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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 servingProducts
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 doseStudy 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

See every study group

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 withStudy 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

TG↓, LDL↑

O3I↑, TG↓

HDL↑, LDL↑

46,973 people

Triglycerides, BP -5 mmHg

AF recurrence 38.5% vs 77.5%

Vascular function, plaque slower

71,440 people

DHA status growth +

vision/neurodevelopment +

30,355 people

Inflammation↓ CRP/IL-6

Inflammation↓ TNF-α/IL-6

Inflammation↓ CRP -15%

12,654 people

AMD risk ↓

Visual acuity ↑

56,862 people

Brain networks +0.015

+4 IQ / +7 MDI

Memory/attention + DHA

18,779 people

Lower inflammation, more n‑3

Immune function shifts

12,766 people
Memory
Strong

Memory +0.2

Memory +7

Memory +3.5

11,697 people

Improved dilation, flow

+31%, -26%

Lower constriction, clotting

7,492 people

Cardio-protection, −10% events

Brain/aging support, cognition

6,890 people

Depression↓ 10-20%

Anxiety/aggression↓ ~5-10%

4,340 people

Focused attention + faster processing

+3.5 IQ, -6.9 BPD

Better attention, memory

5,650 people

BP ↓ 3-6 mmHg

DHA stronger ↓ BP

SBP/DBP ↓, HR ↓

3,411 people

↓NE, stress

↓anxiety/cortisol

↑HRV, ↓MAP

1,630 people

Steatosis −53%, ALT

Triglycerides, insulin sensitivity

Liver enzymes ↓

1,349 people

Joint comfort +RA

Pain/stiffness −5 to −10

1,179 people

fatigue ↓, +74%

physical function ↑, +11%

839 people

Duration↓wakings↑58min

Efficiency↑latency↓1.7pp

PSQI↑cortisol↓

1,376 people
Bone health
Moderate

↑n-3, ↓resorption

↑Ca retention, ↑BMD

180 people

Hydration indirect, severity −11.2

Inflammatory shift, >10-fold

83 people

Research sources

Cholesterol (215)
  1. Bioequivalence of n-3 fatty acids from microencapsulated fish oil formulations in human subjects

    PubMed ID: 25711158

    Microencapsulated fish‑oil powders produced similar plasma/RBC omega‑3 increases as capsules (supports achieving therapeutic blood levels).

  2. 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

    OM‑3CA produced a clear triglyceride lowering (~26%) in overweight NAFLD patients—good evidence for improving blood fats.

  3. Long-term metabolic effects of n-3 polyunsaturated fatty acids in patients with coronary artery disease

    PubMed ID: 7702027

    ~9‑month high‑dose fish oil lowered triglycerides by ~19% in CAD patients—robust clinical triglyceride lowering.

  4. 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 fat—strong metabolic/lipid benefit.

  5. Docosahexaenoic acid for the treatment of fatty liver: randomised controlled trial in children

    PubMed ID: 23220074

    Long‑term DHA produced durable triglyceride improvements in children with NAFLD—consistent healthy‑blood‑fat effect.

  6. 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 hepatic‑fat and concurrent triglyceride reductions in overweight children—robust metabolic improvement.

  7. 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 dyslipidemia—meaningful lipid effects.

  8. 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

    OM‑3 free‑acid raised plasma DHA and reduced liver fat modestly; triglyceride improvements were noted in some arms—moderate blood‑fat benefit.

  9. 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 patients—direct blood-fat improvement.

  10. 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.

  11. 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.

  12. 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 free‑living adults, demonstrating feasibility to raise n‑3 exposure relevant to blood lipid changes.

  13. 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 (~−39%) and systolic BP in a controlled feeding crossover—robust metabolic effects on blood lipids.

  14. 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.

  15. 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.

  16. 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 — strong evidence for improving blood lipid profile (with LDL caveat).

  17. 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 high‑ALA which increased TG—direct lipid benefit evidence.

  18. 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.

  19. 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 n‑6:n‑3 by adding EPA/DHA reduced fasting and postprandial TAG—strong triglyceride lowering evidence.

  20. 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 proportion—favorable lipid profile changes.

  21. 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 n‑3 status), reflecting incorporation relevant to blood‑fat biology, though no plasma inflammation change.

  22. Stearidonic acid-enriched soybean oil increased the omega-3 index, an emerging cardiovascular risk marker

    PubMed ID: 18683001

    SDA intervention raised omega‑3 index and RBC EPA (biomarker improvement for blood‑fat profile), though DHA unchanged.

  23. 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 fatty‑acid changes—strong lipid‑profile effects.

  24. 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 long‑term blood lipid/vascular milieu.

  25. 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

    12‑week oral DHA/ALA supplementation increased erythrocyte ALA, EPA and DHA modestly in GI disease patients (incorporation into membranes).

  26. 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 n‑3s—mechanistic support for blood‑fat changes.

  27. 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

    6‑week dietary intervention with EPA or DHA margarine produced very large increases in erythrocyte EPA/DHA and omega‑3 index (strong biomarker effect).

  28. 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 red‑cell n‑3s and lowered n‑6/n‑3 ratio (biomarker improvements) though no added inflammation benefit.

  29. Randomized placebo-controlled intervention with n-3 LC-PUFA-supplemented yoghurt: effects on circulating eicosanoids and cardiovascular risk factors

    PubMed ID: 23332800

    High‑dose n‑3 enriched yogurt over 10 weeks increased plasma/RBC EPA/DHA and significantly decreased triglycerides and raised HDL.

  30. 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/DHA—biomarker basis for blood‑fat effects.

  31. 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, oil‑dependent lipid changes.

  32. The impact of polyunsaturated fatty acid-based dietary supplements on disease biomarkers in a metabolic syndrome/diabetes population

    PubMed ID: 25515553

    Fish‑oil capsules markedly raised DHA and reduced triglycerides and HbA1c in early T2D/metabolic syndrome—strong favorable lipid effects.

  33. 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

    180‑day fish‑oil improved triacylglycerol and other lipid traits in T2D—direct beneficial effects on blood fats.

  34. 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 Omega‑3 Index and erythrocyte EPA/DHA.

  35. 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 concentration—favorable lipoprotein effects.

  36. 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

    Dose‑response study in young women showed linear incorporation of plasma EPA and DHA and triglyceride lowering at higher doses.

  37. Omega-3 polyunsaturated fatty acids-enriched hen eggs consumption enhances microvascular reactivity in young healthy individuals

    PubMed ID: 29633621

    Consuming omega‑3 enriched eggs lowered triglycerides and BP in healthy young adults—improved blood lipid profile.

  38. 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 (12–16%) and changed PBMC fatty acid composition.

  39. 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 n‑6:n‑3 ratio.

  40. 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

    6‑month RCT in T2DM: fish oil raised erythrocyte EPA/DHA (omega‑3 index) and lowered triglycerides ≈30% — modern clinical evidence.

  41. 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 — meaningful blood‑lipid and functional benefits.

  42. Effect of dietary supplementation with very-long-chain n-3 fatty acids in patients with psoriasis

    PubMed ID: 8502270

    Fish oil increased serum n‑3 phospholipids and lowered triglycerides in psoriasis patients (biomarker benefit despite no skin improvement).

  43. 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

    Dose‑related rises in plasma DHA/AA and reductions in triacylglycerols in healthy adults — strong biochemical evidence for improved blood‑lipid profile.

  44. 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 lake‑fish (higher DHA) diet.

  45. 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 adults—strong favorable lipid effect.

  46. 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).

  47. 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.

  48. Regular consumption of n-3 fatty acid-enriched pork modifies cardiovascular risk factors

    PubMed ID: 18590592

    Dietary DHA (DHA‑enriched pork) increased erythrocyte DHA and produced a greater reduction in serum TAG vs control.

  49. 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 fish‑oil lipid in preterm infants significantly increased DHA/EPA and decreased AA in plasma/RBC within one week (direct lipid changes).

  50. 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 n‑3 increased plasma EPA/DHA and total n‑3 and decreased AA and n‑6:n‑3 ratio; associated with physiological improvement in critically ill patients.

  51. 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 n‑3:n‑6 ratios correlated with less coronary plaque progression — observational support for favorable lipid milieu.

  52. 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 statin‑treated patients: OM3‑FFA (2–4 g/d) significantly and dose‑dependently reduced triglycerides and non‑HDL‑C.

  53. 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, dose‑dependent TG reductions and improvements in remnant lipid markers with OM3‑FFA (contains DHA).

  54. 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 omega‑3 deficiency and produced marked TG reductions (~48%) in hypertriglyceridemic cohort.

  55. 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 n‑3) associated with lower events in CVD cohort (observational lipid-outcome link).

  56. 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.

  57. The effect of omega-3 carboxylic acids on apolipoprotein CIII-containing lipoproteins in severe hypertriglyceridemia

    PubMed ID: 27919362

    OM3‑CA reduced apoCIII and favorably altered lipoprotein subspecies and raised EPA/DHA—strong lipid effect.

  58. 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

    High‑dose EPA/DHA markedly increased blood n‑3 levels in atherosclerotic/diabetic patients though clinical clotting/endpoints were largely unchanged.

  59. Effects of n-3 long-chain PUFA supplementation to lactating mothers and their breastfed children on child growth and morbidity: a 2 × 2 factorial randomized controlled trial in rural Ethiopia

    PubMed ID: 29566189

    Maternal/child fish‑oil raised blood n‑3 LC‑PUFA and decreased AA:(DHA+EPA) ratio—clear blood‑fat effects.

  60. 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 fatty‑acid profile.

  61. A comprehensive evaluation of omega-3 fatty acid supplementation in cystic fibrosis patients using lipidomics

    PubMed ID: 30414540

    12 months of seaweed‑DHA produced marked incorporation into multiple plasma lipid classes.

  62. 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/EPA—clear neonatal blood‑fat effects.

  63. 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).

  64. 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 n‑6/n‑3 ratio decreased (attenuated in obesity).

  65. 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).

  66. Twelve-Week Daily Consumption of ad hoc Fortified Milk with ω-3, D, and Group B Vitamins Has a Positive Impact on Inflammaging Parameters: A Randomized Cross-Over Trial

    PubMed ID: 33266447

    Fortified milk raised ω‑3 index by ~30% and lowered homocysteine—meaningful improvements in blood‑lipid/vascular risk biomarkers.

  67. 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 trajectories—directly about circulating lipid composition.

  68. 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 % re‑esterified TG fish oil produced greater erythrocyte EPA and DHA incorporation—direct biomarker improvement of omega‑3 status (omega‑3 index).

  69. 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

    Omega‑3 enriched parenteral nutrition raised plasma EPA/DHA concentrations in surgical patients—clinical demonstration of blood‑lipid change.

  70. 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

    DHA‑enriched fish oil lowered triglycerides and waist circumference in T2DM (8‑week RCT).

  71. 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 omega‑3 added to simvastatin significantly improved non‑HDL‑C and triglycerides (clinically meaningful lipid changes).

  72. 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.

  73. 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 90‑day RCT.

  74. Maxepa versus bezafibrate in hyperlipidemic cardiac transplant recipients

    PubMed ID: 1466329

    Fish oil reduced triglycerides by ~36% in heart transplant patients — clinically meaningful TG lowering.

  75. Fish oil supplements for prevention of restenosis after coronary angioplasty

    PubMed ID: 1563884

    Post‑angioplasty trial: 3 g/day fish oil reduced triglycerides though no restenosis benefit.

  76. 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

    High‑quality RCT: addition of 4 g/day ω‑3 to rosuvastatin produced large, clinically meaningful reductions in triglycerides and non‑HDL cholesterol.

  77. 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 (~−13.6%) though did not affect CAC progression.

  78. [Metabolic syndrome reversion by polyunsaturated fatty acids ingestion]

    PubMed ID: 23522799

    n‑3 reduced triglycerides in metabolic syndrome group over 6 weeks — practical improvement in blood fats.

  79. 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 16‑week RCT (biomarker improvements).

  80. 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 ≈26% triglyceride reduction in severe hypertriglyceridemia.

  81. Dose-response effects of fish-oil supplementation in healthy volunteers

    PubMed ID: 2141757

    Dose‑dependent incorporation of EPA/DHA with clear, reproducible triglyceride reductions — strong evidence for improving blood fats.

  82. 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.

  83. [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.

  84. Influence of fish oil on blood lipids in coronary artery disease

    PubMed ID: 1831755

    Dose‑responsive TG lowering in coronary patients (robust triglyceride effect).

  85. Docosahexaenoic and eicosapentaenoic acids in plasma phospholipids are divergently associated with high density lipoprotein in humans

    PubMed ID: 1534256

    Large trial: triglycerides −21% and modest HDL rise—clear lipid benefit.

  86. Long-term effects of n-3 fatty acids on serum lipids and glycaemic control

    PubMed ID: 7939369

    Six months post‑bypass EPA+DHA produced ~33% triglyceride lowering and modest insulin effects — robust lipid benefit.

  87. 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

    High‑dose fish oil raised HDL2 over 6 months (sex‑specific), a favorable change in lipoprotein subfractions.

  88. 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 (−0.28 mmol/L vs control) in hypertensive adults—clinically relevant lipid effect.

  89. 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 — strong lipid benefit.

  90. Fish diet, fish oil and docosahexaenoic acid rich oil lower fasting and postprandial plasma lipid levels

    PubMed ID: 8933125

    Moderate fish/fish‑oil or pure DHA intake reduced fasting and postprandial TG and markedly increased HDL2/HDL3 ratio in healthy men.

  91. Eicosapentaenoic acid is primarily responsible for hypotriglyceridemic effect of fish oil in humans

    PubMed ID: 8729093

    Study distinguished EPA as main TG‑lowering agent while DHA influenced HDL subfractions — informative for interpreting lipid effects.

  92. 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.

  93. Atherothrombogenic risk modulation by n-3 fatty acids was not associated with changes in homocysteine in subjects with combined hyperlipidaemia

    PubMed ID: 10235439

    n‑3 lowered platelet counts and affected PAI in combined hyperlipidaemia; relevant to blood profile changes in dyslipidaemia.

  94. 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.

  95. 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 (−26%) and improved TG:HDL ratio — clear lipid improvement.

  96. ApoE polymorphism and fish oil supplementation in subjects with an atherogenic lipoprotein phenotype

    PubMed ID: 10938022

    Strong reductions in fasting (−35%) and postprandial triglycerides and reduced small dense LDL in men with an atherogenic profile.

  97. 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 statin‑treated CHD patients (clinically meaningful lipid benefit).

  98. 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).

  99. 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 — lipid benefits present.

  100. Omega-3 fatty acid supplementation accelerates chylomicron triglyceride clearance

    PubMed ID: 12562865

    EPA/DHA accelerated postprandial TG clearance, reduced apoB‑48/100 and increased LPL activity—clear beneficial lipid effects.

  101. 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).

  102. 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 group—favorable blood-fat changes.

  103. 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 composition—direct, robust lipid benefit.

  104. 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 ratio—clear favorable lipid profile changes.

  105. 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 — supports beneficial lipid changes.

  106. Docosahexaenoic acid supplementation in vegetarians effectively increases omega-3 index: a randomized trial

    PubMed ID: 16296399

    Microalgal DHA nearly doubled RBC DHA and raised omega‑3 index from low to desirable levels—strong biomarker improvement.

  107. 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 — net mixed but notable effects on blood fats.

  108. 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.

  109. 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 ~19–22% triglyceride reductions with many reaching target TG levels.

  110. 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.

  111. 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 LDL‑C rose modestly) — robust triglyceride benefit.

  112. Dose-dependent effects of docosahexaenoic acid-rich fish oil on erythrocyte docosahexaenoic acid and blood lipid levels

    PubMed ID: 17977469

    Dose‑response RCT: DHA produced dose‑dependent, large triglyceride reductions and clear rises in erythrocyte DHA — strong lipid effects.

  113. Dose-dependent effects of docosahexaenoic acid supplementation on blood lipids in statin-treated hyperlipidaemic subjects

    PubMed ID: 17393216

    High‑dose DHA added to statin therapy produced major triglyceride reductions and further cholesterol lowering in hypertriglyceridemic patients.

  114. 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: n‑3 PUFA produced ≈25% median TG reduction—robust triglyceride lowering.

  115. 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

    Long‑chain n‑3 raised plasma EPA/DHA, lowered TG and reduced CRP/IL‑6 (crossover trial).

  116. 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.

  117. 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.

  118. 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/HOMA‑IR and contributed to triglyceride lowering.

  119. 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

    n‑3 enriched enteral feeding in elderly patients incorporated EPA/DHA into plasma lipids and lowered triglycerides after 3 months.

  120. 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 ART‑treated HIV patients (significant metabolic benefit).

  121. Effect of n-3 oral supplements on the n-6/n-3 ratio in young adults

    PubMed ID: 19915202

    Marked reduction in plasma n‑6/n‑3 ratio after 4 weeks of EPA+DHA (favorable lipid composition change).

  122. 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 omega‑3 to simvastatin produced a very large additional triglyceride reduction (41% vs 13.9%), strong evidence for improving blood lipids.

  123. 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).

  124. 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

    Low‑dose fish oil modestly prevented serum TG increase in elderly — clinically meaningful albeit small.

  125. 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 n‑3 index in low‑status subjects over 8 weeks (robust biomarker improvement linked to blood‑fat profile).

  126. 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 — strong blood‑fat benefit.

  127. 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 patients—formulation-specific evidence for TG lowering.

  128. 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 markers—meaningful blood-fat remodeling.

  129. 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 (−26%) in hypertriglyceridemic adults—strong direct evidence for improving blood fats.

  130. 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)—solid triglyceride-lowering evidence.

  131. 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

    Dose‑dependent, well‑characterized increases of EPA/DHA across plasma, RBC and platelets with fish intake show robust biochemical changes in blood lipid pools (large controlled trial).

  132. 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 omega‑3 and combinations produced meaningful triglyceride reductions (clinical metabolic syndrome trial).

  133. 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 LDL‑C changes (large dataset, associative evidence).

  134. 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 omega‑3 index and trends toward triglyceride lowering after 12 weeks; strong biomarker changes.

  135. 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 n‑3 status, lowered triglycerides and raised HDL (direct lipid improvements).

  136. 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 stress—favorable blood lipid effects.

  137. 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 DHA—strong triglyceride-lowering evidence.

  138. Determinants of erythrocyte omega-3 fatty acid content in response to fish oil supplementation: a dose-response randomized controlled trial

    PubMed ID: 24252845

    Well‑powered dose‑response RCT showing predictable, dose‑dependent increases in the RBC omega‑3 index (quantitative biomarker improvement of blood fatty acid profile).

  139. 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).

  140. 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

    One‑year randomized data confirmed sustained and dose‑dependent triglyceride lowering with combined EPA+DHA (4 g/day)—robust long‑term lipid benefit.

  141. 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 ω‑3 ethyl esters added to atorvastatin markedly lowered VLDL‑TG via reduced production and increased clearance—strong TG evidence.

  142. 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 HDL↑ and TG↓ signals (preliminary but promising).

  143. Habitual diets rich in dark-green vegetables are associated with an increased response to ω-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 metrics—supports TG benefit in responders.

  144. 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 diabetics—favorable lipid/metabolic signals.

  145. Krill oil supplementation lowers serum triglycerides without increasing low-density lipoprotein cholesterol in adults with borderline high or high triglyceride levels

    PubMed ID: 24461313

    12‑week krill oil reduced fasting triglycerides by ≈10% without raising LDL‑C—clinically meaningful TG lowering.

  146. 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

    DHA‑enriched canola oil produced large TG reductions (~−20%) and increased HDL, with meaningful predicted CHD risk reduction in a well‑controlled crossover trial.

  147. 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

    High‑dose fish oil increased RBC EPA and the LC n‑3 index substantially; DHA incorporation was variable—biomarker support for blood‑fat modulation potential.

  148. 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

    Dose‑dependent triglyceride lowering from low‑dose EPA+DHA observed in a large RCT (in a plant‑sterol matrix).

  149. 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 DHA—clear blood‑lipid (fatty‑acid) status improvement.

  150. 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 double‑blind randomized trial—clinically relevant lipid benefit.

  151. 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 (blood‑fat modulation).

  152. 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

    Matched‑dose fish oil and krill oil produced similar plasma and RBC EPA/DHA increases (bioavailability relevant to blood‑fat effects).

  153. Docosahexaenoic Acid Attenuates Cardiovascular Risk Factors via a Decline in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Plasma Levels

    PubMed ID: 26620373

    DHA‑enriched canola oil reduced PCSK9 and triglycerides and altered cholesterol markers (mechanistic blood‑fat benefits).

  154. 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, omega‑3 carboxylic acids significantly lowered triglycerides, increased LDL particle size and reduced Apo CIII—clear favorable lipid profile changes.

  155. Effect of TAK-085 on Low-density Lipoprotein Particle Size in Patients with Hypertriglyceridemia: A Double-blind Randomized Clinical Study

    PubMed ID: 26222126

    TAK‑085 (EPA+DHA) produced robust reductions in small dense LDL and increased LDL particle size (strong blood‑fat improvement).

  156. 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 dose‑dependently with supplementation (strong lipid biomarker relationships).

  157. 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 plant‑sterol spread reduced large VLDL TG/Chol and shifted HDL subclass lipids (beneficial lipid subclass changes).

  158. 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 n‑3—evidence of favorable lipid effects in a clinical feeding trial.

  159. 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 measures—observational evidence linking DHA status to healthier blood lipids.

  160. 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).

  161. Effects of eicosapentaenoic acid and docosahexaenoic acid on cardiovascular disease risk factors: a randomized clinical trial

    PubMed ID: 27733252

    DHA lowered postprandial triglycerides (−20%) though raised LDL‑C (mixed but clear TG benefit).

  162. 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 IL‑18; produced differential favorable changes in several lipid/inflammatory markers.

  163. Treatment for 6 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 obesity—meaningful improvements in blood lipid profile.

  164. 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

    Omega‑3 in hemodialysis patients decreased triglycerides and total cholesterol—supporting lipid benefits in this population.

  165. 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

    Ethyl‑ester omega‑3 (2–4 g/day) produced robust, dose-expected ~30% triglyceride reductions in hypertriglyceridemic patients—strong, consistent evidence for improving blood lipids.

  166. The benefits of ω-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 increases—supportive mechanism for lipid benefits.

  167. Predictors of change in omega-3 index with fish oil supplementation in peripheral artery disease

    PubMed ID: 28457318

    One month high‑dose fish oil markedly increased RBC omega‑3 index (EPA+DHA) — biomarker consistent with improved blood lipid profile.

  168. 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

    Fish‑oil in T2D markedly increased erythrocyte EPA/DHA and CMPF; CMPF correlated with lower triglycerides.

  169. Supplementation with high-dose docosahexaenoic acid increases the Omega-3 Index more than high-dose eicosapentaenoic acid

    PubMed ID: 28515020

    DHA increased RBC Omega‑3 Index more than equivalent EPA—strong evidence DHA raises systemic omega‑3 status.

  170. 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

    High‑dose EPA+DHA significantly lowered triglycerides and was associated with attenuation of coronary fibrous plaque progression.

  171. 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 diabetics—clear metabolic lipid benefits.

  172. 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 ART‑treated HIV patients (strong lipid‑lowering effect).

  173. 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

    Omega‑3 lowered LDL and hs‑CRP in men with CAD over 8 weeks—beneficial lipid and inflammatory effects.

  174. Effect of Low Dose Docosahexaenoic Acid-Rich Fish Oil on Plasma Lipids and Lipoproteins in Pre-Menopausal Women: A Dose⁻Response Randomized Placebo-Controlled Trial

    PubMed ID: 30297663

    Dose‑response RCT in premenopausal women: low‑dose DHA substantially lowered triglycerides (~−23%) and VLDL‑TG—strong evidence for improving blood lipids.

  175. 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 blood‑fat benefits.

  176. 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

    Omega‑3 in dialysis patients reduced triglycerides (~−17%) alongside heart rate reductions—clinically relevant lipid improvement.

  177. 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 LDL‑C increase but favorable LDL particle enlargement and increased LDL turnover — important lipid phenotype effects.

  178. Triacylglycerol-Lowering Effect of Docosahexaenoic Acid Is Not Influenced by Single-Nucleotide Polymorphisms Involved in Lipid Metabolism in Humans

    PubMed ID: 30407633

    Well‑controlled feeding trial showed DHA reduced triglycerides by ~24% in metabolic‑syndrome subjects — strong evidence for improving blood‑lipid profile.

  179. 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

    High‑concentrate EPA+DHA robustly increased RBC ω‑3 and produced triglyceride lowering and liver‑fat improvements in NAFLD subgroup.

  180. 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 (∌3 g/d) substantially lowered triglycerides (~23.5%) and increased LPL activity in healthy adults.

  181. 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 EPA→DHA and clear metabolic effects on plasma EPA/DHA, informing ω‑3 blood‑fat biology.

  182. 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 oily‑fish intake in children modestly lowered triglycerides and raised HDL with objective RBC EPA+DHA uptake.

  183. Effect of supplementation with omega-3 fatty acids on hypertriglyceridemia in pediatric patients with obesity

    PubMed ID: 31271554

    High‑dose EPA+DHA (3 g/day) in obese youth produced marked triglyceride reduction (~39%) — large, clinically meaningful lipid effect.

  184. 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 EPA—direct lipid‑lowering evidence.

  185. 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 omega‑3 index and produced modest triglyceride reduction — practical dietary lipid improvement.

  186. 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 ω‑3 + vitamin D supplement robustly raised circulating EPA/DHA levels — strong biomarker evidence for improved blood ω‑3 status.

  187. 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 EPA‑ and DHA‑rich oils lowered triglycerides ~14% in healthy adults; DHA also caused small LDL/HDL particle shifts.

  188. 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

    Omega‑3 supplementation raised omega‑3 index and decreased triglycerides in predialysis CKD patients—clear improvement in blood fats.

  189. Microencapsulated Tuna Oil Results in Higher Absorption of DHA in Toddlers

    PubMed ID: 31963702

    Microencapsulated DHA in toddler formula increased whole‑blood DHA and Omega‑3 Index substantially versus non‑encapsulated oil.

  190. 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 long‑term cognitive benefits were found — clear blood biomarker change.

  191. 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 omega‑3 produced marked reductions in fasting and postprandial triglycerides and some favorable lipid changes in statin‑treated dyslipidemic patients.

  192. 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

    EPA‑rich microalgae raised omega‑3 index and reduced total and VLDL cholesterol in healthy adults — clear lipid benefits.

  193. 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 — mechanistically consistent with improving blood lipid profile.

  194. 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 whole‑blood EPA+DHA and improved n‑6/n‑3 ratio in coronary patients — dietary route to healthier blood fats.

  195. 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 RBC‑DHA and maternal–infant DHA equilibrium — strong blood DHA increase.

  196. 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

    DHA‑rich supplementation in overweight postmenopausal women reduced triglycerides significantly relative to control.

  197. 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.

  198. 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 metabolic‑syndrome frequency and fasting glucose, improving cardiometabolic/lipid‑related outcomes.

  199. 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

    High‑dose EPA+DHA in abdominally obese adults markedly reduced VLDL particle counts and triglycerides (very strong lipoprotein effect).

  200. Effectiveness of a Novel ω-3 Krill Oil Agent in Patients With Severe Hypertriglyceridemia: A Randomized Clinical Trial

    PubMed ID: 34989797

    Large double‑blind RCT of krill‑derived omega‑3 produced significant triglyceride lowering and raised plasma EPA+DHA (strong lipid outcome evidence).

  201. 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).

  202. 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 non‑HDL and markedly reduced small dense LDL—strong lipid benefits.

  203. 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

    Fish‑oil improved triglycerides and HDL in older adults along with muscle/function gains—supportive cardiometabolic lipid effects.

  204. 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.

  205. The Dose-Response Effect of Docosahexaenoic Acid on the Omega-3 Index in American Football Athletes

    PubMed ID: 36728325

    Dose‑response DHA study robustly raised RBC/Omega‑3 Index in a dose‑dependent manner; reached cardioprotective targets.

  206. 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 — good supportive evidence.

  207. 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

    High‑dose EPA+DHA lowered remnant‑like lipoprotein cholesterol in dialysis patients — relevant to atherogenic blood fats.

  208. 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

    Self‑emulsifying EPA raised plasma EPA and EPA‑derived anti‑inflammatory metabolites rapidly and dose‑dependently.

  209. 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.

  210. Efficacy and safety of omega-3-acid ethyl acetate 90 capsules in severe hypertriglyceridemia: A randomized, controlled, multicenter study

    PubMed ID: 38830807

    Omega‑3 ethyl esters significantly lowered triglycerides, non‑HDL, VLDL‑C and Apo C‑III in severe hypertriglyceridemia — strong lipid‑lowering evidence.

  211. 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 oxidized‑LDL in higher‑TG subgroup — modest supportive data.

  212. 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.

  213. 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 n‑3 index rose substantially in the fish‑oil group, consistent with improved blood lipid profile.

  214. Influence of Fish Consumption and ω-3 Supplementation on the ω-3 Index of Young Adults: A 2 × 2 Factorial Randomized Controlled Trial (YouFish Study)

    PubMed ID: 41082976

    Two fish portions/week or EPA+DHA supplement raised omega‑3 index by ≈2 percentage points—robust change in blood fats.

  215. 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

    High‑dose EPA+DHA for 12 months raised tissue ω‑3 and lowered plasma triglycerides (dose‑dependent, clinically relevant TG reduction).

Heart health (148)
  1. 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 20–30% triglyceride reductions in CHD patients — clinically meaningful heart‑risk improvement.

  2. 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 n‑3 PUFA after MI reduced overall and cardiovascular mortality (robust clinical heart benefit).

  3. 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 function—cardiovascularly relevant in high-risk patients.

  4. 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).

  5. 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 control—important heart-risk improvement.

  6. 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 women—favorable heart-risk markers.

  7. 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.

  8. 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.

  9. Low-dose docosahexaenoic acid lowers diastolic blood pressure in middle-aged men and women

    PubMed ID: 17374663

    Low‑dose DHA raised erythrocyte DHA and modestly lowered diastolic blood pressure — favorable for cardiovascular risk.

  10. Dose-dependent effects of docosahexaenoic acid supplementation on blood lipids in statin-treated hyperlipidaemic subjects

    PubMed ID: 17393216

    High‑dose DHA‑rich fish oil added to statins substantially lowered triglycerides and further reduced cholesterol — direct cardiometabolic benefit.

  11. 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 hs‑CRP after MI — supportive of post‑MI heart recovery.

  12. 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 activity—cardiovascular biomarker benefit.

  13. 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

    n‑3 PUFA substantially lowered elevated triglycerides in HIV patients on ART—cardiometabolic benefit.

  14. Docosahexaenoic acid-rich fish oil improves heart rate variability and heart rate responses to exercise in overweight adults

    PubMed ID: 18339222

    DHA‑rich oil improved heart‑rate variability and lowered resting/submaximal exercise HR in overweight adults.

  15. 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.

  16. 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/cytokines—strong cardiac benefit.

  17. 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.

  18. 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 (HOMA‑IR) and reduced TG during calorie restriction—metabolic heart risk improvements.

  19. 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 n‑3 feeding in elderly lowered TAG and incorporated EPA/DHA, supporting cardiovascular risk reduction.

  20. Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells

    PubMed ID: 19515734

    PBMC gene changes were anti‑atherogenic/anti‑inflammatory, supporting cardiovascular risk biology.

  21. 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

    6‑month fish oil in metabolic syndrome lowered weight, systolic BP and lipids (non‑placebo control), indicating cardiometabolic benefit.

  22. 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).

  23. 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

    Pre‑surgical n‑3 increased plaque EPA and was associated with less plaque inflammation and fewer foam cells (plaque‑stabilizing biology).

  24. 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 omega‑3 to simvastatin produced a much larger triglyceride drop than statin alone (large clinically relevant lipid effect pertinent to CV risk).

  25. 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).

  26. 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.

  27. Effects of fish oil supplementation on markers of the metabolic syndrome

    PubMed ID: 20472253

    Adolescents had significant SBP/DBP reductions and RBC EPA/DHA increases—clinically relevant heart-supporting effects.

  28. 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.

  29. 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 men—observational support for vascular benefit.

  30. 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-PLA2—favorable cardiac risk marker changes.

  31. 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-C—mixed but strong lipid effect relevant to heart support.

  32. 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 rise—favorable TG effects for cardiovascular risk management.

  33. DHA-rich fish oil reverses the detrimental effects of saturated fatty acids on postprandial vascular reactivity

    PubMed ID: 21831993

    DHA‑rich NEFA improved postprandial endothelial function (FMD) acutely — a direct vascular mechanism relevant to heart health (well‑powered crossover human study).

  34. Effects of prescription niacin and omega-3 fatty acids on lipids and vascular function in metabolic syndrome: a randomized controlled trial

    PubMed ID: 22892157

    Omega‑3 (prescription) reduced triglycerides and, combined with niacin, produced additive lipid and arterial stiffness benefits in metabolic syndrome (clinical trial supporting CV risk factor improvement).

  35. 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.

  36. 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 n‑3 status and lowered triglycerides while raising HDL in postmenopausal women (favorable lipid changes for heart health).

  37. 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 triglycerides—cardio-relevant improvements.

  38. 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 men—favorable cardiovascular risk changes.

  39. 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 (sex‑specific effects), which is cardioprotective via reduced thrombotic tendency.

  40. A randomized controlled trial to prevent post-operative atrial fibrillation by antioxidant reinforcement

    PubMed ID: 23916928

    Large RCT (n‑3 + vitamins) markedly reduced post‑op atrial fibrillation (large effect) though effect is confounded by added antioxidants.

  41. Impact of sex on the heart's metabolic and functional responses to diabetic therapies

    PubMed ID: 24043256

    In T2DM patients adding omega‑3 improved diastolic function (mainly in men), a direct measure of cardiac function benefit.

  42. 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 alone—lipid improvements that reduce cardiovascular risk.

  43. 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

    One‑year data confirmed sustained triglyceride reductions with combined EPA+DHA (4 g/day), supporting long‑term heart‑risk factor improvement.

  44. Atorvastatin plus omega-3 fatty acid ethyl ester decreases very-low-density lipoprotein triglyceride production in insulin resistant obese men

    PubMed ID: 24299019

    ω‑3 ethyl esters added to atorvastatin further reduced VLDL‑TG via lower production and higher clearance—clear beneficial blood‑lipid/heart risk mechanism.

  45. Krill oil supplementation lowers serum triglycerides without increasing low-density lipoprotein cholesterol in adults with borderline high or high triglyceride levels

    PubMed ID: 24461313

    12‑week krill oil lowered fasting triglycerides ≈10% without raising LDL‑C—relevant to cardiovascular risk factors.

  46. 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 (pentraxin‑3), relevant to heart disease.

  47. 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

    DHA‑enriched canola oil raised HDL, lowered triglycerides and systolic BP and reduced predicted 10‑yr CHD risk in a controlled crossover trial.

  48. 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

    Low‑dose EPA+DHA in a plant‑sterol food matrix produced dose‑dependent triglyceride reductions in a large RCT.

  49. 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 oil—a relevant cardiometabolic benefit.

  50. 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 statin‑treated diabetics—supports DHA relevance to coronary disease progression.

  51. Effects of ω-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).

  52. Reduced anxiety in forensic inpatients after a long-term intervention with Atlantic salmon

    PubMed ID: 25431880

    Salmon consumption increased HRV and lowered HR—objective heart‑supportive effects.

  53. Increasing long-chain n-3PUFA consumption improves small peripheral artery function in patients at intermediate-high cardiovascular risk

    PubMed ID: 24746829

    Dose‑related improvement in small‑artery endothelial function and reductions in inflammatory/CV markers support vascular/heart benefit.

  54. The effects of long-chain omega-3 fish oils and multivitamins on cognitive and cardiovascular function: a randomized, controlled clinical trial

    PubMed ID: 25565485

    High‑dose fish oil lowered central aortic pressure (aortic stiffness) in one arm—favorable cardiovascular effect.

  55. Aterofisiol(Âź) in carotid plaque evolution

    PubMed ID: 26229448

    Pre‑op nutraceutical including DHA reduced carotid plaque lipid/cholesterol and fewer perioperative neurologic events (atherothrombotic relevance).

  56. 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 CIII—changes relevant to cardiovascular risk.

  57. Effect of TAK-085 on Low-density Lipoprotein Particle Size in Patients with Hypertriglyceridemia: A Double-blind Randomized Clinical Study

    PubMed ID: 26222126

    TAK‑085 (EPA+DHA) shifted LDL to larger, less atherogenic particles (favourable cardiometabolic profile).

  58. 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 EPA—favorable CV biomarker changes.

  59. Treatment for 6 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 obesity—favorable lipid changes for heart health.

  60. 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 ethyl‑ester omega‑3 produced substantial (~30%) triglyceride reductions in hypertriglyceridemic patients—clear lipid benefit relevant to cardiac risk.

  61. 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, fish‑oil markedly raised EPA/DHA and CMPF; CMPF increase correlated with lower triglycerides (favourable lipid effects).

  62. 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

    High‑dose EPA+DHA added to statin therapy reduced triglycerides and attenuated progression of fibrous coronary plaque (per‑protocol), indicating cardiovascular benefit.

  63. 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 ART‑treated HIV patients—favorable cardiovascular risk factor effect.

  64. 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

    Omega‑3 increased irisin and lowered hs‑CRP and LDL in men with CAD over 8 weeks—favorable heart‑relevant lipid/inflammatory changes.

  65. 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 omega‑3 index and pro‑resolving mediator precursors in PAD patients—biochemical changes relevant to vascular/heart health.

  66. Effect of Low Dose Docosahexaenoic Acid-Rich Fish Oil on Plasma Lipids and Lipoproteins in Pre-Menopausal Women: A Dose⁻Response Randomized Placebo-Controlled Trial

    PubMed ID: 30297663

    DHA‑rich tuna oil substantially reduced triglycerides (clinically meaningful) in premenopausal women—beneficial to cardiovascular risk profile.

  67. 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

    Long‑term EPA+DHA in CAD patients preserved function and increased exercise time—supports cardiac rehabilitation/functional benefits.

  68. 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 HRV—direct cardiovascular benefits.

  69. High-Dose DHA Has More Profound Effects on LDL-Related Features Than High-Dose EPA: The ComparED Study

    PubMed ID: 29846653

    Head‑to‑head DHA vs EPA trial showed DHA modestly increased LDL‑C but shifted LDL toward larger particles and increased LDL turnover — clinically relevant lipid changes.

  70. 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 metabolic‑syndrome subjects showed ~24% triglyceride lowering with dietary DHA — a strong cardiometabolic effect.

  71. 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).

  72. An omega-3 fatty acid plasma index ≄4% prevents progression of coronary artery plaque in patients with coronary artery disease on statin treatment

    PubMed ID: 31055222

    Omega‑3 index ≄4% strongly associated with prevention of coronary plaque progression in statin‑treated patients (clinically relevant cardiac outcome).

  73. Effects of oily fish intake on cardiometabolic markers in healthy 8- to 9-y-old children: the FiSK Junior randomized trial

    PubMed ID: 31595295

    Oily‑fish intake in children modestly lowered triglycerides and raised HDL, favorable for cardiovascular risk profile.

  74. Effect of supplementation with omega-3 fatty acids on hypertriglyceridemia in pediatric patients with obesity

    PubMed ID: 31271554

    High‑dose omega‑3 in hypertriglyceridemic obese children produced large triglyceride reductions (~39%).

  75. 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

    DHA‑enriched foods raised tissue omega‑3 and reduced ambulatory diastolic BP and heart rate—clinically relevant heart/vascular benefits.

  76. Lowering effects of fish oil supplementation on proinflammatory markers in hypertension: results from a randomized controlled trial

    PubMed ID: 32044905

    Reduced systemic inflammation (TNF‑α, CRP) in hypertensive adults; anti‑inflammatory effects are cardioprotective.

  77. 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

    DHA‑rich supplementation in overweight postmenopausal women lowered triglycerides and modestly reduced diastolic BP — supportive of heart health.

  78. 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

    High‑dose EPA+DHA in abdominal obesity produced large reductions in VLDL and triglycerides (strong lipid effects relevant to cardiovascular risk).

  79. Effectiveness of a Novel ω-3 Krill Oil Agent in Patients With Severe Hypertriglyceridemia: A Randomized Clinical Trial

    PubMed ID: 34989797

    Large krill‑oil RCT lowered triglycerides substantially and raised EPA/DHA (cardiometabolic marker beneficial for heart health).

  80. 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 post‑MI patients, larger on‑treatment EPA increases associated with fewer MACE (strong link to cardiovascular protection), though AF risk rose.

  81. 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, non‑HDL and small dense LDL—strong cardiometabolic benefit.

  82. 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.

  83. DHA Supplementation During Pregnancy Enhances Maternal Vagally Mediated Cardiac Autonomic Control in Humans

    PubMed ID: 35953431

    Pregnancy dose‑study: 800 mg/day DHA lowered heart rate and increased vagal HRV, indicating improved autonomic cardiac control.

  84. 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 — supports cardiometabolic risk profile improvement.

  85. 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 high‑dose EPA+DHA lowered remnant cholesterol and improved ankle‑brachial index, indicating improved atherogenic lipids and peripheral arterial status.

  86. 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.

  87. Efficacy and safety of omega-3-acid ethyl acetate 90 capsules in severe hypertriglyceridemia: A randomized, controlled, multicenter study

    PubMed ID: 38830807

    12‑week omega‑3 ethyl esters produced consistent, significant triglyceride and atherogenic lipid reductions in severe hypertriglyceridemia — strong cardiometabolic evidence.

  88. 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 higher‑TG subgroup) and oxidized‑LDL — modest supportive evidence for blood‑fat mediated heart support.

  89. 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.

  90. Fish-Oil Supplementation and Cardiovascular Events in Patients Receiving Hemodialysis

    PubMed ID: 41201837

    Large RCT in hemodialysis patients: fish‑oil (EPA+DHA) substantially reduced major cardiovascular events and cardiac death (robust clinical benefit).

  91. A Bayesian analysis of the VITAL trial: effects of ω-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).

  92. 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 responsiveness—direct vascular/heart‑support physiology.

  93. 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).

  94. 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 (~−5.1 mmHg) and markedly lowered triglycerides—cardiovascular risk marker improvements.

  95. 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 death—strong direct clinical heart benefit.

  96. 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.

  97. 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 profile—strong cardiovascular risk improvement.

  98. 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 n‑6:n‑3 by adding EPA/DHA reduced fasting and postprandial triglycerides—beneficial for heart risk profile.

  99. 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 adults—favorable for heart health.

  100. 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 years—prospective human evidence of cardio benefit.

  101. 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).

  102. 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).

  103. n-3 fatty acids, ventricular arrhythmia-related events, and fatal myocardial infarction in postmyocardial infarction patients with diabetes

    PubMed ID: 22110169

    Post‑hoc subgroup (post‑MI with diabetes): combined EPA+DHA+ALA associated with markedly fewer ventricular arrhythmia‑related events.

  104. 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/EPA‑fortified margarine substantially raised erythrocyte EPA/DHA and the omega‑3 index—favourable heart risk biomarker change.

  105. 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 non‑users, EPA+DHA+ALA associated with a large (borderline significant) reduction in major CV events.

  106. 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 participants—relevant to heart health.

  107. 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

    180‑day fish‑oil in T2D improved HbA1c and lipid profile—cardiometabolic improvements supportive of heart health.

  108. 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.

  109. 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 (12–16%) and reduced inflammatory signaling—both cardiometabolic risk factors.

  110. 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 case‑cohort: higher long‑chain ω‑3s (including DHA) linked to ≈18% lower cardiovascular death and 27% lower sudden cardiac death odds.

  111. 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 omega‑3 index and substantially lowered triglycerides — clinically relevant CVD risk modification.

  112. Blood pressure, serum lipids, and fatty acids in populations on a lake-fish diet or on a vegetarian diet in Tanzania

    PubMed ID: 8729141

    Cross‑population data linked higher DHA with lower systolic BP and lower total cholesterol (observational association with heart health).

  113. 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.

  114. 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 — strong heart-relevant biochemical evidence.

  115. Regular consumption of n-3 fatty acid-enriched pork modifies cardiovascular risk factors

    PubMed ID: 18590592

    DHA‑enriched pork increased erythrocyte DHA and produced reductions in serum TAG and platelet activation markers.

  116. Early impact of prescription Omega-3 fatty acids on platelet biomarkers in patients with coronary artery disease and hypertriglyceridemia

    PubMed ID: 21701167

    Prescription omega‑3 reduced platelet activation markers in CAD patients (short‑term RCT), supporting cardiovascular benefit mechanisms.

  117. 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 n‑3:n‑6 ratios (including DHA) were associated with less coronary plaque progression in statin‑treated patients (observational).

  118. 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 statin‑treated high‑risk patients: OM3‑FFA (contains DHA) significantly lowered triglycerides and non‑HDL‑C—cardio‑relevant lipid benefits.

  119. 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: dose‑dependent and substantial TG lowering with OM3‑FFA (EPA+DHA) supports heart‑risk reduction.

  120. 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 omega‑3 and markedly lowered TGs in hypertriglyceridemic subgroup—cardiometabolic benefit.

  121. The effect of omega-3 carboxylic acids on apolipoprotein CIII-containing lipoproteins in severe hypertriglyceridemia

    PubMed ID: 27919362

    OM3‑CA reduced apoCIII and favorably shifted LDL subspecies—strong cardiometabolic signal.

  122. 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

    High‑dose EPA/DHA markedly raised blood n‑3 levels in atherosclerotic/diabetic patients (clear biochemical effect), despite minimal changes in some clinical clotting markers.

  123. 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 patients—relevant to heart risk reduction.

  124. 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

    Post‑AMI RCT showed increases in DHA/EPA oxylipins, reductions in triglycerides/ApoB/Lp(a) and increased nitric oxide—strong CV biomarker improvements.

  125. 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 omega‑3 added to simvastatin significantly improved non‑HDL cholesterol and triglycerides (cardiovascular risk markers).

  126. 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.

  127. Maxepa versus bezafibrate in hyperlipidemic cardiac transplant recipients

    PubMed ID: 1466329

    Fish oil substantially lowered triglycerides in heart transplant patients (randomized open study) — clinically meaningful TG lowering.

  128. 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

    Well‑powered RCT: adding 4 g/day ω‑3 to rosuvastatin produced large triglyceride and non‑HDL‑C reductions — cardiometabolic benefit.

  129. 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 thin‑cap coronary plaques, suggesting plaque stabilization/vascular benefit.

  130. 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).

  131. Dose-response effects of fish-oil supplementation in healthy volunteers

    PubMed ID: 2141757

    Dose‑dependent incorporation of EPA/DHA with clear, reproducible triglyceride reductions — strong cardiometabolic support.

  132. 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.

  133. Influence of fish oil on blood lipids in coronary artery disease

    PubMed ID: 1831755

    Dose‑responsive triglyceride lowering in coronary disease patients supports cardiac risk improvement.

  134. 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 raised—favorable lipid profile for heart health.

  135. 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).

  136. 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).

  137. Long-term effects of n-3 fatty acids on serum lipids and glycaemic control

    PubMed ID: 7939369

    6‑month EPA/DHA after bypass surgery produced a large (~33%) triglyceride reduction and modest insulin effects — favorable for cardiac risk profile.

  138. 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 — potentially cardioprotective.

  139. Effects of n-3 polyunsaturated fatty acids on glucose homeostasis and blood pressure in essential hypertension. A randomized, controlled trial

    PubMed ID: 7486485

    16‑week RCT in hypertensive adults: 4 g/day EPA+DHA lowered systolic BP modestly and TGs—relevant to cardiovascular support.

  140. 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.

  141. 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).

  142. 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 hypertensives—supports cardiovascular benefit.

  143. 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 rate—direct cardioprotective effects.

  144. 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 progression—direct heart disease relevance.

  145. 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 men—cardiac autonomic support.

  146. 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 (~18–20%) and altered LDL/HDL fractions in mildly hyperlipidemic men — beneficial cardiac lipid effects.

  147. 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 — favorable for heart risk.

  148. 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 — cardiometabolic improvements linked to heart benefit.

Growth support (146)
  1. 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—evidence of positive cognitive development from prenatal DHA.

  2. [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 mass—important for infant development in critical illness.

  3. Effects of Prenatal DHA Dose on Infant Visual Attention

    PubMed ID: 40791013

    Higher prenatal DHA (800 mg/day) improved infant visual attention/learning at 4–6 months — direct infant brain/vision outcome.

  4. Racial disparity in efficacy of docosahexaenoic acid supplementation for prevention of preterm birth: secondary analysis from a randomized, double-blind trial

    PubMed ID: 38552960

    Higher‑dose prenatal DHA raised maternal RBC‑DHA and reduced preterm birth risk overall, which supports better infant developmental outcomes indirectly.

  5. 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 hyperbilirubinemia—neuroprotective evidence.

  6. 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 omega‑3 trial context.

  7. Mediation Analysis to Untangle Opposing Associations of High-Dose Docosahexaenoic Acid With IQ and Bronchopulmonary Dysplasia in Children Born Preterm

    PubMed ID: 37294565

    High‑dose neonatal DHA increased average IQ in extremely preterm infants — strong infant brain development signal.

  8. 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: high‑dose maternal DHA and achieving higher blood DHA strongly lowered very early and overall preterm birth rates (important for infant neurodevelopment).

  9. 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 breast‑milk DHA and improved n‑6/n‑3 balance—directly supports infant DHA exposure for brain/retina development.

  10. 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 high‑dose DHA had substantially lower early/preterm birth—important for infant neurodevelopmental outcomes.

  11. Maternal High-Dose DHA Supplementation and Neurodevelopment at 18-22 Months of Preterm Children

    PubMed ID: 35652296

    High‑dose maternal DHA showed no overall 18–22 month neurodevelopment benefit but a subgroup (<27 wk GA) had better language scores—selective infant developmental benefit.

  12. 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).

  13. 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, genotype‑dependent changes in infant plasma metabolome at 3 months — mechanistic support for developmental effects.

  14. 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 5‑year cognitive outcomes (memory, quantitative) in offspring of mothers with specific FADS2 genotype — strong developmental benefit in subgroup.

  15. 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 maternal–infant DHA equilibrium — strong biomarker support for fetal DHA supply.

  16. Microencapsulated Tuna Oil Results in Higher Absorption of DHA in Toddlers

    PubMed ID: 31963702

    Toddler formula with microencapsulated tuna oil substantially increased whole‑blood DHA and omega‑3 index — relevant to infant/toddler brain/retina DHA status.

  17. 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/omega‑3 index—improves substrate availability for fetal brain/vision development.

  18. 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 fish‑oil containing lipid emulsion showed earlier and higher electrophysiological brain maturation — strong neonatal DHA‑relevant evidence.

  19. Enteral Docosahexaenoic Acid and Retinopathy of Prematurity: A Randomized Clinical Trial

    PubMed ID: 30614004

    DHA reduced severe ROP in very low‑birth‑weight infants, a direct infant vision benefit.

  20. 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 group‑level neurodevelopment benefit at 5–6 y, but maternal DHA status correlated with some child cognitive measures (associational support).

  21. 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

    Dose–response analysis linked higher maternal DHA intake to substantially fewer very early preterm and very low birthweight infants — strong perinatal outcome with implications for infant neurodevelopment/vision.

  22. 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.

  23. The effect of perinatal fish oil supplementation on neurodevelopment and growth of infants: a randomized controlled trial

    PubMed ID: 28752418

    Maternal fish‑oil from mid‑pregnancy to postpartum modestly improved infant communication scores at 4 months (developmental benefit).

  24. 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.

  25. 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).

  26. 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.

  27. Prenatal DHA supplementation and infant attention

    PubMed ID: 27362506

    Prenatal DHA (600 mg/day) produced more stable sustained attention and faster habituation in infants 4–9 months—direct evidence for early brain/attention development effects.

  28. 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).

  29. 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 — directly relevant to infant development milieu.

  30. 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 — direct biomarker evidence relevant to infant brain/vision substrate.

  31. 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 n‑3 by third trimester — relevant to fetal DHA exposure.

  32. Fish-oil fat emulsion supplementation reduces the risk of retinopathy in very low birth weight infants: a prospective, randomized study

    PubMed ID: 23963690

    Parenteral fish‑oil emulsions in VLBW infants raised DHA and produced major reductions in severe ROP and cholestasis—direct and large benefits for infant vision and overall neonatal outcomes.

  33. 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 NBAS—strong evidence for neurobehavioral maturation.

  34. The Mothers, Omega-3, and Mental Health Study: a double-blind, randomized controlled trial

    PubMed ID: 23531328

    Maternal DHA lengthened gestation and increased newborn size—a perinatal outcome that supports infant health and development though not direct cognitive/visual measures.

  35. 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 births—supports neonatal development.

  36. 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 issues—improves neonatal DHA status.

  37. Effects of high-dose fish oil supplementation during early infancy on neurodevelopment and language: a randomised controlled trial

    PubMed ID: 22348468

    High‑dose infant fish oil raised DHA and produced small improvements in specific early communicative gestures (developmental domain).

  38. 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 — relevant to brain/vision development.

  39. 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/DHA—supports biological delivery needed for fetal brain/vision development.

  40. 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.

  41. Neurodevelopmental outcomes of preterm infants fed high-dose docosahexaenoic acid: a randomized controlled trial

    PubMed ID: 19141765

    High‑DHA feeds in very preterm infants produced a modest MDI improvement in girls at 18 months—subgroup developmental benefit.

  42. 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 ≈3.37), direct developmental outcome.

  43. 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 mid‑pregnancy through lactation clearly increased maternal, milk and infant DHA status—direct support for infant brain/vision substrate.

  44. 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)—direct developmental vision effect.

  45. 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 breast‑milk DHA/EPA and was associated with better infant DHA status and some developmental scores.

  46. 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 fish‑oil supplementation significantly increased maternal and cord‑blood DHA, directly supporting fetal DHA supply for brain/vision.

  47. 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.

  48. 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 breast‑fed infants: DHA‑enriched food raised RBC DHA and produced a meaningful improvement in visual acuity by 12 months.

  49. 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 retinas—status-dependent association relevant to infant vision/brain.

  50. 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).

  51. 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.

  52. 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 n‑3‑enriched egg yolks to infants markedly raised erythrocyte DHA — biomarker consistent with enhanced brain/vision development potential.

  53. 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 — strong evidence for infant vision/brain development.

  54. 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 breast‑fed levels — supportive biomarker evidence for development.

  55. 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).

  56. Essential fatty acid status in neonates after fish-oil supplementation during late pregnancy

    PubMed ID: 8541278

    Maternal third‑trimester fish oil (2.7 g/d) clearly increased infant/umbilical DHA at birth—direct biochemical support for infant brain/vision substrate.

  57. 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.

  58. 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 — direct evidence supporting infant DHA supply for brain/retina development.

  59. 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 infants—clinically meaningful vision/hematologic neonatal outcomes.

  60. 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).

  61. 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 infants—supports biochemical delivery to infant tissues.

  62. Arachidonic and docosahexaenoic acid supplementation and brain maturation in preterm infants; a double blind RCT

    PubMed ID: 38061271

    Duplicate entry (same strong white‑matter RCT) emphasizing direct infant brain development evidence.

  63. 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 infants—strong evidence for protection of infant vision development.

  64. 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 algae‑DHA sharply increased breast‑milk DHA and DHA:AA ratio—biomarker change that supports infant brain and retinal accretion.

  65. Randomized Controlled Trial of Early Docosahexaenoic Acid and Arachidonic Acid Enteral Supplementation in Very Low Birth Weight Infants

    PubMed ID: 33358843

    Dose‑response infant RCT showed rapid, dose‑dependent rises in whole‑blood DHA and ARA—directly applicable to infant nutrient repletion for brain/retina.

  66. 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 infants—strong clinically meaningful infant visual outcome.

  67. Effect of fish-oil supplementation on breastmilk long-chain polyunsaturated fatty acid concentration: a randomized controlled trial in rural Ethiopia

    PubMed ID: 33159163

    Maternal fish‑oil in lactation substantially raised breastmilk DHA/EPA (increases infant DHA supply critical for brain/vision development).

  68. 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 response—relevant to personalized infant nutrient status.

  69. 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 SQ‑LNS trial raised infant plasma DHA at 12 months (substantial biomarker improvement relevant to brain/vision development).

  70. 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 levels—important for perinatal DHA supply to brain/vision.

  71. 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

    SQ‑LNS with DHA/ARA improved early locomotor scores and transient length gains—evidence of developmental benefit in infancy.

  72. 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.

  73. 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)—strong developmental structural evidence.

  74. 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 B‑cell activation—relevant to development and immune maturation.

  75. 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.

  76. 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/inhibition—strong neural development evidence.

  77. 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 allergy—supports infant DHA exposure and health.

  78. 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 DHA‑ and ARA‑containing plasma phospholipids (biomarker of development).

  79. Red blood cell membrane fatty acid composition in infants fed formulas with different lipid profiles

    PubMed ID: 27391868

    Higher‑DHA formulas raised infant RBC DHA to breastfed levels — robust biochemical support for DHA availability in infancy.

  80. 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 infants—supports need for supplementation for development.

  81. 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).

  82. 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).

  83. 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).

  84. Effects of long-chain PUFA supplementation in infant formula on cognitive function in later childhood

    PubMed ID: 23783296

    LCPUFA‑supplemented formula produced faster information‑processing at age 6—relevant to early brain development.

  85. DHA status is positively related to motor development in breastfed African and Dutch infants

    PubMed ID: 23710566

    Cross‑population study found higher RBC‑DHA in breastfed infants correlated with better early motor optimality—supports developmental benefit.

  86. 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 3–6.

  87. 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 n‑3 LCPUFA intervention lowered maternal/cord n‑6:n‑3 and raised cord DHA, associated with larger birth size — strong support for fetal DHA transfer.

  88. 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.

  89. 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).

  90. 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 attention—direct infant neurodevelopment benefit.

  91. 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).

  92. 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 means‑end problem solving in infants fed DHA+ARA.

  93. 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

    Dose‑dependent increases of DHA/EPA in serum and breast adipose tissue indicate effective maternal/tissue delivery—directly relevant to supporting infant brain/vision nutrients.

  94. 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 choline—direct nutritional support for brain/vision substrates.

  95. 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 — improves maternal→fetal/infant DHA availability.

  96. 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 births—important for infant neurodevelopmental outcomes.

  97. 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.

  98. Retinal development in very-low-birth-weight infants fed diets differing in omega-3 fatty acids

    PubMed ID: 1386065

    Provision of long‑chain n‑3s in VLBW infants prevented deficits in retinal function—direct functional evidence relevant to infant brain/vision development.

  99. 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 n‑3 LCPUFA in preterm infants improved early visual acuity in subgroup—functional infant vision/brain outcome.

  100. 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: high‑ALA formula maintained RBC DHA comparable to human milk—strong evidence of DHA status maintenance.

  101. 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.

  102. 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).

  103. 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 supplementation—strong bioavailability evidence for infant brain/vision.

  104. 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).

  105. 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 long‑chain PUFA raised infant plasma DHA to breast‑milk levels—strong biomarker evidence supporting DHA supply for infant brain/vision development.

  106. 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 cod‑liver oil (DHA) resulted in ~4‑point higher cognitive composite in children at age 4—strong evidence for prenatal DHA benefit.

  107. 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 DHA—supports effective DHA provisioning during infancy.

  108. 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 breast‑milk DHA—directly increases infant DHA exposure relevant to brain/vision development.

  109. 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 dose‑dependent increases in infant plasma/erythrocyte DHA; 0.33% matched human milk composition.

  110. 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 DHA—direct provision of preformed LC‑DHA to infants.

  111. Parenteral MCT/ω-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

    ω‑3‑enriched IV lipid in preterm neonates raised EPA/DHA and lowered IL‑6/IL‑8—supports neurodevelopmental environment and DHA supply.

  112. 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 breast‑milk DHA in early nursing—relevant to infant DHA supply.

  113. High-Oleic Ready-to-Use Therapeutic Food Maintains Docosahexaenoic Acid Status in Severe Malnutrition

    PubMed ID: 25633498

    High‑oleic RUTF preserved/increased plasma DHA/EPA in malnourished children—important for developmental DHA availability.

  114. 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 days—direct delivery of DHA to preterm infants.

  115. 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 n‑3 status relevant to fetal/infant DHA supply.

  116. 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 — practical evidence that supplementation elevates maternal/infant DHA potential.

  117. 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

    Early‑pregnancy plasma DHA associated with larger longitudinal fetal growth trajectories — supports role in fetal development.

  118. 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 — direct relevance to infant DHA status.

  119. 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 — indicates need for DHA in pregnancy for infant LCPUFA status.

  120. Neurodevelopmental quotient of healthy term infants at 4 months and feeding practice: the role of long-chain polyunsaturated fatty acids

    PubMed ID: 7478826

    LC‑PUFA supplemented formula infants scored higher on early neurodevelopmental tests and had higher circulating DHA/AA.

  121. 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).

  122. 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.

  123. Developmental quotient at 24 months and fatty acid composition of diet in early infancy: a follow up study

    PubMed ID: 9196357

    Erythrocyte LC‑PUFA composition correlated strongly with developmental quotient, supporting an association between DHA status and development.

  124. 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).

  125. 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.

  126. 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).

  127. 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 supplementation—meaningful neurodevelopmental effect.

  128. Impact of early dietary intake and blood lipid composition of long-chain polyunsaturated fatty acids on later visual development

    PubMed ID: 11144440

    DHA‑enriched formula produced breastfed‑like DHA status and clear improvements in electrophysiologic measures and visual acuity up to 1 year.

  129. 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 long‑term—supports physiological basis for development.

  130. 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

    High‑DHA term infant formula maintained DHA vs standard formula; biochemical preservation relevant to brain/vision development despite AA lowering.

  131. 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.

  132. 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.

  133. 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 RBC‑DHA at 1 year—functional vision/developmental benefit.

  134. 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 growth—strong developmental evidence.

  135. 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 — strong prenatal biochemical provisioning relevant to infant brain/vision development.

  136. 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.

  137. 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 scores—robust RCT evidence supporting infant development.

  138. 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.

  139. 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 increases—strong infant brain/vision evidence.

  140. 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 maturation—strong infant developmental support.

  141. 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 high‑dose fish oil modestly improved children's eye–hand coordination at 2.5 years with cord‑blood DHA/EPA correlations.

  142. 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 increased maternal and infant DHA delivery—biochemical transfer supportive of infant development.

  143. 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 age‑4 visual acuity comparable to breast‑fed children (developmental outcome).

  144. 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/ARA—biochemical support for development.

  145. Human milk arachidonic acid and docosahexaenoic acid contents increase following supplementation during pregnancy and lactation

    PubMed ID: 19118992

    Maternal DHA+AA supplementation increased breast‑milk DHA and AA—direct transfer to nursing infants that supports development.

  146. 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 months—functional developmental effect.

Inflammation (142)
  1. 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 hs‑CRP — evidence of systemic inflammation reduction.

  2. 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 — direct anti‑inflammatory cellular effect.

  3. 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.

  4. 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

    Long‑chain n‑3 reduced CRP and IL‑6 and triglycerides in a 12‑week randomized crossover trial.

  5. Docosahexaenoic acid (DHA) supplementation in atopic eczema: a randomized, double-blind, controlled trial

    PubMed ID: 18241260

    High‑dose DHA reduced eczema severity and IgE production—anti‑inflammatory effect in atopic disease.

  6. 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 TGF‑ÎČ1 and fewer illnesses, indicating anti‑inflammatory/immunoregulatory effects.

  7. 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 anti‑inflammatory/renal immune effects.

  8. The role of n-3 PUFAs in preventing the arrhythmic risk in patients with idiopathic dilated cardiomyopathy

    PubMed ID: 18982439

    n‑3 PUFA lowered cytokines and the n6:n3 ratio in dilated cardiomyopathy patients, consistent anti‑inflammatory effects.

  9. Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells

    PubMed ID: 19515734

    Widespread downregulation of inflammatory pathways (NF‑ÎșB, eicosanoid synthesis) in PBMCs after 26 weeks EPA+DHA (strong molecular anti‑inflammatory signal).

  10. 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 anti‑inflammatory LTB5 and increased LTB5/LTB4 ratio in patients on n‑3 PUFA.

  11. 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, IL‑6 and neutrophils in men with high triglycerides (robust anti‑inflammatory biomarker changes).

  12. 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 end‑stage renal disease patients (clinically relevant reduction in systemic inflammation).

  13. Serum levels of interleukin-18 are reduced by diet and n-3 fatty acid intervention in elderly high-risk men

    PubMed ID: 19595382

    Long‑term n‑3 intervention in elderly men reduced IL‑18 by about 10% (modest anti‑inflammatory effect in a large trial).

  14. 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 (tissue‑level anti‑inflammatory effect).

  15. 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.

  16. 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.

  17. Impact of a novel nutritional formula on asthma control and biomarkers of allergic airway inflammation in children

    PubMed ID: 20545703

    EPA‑enriched formula reduced airway inflammation markers (FeNO) in asthmatic children (small RCT inflammatory endpoint).

  18. Adjunctive treatment of chronic periodontitis with daily dietary supplementation with omega-3 Fatty acids and low-dose aspirin

    PubMed ID: 20572767

    Adjunct ω‑3 + low‑dose aspirin reduced periodontal inflammatory biomarkers (salivary RANKL, MMP‑8) and improved clinical inflammation outcomes (aspirin confound).

  19. 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 TNF‑α — strong anti-inflammatory evidence.

  20. 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 — clinically important anti-inflammatory/allergy outcomes.

  21. Oral administration of docosahexaenoic acid attenuates interleukin-1ÎČ response and clinical course of septic neonates

    PubMed ID: 22079797

    Oral DHA in neonatal sepsis lowered IL‑1ÎČ and increased leukocyte DHA — evidence of inflammation control.

  22. Pilot, prospective, randomized, double-masked, placebo-controlled clinical trial of an omega-3 supplement for dry eye

    PubMed ID: 21045648

    Dry‑eye RCT: symptomatic and tear volume improvements consistent with reduced ocular surface inflammation (small clinical trial).

  23. 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 markers—clear systemic anti-inflammatory effect in this setting.

  24. 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

    8‑week reduction in TNF‑α and IL‑2 indicates anti‑inflammatory activity in T2D patients.

  25. Different gene expression profiles in normo- and dyslipidemic men after fish oil supplementation: results from a randomized controlled trial

    PubMed ID: 22929118

    Marked gene‑expression changes affecting immune and lipid pathways suggest inflammation modulation.

  26. Platelet redox balance in diabetic patients with hypertension improved by n-3 fatty acids

    PubMed ID: 23238663

    Lowered platelet 8‑isoprostane and stimulated ROS production in hypertensive/diabetic patients—reduced oxidative/inflammatory platelet activation.

  27. 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 IL‑6 and increased antioxidant enzymes—clear anti-inflammatory marker changes.

  28. Omega-3 PUFA supplementation and the response to evoked endotoxemia in healthy volunteers

    PubMed ID: 24190860

    High‑dose EPA+DHA reduced fever response to LPS and produced dose-dependent RBC incorporation—modest attenuation of acute inflammatory response.

  29. 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 MCP‑1 and increased capillaries—clear tissue anti‑inflammatory remodeling.

  30. 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 RR‑MS patients, 12 months of 4 g/day fish oil produced large (~40–50%) reductions in multiple inflammatory cytokines—strong anti‑inflammatory biomarker evidence.

  31. Docosahexaenoic Acid and Periodontitis in Adults: A Randomized Controlled Trial

    PubMed ID: 24970858

    DHA + low‑dose aspirin adjunct produced significant reductions in local gingival inflammation markers (hsCRP, IL‑1ÎČ) and pocket depth.

  32. 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.

  33. Fish Oil (SMOFlipid) and olive oil lipid (Clinoleic) in very preterm neonates

    PubMed ID: 24048161

    SMOFlipid in very preterm neonates reduced F2‑isoprostanes (lipid peroxidation marker) suggesting antioxidant/anti‑inflammatory effect.

  34. Effects of perioperative supplementation with omega-3 fatty acids on leukotriene B₄ and leukotriene B₅ 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-HEPE—strong anti-inflammatory mechanistic signal.

  35. 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

    Omega‑3 supplementation in hemodialysis patients decreased depressive symptoms and was accompanied by modest anti‑inflammatory marker changes (CRP, ferritin, IL‑10/IL‑6).

  36. 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/cell‑cycle pathways after fish oil.

  37. A prospective, randomized, controlled study of ω-3 fish oil fat emulsion-based parenteral nutrition for patients following surgical resection of gastric tumors

    PubMed ID: 24655407

    Perioperative fish‑oil blunted IL‑6/TNF rise and markedly reduced postoperative infections (robust anti‑inflammatory/clinical effect).

  38. 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

    DHA‑rich supplement in horses reduced airway neutrophilia and clinical signs (clear anti‑inflammatory effect in airway disease).

  39. Increasing long-chain n-3PUFA consumption improves small peripheral artery function in patients at intermediate-high cardiovascular risk

    PubMed ID: 24746829

    Significant reductions in hs‑CRP, TNF‑α, sICAM‑1, sVCAM‑1 and oxLDL indicate strong anti‑inflammatory effects.

  40. Effects of oral eicosapentaenoic acid versus docosahexaenoic acid on human peripheral blood mononuclear cell gene expression

    PubMed ID: 26074314

    EPA and DHA differentially down‑regulated multiple inflammation‑related genes in PBMCs (strong mechanistic anti‑inflammatory evidence).

  41. 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 anti‑inflammatory tissue and systemic effects).

  42. 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 hs‑CRP versus iron alone (clinical marker of inflammation improved).

  43. 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 anti‑inflammatory association).

  44. 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 NF‑ÎșB and inflammatory/adhesion markers (direct inflammation control).

  45. 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 IL‑18 and increased anti‑inflammatory adiponectin in at‑risk adults (direct inflammatory marker changes).

  46. 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.

  47. 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 (IL‑1ÎČ, IL‑6) and increased IL‑10 timing—clear anti‑inflammatory signal.

  48. 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 pro‑inflammatory markers and raised anti‑inflammatory signals in mothers and infants (small RCT).

  49. 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 blood—biological evidence for enhanced resolution of inflammation at birth.

  50. 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 IL‑6, TNF‑α and sPLA2 activity in MCI subjects support systemic anti‑inflammatory effects.

  51. 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

    High‑dose omega‑3 in DMD significantly reduced IL‑1ÎČ and IL‑6 and increased IL‑10—strong anti‑inflammatory biomarker evidence.

  52. EPA + DHA 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 anti‑inflammatory effects.

  53. 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).

  54. Inflammatory gene expression in whole blood cells after EPA vs. DHA supplementation: Results from the ComparED study

    PubMed ID: 28131045

    High‑dose EPA/DHA produced consistent changes in inflammation‑related gene transcripts (mechanistic anti‑inflammatory evidence).

  55. 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 B‑cell cytokine secretion (IL‑10, TNFα) and decreased IgM production—immune/inflammatory modulation at the cellular level.

  56. 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

    Omega‑3 lowered hs‑CRP in men with CAD over 8 weeks, indicating reduced systemic inflammation.

  57. 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 omega‑3 index and pro‑resolving mediator precursors indicate strong anti‑inflammatory potential.

  58. Supplementation with eicosapentaenoic acid and docosahexaenoic acid reduces high levels of circulating proinflammatory cytokines in aging adults: A randomized, controlled study

    PubMed ID: 29735019

    High‑dose EPA+DHA produced large, consistent reductions in IL‑6, IL‑1ÎČ and TNF‑α in older adults—strong anti‑inflammatory evidence.

  59. 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 (IL‑1, TNF‑α) and upregulation of PPAR‑γ — strong anti‑inflammatory signal.

  60. Effect of prenatal EPA and DHA on maternal and umbilical cord blood cytokines

    PubMed ID: 29940888

    Prenatal EPA‑rich regimen reduced multiple maternal inflammatory cytokines (IL‑6, TNFα, IL‑15) — supports inflammation control (close mechanistic relevance).

  61. 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 (sP‑selectin, sE‑selectin) and pain diary outcomes — clinically relevant anti‑inflammatory/vascular effects.

  62. 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: A randomized, double-blind, clinical trial

    PubMed ID: 31831363

    DHA increased PPAR‑γ activity in PBMCs in T2DM patients, consistent with anti‑inflammatory transcriptional effects.

  63. 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 (IL‑1ÎČ, IL‑6) in MCI patients—evidence of systemic inflammation lowering.

  64. Omega-3 Polyunsaturated Fatty Acids EPA and DHA as an Adjunct to Non-Surgical Treatment of Periodontitis: A Randomized Clinical Trial

    PubMed ID: 32867199

    High‑dose EPA/DHA adjunct improved periodontal inflammation and bleeding—clinical anti‑inflammatory effect.

  65. Efficacy of omega 3 fatty acid as an adjunct in the management of chronic periodontitis: A randomized controlled trial

    PubMed ID: 32436902

    Adjunct ω‑3 improved periodontal inflammation markers (probing depth, attachment level, gingival index) — clinical anti‑inflammatory effect.

  66. Lowering effects of fish oil supplementation on proinflammatory markers in hypertension: results from a randomized controlled trial

    PubMed ID: 32044905

    Clear reductions in TNF‑α and CRP after 3 months of fish oil in hypertensive adults — strong anti‑inflammatory biomarker effect.

  67. 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 pro‑resolving mediators despite high precursors, implicating EPA/DHA pathways in inflammation resolution (mechanistic evidence).

  68. 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 — strong evidence for inflammation control.

  69. 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 IL‑6 modestly in overweight adults — evidence of reduced systemic inflammation.

  70. 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, oil‑dependent changes in activation‑induced T‑cell transcripts after increasing EPA/DHA in immune cells — mechanistic inflammation modulation.

  71. 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).

  72. Omega-3 Fatty Acids for Major Depressive Disorder With High Inflammation: A Randomized Dose-Finding Clinical Trial

    PubMed ID: 36005883

    hs‑CRP reductions correlated with symptom improvement in EPA 4 g/day group (direct inflammation biomarker association).

  73. 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 TNF‑α and improved insulin resistance and TGs (direct anti‑inflammatory biomarker changes).

  74. 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

    Omega‑3 added to periodontal therapy produced significantly greater reductions in pocket depth and attachment loss—clear local anti‑inflammatory/clinical effect.

  75. 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.

  76. 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 high‑dose fish oil improved deep periodontal pocket healing and reduced periopathogens — anti‑inflammatory clinical effect.

  77. 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

    Self‑emulsifying EPA rapidly raised EPA and EPA‑derived anti‑inflammatory metabolites (18‑HEPE etc.).

  78. 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.

  79. 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

    One‑year 1 g/day EPA+DHA reduced multiple pro‑inflammatory eicosanoids and increased some resolvins — strong mechanistic inflammation control evidence.

  80. 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 n‑3 rapidly and substantially raised pro‑resolving LM precursors (18‑HEPE/5‑HEPE) more than fish oil — strong pro‑resolution mechanistic signal.

  81. Effects of Zinc-Biofortified Wheat Intake on Plasma Markers of Fatty Acid Metabolism and Oxidative Stress Among Adolescents

    PubMed ID: 39770887

    Fish‑oil intervention reduced several pro‑inflammatory arachidonic acid–derived oxylipins and raised n‑3 index.

  82. Multimicronutrient and omega-3 fatty acid supplementation reduces low-grade inflammation in older participants: An exploratory study

    PubMed ID: 40644954

    n‑3 plus micronutrients modestly reduced an aggregated inflammation score in older adults — supportive of systemic inflammation reduction.

  83. 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 treatment‑related immune suppression/inflammatory disturbance.

  84. 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.

  85. 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

    High‑dose DHA raised antioxidant capacity and lowered MDA and IL‑6 — clear anti‑inflammatory/anti‑oxidative biomarker changes.

  86. 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, dose‑dependent increases in EPA/DHA‑derived anti‑inflammatory oxylipins and SPM precursors—strong mechanistic anti‑inflammatory evidence.

  87. 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 epoxides—clinically relevant anti‑inflammatory biomarker changes.

  88. 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

    12‑week EPA+DHA increased tissue EPA/DHA and lowered inflammatory gene expression and SPM precursors in normal‑weight adults (robust tissue‑level anti‑inflammatory signal).

  89. Essential Fatty Acid Supplementation and Early Inflammation in Preterm Infants: Secondary Analysis of a Randomized Clinical Trial

    PubMed ID: 37121228

    Randomized ARA+DHA lowered IL‑6 and other proinflammatory cytokines in very preterm infants—strong direct anti‑inflammatory evidence.

  90. 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 (IL‑6, CCL7) though correlational.

  91. 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 fish‑oil formula showed clinical benefits (fewer infections/shorter LOS) and higher plasma EPA/DHA, consistent with immune/inflammatory modulation.

  92. 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

    DHA‑enriched fish oil in T2DM lowered macrophage activation marker (sCD163) and triglycerides—evidence of anti‑inflammatory effect.

  93. 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.

  94. Benefits of Krill Oil Supplementation During Alternate-Day Fasting in Adults With Overweight and Obesity: A Randomized Trial

    PubMed ID: 40671417

    Krill oil during alternate‑day fasting reduced TNF‑α and CRP more than placebo—clear anti‑inflammatory changes.

  95. 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

    Omega‑3 product improved knee pain/function and raised omega‑3 index; clinical benefit plausibly mediated by inflammation reduction.

  96. 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 — clear anti‑inflammatory signal.

  97. 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

    High‑dose n‑3 in CKD robustly increased neutrophil pro‑resolving mediators and lowered plasma MPO — strong mechanistic anti‑inflammatory evidence.

  98. 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 — direct evidence of promoting resolution pathways.

  99. 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.

  100. A dietary supplement attenuates IL-6 and CRP after eccentric exercise in untrained males

    PubMed ID: 14652498

    Antioxidant product including DHA reduced exercise‑induced IL‑6 and CRP — inflammation attenuation observed.

  101. Docosahexaenoic acid affects markers of inflammation and muscle damage after eccentric exercise

    PubMed ID: 25029008

    28 days DHA reduced some IL‑6 and CK responses after eccentric exercise (biochemical inflammation reduction).

  102. 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/nano‑curcumin and combination reduced hs‑CRP in T2DM patients; inflammation markers improved.

  103. 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 clinical RA signs indicate strong anti‑inflammatory action.

  104. Dietary omega-3 fatty acid supplementation and naproxen treatment in patients with rheumatoid arthritis

    PubMed ID: 1464864

    In RA, omega‑3s improved morning stiffness/global assessment — consistent with anti‑inflammatory benefit though confounded by NSAID co‑use.

  105. 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

    Long‑term fish oil in RA permitted large NSAID reductions without worsening disease, indicating sustained anti‑inflammatory effect.

  106. 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 anti‑inflammatory/pro‑resolving actions.

  107. 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.

  108. 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.

  109. 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 n‑3 supplementation plus low n‑6 diet.

  110. Gamma-tocopherol and docosahexaenoic acid decrease inflammation in dialysis patients

    PubMed ID: 17720098

    γ‑tocopherol+DHA lowered IL‑6 and WBC in dialysis patients—evidence of reduced systemic inflammation (combination therapy).

  111. 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 adults—meaningful anti‑inflammatory evidence.

  112. Efficacy of poly-unsaturated fatty acid therapy on patients with nonalcoholic steatohepatitis

    PubMed ID: 26078579

    PUFA diet reduced inflammatory/oxidative markers and improved NASH histology—clear anti‑inflammatory signal.

  113. 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.

  114. 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 DHA‑derived oxylipins (17‑HDHA) and produced clinically meaningful reductions in migraine days/hours — strong anti‑inflammatory/functional signal.

  115. 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/low‑LA diet raised plasma 17‑HDHA and reduced headache days/intensity in persistent post‑traumatic headache — clear link between DHA‑derived SPMs and symptom reduction.

  116. Comparison of the effects of linseed oil and different doses of fish oil on mononuclear cell function in healthy human subjects

    PubMed ID: 12720588

    Dose‑dependent suppression of stimulated IL‑6 production with fish oil indicates anti‑inflammatory action at the cellular level.

  117. Randomized placebo-controlled intervention with n-3 LC-PUFA-supplemented yoghurt: effects on circulating eicosanoids and cardiovascular risk factors

    PubMed ID: 23332800

    High‑dose marine n‑3 increased EPA/DHA and EPA-derived mediators and improved AA/EPA ratio with associated TAG/HDL improvements—anti‑inflammatory profile.

  118. 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 fish‑oil raised EPA and was associated with reduced LTB4 and lower PCT—clear postoperative anti‑inflammatory signals.

  119. 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 n‑3 intake and lower CRP 12 years later—population‑level evidence for inflammation reduction.

  120. 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 IL‑8 staining—clinical anti‑inflammatory skin effect.

  121. Docosahexaenoic acid-enriched canola oil increases adiponectin concentrations: a randomized crossover controlled intervention trial

    PubMed ID: 25240692

    DHA‑enriched canola oil reduced IL1B expression and hs‑CRP and increased adiponectin in abdominal obesity—robust anti‑inflammatory/metabolic changes.

  122. Parenteral MCT/ω-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 ω‑3 in preterm infants raised EPA/DHA and significantly lowered IL‑6 and IL‑8—strong anti‑inflammatory evidence.

  123. 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 anti‑inflammatory IL‑10 after stimulation—direct anti‑inflammatory signal.

  124. 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 (IL‑6) from immune cells.

  125. 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 anti‑inflammatory lipid mediators (e.g., 18‑HEPE, 17‑HDoHE).

  126. 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

    n‑3 enriched eggs raised resolvins and modulated T cell cytokines (↓IL‑6) and Treg/Th17 distribution — mechanistic anti‑inflammatory evidence.

  127. Marine ω-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 ↓TNF‑α and ↑IL‑10 demonstrates a mechanistic anti‑inflammatory pathway for marine n‑3s.

  128. Alpha Lipoic Acid Plus Omega-3 Fatty Acids for Vestibulodynia Associated With Painful Bladder Syndrome

    PubMed ID: 28343553

    ALA + marine n‑3 with amitriptyline improved pain and pelvic‑floor tone — consistent with anti‑inflammatory/pain‑modulating effects.

  129. 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 — anti‑inflammatory/anti‑proliferative biomarker effects.

  130. [Polyunsaturated omega-3 fatty acids in the treatment of experimental human gingivitis]

    PubMed ID: 8720373

    Small RCT showing incorporation of n‑3 into gingival membranes and a significant reduction in gingival inflammation (Gingival Index).

  131. 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).

  132. 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).

  133. 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

    Omega‑3 reduced relapse in pediatric Crohn's and showed RBC EPA/DHA incorporation with decreased arachidonic acid—strong anti‑inflammatory signal.

  134. 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 cytokine‑related responses consistent with altered inflammatory potential.

  135. The effects of omega-3 fatty acid supplementation in pregnancy on maternal eicosanoid, cytokine, and chemokine secretion

    PubMed ID: 19390480

    Omega‑3 supplementation in pregnant women decreased LPS‑stimulated PGE2 secretion from whole blood—direct anti‑inflammatory signal.

  136. 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 n‑3 metabolite levels (5‑HEPE, 15‑HEPE, 17‑HDoHE) — mechanistic anti‑inflammatory evidence.

  137. 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 n‑3 in critically ill patients lowered AA and altered n‑6:n‑3 ratio with associated physiological improvements — supports anti‑inflammatory action in severe illness.

  138. Fish oil supplementation in early infancy modulates developing infant immune responses

    PubMed ID: 22805468

    Postnatal fish oil lowered Th2 cytokine IL‑13 and altered inflammatory cytokine responses—direct evidence of immune/inflammatory modulation.

  139. Generation and dietary modulation of anti-inflammatory electrophilic omega-3 fatty acid derivatives

    PubMed ID: 24736647

    Supplementation raised neutrophil electrophilic ω‑3 ketone derivatives (anti-inflammatory mediators) in RCT.

  140. 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).

  141. 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 anti‑inflammatory effects.

  142. Docosahexaenoic acid in the treatment of rheumatoid arthritis: A 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 5‑LOX proinflammatory products toward DHA‑derived mediators.

Eye health (70)
  1. 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 algae‑DHA markedly raised breast‑milk DHA—biomarker plausibly supporting infant retinal/visual development though clinical outcomes not reported here.

  2. 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 infants—strong vision outcome evidence.

  3. 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 platelet‑related pathways—robust neonatal vision benefit.

  4. Multiple Micronutrients, Lutein, and Docosahexaenoic Acid Supplementation during Lactation: A Randomized Controlled Trial

    PubMed ID: 33339438

    Maternal MMS increased milk DHA — DHA is a key retinal omega‑3 and increased milk DHA supports infant retinal DHA supply.

  5. Essential fatty acid status in neonates after fish-oil supplementation during late pregnancy

    PubMed ID: 8541278

    Third‑trimester fish oil increased neonatal DHA in umbilical plasma/vessel walls—biochemical substrate important for retinal/visual development.

  6. 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).

  7. 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).

  8. 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.

  9. Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk

    PubMed ID: 15333721

    DHA‑enriched baby food increased RBC DHA and improved visual acuity (~1.5 lines) at 12 months — robust infant vision benefit.

  10. 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.

  11. 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.

  12. 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 breast‑milk DHA and raised infant RBC‑DHA—strong biological plausibility for supporting infant visual development.

  13. 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 days—direct visual benefit.

  14. 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).

  15. Dietary ω-3 fatty acid and fish intake and incident age-related macular degeneration in women

    PubMed ID: 21402976

    Large prospective cohort showed substantially lower risk (~35–45%) of vision-threatening AMD with higher dietary DHA/EPA and fish intake—strong observational support.

  16. ω-3 intake and visual acuity in patients with retinitis pigmentosa receiving vitamin A

    PubMed ID: 22332205

    Large pooled dataset: higher dietary long‑chain n‑3 (mainly DHA) intake linked to substantially slower central visual acuity and field loss in retinitis pigmentosa.

  17. 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.

  18. Macular xanthophylls and ω-3 long-chain polyunsaturated fatty acids in age-related macular degeneration: a randomized trial

    PubMed ID: 23519529

    Lutein/zeaxanthin + ω‑3 supplementation increased macular pigment optical density and plasma antioxidants over 12 months in nonexudative AMD patients (direct support for retinal health).

  19. Short-term consumption of oral omega-3 and dry eye syndrome

    PubMed ID: 23642375

    EPA+DHA improved tear film stability and symptoms in dry‑eye disease, supporting ocular surface health relevant to vision comfort.

  20. 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 fish‑oil (DHA) markedly reduced retinopathy of prematurity requiring treatment (large clinical vision benefit).

  21. 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).

  22. 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

    Omega‑3 supplementation in anti‑VEGF‑treated wet AMD lowered vitreous VEGF‑A (local biological effect relevant to vision).

  23. Docosahexaenoic Acid Slows Visual Field Progression in X-Linked Retinitis Pigmentosa: Ancillary Outcomes of the DHAX Trial

    PubMed ID: 26469750

    In X‑linked retinitis pigmentosa DHA raised RBC‑DHA and slowed visual field loss correlated with blood DHA (strong vision‑preserving signal in adherent subjects).

  24. 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 genotype‑specific protection against incident CNV in CFH non‑risk homozygotes (AMD‑related vision benefit in a subset).

  25. Oral omega-3 fatty acids treatment in computer vision syndrome related dry eye

    PubMed ID: 25697893

    Oral EPA+DHA halved dry‑eye symptom scores and improved tear breakup time and Schirmer test (clinically meaningful ocular surface benefits).

  26. Short-Term Omega 3 Fatty Acids Treatment for Dry Eye in Young and Middle-Aged Visual Display Terminal Users

    PubMed ID: 26322917

    Large randomized double‑blind trial: high‑dose omega‑3 improved dry‑eye symptoms and tear film stability in screen users.

  27. 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 IL‑17A.

  28. Effect of Oral Re-esterified Omega-3 Nutritional Supplementation on Dry Eyes

    PubMed ID: 27442314

    Well‑powered RCT: re‑esterified EPA+DHA substantially improved signs and symptoms of dry eye and reduced tear osmolarity/MMP‑9.

  29. 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

    High‑DHA oral supplements added to ranibizumab reduced macular thickness in diabetic macular edema (anatomical visual benefit).

  30. Enteral Docosahexaenoic Acid and Retinopathy of Prematurity: A Randomized Clinical Trial

    PubMed ID: 30614004

    Enteral DHA in very low‑birth‑weight preterms reduced risk of severe (stage 3) retinopathy of prematurity.

  31. 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 omega‑3 index — biomarker relevant to visual development/retina.

  32. 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 — strong supportive evidence for retinal nutrient status.

  33. 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 dry‑eye patients (ocular surface outcome related to vision comfort).

  34. Omega-3 fatty acids supplements for dry eye - Are they effective or ineffective?

    PubMed ID: 37026312

    Large RCT in digital‑display users showed RBC omega‑3 index increased and clinically meaningful improvements in multiple dry‑eye clinical endpoints (TBUT, Schirmer, osmolarity).

  35. 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 high‑dose DHA, relevant to corneal health/vision.

  36. Re-Esterified Triglyceride ω-3 Fatty Acids in Dry Eye Disease With Meibomian Gland Dysfunction: A Randomized Clinical Trial

    PubMed ID: 38753336

    Dry‑eye/meibomian gland dysfunction study showed improved tear stability and eyelid signs, relevant to ocular surface/vision comfort.

  37. 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 — direct visual development support.

  38. 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.

  39. 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 long‑chain omega‑3 intake linked to lower progression to late AMD (strong observational evidence).

  40. Retinal development in very-low-birth-weight infants fed diets differing in omega-3 fatty acids

    PubMed ID: 1386065

    VLBW infants receiving long‑chain n‑3 (DHA) showed preserved/improved rod retinal function versus deficient formula — strong functional vision evidence.

  41. 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 n‑3 LCPUFAs had early visual acuity improvement (2‑month outcome) in certain infants—direct vision benefit.

  42. 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 infants—good tissue/functional correlation.

  43. 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 DHA—important for retinal/visual development.

  44. Docosahexaenoic acid in red blood cells of term infants receiving two levels of long-chain polyunsaturated fatty acids

    PubMed ID: 16540798

    Higher‑DHA formula raised infant RBC DHA markedly—supports substrate availability for visual development.

  45. 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

    Dose‑dependent formula DHA increased infant plasma/erythrocyte DHA to levels comparable to human milk (biomarker important for vision development).

  46. 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 cross‑sectionally associated with greater central macular pigment density (observational association).

  47. 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 EPA—nutrient increases relevant to retinal development and vision.

  48. 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 — infant DHA supports visual development.

  49. 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.

  50. 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 breast‑fed levels—biochemical change associated with visual development.

  51. 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).

  52. 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.

  53. 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.

  54. Impact of early dietary intake and blood lipid composition of long-chain polyunsaturated fatty acids on later visual development

    PubMed ID: 11144440

    DHA‑enriched formula matched breastfed DHA and produced more mature ERG responses and better visual acuity at 17 and 52 weeks.

  55. 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

    High‑DHA formula maintained DHA in term infants but lowered AA; biochemical maintenance relevant for vision though tradeoffs noted.

  56. 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.

  57. [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 omega‑3/omega‑6 produced lower RBC DHA/ARA vs breastfed infants, supporting DHA importance for retinal/visual status.

  58. 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 RBC‑DHA and significantly improved VEP visual acuity at 1 year—strong functional vision evidence.

  59. 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).

  60. 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.

  61. 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 eye–hand coordination (sensorimotor/visual integration), though not a direct acuity measure.

  62. 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‑supplemented infant formula produced visual acuity at age 4 similar to breast‑fed children (benefit for vision development).

  63. 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.

  64. 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 double‑masked RCT found clear, clinically meaningful improvement in infant VEP visual acuity with DHA supplementation.

  65. Protective effects of dietary supplementation with natural ω-3 polyunsaturated fatty acids on the visual acuity of school-age children with lower IQ or attention-deficit hyperactivity disorder

    PubMed ID: 26015389

    ω‑3 enriched eggs raised RBC DHA and produced a significant improvement in distance visual acuity in children.

  66. Red blood cell membrane fatty acid composition in infants fed formulas with different lipid profiles

    PubMed ID: 27391868

    Higher‑DHA infant formulas raised RBC DHA to levels similar to breastfed infants — DHA status relevant to visual development.

  67. 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 DHA‑containing plasma phospholipids to levels similar to breast milk—important for vision development.

  68. 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

    SQ‑LNS‑plus raised plasma DHA at 12 months, lowering n‑6:n‑3 ratio—biomarker changes supportive of visual development.

  69. 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/DHA—strong vision‑specific clinical effect.

  70. Randomized Controlled Trial of Early Docosahexaenoic Acid and Arachidonic Acid Enteral Supplementation in Very Low Birth Weight Infants

    PubMed ID: 33358843

    High‑dose enteral DHA+ARA quickly raised whole‑blood DHA and ARA (dose responsiveness relevant to retinal development).

Brain health (110)
  1. 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.

  2. 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(‡)

    PubMed ID: 32121236

    Omega‑3 (±vitamin D) improved some social/communication scores in ASD children with elevated IL‑1ÎČ â€” domain‑specific brain/behavioral benefit in a subgroup.

  3. Omega-3 fatty acid, carotenoid and vitamin E supplementation improves working memory in older adults: A randomised clinical trial

    PubMed ID: 34999335

    24‑month trial showed improved working memory along with increases in plasma ω‑3FA and tissue carotenoids.

  4. ω-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

    High‑dose EPA+DHA improved multiple cognitive domains (language, memory, visual‑motor) in older adults with coronary disease over 12–30 months.

  5. 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

    Well‑powered RCT: EPA‑rich oil improved overall cognitive accuracy and speed in healthy young adults; DHA had smaller effects — strong cognitive signal.

  6. 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 amyloid‑ÎČ in older adults with MCI — supportive of brain health.

  7. 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 genotype‑dependent improvements in child cognitive domains at age 5 → developmental brain function benefit.

  8. 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

    Fish‑oil changed corticolimbic connectivity; connectivity changes correlated with depressive symptom improvements (neural‑mechanistic brain effect).

  9. Emotion-Related Network Reorganization Following Fish Oil Supplementation in Depressed Bipolar Offspring: An fMRI Graph-Based Connectome Analysis

    PubMed ID: 34139404

    Fish‑oil improved brain network measures (fMRI) and produced symptom improvements in depressed youth — objective brain function changes.

  10. 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 return‑to‑sport (brain recovery signals, albeit underpowered).

  11. 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

    Omega‑3/6/9 in preterm toddlers improved caregiver‑reported interpersonal and internalizing domains (behavioral brain/psychiatric outcomes).

  12. 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 2‑year cognitive benefit from B‑vitamins—supports DHA role in brain function and cognition.

  13. 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 breath‑holding spells markedly reduced frequency/severity — neurologic/brain effect.

  14. Mediation Analysis to Untangle Opposing Associations of High-Dose Docosahexaenoic Acid With IQ and Bronchopulmonary Dysplasia in Children Born Preterm

    PubMed ID: 37294565

    High‑dose neonatal DHA increased full‑scale IQ in extremely preterm infants — clear cognitive/brain function benefit.

  15. 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.

  16. 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.

  17. 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

    Add‑on EPA+DHA improved immediate memory in depressed adults — evidence of cognitive function benefit in adults.

  18. Effects of Prenatal DHA Dose on Infant Visual Attention

    PubMed ID: 40791013

    Higher prenatal DHA improved infant visual learning and attention maturation — direct early brain function measures.

  19. 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 problem‑solving scores and ERP markers of recognition memory after DHA+ARA supplementation.

  20. 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.

  21. 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 months—a key neural/visual functional outcome.

  22. 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 attention—direct functional CNS benefit.

  23. 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).

  24. Long-term effects of LCPUFA supplementation on childhood cognitive outcomes

    PubMed ID: 23803884

    Infant LCPUFA supplementation produced later improvements (ages 3–6) in executive and language measures—relevant to brain function.

  25. Effects of long-chain PUFA supplementation in infant formula on cognitive function in later childhood

    PubMed ID: 23783296

    Infant LC‑PUFA formula led to faster processing speed at 6 y (persistent domain‑specific cognitive benefit).

  26. Effect of supplementation with long-chain ω-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 brain‑function benefit.

  27. 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).

  28. 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.

  29. 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 brain‑relevant phospholipids supporting brain development.

  30. 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/inhibition—neural function evidence.

  31. 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)—structural brain function relevance.

  32. 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

    Long‑term neuroimaging demonstrated durable functional, connectivity and structural brain differences from infant LCPUFA exposure.

  33. 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 LCPUFA‑supplemented formula.

  34. 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.

  35. 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).

  36. 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.

  37. 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 recent‑onset psychosis (small RCT), supporting domain‑specific brain functional benefit.

  38. Arachidonic and docosahexaenoic acid supplementation and brain maturation in preterm infants; a double blind RCT

    PubMed ID: 38061271

    Double‑blind RCT: ARA+DHA improved white‑matter microstructural maturation in very preterm infants—direct mechanistic evidence for brain development/function.

  39. 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 at‑risk populations.

  40. 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.

  41. Multiple Micronutrients, Lutein, and Docosahexaenoic Acid Supplementation during Lactation: A Randomized Controlled Trial

    PubMed ID: 33339438

    Maternal MMS including DHA significantly raised breast‑milk DHA — relevant to infant brain nutrient supply and development.

  42. 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 biomarkers—good evidence for brain-function benefit in MCI.

  43. 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 — biomarker and mechanistic support for brain-target engagement.

  44. 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.

  45. 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 task‑related cerebrovascular responsiveness and processing speed in males—functional brain effect.

  46. 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.

  47. Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk

    PubMed ID: 15333721

    DHA‑enriched infant food increased RBC DHA and produced a clinically meaningful improvement in visual cortical function (VEP) by 12 months.

  48. 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).

  49. 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 — supports early brain development.

  50. 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).

  51. 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, breast‑milk and infant RBC‑DHA—biomarker evidence supporting infant brain development.

  52. 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).

  53. 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).

  54. 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

    Dose‑dependent increases in brain DHA coupled with fMRI activation changes during attention tasks (direct neural function evidence).

  55. 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 fluency—evidence of domain-specific brain-function benefit.

  56. 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 hemodynamics—physiologic support for brain activation though limited performance gains.

  57. 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 high‑dose fish oil led to better eye–hand coordination at 2.5 years, an indicator of neurodevelopmental benefit.

  58. 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) maturation—strong physiological neurodevelopment evidence.

  59. 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 scores—supports early brain development/function.

  60. 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)—clinical developmental benefit.

  61. 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 RBC‑DHA and improved visual cortical maturation (VEP)—neurodevelopmental functional evidence.

  62. 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).

  63. Impact of early dietary intake and blood lipid composition of long-chain polyunsaturated fatty acids on later visual development

    PubMed ID: 11144440

    DHA‑enriched formula produced breastfed‑like RBC DHA and better electrophysiologic visual function—evidence of neural/retinal maturation.

  64. 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.

  65. 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 — VEP is a brain/visual pathway functional measure.

  66. 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 infants—biochemical support for brain substrate availability.

  67. Neurodevelopmental quotient of healthy term infants at 4 months and feeding practice: the role of long-chain polyunsaturated fatty acids

    PubMed ID: 7478826

    LC‑PUFA supplementation improved early neurodevelopmental scores (direct functional brain outcome in infants).

  68. 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

    1‑year combination raising RBC DHA improved cognitive index and increased BDNF in healthy elderly — supports brain function.

  69. 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 — demonstrates bioavailability needed for brain DHA support.

  70. 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 DHA—biomarker important for early brain development/function.

  71. 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 ultra‑high risk individuals—strong clinically relevant brain/psychiatric benefit.

  72. 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/DHA—directly relevant to brain development/function.

  73. 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 4—strong developmental brain evidence.

  74. 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 year—strong relevance to early brain development/function.

  75. 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.

  76. 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 metabolism—mechanistic support for improved brain function.

  77. 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).

  78. 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 (12‑month RCT, small sample).

  79. Effects of high-dose fish oil supplementation during early infancy on neurodevelopment and language: a randomised controlled trial

    PubMed ID: 22348468

    High‑dose infant fish oil raised DHA and produced modest improvements in early communicative gestures (developmental/brain function signal).

  80. 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

    n‑3 containing oral supplement improved cognitive function subscale and global QoL in lung cancer patients, supporting brain functional benefit in this context.

  81. 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 ADHD—associative evidence for cognitive/brain function.

  82. 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.

  83. 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 trial—direct evidence of enhanced brain function in young adults.

  84. 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 task‑related prefrontal activation and shortened P300 latency—physiologic markers of improved cortical processing in older adults.

  85. 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.

  86. 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).

  87. Brain atrophy in cognitively impaired elderly: the importance of long-chain ω-3 fatty acids and B vitamin status in a randomized controlled trial

    PubMed ID: 25877495

    Omega‑3 status modified B‑vitamin effect on brain atrophy in MCI—strong implication for brain preservation/function.

  88. 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 n‑3 PUFA improved PANSS scores and depressive symptoms in schizophrenia, indicating functional brain/psychiatric benefits.

  89. Prenatal DHA supplementation and infant attention

    PubMed ID: 27362506

    Prenatal DHA improved infant sustained attention across 4–9 months, indicating early brain function/performance benefits.

  90. Effect of Docosahexaenoic Acid on a Biomarker of Head Trauma in American Football

    PubMed ID: 26765633

    Dose‑dependent DHA increases associated with reduced serum NFL across a season—biomarker evidence of neural protection.

  91. 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).

  92. 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 DHA—direct evidence of CNS delivery potential.

  93. 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 B‑vitamins in MCI—supports DHA relevance to brain function.

  94. Impact of Omega-3 Fatty Acid Supplementation on Memory Functions in Healthy Older Adults

    PubMed ID: 26890759

    High‑dose omega‑3 improved spatial memory in healthy older adults and raised omega‑3 index—functional brain benefit.

  95. 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 months—strong neuroprotective/function evidence.

  96. 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 brain‑function benefits.

  97. 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 brain‑protective effects.

  98. 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 (biomarker→clinical brain effects).

  99. 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

    24‑month DHA RCT in MCI improved multiple cognitive domains and altered AÎČ/autophagy biomarkers—strong evidence for brain function benefits.

  100. 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 subscore—supportive cross‑sectional evidence.

  101. 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 function—relevant to early brain development/function.

  102. 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

    Year‑long EPA/DHA reduced seizure frequency substantially in drug‑resistant epilepsy—direct neurologic benefit.

  103. Fatty fish intake and cognitive function: FINS-KIDS, a randomized controlled trial in preschool children

    PubMed ID: 29530020

    Fatty‑fish lunches in children raised EPA/DHA and yielded small improvements in processing speed and fine motor performance — brain function domains.

  104. 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 fish‑oil containing parenteral lipid reached electrophysiological brain maturation ~2 weeks earlier — robust neonatal brain function outcome.

  105. 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 — relevant to brain function preservation.

  106. 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

    Omega‑3 produced cognitive benefits in Alzheimer's subgroup with lower homocysteine — suggests brain benefit dependent on nutritional context.

  107. Brain delivery of supplemental docosahexaenoic acid (DHA): A randomized placebo-controlled clinical trial

    PubMed ID: 32690472

    High‑dose DHA increased CSF DHA and plasma DHA in older adults—direct evidence of brain delivery relevant to brain function.

  108. 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.

  109. 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

    Fish‑oil adjunct preserved white‑matter microstructure and prevented antipsychotic‑associated deterioration—neurobiological brain protection.

  110. 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 high‑dose ω‑3/ω‑6+antioxidant.

Immune support (91)
  1. Fish Oil-Derived Fatty Acids in Pregnancy and Wheeze and Asthma in Offspring

    PubMed ID: 28029926

    Large RCT: maternal fish‑oil reduced persistent wheeze/asthma and LRTIs in offspring—clinical immune outcome.

  2. 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).

  3. 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.

  4. 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 IL‑6 production in healthy adults—direct immunomodulatory evidence.

  5. 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, time‑limited reductions in stimulated inflammatory cytokines (IL‑1ÎČ/TNFα) in at‑risk infants.

  6. Docosahexaenoic Acid and Periodontitis in Adults: A Randomized Controlled Trial

    PubMed ID: 24970858

    Adjunct DHA reduced local inflammatory markers (crevicular fluid hsCRP, IL‑1ÎČ) and periodontal pocket depth—direct local immune/inflammatory benefit.

  7. Developmental programming for allergy: a secondary analysis of the Mothers, Omega-3, and Mental Health Study

    PubMed ID: 23531329

    Prenatal EPA/DHA changed cord‑blood chemokine ratios (less Th2 bias), indicating fetal immune modulation.

  8. 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 n‑3 LCPUFA reduced atopic eczema and egg sensitisation in infants (immune/allergic outcomes).

  9. 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 gene‑expression (many immune genes) after fish oil, indicating immune pathway modulation.

  10. 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

    8‑week trial in T2D lowered pro‑inflammatory cytokines (TNF‑α, IL‑2), supporting immune/inflammation effects.

  11. 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 IL‑1ÎČ decrease, indicating some immune modulation.

  12. 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-γ suppression—direct immune modulation.

  13. 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).

  14. 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 loss—supports immune competence.

  15. Oral administration of docosahexaenoic acid attenuates interleukin-1ÎČ response and clinical course of septic neonates

    PubMed ID: 22079797

    Oral DHA during neonatal sepsis lowered IL‑1ÎČ and raised leukocyte DHA — supportive immune effect.

  16. 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 — clear immune effect.

  17. 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).

  18. Impact of a novel nutritional formula on asthma control and biomarkers of allergic airway inflammation in children

    PubMed ID: 20545703

    EPA‑enriched nutritional formula reduced airway inflammation (FeNO) and improved bronchial responsiveness in children with asthma (small RCT).

  19. 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 IgE‑associated eczema in high‑risk infants (strong RCT clinical immune outcome).

  20. Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells

    PubMed ID: 19515734

    PBMC gene expression shifted toward anti‑inflammatory/anti‑atherogenic profiles after 6 months EPA+DHA (direct immune-cell molecular effects).

  21. 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, IL‑6), indicating immune modulation in hypertriglyceridemic men.

  22. 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.

  23. 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.

  24. 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

    Long‑term fish oil in RA allowed marked NSAID reduction without worsening — consistent with anti‑inflammatory/immunomodulatory benefit.

  25. Effects of oils rich in eicosapentaenoic and docosahexaenoic acids on immune cell composition and function in healthy humans

    PubMed ID: 15051614

    DHA reduced T‑lymphocyte activation (CD69) in healthy adults — direct immunomodulatory effect.

  26. 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 delayed‑type hypersensitivity and PBMC proliferation with fish oil+vitamin E (direct immune markers).

  27. 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 — supports immune function modulation.

  28. 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 immune‑mediated disease benefit.

  29. 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.

  30. Multimicronutrient and omega-3 fatty acid supplementation reduces low-grade inflammation in older participants: An exploratory study

    PubMed ID: 40644954

    Combined n‑3+micronutrient trial in older adults lowered an aggregated INFLA score (modest systemic immune/inflammation benefit).

  31. 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.

  32. 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

    Year‑long 1 g/day EPA+DHA reduced pro‑inflammatory eicosanoids and increased pro‑resolving substrates — supports immune/inflammatory modulation.

  33. 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).

  34. Docosahexaenoic Acid Effect on Prenatal Exposure to Arsenic and Atopic Dermatitis in Mexican Preschoolers

    PubMed ID: 36074245

    Prenatal DHA modified/attenuated arsenic‑associated increased risk of atopic dermatitis (immune/allergic outcome).

  35. 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).

  36. 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, oil‑dependent changes in T‑cell activation transcriptome → direct mechanistic immunomodulation.

  37. 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, IL‑6) and reduced preterm birth risk, indicating immune‑mediated effects in pregnancy.

  38. 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 → relevant to immune/inflammatory pathways.

  39. 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 omega‑3 and significantly lowered inflammatory cytokines (TNF‑α) and CRP, reflecting immune/inflammatory modulation.

  40. Effect of prenatal EPA and DHA on maternal and umbilical cord blood cytokines

    PubMed ID: 29940888

    Prenatal EPA‑rich (contrast relevant) reduced maternal IL‑6, TNFα and IL‑15 — direct cytokine reductions supportive of immune effects.

  41. 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 TNF‑α and upregulation of PPAR‑γ indicating clear anti‑inflammatory/immune modulation.

  42. Supplementation with eicosapentaenoic acid and docosahexaenoic acid reduces high levels of circulating proinflammatory cytokines in aging adults: A randomized, controlled study

    PubMed ID: 29735019

    High‑dose EPA+DHA reduced circulating proinflammatory cytokines in older adults with chronic wounds, supporting immune/inflammatory regulation.

  43. 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.

  44. 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

    High‑dose omega‑3 in Duchenne boys reduced pro‑inflammatory cytokines and increased anti‑inflammatory IL‑10 (immune modulation).

  45. 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 n‑3 increased pro‑resolving mediator precursors in cord blood, showing immune/resolution pathway effects at birth.

  46. 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 n‑3 intake reduced frequency and duration of respiratory/GI illnesses in children.

  47. 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 fish‑oil raised EPA and reduced proinflammatory/procalcitonin markers, suggesting enhanced immune/inflammatory control.

  48. Parenteral MCT/ω-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

    ω‑3 IV lipid in preterm neonates raised EPA/DHA and lowered IL‑6/IL‑8, indicating direct immune/inflammatory modulation.

  49. 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 LPS‑stimulated IL‑10 (~45%), indicating an anti‑inflammatory/immune‑modulating effect.

  50. 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

    n‑3 enriched eggs raised pro‑resolving mediators (RvE1), increased TGF‑ÎČ1 and lowered IL‑6 — direct immune/resolution signaling changes.

  51. Marine ω-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 TNF‑α and higher IL‑10 — clear anti‑inflammatory/immune modulation.

  52. 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).

  53. 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).

  54. 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).

  55. 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

    Omega‑3 (including DHA) added to therapy significantly reduced 1‑yr relapse rate in pediatric Crohn's and raised blood EPA/DHA.

  56. Long-chain polyunsaturated fat supplementation in children with low docosahexaenoic acid intakes alters immune phenotypes compared with placebo

    PubMed ID: 18493214

    Long‑term AA+DHA changed several T/B/macrophage surface markers in children, indicating immune phenotype modulation.

  57. The effects of omega-3 fatty acid supplementation in pregnancy on maternal eicosanoid, cytokine, and chemokine secretion

    PubMed ID: 19390480

    Maternal omega‑3 supplementation raised EPA/DHA and significantly reduced LPS‑induced whole‑blood PGE2 (an inflammatory/immune mediator).

  58. 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.

  59. 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 (↓IL‑13, ↑IFNγ/TNF), indicating immune modulation.

  60. Generation and dietary modulation of anti-inflammatory electrophilic omega-3 fatty acid derivatives

    PubMed ID: 24736647

    Supplementation increased neutrophil production of anti-inflammatory electrophilic ω‑3 metabolites, supporting immune-modulatory effects.

  61. 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).

  62. 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).

  63. Docosahexaenoic acid in the treatment of rheumatoid arthritis: A double-blind, placebo-controlled, randomized cross-over study with microalgae vs. sunflower oil

    PubMed ID: 28302406

    RA RCT showed shift toward anti‑inflammatory lipid mediators (and clinical disease‑activity reductions), supporting immune modulation.

  64. 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.

  65. 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

    High‑dose DHA during chemotherapy preserved NLR, monocyte HLA‑DR and ex vivo cytokine responses, indicating preserved immune function.

  66. 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 B‑cell activation marker (immune‑related).

  67. 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

    Dose‑dependent rises in EPA/DHA‑derived oxylipins and SPM precursors indicate strong mechanistic immune/anti‑inflammatory effects.

  68. 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

    Post‑AMI ω‑3 increased DHA/EPA oxylipins and decreased proinflammatory eicosanoids (PV evidence of immunomodulation).

  69. 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 formula—clinical immune‑related outcome.

  70. Essential Fatty Acid Supplementation and Early Inflammation in Preterm Infants: Secondary Analysis of a Randomized Clinical Trial

    PubMed ID: 37121228

    ARA+DHA reduced IL‑6 and other proinflammatory cytokines in very preterm infants—direct anti‑inflammatory/immune modulation signal.

  71. 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 fish‑oil formula showed fewer infections and shorter LOS (especially in septic subgroup).

  72. 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 fish‑oil omega‑3s reduced postoperative infectious complications.

  73. 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

    Tube‑feed RCT showed reduced diarrhea incidence — clinically relevant gut/immune protection signal.

  74. 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 — supports immune/allergic benefit though product had multiple actives.

  75. 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

    High‑dose n‑3 in CKD increased pro‑resolving mediators and lowered MPO — biologically supportive of improved immune resolution.

  76. n-3 Fatty Acid Supplementation and Leukocyte Telomere Length in Patients with Chronic Kidney Disease

    PubMed ID: 27007392

    n‑3 lowered oxidative stress and associated with increased neutrophil telomere length — plausible immune cell benefit.

  77. A dietary supplement attenuates IL-6 and CRP after eccentric exercise in untrained males

    PubMed ID: 14652498

    Combined supplement (including DHA) attenuated exercise‑driven IL‑6 and CRP increases (immune/inflammatory markers).

  78. Effects of perioperative supplementation with omega-3 fatty acids on leukotriene B₄ and leukotriene B₅ 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.

  79. Omega-3 fatty acids inhibit the up-regulation of endothelial chemokines in maintenance hemodialysis patients

    PubMed ID: 25204316

    Omega‑3 reduced LPS‑stimulated PBMC chemokine (RANTES, MCP‑1) expression in dialysis patients (cellular immune modulation).

  80. 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

    Omega‑3 decreased depressive symptoms and was associated with modest favorable shifts in inflammatory markers (CRP, ferritin, IL‑10/IL‑6 ratio).

  81. 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.

  82. 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 gene‑expression changes after fish oil indicate immune‑cell modulation.

  83. A prospective, randomized, controlled study of ω-3 fish oil fat emulsion-based parenteral nutrition for patients following surgical resection of gastric tumors

    PubMed ID: 24655407

    Perioperative omega‑3 reduced postoperative infections and blunted IL‑6/TNF rise.

  84. 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

    DHA‑rich supplement in horses reduced airway neutrophils and clinical cough.

  85. 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).

  86. Effects of oral eicosapentaenoic acid versus docosahexaenoic acid on human peripheral blood mononuclear cell gene expression

    PubMed ID: 26074314

    PBMC gene‑expression changes by EPA/DHA indicate immune‑modulating (anti‑inflammatory) effects.

  87. 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).

  88. 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 children showed higher DHA/EPA and reductions in NF‑ÎșB and adhesion markers (immune/inflammatory improvement).

  89. The Effect of Krill Oil Supplementation on Exercise Performance and Markers of Immune Function

    PubMed ID: 26407095

    Krill oil raised omega‑3 index and increased NK cell cytotoxicity and PBMC IL‑2 after exercise (direct immune biomarker changes).

  90. 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).

  91. 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)
  1. 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.

  2. 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.

  3. 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 brain‑relevant phospholipids—supports neurodevelopment and memory substrate.

  4. 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.

  5. Effect of supplementation with long-chain ω-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 6–12 y with ADHD: EPA+DHA increased blood DHA/EPA and produced a selective, statistically significant improvement in working memory.

  6. Long-term effects of LCPUFA supplementation on childhood cognitive outcomes

    PubMed ID: 23803884

    Follow‑up of infant LCPUFA RCT: later improvements on specific cognitive and language measures between ages 3–6, relevant to memory/cognition.

  7. 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.

  8. 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 means‑end problem solving with formula LCPUFA (including DHA).

  9. 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 problem‑solving and ERP recognition memory markers at 6 months.

  10. 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 scores—supports early cognitive development.

  11. 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).

  12. 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.

  13. 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).

  14. Cognitive response to fish oil, blueberry, and combined supplementation in older adults with subjective cognitive impairment

    PubMed ID: 29458842

    24‑week fish oil reduced self‑reported everyday cognitive difficulties and raised RBC EPA+DHA — randomized trial in older adults with subjective complaints.

  15. 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.

  16. 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

    EPA‑rich supplementation improved cognitive accuracy and memory accuracy in healthy young adults; DHA effects smaller.

  17. ω-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

    High‑dose EPA+DHA in older adults with coronary disease improved multiple cognitive domains including memory over 12–30 months.

  18. Omega-3 fatty acid, carotenoid and vitamin E supplementation improves working memory in older adults: A randomised clinical trial

    PubMed ID: 34999335

    24‑month randomized trial with fish oil + carotenoids showed improved working memory and corresponding biomarker rises.

  19. 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

    High‑dose ω‑3/ω‑6+antioxidant over 6 months improved global cognition in older adults with MCI (large effect sizes reported).

  20. 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 effective—direct memory/cognition benefit.

  21. 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

    Omega‑3 improved cognition/CDR‑sob in Alzheimer's patients with lower baseline homocysteine (effect modification by B‑vitamin status).

  22. 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) — domain-specific memory/lexical access benefit.

  23. 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).

  24. 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).

  25. 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.

  26. 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).

  27. 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).

  28. 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).

  29. 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 infants—mechanistic support for later cognitive/memory development.

  30. 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: fish‑oil + exercise modestly improved attention and working memory.

  31. 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).

  32. 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.

  33. Еffects 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 working‑memory test, supporting a moderate link to memory.

  34. Fatty fish intake and cognitive function: FINS-KIDS, a randomized controlled trial in preschool children

    PubMed ID: 29530020

    School lunch fatty‑fish RCT produced small, compliance‑dependent improvements in processing speed and fine motor tasks in children (memory/processing domain relevance).

  35. 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 24‑month RCT in MCI: DHA 2 g/day improved multiple cognitive measures (IQ, verbal IQ, digit span) and favorable AÎČ/autophagy biomarkers.

  36. 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 (memory‑relevant structural/clinical signals).

  37. 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).

  38. 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

    12‑month 2 g/day DHA in MCI improved several cognitive tests and slowed hippocampal atrophy (robust RCT evidence).

  39. Impact of Omega-3 Fatty Acid Supplementation on Memory Functions in Healthy Older Adults

    PubMed ID: 26890759

    6 months high‑dose omega‑3 raised omega‑3 index and improved spatial (object‑location) memory in healthy older adults.

  40. 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).

  41. 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 B‑vitamin effects on episodic memory in MCI—strong interaction evidence linking DHA status to memory outcomes.

  42. 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 DHA—supports brain DHA availability relevant to memory.

  43. Brain atrophy in cognitively impaired elderly: the importance of long-chain ω-3 fatty acids and B vitamin status in a randomized controlled trial

    PubMed ID: 25877495

    B‑vitamin effect on brain atrophy in MCI was present only when baseline EPA+DHA was high, implicating omega‑3 status for brain/ memory preservation.

  44. 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.

  45. 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).

  46. 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 Alzheimer’s, oral DHA/EPA raised CSF DHA and CSF DHA changes correlated with AD biomarkers relevant to memory/degeneration.

  47. DHA supplementation improved both memory and reaction time in healthy young adults: a randomized controlled trial

    PubMed ID: 23515006

    Randomized trial in low‑DHA young adults: 1.16 g/day DHA for 6 months produced statistically significant improvements in episodic and working memory reaction times (robust cognitive benefit).

  48. 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 n‑3 containing supplement had improvements in cognitive function domains (EORTC cognitive subscale), supporting memory/ cognition benefit in that setting.

  49. 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

    12‑month concentrated DHA in MCI improved multiple memory measures vs placebo (small RCT with positive memory outcomes).

  50. 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 first‑diagnosed, drug‑naïve depressed adults, add‑on EPA+DHA produced a small but significant improvement in immediate memory vs placebo.

  51. 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

    12‑month RCT in older adults (800 mg DHA) showed small but significant cognitive (IQ) improvements and oxidative damage reduction.

  52. Mediation Analysis to Untangle Opposing Associations of High-Dose Docosahexaenoic Acid With IQ and Bronchopulmonary Dysplasia in Children Born Preterm

    PubMed ID: 37294565

    High‑dose neonatal DHA increased average full‑scale IQ by ≈3.5 points in extremely preterm infants — direct cognitive benefit.

  53. DHA status influences effects of B-vitamin supplementation on cognitive ageing: a post-hoc analysis of the B-proof trial

    PubMed ID: 35704085

    Post‑hoc finding that higher baseline plasma DHA predicted greater cognitive benefit from B‑vitamins, suggesting DHA status supports memory outcomes.

  54. 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 5‑year cognitive domains (memory and quantitative) in offspring of mothers with a specific FADS2 genotype.

  55. 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 digit‑span and lowered blood AÎČ in older adults with MCI → support for memory/working memory.

Blood circulation (48)
  1. Gender-specific inhibition of platelet aggregation following omega-3 fatty acid supplementation

    PubMed ID: 20708391

    Acute modulation of platelet aggregation by EPA/DHA (sex‑specific) affects haemostatic/circulatory parameters.

  2. 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.

  3. Docosahexaenoic acid-rich fish oil improves heart rate variability and heart rate responses to exercise in overweight adults

    PubMed ID: 18339222

    Improved heart‑rate variability and lower heart rates indicate better autonomic/vascular function.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. Omega-3 fatty acid supplementation accelerates chylomicron triglyceride clearance

    PubMed ID: 12562865

    Supplementation accelerated chylomicron TG clearance and raised LPL activity—meaningful improvements in postprandial lipoprotein handling/circulation.

  9. 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).

  10. 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).

  11. 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.

  12. 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.

  13. 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.

  14. Dose-response effects of fish-oil supplementation in healthy volunteers

    PubMed ID: 2141757

    Dose‑dependent EPA/DHA incorporation with clear TG lowering — improves blood lipid milieu relevant to circulation.

  15. 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 collagen‑stimulated platelet aggregation and TXB2 in hypertensive diabetics, indicating antithrombotic circulation benefits.

  16. 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 omega‑3 had lower VCAM and higher HDL — favorable vascular/inflammatory changes relevant to circulation.

  17. 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 (E‑selectin, ICAM‑1) — supportive of improved endothelial function/circulation.

  18. 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 ω‑3 therapy in AMI patients indicate improved endothelial function/circulation.

  19. The effect of omega-3 carboxylic acids on apolipoprotein CIII-containing lipoproteins in severe hypertriglyceridemia

    PubMed ID: 27919362

    OM3‑CA altered apoCIII and LDL subspecies—plausible beneficial effects on vascular risk and circulation.

  20. Early impact of prescription Omega-3 fatty acids on platelet biomarkers in patients with coronary artery disease and hypertriglyceridemia

    PubMed ID: 21701167

    Omega‑3 reduced platelet aggregation and activation markers in CAD patients, consistent with improved hemostatic/circulatory function.

  21. 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.

  22. 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 (+27–36%) in dyslipidemic adults, indicating improved vascular function.

  23. 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 — direct circulation/thrombosis relevant effects.

  24. 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.

  25. Omega-3 polyunsaturated fatty acids-enriched hen eggs consumption enhances microvascular reactivity in young healthy individuals

    PubMed ID: 29633621

    Three omega‑3 enriched eggs/day improved small‑vessel blood flow (postocclusive reactive hyperemia), and lowered BP and triglycerides in healthy adults.

  26. 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 volunteers—functional evidence for improved hemodynamic/thrombotic profile.

  27. 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.

  28. Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm microcirculation in hyperlipidemic, overweight men

    PubMed ID: 10982541

    DHA improved endothelium‑dependent and independent vasodilation and attenuated norepinephrine‑induced vasoconstriction—strong circulatory physiology evidence.

  29. 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 long‑term vascular health and circulation.

  30. 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

    High‑dose EPA+DHA improved ankle‑brachial index (ABI) in dialysis patients — direct evidence of better peripheral circulation.

  31. 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 long‑chain ω‑3s associated with lower cardiovascular/sudden cardiac death in ACS — clinically relevant for circulation outcomes.

  32. 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 non‑HDL reductions and decreased small dense LDL may improve vascular health and microcirculation.

  33. Erythrocyte deformability and aggregability in patients undergoing colon cancer surgery and effects of two infusions with omega-3 fatty acids

    PubMed ID: 31658051

    IV omega‑3 in surgery patients reduced erythrocyte aggregation (and aggregation index) — plausible improvement in microcirculatory flow.

  34. 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

    Omega‑3 improved pulse‑wave velocity (arterial stiffness) in CKD patients—direct vascular/circulatory benefit.

  35. 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.

  36. An omega-3 fatty acid plasma index ≄4% prevents progression of coronary artery plaque in patients with coronary artery disease on statin treatment

    PubMed ID: 31055222

    Higher omega‑3 index associated with less coronary plaque progression — relevant to arterial circulation health.

  37. 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

    High‑dose EPA/DHA in PAD patients increased omega‑3 index and pro‑resolving precursors—supports vascular/flow improvements biochemically.

  38. Quantitative Erythrocyte Omega-3 EPA Plus DHA Levels are Related to Higher Regional Cerebral Blood Flow on Brain SPECT

    PubMed ID: 28527220

    Cross‑sectional study: higher erythrocyte EPA+DHA modestly associated with greater regional brain perfusion on SPECT imaging.

  39. Aterofisiol(Âź) in carotid plaque evolution

    PubMed ID: 26229448

    Supplement reduced plaque lipid/cholesterol and perioperative neurologic events—implies improved vascular plaque stability and perioperative circulation.

  40. 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.

  41. Increasing long-chain n-3PUFA consumption improves small peripheral artery function in patients at intermediate-high cardiovascular risk

    PubMed ID: 24746829

    Dose‑related increase in small‑artery reactive hyperemia index indicates improved microvascular endothelial function.

  42. 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.

  43. 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.

  44. 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 n‑3 + vitamins—benefit for cardiac rhythm/circulatory outcomes (confounded).

  45. 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.

  46. 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 patients—improvements relevant to vascular/platelet function.

  47. DHA-rich fish oil reverses the detrimental effects of saturated fatty acids on postprandial vascular reactivity

    PubMed ID: 21831993

    Acute postprandial study: inclusion of DHA‑rich oil markedly improved flow‑mediated dilation (+2.06%), a direct and clinically meaningful vascular effect.

  48. 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 — strong circulation evidence.

Healthy aging (31)
  1. 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 women—biochemical/oxidative stress benefit relevant to aging.

  2. 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.

  3. 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 — supports aspects of healthy cognitive aging.

  4. Serum levels of interleukin-18 are reduced by diet and n-3 fatty acid intervention in elderly high-risk men

    PubMed ID: 19595382

    3‑year n‑3 intervention in older men reduced IL‑18 (~10%), a modest anti‑inflammatory change relevant to ageing/inflammaging.

  5. n-3 Fatty Acid Supplementation and Leukocyte Telomere Length in Patients with Chronic Kidney Disease

    PubMed ID: 27007392

    n‑3 in CKD reduced oxidative stress and increased neutrophil telomere length (corrected) — plausible marker of healthy cellular aging.

  6. 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.

  7. 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 at‑risk older adults, supporting a role in healthy cognitive aging in selected groups.

  8. 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 increase—relevant to healthy cognitive aging.

  9. 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 long‑term DHA supplementation suggests neuroprotective effects relevant to aging.

  10. 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.

  11. 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 high‑risk postmenopausal women raised n‑3 levels and improved triglycerides/HDL — favorable cardiometabolic signals for healthy aging.

  12. Telomere shortening in elderly individuals with mild cognitive impairment may be attenuated with ω-3 fatty acid supplementation: a randomized controlled pilot study

    PubMed ID: 24342530

    Omega‑3 (DHA/EPA) groups showed smaller telomere shortening in MCI elders—biomarker supporting slowed cellular aging.

  13. 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 women—supports aspects of healthy cardiovascular aging.

  14. Multimicronutrient and omega-3 fatty acid supplementation reduces low-grade inflammation in older participants: An exploratory study

    PubMed ID: 40644954

    In older adults, combined n‑3+micronutrients improved n‑3 status and modestly reduced an inflammation composite — relevant to healthy aging.

  15. 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 — markers relevant to healthy aging.

  16. ω-3 PUFA for Secondary Prevention of White Matter Lesions and Neuronal Integrity Breakdown in Older Adults: A Randomized Clinical Trial

    PubMed ID: 39088212

    Three‑year EPA+DHA reduced white‑matter microstructural decline in APOE4 carriers, suggesting a possible aging‑related brain preservation effect in a subgroup.

  17. 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 fish‑oil improved muscle mass, strength and mobility in older adults—clear functional healthy‑aging benefit.

  18. 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

    Post‑MI older adults with larger EPA increases had fewer major CV events (but higher AF risk) — mixed implications for healthy aging.

  19. 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

    6‑month multi‑ingredient supplement supplying 3 g EPA+DHA preserved grip strength and improved SPPB in older adults (functional aging outcome).

  20. ω-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 — relevant to aging brain health.

  21. 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 ω‑3/ω‑6+antioxidant supplementation.

  22. 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.

  23. 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 MCI—relevant to cognitive aspects of healthy aging.

  24. 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 healthy‑aging/disease‑modifying signal.

  25. 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.

  26. 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 months—supports neuroprotective aspects of healthy aging.

  27. 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

    DHA‑enriched fish oil altered PBMC telomerase and P16 (cell‑senescence biomarkers) in T2D patients, indicating potential aging‑related cellular effects.

  28. 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

    Omega‑3 + vitamin E increased SIRT1/PGC1α expression and total antioxidant capacity—molecular markers linked to mitochondrial function/healthy aging, though combined supplement confounds DHA-specific attribution.

  29. Brain atrophy in cognitively impaired elderly: the importance of long-chain ω-3 fatty acids and B vitamin status in a randomized controlled trial

    PubMed ID: 25877495

    Interaction showing omega‑3 status modifies B‑vitamin effect on brain atrophy (relevance to age‑related brain preservation).

  30. 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).

  31. 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 n‑3 increases in mild Alzheimer’s and correlations with AD biomarkers suggest relevance to neurodegenerative aging processes.

Mood balance (37)
  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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).

  6. Clinical Efficacy and Biological Regulations of ω-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 — relevant to mood regulation.

  7. 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 psychosis—evidence for mood/social domain benefits in a small RCT.

  8. The effect of 12-wk ω-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 — signal for mood‑related biology.

  9. 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.

  10. 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).

  11. 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.

  12. Omega-3 fatty acid supplementation in patients with recurrent self-harm. Single-centre double-blind randomised controlled trial

    PubMed ID: 17267927

    Omega‑3 improved depression, suicidality and perceived stress in recurrent self‑harm patients (RCT).

  13. A double-blind dose-finding pilot study of docosahexaenoic acid (DHA) for major depressive disorder

    PubMed ID: 18539007

    Small dose‑finding trial found antidepressant responses at lower DHA doses, suggesting possible mood benefit in some patients.

  14. 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 (double‑blind RCT with clinical effect).

  15. 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 well‑being.

  16. 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.

  17. 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.

  18. 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-α–induced depression in RCT—strong mood signal for EPA arm.

  19. 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).

  20. 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 omega‑3 supplementation.

  21. Reduced anxiety in forensic inpatients after a long-term intervention with Atlantic salmon

    PubMed ID: 25431880

    Regular salmon intake reduced state‑anxiety in forensic inpatients (mood benefit in dietary trial).

  22. 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 major‑depression patients EPA+DHA improved clinician‑rated global improvement (signal for mood benefit).

  23. 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 patients—observational association linking DHA status with mood treatment outcomes.

  24. 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 n‑3 PUFA in first‑episode schizophrenia improved overall and depressive symptoms (clinically meaningful mood effects).

  25. Omega-3 supplements reduce self-reported physical aggression in healthy adults

    PubMed ID: 29331711

    EPA+DHA modestly reduced self‑reported physical aggression in healthy adults (behavioral/mood effect).

  26. 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

    12‑week RCT in obese women with depression: omega‑3 modestly improved depressive symptoms versus placebo.

  27. 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.

  28. 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).

  29. 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 omega‑3 group.

  30. 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 oil—strong support for mood benefit.

  31. 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 fish‑oil RCT changed emotion‑related functional connectivity and connectivity changes correlated with symptom improvement (robust mechanistic/mood evidence).

  32. Emotion-Related Network Reorganization Following Fish Oil Supplementation in Depressed Bipolar Offspring: An fMRI Graph-Based Connectome Analysis

    PubMed ID: 34139404

    In depressed high‑risk youth, fish‑oil raised erythrocyte omega‑3, improved brain network efficiency and produced small additional clinical symptom benefit.

  33. 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).

  34. 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 double‑blind RCT in CVD+depression showed earlier fatigue relief and somatic symptom improvement correlated with rising EPA.

  35. 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

    High‑dose EPA (4 g/d) increased responder rates in adults with MDD and inflammation — direct antidepressant/mood signal.

  36. 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: high‑dose omega‑3 (~3.2 g/day) reduced clinician‑rated depressive symptoms versus placebo.

  37. 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

    52‑week EPA+DHA markedly reduced recurrence risk of depression in euthymic older adults (large HR effect), supporting mood‑stabilizing benefit.

Focus & concentration (33)
  1. 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).

  2. 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 fish‑spread intake—improvements consistent with better attention/focus.

  3. 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

    DHA‑rich fish oil in children increased RBC DHA and was associated with better school attendance (functional benefit).

  4. 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.

  5. 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).

  6. 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 + fish‑oil improved attention in older adults with low muscle mass.

  7. 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 9—supports focused cognitive processing links.

  8. 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

    Long‑term neuroimaging showed stronger attention network connectivity with early LCPUFA exposure.

  9. 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.

  10. Effect of supplementation with long-chain ω-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.

  11. Effects of long-chain PUFA supplementation in infant formula on cognitive function in later childhood

    PubMed ID: 23783296

    Infant LC‑PUFA supplementation produced faster processing speed at age 6, a domain related to sustained attention/focus.

  12. 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

    Dose‑dependent increases in erythrocyte DHA in boys accompanied by increased dorsolateral prefrontal activation during sustained attention and faster reaction times (fMRI + behavioral evidence).

  13. 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 adults—physiologic correlate compatible with improved focus despite little performance change.

  14. 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 parent‑rated ADHD behaviors and produced small reading gains in poorest readers, consistent with improved attention/behavior in subsets.

  15. 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.

  16. 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 markers—behavioral gains relevant to attention/focus.

  17. 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).

  18. 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 adults—consistent with improved processing speed/attention.

  19. 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).

  20. 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).

  21. 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 parent‑rated inattention in boys and increased cheek‑cell DHA (direct focus/attention benefit).

  22. 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 habituation—direct evidence for early attention/focus benefits.

  23. 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).

  24. 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.

  25. 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.

  26. 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 8–9‑year‑olds improved attention errors and reaction time—evidence for improved focus in children.

  27. 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

    EPA‑rich supplementation improved global accuracy and speed in cognitive testing of healthy young adults — supports attentional/processing benefits.

  28. 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

    Digit‑span (working memory) and arithmetic improved with folic acid + DHA in MCI subjects — supports attention/working memory (focus).

  29. Emotion-Related Network Reorganization Following Fish Oil Supplementation in Depressed Bipolar Offspring: An fMRI Graph-Based Connectome Analysis

    PubMed ID: 34139404

    Fish‑oil improved brain network efficiency in depressed youth, plausibly aiding cognitive processing and focus.

  30. 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 B‑vitamins over 2 years—suggests DHA status supports cognitive domains including attention/focus.

  31. 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.

  32. 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 — direct early‑life focus/attention signal.

  33. 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 scores—supports early executive/attentional development.

Blood pressure (26)
  1. 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, DHA‑rich supplements modestly reduced diastolic blood pressure when combined with resistance training.

  2. 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

    DHA‑enriched foods reduced 24‑h ambulatory diastolic blood pressure (~3.1 mmHg) and heart rate—direct BP benefit.

  3. 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 healthy‑adult trial.

  4. 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 ~4–5 mmHg lower SBP/DBP at 4–6 y in offspring who became overweight/obese.

  5. 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.

  6. The effects of long-chain omega-3 fish oils and multivitamins on cognitive and cardiovascular function: a randomized, controlled clinical trial

    PubMed ID: 25565485

    High‑dose fish oil arm showed significant decreases in aortic pulse pressure and augmentation pressure (central BP improvements).

  7. Interaction between a CSK gene variant and fish oil intake influences blood pressure in healthy adults

    PubMed ID: 24401815

    Large randomized trial found fish‑oil lowered BP in noncarriers of a specific CSK variant (gene × treatment interaction), indicating BP benefit in a genetic subgroup.

  8. 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

    DHA‑enriched oil lowered systolic blood pressure (~3.3%) in a controlled trial—direct BP effect.

  9. 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 (≈6.8 mmHg) and pulse pressure drop after 6 weeks of fish oil.

  10. Effects of fish oil supplementation on markers of the metabolic syndrome

    PubMed ID: 20472253

    Adolescents showed significant SBP (−3.8 mmHg) and DBP (−2.6 mmHg) reductions — clear BP benefit.

  11. 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).

  12. 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

    6‑month fish‑oil in metabolic syndrome lowered systolic blood pressure (P<0.05) alongside other cardiometabolic improvements.

  13. 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).

  14. Low-dose docosahexaenoic acid lowers diastolic blood pressure in middle-aged men and women

    PubMed ID: 17374663

    Low‑dose DHA produced a statistically significant −3.3 mm Hg reduction in diastolic blood pressure in middle‑aged adults.

  15. 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).

  16. 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 men—strong direct BP benefit.

  17. 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 months—clinically meaningful.

  18. 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.

  19. 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.

  20. 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.

  21. 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: high‑dose EPA+DHA produced modest but clinically meaningful systolic/diastolic BP reductions vs corn oil.

  22. Blood pressure, serum lipids, and fatty acids in populations on a lake-fish diet or on a vegetarian diet in Tanzania

    PubMed ID: 8729141

    Cross‑population comparison found markedly lower systolic BP (~15 mmHg lower) in the lake‑fish (higher DHA) group versus vegetarian community (observational association).

  23. Omega-3 polyunsaturated fatty acids-enriched hen eggs consumption enhances microvascular reactivity in young healthy individuals

    PubMed ID: 29633621

    Three omega‑3 enriched eggs/day lowered blood pressure in healthy young adults (study reported BP decrease).

  24. 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.

  25. 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 — direct BP benefit.

  26. 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 norepinephrine—direct antihypertensive signal.

Stress resilience (18)
  1. 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 weeks—evidence for stress/trauma resilience.

  2. 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

    Post‑trauma omega‑3 reduced heart‑rate reactivity during traumatic recall—strong physiological stress resilience signal.

  3. 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.

  4. The effect of docosahexaenoic acid on aggression in young adults. A placebo-controlled double-blind study

    PubMed ID: 8613538

    DHA supplementation prevented stress‑related increases in outward aggression in students under academic stress (direct stress‑resilience finding).

  5. 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.

  6. 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 self‑harm patients on omega‑3 (RCT).

  7. 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 n‑3, indicating reduced physiologic stress signaling.

  8. Preliminary evidence that acute long-chain omega-3 supplementation reduces cardiovascular reactivity to mental stress: a randomized and placebo controlled trial

    PubMed ID: 21967854

    Low‑dose EPA+DHA reduced MAP reactivity to mental stress in healthy volunteers (randomized, short trial) — direct evidence for physiologic stress resilience.

  9. 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-α–induced depression—supports resilience to treatment-related stressors.

  10. Association between fatty acid supplementation and prenatal stress in African Americans: a randomized controlled trial

    PubMed ID: 25415158

    Omega‑3 supplementation in a high‑stress, low‑income pregnant cohort modestly lowered perceived stress and baseline cortisol late in pregnancy.

  11. 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.

  12. 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.

  13. 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 fatty‑acid–cortisol relationships and poorer antidepressant response, implicating DHA status in HPA-axis/stress biology.

  14. 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 stress‑reactivity effect).

  15. DHA Supplementation During Pregnancy Enhances Maternal Vagally Mediated Cardiac Autonomic Control in Humans

    PubMed ID: 35953431

    Higher‑dose prenatal DHA increased vagal HRV measures (marker of autonomic regulation and stress resilience).

  16. 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 markers—physiologic evidence of improved stress response.

  17. Anti-stress effects of DHA

    PubMed ID: 11237197

    DHA supplementation blunted stress‑related hostility and reduced norepinephrine during exam stress—strong stress‑resilience signal.

  18. 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 high‑risk youth—suggests improved resilience to psychotic/stressful progression.

Liver support (19)
  1. Efficacy of poly-unsaturated fatty acid therapy on patients with nonalcoholic steatohepatitis

    PubMed ID: 26078579

    PUFA‑enriched diet in biopsy‑proven NASH improved liver enzymes, lipids and histology—substantial liver disease benefit (includes DHA).

  2. 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

    MRI‑based RCT in overweight children reported ~53% relative hepatic fat reduction with DHA—robust liver‑fat improvement.

  3. Four-week parenteral nutrition using a third generation lipid emulsion (SMOFlipid)--a double-blind, randomised, multicentre study in adults

    PubMed ID: 22796064

    Parenteral fish‑oil containing emulsion raised EPA/DHA and produced modest improvements in liver enzymes over 4 weeks.

  4. Docosahexaenoic acid for the treatment of fatty liver: randomised controlled trial in children

    PubMed ID: 23220074

    Up to 24‑month follow‑up showed sustained reductions in liver fat and improved triglycerides/ALT with long‑term DHA—strong liver benefit.

  5. 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.

  6. 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 oil—meaningful liver benefit.

  7. 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 MRI—strong liver/bilirubin outcome.

  8. 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 → direct hepatic metabolic benefit.

  9. 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

    Fish‑oil containing lipid emulsion reduced parenteral nutrition‑associated cholestasis in very premature infants (clinically meaningful liver benefit).

  10. 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

    High‑concentrate EPA+DHA substantially raised RBC ω‑3 and lowered triglycerides with liver‑fat improvements in high‑FLI NAFLD subgroup.

  11. 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.

  12. 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 (per‑% DHA effect significant).

  13. 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 fish‑oil emulsions with DHA markedly reduced cholestasis (large clinical benefit) and raised DHA—strong liver‑protection evidence in neonates.

  14. 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.

  15. 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 — strong, clinically meaningful effect.

  16. 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).

  17. 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

    3‑month methyl‑donor + n‑3 cocktail reduced FibroScan CAP and liver stiffness vs placebo in obese adults — pilot evidence for steatosis/stiffness improvement.

  18. Omega-3 polyunsaturated fatty acids in treating non-alcoholic steatohepatitis: A randomized, double-blind, placebo-controlled trial

    PubMed ID: 26047766

    Mixed ALA+marine ω‑3 supplementation in NASH patients improved triglycerides and increases in PUFA correlated with histologic improvement—direct liver relevance.

  19. Efficacy of docosahexaenoic acid-choline-vitamin E in paediatric NASH: a randomized controlled clinical trial

    PubMed ID: 28511023

    Multi‑nutrient intervention including DHA produced marked reductions in severe steatosis and ALT in pediatric NASH—positive but multicomponent.

Joint comfort (10)
  1. Lowering effects of fish oil supplementation on proinflammatory markers in hypertension: results from a randomized controlled trial

    PubMed ID: 32044905

    Reduced systemic inflammatory markers (TNF‑α, CRP), a plausible mechanism for improving joint pain/inflammation.

  2. 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.

  3. 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).

  4. 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

    Year‑long RCT in RA showed patients could markedly cut NSAID use without clinical deterioration, indicating meaningful joint/inflammatory benefit.

  5. Dietary omega-3 fatty acid supplementation and naproxen treatment in patients with rheumatoid arthritis

    PubMed ID: 1464864

    Omega‑3 supplementation (with naproxen) reduced morning stiffness and improved global assessments in RA, but concomitant NSAID use confounds effect attribution.

  6. 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.

  7. 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 double‑blind trial: omega‑3 (AvailOm) improved knee pain/function and muscle performance over 8 weeks, supporting joint symptom benefit.

  8. 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 6‑month RCT: krill oil (EPA+DHA) modestly but significantly improved knee pain (WOMAC) versus placebo.

  9. 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 hsCRP—plausible mechanism for joint symptom relief.

  10. Docosahexaenoic acid in the treatment of rheumatoid arthritis: A 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 anti‑inflammatory mediator shifts.

Energy & Fatigue (11)
  1. 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 — meaningful for energy/functional status.

  2. 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 −2.5 kg), which can translate into better energy/strength during treatment.

  3. 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

    n‑3 containing oral supplement during chemoradiotherapy improved physical activity and global/physical function scores, consistent with higher energy/functional capacity.

  4. Variable effects of 12 weeks of omega-3 supplementation on resting skeletal muscle metabolism

    PubMed ID: 25054452

    High‑dose EPA+DHA modestly increased resting metabolic rate and UCP3 (supporting small increases in energy expenditure).

  5. 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 omega‑3 increased plasma EPA and was associated with increased muscle activation and attenuated fatigue measures in male athletes—supports short-term performance/energy effects.

  6. 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 year—supports sustained energy/functional capacity.

  7. Re-esterified DHA improves ventilatory threshold 2 in competitive amateur cyclists

    PubMed ID: 33087145

    DHA supplementation improved submaximal cycling power at VT2 in trained cyclists—functional increase in exercise capacity/energetics.

  8. 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 — consistent with increased perceived/functional energy.

  9. 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

    Omega‑3 (2 g EPA + 1 g DHA) eased fatigue more quickly in CVD+depression patients (early effect).

  10. Effect of high doses of essential fatty acids on the postviral fatigue syndrome

    PubMed ID: 2270749

    Multi‑EFA (including DHA) trial in postviral fatigue showed large self‑reported improvements in energy/fatigue vs placebo.

  11. 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 mild–moderate AD patients, reflecting improved energy intake/status.

Sleep quality (7)
  1. 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).

  2. 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).

  3. Fatty acids and sleep in UK children: subjective and pilot objective sleep results from the DOLAB study--a randomized controlled trial

    PubMed ID: 24605819

    16‑week algal DHA (600 mg/d) in schoolchildren increased objective sleep time by ~58 minutes and reduced night wakings in actigraphy subgroup.

  4. Effect of Docosahexaenoic Acid and Eicosapentaenoic Acid Supplementation on Sleep Quality in Healthy Subjects: A Randomized, Double-Blinded, Placebo-Controlled Trial

    PubMed ID: 36235788

    12‑week DHA+EPA RCT in poor sleepers increased sleep efficiency and improved a dream‑related subjective factor with objective blood uptake (strong direct evidence).

  5. 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.

  6. Fish consumption, sleep, daily functioning, and heart rate variability

    PubMed ID: 24812543

    Regular fatty‑fish intake in winter preserved sleep measures and increased HRV in a randomized dietary study—clinically meaningful for sleep maintenance.

  7. 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 fish‑oil.

Bone health (3)
  1. 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 — suggests DHA contribution but confounded.

  2. 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

    One‑year randomized replacement with fortified milk (including fish oil) raised EPA/DHA and improved bone‑formation markers (osteocalcin +22%) — supportive of bone turnover benefits (multi‑ingredient).

  3. 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

    High‑dose EPA+DHA for 3 months in postmenopausal breast cancer survivors on aromatase inhibitors raised serum n‑3 and inhibited bone resorption in responders.

Skin hydration (1)
  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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