjects upon BCR/TLR stimulation: a pilot study
PubMed ID: 29195133
Fish oil modulated Bâcell cytokine secretion (ILâ10, TNFα) and decreased IgM productionâimmune/inflammatory modulation at the cellular level.
- Omega-3 Fatty Acid Could Increase One of Myokines in Male Patients with Coronary Artery Disease: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 28112528
Omegaâ3 lowered hsâCRP in men with CAD over 8 weeks, indicating reduced systemic inflammation.
- Relationship between the omega-3 index and specialized pro-resolving lipid mediators in patients with peripheral arterial disease taking fish oil supplements
PubMed ID: 28778393
Marked increases in omegaâ3 index and proâresolving mediator precursors indicate strong antiâinflammatory potential.
- Supplementation with eicosapentaenoic acid and docosahexaenoic acid reduces high levels of circulating proinflammatory cytokines in aging adults: A randomized, controlled study
PubMed ID: 29735019
Highâdose EPA+DHA produced large, consistent reductions in ILâ6, ILâ1ÎČ and TNFâα in older adultsâstrong antiâinflammatory evidence.
- A Randomized Double-Blinded, Placebo-Controlled Trial Investigating the Effect of Fish Oil Supplementation on Gene Expression Related to Insulin Action, Blood Lipids, and Inflammation in Gestational Diabetes Mellitus-Fish Oil Supplementation and Gestational Diabetes
PubMed ID: 29385062
RCT in gestational diabetes documented downregulation of inflammatory genes (ILâ1, TNFâα) and upregulation of PPARâÎł â strong antiâinflammatory signal.
- Effect of prenatal EPA and DHA on maternal and umbilical cord blood cytokines
PubMed ID: 29940888
Prenatal EPAârich regimen reduced multiple maternal inflammatory cytokines (ILâ6, TNFα, ILâ15) â supports inflammation control (close mechanistic relevance).
- Double-blind, randomized, multicenter phase 2 study of SC411 in children with sickle cell disease (SCOT trial)
PubMed ID: 30097463
DHA formulation in sickle cell decreased adhesion/inflammatory markers (sPâselectin, sEâselectin) and pain diary outcomes â clinically relevant antiâinflammatory/vascular effects.
- Effects of DHA-enriched fish oil on gene expression levels of p53 and NF-ÎșB and PPAR-Îł activity in PBMCs of patients with T2DM: AÂ randomized, double-blind, clinical trial
PubMed ID: 31831363
DHA increased PPARâÎł activity in PBMCs in T2DM patients, consistent with antiâinflammatory transcriptional effects.
- Effect of folic acid combined with docosahexaenoic acid intervention on mild cognitive impairment in elderly: a randomized double-blind, placebo-controlled trial
PubMed ID: 32856190
DHA ± folic acid reduced inflammatory cytokines (ILâ1ÎČ, ILâ6) in MCI patientsâevidence of systemic inflammation lowering.
- Omega-3 Polyunsaturated Fatty Acids EPA and DHA as an Adjunct to Non-Surgical Treatment of Periodontitis: A Randomized Clinical Trial
PubMed ID: 32867199
Highâdose EPA/DHA adjunct improved periodontal inflammation and bleedingâclinical antiâinflammatory effect.
- Efficacy of omega 3 fatty acid as an adjunct in the management of chronic periodontitis: A randomized controlled trial
PubMed ID: 32436902
Adjunct Ïâ3 improved periodontal inflammation markers (probing depth, attachment level, gingival index) â clinical antiâinflammatory effect.
- Lowering effects of fish oil supplementation on proinflammatory markers in hypertension: results from a randomized controlled trial
PubMed ID: 32044905
Clear reductions in TNFâα and CRP after 3 months of fish oil in hypertensive adults â strong antiâinflammatory biomarker effect.
- Specialized Proresolving Mediators in Symptomatic Women With Coronary Microvascular Dysfunction (from the Women's Ischemia Trial to Reduce Events in Nonobstructive CAD [WARRIOR] Trial)
PubMed ID: 34728061
CMD patients showed low downstream proâresolving mediators despite high precursors, implicating EPA/DHA pathways in inflammation resolution (mechanistic evidence).
- Omega-3 fatty acids ameliorate vascular inflammation: A rationale for their atheroprotective effects
PubMed ID: 33812168
EPA reduced vascular inflammatory markers (CCL2, VCAM1) in humans and mice â strong evidence for inflammation control.
- Short-Term Intake of Yellowstripe Scad versus Salmon Did Not Induce Similar Effects on Lipid Profile and Inflammatory Markers among Healthy Overweight Adults despite Their Comparable EPA+DHA Content
PubMed ID: 34684525
Eating salmon lowered ILâ6 modestly in overweight adults â evidence of reduced systemic inflammation.
- Dietary Supplementation with Transgenic Camelina sativa Oil Containing 20:5n-3 and 22:6n-3 or Fish Oil Induces Differential Changes in the Transcriptome of CD3(+) T Lymphocytes
PubMed ID: 34578993
Marked, oilâdependent changes in activationâinduced Tâcell transcripts after increasing EPA/DHA in immune cells â mechanistic inflammation modulation.
- Omega-3 polyunsaturated fatty acids supplementation improve clinical symptoms in patients with Covid-19: A randomised clinical trial
PubMed ID: 34516692
Small COVID RCT reported favorable changes in inflammatory markers with DHA+EPA (supports inflammation control).
- Omega-3 Fatty Acids for Major Depressive Disorder With High Inflammation: A Randomized Dose-Finding Clinical Trial
PubMed ID: 36005883
hsâCRP reductions correlated with symptom improvement in EPA 4 g/day group (direct inflammation biomarker association).
- Lipid extract from blue mussel (Mytilus edulis) improves glycemic traits in Chinese type 2 diabetic mellitus patients: a double-blind randomized controlled trial
PubMed ID: 36409163
Blue mussel lipid extract reduced TNFâα and improved insulin resistance and TGs (direct antiâinflammatory biomarker changes).
- Effects of omega-3 supplementation as an adjunct to non-surgical periodontal therapy on periodontal parameters in periodontitis patients: a randomized clinical trial
PubMed ID: 36414947
Omegaâ3 added to periodontal therapy produced significantly greater reductions in pocket depth and attachment lossâclear local antiâinflammatory/clinical effect.
- Effects of docosahexanoic acid supplementation on inflammatory and subcutaneous adipose tissue gene expression in HIV-infected patients on combination antiretroviral therapy (cART). A sub-study of a randomized, double-blind, placebo-controlled study
PubMed ID: 29471285
DHA in HIV patients markedly reduced triglycerides and adipose inflammatory gene expression and hsCRP.
- Clinical and microbiological outcomes of subgingival instrumentation supplemented with high-dose omega-3 polyunsaturated fatty acids in periodontal treatment - a randomized clinical trial
PubMed ID: 37179297
Adjunct highâdose fish oil improved deep periodontal pocket healing and reduced periopathogens â antiâinflammatory clinical effect.
- Enhanced Production of EPA-Derived Anti-Inflammatory Metabolites after Oral Administration of a Novel Self-Emulsifying Highly Purified EPA Ethyl Ester Formulation (MND-2119)
PubMed ID: 37532570
Selfâemulsifying EPA rapidly raised EPA and EPAâderived antiâinflammatory metabolites (18âHEPE etc.).
- Effect of Omega-3 Polyunsaturated Fatty Acid Supplementation on Clinical Outcome of Atopic Dermatitis in Children
PubMed ID: 39275147
Combination product reduced eczema severity and topical steroid need, consistent with reduced skin inflammation.
- Joint effects of one year of marine omega-3 fatty acid supplementation and participant dietary fish intake upon circulating lipid mediators of inflammation resolution in a randomized controlled trial
PubMed ID: 38518540
Oneâyear 1 g/day EPA+DHA reduced multiple proâinflammatory eicosanoids and increased some resolvins â strong mechanistic inflammation control evidence.
- Synbiotic Bacillus megaterium DSM 32963 and n-3 PUFA Salt Composition Elevates Pro-Resolving Lipid Mediator Levels in Healthy Subjects: A Randomized Controlled Study
PubMed ID: 38732601
Synbiotic formulation with nâ3 rapidly and substantially raised proâresolving LM precursors (18âHEPE/5âHEPE) more than fish oil â strong proâresolution mechanistic signal.
- Effects of Zinc-Biofortified Wheat Intake on Plasma Markers of Fatty Acid Metabolism and Oxidative Stress Among Adolescents
PubMed ID: 39770887
Fishâoil intervention reduced several proâinflammatory arachidonic acidâderived oxylipins and raised nâ3 index.
- Multimicronutrient and omega-3 fatty acid supplementation reduces low-grade inflammation in older participants: An exploratory study
PubMed ID: 40644954
nâ3 plus micronutrients modestly reduced an aggregated inflammation score in older adults â supportive of systemic inflammation reduction.
- Docosahexaenoic acid (DHA) supplementation attenuates changes in the concentration, phenotype, and response of immune peripheral blood cells in breast cancer patients undergoing neoadjuvant therapy. Secondary findings from the DHA-WIN trial
PubMed ID: 40405290
DHA preserved immunologic and cytokine responses during chemotherapy, indicating reduced treatmentârelated immune suppression/inflammatory disturbance.
- Associations Between Dietary Intakes of Omega-3 Fatty Acids, Blood Levels, and Pain Interference in People with Migraine: A Path Analysis of Randomized Trial Data
PubMed ID: 41515121
Dietary increases in EPA/DHA (esp. EPA) associated with clinically meaningful reductions in pain interference in migraine, consistent with anti-inflammatory mechanisms.
- Antioxidant and Anti-Inflammatory Effects of Oral Supplementation with a Highly-Concentrated Docosahexaenoic Acid (DHA) Triglyceride in Patients with Keratoconus: A Randomized Controlled Preliminary Study
PubMed ID: 36904299
Highâdose DHA raised antioxidant capacity and lowered MDA and ILâ6 â clear antiâinflammatory/antiâoxidative biomarker changes.
- Plasma oxylipins respond in a linear dose-response manner with increased intake of EPA and DHA: results from a randomized controlled trial in healthy humans
PubMed ID: 31006007
Clear, doseâdependent increases in EPA/DHAâderived antiâinflammatory oxylipins and SPM precursorsâstrong mechanistic antiâinflammatory evidence.
- Omega-3 polyunsaturated fatty acid supplementation improves lipid metabolism and endothelial function by providing a beneficial eicosanoid-pattern in patients with acute myocardial infarction: A randomized, controlled trial
PubMed ID: 33041091
AMI patients had reduced proinflammatory prostanoid/leukotriene levels and increased DHA/EPA epoxidesâclinically relevant antiâinflammatory biomarker changes.
- Modification of subcutaneous white adipose tissue inflammation by omega-3 fatty acids is limited in human obesity-a double blind, randomised clinical trial
PubMed ID: 35247847
12âweek EPA+DHA increased tissue EPA/DHA and lowered inflammatory gene expression and SPM precursors in normalâweight adults (robust tissueâlevel antiâinflammatory signal).
- Essential Fatty Acid Supplementation and Early Inflammation in Preterm Infants: Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 37121228
Randomized ARA+DHA lowered ILâ6 and other proinflammatory cytokines in very preterm infantsâstrong direct antiâinflammatory evidence.
- Arachidonic acid and docosahexaenoic acid levels correlate with the inflammation proteome in extremely preterm infants
PubMed ID: 38603973
Large observational proteomic associations linked higher DHA/AA to lower inflammatory proteins (ILâ6, CCL7) though correlational.
- Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial
PubMed ID: 7874893
ICU study with fishâoil formula showed clinical benefits (fewer infections/shorter LOS) and higher plasma EPA/DHA, consistent with immune/inflammatory modulation.
- Effects of DHA-enriched fish oil on monocyte/macrophage activation marker sCD163, asymmetric dimethyl arginine, and insulin resistance in type 2 diabetic patients
PubMed ID: 27578110
DHAâenriched fish oil in T2DM lowered macrophage activation marker (sCD163) and triglyceridesâevidence of antiâinflammatory effect.
- Functional and metabolic effects of omega-3 polyunsaturated fatty acid supplementation and the role of ÎČ-hydroxy-ÎČ-methylbutyrate addition in chronic obstructive pulmonary disease: A randomized clinical trial
PubMed ID: 39181037
EPA/DHA (with/without HMB) reduced multiple inflammatory cytokines and improved lean mass in COPD patients.
- Benefits of Krill Oil Supplementation During Alternate-Day Fasting in Adults With Overweight and Obesity: A Randomized Trial
PubMed ID: 40671417
Krill oil during alternateâday fasting reduced TNFâα and CRP more than placeboâclear antiâinflammatory changes.
- Efficacy of Boswellia serrata Extract and/or an Omega-3-Based Product for Improving Pain and Function in People Older Than 40 Years with Persistent Knee Pain: A Randomized Double-Blind Controlled Clinical Trial
PubMed ID: 37686880
Omegaâ3 product improved knee pain/function and raised omegaâ3 index; clinical benefit plausibly mediated by inflammation reduction.
- Rapid EPA and DHA incorporation and reduced PGE2 levels after one week intervention with a medical food in cancer patients receiving radiotherapy, a randomized trial
PubMed ID: 23123043
Rapid incorporation of EPA/DHA into WBCs and prompt decrease in serum PGE2 in cancer patients â clear antiâinflammatory signal.
- The effect of n-3 fatty acids and coenzyme Q10 supplementation on neutrophil leukotrienes, mediators of inflammation resolution and myeloperoxidase in chronic kidney disease
PubMed ID: 29577973
Highâdose nâ3 in CKD robustly increased neutrophil proâresolving mediators and lowered plasma MPO â strong mechanistic antiâinflammatory evidence.
- A randomized controlled trial of the effects of n-3 fatty acids on resolvins in chronic kidney disease
PubMed ID: 25908532
High-quality RCT in CKD showed increased resolvin precursors (18-HEPE, 17-HDHA) and RvD1 after n-3 therapy â direct evidence of promoting resolution pathways.
- Docosahexanoic Acid Plus Vitamin D Treatment Improves Features of NAFLD in Children with Serum Vitamin D Deficiency: Results from a Single Centre Trial
PubMed ID: 27977757
NAFLD children had large histologic improvement (reflects reduced hepatic inflammation) with DHA+vitamin D.
- A dietary supplement attenuates IL-6 and CRP after eccentric exercise in untrained males
PubMed ID: 14652498
Antioxidant product including DHA reduced exerciseâinduced ILâ6 and CRP â inflammation attenuation observed.
- Docosahexaenoic acid affects markers of inflammation and muscle damage after eccentric exercise
PubMed ID: 25029008
28 days DHA reduced some ILâ6 and CK responses after eccentric exercise (biochemical inflammation reduction).
- The effect of curcumin and high-content eicosapentaenoic acid supplementations in type 2 diabetes mellitus patients: a double-blinded randomized clinical trial
PubMed ID: 38589346
EPA/nanoâcurcumin and combination reduced hsâCRP in T2DM patients; inflammation markers improved.
- Dietary fish oil and olive oil supplementation in patients with rheumatoid arthritis. Clinical and immunologic effects
PubMed ID: 2363736
Doseâdependent reductions in neutrophil LTB4 and clinical RA signs indicate strong antiâinflammatory action.
- Dietary omega-3 fatty acid supplementation and naproxen treatment in patients with rheumatoid arthritis
PubMed ID: 1464864
In RA, omegaâ3s improved morning stiffness/global assessment â consistent with antiâinflammatory benefit though confounded by NSAID coâuse.
- Effects of fish oil supplementation on non-steroidal anti-inflammatory drug requirement in patients with mild rheumatoid arthritis--a double-blind placebo controlled study
PubMed ID: 8220938
Longâterm fish oil in RA permitted large NSAID reductions without worsening disease, indicating sustained antiâinflammatory effect.
- n-3 fatty acid ethyl ester administration to healthy subjects and to hypertriglyceridemic patients reduces tissue factor activity in adherent monocytes
PubMed ID: 7918310
Large and sustained decreases in monocyte tissue factor activity and cellular incorporation of EPA/DHA indicate antiâinflammatory/proâresolving actions.
- Dietary supplementation with very long-chain n-3 fatty acids in man decreases expression of the interleukin-2 receptor (CD25) on mitogen-stimulated lymphocytes from patients with inflammatory skin diseases
PubMed ID: 8050452
Reduced CD25 expression on stimulated lymphocytes reflects decreased immune activation/inflammatory signaling in skin disease patients.
- Effect of eicosapentaenoic acid and docosahexaenoic acid on oxidative stress and inflammatory markers in treated-hypertensive type 2 diabetic subjects
PubMed ID: 14583341
DHA reduced urinary F2-isoprostanes (~20%), a validated oxidative/inflammatory biomarker.
- Effects of n-3 fatty acids on serum interleukin-6, tumour necrosis factor-alpha and soluble tumour necrosis factor receptor p55 in active rheumatoid arthritis
PubMed ID: 15458276
RA trial showed significant reductions in inflammatory biomarkers with nâ3 supplementation plus low nâ6 diet.
- Gamma-tocopherol and docosahexaenoic acid decrease inflammation in dialysis patients
PubMed ID: 17720098
Îłâtocopherol+DHA lowered ILâ6 and WBC in dialysis patientsâevidence of reduced systemic inflammation (combination therapy).
- Fish Oil Supplements Lower Serum Lipids and Glucose in Correlation with a Reduction in Plasma Fibroblast Growth Factor 21 and Prostaglandin E2 in Nonalcoholic Fatty Liver Disease Associated with Hyperlipidemia: A Randomized Clinical Trial
PubMed ID: 26226139
Fish oil reduced biomarkers linked to NAFLD and inflammation in adultsâmeaningful antiâinflammatory evidence.
- Efficacy of poly-unsaturated fatty acid therapy on patients with nonalcoholic steatohepatitis
PubMed ID: 26078579
PUFA diet reduced inflammatory/oxidative markers and improved NASH histologyâclear antiâinflammatory signal.
- Targeted alteration of dietary n-3 and n-6 fatty acids for the treatment of chronic headaches: a randomized trial
PubMed ID: 23886520
Diet raising n-3 while lowering n-6 reduced headache frequency and increased DHA/EPA-derived pro-resolving mediators, indicating anti-inflammatory action.
- Dietary alteration of n-3 and n-6 fatty acids for headache reduction in adults with migraine: randomized controlled trial
PubMed ID: 34526307
Dietary EPA+DHA increased DHAâderived oxylipins (17âHDHA) and produced clinically meaningful reductions in migraine days/hours â strong antiâinflammatory/functional signal.
- A High Omega-3, Low Omega-6 Diet Reduces Headache Frequency and Intensity in Persistent Post-Traumatic Headache: A Randomized Trial
PubMed ID: 40600308
High EPA+DHA/lowâLA diet raised plasma 17âHDHA and reduced headache days/intensity in persistent postâtraumatic headache â clear link between DHAâderived SPMs and symptom reduction.
- Comparison of the effects of linseed oil and different doses of fish oil on mononuclear cell function in healthy human subjects
PubMed ID: 12720588
Doseâdependent suppression of stimulated ILâ6 production with fish oil indicates antiâinflammatory action at the cellular level.
- Randomized placebo-controlled intervention with n-3 LC-PUFA-supplemented yoghurt: effects on circulating eicosanoids and cardiovascular risk factors
PubMed ID: 23332800
Highâdose marine nâ3 increased EPA/DHA and EPA-derived mediators and improved AA/EPA ratio with associated TAG/HDL improvementsâantiâinflammatory profile.
- Pretreatment with an intravenous lipid emulsion increases plasma eicosapentanoic acid and downregulates leukotriene b4, procalcitonin, and lymphocyte concentrations after open heart surgery in infants
PubMed ID: 24121184
Perioperative fishâoil raised EPA and was associated with reduced LTB4 and lower PCTâclear postoperative antiâinflammatory signals.
- Intakes of PUFAs were inversely associated with plasma C-reactive protein 12 years later in a middle-aged population with vitamin E intake as an effect modifier
PubMed ID: 24027184
Prospective association between higher dietary nâ3 intake and lower CRP 12 years laterâpopulationâlevel evidence for inflammation reduction.
- Effect of dietary supplementation with omega-3 fatty acid and gamma-linolenic acid on acne vulgaris: a randomised, double-blind, controlled trial
PubMed ID: 24553997
EPA+DHA reduced inflammatory and noninflammatory acne lesions and decreased ILâ8 stainingâclinical antiâinflammatory skin effect.
- Docosahexaenoic acid-enriched canola oil increases adiponectin concentrations: a randomized crossover controlled intervention trial
PubMed ID: 25240692
DHAâenriched canola oil reduced IL1B expression and hsâCRP and increased adiponectin in abdominal obesityârobust antiâinflammatory/metabolic changes.
- Parenteral MCT/Ï-3 Polyunsaturated Fatty Acid-Enriched Intravenous Fat Emulsion Is Associated With Cytokine and Fatty Acid Profiles Consistent With Attenuated Inflammatory Response in Preterm Neonates: A Randomized, Double-Blind Clinical Trial
PubMed ID: 26378118
Parenteral Ïâ3 in preterm infants raised EPA/DHA and significantly lowered ILâ6 and ILâ8âstrong antiâinflammatory evidence.
- Dietary Buglossoides Arvensis Oil Increases Circulating n-3 Polyunsaturated Fatty Acids in a Dose-Dependent Manner and Enhances Lipopolysaccharide-Stimulated Whole Blood Interleukin-10-A Randomized Placebo-Controlled Trial
PubMed ID: 28287415
Ahiflower (SDA) increased antiâinflammatory ILâ10 after stimulationâdirect antiâinflammatory signal.
- EPA+DHA, but not ALA, Improved Lipids and Inflammation Status in Hypercholesterolemic Adults: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 30900815
EPA+DHA supplementation reduced inflammatory cytokine production (ILâ6) from immune cells.
- Intake of Camelina Sativa Oil and Fatty Fish Alter the Plasma Lipid Mediator Profile in Subjects with Impaired Glucose Metabolism - A Randomized Controlled Trial
PubMed ID: 32512364
Fatty fish or Camelina raised specialized antiâinflammatory lipid mediators (e.g., 18âHEPE, 17âHDoHE).
- Dietary Intake of n-3 PUFA-Enriched Hen Eggs Changes Inflammatory Markers' Concentration and Treg/Th17 Cells Distribution in Blood of Young Healthy Adults-A Randomised Study
PubMed ID: 34071714
nâ3 enriched eggs raised resolvins and modulated T cell cytokines (âILâ6) and Treg/Th17 distribution â mechanistic antiâinflammatory evidence.
- Marine Ï-3 PUFA Supplementation Enhances FFAR4 Activation and Reduces Inflammatory Markers in PBMC of Subjects with Obesity: A Randomized Controlled Trial (EPICO)
PubMed ID: 41373925
FFAR4 activation with correlated âTNFâα and âILâ10 demonstrates a mechanistic antiâinflammatory pathway for marine nâ3s.
- Alpha Lipoic Acid Plus Omega-3 Fatty Acids for Vestibulodynia Associated With Painful Bladder Syndrome
PubMed ID: 28343553
ALA + marine nâ3 with amitriptyline improved pain and pelvicâfloor tone â consistent with antiâinflammatory/painâmodulating effects.
- Effects of different doses of fish oil on rectal cell proliferation in patients with sporadic colonic adenomas
PubMed ID: 7958682
Fish oil raised mucosal EPA/DHA, lowered AA and reduced abnormal rectal proliferation â antiâinflammatory/antiâproliferative biomarker effects.
- [Polyunsaturated omega-3 fatty acids in the treatment of experimental human gingivitis]
PubMed ID: 8720373
Small RCT showing incorporation of nâ3 into gingival membranes and a significant reduction in gingival inflammation (Gingival Index).
- Omega-3 fatty acid-based lipid infusion in patients with chronic plaque psoriasis: results of a double-blind, randomized, placebo-controlled, multicenter trial
PubMed ID: 9555791
IV omega-3 decreased psoriasis severity and shifted leukotriene/thromboxane generation toward less proinflammatory profiles (strong clinical anti-inflammatory effect).
- Fish oil and antioxidants alter the composition and function of circulating mononuclear cells in Crohn disease
PubMed ID: 15531659
RCT in Crohn's showed incorporation of EPA/DHA into immune cells and reductions in proinflammatory IFN-Îł and PGE2 (direct anti-inflammatory evidence).
- Usefulness of omega-3 fatty acid supplementation in addition to mesalazine in maintaining remission in pediatric Crohn's disease: a double-blind, randomized, placebo-controlled study
PubMed ID: 16437657
Omegaâ3 reduced relapse in pediatric Crohn's and showed RBC EPA/DHA incorporation with decreased arachidonic acidâstrong antiâinflammatory signal.
- Long-chain polyunsaturated fat supplementation in children with low docosahexaenoic acid intakes alters immune phenotypes compared with placebo
PubMed ID: 18493214
AA+DHA shifted immune cell surface markers and cytokineârelated responses consistent with altered inflammatory potential.
- The effects of omega-3 fatty acid supplementation in pregnancy on maternal eicosanoid, cytokine, and chemokine secretion
PubMed ID: 19390480
Omegaâ3 supplementation in pregnant women decreased LPSâstimulated PGE2 secretion from whole bloodâdirect antiâinflammatory signal.
- ALOX5 gene variants affect eicosanoid production and response to fish oil supplementation
PubMed ID: 21296957
Fish oil supplementation produced clear shifts in eicosanoid and specialized nâ3 metabolite levels (5âHEPE, 15âHEPE, 17âHDoHE) â mechanistic antiâinflammatory evidence.
- Supplemental intravenous n-3 fatty acids and n-3 fatty acid status and outcome in critically ill elderly patients in the ICU receiving enteral nutrition
PubMed ID: 23260750
IV nâ3 in critically ill patients lowered AA and altered nâ6:nâ3 ratio with associated physiological improvements â supports antiâinflammatory action in severe illness.
- Fish oil supplementation in early infancy modulates developing infant immune responses
PubMed ID: 22805468
Postnatal fish oil lowered Th2 cytokine ILâ13 and altered inflammatory cytokine responsesâdirect evidence of immune/inflammatory modulation.
- Generation and dietary modulation of anti-inflammatory electrophilic omega-3 fatty acid derivatives
PubMed ID: 24736647
Supplementation raised neutrophil electrophilic Ïâ3 ketone derivatives (anti-inflammatory mediators) in RCT.
- Association between Serum Phospholipid Fatty Acids and Intraprostatic Inflammation in the Placebo Arm of the Prostate Cancer Prevention Trial
PubMed ID: 25926387
Higher circulating EPA/DHA strongly associated with substantially less intraprostatic inflammation (observational).
- The impact of an omega-3 fatty acid rich lipid emulsion on fatty acid profiles in critically ill septic patients
PubMed ID: 27637335
Rapid EPA/DHA incorporation and lowered AA/(EPA+DHA) ratio in sepsis implies antiâinflammatory effects.
- Docosahexaenoic acid in the treatment of rheumatoid arthritis: AÂ double-blind, placebo-controlled, randomized cross-over study with microalgae vs. sunflower oil
PubMed ID: 28302406
RA trial showed reduced joint counts and shifts away from 5âLOX proinflammatory products toward DHAâderived mediators.
Eye health (70)
- Docosahexaenoic acid-rich algae oil supplementation on breast milk fatty acid profile of mothers who delivered prematurely: a randomized clinical trial
PubMed ID: 34728723
Maternal algaeâDHA markedly raised breastâmilk DHAâbiomarker plausibly supporting infant retinal/visual development though clinical outcomes not reported here.
- Evaluation of the Retinopathy of Prematurity Activity Scale (ROP-ActS) in a randomised controlled trial aiming for prevention of severe ROP: a substudy of the Mega Donna Mega trial
PubMed ID: 35495419
Randomized AA+DHA supplementation halved the risk of severe retinopathy of prematurity (severe ROP) in extremely preterm infantsâstrong vision outcome evidence.
- Platelet characteristics in extremely preterm infants after fatty acid supplementation: a randomized controlled trial
PubMed ID: 39702768
AA+DHA reduced treated/severe ROP incidence (~50% relative reduction) and altered plateletârelated pathwaysârobust neonatal vision benefit.
- Multiple Micronutrients, Lutein, and Docosahexaenoic Acid Supplementation during Lactation: A Randomized Controlled Trial
PubMed ID: 33339438
Maternal MMS increased milk DHA â DHA is a key retinal omegaâ3 and increased milk DHA supports infant retinal DHA supply.
- Essential fatty acid status in neonates after fish-oil supplementation during late pregnancy
PubMed ID: 8541278
Thirdâtrimester fish oil increased neonatal DHA in umbilical plasma/vessel wallsâbiochemical substrate important for retinal/visual development.
- Visual evoked potentials and dietary long chain polyunsaturated fatty acids in preterm infants
PubMed ID: 8949693
DHA-containing feeds accelerated visual evoked potential maturation in preterm infants (supportive for vision development).
- A randomized controlled trial of long-chain polyunsaturated fatty acid supplementation of formula in term infants after weaning at 6 wk of age
PubMed ID: 11864865
Randomized trial: LCP (including DHA) improved infant visual acuity and stereoacuity (strong functional vision evidence).
- Further evaluation of docosahexaenoic acid in patients with retinitis pigmentosa receiving vitamin A treatment: subgroup analyses
PubMed ID: 15364709
Subgroup analyses in RP trial showed DHA slowed some vision decline for ~2 years in those not on prior vitamin A and higher DHA associated with slower decline.
- Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk
PubMed ID: 15333721
DHAâenriched baby food increased RBC DHA and improved visual acuity (~1.5 lines) at 12 months â robust infant vision benefit.
- A docosahexaenoic acid-functional food during pregnancy benefits infant visual acuity at four but not six months of age
PubMed ID: 17393217
Maternal DHA modestly improved infant visual acuity at 4 months (RCT), a direct vision benefit.
- The influence of supplemental lutein and docosahexaenoic acid on serum, lipoproteins, and macular pigmentation
PubMed ID: 18469279
DHA (±lutein) increased macular pigment optical density at some retinal loci in older women.
- Supplementation with 200 mg/day docosahexaenoic acid from mid-pregnancy through lactation improves the docosahexaenoic acid status of mothers with a habitually low fish intake and of their infants
PubMed ID: 18446020
200 mg/day maternal DHA doubled breastâmilk DHA and raised infant RBCâDHAâstrong biological plausibility for supporting infant visual development.
- Essential n-3 fatty acids in pregnant women and early visual acuity maturation in term infants
PubMed ID: 18326591
Maternal 400 mg/day DHA was associated with higher odds of better infant visual acuity at 60 daysâdirect visual benefit.
- The effects of 90-day supplementation with the omega-3 essential fatty acid docosahexaenoic acid (DHA) on cognitive function and visual acuity in a healthy aging population
PubMed ID: 21531481
90-day DHA supplementation raised omega-3 biomarkers and produced a measurable improvement in right-eye visual acuity in older adults (small trial).
- Dietary Ï-3 fatty acid and fish intake and incident age-related macular degeneration in women
PubMed ID: 21402976
Large prospective cohort showed substantially lower risk (~35â45%) of vision-threatening AMD with higher dietary DHA/EPA and fish intakeâstrong observational support.
- Ï-3 intake and visual acuity in patients with retinitis pigmentosa receiving vitamin A
PubMed ID: 22332205
Large pooled dataset: higher dietary longâchain nâ3 (mainly DHA) intake linked to substantially slower central visual acuity and field loss in retinitis pigmentosa.
- Effects of lutein and docosahexaenoic Acid supplementation on macular pigment optical density in a randomized controlled trial
PubMed ID: 23434908
One-year lutein + DHA increased macular pigment optical density in early AMD patients, although short-term vision tests did not change.
- Macular xanthophylls and Ï-3 long-chain polyunsaturated fatty acids in age-related macular degeneration: a randomized trial
PubMed ID: 23519529
Lutein/zeaxanthin + Ïâ3 supplementation increased macular pigment optical density and plasma antioxidants over 12 months in nonexudative AMD patients (direct support for retinal health).
- Short-term consumption of oral omega-3 and dry eye syndrome
PubMed ID: 23642375
EPA+DHA improved tear film stability and symptoms in dryâeye disease, supporting ocular surface health relevant to vision comfort.
- Fish-oil fat emulsion supplementation reduces the risk of retinopathy in very low birth weight infants: a prospective, randomized study
PubMed ID: 23963690
In very low birth weight infants parenteral fishâoil (DHA) markedly reduced retinopathy of prematurity requiring treatment (large clinical vision benefit).
- Circulating omega-3 Fatty acids and neovascular age-related macular degeneration
PubMed ID: 24557349
Higher circulating EPA (and EPA+DHA) strongly associated with much lower odds of neovascular AMD (case-control analysis).
- Omega-3 supplementation combined with anti-vascular endothelial growth factor lowers vitreal levels of vascular endothelial growth factor in wet age-related macular degeneration
PubMed ID: 25089351
Omegaâ3 supplementation in antiâVEGFâtreated wet AMD lowered vitreous VEGFâA (local biological effect relevant to vision).
- Docosahexaenoic Acid Slows Visual Field Progression in X-Linked Retinitis Pigmentosa: Ancillary Outcomes of the DHAX Trial
PubMed ID: 26469750
In Xâlinked retinitis pigmentosa DHA raised RBCâDHA and slowed visual field loss correlated with blood DHA (strong visionâpreserving signal in adherent subjects).
- CFH Y402H and ARMS2 A69S Polymorphisms and Oral Supplementation with Docosahexaenoic Acid in Neovascular Age-Related Macular Degeneration Patients: The NAT2 Study
PubMed ID: 26132079
DHA showed genotypeâspecific protection against incident CNV in CFH nonârisk homozygotes (AMDârelated vision benefit in a subset).
- Oral omega-3 fatty acids treatment in computer vision syndrome related dry eye
PubMed ID: 25697893
Oral EPA+DHA halved dryâeye symptom scores and improved tear breakup time and Schirmer test (clinically meaningful ocular surface benefits).
- Short-Term Omega 3 Fatty Acids Treatment for Dry Eye in Young and Middle-Aged Visual Display Terminal Users
PubMed ID: 26322917
Large randomized doubleâblind trial: highâdose omegaâ3 improved dryâeye symptoms and tear film stability in screen users.
- A Randomized, Double-Masked, Placebo-Controlled Clinical Trial of Two Forms of Omega-3 Supplements for Treating Dry Eye Disease
PubMed ID: 27817918
Krill and fish oil improved tear stability and osmolarity; krill oil also reduced symptoms and tear ILâ17A.
- Effect of Oral Re-esterified Omega-3 Nutritional Supplementation on Dry Eyes
PubMed ID: 27442314
Wellâpowered RCT: reâesterified EPA+DHA substantially improved signs and symptoms of dry eye and reduced tear osmolarity/MMPâ9.
- COMBINED INTRAVITREAL RANIBIZUMAB AND ORAL SUPPLEMENTATION WITH DOCOSAHEXAENOIC ACID AND ANTIOXIDANTS FOR DIABETIC MACULAR EDEMA: Two-Year Randomized Single-Blind Controlled Trial Results
PubMed ID: 27787443
HighâDHA oral supplements added to ranibizumab reduced macular thickness in diabetic macular edema (anatomical visual benefit).
- Enteral Docosahexaenoic Acid and Retinopathy of Prematurity: A Randomized Clinical Trial
PubMed ID: 30614004
Enteral DHA in very lowâbirthâweight preterms reduced risk of severe (stage 3) retinopathy of prematurity.
- Microencapsulated Tuna Oil Results in Higher Absorption of DHA in Toddlers
PubMed ID: 31963702
Microencapsulated tuna oil in toddler formula produced larger increases in blood DHA and omegaâ3 index â biomarker relevant to visual development/retina.
- Feasibility Study of a Docosahexaenoic Acid-Optimized Nutraceutical Formulation on the Macular Levels of Lutein in a Healthy Mediterranean Population
PubMed ID: 32544914
Lutein + DHA increased macular pigment optical density far more than lutein alone â strong supportive evidence for retinal nutrient status.
- Effect of a Novel Omega-3 and Omega-6 Fatty Acid Supplement on Dry Eye Disease: A 3-month Randomized Controlled Trial
PubMed ID: 34882608
EPA+DHA+GLA produced clinically meaningful improvements in very symptomatic dryâeye patients (ocular surface outcome related to vision comfort).
- Omega-3 fatty acids supplements for dry eye - Are they effective or ineffective?
PubMed ID: 37026312
Large RCT in digitalâdisplay users showed RBC omegaâ3 index increased and clinically meaningful improvements in multiple dryâeye clinical endpoints (TBUT, Schirmer, osmolarity).
- Antioxidant and Anti-Inflammatory Effects of Oral Supplementation with a Highly-Concentrated Docosahexaenoic Acid (DHA) Triglyceride in Patients with Keratoconus: A Randomized Controlled Preliminary Study
PubMed ID: 36904299
Keratoconus patients showed reduced ocular oxidative/inflammatory markers after highâdose DHA, relevant to corneal health/vision.
- Re-Esterified Triglyceride Ï-3 Fatty Acids in Dry Eye Disease With Meibomian Gland Dysfunction: A Randomized Clinical Trial
PubMed ID: 38753336
Dryâeye/meibomian gland dysfunction study showed improved tear stability and eyelid signs, relevant to ocular surface/vision comfort.
- Effects of Prenatal DHA Dose on Infant Visual Attention
PubMed ID: 40791013
800 mg/day prenatal DHA was linked to faster infant visual learning and more mature attention â direct visual development support.
- Omega-3 fatty acid deficiency in infants before birth identified using a randomized trial of maternal DHA supplementation in pregnancy
PubMed ID: 24427279
Maternal 400 mg/day DHA reduced risk of infants scoring outside top performers for early visual acuity at 2 months.
- Dietary Nutrient Intake and Progression to Late Age-Related Macular Degeneration in the Age-Related Eye Disease Studies 1 and 2
PubMed ID: 32858063
Large AREDS/AREDS2 cohort data: higher dietary longâchain omegaâ3 intake linked to lower progression to late AMD (strong observational evidence).
- Retinal development in very-low-birth-weight infants fed diets differing in omega-3 fatty acids
PubMed ID: 1386065
VLBW infants receiving longâchain nâ3 (DHA) showed preserved/improved rod retinal function versus deficient formula â strong functional vision evidence.
- Effect of long-chain n-3 fatty acid supplementation on visual acuity and growth of preterm infants with and without bronchopulmonary dysplasia
PubMed ID: 8615350
Preterm infants fed marine nâ3 LCPUFAs had early visual acuity improvement (2âmonth outcome) in certain infantsâdirect vision benefit.
- Fatty acid profile of buccal cheek cell phospholipids as an index for dietary intake of docosahexaenoic acid in preterm infants
PubMed ID: 10443966
Cheek cell DHA strongly correlated with VEP acuity and other visual measures in preterm infantsâgood tissue/functional correlation.
- Fatty acid absorption in preterms on formulas with and without long-chain polyunsaturated fatty acids and in terms on formulas without these added
PubMed ID: 11528489
Preterm infants show substantial absorption/retention of supplemented DHAâimportant for retinal/visual development.
- Docosahexaenoic acid in red blood cells of term infants receiving two levels of long-chain polyunsaturated fatty acids
PubMed ID: 16540798
HigherâDHA formula raised infant RBC DHA markedlyâsupports substrate availability for visual development.
- Effect of different levels of docosahexaenoic acid supply on fatty acid status and linoleic and α-linolenic acid conversion in preterm infants
PubMed ID: 22008957
Doseâdependent formula DHA increased infant plasma/erythrocyte DHA to levels comparable to human milk (biomarker important for vision development).
- Plasma long-chain omega-3 polyunsaturated fatty acids and macular pigment in subjects with family history of age-related macular degeneration: the Limpia Study
PubMed ID: 28271618
Higher plasma DPA was crossâsectionally associated with greater central macular pigment density (observational association).
- Effects on Fatty Acid Metabolism of a New Powdered Human Milk Fortifier Containing Medium-Chain Triacylglycerols and Docosahexaenoic Acid in Preterm Infants
PubMed ID: 29843467
Fortifier increased infant RBC/plasma DHA and EPAânutrient increases relevant to retinal development and vision.
- Impact of Maternal Fish Consumption on Serum Docosahexaenoic Acid (DHA) Levels in Breastfed Infants: A Cross-Sectional Study of a Randomized Clinical Trial in Japan
PubMed ID: 37892412
Maternal fish consumption and breastfeeding were associated with higher infant serum DHA â infant DHA supports visual development.
- Visual acuity and fatty acid status of term infants fed human milk and formulas with and without docosahexaenoate and arachidonate from egg yolk lecithin
PubMed ID: 8726246
Term infants given DHA+AA formula had improved early grating visual acuity and increased blood DHA/AA.
- Influence of feeding artificial-formula milks containing docosahexaenoic and arachidonic acids on the postnatal long-chain polyunsaturated fatty acid status of healthy preterm infants
PubMed ID: 8958000
Supplementing preterm formula with DHA raised infant DHA to breastâfed levelsâbiochemical change associated with visual development.
- Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants
PubMed ID: 9702915
Same as above (strong trial-level evidence for improved visual evoked acuity).
- Effect of formula supplemented with docosahexaenoic acid and gamma-linolenic acid on fatty acid status and visual acuity in term infants
PubMed ID: 9552137
DHA-supplemented formulas raised infant RBC DHA to breast-fed levels; visual acuity differences were small/inconclusive but biomarker-normalizing.
- A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants
PubMed ID: 10755457
DHA+AA in infant formula correlated with RBC/plasma DHA and improved Bayley MDI; visual acuity/correlations reported supporting vision benefit.
- Impact of early dietary intake and blood lipid composition of long-chain polyunsaturated fatty acids on later visual development
PubMed ID: 11144440
DHAâenriched formula matched breastfed DHA and produced more mature ERG responses and better visual acuity at 17 and 52 weeks.
- Erythrocyte fatty acid composition in term infants fed human milk or a formula enriched with a low eicosapentanoic acid fish oil for 4 months
PubMed ID: 10653329
HighâDHA formula maintained DHA in term infants but lowered AA; biochemical maintenance relevant for vision though tradeoffs noted.
- Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial
PubMed ID: 11483801
Large RCT in preterms: AA+DHA improved VEP acuity toward breastfed reference and supported visual maturation.
- [The influence of human milk and various artificial formulae commercially available in Spain on the fatty acid status of infants in the first two months of life]
PubMed ID: 12139873
Formulas lacking omegaâ3/omegaâ6 produced lower RBC DHA/ARA vs breastfed infants, supporting DHA importance for retinal/visual status.
- Visual function in breast-fed term infants weaned to formula with or without long-chain polyunsaturates at 4 to 6 months: a randomized clinical trial
PubMed ID: 12838196
Term infants supplemented with DHA+ARA had higher RBCâDHA and significantly improved VEP visual acuity at 1 yearâstrong functional vision evidence.
- Visual maturation of term infants fed long-chain polyunsaturated fatty acid-supplemented or control formula for 12 mo
PubMed ID: 15817866
Term infants fed DHA+ARA had significantly better sweep VEP acuity across the first year and higher RBC DHA (robust vision benefit).
- A randomized trial of long-chain polyunsaturated fatty acid supplementation in infants with phenylketonuria
PubMed ID: 16483397
DHA prevented large declines in erythrocyte DHA in PKU infants and may aid visual maturation.
- Cognitive assessment of children at age 2(1/2) years after maternal fish oil supplementation in pregnancy: a randomised controlled trial
PubMed ID: 17185423
Maternal fish oil improved eyeâhand coordination (sensorimotor/visual integration), though not a direct acuity measure.
- Visual acuity and cognitive outcomes at 4 years of age in a double-blind, randomized trial of long-chain polyunsaturated fatty acid-supplemented infant formula
PubMed ID: 17240089
DHA/ARAâsupplemented infant formula produced visual acuity at age 4 similar to breastâfed children (benefit for vision development).
- Higher dose of docosahexaenoic acid in the neonatal period improves visual acuity of preterm infants: results of a randomized controlled trial
PubMed ID: 18842793
Preterm infants given higher DHA dose had significantly better VEP visual acuity at 4 months.
- The DIAMOND (DHA Intake And Measurement Of Neural Development) Study: a double-masked, randomized controlled clinical trial of the maturation of infant visual acuity as a function of the dietary level of docosahexaenoic acid
PubMed ID: 20130095
Large doubleâmasked RCT found clear, clinically meaningful improvement in infant VEP visual acuity with DHA supplementation.
- Protective effects of dietary supplementation with natural Ï-3 polyunsaturated fatty acids on the visual acuity of school-age children with lower IQ or attention-deficit hyperactivity disorder
PubMed ID: 26015389
Ïâ3 enriched eggs raised RBC DHA and produced a significant improvement in distance visual acuity in children.
- Red blood cell membrane fatty acid composition in infants fed formulas with different lipid profiles
PubMed ID: 27391868
HigherâDHA infant formulas raised RBC DHA to levels similar to breastfed infants â DHA status relevant to visual development.
- Phospholipid Species in Newborn and 4 Month Old Infants after Consumption of Different Formulas or Breast Milk
PubMed ID: 27571269
Infant formula with DHA/ARA raised DHAâcontaining plasma phospholipids to levels similar to breast milkâimportant for vision development.
- Efficacy of novel small-quantity lipid-based nutrient supplements in improving long-chain polyunsaturated fatty acid status of South African infants: a randomised controlled trial
PubMed ID: 31371795
SQâLNSâplus raised plasma DHA at 12 months, lowering nâ6:nâ3 ratioâbiomarker changes supportive of visual development.
- Effect of Enteral Lipid Supplement on Severe Retinopathy of Prematurity: A Randomized Clinical Trial
PubMed ID: 33523106
Large RCT in extremely preterm infants halved severe ROP incidence with enteral AA+DHA and raised circulating AA/DHAâstrong visionâspecific clinical effect.
- Randomized Controlled Trial of Early Docosahexaenoic Acid and Arachidonic Acid Enteral Supplementation in Very Low Birth Weight Infants
PubMed ID: 33358843
Highâdose enteral DHA+ARA quickly raised wholeâblood DHA and ARA (dose responsiveness relevant to retinal development).
Brain health (110)
- Effect of n-3 supplementation on hyperactivity, oxidative stress and inflammatory mediators in children with attention-deficit-hyperactivity disorder
PubMed ID: 24568073
ADHD trial: behavior and hyperactivity improvements with EPA+DHA may reflect better neurobehavioral function.
- Inflammation (IL-1ÎČ) Modifies the Effect of Vitamin D and Omega-3 Long Chain Polyunsaturated Fatty Acids on Core Symptoms of Autism Spectrum Disorder-An Exploratory Pilot Study(âĄ)
PubMed ID: 32121236
Omegaâ3 (±vitamin D) improved some social/communication scores in ASD children with elevated ILâ1ÎČ â domainâspecific brain/behavioral benefit in a subgroup.
- Omega-3 fatty acid, carotenoid and vitamin E supplementation improves working memory in older adults: A randomised clinical trial
PubMed ID: 34999335
24âmonth trial showed improved working memory along with increases in plasma Ïâ3FA and tissue carotenoids.
- Ï-3 Ethyl ester results in better cognitive function at 12 and 30 months than control in cognitively healthy subjects with coronary artery disease: a secondary analysis of a randomized clinical trial
PubMed ID: 33675344
Highâdose EPA+DHA improved multiple cognitive domains (language, memory, visualâmotor) in older adults with coronary disease over 12â30 months.
- Supplementation with oil rich in eicosapentaenoic acid, but not in docosahexaenoic acid, improves global cognitive function in healthy, young adults: results from randomized controlled trials
PubMed ID: 34113957
Wellâpowered RCT: EPAârich oil improved overall cognitive accuracy and speed in healthy young adults; DHA had smaller effects â strong cognitive signal.
- Effects of Folic Acid Combined with DHA Supplementation on Cognitive Function and Amyloid-ÎČ-Related Biomarkers in Older Adults with Mild Cognitive Impairment by a Randomized, Double Blind, Placebo-Controlled Trial
PubMed ID: 33749643
DHA (with folic acid) improved specific cognitive tests and reduced blood amyloidâÎČ in older adults with MCI â supportive of brain health.
- Maternal FADS2 single nucleotide polymorphism modified the impact of prenatal docosahexaenoic acid (DHA) supplementation on child neurodevelopment at 5 years: Follow-up of a randomized clinical trial
PubMed ID: 34543890
Prenatal DHA produced genotypeâdependent improvements in child cognitive domains at age 5 â developmental brain function benefit.
- Fish oil supplementation alters emotion-generated corticolimbic functional connectivity in depressed adolescents at high-risk for bipolar I disorder: A 12-week placebo-controlled fMRI trial
PubMed ID: 34214231
Fishâoil changed corticolimbic connectivity; connectivity changes correlated with depressive symptom improvements (neuralâmechanistic brain effect).
- Emotion-Related Network Reorganization Following Fish Oil Supplementation in Depressed Bipolar Offspring: An fMRI Graph-Based Connectome Analysis
PubMed ID: 34139404
Fishâoil improved brain network measures (fMRI) and produced symptom improvements in depressed youth â objective brain function changes.
- A Pilot Randomized Controlled Trial of Docosahexaenoic Acid for the Treatment of Sport-Related Concussion in Adolescents
PubMed ID: 35722886
Pilot DHA in concussed adolescent athletes trended toward faster symptom resolution and earlier returnâtoâsport (brain recovery signals, albeit underpowered).
- Effects of Omega-3-6-9 fatty acid supplementation on behavior and sleep in preterm toddlers with autism symptomatology: Secondary analysis of a randomized clinical trial
PubMed ID: 35644107
Omegaâ3/6/9 in preterm toddlers improved caregiverâreported interpersonal and internalizing domains (behavioral brain/psychiatric outcomes).
- DHA status influences effects of B-vitamin supplementation on cognitive ageing: a post-hoc analysis of the B-proof trial
PubMed ID: 35704085
Higher baseline plasma DHA predicted greater 2âyear cognitive benefit from Bâvitaminsâsupports DHA role in brain function and cognition.
- Docosahexaenoic Acid Plus Piracetam Versus Piracetam Alone for Treatment of Breath-Holding Spells in Children: A Randomized Clinical Trial
PubMed ID: 37651975
DHA added to piracetam in children with breathâholding spells markedly reduced frequency/severity â neurologic/brain effect.
- Mediation Analysis to Untangle Opposing Associations of High-Dose Docosahexaenoic Acid With IQ and Bronchopulmonary Dysplasia in Children Born Preterm
PubMed ID: 37294565
Highâdose neonatal DHA increased fullâscale IQ in extremely preterm infants â clear cognitive/brain function benefit.
- Docosahexaenoic Acid Supplementation for Neonatal Hyperbilirubinemia: A Double-Blind, Randomized Clinical Trial
PubMed ID: 38680033
In newborns with hyperbilirubinemia, DHA reduced NSE and abnormal MRIs, indicating neuroprotective/brain benefits.
- Cognitive Benefits of Folic Acid, Docosahexaenoic Acid, and a Combination of Both Nutrients in Mild Cognitive Impairment: Possible Alterations through Mitochondrial Function and DNA Damage
PubMed ID: 38952108
DHA (800 mg) improved cognitive test scores and reduced oxidative DNA damage in older adults with MCI.
- Omega-3 polyunsaturated fatty acids supplementation improves memory in first-diagnosed, drug-naĂŻve patients with depression: Secondary analysis of data from a randomized controlled trial
PubMed ID: 38244783
Addâon EPA+DHA improved immediate memory in depressed adults â evidence of cognitive function benefit in adults.
- Effects of Prenatal DHA Dose on Infant Visual Attention
PubMed ID: 40791013
Higher prenatal DHA improved infant visual learning and attention maturation â direct early brain function measures.
- Improved cognitive development among preterm infants attributable to early supplementation of human milk with docosahexaenoic acid and arachidonic acid
PubMed ID: 18519483
Very preterm infants showed better problemâsolving scores and ERP markers of recognition memory after DHA+ARA supplementation.
- A randomised control trial in schoolchildren showed improvement in cognitive function after consuming a bread spread, containing fish flour from a marine source
PubMed ID: 19201180
Schoolchildren with increased blood DHA/EPA improved multiple cognitive measures (memory/spelling), reflecting enhanced brain function.
- The DIAMOND (DHA Intake And Measurement Of Neural Development) Study: a double-masked, randomized controlled clinical trial of the maturation of infant visual acuity as a function of the dietary level of docosahexaenoic acid
PubMed ID: 20130095
Large RCT showed that infant formula DHA improved visual development at 12 monthsâa key neural/visual functional outcome.
- Attention among very low birth weight infants following early supplementation with docosahexaenoic and arachidonic acid
PubMed ID: 20624152
VLBW infant RCT: DHA+ARA improved sustained attention at 20 months and plasma DHA correlated with attentionâdirect functional CNS benefit.
- Cognitive function in 18-month-old term infants of the DIAMOND study: a randomized, controlled clinical trial with multiple dietary levels of docosahexaenoic acid
PubMed ID: 21295417
Infant RCT: pooled DHA doses produced a modest but statistically significant increase in MDI at 18 months (direct cognitive endpoint).
- Long-term effects of LCPUFA supplementation on childhood cognitive outcomes
PubMed ID: 23803884
Infant LCPUFA supplementation produced later improvements (ages 3â6) in executive and language measuresârelevant to brain function.
- Effects of long-chain PUFA supplementation in infant formula on cognitive function in later childhood
PubMed ID: 23783296
Infant LCâPUFA formula led to faster processing speed at 6 y (persistent domainâspecific cognitive benefit).
- Effect of supplementation with long-chain Ï-3 polyunsaturated fatty acids on behavior and cognition in children with attention deficit/hyperactivity disorder (ADHD): a randomized placebo-controlled intervention trial
PubMed ID: 24958525
ADHD RCT produced working memory improvement with increased erythrocyte EPA/DHA, supporting a brainâfunction benefit.
- Effects of different arachidonic acid supplementation on psychomotor development in very preterm infants; a randomized controlled trial
PubMed ID: 26424477
Higher AA:DHA formula in very preterm infants led to better psychomotor development at age 2 (developmental brain function).
- Low Doses of Long-chain Polyunsaturated Fatty Acids Affect Cognitive Function in Elderly Japanese Men: A Randomized Controlled Trial
PubMed ID: 25891115
Objective improvement in P300 latency indicates enhanced cognitive processing after low-dose LCPUFA supplementation.
- Phospholipid Species in Newborn and 4 Month Old Infants after Consumption of Different Formulas or Breast Milk
PubMed ID: 27571269
Infant DHA/ARA enrichment raised brainârelevant phospholipids supporting brain development.
- Event-related potential differences in children supplemented with long-chain polyunsaturated fatty acids during infancy
PubMed ID: 27747986
LCPUFA in infancy produced stronger ERP indices of attention/inhibitionâneural function evidence.
- Randomized controlled trial of brain specific fatty acid supplementation in pregnant women increases brain volumes on MRI scans of their newborn infants
PubMed ID: 30392581
Maternal DHA+ARA increased newborn brain volumes (notably males)âstructural brain function relevance.
- Long-chain polyunsaturated fatty acid supplementation in the first year of life affects brain function, structure, and metabolism at age nine years
PubMed ID: 30311214
Longâterm neuroimaging demonstrated durable functional, connectivity and structural brain differences from infant LCPUFA exposure.
- Three randomized controlled trials of early long-chain polyunsaturated Fatty Acid supplementation on means-end problem solving in 9-month-olds
PubMed ID: 19765006
Pooled RCT evidence of improved problem solving and intention in infants fed LCPUFAâsupplemented formula.
- Effect of APOE Genotype on Plasma Docosahexaenoic Acid (DHA), Eicosapentaenoic Acid, Arachidonic Acid, and Hippocampal Volume in the Alzheimer's Disease Cooperative Study-Sponsored DHA Clinical Trial
PubMed ID: 32116250
Link between DHA/AA increases with supplementation and reduced hippocampal atrophy supports preserved brain function.
- Long-Chain Polyunsaturated Fatty Acids, Homocysteine at Birth and Fatty Acid Desaturase Gene Cluster Polymorphisms are Associated with Children's Processing Speed up to Age 9 Years
PubMed ID: 33396458
Maternal AA/DHA predicted faster child processing speed to age 9 (longitudinal cognitive association).
- Effects of combining exercise with long-chain polyunsaturated fatty acid supplementation on cognitive function in the elderly: a randomised controlled trial
PubMed ID: 32737350
Older adults showed modest improvements in attention and working memory with fish oil.
- Longitudinal investigation of the relationship between omega-3 polyunsaturated fatty acids and neuropsychological functioning in recent-onset psychosis: A randomized clinical trial
PubMed ID: 33444934
Adjunctive fish oil improved social cognition in recentâonset psychosis (small RCT), supporting domainâspecific brain functional benefit.
- Arachidonic and docosahexaenoic acid supplementation and brain maturation in preterm infants; a double blind RCT
PubMed ID: 38061271
Doubleâblind RCT: ARA+DHA improved whiteâmatter microstructural maturation in very preterm infantsâdirect mechanistic evidence for brain development/function.
- Effects of Long-Chain Polyunsaturated Fatty Acids in Combination with Lutein and Zeaxanthin on Episodic Memory in Healthy Older Adults
PubMed ID: 37447152
Memory improvements in older adults with baseline cognitive decline after EPA/DHA + lutein indicate clinical brain function benefits in atârisk populations.
- Polyunsaturated Fatty Acid Intake during Complementary Feeding and Neurodevelopmental Outcome in Very Low Birth Weight Infants
PubMed ID: 37513559
Higher PUFA (including DHA) intake during complementary feeding associated with better Bayley cognitive scores at 12 months in VLBW infants.
- Multiple Micronutrients, Lutein, and Docosahexaenoic Acid Supplementation during Lactation: A Randomized Controlled Trial
PubMed ID: 33339438
Maternal MMS including DHA significantly raised breastâmilk DHA â relevant to infant brain nutrient supply and development.
- Supplementation of medium-chain triglycerides combined with docosahexaenoic acid improves cognitive function in Chinese older adults with mild cognitive impairment: A randomized double-blind, placebo-controlled trial
PubMed ID: 40044083
Large RCT in MCI found DHA (and MCT) improved global cognitive scores and related biomarkersâgood evidence for brain-function benefit in MCI.
- Effects of Souvenaid on plasma micronutrient levels and fatty acid profiles in mild and mild-to-moderate Alzheimer's disease
PubMed ID: 26213579
Fortasyn Connect trials (contain DHA) reliably raised DHA/EPA and lowered homocysteine â biomarker and mechanistic support for brain-target engagement.
- The LipiDiDiet trial: what does it add to the current evidence for Fortasyn Connect in early Alzheimer's disease?
PubMed ID: 31616139
Prodromal AD trial showed slower clinical decline and less hippocampal atrophy with Fortasyn Connect (with DHA), indicating structural/clinical brain benefits.
- Evaluation of Cognitive Performance following Fish-Oil and Curcumin Supplementation in Middle-Aged and Older Adults with Overweight or Obesity
PubMed ID: 33097947
Fish oil improved taskârelated cerebrovascular responsiveness and processing speed in malesâfunctional brain effect.
- A randomized trial of supplementation with docosahexaenoic acid-rich tuna oil and its effects on the human milk cytokines interleukin 1 beta, interleukin 6, and tumor necrosis factor alpha
PubMed ID: 11916764
Lactating mothers' DHA supplementation raised plasma and milk DHA, increasing substrate for infant brain development.
- Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk
PubMed ID: 15333721
DHAâenriched infant food increased RBC DHA and produced a clinically meaningful improvement in visual cortical function (VEP) by 12 months.
- Effects of fish-oil and folate supplementation of pregnant women on maternal and fetal plasma concentrations of docosahexaenoic acid and eicosapentaenoic acid: a European randomized multicenter trial
PubMed ID: 17490978
Maternal fish oil increased maternal and cord DHA, supporting fetal brain DHA delivery (biomarker for brain development).
- The effects of fish oil supplementation in pregnancy on breast milk fatty acid composition over the course of lactation: a randomized controlled trial
PubMed ID: 17957152
Maternal fish oil raised milk and infant DHA and was associated with some developmental score improvements â supports early brain development.
- Cognitive findings of an exploratory trial of docosahexaenoic acid and lutein supplementation in older women
PubMed ID: 18510807
DHA (with/without lutein) improved verbal fluency and some memory measures in older women (small RCT).
- Supplementation with 200 mg/day docosahexaenoic acid from mid-pregnancy through lactation improves the docosahexaenoic acid status of mothers with a habitually low fish intake and of their infants
PubMed ID: 18446020
Maternal 200 mg/day DHA increased maternal, breastâmilk and infant RBCâDHAâbiomarker evidence supporting infant brain development.
- Correlation between changes in blood fatty acid composition and visual sustained attention performance in children with inattention: effect of dietary n-3 fatty acids containing phospholipids
PubMed ID: 18469236
Inattentive children had improved sustained attention with EPA/DHA (phospholipid form showing strongest effect).
- Beneficial effects of docosahexaenoic acid on cognition in age-related cognitive decline
PubMed ID: 20434961
DHA improved specific cognitive tests (learning/recognition) in older adults (randomized evidence for brain function).
- Docosahexaenoic acid supplementation increases prefrontal cortex activation during sustained attention in healthy boys: a placebo-controlled, dose-ranging, functional magnetic resonance imaging study
PubMed ID: 20130094
Doseâdependent increases in brain DHA coupled with fMRI activation changes during attention tasks (direct neural function evidence).
- Effects of n-3 fatty acids, EPA v. DHA, on depressive symptoms, quality of life, memory and executive function in older adults with mild cognitive impairment: a 6-month randomised controlled trial
PubMed ID: 21929835
Randomized trial in MCI showed mood improvement and a DHA-related improvement in verbal fluencyâevidence of domain-specific brain-function benefit.
- Docosahexaenoic acid-rich fish oil modulates the cerebral hemodynamic response to cognitive tasks in healthy young adults
PubMed ID: 22020134
DHA-rich fish oil increased task-related prefrontal hemodynamicsâphysiologic support for brain activation though limited performance gains.
- Cognitive assessment of children at age 2(1/2) years after maternal fish oil supplementation in pregnancy: a randomised controlled trial
PubMed ID: 17185423
Maternal highâdose fish oil led to better eyeâhand coordination at 2.5 years, an indicator of neurodevelopmental benefit.
- A randomized trial of long-chain polyunsaturated fatty acid supplementation in infants with phenylketonuria
PubMed ID: 16483397
In PKU infants DHA supplementation largely prevented DHA decline and may have supported visual (neural) maturationâstrong physiological neurodevelopment evidence.
- Growth and development of preterm infants fed infant formulas containing docosahexaenoic acid and arachidonic acid
PubMed ID: 15812447
Preterm infants fed DHA+ARA formulas had better Bayley developmental scoresâsupports early brain development/function.
- Randomized, double-blind trial of long-chain polyunsaturated fatty acid supplementation with fish oil and borage oil in preterm infants
PubMed ID: 15069395
Preterm LCPUFA supplementation improved cognitive outcomes (notably in boys)âclinical developmental benefit.
- Visual function in breast-fed term infants weaned to formula with or without long-chain polyunsaturates at 4 to 6 months: a randomized clinical trial
PubMed ID: 12838196
DHA+ARA in term infants increased RBCâDHA and improved visual cortical maturation (VEP)âneurodevelopmental functional evidence.
- Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial
PubMed ID: 11483801
Large multicenter RCT in preterms showed improved electrophysiological vision and motor development with AA+DHA (neurodevelopmental benefit).
- Impact of early dietary intake and blood lipid composition of long-chain polyunsaturated fatty acids on later visual development
PubMed ID: 11144440
DHAâenriched formula produced breastfedâlike RBC DHA and better electrophysiologic visual functionâevidence of neural/retinal maturation.
- A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants
PubMed ID: 10755457
DHA+AA in infant formula raised Bayley MDI (~+7 points) indicating improved early brain development.
- Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants
PubMed ID: 9702915
Dietary DHA normalized RBC lipids and improved visual evoked acuity at several time points â VEP is a brain/visual pathway functional measure.
- Influence of feeding artificial-formula milks containing docosahexaenoic and arachidonic acids on the postnatal long-chain polyunsaturated fatty acid status of healthy preterm infants
PubMed ID: 8958000
Preterm infant formula with DHA/AA raised blood LCPUFA to levels similar to breast-fed infantsâbiochemical support for brain substrate availability.
- Neurodevelopmental quotient of healthy term infants at 4 months and feeding practice: the role of long-chain polyunsaturated fatty acids
PubMed ID: 7478826
LCâPUFA supplementation improved early neurodevelopmental scores (direct functional brain outcome in infants).
- Perilla seed oil in combination with nobiletin-rich ponkan powder enhances cognitive function in healthy elderly Japanese individuals: a possible supplement for brain health in the elderly
PubMed ID: 35171190
1âyear combination raising RBC DHA improved cognitive index and increased BDNF in healthy elderly â supports brain function.
- Changes in fatty acid levels after consumption of a novel docosahexaenoic supplement from algae: a crossover randomized controlled trial in omnivorous, lacto-ovo vegetarians and vegans
PubMed ID: 36418565
250 mg algal DHA doubled serum DHA in vegans and raised DHA/AA ratio â demonstrates bioavailability needed for brain DHA support.
- Effects on Fatty Acid Metabolism of a New Powdered Human Milk Fortifier Containing Medium-Chain Triacylglycerols and Docosahexaenoic Acid in Preterm Infants
PubMed ID: 29843467
Fortifier supplying preformed DHA increased infant plasma/RBC DHAâbiomarker important for early brain development/function.
- Predictors of treatment response in young people at ultra-high risk for psychosis who received long-chain omega-3 fatty acids
PubMed ID: 25585167
EPA+DHA reduced transition to psychosis and improved functioning in ultraâhigh risk individualsâstrong clinically relevant brain/psychiatric benefit.
- Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial
PubMed ID: 26169870
Infant salmon feeding significantly increased infant EPA/DHAâdirectly relevant to brain development/function.
- Maternal supplementation with very-long-chain n-3 fatty acids during pregnancy and lactation augments children's IQ at 4 years of age
PubMed ID: 12509593
Maternal DHA supplementation led to modest but significant cognitive improvements in offspring at age 4âstrong developmental brain evidence.
- Relationship between omega3 long-chain polyunsaturated fatty acid status during early infancy and neurodevelopmental status at 1 year of age
PubMed ID: 11972740
Lower infant DHA status associated with poorer neurodevelopmental scores at 1 yearâstrong relevance to early brain development/function.
- Neuroprotective nutrients in pregnancy and infant brain function
PubMed ID: 40412614
Maternal higher DHA associated with differences in infant ERP/EEG measures at 1 and 6 months, consistent with altered early brain processing.
- The medical food Souvenaid affects brain phospholipid metabolism in mild Alzheimer's disease: results from a randomized controlled trial
PubMed ID: 28747210
Souvenaid produced rapid MRS changes in brain phospholipid metabolismâmechanistic support for improved brain function.
- The effect of souvenaid on functional brain network organisation in patients with mild Alzheimer's disease: a randomised controlled study
PubMed ID: 24475144
Souvenaid (contains DHA) preserved functional brain network organization over 24 weeks in mild AD (robust RCT evidence).
- Docosahexaenoic acid-concentrated fish oil supplementation in subjects with mild cognitive impairment (MCI): a 12-month randomised, double-blind, placebo-controlled trial
PubMed ID: 22932777
Memory improvements in MCI after concentrated DHA indicate functional brain benefits in older adults (12âmonth RCT, small sample).
- Effects of high-dose fish oil supplementation during early infancy on neurodevelopment and language: a randomised controlled trial
PubMed ID: 22348468
Highâdose infant fish oil raised DHA and produced modest improvements in early communicative gestures (developmental/brain function signal).
- Oral nutritional supplements containing n-3 polyunsaturated fatty acids affect quality of life and functional status in lung cancer patients during multimodality treatment: an RCT
PubMed ID: 22234041
nâ3 containing oral supplement improved cognitive function subscale and global QoL in lung cancer patients, supporting brain functional benefit in this context.
- Increased Erythrocyte Eicosapentaenoic Acid and Docosahexaenoic Acid Are Associated With Improved Attention and Behavior in Children With ADHD in a Randomized Controlled Three-Way Crossover Trial
PubMed ID: 24214970
Higher erythrocyte EPA+DHA associated with better attention, behavior and spelling in children with ADHDâassociative evidence for cognitive/brain function.
- Effects of docosahexaenoic acid supplementation during pregnancy on fetal heart rate and variability: a randomized clinical trial
PubMed ID: 23433688
Maternal DHA (600 mg/day) increased fetal HRV and improved newborn neurobehavior on the NBAS, indicating effects on neurobehavioral maturation.
- DHA supplementation improved both memory and reaction time in healthy young adults: a randomized controlled trial
PubMed ID: 23515006
DHA improved cognitive processing speed and memory reaction times in a randomized trialâdirect evidence of enhanced brain function in young adults.
- Effects of krill oil containing n-3 polyunsaturated fatty acids in phospholipid form on human brain function: a randomized controlled trial in healthy elderly volunteers
PubMed ID: 24098072
Krill/sardine oil increased taskârelated prefrontal activation and shortened P300 latencyâphysiologic markers of improved cortical processing in older adults.
- Transfer of omega-3 fatty acids across the blood-brain barrier after dietary supplementation with a docosahexaenoic acid-rich omega-3 fatty acid preparation in patients with Alzheimer's disease: the OmegAD study
PubMed ID: 24410954
Supplementation increased CSF EPA/DHA and CSF DHA changes correlated with Alzheimer's biomarkers, indicating central nervous system bioavailability and biomarker modulation.
- Clinical significance of neuropsychological improvement after supplementation with omega-3 in 8-12 years old malnourished Mexican children: a randomized, double-blind, placebo and treatment clinical trial
PubMed ID: 24508294
Improved processing speed, attention/executive function and other cognitive domains in malnourished children (RCT).
- Brain atrophy in cognitively impaired elderly: the importance of long-chain Ï-3 fatty acids and B vitamin status in a randomized controlled trial
PubMed ID: 25877495
Omegaâ3 status modified Bâvitamin effect on brain atrophy in MCIâstrong implication for brain preservation/function.
- A randomized controlled study of the efficacy of six-month supplementation with concentrated fish oil rich in omega-3 polyunsaturated fatty acids in first episode schizophrenia
PubMed ID: 26679763
Adjunct nâ3 PUFA improved PANSS scores and depressive symptoms in schizophrenia, indicating functional brain/psychiatric benefits.
- Prenatal DHA supplementation and infant attention
PubMed ID: 27362506
Prenatal DHA improved infant sustained attention across 4â9 months, indicating early brain function/performance benefits.
- Effect of Docosahexaenoic Acid on a Biomarker of Head Trauma in American Football
PubMed ID: 26765633
Doseâdependent DHA increases associated with reduced serum NFL across a seasonâbiomarker evidence of neural protection.
- Prenatal supplementation with DHA improves attention at 5 y of age: a randomized controlled trial
PubMed ID: 27604770
Prenatal DHA improved sustained attention at age 5 (cognitive function outcome).
- The effect of APOE genotype on the delivery of DHA to cerebrospinal fluid in Alzheimer's disease
PubMed ID: 27358067
Oral DHA markedly increased plasma and modestly increased CSF DHAâdirect evidence of CNS delivery potential.
- Omega-3 Fatty Acid Status Enhances the Prevention of Cognitive Decline by B Vitamins in Mild Cognitive Impairment
PubMed ID: 26757190
Higher baseline DHA/EPA status enhanced cognitive benefit from Bâvitamins in MCIâsupports DHA relevance to brain function.
- Impact of Omega-3 Fatty Acid Supplementation on Memory Functions in Healthy Older Adults
PubMed ID: 26890759
Highâdose omegaâ3 improved spatial memory in healthy older adults and raised omegaâ3 indexâfunctional brain benefit.
- Effects of DHA Supplementation on Hippocampal Volume and Cognitive Function in Older Adults with Mild Cognitive Impairment: A 12-Month Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 27716665
DHA improved cognitive test scores and preserved hippocampal volume in MCI over 12 monthsâstrong neuroprotective/function evidence.
- The n-3 Polyunsaturated Fatty Acids Supplementation Improved the Cognitive Function in the Chinese Elderly with Mild Cognitive Impairment: A Double-Blind Randomized Controlled Trial
PubMed ID: 28075381
Robust cognitive domain improvements in older adults with MCI indicate clear brainâfunction benefits.
- 24-month intervention with a specific multinutrient in people with prodromal Alzheimer's disease (LipiDiDiet): a randomised, double-blind, controlled trial
PubMed ID: 29097166
Slowed clinical decline and reduced hippocampal atrophy in prodromal AD indicate brainâprotective effects.
- Oxidative stress reduction related to the efficacy of n-3 polyunsaturated fatty acids in first episode schizophrenia: Secondary outcome analysis of the OFFER randomized trial
PubMed ID: 28651701
Oxidative stress reductions correlated with symptom improvements in schizophrenia (biomarkerâclinical brain effects).
- DHA supplementation improves cognitive function via enhancing AÎČ-mediated autophagy in Chinese elderly with mild cognitive impairment: a randomised placebo-controlled trial
PubMed ID: 29142143
24âmonth DHA RCT in MCI improved multiple cognitive domains and altered AÎČ/autophagy biomarkersâstrong evidence for brain function benefits.
- Quantitative Erythrocyte Omega-3 EPA Plus DHA Levels are Related to Higher Regional Cerebral Blood Flow on Brain SPECT
PubMed ID: 28527220
Higher erythrocyte EPA+DHA associated with greater regional cerebral perfusion and a cognitive subscoreâsupportive crossâsectional evidence.
- Associations of maternal nutrition during pregnancy and post-partum with maternal cognition and caregiving
PubMed ID: 29098783
In Malawian mothers, higher breastmilk DHA was linked to small benefits in infant attention and verbal functionârelevant to early brain development/function.
- The differential effects of eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) on seizure frequency in patients with drug-resistant epilepsy - A randomized, double-blind, placebo-controlled trial
PubMed ID: 30170260
Yearâlong EPA/DHA reduced seizure frequency substantially in drugâresistant epilepsyâdirect neurologic benefit.
- Fatty fish intake and cognitive function: FINS-KIDS, a randomized controlled trial in preschool children
PubMed ID: 29530020
Fattyâfish lunches in children raised EPA/DHA and yielded small improvements in processing speed and fine motor performance â brain function domains.
- A Mixed Lipid Emulsion Containing Fish Oil and Its Effect on Electrophysiological Brain Maturation in Infants of Extremely Low Birth Weight: A Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 31030946
ELBW infants receiving fishâoil containing parenteral lipid reached electrophysiological brain maturation ~2 weeks earlier â robust neonatal brain function outcome.
- Using joint models to disentangle intervention effect types and baseline confounding: an application within an intervention study in prodromal Alzheimer's disease with Fortasyn Connect
PubMed ID: 31345172
Fortasyn Connect (includes DHA) slowed cognitive worsening in prodromal AD and indirectly reduced dementia risk â relevant to brain function preservation.
- Homocysteine Status Modifies the Treatment Effect of Omega-3 Fatty Acids on Cognition in a Randomized Clinical Trial in Mild to Moderate Alzheimer's Disease: The OmegAD Study
PubMed ID: 30958356
Omegaâ3 produced cognitive benefits in Alzheimer's subgroup with lower homocysteine â suggests brain benefit dependent on nutritional context.
- Brain delivery of supplemental docosahexaenoic acid (DHA): A randomized placebo-controlled clinical trial
PubMed ID: 32690472
Highâdose DHA increased CSF DHA and plasma DHA in older adultsâdirect evidence of brain delivery relevant to brain function.
- Effect of folic acid combined with docosahexaenoic acid intervention on mild cognitive impairment in elderly: a randomized double-blind, placebo-controlled trial
PubMed ID: 32856190
DHA ± folic acid improved cognitive scores in MCI, indicating functional brain benefits.
- A 16-week randomized placebo-controlled trial investigating the effects of omega-3 polyunsaturated fatty acid treatment on white matter microstructure in recent-onset psychosis patients concurrently treated with risperidone
PubMed ID: 33221631
Fishâoil adjunct preserved whiteâmatter microstructure and prevented antipsychoticâassociated deteriorationâneurobiological brain protection.
- The Effects of a 6-Month High Dose Omega-3 and Omega-6 Polyunsaturated Fatty Acids and Antioxidant Vitamins Supplementation on Cognitive Function and Functional Capacity in Older Adults with Mild Cognitive Impairment
PubMed ID: 31991898
Large randomized trial in MCI adults showed robust improvements in global cognition and functional measures with highâdose Ïâ3/Ïâ6+antioxidant.
Immune support (91)
- Fish Oil-Derived Fatty Acids in Pregnancy and Wheeze and Asthma in Offspring
PubMed ID: 28029926
Large RCT: maternal fishâoil reduced persistent wheeze/asthma and LRTIs in offspringâclinical immune outcome.
- Cytokine distribution in mothers and breastfed children after omega-3 LCPUFAs supplementation during the last trimester of pregnancy and the lactation period: A randomized, controlled trial
PubMed ID: 29031393
Maternal DHA shifted maternal/infant cytokines toward a less inflammatory profile (reduced infant TNF-α).
- The effects of EPA and DHA enriched fish oil on nutritional and immunological markers of treatment naĂŻve breast cancer patients: a randomized double-blind controlled trial
PubMed ID: 29061183
Preoperative EPA+DHA prevented rises in hsCRP and CD4+ loss vs placebo, indicating immune stabilization.
- Comparison of the effects of linseed oil and different doses of fish oil on mononuclear cell function in healthy human subjects
PubMed ID: 12720588
Fish oil reduced stimulated ILâ6 production in healthy adultsâdirect immunomodulatory evidence.
- Effect of docosahexaenoic acid supplementation on inflammatory cytokine levels in infants at high genetic risk for type 1 diabetes
PubMed ID: 25039804
Infant supplementation increased RBC DHA and produced modest, timeâlimited reductions in stimulated inflammatory cytokines (ILâ1ÎČ/TNFα) in atârisk infants.
- Docosahexaenoic Acid and Periodontitis in Adults: A Randomized Controlled Trial
PubMed ID: 24970858
Adjunct DHA reduced local inflammatory markers (crevicular fluid hsCRP, ILâ1ÎČ) and periodontal pocket depthâdirect local immune/inflammatory benefit.
- Developmental programming for allergy: a secondary analysis of the Mothers, Omega-3, and Mental Health Study
PubMed ID: 23531329
Prenatal EPA/DHA changed cordâblood chemokine ratios (less Th2 bias), indicating fetal immune modulation.
- Effect of n-3 long chain polyunsaturated fatty acid supplementation in pregnancy on infants' allergies in first year of life: randomised controlled trial
PubMed ID: 22294737
Prenatal nâ3 LCPUFA reduced atopic eczema and egg sensitisation in infants (immune/allergic outcomes).
- Different gene expression profiles in normo- and dyslipidemic men after fish oil supplementation: results from a randomized controlled trial
PubMed ID: 22929118
Large changes in blood geneâexpression (many immune genes) after fish oil, indicating immune pathway modulation.
- Efficacy of omega-3 fatty acid supplementation on serum levels of tumour necrosis factor-alpha, C-reactive protein and interleukin-2 in type 2 diabetes mellitus patients
PubMed ID: 23023905
8âweek trial in T2D lowered proâinflammatory cytokines (TNFâα, ILâ2), supporting immune/inflammation effects.
- The effects of fish oil supplementation on markers of inflammation in chronic kidney disease patients
PubMed ID: 22285316
Small CKD study showed a modest but significant ILâ1ÎČ decrease, indicating some immune modulation.
- DHA supplementation during pregnancy and lactation affects infants' cellular but not humoral immune response
PubMed ID: 21941411
Randomized maternal DHA produced large, statistically significant changes in infant lymphocyte subsets and marked IFN-Îł suppressionâdirect immune modulation.
- Allergic disease in infants up to 2 years of age in relation to plasma omega-3 fatty acids and maternal fish oil supplementation in pregnancy and lactation
PubMed ID: 21332799
Maternal EPA+DHA supplementation in an RCT substantially reduced IgE-associated allergic disease in offspring to age 2 (clinically meaningful immune outcome).
- Fish oil supplementation improves neutrophil function during cancer chemotherapy
PubMed ID: 22160495
Low-dose fish oil during chemotherapy preserved neutrophil counts and function (phagocytosis, superoxide) and prevented weight lossâsupports immune competence.
- Oral administration of docosahexaenoic acid attenuates interleukin-1ÎČ response and clinical course of septic neonates
PubMed ID: 22079797
Oral DHA during neonatal sepsis lowered ILâ1ÎČ and raised leukocyte DHA â supportive immune effect.
- Pre-treatment with an intravenous lipid emulsion containing fish oil (eicosapentaenoic and docosahexaenoic acid) decreases inflammatory markers after open-heart surgery in infants: a randomized, controlled trial
PubMed ID: 22136963
Infant lipid emulsion RCT markedly reduced TNF-α and was linked to milder illness â clear immune effect.
- Prenatal docosahexaenoic acid supplementation and infant morbidity: randomized controlled trial
PubMed ID: 21807696
Prenatal DHA reduced some infant cold symptoms and shortened several illness durations in early infancy (mixed effects but supportive of immune benefit).
- Impact of a novel nutritional formula on asthma control and biomarkers of allergic airway inflammation in children
PubMed ID: 20545703
EPAâenriched nutritional formula reduced airway inflammation (FeNO) and improved bronchial responsiveness in children with asthma (small RCT).
- Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy
PubMed ID: 19489765
Maternal EPA+DHA supplementation markedly reduced food allergy and IgEâassociated eczema in highârisk infants (strong RCT clinical immune outcome).
- Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells
PubMed ID: 19515734
PBMC gene expression shifted toward antiâinflammatory/antiâatherogenic profiles after 6 months EPA+DHA (direct immune-cell molecular effects).
- DHA supplementation decreases serum C-reactive protein and other markers of inflammation in hypertriglyceridemic men
PubMed ID: 19158225
3 g/day DHA reduced neutrophils and systemic inflammatory markers (CRP, ILâ6), indicating immune modulation in hypertriglyceridemic men.
- Fish oil n-3 polyunsaturated fatty acids selectively affect plasma cytokines and decrease illness in Thai schoolchildren: a randomized, double-blind, placebo-controlled intervention trial
PubMed ID: 18930251
RCT in children showed fewer and shorter infectious illnesses with fish oil, strong clinical immune benefit.
- Dietary fish oil and olive oil supplementation in patients with rheumatoid arthritis. Clinical and immunologic effects
PubMed ID: 2363736
Dose-dependent reductions in neutrophil LTB4 and joint signs indicate immuno-inflammatory modulation.
- Effects of fish oil supplementation on non-steroidal anti-inflammatory drug requirement in patients with mild rheumatoid arthritis--a double-blind placebo controlled study
PubMed ID: 8220938
Longâterm fish oil in RA allowed marked NSAID reduction without worsening â consistent with antiâinflammatory/immunomodulatory benefit.
- Effects of oils rich in eicosapentaenoic and docosahexaenoic acids on immune cell composition and function in healthy humans
PubMed ID: 15051614
DHA reduced Tâlymphocyte activation (CD69) in healthy adults â direct immunomodulatory effect.
- Effect of concomitant consumption of fish oil and vitamin E on T cell mediated function in the elderly: a randomized double-blind trial
PubMed ID: 16943451
Elderly trial showed improved delayedâtype hypersensitivity and PBMC proliferation with fish oil+vitamin E (direct immune markers).
- n-3 Fatty acid supplementation and regular moderate exercise: differential effects of a combined intervention on neutrophil function
PubMed ID: 17391558
DHA lowered neutrophil oxidative activity and preserved bactericidal function with exercise â supports immune function modulation.
- A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosus
PubMed ID: 17875549
Fish oil improved lupus activity and endothelial biomarkers, implying immuneâmediated disease benefit.
- Decreased cord blood IL-4, IL-13, and CCR4 and increased TGF-beta levels after fish oil supplementation of pregnant women
PubMed ID: 17980419
Prenatal fish oil altered fetal/maternal cytokine mRNA (lower TH2, higher TGF-ÎČ), showing immunomodulation.
- Multimicronutrient and omega-3 fatty acid supplementation reduces low-grade inflammation in older participants: An exploratory study
PubMed ID: 40644954
Combined nâ3+micronutrient trial in older adults lowered an aggregated INFLA score (modest systemic immune/inflammation benefit).
- Docosahexaenoic Acid Supplementation During Pregnancy and Lactation and Infant Morbidity: Findings from DHANI Trial
PubMed ID: 40126831
Maternal DHA modestly reduced early infant respiratory symptoms and some infections, supporting immune protection in infants.
- Joint effects of one year of marine omega-3 fatty acid supplementation and participant dietary fish intake upon circulating lipid mediators of inflammation resolution in a randomized controlled trial
PubMed ID: 38518540
Yearâlong 1 g/day EPA+DHA reduced proâinflammatory eicosanoids and increased proâresolving substrates â supports immune/inflammatory modulation.
- Effect of Omega-3 Polyunsaturated Fatty Acid Supplementation on Clinical Outcome of Atopic Dermatitis in Children
PubMed ID: 39275147
Combined EPA/DHA product reduced eczema severity and steroid need, implying immune/atopic benefit (combination product).
- Docosahexaenoic Acid Effect on Prenatal Exposure to Arsenic and Atopic Dermatitis in Mexican Preschoolers
PubMed ID: 36074245
Prenatal DHA modified/attenuated arsenicâassociated increased risk of atopic dermatitis (immune/allergic outcome).
- Omega-3 polyunsaturated fatty acids supplementation improve clinical symptoms in patients with Covid-19: A randomised clinical trial
PubMed ID: 34516692
In small COVID RCT, added DHA/EPA produced faster symptom improvement and favorable inflammatory marker changes (supports immune recovery).
- Dietary Supplementation with Transgenic Camelina sativa Oil Containing 20:5n-3 and 22:6n-3 or Fish Oil Induces Differential Changes in the Transcriptome of CD3(+) T Lymphocytes
PubMed ID: 34578993
Raised EPA/DHA in PBMCs and produced large, oilâdependent changes in Tâcell activation transcriptome â direct mechanistic immunomodulation.
- Higher-Dose DHA Supplementation Modulates Immune Responses in Pregnancy and Is Associated with Decreased Preterm Birth
PubMed ID: 34959801
1000 mg DHA/day altered maternal immune markers (sRAGE, ILâ6) and reduced preterm birth risk, indicating immuneâmediated effects in pregnancy.
- Omega-3 fatty acids ameliorate vascular inflammation: A rationale for their atheroprotective effects
PubMed ID: 33812168
EPA reduced vascular inflammatory gene expression (CCL2) in humans and mice â relevant to immune/inflammatory pathways.
- Lowering effects of fish oil supplementation on proinflammatory markers in hypertension: results from a randomized controlled trial
PubMed ID: 32044905
In hypertensive adults, fish oil raised omegaâ3 and significantly lowered inflammatory cytokines (TNFâα) and CRP, reflecting immune/inflammatory modulation.
- Effect of prenatal EPA and DHA on maternal and umbilical cord blood cytokines
PubMed ID: 29940888
Prenatal EPAârich (contrast relevant) reduced maternal ILâ6, TNFα and ILâ15 â direct cytokine reductions supportive of immune effects.
- A Randomized Double-Blinded, Placebo-Controlled Trial Investigating the Effect of Fish Oil Supplementation on Gene Expression Related to Insulin Action, Blood Lipids, and Inflammation in Gestational Diabetes Mellitus-Fish Oil Supplementation and Gestational Diabetes
PubMed ID: 29385062
RCT in gestational diabetes showed downregulation of IL-1 and TNFâα and upregulation of PPARâÎł indicating clear antiâinflammatory/immune modulation.
- Supplementation with eicosapentaenoic acid and docosahexaenoic acid reduces high levels of circulating proinflammatory cytokines in aging adults: A randomized, controlled study
PubMed ID: 29735019
Highâdose EPA+DHA reduced circulating proinflammatory cytokines in older adults with chronic wounds, supporting immune/inflammatory regulation.
- Effects of fish oils on ex vivo B-cell responses of obese subjects upon BCR/TLR stimulation: a pilot study
PubMed ID: 29195133
Pilot RCT showed DHA-rich fish oil altered B-cell cytokine responses and reduced ex vivo IgM production, indicating immunomodulation.
- Potential therapeutic impact of omega-3 long chain-polyunsaturated fatty acids on inflammation markers in Duchenne muscular dystrophy: A double-blind, controlled randomized trial
PubMed ID: 28987470
Highâdose omegaâ3 in Duchenne boys reduced proâinflammatory cytokines and increased antiâinflammatory ILâ10 (immune modulation).
- Effects of prenatal n-3 fatty acid supplementation on offspring resolvins at birth and 12 years of age: a double-blind, randomised controlled clinical trial
PubMed ID: 29173199
Prenatal nâ3 increased proâresolving mediator precursors in cord blood, showing immune/resolution pathway effects at birth.
- The effect of a 1-year multiple micronutrient or n-3 fatty acid fortified food intervention on morbidity in Indian school children
PubMed ID: 22009072
Large randomized schoolfood trial: higher nâ3 intake reduced frequency and duration of respiratory/GI illnesses in children.
- Pretreatment with an intravenous lipid emulsion increases plasma eicosapentanoic acid and downregulates leukotriene b4, procalcitonin, and lymphocyte concentrations after open heart surgery in infants
PubMed ID: 24121184
Infant perioperative fishâoil raised EPA and reduced proinflammatory/procalcitonin markers, suggesting enhanced immune/inflammatory control.
- Parenteral MCT/Ï-3 Polyunsaturated Fatty Acid-Enriched Intravenous Fat Emulsion Is Associated With Cytokine and Fatty Acid Profiles Consistent With Attenuated Inflammatory Response in Preterm Neonates: A Randomized, Double-Blind Clinical Trial
PubMed ID: 26378118
Ïâ3 IV lipid in preterm neonates raised EPA/DHA and lowered ILâ6/ILâ8, indicating direct immune/inflammatory modulation.
- Dietary Buglossoides Arvensis Oil Increases Circulating n-3 Polyunsaturated Fatty Acids in a Dose-Dependent Manner and Enhances Lipopolysaccharide-Stimulated Whole Blood Interleukin-10-A Randomized Placebo-Controlled Trial
PubMed ID: 28287415
Ahiflower (SDA) raised LPSâstimulated ILâ10 (~45%), indicating an antiâinflammatory/immuneâmodulating effect.
- Dietary Intake of n-3 PUFA-Enriched Hen Eggs Changes Inflammatory Markers' Concentration and Treg/Th17 Cells Distribution in Blood of Young Healthy Adults-A Randomised Study
PubMed ID: 34071714
nâ3 enriched eggs raised proâresolving mediators (RvE1), increased TGFâÎČ1 and lowered ILâ6 â direct immune/resolution signaling changes.
- Marine Ï-3 PUFA Supplementation Enhances FFAR4 Activation and Reduces Inflammatory Markers in PBMC of Subjects with Obesity: A Randomized Controlled Trial (EPICO)
PubMed ID: 41373925
Marine EPA/DHA increased PBMC FFAR4 activation and correlated with lower TNFâα and higher ILâ10 â clear antiâinflammatory/immune modulation.
- Omega-3 fatty acid-based lipid infusion in patients with chronic plaque psoriasis: results of a double-blind, randomized, placebo-controlled, multicenter trial
PubMed ID: 9555791
IV omega-3 altered inflammatory eicosanoids and reduced psoriasis severity (clinically relevant immune/inflammatory effect).
- Fish oil and antioxidants alter the composition and function of circulating mononuclear cells in Crohn disease
PubMed ID: 15531659
RCT in Crohn's showed EPA/DHA incorporation into immune cells with reduced IFN-Îł and PGE2 (direct immune modulation).
- The effect of supplementation with fish oil during pregnancy on breast milk immunoglobulin A, soluble CD14, cytokine levels and fatty acid composition
PubMed ID: 15298564
Maternal fish-oil raised breast-milk DHA/EPA and these n-3 levels correlated with IgA/sCD14 (biomarker links to immunity).
- Usefulness of omega-3 fatty acid supplementation in addition to mesalazine in maintaining remission in pediatric Crohn's disease: a double-blind, randomized, placebo-controlled study
PubMed ID: 16437657
Omegaâ3 (including DHA) added to therapy significantly reduced 1âyr relapse rate in pediatric Crohn's and raised blood EPA/DHA.
- Long-chain polyunsaturated fat supplementation in children with low docosahexaenoic acid intakes alters immune phenotypes compared with placebo
PubMed ID: 18493214
Longâterm AA+DHA changed several T/B/macrophage surface markers in children, indicating immune phenotype modulation.
- The effects of omega-3 fatty acid supplementation in pregnancy on maternal eicosanoid, cytokine, and chemokine secretion
PubMed ID: 19390480
Maternal omegaâ3 supplementation raised EPA/DHA and significantly reduced LPSâinduced wholeâblood PGE2 (an inflammatory/immune mediator).
- The impact of early nutrition on incidence of allergic manifestations and common respiratory illnesses in children
PubMed ID: 20227721
Infant RCT: DHA/ARA formula substantially reduced respiratory infections, wheeze and allergies through age 3.
- Fish oil supplementation in early infancy modulates developing infant immune responses
PubMed ID: 22805468
Large RCT in infants: fish oil raised DHA/EPA and shifted immune markers (âILâ13, âIFNÎł/TNF), indicating immune modulation.
- Generation and dietary modulation of anti-inflammatory electrophilic omega-3 fatty acid derivatives
PubMed ID: 24736647
Supplementation increased neutrophil production of anti-inflammatory electrophilic Ïâ3 metabolites, supporting immune-modulatory effects.
- The impact of an omega-3 fatty acid rich lipid emulsion on fatty acid profiles in critically ill septic patients
PubMed ID: 27637335
Septic ICU study: rapid EPA/DHA incorporation and trends toward improved survival (immune modulation).
- High levels of omega-3 fatty acids in milk from omega-3 fatty acid-supplemented mothers are related to less immunoglobulin E-associated disease in infancy
PubMed ID: 26970335
Maternal supplementation raised milk EPA/DHA and reduced IgE-associated infant allergy (immune outcome).
- Docosahexaenoic acid in the treatment of rheumatoid arthritis: AÂ double-blind, placebo-controlled, randomized cross-over study with microalgae vs. sunflower oil
PubMed ID: 28302406
RA RCT showed shift toward antiâinflammatory lipid mediators (and clinical diseaseâactivity reductions), supporting immune modulation.
- The effects of docosahexaenoic acid (DHA) on plasma cytokines, oxylipins, and tumor-infiltrating lymphocytes from women with breast cancer undergoing neoadjuvant chemotherapy in the DHA-WIN trial
PubMed ID: 40651709
RCT showed DHA increased IFN-γ/TNF-α and oxylipins indicating immune modulation though no change in tumor-infiltrating lymphocytes.
- Docosahexaenoic acid (DHA) supplementation attenuates changes in the concentration, phenotype, and response of immune peripheral blood cells in breast cancer patients undergoing neoadjuvant therapy. Secondary findings from the DHA-WIN trial
PubMed ID: 40405290
Highâdose DHA during chemotherapy preserved NLR, monocyte HLAâDR and ex vivo cytokine responses, indicating preserved immune function.
- Reduction of Arachidonate Is Associated With Increase in B-Cell Activation Marker in Infants: A Randomized Trial
PubMed ID: 27276431
Infant formula trial showed changes in lymphocyte ARA and Bâcell activation marker (immuneârelated).
- Plasma oxylipins respond in a linear dose-response manner with increased intake of EPA and DHA: results from a randomized controlled trial in healthy humans
PubMed ID: 31006007
Doseâdependent rises in EPA/DHAâderived oxylipins and SPM precursors indicate strong mechanistic immune/antiâinflammatory effects.
- Omega-3 polyunsaturated fatty acid supplementation improves lipid metabolism and endothelial function by providing a beneficial eicosanoid-pattern in patients with acute myocardial infarction: A randomized, controlled trial
PubMed ID: 33041091
PostâAMI Ïâ3 increased DHA/EPA oxylipins and decreased proinflammatory eicosanoids (PV evidence of immunomodulation).
- Effects of a Novel Infant Formula on Weight Gain, Body Composition, Safety and Tolerability to Infants: The INNOVA 2020 Study
PubMed ID: 36615804
Infant formula with higher DHA/ARA linked to fewer atopic/respiratory events vs standard formulaâclinical immuneârelated outcome.
- Essential Fatty Acid Supplementation and Early Inflammation in Preterm Infants: Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 37121228
ARA+DHA reduced ILâ6 and other proinflammatory cytokines in very preterm infantsâdirect antiâinflammatory/immune modulation signal.
- Early enteral administration of a formula (Impact) supplemented with arginine, nucleotides, and fish oil in intensive care unit patients: results of a multicenter, prospective, randomized, clinical trial
PubMed ID: 7874893
Large ICU RCT with fishâoil formula showed fewer infections and shorter LOS (especially in septic subgroup).
- Outcome and cost-effectiveness of perioperative enteral immunonutrition in patients undergoing elective upper gastrointestinal tract surgery: a prospective randomized study
PubMed ID: 10593328
Perioperative immunonutrition containing fishâoil omegaâ3s reduced postoperative infectious complications.
- Gastrointestinal tolerance and plasma status of carotenoids, EPA and DHA with a fiber-enriched tube feed in hospitalized patients initiated on tube nutrition: Randomized controlled trial
PubMed ID: 27126710
Tubeâfeed RCT showed reduced diarrhea incidence â clinically relevant gut/immune protection signal.
- Cow's milk-based beverage consumption in 1- to 4-year-olds and allergic manifestations: an RCT
PubMed ID: 26920136
Randomized pediatric trial with fortified milk (including DHA) showed fewer allergic manifestations â supports immune/allergic benefit though product had multiple actives.
- The effect of n-3 fatty acids and coenzyme Q10 supplementation on neutrophil leukotrienes, mediators of inflammation resolution and myeloperoxidase in chronic kidney disease
PubMed ID: 29577973
Highâdose nâ3 in CKD increased proâresolving mediators and lowered MPO â biologically supportive of improved immune resolution.
- n-3 Fatty Acid Supplementation and Leukocyte Telomere Length in Patients with Chronic Kidney Disease
PubMed ID: 27007392
nâ3 lowered oxidative stress and associated with increased neutrophil telomere length â plausible immune cell benefit.
- A dietary supplement attenuates IL-6 and CRP after eccentric exercise in untrained males
PubMed ID: 14652498
Combined supplement (including DHA) attenuated exerciseâdriven ILâ6 and CRP increases (immune/inflammatory markers).
- Effects of perioperative supplementation with omega-3 fatty acids on leukotriene Bâ and leukotriene Bâ
production by stimulated neutrophils in patients with colorectal cancer: a randomized, placebo-controlled intervention trial
PubMed ID: 25268838
Shifted neutrophil eicosanoids toward EPA-derived (less inflammatory) mediators preoperatively.
- Omega-3 fatty acids inhibit the up-regulation of endothelial chemokines in maintenance hemodialysis patients
PubMed ID: 25204316
Omegaâ3 reduced LPSâstimulated PBMC chemokine (RANTES, MCPâ1) expression in dialysis patients (cellular immune modulation).
- The effect of omega-3 fatty acids on depressive symptoms and inflammatory markers in maintenance hemodialysis patients: a randomized, placebo-controlled clinical trial
PubMed ID: 24643636
Omegaâ3 decreased depressive symptoms and was associated with modest favorable shifts in inflammatory markers (CRP, ferritin, ILâ10/ILâ6 ratio).
- Omega-3 fatty acid supplementation during pregnancy and respiratory symptoms in children
PubMed ID: 24626819
Prenatal DHA reduced some infant respiratory symptoms (subgroup of atopic mothers), suggesting immune/respiratory benefit.
- Fish oil supplementation induces expression of genes related to cell cycle, endoplasmic reticulum stress and apoptosis in peripheral blood mononuclear cells: a transcriptomic approach
PubMed ID: 24641624
PBMC geneâexpression changes after fish oil indicate immuneâcell modulation.
- A prospective, randomized, controlled study of Ï-3 fish oil fat emulsion-based parenteral nutrition for patients following surgical resection of gastric tumors
PubMed ID: 24655407
Perioperative omegaâ3 reduced postoperative infections and blunted ILâ6/TNF rise.
- Omega-3 fatty acid supplementation provides an additional benefit to a low-dust diet in the management of horses with chronic lower airway inflammatory disease
PubMed ID: 25307169
DHAârich supplement in horses reduced airway neutrophils and clinical cough.
- n-3 Long-chain PUFAs reduce respiratory morbidity caused by iron supplementation in iron-deficient South African schoolchildren: a randomized, double-blind, placebo-controlled intervention
PubMed ID: 25733652
DHA+EPA reduced days ill and prevented iron-associated increases in respiratory illness in children (clinical immune outcome).
- Effects of oral eicosapentaenoic acid versus docosahexaenoic acid on human peripheral blood mononuclear cell gene expression
PubMed ID: 26074314
PBMC geneâexpression changes by EPA/DHA indicate immuneâmodulating (antiâinflammatory) effects.
- Dietary Omega-3 Fatty Acid Supplementation Reduces Inflammation in Obese Pregnant Women: A Randomized Double-Blind Controlled Clinical Trial
PubMed ID: 26340264
Supplementation in obese pregnant women lowered tissue inflammatory markers and systemic CRP (reduced inflammatory state).
- Omega 3 (n-3) fatty acids down-regulate nuclear factor-kappa B (NF-ÎșB) gene and blood cell adhesion molecule expression in patients with homozygous sickle cell disease
PubMed ID: 25976467
Sickleâcell children showed higher DHA/EPA and reductions in NFâÎșB and adhesion markers (immune/inflammatory improvement).
- The Effect of Krill Oil Supplementation on Exercise Performance and Markers of Immune Function
PubMed ID: 26407095
Krill oil raised omegaâ3 index and increased NK cell cytotoxicity and PBMC ILâ2 after exercise (direct immune biomarker changes).
- Beneficial Effects of Enteral Docosahexaenoic Acid on the Markers of Inflammation and Clinical Outcomes of Neonates Undergoing Cardiovascular Surgery: An Intervention Study
PubMed ID: 27394149
Perioperative neonatal DHA lowered proinflammatory cytokines and was linked to fewer infections (immune/clinical outcomes).
- A Mixed Flavonoid-Fish Oil Supplement Induces Immune-Enhancing and Anti-Inflammatory Transcriptomic Changes in Adult Obese and Overweight Women-A Randomized Controlled Trial
PubMed ID: 27187447
Fish oil + flavonoid increased EPA/DHA and upregulated antiviral/interferon gene expression in blood.
Memory (55)
- Long-chain polyunsaturated fatty acid supplementation in the first year of life affects brain function, structure, and metabolism at age nine years
PubMed ID: 30311214
Longitudinal neuroimaging showed durable functional/structural brain differences linked to early DHA.
- Event-related potential differences in children supplemented with long-chain polyunsaturated fatty acids during infancy
PubMed ID: 27747986
Infant LCPUFA exposure produced electrophysiological differences linked to attention/inhibition, relevant to memory networks.
- Phospholipid Species in Newborn and 4 Month Old Infants after Consumption of Different Formulas or Breast Milk
PubMed ID: 27571269
Infant formula DHA/ARA raised brainârelevant phospholipidsâsupports neurodevelopment and memory substrate.
- Low Doses of Long-chain Polyunsaturated Fatty Acids Affect Cognitive Function in Elderly Japanese Men: A Randomized Controlled Trial
PubMed ID: 25891115
Low-dose DHA/EPA/ARA shortened P300 latency (objective cognitive processing improvement) in older men.
- Effect of supplementation with long-chain Ï-3 polyunsaturated fatty acids on behavior and cognition in children with attention deficit/hyperactivity disorder (ADHD): a randomized placebo-controlled intervention trial
PubMed ID: 24958525
RCT in 6â12 y with ADHD: EPA+DHA increased blood DHA/EPA and produced a selective, statistically significant improvement in working memory.
- Long-term effects of LCPUFA supplementation on childhood cognitive outcomes
PubMed ID: 23803884
Followâup of infant LCPUFA RCT: later improvements on specific cognitive and language measures between ages 3â6, relevant to memory/cognition.
- A randomised control trial in schoolchildren showed improvement in cognitive function after consuming a bread spread, containing fish flour from a marine source
PubMed ID: 19201180
Schoolchildren consuming fish spread had higher blood DHA/EPA and large, significant improvements in verbal memory measures.
- Three randomized controlled trials of early long-chain polyunsaturated Fatty Acid supplementation on means-end problem solving in 9-month-olds
PubMed ID: 19765006
Pooled RCTs in infants found improved meansâend problem solving with formula LCPUFA (including DHA).
- Improved cognitive development among preterm infants attributable to early supplementation of human milk with docosahexaenoic acid and arachidonic acid
PubMed ID: 18519483
Very preterm infants supplemented with DHA+ARA showed better problemâsolving and ERP recognition memory markers at 6 months.
- Growth and development of preterm infants fed infant formulas containing docosahexaenoic acid and arachidonic acid
PubMed ID: 15812447
Preterm formula with DHA+ARA improved Bayley developmental scoresâsupports early cognitive development.
- Randomized, double-blind trial of long-chain polyunsaturated fatty acid supplementation with fish oil and borage oil in preterm infants
PubMed ID: 15069395
Preterm infants given LCPUFA showed improved Bayley cognitive scores (noted especially in boys).
- Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial
PubMed ID: 11483801
Preterm AA+DHA improved some motor/development indices though Bayley mental index unchanged; some cognitive benefit signals.
- A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants
PubMed ID: 10755457
Infants receiving DHA+AA scored ~7 points higher on Bayley MDI at 18 months (cognitive/memory proxy).
- Cognitive response to fish oil, blueberry, and combined supplementation in older adults with subjective cognitive impairment
PubMed ID: 29458842
24âweek fish oil reduced selfâreported everyday cognitive difficulties and raised RBC EPA+DHA â randomized trial in older adults with subjective complaints.
- The effect of souvenaid on functional brain network organisation in patients with mild Alzheimer's disease: a randomised controlled study
PubMed ID: 24475144
Souvenaid (contains DHA) preserved EEG network measures in mild AD, supporting memory-related brain network benefit.
- Supplementation with oil rich in eicosapentaenoic acid, but not in docosahexaenoic acid, improves global cognitive function in healthy, young adults: results from randomized controlled trials
PubMed ID: 34113957
EPAârich supplementation improved cognitive accuracy and memory accuracy in healthy young adults; DHA effects smaller.
- Ï-3 Ethyl ester results in better cognitive function at 12 and 30 months than control in cognitively healthy subjects with coronary artery disease: a secondary analysis of a randomized clinical trial
PubMed ID: 33675344
Highâdose EPA+DHA in older adults with coronary disease improved multiple cognitive domains including memory over 12â30 months.
- Omega-3 fatty acid, carotenoid and vitamin E supplementation improves working memory in older adults: A randomised clinical trial
PubMed ID: 34999335
24âmonth randomized trial with fish oil + carotenoids showed improved working memory and corresponding biomarker rises.
- The Effects of a 6-Month High Dose Omega-3 and Omega-6 Polyunsaturated Fatty Acids and Antioxidant Vitamins Supplementation on Cognitive Function and Functional Capacity in Older Adults with Mild Cognitive Impairment
PubMed ID: 31991898
Highâdose Ïâ3/Ïâ6+antioxidant over 6 months improved global cognition in older adults with MCI (large effect sizes reported).
- Effect of folic acid combined with docosahexaenoic acid intervention on mild cognitive impairment in elderly: a randomized double-blind, placebo-controlled trial
PubMed ID: 32856190
MCI patients improved cognitive test scores after DHA and/or folic acid, with combination most effectiveâdirect memory/cognition benefit.
- Homocysteine Status Modifies the Treatment Effect of Omega-3 Fatty Acids on Cognition in a Randomized Clinical Trial in Mild to Moderate Alzheimer's Disease: The OmegAD Study
PubMed ID: 30958356
Omegaâ3 improved cognition/CDRâsob in Alzheimer's patients with lower baseline homocysteine (effect modification by Bâvitamin status).
- Effects of n-3 fatty acids, EPA v. DHA, on depressive symptoms, quality of life, memory and executive function in older adults with mild cognitive impairment: a 6-month randomised controlled trial
PubMed ID: 21929835
DHA improved a verbal fluency test in older adults with MCI (small RCT) â domain-specific memory/lexical access benefit.
- Beneficial effects of docosahexaenoic acid on cognition in age-related cognitive decline
PubMed ID: 20434961
900 mg/day DHA for 24 weeks improved specific learning and verbal recognition memory tests in older adults (RCT with correlated plasma DHA increases).
- Cognitive findings of an exploratory trial of docosahexaenoic acid and lutein supplementation in older women
PubMed ID: 18510807
DHA (±lutein) improved verbal fluency and some memory measures in older women (small RCT).
- The LipiDiDiet trial: what does it add to the current evidence for Fortasyn Connect in early Alzheimer's disease?
PubMed ID: 31616139
Prodromal AD trial of Fortasyn Connect (with DHA) slowed clinical decline and hippocampal atrophy though primary NTB cognitive endpoint was negative.
- Effect Size Analyses of Souvenaid in Patients with Alzheimer's Disease
PubMed ID: 27767993
Meta/pooled analyses of Souvenaid (contains DHA) in mild AD show modest but measurable memory-domain improvements (small effect sizes).
- Supplementation of medium-chain triglycerides combined with docosahexaenoic acid improves cognitive function in Chinese older adults with mild cognitive impairment: A randomized double-blind, placebo-controlled trial
PubMed ID: 40044083
12-month RCT in older adults with MCI: DHA (and MCT) improved global cognition vs placebo (combined treatment best).
- Effects of Long-Chain Polyunsaturated Fatty Acids in Combination with Lutein and Zeaxanthin on Episodic Memory in Healthy Older Adults
PubMed ID: 37447152
EPA/DHA + lutein/zeaxanthin produced clinically meaningful episodic memory improvement in older adults with baseline cognitive decline (randomized trials combined).
- Arachidonic and docosahexaenoic acid supplementation and brain maturation in preterm infants; a double blind RCT
PubMed ID: 38061271
ARA+DHA improved white matter maturation on MRI in very preterm infantsâmechanistic support for later cognitive/memory development.
- Effects of combining exercise with long-chain polyunsaturated fatty acid supplementation on cognitive function in the elderly: a randomised controlled trial
PubMed ID: 32737350
Older adults: fishâoil + exercise modestly improved attention and working memory.
- Long-Chain Polyunsaturated Fatty Acids, Homocysteine at Birth and Fatty Acid Desaturase Gene Cluster Polymorphisms are Associated with Children's Processing Speed up to Age 9 Years
PubMed ID: 33396458
Higher maternal AA/DHA at birth predicted faster child information processing to age 9 (observational link to cognitive speed).
- Using joint models to disentangle intervention effect types and baseline confounding: an application within an intervention study in prodromal Alzheimer's disease with Fortasyn Connect
PubMed ID: 31345172
Nutrient mix including DHA slowed cognitive worsening in prodromal AD and was linked to reduced dementia risk via preserved cognition.
- Đffects of fortified milk on cognitive abilities in school-aged children: results from a randomized-controlled trial
PubMed ID: 29881917
Fortified milk with DHA increased serum DHA and improved one workingâmemory test, supporting a moderate link to memory.
- Fatty fish intake and cognitive function: FINS-KIDS, a randomized controlled trial in preschool children
PubMed ID: 29530020
School lunch fattyâfish RCT produced small, complianceâdependent improvements in processing speed and fine motor tasks in children (memory/processing domain relevance).
- DHA supplementation improves cognitive function via enhancing AÎČ-mediated autophagy in Chinese elderly with mild cognitive impairment: a randomised placebo-controlled trial
PubMed ID: 29142143
Large 24âmonth RCT in MCI: DHA 2 g/day improved multiple cognitive measures (IQ, verbal IQ, digit span) and favorable AÎČ/autophagy biomarkers.
- 24-month intervention with a specific multinutrient in people with prodromal Alzheimer's disease (LipiDiDiet): a randomised, double-blind, controlled trial
PubMed ID: 29097166
Multinutrient drink containing DHA slowed hippocampal atrophy and clinical decline in prodromal AD (memoryârelevant structural/clinical signals).
- The n-3 Polyunsaturated Fatty Acids Supplementation Improved the Cognitive Function in the Chinese Elderly with Mild Cognitive Impairment: A Double-Blind Randomized Controlled Trial
PubMed ID: 28075381
EPA+DHA for 6 months improved cognitive domains in MCI subjects (direct memory/cognitive benefit).
- Effects of DHA Supplementation on Hippocampal Volume and Cognitive Function in Older Adults with Mild Cognitive Impairment: A 12-Month Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 27716665
12âmonth 2 g/day DHA in MCI improved several cognitive tests and slowed hippocampal atrophy (robust RCT evidence).
- Impact of Omega-3 Fatty Acid Supplementation on Memory Functions in Healthy Older Adults
PubMed ID: 26890759
6 months highâdose omegaâ3 raised omegaâ3 index and improved spatial (objectâlocation) memory in healthy older adults.
- Effect of APOE Genotype on Plasma Docosahexaenoic Acid (DHA), Eicosapentaenoic Acid, Arachidonic Acid, and Hippocampal Volume in the Alzheimer's Disease Cooperative Study-Sponsored DHA Clinical Trial
PubMed ID: 32116250
DHA supplementation increased plasma DHA/AA and higher DHA/AA associated with less hippocampal atrophy (biological substrate for memory).
- Omega-3 Fatty Acid Status Enhances the Prevention of Cognitive Decline by B Vitamins in Mild Cognitive Impairment
PubMed ID: 26757190
Higher baseline DHA/EPA potentiated Bâvitamin effects on episodic memory in MCIâstrong interaction evidence linking DHA status to memory outcomes.
- The effect of APOE genotype on the delivery of DHA to cerebrospinal fluid in Alzheimer's disease
PubMed ID: 27358067
Oral DHA substantially raised plasma and CSF DHAâsupports brain DHA availability relevant to memory.
- Brain atrophy in cognitively impaired elderly: the importance of long-chain Ï-3 fatty acids and B vitamin status in a randomized controlled trial
PubMed ID: 25877495
Bâvitamin effect on brain atrophy in MCI was present only when baseline EPA+DHA was high, implicating omegaâ3 status for brain/ memory preservation.
- Phosphatidylserine containing omega-3 Fatty acids may improve memory abilities in nondemented elderly individuals with memory complaints: results from an open-label extension study
PubMed ID: 24577097
Open-label phosphatidylserine + DHA study showed small improvements in attention and memory in elderly with complaints.
- Clinical significance of neuropsychological improvement after supplementation with omega-3 in 8-12 years old malnourished Mexican children: a randomized, double-blind, placebo and treatment clinical trial
PubMed ID: 24508294
Omega-3 improved several cognitive and attention-related functions in malnourished school-age children (memory-related domains improved).
- Transfer of omega-3 fatty acids across the blood-brain barrier after dietary supplementation with a docosahexaenoic acid-rich omega-3 fatty acid preparation in patients with Alzheimer's disease: the OmegAD study
PubMed ID: 24410954
In mild Alzheimerâs, oral DHA/EPA raised CSF DHA and CSF DHA changes correlated with AD biomarkers relevant to memory/degeneration.
- DHA supplementation improved both memory and reaction time in healthy young adults: a randomized controlled trial
PubMed ID: 23515006
Randomized trial in lowâDHA young adults: 1.16 g/day DHA for 6 months produced statistically significant improvements in episodic and working memory reaction times (robust cognitive benefit).
- Oral nutritional supplements containing n-3 polyunsaturated fatty acids affect quality of life and functional status in lung cancer patients during multimodality treatment: an RCT
PubMed ID: 22234041
Cancer patients given nâ3 containing supplement had improvements in cognitive function domains (EORTC cognitive subscale), supporting memory/ cognition benefit in that setting.
- Docosahexaenoic acid-concentrated fish oil supplementation in subjects with mild cognitive impairment (MCI): a 12-month randomised, double-blind, placebo-controlled trial
PubMed ID: 22932777
12âmonth concentrated DHA in MCI improved multiple memory measures vs placebo (small RCT with positive memory outcomes).
- Omega-3 polyunsaturated fatty acids supplementation improves memory in first-diagnosed, drug-naĂŻve patients with depression: Secondary analysis of data from a randomized controlled trial
PubMed ID: 38244783
In firstâdiagnosed, drugânaĂŻve depressed adults, addâon EPA+DHA produced a small but significant improvement in immediate memory vs placebo.
- Cognitive Benefits of Folic Acid, Docosahexaenoic Acid, and a Combination of Both Nutrients in Mild Cognitive Impairment: Possible Alterations through Mitochondrial Function and DNA Damage
PubMed ID: 38952108
12âmonth RCT in older adults (800 mg DHA) showed small but significant cognitive (IQ) improvements and oxidative damage reduction.
- Mediation Analysis to Untangle Opposing Associations of High-Dose Docosahexaenoic Acid With IQ and Bronchopulmonary Dysplasia in Children Born Preterm
PubMed ID: 37294565
Highâdose neonatal DHA increased average fullâscale IQ by â3.5 points in extremely preterm infants â direct cognitive benefit.
- DHA status influences effects of B-vitamin supplementation on cognitive ageing: a post-hoc analysis of the B-proof trial
PubMed ID: 35704085
Postâhoc finding that higher baseline plasma DHA predicted greater cognitive benefit from Bâvitamins, suggesting DHA status supports memory outcomes.
- Maternal FADS2 single nucleotide polymorphism modified the impact of prenatal docosahexaenoic acid (DHA) supplementation on child neurodevelopment at 5 years: Follow-up of a randomized clinical trial
PubMed ID: 34543890
Prenatal DHA improved specific 5âyear cognitive domains (memory and quantitative) in offspring of mothers with a specific FADS2 genotype.
- Effects of Folic Acid Combined with DHA Supplementation on Cognitive Function and Amyloid-ÎČ-Related Biomarkers in Older Adults with Mild Cognitive Impairment by a Randomized, Double Blind, Placebo-Controlled Trial
PubMed ID: 33749643
Folic acid + DHA improved arithmetic and digitâspan and lowered blood AÎČ in older adults with MCI â support for memory/working memory.
Blood circulation (48)
- Gender-specific inhibition of platelet aggregation following omega-3 fatty acid supplementation
PubMed ID: 20708391
Acute modulation of platelet aggregation by EPA/DHA (sexâspecific) affects haemostatic/circulatory parameters.
- The role of n-3 PUFAs in preventing the arrhythmic risk in patients with idiopathic dilated cardiomyopathy
PubMed ID: 18982439
Improvements in arrhythmia markers and electrophysiologic indices in cardiomyopathy imply improved cardiac electrical circulation.
- Docosahexaenoic acid-rich fish oil improves heart rate variability and heart rate responses to exercise in overweight adults
PubMed ID: 18339222
Improved heartârate variability and lower heart rates indicate better autonomic/vascular function.
- A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosus
PubMed ID: 17875549
Improved endothelial function (FMD) in lupus patients supports improved vascular health.
- Triacylglycerol-rich lipoprotein margination: a potential surrogate for whole-body lipoprotein lipase activity and effects of eicosapentaenoic and docosahexaenoic acids
PubMed ID: 15213026
EPA/DHA markedly increased TRL margination (postprandial margination volume), a physiologic effect on lipoprotein handling at the endothelial surface.
- The effects of dietary fatty acid supplementation on endothelial function and vascular tone in healthy subjects
PubMed ID: 14553835
Tuna oil supplementation improved endothelium-dependent vasodilation in healthy middle-aged adults; effect correlated with tissue n-3 rises.
- Prevention of postcoronary angioplasty restenosis by omega-3 fatty acids: main results of the Esapent for Prevention of Restenosis ITalian Study (ESPRIT)
PubMed ID: 12075272
Lower restenosis rates after angioplasty indicate improved vascular outcomes/circulation.
- Omega-3 fatty acid supplementation accelerates chylomicron triglyceride clearance
PubMed ID: 12562865
Supplementation accelerated chylomicron TG clearance and raised LPL activityâmeaningful improvements in postprandial lipoprotein handling/circulation.
- The effect of dietary omega-3 fatty acids on coronary atherosclerosis. A randomized, double-blind, placebo-controlled trial
PubMed ID: 10189324
Slowed atherosclerotic progression suggests improved vascular health/circulation over time (modest effect).
- Effects of highly purified eicosapentaenoic acid and docosahexaenoic acid on hemodynamics in humans
PubMed ID: 9665096
Improved left-ventricular diastolic filling (cardiac filling/circulatory function).
- Effects of n-3 polyunsaturated fatty acids on glucose homeostasis and blood pressure in essential hypertension. A randomized, controlled trial
PubMed ID: 7486485
Lowered systolic BP and TGs in hypertensive adults can improve vascular health and circulation.
- Double-blind, randomized, controlled trial of fish oil supplements in prevention of recurrence of stenosis after coronary angioplasty
PubMed ID: 1537131
Reduced restenosis after angioplasty indicates improved vascular outcomes/circulation.
- Fish oil supplementation in patients with stable claudication
PubMed ID: 2240382
Fish oil improved red cell deformability and lipids (physiologic circulation markers) though no walking-distance benefit in claudication.
- Dose-response effects of fish-oil supplementation in healthy volunteers
PubMed ID: 2141757
Doseâdependent EPA/DHA incorporation with clear TG lowering â improves blood lipid milieu relevant to circulation.
- Effects of purified eicosapentaenoic acid and docosahexaenoic acid on platelet, fibrinolytic and vascular function in hypertensive type 2 diabetic patients
PubMed ID: 12482554
DHA reduced collagenâstimulated platelet aggregation and TXB2 in hypertensive diabetics, indicating antithrombotic circulation benefits.
- Effects of Omega-3 Fatty Acid Supplementation on Serum Biomarkers, Inflammatory Agents, and Quality of Life of Patients on Hemodialysis
PubMed ID: 27903997
Hemodialysis patients on omegaâ3 had lower VCAM and higher HDL â favorable vascular/inflammatory changes relevant to circulation.
- Daily consumption of milk enriched with fish oil, oleic acid, minerals and vitamins reduces cell adhesion molecules in healthy children
PubMed ID: 19939650
Children consuming milk fortified with fish oil showed lower endothelial activation markers (Eâselectin, ICAMâ1) â supportive of improved endothelial function/circulation.
- Omega-3 polyunsaturated fatty acid supplementation improves lipid metabolism and endothelial function by providing a beneficial eicosanoid-pattern in patients with acute myocardial infarction: A randomized, controlled trial
PubMed ID: 33041091
Significant increase in nitric oxide and favorable lipid changes after Ïâ3 therapy in AMI patients indicate improved endothelial function/circulation.
- The effect of omega-3 carboxylic acids on apolipoprotein CIII-containing lipoproteins in severe hypertriglyceridemia
PubMed ID: 27919362
OM3âCA altered apoCIII and LDL subspeciesâplausible beneficial effects on vascular risk and circulation.
- Early impact of prescription Omega-3 fatty acids on platelet biomarkers in patients with coronary artery disease and hypertriglyceridemia
PubMed ID: 21701167
Omegaâ3 reduced platelet aggregation and activation markers in CAD patients, consistent with improved hemostatic/circulatory function.
- Moderate fish-oil supplementation reverses low-platelet, long-chain n-3 polyunsaturated fatty acid status and reduces plasma triacylglycerol concentrations in British Indo-Asians
PubMed ID: 15159226
Decreased plasma TAG and platelet AA with increased platelet EPA/DHA suggest improved blood lipid profile and platelet function relevant to circulation.
- The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans
PubMed ID: 12145002
EPA and DHA markedly increased systemic arterial compliance (+27â36%) in dyslipidemic adults, indicating improved vascular function.
- Plasma lipid levels and platelet and neutrophil function in patients with vascular disease following fish oil and olive oil supplementation
PubMed ID: 1328817
Fish oil lowered triglycerides and reduced platelet aggregation/thromboxane in vascular disease patients â direct circulation/thrombosis relevant effects.
- Regression of Coronary Fatty Plaque and Risk of Cardiac Events According to Blood Pressure Status: Data From a Randomized Trial of Eicosapentaenoic Acid and Docosahexaenoic Acid in Patients With Coronary Artery Disease
PubMed ID: 37681568
Coronary fatty plaque regression and fewer events imply improved coronary patency/circulatory outcomes.
- Omega-3 polyunsaturated fatty acids-enriched hen eggs consumption enhances microvascular reactivity in young healthy individuals
PubMed ID: 29633621
Three omegaâ3 enriched eggs/day improved smallâvessel blood flow (postocclusive reactive hyperemia), and lowered BP and triglycerides in healthy adults.
- Effects of dietary n-3 polyunsaturated fatty acids from plant and marine origin on platelet aggregation in healthy elderly subjects
PubMed ID: 10655965
Dietary EPA/DHA reduced ex vivo platelet aggregation in elderly volunteersâfunctional evidence for improved hemodynamic/thrombotic profile.
- Long-term omega-3 polyunsaturated fatty acid supplementation reduces the recurrence of persistent atrial fibrillation after electrical cardioversion
PubMed ID: 22120130
Marked reduction in AF recurrence after EPA+DHA suggests improved cardiac rhythm stability and downstream circulatory benefit.
- Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm microcirculation in hyperlipidemic, overweight men
PubMed ID: 10982541
DHA improved endotheliumâdependent and independent vasodilation and attenuated norepinephrineâinduced vasoconstrictionâstrong circulatory physiology evidence.
- Efficacy and safety of omega-3-acid ethyl acetate 90 capsules in severe hypertriglyceridemia: A randomized, controlled, multicenter study
PubMed ID: 38830807
Marked triglyceride and atherogenic lipid reductions are relevant to longâterm vascular health and circulation.
- Omega-3 Fatty Acids Reduce Remnant-like Lipoprotein Cholesterol and Improve the Ankle-Brachial Index of Hemodialysis Patients with Dyslipidemia: A Pilot Study
PubMed ID: 38256336
Highâdose EPA+DHA improved ankleâbrachial index (ABI) in dialysis patients â direct evidence of better peripheral circulation.
- Plasma Omega-3 Fatty Acids and the Risk of Cardiovascular Events in Patients After an Acute Coronary Syndrome in MERLIN-TIMI 36
PubMed ID: 33840228
Higher longâchain Ïâ3s associated with lower cardiovascular/sudden cardiac death in ACS â clinically relevant for circulation outcomes.
- N-3 fatty acid supplementation mediates lipid profile, including small dense LDL, when combined with statins: a randomized double blind placebo controlled trial
PubMed ID: 36050695
Substantial TG and nonâHDL reductions and decreased small dense LDL may improve vascular health and microcirculation.
- Erythrocyte deformability and aggregability in patients undergoing colon cancer surgery and effects of two infusions with omega-3 fatty acids
PubMed ID: 31658051
IV omegaâ3 in surgery patients reduced erythrocyte aggregation (and aggregation index) â plausible improvement in microcirculatory flow.
- A Randomized, Double-Blind, Placebo-Controlled Clinical Trial of an Omega-3 Fatty Acid Supplement in Patients With Predialysis Chronic Kidney Disease
PubMed ID: 32732154
Omegaâ3 improved pulseâwave velocity (arterial stiffness) in CKD patientsâdirect vascular/circulatory benefit.
- Influence of different supplementation on platelet aggregation in patients with rheumatoid arthritis
PubMed ID: 31076942
Concentrated fish oil reduced platelet aggregation in rheumatoid arthritis patients, suggesting antithrombotic/ circulation benefit.
- An omega-3 fatty acid plasma index â„4% prevents progression of coronary artery plaque in patients with coronary artery disease on statin treatment
PubMed ID: 31055222
Higher omegaâ3 index associated with less coronary plaque progression â relevant to arterial circulation health.
- Relationship between the omega-3 index and specialized pro-resolving lipid mediators in patients with peripheral arterial disease taking fish oil supplements
PubMed ID: 28778393
Highâdose EPA/DHA in PAD patients increased omegaâ3 index and proâresolving precursorsâsupports vascular/flow improvements biochemically.
- Quantitative Erythrocyte Omega-3 EPA Plus DHA Levels are Related to Higher Regional Cerebral Blood Flow on Brain SPECT
PubMed ID: 28527220
Crossâsectional study: higher erythrocyte EPA+DHA modestly associated with greater regional brain perfusion on SPECT imaging.
- Aterofisiol(Âź) in carotid plaque evolution
PubMed ID: 26229448
Supplement reduced plaque lipid/cholesterol and perioperative neurologic eventsâimplies improved vascular plaque stability and perioperative circulation.
- The effects of long-chain omega-3 fish oils and multivitamins on cognitive and cardiovascular function: a randomized, controlled clinical trial
PubMed ID: 25565485
Lowered central aortic pressures indicate improved central arterial function/circulation.
- Increasing long-chain n-3PUFA consumption improves small peripheral artery function in patients at intermediate-high cardiovascular risk
PubMed ID: 24746829
Doseârelated increase in smallâartery reactive hyperemia index indicates improved microvascular endothelial function.
- Reduced anxiety in forensic inpatients after a long-term intervention with Atlantic salmon
PubMed ID: 25431880
Increased HRV and lower heart rate suggest improved autonomic cardiovascular regulation and circulation.
- Reduction of prothrombin and Factor V levels following supplementation with omega-3 fatty acids is sex dependent: a randomised controlled study
PubMed ID: 24997005
Modest lowering of clotting factors and vWF suggests improved hemorheology and reduced thrombotic tendency.
- A randomized controlled trial to prevent post-operative atrial fibrillation by antioxidant reinforcement
PubMed ID: 23916928
Marked reduction in post-op atrial fibrillation and increased tissue antioxidant enzymes after nâ3 + vitaminsâbenefit for cardiac rhythm/circulatory outcomes (confounded).
- Eicosapentaenoic and docosahexaenoic acid supplementations reduce platelet aggregation and hemostatic markers differentially in men and women
PubMed ID: 23390192
DHA and EPA significantly lowered platelet aggregation compared with placebo, a direct mechanism improving blood flow and reducing thrombosis risk.
- Platelet redox balance in diabetic patients with hypertension improved by n-3 fatty acids
PubMed ID: 23238663
Fish oil reduced platelet oxidative stress and PMA-stimulated ROS in hypertensive/diabetic patientsâimprovements relevant to vascular/platelet function.
- DHA-rich fish oil reverses the detrimental effects of saturated fatty acids on postprandial vascular reactivity
PubMed ID: 21831993
Acute postprandial study: inclusion of DHAârich oil markedly improved flowâmediated dilation (+2.06%), a direct and clinically meaningful vascular effect.
- Effects of n-3 fatty acids on macro- and microvascular function in subjects with type 2 diabetes mellitus
PubMed ID: 20071644
Attenuated post-meal decline in conduit artery FMD and improved microvascular reactive hyperemia â strong circulation evidence.
Healthy aging (31)
- Plant-based diet, serum fatty acid profile, and free radicals in postmenopausal women: the diet and androgens (DIANA) randomized trial
PubMed ID: 16240844
Dietary program raised DHA (~25%) and lowered an oxidative stress marker in postmenopausal womenâbiochemical/oxidative stress benefit relevant to aging.
- Randomized, double-blind, placebo-controlled trial of fish oil and mustard oil in patients with suspected acute myocardial infarction: the Indian experiment of infarct survival--4
PubMed ID: 9310278
Large secondary prevention RCT: fish oil reduced cardiac events and cardiac deaths, which is relevant to healthy aging/end-of-life cardiovascular risk.
- Perilla seed oil in combination with nobiletin-rich ponkan powder enhances cognitive function in healthy elderly Japanese individuals: a possible supplement for brain health in the elderly
PubMed ID: 35171190
Elderly trial showed modest cognitive improvement and higher BDNF with strategies that raised RBC DHA â supports aspects of healthy cognitive aging.
- Serum levels of interleukin-18 are reduced by diet and n-3 fatty acid intervention in elderly high-risk men
PubMed ID: 19595382
3âyear nâ3 intervention in older men reduced ILâ18 (~10%), a modest antiâinflammatory change relevant to ageing/inflammaging.
- n-3 Fatty Acid Supplementation and Leukocyte Telomere Length in Patients with Chronic Kidney Disease
PubMed ID: 27007392
nâ3 in CKD reduced oxidative stress and increased neutrophil telomere length (corrected) â plausible marker of healthy cellular aging.
- Effects of a low-protein nutritional formula with dietary counseling in older adults with chronic kidney disease stages 3-5: a randomized controlled trial
PubMed ID: 38097963
Functional improvements (handgrip, gait speed) in older CKD patients given a supplement containing EPA/DHA suggest a contribution to healthy aging/function.
- Effects of Long-Chain Polyunsaturated Fatty Acids in Combination with Lutein and Zeaxanthin on Episodic Memory in Healthy Older Adults
PubMed ID: 37447152
DHA/EPA + lutein improved episodic memory in atârisk older adults, supporting a role in healthy cognitive aging in selected groups.
- Effects of combining exercise with long-chain polyunsaturated fatty acid supplementation on cognitive function in the elderly: a randomised controlled trial
PubMed ID: 32737350
Older adults: small cognitive gains and DHA increaseârelevant to healthy cognitive aging.
- Effect of APOE Genotype on Plasma Docosahexaenoic Acid (DHA), Eicosapentaenoic Acid, Arachidonic Acid, and Hippocampal Volume in the Alzheimer's Disease Cooperative Study-Sponsored DHA Clinical Trial
PubMed ID: 32116250
Smaller hippocampal atrophy associated with higher DHA/AA after longâterm DHA supplementation suggests neuroprotective effects relevant to aging.
- The impact of supplemental n-3 long chain polyunsaturated fatty acids and dietary antioxidants on physical performance in postmenopausal women
PubMed ID: 23299384
Postmenopausal women randomized to EPA/DHA showed RBC DHA increase and a modest but significant improvement in walking speed over 6 months.
- Administration of omega-3 fatty acids and Raloxifene to women at high risk of breast cancer: interim feasibility and biomarkers analysis from a clinical trial
PubMed ID: 22669332
Lovaza in highârisk postmenopausal women raised nâ3 levels and improved triglycerides/HDL â favorable cardiometabolic signals for healthy aging.
- Telomere shortening in elderly individuals with mild cognitive impairment may be attenuated with Ï-3 fatty acid supplementation: a randomized controlled pilot study
PubMed ID: 24342530
Omegaâ3 (DHA/EPA) groups showed smaller telomere shortening in MCI eldersâbiomarker supporting slowed cellular aging.
- Higher plasma docosahexaenoic acid is associated with reduced progression of coronary atherosclerosis in women with CAD
PubMed ID: 16983146
Higher plasma DHA associated with less coronary atherosclerosis progression in postmenopausal womenâsupports aspects of healthy cardiovascular aging.
- Multimicronutrient and omega-3 fatty acid supplementation reduces low-grade inflammation in older participants: An exploratory study
PubMed ID: 40644954
In older adults, combined nâ3+micronutrients improved nâ3 status and modestly reduced an inflammation composite â relevant to healthy aging.
- Cognitive Benefits of Folic Acid, Docosahexaenoic Acid, and a Combination of Both Nutrients in Mild Cognitive Impairment: Possible Alterations through Mitochondrial Function and DNA Damage
PubMed ID: 38952108
DHA (with folic acid) improved cognition and reduced DNA oxidative damage / increased mtDNA in older adults â markers relevant to healthy aging.
- Ï-3 PUFA for Secondary Prevention of White Matter Lesions and Neuronal Integrity Breakdown in Older Adults: A Randomized Clinical Trial
PubMed ID: 39088212
Threeâyear EPA+DHA reduced whiteâmatter microstructural decline in APOE4 carriers, suggesting a possible agingârelated brain preservation effect in a subgroup.
- Effects of fish oil-derived n-3 polyunsaturated fatty acid on body composition, muscle strength and physical performance in older people: a secondary analysis of a randomised, double-blind, placebo-controlled trial
PubMed ID: 36571774
Six months of fishâoil improved muscle mass, strength and mobility in older adultsâclear functional healthyâaging benefit.
- Changes in eicosapentaenoic acid and docosahexaenoic acid and risk of cardiovascular events and atrial fibrillation: A secondary analysis of the OMEMI trial
PubMed ID: 34982486
PostâMI older adults with larger EPA increases had fewer major CV events (but higher AF risk) â mixed implications for healthy aging.
- Effects of a Long Chain n-3 Polyunsaturated Fatty Acid-rich Multi-ingredient Nutrition Supplement on Body Composition and Physical Function in Older Adults with Low Skeletal Muscle Mass
PubMed ID: 33759678
6âmonth multiâingredient supplement supplying 3 g EPA+DHA preserved grip strength and improved SPPB in older adults (functional aging outcome).
- Ï-3 Ethyl ester results in better cognitive function at 12 and 30 months than control in cognitively healthy subjects with coronary artery disease: a secondary analysis of a randomized clinical trial
PubMed ID: 33675344
EPA+DHA improved cognitive domains in older adults with coronary disease â relevant to aging brain health.
- The Effects of a 6-Month High Dose Omega-3 and Omega-6 Polyunsaturated Fatty Acids and Antioxidant Vitamins Supplementation on Cognitive Function and Functional Capacity in Older Adults with Mild Cognitive Impairment
PubMed ID: 31991898
MCI older adults had improved cognition, functional capacity and reduced fatigue with Ïâ3/Ïâ6+antioxidant supplementation.
- Using joint models to disentangle intervention effect types and baseline confounding: an application within an intervention study in prodromal Alzheimer's disease with Fortasyn Connect
PubMed ID: 31345172
Nutrient mix including DHA slowed cognitive decline in prodromal AD, a domain of healthy brain aging.
- DHA supplementation improves cognitive function via enhancing AÎČ-mediated autophagy in Chinese elderly with mild cognitive impairment: a randomised placebo-controlled trial
PubMed ID: 29142143
DHA improved cognition and biomarkers in older adults with MCIârelevant to cognitive aspects of healthy aging.
- 24-month intervention with a specific multinutrient in people with prodromal Alzheimer's disease (LipiDiDiet): a randomised, double-blind, controlled trial
PubMed ID: 29097166
Slower clinical decline and reduced hippocampal atrophy in prodromal AD supports a healthyâaging/diseaseâmodifying signal.
- The n-3 Polyunsaturated Fatty Acids Supplementation Improved the Cognitive Function in the Chinese Elderly with Mild Cognitive Impairment: A Double-Blind Randomized Controlled Trial
PubMed ID: 28075381
Cognitive improvements and reduced inflammatory markers in older adults with MCI support aspects of healthy brain aging.
- Effects of DHA Supplementation on Hippocampal Volume and Cognitive Function in Older Adults with Mild Cognitive Impairment: A 12-Month Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 27716665
DHA preserved hippocampal volume and improved cognition in MCI over 12 monthsâsupports neuroprotective aspects of healthy aging.
- DHA-enriched fish oil upregulates cyclin-dependent kinase inhibitor 2A (P16(INK)) expression and downregulates telomerase activity without modulating effects of PPARÎł Pro12Ala polymorphism in type 2 diabetic patients: A randomized, double-blind, placebo-controlled clinical trial
PubMed ID: 28024882
DHAâenriched fish oil altered PBMC telomerase and P16 (cellâsenescence biomarkers) in T2D patients, indicating potential agingârelated cellular effects.
- Beneficial effects of omega-3 and vitamin E coadministration on gene expression of SIRT1 and PGC1α and serum antioxidant enzymes in patients with coronary artery disease
PubMed ID: 27033026
Omegaâ3 + vitamin E increased SIRT1/PGC1α expression and total antioxidant capacityâmolecular markers linked to mitochondrial function/healthy aging, though combined supplement confounds DHA-specific attribution.
- Brain atrophy in cognitively impaired elderly: the importance of long-chain Ï-3 fatty acids and B vitamin status in a randomized controlled trial
PubMed ID: 25877495
Interaction showing omegaâ3 status modifies Bâvitamin effect on brain atrophy (relevance to ageârelated brain preservation).
- Higher RBC EPA + DHA corresponds with larger total brain and hippocampal volumes: WHIMS-MRI study
PubMed ID: 24453077
Higher RBC EPA+DHA associated with slightly larger total brain and hippocampal volumes in postmenopausal women (observational).
- Transfer of omega-3 fatty acids across the blood-brain barrier after dietary supplementation with a docosahexaenoic acid-rich omega-3 fatty acid preparation in patients with Alzheimer's disease: the OmegAD study
PubMed ID: 24410954
CSF and plasma nâ3 increases in mild Alzheimerâs and correlations with AD biomarkers suggest relevance to neurodegenerative aging processes.
Mood balance (37)
- Effects of n-3 fatty acids, EPA v. DHA, on depressive symptoms, quality of life, memory and executive function in older adults with mild cognitive impairment: a 6-month randomised controlled trial
PubMed ID: 21929835
Small randomized trial in older adults with MCI found significant improvements in depressive symptoms with both EPA and DHA vs control.
- The effect of low-dose omega 3 fatty acids on the treatment of mild to moderate depression in the elderly: a double-blind, randomized, placebo-controlled study
PubMed ID: 21318452
Six-month low-dose fish oil modestly improved depressive symptoms in elderly in a double-blind RCT.
- Omega-3 Fatty Acid Plasma Levels Before and After Supplementation: Correlations with Mood and Clinical Outcomes in the Omega-3 and Therapy Studies
PubMed ID: 28157380
Youth with mood disorders had large increases in EPA (and DHA) after supplementation; clinical mood benefits were inconsistent but biochemical support is strong.
- Effects of Varied Omega-3 Fatty Acid Supplementation on Postpartum Mental Health and the Association between Prenatal Erythrocyte Omega-3 Fatty Acid Levels and Postpartum Mental Health
PubMed ID: 37892462
Perilla oil (ALA) supplementation in pregnancy associated with lower elevated postpartum EPDS scores and erythrocyte ALA predicted lower odds of postpartum distress.
- The effect of fish oil on physical aggression in schoolchildren--a randomized, double-blind, placebo-controlled trial
PubMed ID: 15741051
Three months of fish-oil reduced physical aggression and impulsivity in girls (behavioral/mood-relevant outcome).
- Clinical Efficacy and Biological Regulations of Ï-3 PUFA-Derived Endocannabinoids in Major Depressive Disorder
PubMed ID: 31269506
RCT in major depression found higher remission rates with EPA±DHA vs DHA, and biochemical mediator (EPEA) linked to improvement â relevant to mood regulation.
- Longitudinal investigation of the relationship between omega-3 polyunsaturated fatty acids and neuropsychological functioning in recent-onset psychosis: A randomized clinical trial
PubMed ID: 33444934
Adjunctive fish oil with antipsychotic reduced hostility and improved social cognition in psychosisâevidence for mood/social domain benefits in a small RCT.
- The effect of 12-wk Ï-3 fatty acid supplementation on in vivo thalamus glutathione concentration in patients "at risk" for major depression
PubMed ID: 26333890
EPA+DHA attenuated thalamic GSH rise associated with worsening depressive symptoms â signal for moodârelated biology.
- An Exploratory Analysis of Changes in Mental Wellbeing Following Curcumin and Fish Oil Supplementation in Middle-Aged and Older Adults
PubMed ID: 32977404
Curcumin/fish oil study: increased vigour and reduced total mood disturbance in some subgroups.
- The effect of docosahexaenoic acid on aggression in young adults. A placebo-controlled double-blind study
PubMed ID: 8613538
Small DB trial in students under academic stress: DHA prevented an increase in outward aggression (mood/behavioral regulation effect).
- Administration of docosahexaenoic acid influences behavior and plasma catecholamine levels at times of psychological stress
PubMed ID: 10419086
DHA associated with smaller exam-related aggression increases and altered catecholamine ratios suggesting behavioral/stress modulation.
- Omega-3 fatty acid supplementation in patients with recurrent self-harm. Single-centre double-blind randomised controlled trial
PubMed ID: 17267927
Omegaâ3 improved depression, suicidality and perceived stress in recurrent selfâharm patients (RCT).
- A double-blind dose-finding pilot study of docosahexaenoic acid (DHA) for major depressive disorder
PubMed ID: 18539007
Small doseâfinding trial found antidepressant responses at lower DHA doses, suggesting possible mood benefit in some patients.
- Effect of omega-3 fatty acids supplementation on depressive symptoms and on health-related quality of life in the treatment of elderly women with depression: a double-blind, placebo-controlled, randomized clinical trial
PubMed ID: 20595646
EPA+DHA for 8 weeks improved depressive symptoms and quality of life in depressed elderly women (doubleâblind RCT with clinical effect).
- Oral nutritional supplements containing n-3 polyunsaturated fatty acids affect quality of life and functional status in lung cancer patients during multimodality treatment: an RCT
PubMed ID: 22234041
QoL improvements (including cognitive and global health domains) in NSCLC patients may reflect better mood/psychological wellâbeing.
- Omega-3 fatty acid augmentation of citalopram treatment for patients with major depressive disorder
PubMed ID: 22198441
RCT augmentation: omega-3 added to citalopram significantly improved depressive symptoms and remission rates in MDD.
- A double-blind trial of the effect of docosahexaenoic acid and vitamin and mineral supplementation on aggression, impulsivity, and stress
PubMed ID: 23625531
Randomized study in healthy young men: DHA reduced laboratory measures of aggression and impulsivity, supporting an effect on mood/behavior regulation.
- Omega-3 fatty acids in the prevention of interferon-alpha-induced depression: results from a randomized, controlled trial
PubMed ID: 24602409
EPA (not DHA) substantially reduced incidence and delayed onset of IFN-αâinduced depression in RCTâstrong mood signal for EPA arm.
- Effects of omega-3 fatty acids on depression and quality of life in maintenance hemodialysis patients
PubMed ID: 24987942
Omega-3 reduced depression scores and improved QoL in hemodialysis patients (RCT, small N).
- The effect of omega-3 fatty acids on depressive symptoms and inflammatory markers in maintenance hemodialysis patients: a randomized, placebo-controlled clinical trial
PubMed ID: 24643636
Randomized trial in hemodialysis patients showed clear reductions in depressive symptoms with omegaâ3 supplementation.
- Reduced anxiety in forensic inpatients after a long-term intervention with Atlantic salmon
PubMed ID: 25431880
Regular salmon intake reduced stateâanxiety in forensic inpatients (mood benefit in dietary trial).
- Supplementation of n-3 Polyunsaturated Fatty Acids for Major Depressive Disorder: A Randomized, Double-Blind, 12-Week, Placebo-Controlled Trial in Korea
PubMed ID: 25824637
In Korean majorâdepression patients EPA+DHA improved clinicianârated global improvement (signal for mood benefit).
- Fatty acid metabolism and its longitudinal relationship with the hypothalamic-pituitary-adrenal axis in major depression: Associations with prospective antidepressant response
PubMed ID: 26010860
Lower baseline DHA associated with poorer response to antidepressant (paroxetine) in depressed patientsâobservational association linking DHA status with mood treatment outcomes.
- A randomized controlled study of the efficacy of six-month supplementation with concentrated fish oil rich in omega-3 polyunsaturated fatty acids in first episode schizophrenia
PubMed ID: 26679763
Adjunct nâ3 PUFA in firstâepisode schizophrenia improved overall and depressive symptoms (clinically meaningful mood effects).
- Omega-3 supplements reduce self-reported physical aggression in healthy adults
PubMed ID: 29331711
EPA+DHA modestly reduced selfâreported physical aggression in healthy adults (behavioral/mood effect).
- Omega-3 supplementation effects on body weight and depression among dieter women with co-morbidity of depression and obesity compared with the placebo: A randomized clinical trial
PubMed ID: 29779816
12âweek RCT in obese women with depression: omegaâ3 modestly improved depressive symptoms versus placebo.
- A randomised controlled trial of vitamin D and omega-3 long chain polyunsaturated fatty acids in the treatment of irritability and hyperactivity among children with autism spectrum disorder
PubMed ID: 30744880
DHA (±vitamin D) reduced irritability scores in children with ASD in a randomized trial.
- Red Blood Cell Omega-3 Fatty Acid Composition and Psychotropic Drug Use in Older Adults: Results from the MAPT Study
PubMed ID: 31641729
In older adults, increases in RBC DHA+EPA over 12 months associated with lower psychotropic/antidepressant use (associative evidence).
- Plasma estradiol levels and antidepressant effects of omega-3 fatty acids in pregnant women
PubMed ID: 30776476
Pregnant women with antenatal depression: rising EPA (with estradiol) linked to symptom improvement in omegaâ3 group.
- Omega-3 fatty-acids modulate symptoms of depressive disorder, serum levels of omega-3 fatty acids and omega-6/omega-3 ratio in children. A randomized, double-blind and controlled trial
PubMed ID: 32179212
Randomized trial in depressed children/adolescents showed clinically meaningful reduction in depressive symptoms with fish oilâstrong support for mood benefit.
- Fish oil supplementation alters emotion-generated corticolimbic functional connectivity in depressed adolescents at high-risk for bipolar I disorder: A 12-week placebo-controlled fMRI trial
PubMed ID: 34214231
Adolescent fishâoil RCT changed emotionârelated functional connectivity and connectivity changes correlated with symptom improvement (robust mechanistic/mood evidence).
- Emotion-Related Network Reorganization Following Fish Oil Supplementation in Depressed Bipolar Offspring: An fMRI Graph-Based Connectome Analysis
PubMed ID: 34139404
In depressed highârisk youth, fishâoil raised erythrocyte omegaâ3, improved brain network efficiency and produced small additional clinical symptom benefit.
- Omega-3 Fatty Acids for Major Depressive Disorder With High Inflammation: A Randomized Dose-Finding Clinical Trial
PubMed ID: 36005883
4 g/day EPA increased clinical antidepressant response in inflamed depressed adults (strongest mood signal in dataset).
- Omega-3 polyunsaturated fatty acids (n-3 PUFAs), somatic and fatigue symptoms in cardiovascular diseases comorbid major depressive disorder (MDD): A randomized controlled trial
PubMed ID: 37301235
Small doubleâblind RCT in CVD+depression showed earlier fatigue relief and somatic symptom improvement correlated with rising EPA.
- Clinical response to EPA supplementation in patients with major depressive disorder is associated with higher plasma concentrations of pro-resolving lipid mediators
PubMed ID: 36635595
Highâdose EPA (4 g/d) increased responder rates in adults with MDD and inflammation â direct antidepressant/mood signal.
- The Efficacy of Omega-3 Fatty Acids as the Monotherapy for Depression: A Randomized, Double-Blind, Placebo-Controlled Pilot Study
PubMed ID: 39519521
Small RCT: highâdose omegaâ3 (~3.2 g/day) reduced clinicianârated depressive symptoms versus placebo.
- The N-3 polyunsaturated fatty acids supplementation to prevent depression recurrence in patients with late-life depression: A 52-week double-blind, placebo-controlled trial
PubMed ID: 39306009
52âweek EPA+DHA markedly reduced recurrence risk of depression in euthymic older adults (large HR effect), supporting moodâstabilizing benefit.
Focus & concentration (33)
- Attention among very low birth weight infants following early supplementation with docosahexaenoic and arachidonic acid
PubMed ID: 20624152
VLBW infants supplemented with DHA+ARA showed improved sustained attention at 20 months (robust behavioral finding).
- A randomised control trial in schoolchildren showed improvement in cognitive function after consuming a bread spread, containing fish flour from a marine source
PubMed ID: 19201180
Schoolchildren had cognitive gains (verbal memory, spelling) after fishâspread intakeâimprovements consistent with better attention/focus.
- The effects of docosahexaenoic acid-rich fish oil on behavior, school attendance rate and malaria infection in school children--a double-blind, randomized, placebo-controlled trial in Lampung, Indonesia
PubMed ID: 18586645
DHAârich fish oil in children increased RBC DHA and was associated with better school attendance (functional benefit).
- Fatty acids in ADHD: plasma profiles in a placebo-controlled study of Omega 3/6 fatty acids in children and adolescents
PubMed ID: 22753087
In ADHD children, omega-3/6 supplementation changed plasma n-3 and responders had larger n-3 increases; clinical symptom improvement tied to attention-focused endpoints.
- Correlation between changes in blood fatty acid composition and visual sustained attention performance in children with inattention: effect of dietary n-3 fatty acids containing phospholipids
PubMed ID: 18469236
Randomized trial in inattentive children: EPA/DHA (esp. phospholipid form) improved sustained attention (TOVA).
- Effects of combining exercise with long-chain polyunsaturated fatty acid supplementation on cognitive function in the elderly: a randomised controlled trial
PubMed ID: 32737350
Exercise + fishâoil improved attention in older adults with low muscle mass.
- Long-Chain Polyunsaturated Fatty Acids, Homocysteine at Birth and Fatty Acid Desaturase Gene Cluster Polymorphisms are Associated with Children's Processing Speed up to Age 9 Years
PubMed ID: 33396458
Maternal AA/DHA at birth predicted faster information processing (processing speed) to age 9âsupports focused cognitive processing links.
- Long-chain polyunsaturated fatty acid supplementation in the first year of life affects brain function, structure, and metabolism at age nine years
PubMed ID: 30311214
Longâterm neuroimaging showed stronger attention network connectivity with early LCPUFA exposure.
- Event-related potential differences in children supplemented with long-chain polyunsaturated fatty acids during infancy
PubMed ID: 27747986
Infant LCPUFA led to stronger ERP attention/inhibition signals and faster responding tendency.
- Effect of supplementation with long-chain Ï-3 polyunsaturated fatty acids on behavior and cognition in children with attention deficit/hyperactivity disorder (ADHD): a randomized placebo-controlled intervention trial
PubMed ID: 24958525
Working memory improvements in ADHD children (erythrocyte EPA/DHA rises) support enhanced cognitive control and focus.
- Effects of long-chain PUFA supplementation in infant formula on cognitive function in later childhood
PubMed ID: 23783296
Infant LCâPUFA supplementation produced faster processing speed at age 6, a domain related to sustained attention/focus.
- Docosahexaenoic acid supplementation increases prefrontal cortex activation during sustained attention in healthy boys: a placebo-controlled, dose-ranging, functional magnetic resonance imaging study
PubMed ID: 20130094
Doseâdependent increases in erythrocyte DHA in boys accompanied by increased dorsolateral prefrontal activation during sustained attention and faster reaction times (fMRI + behavioral evidence).
- Docosahexaenoic acid-rich fish oil modulates the cerebral hemodynamic response to cognitive tasks in healthy young adults
PubMed ID: 22020134
DHA-rich fish oil increased prefrontal oxyhemoglobin during cognitive tasks in young adultsâphysiologic correlate compatible with improved focus despite little performance change.
- Docosahexaenoic acid for reading, cognition and behavior in children aged 7-9 years: a randomized, controlled trial (the DOLAB Study)
PubMed ID: 22970149
600 mg/day DHA for 16 weeks reduced parentârated ADHD behaviors and produced small reading gains in poorest readers, consistent with improved attention/behavior in subsets.
- Oral nutritional supplements containing n-3 polyunsaturated fatty acids affect quality of life and functional status in lung cancer patients during multimodality treatment: an RCT
PubMed ID: 22234041
Cognitive domain improvements in cancer patients (cognitive function subscale) indicate better focus/mental function in that clinical setting.
- Effect of n-3 supplementation on hyperactivity, oxidative stress and inflammatory mediators in children with attention-deficit-hyperactivity disorder
PubMed ID: 24568073
In ADHD children, EPA+DHA improved hyperactivity and decreased inflammatory markersâbehavioral gains relevant to attention/focus.
- Increased Erythrocyte Eicosapentaenoic Acid and Docosahexaenoic Acid Are Associated With Improved Attention and Behavior in Children With ADHD in a Randomized Controlled Three-Way Crossover Trial
PubMed ID: 24214970
RBC EPA+DHA levels correlated with better attention, behavior and spelling in children with ADHD (within-subject associations).
- DHA supplementation improved both memory and reaction time in healthy young adults: a randomized controlled trial
PubMed ID: 23515006
DHA supplementation improved reaction time on episodic and working memory tasks in young adultsâconsistent with improved processing speed/attention.
- Clinical significance of neuropsychological improvement after supplementation with omega-3 in 8-12 years old malnourished Mexican children: a randomized, double-blind, placebo and treatment clinical trial
PubMed ID: 24508294
Omega-3 supplementation improved processing speed, attention and executive function in malnourished school-age children (RCT).
- Phosphatidylserine containing omega-3 Fatty acids may improve memory abilities in nondemented elderly individuals with memory complaints: results from an open-label extension study
PubMed ID: 24577097
PS enriched with DHA associated with small improvements in sustained attention in elderly with complaints (open-label).
- Reduced Symptoms of Inattention after Dietary Omega-3 Fatty Acid Supplementation in Boys with and without Attention Deficit/Hyperactivity Disorder
PubMed ID: 25790022
Randomized trial showed reduced parentârated inattention in boys and increased cheekâcell DHA (direct focus/attention benefit).
- Prenatal DHA supplementation and infant attention
PubMed ID: 27362506
Prenatal DHA (600 mg/day) produced more stable sustained attention from 4 to 9 months and faster habituationâdirect evidence for early attention/focus benefits.
- Prenatal supplementation with DHA improves attention at 5 y of age: a randomized controlled trial
PubMed ID: 27604770
Large prenatal DHA RCT produced improved sustained attention at age 5 (direct evidence for improved focus).
- The n-3 Polyunsaturated Fatty Acids Supplementation Improved the Cognitive Function in the Chinese Elderly with Mild Cognitive Impairment: A Double-Blind Randomized Controlled Trial
PubMed ID: 28075381
Improvements in perceptual speed, working memory and other cognitive domains in MCI are relevant to attention/focus.
- The Effects of a 6-Month High Dose Omega-3 and Omega-6 Polyunsaturated Fatty Acids and Antioxidant Vitamins Supplementation on Cognitive Function and Functional Capacity in Older Adults with Mild Cognitive Impairment
PubMed ID: 31991898
Global cognition improved in older adults with MCI, which can include attention and focus domains.
- Effects of oily fish intake on cognitive and socioemotional function in healthy 8-9-year-old children: the FiSK Junior randomized trial
PubMed ID: 32529206
Oily fish consumption in 8â9âyearâolds improved attention errors and reaction timeâevidence for improved focus in children.
- Supplementation with oil rich in eicosapentaenoic acid, but not in docosahexaenoic acid, improves global cognitive function in healthy, young adults: results from randomized controlled trials
PubMed ID: 34113957
EPAârich supplementation improved global accuracy and speed in cognitive testing of healthy young adults â supports attentional/processing benefits.
- Effects of Folic Acid Combined with DHA Supplementation on Cognitive Function and Amyloid-ÎČ-Related Biomarkers in Older Adults with Mild Cognitive Impairment by a Randomized, Double Blind, Placebo-Controlled Trial
PubMed ID: 33749643
Digitâspan (working memory) and arithmetic improved with folic acid + DHA in MCI subjects â supports attention/working memory (focus).
- Emotion-Related Network Reorganization Following Fish Oil Supplementation in Depressed Bipolar Offspring: An fMRI Graph-Based Connectome Analysis
PubMed ID: 34139404
Fishâoil improved brain network efficiency in depressed youth, plausibly aiding cognitive processing and focus.
- DHA status influences effects of B-vitamin supplementation on cognitive ageing: a post-hoc analysis of the B-proof trial
PubMed ID: 35704085
Higher plasma DHA predicted greater cognitive benefit from Bâvitamins over 2 yearsâsuggests DHA status supports cognitive domains including attention/focus.
- Mediation Analysis to Untangle Opposing Associations of High-Dose Docosahexaenoic Acid With IQ and Bronchopulmonary Dysplasia in Children Born Preterm
PubMed ID: 37294565
Preterm neonatal DHA increased IQ which may reflect broad cognitive/attentional gains in early development.
- Effects of Prenatal DHA Dose on Infant Visual Attention
PubMed ID: 40791013
Higher prenatal DHA (800 mg) was associated with faster infant visual learning and more mature attention patterns â direct earlyâlife focus/attention signal.
- Three randomized controlled trials of early long-chain polyunsaturated Fatty Acid supplementation on means-end problem solving in 9-month-olds
PubMed ID: 19765006
Infant LCPUFA supplementation improved problem solving and intentionality scoresâsupports early executive/attentional development.
Blood pressure (26)
- 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
PubMed ID: 34371972
In overweight postmenopausal women, DHAârich supplements modestly reduced diastolic blood pressure when combined with resistance training.
- Omega-3 index and blood pressure responses to eating foods naturally enriched with omega-3 polyunsaturated fatty acids: a randomized controlled trial
PubMed ID: 32963294
DHAâenriched foods reduced 24âh ambulatory diastolic blood pressure (~3.1 mmHg) and heart rateâdirect BP benefit.
- Docosahexaenoic acid reduces resting blood pressure but increases muscle sympathetic outflow compared with eicosapentaenoic acid in healthy men and women
PubMed ID: 30735073
DHA lowered resting systolic and diastolic BP by ~3.4 mmHg vs EPA in randomized healthyâadult trial.
- Effect of Prenatal Docosahexaenoic Acid Supplementation on Blood Pressure in Children With Overweight Condition or Obesity: A Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 30794304
Prenatal DHA (600 mg/day) associated with ~4â5 mmHg lower SBP/DBP at 4â6 y in offspring who became overweight/obese.
- Consumption of Fish Oil Providing Amounts of Eicosapentaenoic Acid and Docosahexaenoic Acid That Can Be Obtained from the Diet Reduces Blood Pressure in Adults with Systolic Hypertension: A Retrospective Analysis
PubMed ID: 26817716
Low-to-moderate fish oil intakes lowered systolic BP by ~5 mmHg in adults with isolated systolic hypertension (subgroup), a clinically meaningful blood-pressure effect in that group.
- The effects of long-chain omega-3 fish oils and multivitamins on cognitive and cardiovascular function: a randomized, controlled clinical trial
PubMed ID: 25565485
Highâdose fish oil arm showed significant decreases in aortic pulse pressure and augmentation pressure (central BP improvements).
- Interaction between a CSK gene variant and fish oil intake influences blood pressure in healthy adults
PubMed ID: 24401815
Large randomized trial found fishâoil lowered BP in noncarriers of a specific CSK variant (gene Ă treatment interaction), indicating BP benefit in a genetic subgroup.
- DHA-enriched high-oleic acid canola oil improves lipid profile and lowers predicted cardiovascular disease risk in the canola oil multicenter randomized controlled trial
PubMed ID: 24829493
DHAâenriched oil lowered systolic blood pressure (~3.3%) in a controlled trialâdirect BP effect.
- The effects of supplemental fish oil on blood pressure and morning cortisol in normotensive adults: a pilot study
PubMed ID: 23104856
Small trial found a clinically meaningful systolic BP reduction (â6.8 mmHg) and pulse pressure drop after 6 weeks of fish oil.
- Effects of fish oil supplementation on markers of the metabolic syndrome
PubMed ID: 20472253
Adolescents showed significant SBP (â3.8 mmHg) and DBP (â2.6 mmHg) reductions â clear BP benefit.
- Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction
PubMed ID: 19487105
During energy restriction, salmon or fish oil modestly lowered diastolic blood pressure (~2.5 mmHg vs control) in overweight young adults (randomized dietary trial).
- Omega-3 fatty acid supplements improve the cardiovascular risk profile of subjects with metabolic syndrome, including markers of inflammation and auto-immunity
PubMed ID: 19593941
6âmonth fishâoil in metabolic syndrome lowered systolic blood pressure (P<0.05) alongside other cardiometabolic improvements.
- Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications
PubMed ID: 18665413
Lean fish four times/week modestly lowered systolic and diastolic BP in CHD patients (randomized dietary intervention with BP changes).
- Low-dose docosahexaenoic acid lowers diastolic blood pressure in middle-aged men and women
PubMed ID: 17374663
Lowâdose DHA produced a statistically significant â3.3 mm Hg reduction in diastolic blood pressure in middleâaged adults.
- Omega-3 fatty acids improve blood pressure control and preserve renal function in hypertensive heart transplant recipients
PubMed ID: 11207085
Omega-3 prevented systolic BP rise and systemic vascular resistance increases in heart-transplant patients (strong BP protection).
- Docosahexaenoic acid but not eicosapentaenoic acid lowers ambulatory blood pressure and heart rate in humans
PubMed ID: 10454450
Purified DHA significantly reduced 24-hour ambulatory systolic/diastolic BP and heart rate in mildly hyperlipidemic menâstrong direct BP benefit.
- Effect of medium-term supplementation with a moderate dose of n-3 polyunsaturated fatty acids on blood pressure in mild hypertensive patients
PubMed ID: 9733153
Moderate-dose EPA+DHA lowered systolic (~6 mmHg) and diastolic (~5 mmHg) BP in mild hypertensives after 2 monthsâclinically meaningful.
- Improvement of serum lipids and blood pressure during intervention with n-3 fatty acids was not associated with changes in insulin levels in subjects with combined hyperlipidaemia
PubMed ID: 7891046
High-EPA/DHA concentrate lowered both systolic and diastolic blood pressure in hyperlipidemic patients.
- Effects of n-3 polyunsaturated fatty acids on glucose homeostasis and blood pressure in essential hypertension. A randomized, controlled trial
PubMed ID: 7486485
RCT: 4 g/day EPA+DHA for 16 weeks lowered systolic BP by ~3.8 mmHg vs control (P=0.04) in hypertensive adults.
- The effects of low doses of n-3 fatty acid supplementation on blood pressure in hypertensive subjects. A randomized controlled trial
PubMed ID: 1828336
Small crossover RCT in mild hypertension showed modest but statistically significant systolic/diastolic BP reductions.
- Effect of eicosapentaenoic and docosahexaenoic acids on blood pressure in hypertension. A population-based intervention trial from the TromsĂž study
PubMed ID: 2137901
Large RCT: highâdose EPA+DHA produced modest but clinically meaningful systolic/diastolic BP reductions vs corn oil.
- Blood pressure, serum lipids, and fatty acids in populations on a lake-fish diet or on a vegetarian diet in Tanzania
PubMed ID: 8729141
Crossâpopulation comparison found markedly lower systolic BP (~15 mmHg lower) in the lakeâfish (higher DHA) group versus vegetarian community (observational association).
- Omega-3 polyunsaturated fatty acids-enriched hen eggs consumption enhances microvascular reactivity in young healthy individuals
PubMed ID: 29633621
Three omegaâ3 enriched eggs/day lowered blood pressure in healthy young adults (study reported BP decrease).
- Lowering Effects of n-3 Fatty Acid Supplements on Blood Pressure by Reducing Plasma Angiotensin II in Inner Mongolia Hypertensive Patients: A Double-Blind Randomized Controlled Trial
PubMed ID: 30511840
2 g/day fish oil reduced systolic blood pressure (~4.5 mmHg) and decreased plasma angiotensin II in hypertensive adults.
- n-3 fatty acids of marine origin lower systolic blood pressure and triglycerides but raise LDL cholesterol compared with n-3 and n-6 fatty acids from plants
PubMed ID: 1971991
Marine EPA+DHA diet lowered systolic blood pressure by ~5.1 mmHg versus linoleic acid diet in men â direct BP benefit.
- Fish oil amplifies the effect of propranolol in mild essential hypertension
PubMed ID: 2147175
Fish oil lowered blood pressure in men with mild hypertension and reduced norepinephrineâdirect antihypertensive signal.
Stress resilience (18)
- Change in blood levels of eicosapentaenoic acid and posttraumatic stress symptom: A secondary analysis of data from a placebo-controlled trial of omega3 supplements
PubMed ID: 27552592
Higher EPA increases linked to lower PTSD symptom severity at 12 weeksâevidence for stress/trauma resilience.
- Effects of omega-3 polyunsaturated fatty acids on psychophysiological symptoms of post-traumatic stress disorder in accident survivors: A randomized, double-blind, placebo-controlled trial
PubMed ID: 27287561
Postâtrauma omegaâ3 reduced heartârate reactivity during traumatic recallâstrong physiological stress resilience signal.
- n-3 Fatty Acid Supplementation and Leukocyte Telomere Length in Patients with Chronic Kidney Disease
PubMed ID: 27007392
Reduced oxidative stress and increased neutrophil telomere length suggest improved cellular resilience to stressors.
- The effect of docosahexaenoic acid on aggression in young adults. A placebo-controlled double-blind study
PubMed ID: 8613538
DHA supplementation prevented stressârelated increases in outward aggression in students under academic stress (direct stressâresilience finding).
- Administration of docosahexaenoic acid influences behavior and plasma catecholamine levels at times of psychological stress
PubMed ID: 10419086
DHA intake associated with attenuated exam-related aggression and altered stress-hormone ratios, supporting stress-buffering effects.
- Omega-3 fatty acid supplementation in patients with recurrent self-harm. Single-centre double-blind randomised controlled trial
PubMed ID: 17267927
Perceived daily stress scores improved in recurrent selfâharm patients on omegaâ3 (RCT).
- The role of n-3 PUFAs in preventing the arrhythmic risk in patients with idiopathic dilated cardiomyopathy
PubMed ID: 18982439
Dilated cardiomyopathy study showed decreased catecholamines and cytokines after nâ3, indicating reduced physiologic stress signaling.
- Preliminary evidence that acute long-chain omega-3 supplementation reduces cardiovascular reactivity to mental stress: a randomized and placebo controlled trial
PubMed ID: 21967854
Lowâdose EPA+DHA reduced MAP reactivity to mental stress in healthy volunteers (randomized, short trial) â direct evidence for physiologic stress resilience.
- Omega-3 fatty acids in the prevention of interferon-alpha-induced depression: results from a randomized, controlled trial
PubMed ID: 24602409
EPA delayed onset of IFN-αâinduced depressionâsupports resilience to treatment-related stressors.
- Association between fatty acid supplementation and prenatal stress in African Americans: a randomized controlled trial
PubMed ID: 25415158
Omegaâ3 supplementation in a highâstress, lowâincome pregnant cohort modestly lowered perceived stress and baseline cortisol late in pregnancy.
- Effects of omega-3 fatty acids on depression and quality of life in maintenance hemodialysis patients
PubMed ID: 24987942
Reduced depression and improved QoL in dialysis patients suggests better resilience to chronic stressors.
- Effects of omega-3 fatty acids on tobacco craving in cigarette smokers: A double-blind, randomized, placebo-controlled pilot study
PubMed ID: 24899596
Supplementation reduced cigarette use and cue-induced craving, implying improved stress/urge coping.
- Fatty acid metabolism and its longitudinal relationship with the hypothalamic-pituitary-adrenal axis in major depression: Associations with prospective antidepressant response
PubMed ID: 26010860
Lower DHA was linked to altered fattyâacidâcortisol relationships and poorer antidepressant response, implicating DHA status in HPA-axis/stress biology.
- The effect of prenatal docosahexaenoic acid supplementation on infant outcomes in African American women living in low-income environments: A randomized, controlled trial
PubMed ID: 27290652
Prenatal DHA lowered infant cortisol responses to a stressor and improved some neonatal outcomes (direct stressâreactivity effect).
- DHA Supplementation During Pregnancy Enhances Maternal Vagally Mediated Cardiac Autonomic Control in Humans
PubMed ID: 35953431
Higherâdose prenatal DHA increased vagal HRV measures (marker of autonomic regulation and stress resilience).
- Marine n-3 polyunsaturated fatty acids slow sleep impairment progression by regulating central circadian rhythms in type 2 diabetes
PubMed ID: 40347940
Fish oil reduced serum cortisol and improved sleep/circadian markersâphysiologic evidence of improved stress response.
- Anti-stress effects of DHA
PubMed ID: 11237197
DHA supplementation blunted stressârelated hostility and reduced norepinephrine during exam stressâstrong stressâresilience signal.
- Predictors of treatment response in young people at ultra-high risk for psychosis who received long-chain omega-3 fatty acids
PubMed ID: 25585167
EPA+DHA reduced transition to psychosis and improved functioning in highârisk youthâsuggests improved resilience to psychotic/stressful progression.
Liver support (19)
- Efficacy of poly-unsaturated fatty acid therapy on patients with nonalcoholic steatohepatitis
PubMed ID: 26078579
PUFAâenriched diet in biopsyâproven NASH improved liver enzymes, lipids and histologyâsubstantial liver disease benefit (includes DHA).
- A double-blind, placebo-controlled randomized trial to evaluate the efficacy of docosahexaenoic acid supplementation on hepatic fat and associated cardiovascular risk factors in overweight children with nonalcoholic fatty liver disease
PubMed ID: 26026214
MRIâbased RCT in overweight children reported ~53% relative hepatic fat reduction with DHAârobust liverâfat improvement.
- Four-week parenteral nutrition using a third generation lipid emulsion (SMOFlipid)--a double-blind, randomised, multicentre study in adults
PubMed ID: 22796064
Parenteral fishâoil containing emulsion raised EPA/DHA and produced modest improvements in liver enzymes over 4 weeks.
- Docosahexaenoic acid for the treatment of fatty liver: randomised controlled trial in children
PubMed ID: 23220074
Up to 24âmonth followâup showed sustained reductions in liver fat and improved triglycerides/ALT with longâterm DHAâstrong liver benefit.
- Docosahexaenoic acid supplementation decreases liver fat content in children with non-alcoholic fatty liver disease: double-blind randomised controlled clinical trial
PubMed ID: 21233083
Randomized trial in children with NAFLD showed large, significant reductions in liver steatosis and improvements in triglycerides/insulin with DHA.
- Fish Oil Supplements Lower Serum Lipids and Glucose in Correlation with a Reduction in Plasma Fibroblast Growth Factor 21 and Prostaglandin E2 in Nonalcoholic Fatty Liver Disease Associated with Hyperlipidemia: A Randomized Clinical Trial
PubMed ID: 26226139
Adults with NAFLD had improvements in triglycerides and ALT/GGT and reductions in NAFLD biomarkers with fish oilâmeaningful liver benefit.
- Docosahexaenoic Acid Supplementation for Neonatal Hyperbilirubinemia: A Double-Blind, Randomized Clinical Trial
PubMed ID: 38680033
In newborns with hyperbilirubinemia, DHA reduced serum bilirubin, NSE, phototherapy duration and abnormal MRIâstrong liver/bilirubin outcome.
- Hepatic de novo lipogenesis is suppressed and fat oxidation is increased by omega-3 fatty acids at the expense of glucose metabolism
PubMed ID: 32188593
EPA+DHA supplementation markedly decreased hepatic de novo lipogenesis and increased postprandial fat oxidation in randomized trial â direct hepatic metabolic benefit.
- Effects of two different lipid emulsions on antioxidant status, lipid peroxidation and parenteral nutrition- related cholestasis in premature babies, a randomized-controlled study
PubMed ID: 30177465
Fishâoil containing lipid emulsion reduced parenteral nutritionâassociated cholestasis in very premature infants (clinically meaningful liver benefit).
- Evaluation of a High Concentrate Omega-3 for Correcting the Omega-3 Fatty Acid Nutritional Deficiency in Non-Alcoholic Fatty Liver Disease (CONDIN)
PubMed ID: 30127297
Highâconcentrate EPA+DHA substantially raised RBC Ïâ3 and lowered triglycerides with liverâfat improvements in highâFLI NAFLD subgroup.
- Improvement in non-alcoholic fatty liver disease severity is associated with a reduction in carotid intima-media thickness progression
PubMed ID: 26748347
In NAFLD patients, greater DHA tissue enrichment associated with decreased liver fat, linking DHA exposure to hepatic fat reduction.
- Effects of purified eicosapentaenoic and docosahexaenoic acids in nonalcoholic fatty liver disease: results from the Welcome* study
PubMed ID: 25043514
In NAFLD patients, erythrocyte DHA enrichment was strongly associated with meaningful reductions in liver fat (perâ% DHA effect significant).
- Fish-oil fat emulsion supplementation reduces the risk of retinopathy in very low birth weight infants: a prospective, randomized study
PubMed ID: 23963690
In very low birth weight infants parenteral fishâoil emulsions with DHA markedly reduced cholestasis (large clinical benefit) and raised DHAâstrong liverâprotection evidence in neonates.
- Docosahexanoic Acid Plus Vitamin D Treatment Improves Features of NAFLD in Children with Serum Vitamin D Deficiency: Results from a Single Centre Trial
PubMed ID: 27977757
Children with NAFLD receiving DHA+vitamin D had large histologic and metabolic improvements; DHA likely contributed though combo limits attribution.
- The I148M variant of PNPLA3 reduces the response to docosahexaenoic acid in children with non-alcoholic fatty liver disease
PubMed ID: 24074360
Randomized trial in children with NAFLD: DHA supplementation halved the chance of worse liver steatosis vs placebo â strong, clinically meaningful effect.
- Omega-3 fatty acids improve liver and pancreas function in postoperative cancer patients
PubMed ID: 15239141
Randomized trial in postoperative cancer patients showed lower postoperative AST/ALT, bilirubin and better biochemical liver markers with fish-oil nutrition (direct liver benefit).
- Use of a Micronutrient Cocktail to Improve Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) in Adults with Obesity: A Randomized, Double-Blinded Pilot Clinical Trial
PubMed ID: 39202647
3âmonth methylâdonor + nâ3 cocktail reduced FibroScan CAP and liver stiffness vs placebo in obese adults â pilot evidence for steatosis/stiffness improvement.
- Omega-3 polyunsaturated fatty acids in treating non-alcoholic steatohepatitis: A randomized, double-blind, placebo-controlled trial
PubMed ID: 26047766
Mixed ALA+marine Ïâ3 supplementation in NASH patients improved triglycerides and increases in PUFA correlated with histologic improvementâdirect liver relevance.
- Efficacy of docosahexaenoic acid-choline-vitamin E in paediatric NASH: a randomized controlled clinical trial
PubMed ID: 28511023
Multiânutrient intervention including DHA produced marked reductions in severe steatosis and ALT in pediatric NASHâpositive but multicomponent.
Joint comfort (10)
- Lowering effects of fish oil supplementation on proinflammatory markers in hypertension: results from a randomized controlled trial
PubMed ID: 32044905
Reduced systemic inflammatory markers (TNFâα, CRP), a plausible mechanism for improving joint pain/inflammation.
- The effect of eicosapentaenoic and docosahexaenoic acids on physical function, exercise, and joint replacement in patients with coronary artery disease: A secondary analysis of a randomized clinical trial
PubMed ID: 29752179
Secondary analysis in CAD patients: 1 year of EPA+DHA associated with preserved physical function and far fewer joint replacements, suggesting joint benefit.
- Effect of glucosamine sulfate with or without omega-3 fatty acids in patients with osteoarthritis
PubMed ID: 19756416
Adding EPA/DHA to glucosamine increased the proportion of osteoarthritis patients with large pain reductions (clinical symptom benefit in combo therapy).
- Effects of fish oil supplementation on non-steroidal anti-inflammatory drug requirement in patients with mild rheumatoid arthritis--a double-blind placebo controlled study
PubMed ID: 8220938
Yearâlong RCT in RA showed patients could markedly cut NSAID use without clinical deterioration, indicating meaningful joint/inflammatory benefit.
- Dietary omega-3 fatty acid supplementation and naproxen treatment in patients with rheumatoid arthritis
PubMed ID: 1464864
Omegaâ3 supplementation (with naproxen) reduced morning stiffness and improved global assessments in RA, but concomitant NSAID use confounds effect attribution.
- Dietary fish oil and olive oil supplementation in patients with rheumatoid arthritis. Clinical and immunologic effects
PubMed ID: 2363736
Larger randomized trial: dose-dependent reductions in swollen/tender joints and LTB4.
- Efficacy of Boswellia serrata Extract and/or an Omega-3-Based Product for Improving Pain and Function in People Older Than 40 Years with Persistent Knee Pain: A Randomized Double-Blind Controlled Clinical Trial
PubMed ID: 37686880
Randomized doubleâblind trial: omegaâ3 (AvailOm) improved knee pain/function and muscle performance over 8 weeks, supporting joint symptom benefit.
- Krill oil improved osteoarthritic knee pain in adults with mild to moderate knee osteoarthritis: a 6-month multicenter, randomized, double-blind, placebo-controlled trial
PubMed ID: 35880828
Large 6âmonth RCT: krill oil (EPA+DHA) modestly but significantly improved knee pain (WOMAC) versus placebo.
- Effects of docosahexanoic acid supplementation on inflammatory and subcutaneous adipose tissue gene expression in HIV-infected patients on combination antiretroviral therapy (cART). A sub-study of a randomized, double-blind, placebo-controlled study
PubMed ID: 29471285
DHA lowered adipose inflammatory genes and hsCRPâplausible mechanism for joint symptom relief.
- Docosahexaenoic acid in the treatment of rheumatoid arthritis: AÂ double-blind, placebo-controlled, randomized cross-over study with microalgae vs. sunflower oil
PubMed ID: 28302406
Randomized crossover in RA patients produced clinically meaningful decreases in tender+swollen joint counts and antiâinflammatory mediator shifts.
Energy & Fatigue (11)
- Oral nutritional supplements containing (n-3) polyunsaturated fatty acids affect the nutritional status of patients with stage III non-small cell lung cancer during multimodality treatment
PubMed ID: 20739445
Nutritional formula increased energy and protein intake and preserved weight/FFM in cancer patients â meaningful for energy/functional status.
- Fish oil supplementation improves neutrophil function during cancer chemotherapy
PubMed ID: 22160495
Fish oil during chemotherapy prevented weight loss and preserved neutrophil function (+1.7 kg vs â2.5 kg), which can translate into better energy/strength during treatment.
- Oral nutritional supplements containing n-3 polyunsaturated fatty acids affect quality of life and functional status in lung cancer patients during multimodality treatment: an RCT
PubMed ID: 22234041
nâ3 containing oral supplement during chemoradiotherapy improved physical activity and global/physical function scores, consistent with higher energy/functional capacity.
- Variable effects of 12 weeks of omega-3 supplementation on resting skeletal muscle metabolism
PubMed ID: 25054452
Highâdose EPA+DHA modestly increased resting metabolic rate and UCP3 (supporting small increases in energy expenditure).
- 21 days of mammalian omega-3 fatty acid supplementation improves aspects of neuromuscular function and performance in male athletes compared to olive oil placebo
PubMed ID: 26085822
Three weeks of omegaâ3 increased plasma EPA and was associated with increased muscle activation and attenuated fatigue measures in male athletesâsupports short-term performance/energy effects.
- The effect of eicosapentaenoic and docosahexaenoic acids on physical function, exercise, and joint replacement in patients with coronary artery disease: A secondary analysis of a randomized clinical trial
PubMed ID: 29752179
EPA+DHA preserved physical function and increased exercise minutes/week in CAD patients over 1 yearâsupports sustained energy/functional capacity.
- Re-esterified DHA improves ventilatory threshold 2 in competitive amateur cyclists
PubMed ID: 33087145
DHA supplementation improved submaximal cycling power at VT2 in trained cyclistsâfunctional increase in exercise capacity/energetics.
- The Effects of a 6-Month High Dose Omega-3 and Omega-6 Polyunsaturated Fatty Acids and Antioxidant Vitamins Supplementation on Cognitive Function and Functional Capacity in Older Adults with Mild Cognitive Impairment
PubMed ID: 31991898
Supplementation reduced fatigue and improved functional capacity (6MWT, STS) in older adults with MCI â consistent with increased perceived/functional energy.
- Omega-3 polyunsaturated fatty acids (n-3 PUFAs), somatic and fatigue symptoms in cardiovascular diseases comorbid major depressive disorder (MDD): A randomized controlled trial
PubMed ID: 37301235
Omegaâ3 (2 g EPA + 1 g DHA) eased fatigue more quickly in CVD+depression patients (early effect).
- Effect of high doses of essential fatty acids on the postviral fatigue syndrome
PubMed ID: 2270749
MultiâEFA (including DHA) trial in postviral fatigue showed large selfâreported improvements in energy/fatigue vs placebo.
- Omega-3 fatty acid supplementation effects on weight and appetite in patients with Alzheimer's disease: the omega-3 Alzheimer's disease study
PubMed ID: 19054188
DHA+EPA supplements modestly increased weight and appetite in mildâmoderate AD patients, reflecting improved energy intake/status.
Sleep quality (7)
- Maternal consumption of a DHA-containing functional food benefits infant sleep patterning: an early neurodevelopmental measure
PubMed ID: 22269042
Maternal DHA reduced infant arousals in early postnatal sleep (clear randomized result indicating improved sleep organization).
- Docosahexaenoic Acid and Arachidonic Acid Supplementation and Sleep in Toddlers Born Preterm: Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 31538590
Large RCT in preterm toddlers showed no overall sleep change but subgroup increases in nocturnal sleep (boys; children of depressed caregivers).
- Fatty acids and sleep in UK children: subjective and pilot objective sleep results from the DOLAB study--a randomized controlled trial
PubMed ID: 24605819
16âweek algal DHA (600 mg/d) in schoolchildren increased objective sleep time by ~58 minutes and reduced night wakings in actigraphy subgroup.
- Effect of Docosahexaenoic Acid and Eicosapentaenoic Acid Supplementation on Sleep Quality in Healthy Subjects: A Randomized, Double-Blinded, Placebo-Controlled Trial
PubMed ID: 36235788
12âweek DHA+EPA RCT in poor sleepers increased sleep efficiency and improved a dreamârelated subjective factor with objective blood uptake (strong direct evidence).
- Differential Effects of DHA- and EPA-Rich Oils on Sleep in Healthy Young Adults: A Randomized Controlled Trial
PubMed ID: 33467135
Small RCT: DHA supplementation modestly improved objective sleep efficiency and reduced sleep latency in adults with low fish intake.
- Fish consumption, sleep, daily functioning, and heart rate variability
PubMed ID: 24812543
Regular fattyâfish intake in winter preserved sleep measures and increased HRV in a randomized dietary studyâclinically meaningful for sleep maintenance.
- Marine n-3 polyunsaturated fatty acids slow sleep impairment progression by regulating central circadian rhythms in type 2 diabetes
PubMed ID: 40347940
Randomized trial and mechanistic work showed improved PSQI sleep scores, reduced cortisol and upregulated clock genes after fishâoil.
Bone health (3)
- Effect of a combination of genistein, polyunsaturated fatty acids and vitamins D3 and K1 on bone mineral density in postmenopausal women: a randomized, placebo-controlled, double-blind pilot study
PubMed ID: 22302614
Pilot RCT in early postmenopausal women: combination (genistein + EPA/DHA + vitamins) helped preserve/increase hip BMD sites â suggests DHA contribution but confounded.
- Improvement of bone formation biomarkers after 1-year consumption with milk fortified with eicosapentaenoic acid, docosahexaenoic acid, oleic acid, and selected vitamins
PubMed ID: 20579524
Oneâyear randomized replacement with fortified milk (including fish oil) raised EPA/DHA and improved boneâformation markers (osteocalcin +22%) â supportive of bone turnover benefits (multiâingredient).
- High-dose eicosapentaenoic acid and docosahexaenoic acid supplementation reduces bone resorption in postmenopausal breast cancer survivors on aromatase inhibitors: a pilot study
PubMed ID: 24274259
Highâdose EPA+DHA for 3 months in postmenopausal breast cancer survivors on aromatase inhibitors raised serum nâ3 and inhibited bone resorption in responders.
Skin hydration (1)
- Omega-3 fatty acid-based lipid infusion in patients with chronic plaque psoriasis: results of a double-blind, randomized, placebo-controlled, multicenter trial
PubMed ID: 9555791
IV omega-3 significantly reduced psoriasis severity (skin disease), which indicates skin benefit though not specifically hydration.
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Being studied right now
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