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Fish Oil

20 benefits mapped to clinical evidence across supplements.

Dose per serving from products

2,224 products in our catalogue print how much Fish Oil a serving holds.

Most common: 500 mg to 1 g, 41% of 2,224 products.

Dose per servingProducts
100 mg or less
35
100 mg to 250 mg
111
250 mg to 500 mg
183
500 mg to 1 g
918
1 g to 2.5 g
824
2.5 g to 5 g
143
over 5 g
10

Dose per serving from research

558 study groups in 420 studies say how much Fish Oil participants took a day.

These are the doses the studies gave. They are not a recommendation.

Most common: 2.5 g to 5 g, 33% of 558 study groups.

Daily doseStudy groups
500 mg or less
27
500 mg to 1 g
70
1 g to 2.5 g
130
2.5 g to 5 g
185
5 g to 10 g
106
10 g to 25 g
33
over 25 g
7

See every study group

Commonly used together

205 of 582 study groups took Fish Oil with something else. Shown: what 3 or more different studies gave. The 10 most common of 17.

What was given together, not what works together.

Taken withStudy groups
Omega-3 Fatty Acids
97
Docosahexaenoic Acid
88
Vitamin E
17
EPA
13
eicosapentaenoic acid (EPA)
12
Eicosapentaenoic Acid
10
Vitamin D
10
Probiotics
6
Vitamin C
6
Whey Protein
6

Benefit Evidence

Lipids↓ TG,LDL

Arrhythmia/Death↓ AF,MACE

475,393 people

TG↓

LDL↑

157,022 people

Liver inflammation ↓ / ALT

Systemic inflammation ↓ / CRP

60,646 people

DHA/omega-3 blood status

Preterm birth + growth

73,491 people

Vasodilation + blood flow

−39% AF recurrence

142,081 people

Immune boost, fewer infections

Immune suppression, fewer flares

95,130 people

Brain inflammation/stress ↓

Cognition/behavior ↑

27,661 people

Visual acuity + retinal function

ROP risk -16%

86,751 people

Less waist/fat

+1.9kg weight gain

Lower insulin/TG

43,858 people

Lower stress chemistry

Mood symptoms ↓

Aggression/hostility ↓

15,602 people

Liver enzymes ↓

Cholestasis/steatosis ↓

5,475 people

BP↓ ~3-7 mmHg

BP↓ with omega-3

5,722 people

Lung function + asthma

Eczema/allergy ↓

Leukotrienes ↓

18,197 people
Memory
Strong

ω-3 ↑, memory +

BDNF/cognition +

hippocampus atrophy ↓

7,037 people
Vitality
Strong

Mood swings, EPA/DHA +

Strength, function +

4,407 people

Joint pain/stiffness ↓

DAS28/NSAID ↓

3,224 people

Acne inflammation ↓

Wound healing ↑

2,903 people

Better sleep quality

+58 min sleep

Fewer sleep problems

1,440 people
Bone health
Moderate

Resorption ↓15%

BMD/BMC ↑

+10.3 g BMC

1,325 people

Hair density ↑, shedding ↓

Hair diameter ↑

120 people

Research sources

Heart health (337)
  1. Reduced effect on apoptosis of 4-hydroxyhexenal and oxidized LDL enriched with n-3 fatty acids from postmenopausal women

    PubMed ID: 15808325

    FO supplementation reduced apoptosis induced by oxidized LDL in vitro (potential cardioprotective mechanism).

  2. [State of the structure and functions of the arterial wall in patients with chronic heart failure against the background of permanent atrial fibrillation and assessment of vasoprotective effect of omega-3 polyunsaturated fatty acids]

    PubMed ID: 23548422

    In ischemic HF with AF, omega‑3 improved arterial stiffness/elasticity and reduced TIMP‑1 — direct vascular/cardiac relevance.

  3. The effects of [omega]3 fatty acids and coenzyme Q10 on blood pressure and heart rate in chronic kidney disease: a randomized controlled trial

    PubMed ID: 19705518

    Omega‑3 lowered ambulatory BP, heart rate and triglycerides in CKD patients — multiple cardiometabolic improvements relevant to heart health.

  4. Effect of marine oils supplementation on coagulation and cellular activation in whole blood

    PubMed ID: 8614301

    Marine oils improved HDL, lowered triglycerides in some groups and reduced prothrombotic/inflammatory markers (cardiometabolic benefits).

  5. The effects of long-term diet and omega-3 fatty acid supplementation on coagulation factor VII and serum phospholipids with special emphasis on the R353Q polymorphism of the FVII gene

    PubMed ID: 15175795

    Long‑chain n‑3 supplementation reduced triglycerides in older men in a large randomized trial—cardiometabolic relevance.

  6. Effect of chia seeds or concentrated fish oil on cardiometabolic risk markers in subjects with hypertriglyceridaemia: a parallel clinical trial

    PubMed ID: 39360590

    Fish oil substantially lowered plasma triglycerides in high‑TG patients—key heart‑risk factor improvement.

  7. 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

    OCT plaque imaging showed increased fibrous cap thickness (especially in thin caps) with EPA±DHA added to statin—plausible plaque‑stabilizing effect.

  8. Concomitant Use of Rosuvastatin and Eicosapentaenoic Acid Significantly Prevents Native Coronary Atherosclerotic Progression in Patients With In-Stent Neoatherosclerosis

    PubMed ID: 32759543

    EPA added to statin reduced plaque lipid content and macrophage inflammation (direct benefit to atherosclerotic disease).

  9. Effect of icosapent ethyl on progression of coronary atherosclerosis in patients with elevated triglycerides on statin therapy: final results of the EVAPORATE trial

    PubMed ID: 32860032

    Prescription EPA (icosapent ethyl) produced marked coronary plaque regression versus placebo (strong direct cardiovascular benefit).

  10. Efficacy and Safety of Omega-3 Fatty Acids in Patients Treated with Statins for Residual Hypertriglyceridemia: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

    PubMed ID: 31237134

    Similar RCT showing large TG and non‑HDL‑C reductions when 4 g/d ω‑3 added to atorvastatin—supports CV risk reduction potential.

  11. 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

    Large RCT in statin‑treated patients: adding 4 g/d ω‑3 substantially lowered TGs and non‑HDL‑C—cardiovascular risk factors improved.

  12. Effects of n-3 polyunsaturated fatty acids and of rosuvastatin on left ventricular function in chronic heart failure: a substudy of GISSI-HF trial

    PubMed ID: 20952767

    Large randomized substudy showed a small but statistically significant long‑term increase in LVEF with n‑3 PUFA in chronic HF.

  13. Omega-3 fatty acids plus rosuvastatin improves endothelial function in South Asians with dyslipidemia

    PubMed ID: 19337557

    Omega‑3 improved endothelial function and lipid profile when added to rosuvastatin — supports cardiovascular risk reduction.

  14. Vascular and metabolic effects of omega-3 fatty acids combined with fenofibrate in patients with hypertriglyceridemia

    PubMed ID: 27424313

    Omega‑3 + fenofibrate markedly lowered TG and improved vascular markers vs placebo—supports heart‑risk reduction.

  15. Significant differential effects of omega-3 fatty acids and fenofibrate in patients with hypertriglyceridemia

    PubMed ID: 22153696

    Omega‑3 lowered TGs and improved FMD in hypertriglyceridemic patients—favorable for cardiovascular risk profile.

  16. [Oxidation stress, insulin resistance and endothelial dysfunction during the treatment of hyperlipidaemia]

    PubMed ID: 17323614

    Adding n‑3 to statin improved endothelial function and reduced LDL oxidative markers over a year — cardioprotective signals.

  17. Maxepa versus bezafibrate in hyperlipidemic cardiac transplant recipients

    PubMed ID: 1466329

    In cardiac transplant patients fish oil produced a large (~36%) TG reduction — clinically relevant to cardiovascular risk.

  18. Inclusion of Atlantic salmon in the Chinese diet reduces cardiovascular disease risk markers in dyslipidemic adult men

    PubMed ID: 20797476

    Daily oily fish improved triglycerides, increased HDL and reduced IL‑6 in dyslipidemic men—favorable cardiovascular risk profile.

  19. 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

    Fish oil supplementation in ICD patients reduced ventricular tachyarrhythmic episodes—strong antiarrhythmic/heart benefit in this group.

  20. 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

    Prescription 4 g/day omega‑3 added to simvastatin further lowered non‑HDL and triglycerides—clinically relevant cardiac risk improvement.

  21. Safety and lipid-altering efficacy of a new omega-3 fatty acid and antioxidant-containing medical food in men and women with elevated triacylglycerols

    PubMed ID: 26076828

    Well‑powered RCT medical food containing 1.8 g/day EPA produced significant triglyceride lowering—a key heart‑risk factor improvement.

  22. Enriched enteral nutrition may improve short-term survival in stage IV gastric cancer patients: A randomized, controlled trial

    PubMed ID: 28336107

    Enriched enteral nutrition (including fish oil) after gastric cancer surgery was linked to fewer early deaths (especially in advanced patients), suggesting short‑term cardiac/overall survival benefit (multi‑nutrient).

  23. Myocardial protection during elective coronary artery bypasses grafting by pretreatment with omega-3 polyunsaturated fatty acids

    PubMed ID: 23789288

    Preoperative IV ω‑3 reduced postoperative myocardial injury markers (TnT, CK‑MB) and improved myocardial metabolic indices after CABG—clinically meaningful cardioprotection.

  24. N-3 polyunsaturated fatty acids early supplementation improves ultrasound indices of endothelial function, but not through NO inhibitors in patients with acute myocardial infarction: N-3 PUFA supplementation in acute myocardial infarction

    PubMed ID: 20705373

    n‑3 PUFA after MI improved endothelial function (FMD), which is favorable for cardiovascular outcomes (small, short trial).

  25. Randomized Trial for Evaluation in Secondary Prevention Efficacy of Combination Therapy-Statin and Eicosapentaenoic Acid (RESPECT-EPA)

    PubMed ID: 38873793

    Icosapent ethyl in statin‑treated coronary patients reduced coronary events (secondary benefit) though primary composite narrowly missed significance; cardio‑relevant trial.

  26. Administration of eicosapentaenoic acid may alter lipoprotein particle heterogeneity in statin-treated patients with stable coronary artery disease: A pilot 6-month randomized study

    PubMed ID: 32636128

    EPA added to statin therapy improved atherogenic lipoprotein particle distribution—favorable for heart disease risk profile.

  27. 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

    Improved ω‑3 index and lowered homocysteine in elderly are biomarkers consistent with reduced cardiovascular risk.

  28. 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 lowered triglycerides/ApoB/Lp(a) and improved endothelial NO — relevant cardiometabolic improvements.

  29. Effect of rosuvastatin and eicosapentaenoic acid on neoatherosclerosis: the LINK-IT Trial

    PubMed ID: 31334703

    EPA added to rosuvastatin significantly stabilized neoatherosclerotic plaques and lowered LDL‑C — clinically relevant cardiovascular benefit.

  30. Genetic profiling of fatty acid desaturase polymorphisms identifies patients who may benefit from high-dose omega-3 fatty acids in cardiac remodeling after acute myocardial infarction-Post-hoc analysis from the OMEGA-REMODEL randomized controlled trial

    PubMed ID: 31532795

    High‑dose ω‑3 after MI improved LV remodeling and reduced non‑infarct fibrosis, with genotype‑specific benefits — strong cardiovascular endpoint.

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

    PubMed ID: 27919362

    In severe hypertriglyceridemia, omega‑3 carboxylic acids lowered TGs, reduced apoCIII, and shifted LDL to less‑atherogenic subspecies (cardio‑protective mechanisms).

  32. Early initiation of eicosapentaenoic acid and statin treatment is associated with better clinical outcomes than statin alone in patients with acute coronary syndromes: 1-year outcomes of a randomized controlled study

    PubMed ID: 27865182

    High‑dose EPA started within 24h of PCI plus statin significantly reduced 1‑year CV events and CV death (strong clinical cardiac benefit).

  33. Eicosapentaenoic Acid combined with optimal statin therapy improves endothelial dysfunction in patients with coronary artery disease

    PubMed ID: 24158248

    EPA improved endothelial function and lowered triglycerides in CAD patients on statins—objective vascular and lipid benefits.

  34. Stabilizing effect of combined eicosapentaenoic acid and statin therapy on coronary thin-cap fibroatheroma

    PubMed ID: 24637411

    Addition of EPA to statin therapy produced plaque‑stabilizing OCT changes and lowered vascular inflammation markers—strong direct cardioprotective signal (imaging endpoints).

  35. 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(®) REVEAL Trial

    PubMed ID: 25185754

    High‑purity EPA greatly raised omega‑3 indices and substantially lowered TG in hypertriglyceridemic participants—strong metabolic CV risk improvement.

  36. Highly purified eicosapentaenoic acid may increase low-density lipoprotein particle size by improving triglyceride metabolism in patients with hypertriglyceridemia

    PubMed ID: 23811682

    Purified EPA increased LDL particle size and lowered TRLs—lipoprotein changes consistent with reduced atherogenic risk.

  37. Comparison of effects of serum n-3 to n-6 polyunsaturated fatty acid ratios on coronary atherosclerosis in patients treated with pitavastatin or pravastatin undergoing percutaneous coronary intervention

    PubMed ID: 23497779

    In pravastatin subgroup, DHA/AA increases correlated with less plaque progression—supportive imaging association.

  38. 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: OM3‑FFA markedly lowered TG and non‑HDL‑C—clear cardiovascular risk‑factor benefit.

  39. 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: adding ω‑3 FFAs to statin therapy produced dose‑responsive, clinically meaningful triglyceride and non‑HDL‑C reductions in high‑risk patients.

  40. Treatment with omega-3 fatty acid ethyl-ester alters fatty acid composition of lipoproteins in overweight or obese adults with insulin resistance

    PubMed ID: 24378016

    Lipoprotein remodeling (↑EPA/DPA/DHA, ↓AA) across HDL/LDL/VLDL in insulin‑resistant adults with exploratory BP links—favorable for heart health.

  41. 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

    In statin‑treated coronary patients, increased blood n‑3:n‑6 ratios were associated with less coronary plaque progression (associative imaging evidence).

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

    PubMed ID: 21701167

    Short‑term prescription ω‑3 reduced platelet activation biomarkers in stable CAD—reduces thrombotic risk factors relevant to heart health.

  43. Treatment of aspirin-resistant patients with omega-3 fatty acids versus aspirin dose escalation

    PubMed ID: 20117379

    Omega‑3 improved thromboxane suppression and aspirin responsiveness in coronary patients—directly relevant to coronary protection.

  44. Effects of polyunsaturated omega-3 fatty acids on responsiveness to dual antiplatelet therapy in patients undergoing percutaneous coronary intervention: the OMEGA-PCI (OMEGA-3 fatty acids after pci to modify responsiveness to dual antiplatelet therapy) study

    PubMed ID: 20394870

    Omega‑3 added to antiplatelet therapy improved platelet inhibition post‑PCI—cardiovascular benefit relevant to heart health.

  45. Effect of a dietary intervention and n-3 fatty acid supplementation on measures of serum lipid and insulin sensitivity in persons with HIV

    PubMed ID: 19846544

    High‑dose omega‑3 produced clinically meaningful triglyceride reductions, a recognized heart‑health risk factor.

  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 trial: reduced triglycerides and atherogenic markers in two ethnic groups.

  47. The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans

    PubMed ID: 12145002

    Increased arterial compliance and lowered triglycerides in dyslipidemic adults supporting cardiovascular benefit.

  48. Comparative effects of prolonged intake of highly purified fish oils as ethyl ester or triglyceride on lipids, haemostasis and platelet function in normolipaemic men

    PubMed ID: 8404785

    Reduced platelet activation and incorporation of EPA into plasma lipids—biomarkers relevant to thrombosis risk.

  49. Effects of two types of fish oil supplements on serum lipids and plasma phospholipid fatty acids in coronary artery disease

    PubMed ID: 2239719

    Long-term supplementation substantially reduced triglycerides and raised EPA, though LDL rose in some patients (mixed clinical implications).

  50. Influence of dietary fish on eicosanoid metabolism in man

    PubMed ID: 2123355

    Shift from thromboxane toward prostacyclin-type metabolites suggests anti-thrombotic, cardioprotective mechanisms.

  51. Fish-oil concentrate: effects on variables related to cardiovascular disease

    PubMed ID: 2375296

    High‑dose fish oil lowered fibrinogen and TGs (both relevant to cardiovascular risk).

  52. 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 ω‑3 reduced triglycerides/VLDL and inflammatory markers in obese adults—favorable heart‑health biomarkers.

  53. A Walnut-Enriched Diet for 2 Years Changes the Serum Oxylipin Profile in Healthy Older Persons

    PubMed ID: 38081585

    Two‑year walnut RCT shifted oxylipins toward n‑3‑derived species and away from pro‑inflammatory n‑6 species—mechanistic cardioprotective profile.

  54. 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 lowered triglycerides and reduced PBMC inflammatory cytokines in hypercholesterolaemic adults—relevant to cardiovascular risk reduction.

  55. 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

    Large short‑term dose study showed dose‑dependent plasma EPA/DHA incorporation and ≈15% triglyceride drop—strong cardiometabolic marker evidence.

  56. Dietary α-Linolenic Acid, Marine ω-3 Fatty Acids, and Mortality in a Population With High Fish Consumption: Findings From the PREvención con DIeta MEDiterránea (PREDIMED) Study

    PubMed ID: 26813890

    Large Mediterranean cohort: meeting ≥500 mg/day EPA+DHA associated with substantially lower fatal CVD and fatal CHD.

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

    PubMed ID: 25515553

    Fish oil lowered triglycerides and raised HDL in metabolic‑syndrome/early‑diabetes participants, improving cardiovascular risk profile.

  58. A dietary biomarker approach captures compliance and cardiometabolic effects of a healthy Nordic diet in individuals with metabolic syndrome

    PubMed ID: 25080537

    Nordic diet trial: increased EPA/DHA biomarkers and greater cardiometabolic improvements in compliant participants.

  59. 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

    Post‑MI randomized trial secondary analysis showed lower major adverse cardiovascular events with omega‑3s among statin non‑users (subgroup effect).

  60. Omega and heart rate variability in overweight and obese schoolchildren

    PubMed ID: 39972155

    Improvements in HRV and favorable lipid changes in children indicate favorable cardiac/autonomic effects.

  61. Differential cardiovascular impact of ω-3 fatty acid in patients at high cardiovascular risk in Asians versus non-Asians: Sub-analysis of the strength randomized clinical trial

    PubMed ID: 40451708

    Post‑hoc STRENGTH subgroup: ω‑3 carboxylic acid reduced MACE in Asian participants (exploratory subgroup finding).

  62. The impact of Omega-3 supplementation on arrhythmia reduction in acute coronary syndrome patients: a randomized clinical trial

    PubMed ID: 39788951

    Short 5‑day ω‑3 reduced incidence of AF, PACs and PVCs in ACS patients (small RCT, acute effect).

  63. Identification of individuals who benefit from omega-3 fatty acid supplementation to prevent coronary heart disease: a machine-learning analysis of the VITAL

    PubMed ID: 40569483

    VITAL reanalysis: 1 g/day omega‑3 produced a small overall CHD prevention benefit and larger absolute benefit in ML‑identified subgroups.

  64. Cardiovascular Outcomes With Icosapent Ethyl by Baseline Low-Density Lipoprotein Cholesterol: A Secondary Analysis of the REDUCE-IT Randomized Trial

    PubMed ID: 39968782

    REDUCE‑IT subgroup: 4 g/day icosapent ethyl produced large, robust reductions in major CV events in high‑risk statin‑treated patients.

  65. Effects of niacin and omega-3 fatty acids on HDL-apolipoprotein A-I exchange in subjects with metabolic syndrome

    PubMed ID: 38408107

    Prescription omega‑3 improved HDL functional metrics in MetS patients — favorable to cardiovascular risk profile.

  66. Effect of six month's treatment with omega-3 acid ethyl esters on long-term outcomes after acute myocardial infarction: The OMEGA-REMODEL randomized clinical trial

    PubMed ID: 38184150

    Post‑MI high‑dose omega‑3: no overall MACE reduction, but biological responders (O3I rises) had fewer events.

  67. The Role of Omega-3 Polyunsaturated Fatty Acids in Patients with Metabolic Syndrome and Endothelial Dysfunction

    PubMed ID: 39859026

    Pilot RCT improved endothelial function and decreased arterial stiffness and ApoB—supportive of cardiovascular benefit.

  68. Icosapent ethyl modulates circulating vascular regenerative cell content: The IPE-PREVENTION CardioLink-14 trial

    PubMed ID: 38552629

    Icosapent ethyl increased vascular‑regenerative cells and reduced oxidative stress in statin‑treated adults—mechanistic support for cardiovascular benefit.

  69. Lipoprotein(a) Blood Levels and Cardiovascular Risk Reduction With Icosapent Ethyl

    PubMed ID: 38530686

    Large REDUCE‑IT post‑hoc analysis showed EPA benefit across Lp(a) strata—consistent heart outcome evidence.

  70. Effects of icosapent ethyl according to baseline residual risk in patients with atherosclerotic cardiovascular disease: results from REDUCE-IT

    PubMed ID: 38678009

    Large RCT of prescription EPA (icosapent ethyl) showed robust, clinically meaningful reductions in major adverse cardiovascular events.

  71. Dietary n-3 polyunsaturated fatty acids alter the number, fatty acid profile and coagulatory activity of circulating and platelet-derived extracellular vesicles: a randomized, controlled crossover trial

    PubMed ID: 38484976

    Mechanistic trial showed reductions in procoagulant EVs, thrombin generation and triglycerides—favorable cardiovascular biology.

  72. Improvement in Glycolipid Metabolism Parameters After Supplementing Fish Oil-Derived Omega-3 Fatty Acids Is Associated with Gut Microbiota and Lipid Metabolites in Type 2 Diabetes Mellitus

    PubMed ID: 39519588

    In T2DM, fish‑oil improved lipids (TG down, HDL up) and glycemia—metabolic improvements translate to cardiovascular risk reduction potential.

  73. Icosapent ethyl following acute coronary syndrome: the REDUCE-IT trial

    PubMed ID: 38252107

    Icosapent ethyl added to statin soon after ACS produced very large reductions in recurrent ischemic events (robust post‑ACS RCT subgroup result).

  74. Cardiovascular Benefits of Icosapent Ethyl in Patients With and Without Atrial Fibrillation in REDUCE-IT

    PubMed ID: 36802845

    Classic REDUCE‑IT results: marked reductions in major adverse CV events with 4 g/day EPA, albeit with a small increase in AF hospitalizations (strong RCT evidence).

  75. Cost-Effectiveness of Icosapent Ethyl in REDUCE-IT USA: Results From Patients Randomized in the United States

    PubMed ID: 38156550

    REDUCE‑IT USA: 4 g/day icosapent ethyl on statin substantially reduced major CV events and total mortality (strong high‑quality evidence for cardiac benefit in high‑risk patients).

  76. Marine n-3 Fatty Acids and Prevention of Cardiovascular Disease: A Novel Analysis of the VITAL Trial Using Win Ratio and Hierarchical Composite Outcomes

    PubMed ID: 37836519

    Reanalysis of VITAL suggested benefit for MI/CHD events especially among low fish consumers (large dataset, hierarchical analysis yields signals).

  77. Potential effects of icosapent ethyl on cardiovascular outcomes in cigarette smokers: REDUCE-IT smoking

    PubMed ID: 35953437

    Prescription EPA (icosapent ethyl) on top of statin reduced CV events in current and former smokers (clinically meaningful subgroup benefit).

  78. Icosapent ethyl therapy for very high triglyceride levels: a 12-week, multi-center, placebo-controlled, randomized, double-blinded, phase III clinical trial in China

    PubMed ID: 37301827

    Phase III trial in Chinese adults with very high TG: 4 g/day EPA markedly lowered TG, VLDL‑C and non‑HDL‑C without raising LDL‑C—favorable for heart risk.

  79. Long-term safety and efficacy of MND-2119 (self-emulsifying formulation of highly purified eicosapentaenoic acid ethyl ester) in patients with hypertriglyceridemia: Results from a multicenter, 52-week, open-label study

    PubMed ID: 36202740

    Year‑long EPA ethyl ester decreased triglycerides in dose‑dependent fashion with sustained biomarker increases and acceptable safety.

  80. Prevention of Cardiovascular Events and Mortality With Icosapent Ethyl in Patients With Prior Myocardial Infarction

    PubMed ID: 35483753

    REDUCE‑IT post‑MI subgroup: significant reductions in major ischemic events, MI and cardiovascular mortality with icosapent ethyl.

  81. Treatment With Icosapent Ethyl to Reduce Ischemic Events in Patients With Prior Percutaneous Coronary Intervention: Insights From REDUCE-IT PCI

    PubMed ID: 35261279

    REDUCE‑IT subgroup with prior PCI showed large reductions in first and total ischemic events with prescription EPA—strong, clinically meaningful heart‑health evidence.

  82. Impact of Icosapent Ethyl on Cardiovascular Risk Reduction in Patients With Heart Failure in REDUCE-IT

    PubMed ID: 35377160

    REDUCE‑IT subgroup analyses showed icosapent ethyl reduced triglycerides, hs‑CRP and had a directionally consistent reduction in ischemic events among HF patients.

  83. Diabetes Mellitus, Race, and Effects of Omega-3 Fatty Acids on Incidence of Heart Failure Hospitalization

    PubMed ID: 35361440

    VITAL ancillary analysis found 1 g/day marine omega‑3 reduced first and recurrent heart‑failure hospitalizations in participants with type 2 diabetes (~31% and ~47% reductions respectively).

  84. Efficacy and safety of self-emulsifying formulation of highly purified eicosapentaenoic acid ethyl ester (MND-2119) versus highly purified eicosapentaenoic acid ethyl ester in patients with hypertriglyceridemia: Results from a 12-week randomized, double-blind, active-controlled, phase 3 study

    PubMed ID: 35871058

    Phase‑3 EPA formulation produced clinically meaningful triglyceride lowering in hypertriglyceridemia, a recognized cardiovascular risk factor.

  85. [Influence of Omega-3 PUFA on Non-invasive factors determining the risk of arrhYthmias eXcess and sudden cardiac death in patients with HFpEF with ischemic etiology (ONYX)]

    PubMed ID: 33228511

    Ischemic heart‑failure RCT showed dose‑dependent improvements in heart rate, ventricular ectopy, and LVEF—strong cardiovascular benefit.

  86. Long Chain Omega-3 Polyunsaturated Fatty Acids Improve Vascular Stiffness in Abdominal Aortic Aneurysm: A Randomized Controlled Trial

    PubMed ID: 33396567

    Reduced arterial stiffness and lower resting HR in AAA patients are positive vascular/heart‑health signals.

  87. Reduction in Revascularization With Icosapent Ethyl: Insights From REDUCE-IT Revascularization Analyses

    PubMed ID: 33148016

    Icosapent ethyl (EPA) produced large, robust reductions in coronary revascularisation endpoints — very strong CV outcome evidence.

  88. Vitamin D, Marine n-3 Fatty Acids, and Primary Prevention of Cardiovascular Disease Current Evidence

    PubMed ID: 31895658

    VITAL: large primary‑prevention RCT showing significant MI reduction (secondary endpoint) with 1 g/day ω‑3 — high‑quality cardiovascular evidence.

  89. Omega-3 fatty acids reduce post-operative risk of deep vein thrombosis and pulmonary embolism after surgery for elderly patients with proximal femoral fractures: a randomized placebo-controlled, double-blind clinical trial

    PubMed ID: 32440816

    Post‑operative omega‑3 reduced PE/DVT rates after hip fracture — important cardiovascular/vascular event reduction.

  90. Supplementation With Vitamin D and Omega-3 Fatty Acids and Incidence of Heart Failure Hospitalization: VITAL-Heart Failure

    PubMed ID: 31709816

    Large trial found no reduction in first HF hospitalization but a ~14% reduction in recurrent HF admissions — some clinically relevant heart‑failure benefit signal.

  91. Insulin Resistance Modifies the Effects of Omega-3 Acid Ethyl Esters on Left Ventricular Remodeling After Acute Myocardial Infarction (from the OMEGA-REMODEL Randomized Clinical Trial)

    PubMed ID: 31948661

    4 g/day omega‑3 after MI reduced adverse remodeling, fibrosis and inflammation in insulin‑sensitive patients — significant cardiac benefit in a prespecified subgroup.

  92. Icosapent ethyl reduces atherogenic markers in high-risk statin-treated patients with stage 3 chronic kidney disease and high triglycerides

    PubMed ID: 31306043

    Icosapent ethyl reduced triglycerides and inflammatory/oxidative markers in CKD patients — supports cardiovascular risk marker improvement.

  93. Omega-3 fatty acid ethyl esters improve low-density lipoprotein subclasses without increasing low-density lipoprotein-cholesterol levels: A phase 4, randomized study

    PubMed ID: 31809985

    Add‑on omega‑3 ethyl esters improved LDL particle size and lowered atherogenic lipids in statin‑treated dyslipidemia — beneficial heart‑disease biomarkers.

  94. [Effects of ω-3 polyunsaturated fatty acids from different sources on glucolipid metabolism in type 2 diabetic patients with dyslipidemia]

    PubMed ID: 31177752

    In T2D with dyslipidemia, fish oil lowered triglycerides and raised HDL (favorable cardiac risk profile).

  95. Effects of Icosapent Ethyl on Total Ischemic Events: From REDUCE-IT

    PubMed ID: 30898607

    REDUCE‑IT total ischemic events analysis showed ~30% reduction in total ischemic events with high‑dose EPA (strong cardiovascular benefit).

  96. REDUCE-IT USA: Results From the 3146 Patients Randomized in the United States

    PubMed ID: 31707829

    Icosapent ethyl 4 g/day markedly reduced first major CV events and all‑cause mortality in statin‑treated patients (robust heart benefit).

  97. Benefits of Fasting Abbreviation with Carbohydrates and Omega-3 Infusion During CABG: a Double-Blind Controlled Randomized Trial

    PubMed ID: 30916121

    Perioperative ω‑3 infusion in CABG substantially reduced postoperative atrial fibrillation and improved inflammatory markers—clinically meaningful cardiac benefit.

  98. Cardiovascular Benefits of Fish-Oil Supplementation Against Fine Particulate Air Pollution in China

    PubMed ID: 31023432

    Reduced adverse cardiometabolic biomarker responses to PM2.5 exposure in randomized setting, suggesting cardiovascular protection.

  99. Supplementation with saury oil, a fish oil high in omega-11 monounsaturated fatty acids, improves plasma lipids in healthy subjects

    PubMed ID: 31784345

    Saury‑derived fish oil modestly improved triglycerides and HDL measures in healthy adults (small RCT).

  100. Relationship between long-chain omega-3 polyunsaturated fatty acid intake and ankle brachial index, pulse wave velocity and resting heart rate in a sample of overweight adults: A secondary analysis of baseline data in the HealthTrack study

    PubMed ID: 30311348

    Observational link between higher long‑chain omega‑3 intake and lower resting heart rate (cardiovascular benefit signal).

  101. Effects of omega-3 polyunsaturated fatty acids on fibrosis, endothelial function and myocardial performance, in ischemic heart failure patients

    PubMed ID: 29752009

    Ischemic HF crossover RCT showed consistent improvements in LVEF, GLS, diastolic indices, FMD and reductions in hsCRP.

  102. Lipid Effects of Icosapent Ethyl in Women with Diabetes Mellitus and Persistent High Triglycerides on Statin Treatment: ANCHOR Trial Subanalysis

    PubMed ID: 29583081

    High‑dose EPA (icosapent ethyl) markedly lowered triglycerides and atherogenic lipoproteins in diabetic women on statins — favorable cardiac risk profile.

  103. Effects of marine n-3 fatty acid supplementation in renal transplantation: A randomized controlled trial

    PubMed ID: 30125457

    Renal transplant trial improved endothelial function and lowered TG/hs‑CRP—favorable vascular effects.

  104. Statin dose reduction with complementary diet therapy: A pilot study of personalized medicine

    PubMed ID: 29503145

    Nutraceutical combo including fish oil reduced LDL and hs‑CRP substantially in statin‑treated diabetics (CV risk markers improved).

  105. Dose-dependent effects of fish oil on cardio-metabolic biomarkers in healthy middle-aged and elderly Chinese people: a double-blind randomized controlled trial

    PubMed ID: 29781483

    Dose‑dependent TG lowering and EPA/DHA increases are favorable for cardiometabolic risk (biomarker improvements).

  106. Marine n-3 Fatty Acids and Prevention of Cardiovascular Disease and Cancer

    PubMed ID: 30415637

    Large primary‑prevention trial (1 g/day) did not reduce the primary composite but lowered myocardial infarction — mixed but relevant cardiovascular outcomes.

  107. Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia

    PubMed ID: 30415628

    Large RCT (4 g/day icosapent ethyl) produced a robust, clinically significant reduction in ischemic cardiovascular events.

  108. Beneficial Effects of n-3 Fatty Acids on Cardiometabolic and Inflammatory Markers in Type 2 Diabetes Mellitus: A Clinical Trial

    PubMed ID: 29017158

    Improved atherogenic index in T2DM after high‑dose n‑3 — beneficial cardiometabolic marker change.

  109. Effect of Omega-3 Polyunsaturated Fatty Acids Supplementation on Body Composition and Circulating Levels of Follistatin-Like 1 in Males With Coronary Artery Disease: A Randomized Double-Blind Clinical Trial

    PubMed ID: 28826313

    ω‑3 raised cardioprotective follistatin‑like 1 and lowered LDL/hs‑CRP in CAD patients — supportive heart‑health biomarker changes.

  110. Omega-3 carboxylic acids in patients with severe hypertriglyceridemia: EVOLVE II, a randomized, placebo-controlled trial

    PubMed ID: 29289538

    Well-powered RCT in very high TG patients showed significant triglyceride and non-HDL cholesterol reductions—strong CV risk factor improvement.

  111. Targeted medical nutrition for cachexia in chronic obstructive pulmonary disease: a randomized, controlled trial

    PubMed ID: 28891198

    Multi‑nutrient drink containing ω‑3 improved some lipids and reduced BP and exercise fatigue in COPD patients — cardiovascular risk improvements (product not ω‑3 alone).

  112. Preoperative carbohydrate load and intraoperatively infused omega-3 polyunsaturated fatty acids positively impact nosocomial morbidity after coronary artery bypass grafting: a double-blind controlled randomized trial

    PubMed ID: 28427403

    Intraoperative ω‑3 infusion markedly reduced postoperative atrial fibrillation incidence in CABG patients — strong perioperative cardiac benefit.

  113. Comparison of the effect of omega-3 supplements and fresh fish on lipid profile: a randomized, open-labeled trial

    PubMed ID: 29259181

    Eating farmed trout twice weekly improved triglycerides, total cholesterol and LDL/HDL far more than omega‑3 capsules — strong heart‑risk factor benefit from whole fish.

  114. A randomized controlled trial of eicosapentaenoic acid in patients with coronary heart disease on statins

    PubMed ID: 28863874

    Adding EPA to intensive statin therapy produced plaque regression and reduced plaque lipid content — direct atherosclerotic heart‑health benefit.

  115. High-quality fish oil has a more favourable effect than oxidised fish oil on intermediate-density lipoprotein and LDL subclasses: a randomised controlled trial

    PubMed ID: 28558855

    High‑quality (non‑oxidized) fish oil improved atherogenic IDL/LDL subclasses — biomarker improvement relevant to heart disease risk.

  116. Fish oil supplementation for primary prevention of atrial fibrillation after coronary artery bypass graft surgery: A randomized clinical trial

    PubMed ID: 28419884

    Preoperative fish oil reduced AF duration and shortened ICU/hospital stay with a borderline reduction in AF incidence — perioperative cardiac benefit.

  117. Effects of MAT9001 containing eicosapentaenoic acid and docosapentaenoic acid, compared to eicosapentaenoic acid ethyl esters, on triglycerides, lipoprotein cholesterol, and related variables

    PubMed ID: 28391875

    EPA+DPA concentrate produced large triglyceride, VLDL‑C and ApoC3 reductions vs EPA‑EE—strong atherogenic lipid improvements relevant to heart health.

  118. Usefulness of Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester) in Women to Lower Triglyceride Levels (Results from the MARINE and ANCHOR Trials)

    PubMed ID: 27939227

    Icosapent ethyl 4 g/day produced clinically meaningful TG reductions (~21–23%) in women—established CV risk marker improvement.

  119. Effect of Omega-3 Acid Ethyl Esters on Left Ventricular Remodeling After Acute Myocardial Infarction: The OMEGA-REMODEL Randomized Clinical Trial

    PubMed ID: 27482002

    Post‑MI randomized trial: high‑dose fish‑oil reduced adverse LV remodeling and non‑infarct myocardial fibrosis—strong cardiac structural/clinical relevance.

  120. Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on remnant-like particle cholesterol from the MARINE and ANCHOR studies

    PubMed ID: 27596132

    High‑dose EPA reduced remnant cholesterol (atherogenic fraction) in patients with elevated TG—important cardiometabolic risk modification.

  121. Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on plasma apolipoprotein C-III levels in patients from the MARINE and ANCHOR studies

    PubMed ID: 27206952

    Icosapent ethyl (4 g/day) substantially lowered ApoC‑III, a pro‑atherogenic apolipoprotein—favorable lipid mechanism for heart health.

  122. Short term omega-3 polyunsaturated fatty acid supplementation induces favorable changes in right ventricle function and diastolic filling pressure in patients with chronic heart failure; A randomized clinical trial

    PubMed ID: 26807502

    Chronic systolic heart‑failure RCT: omega‑3 lowered BNP by ~35% and improved chamber metrics—meaningful heart‑failure biomarker and structural benefits.

  123. Red blood cell oleic acid levels reflect olive oil intake while omega-3 levels reflect fish intake and the use of omega-3 acid ethyl esters: The Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico-Heart Failure trial

    PubMed ID: 27632919

    Prescription omega‑3 increased RBC omega‑3 index in HF patients—biomarker change associated with cardiovascular risk modulation.

  124. Blood pressure-lowering effects of long chain n-3 fatty acids from meals enriched with liquid fish oil and from microencapsulated powder

    PubMed ID: 27457968

    Systolic BP reduction (~7 mmHg) with fish oil supports cardiovascular risk reduction plausibly beneficial for heart health.

  125. Effects of the Addition of Eicosapentaenoic Acid to Strong Statin Therapy on Inflammatory Cytokines and Coronary Plaque Components Assessed by Integrated Backscatter Intravascular Ultrasound

    PubMed ID: 26667367

    EPA added to potent statin therapy reduced coronary plaque lipid, increased fibrous tissue and lowered local inflammatory cytokines — strong cardiovascular plaque‑stabilizing evidence.

  126. Effects of administration of omega-3 fatty acids with or without vitamin E supplementation on adiponectin gene expression in PBMCs and serum adiponectin and adipocyte fatty acid-binding protein levels in male patients with CAD

    PubMed ID: 25880054

    In CAD patients ω‑3 increased protective adiponectin and reduced pro‑inflammatory adipokine (A‑FABP) — favorable cardiometabolic signals.

  127. Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester): Effects Upon High-Sensitivity C-Reactive Protein and Lipid Parameters in Patients With Metabolic Syndrome

    PubMed ID: 25893544

    Icosapent ethyl lowered hsCRP and improved triglyceride and non‑HDL-C in metabolic-syndrome patients — supports cardiovascular risk factor improvement.

  128. Icosabutate for the treatment of very high triglycerides: A placebo-controlled, randomized, double-blind, 12-week clinical trial

    PubMed ID: 26892135

    Icosabutate (omega‑3 derivative) produced large triglyceride and remnant cholesterol reductions—strong lipid‑mediated support for cardiovascular risk reduction.

  129. Short-Term, High-Dose Fish Oil Supplementation Increases the Production of Omega-3 Fatty Acid-Derived Mediators in Patients With Peripheral Artery Disease (the OMEGA-PAD I Trial)

    PubMed ID: 26296857

    Biochemical changes (omega‑3 index, triglyceride lowering, increased pro‑resolving mediators) support cardiovascular benefits though primary clinical endpoint (FMD) was not clearly improved.

  130. Effect of vitamin B-12 and n-3 polyunsaturated fatty acids on plasma homocysteine, ferritin, C-reaction protein, and other cardiovascular risk factors: a randomized controlled trial

    PubMed ID: 26420180

    Fish oil lowered triglycerides and CRP and reduced homocysteine (especially with B12), all favorable cardiovascular risk markers.

  131. Omega-3 polyunsaturated Fatty acids reduce the incidence of postoperative atrial fibrillation in patients with history of prior myocardial infarction undergoing isolated coronary artery bypass grafting

    PubMed ID: 24756483

    Pre-op omega‑3 (2 g/day) significantly reduced postoperative AF and ICU stay—strong perioperative cardiac benefit.

  132. Omega-3 fatty acid therapy dose-dependently and significantly decreased triglycerides and improved flow-mediated dilation, however, did not significantly improve insulin sensitivity in patients with hypertriglyceridemia

    PubMed ID: 25147070

    Dose-dependent triglyceride lowering and improved endothelial function support cardiovascular risk reduction.

  133. Early eicosapentaenoic acid treatment after percutaneous coronary intervention reduces acute inflammatory responses and ventricular arrhythmias in patients with acute myocardial infarction: a randomized, controlled study

    PubMed ID: 25305703

    Duplicate entry reiterating strong peri-PCI outcome reductions (same rationale).

  134. Alimentary habits, physical activity, and Framingham global risk score in metabolic syndrome

    PubMed ID: 24652053

    Lifestyle interventions including omega-3 reduced 10-year cardiovascular risk scores and vascular age (multifactorial study).

  135. Effects of icosapent ethyl on lipoprotein particle concentration and size in statin-treated patients with persistent high triglycerides (the ANCHOR Study)

    PubMed ID: 26073397

    Icosapent ethyl (4 g/day) robustly reduced atherogenic VLDL and small LDL particle concentrations and increased LDL size — favorable atherogenic lipid changes relevant to heart disease risk.

  136. A double-blind randomized trial of fish oil to lower triglycerides and improve cardiometabolic risk in adolescents

    PubMed ID: 25008950

    High-dose fish oil in adolescents lowered triglycerides and atherogenic VLDL particles, improving lipid-related heart risk.

  137. Fish-oil supplementation alters numbers of circulating endothelial progenitor cells and microparticles independently of eNOS genotype

    PubMed ID: 25332321

    Fish oil increased EPCs and reduced EMPs—mechanistic vascular benefits relevant to heart health.

  138. Omega-3 polyunsaturated fatty acids increase plasma adiponectin to leptin ratio in stable coronary artery disease

    PubMed ID: 23584593

    In CAD patients, omega-3 improved adipokine balance (↑adiponectin, ↓leptin), a favorable cardiometabolic change.

  139. Icosapent ethyl, a pure ethyl ester of eicosapentaenoic acid: effects on circulating markers of inflammation from the MARINE and ANCHOR studies

    PubMed ID: 23325450

    High‑purity EPA improved inflammatory/oxidative biomarkers linked to atherothrombotic risk in hypertriglyceridemic patients.

  140. Polyunsaturated omega-3 fatty acids reduce lipoprotein-associated phospholipase A(2) in patients with stable angina

    PubMed ID: 24555913

    Omega‑3 reduced Lp‑PLA2 and oxLDL after PCI—markers associated with vascular risk.

  141. Effects of icosapent ethyl on lipid and inflammatory parameters in patients with diabetes mellitus-2, residual elevated triglycerides (200-500 mg/dL), and on statin therapy at LDL-C goal: the ANCHOR study

    PubMed ID: 23835245

    High‑purity EPA (4 g/day) in statin‑treated diabetics produced robust triglyceride and inflammatory marker improvements—relevant to CV risk.

  142. Untitled

    PubMed ID: 23237436

    Post-MI men given 1 g/day omega-3 for 6 months had reductions in ventricular ectopy and improvements in electrical markers associated with sudden-death risk.

  143. Untitled

    PubMed ID: 23107655

    Heart-failure patients experienced modest short-term improvements in HRV and autonomic indices with 1 g/day omega-3.

  144. Untitled

    PubMed ID: 22894624

    High-purity EPA drug produced large triglyceride reductions (~33% at 4 g/day) without raising LDL‑C, a favorable cardiovascular risk profile.

  145. Untitled

    PubMed ID: 22839709

    Ischemic heart disease patients on 1 g/day omega‑3 had reduced ventricular ectopy and improved autonomic markers over 6 months.

  146. Icosapent ethyl, a pure EPA omega-3 fatty acid: effects on lipoprotein particle concentration and size in patients with very high triglyceride levels (the MARINE study)

    PubMed ID: 23312052

    Pure EPA reduced large VLDL and LDL particle concentrations and VLDL size in very‑high‑TG patients—favorable atherogenic profile changes.

  147. Efficacy and safety of eicosapentaenoic acid ethyl ester (AMR101) therapy in statin-treated patients with persistent high triglycerides (from the ANCHOR study)

    PubMed ID: 22819432

    High‑purity EPA produced favorable lipid and hsCRP changes in statin‑treated patients—mechanistically supportive for cardiovascular risk reduction.

  148. Ageing improves the antioxidant response against postoperative atrial fibrillation: a randomized controlled trial

    PubMed ID: 22561296

    Combined omega‑3 + vitamins reduced post‑operative AF in older cardiac surgery patients (combination confounds attribution to fish oil alone).

  149. Untitled

    PubMed ID: 22351892

    Infant dietary n‑3 prevented birth‑weight‑related thickening of carotid IMT at age 8 (vascular risk marker in childhood).

  150. N-3 polyunsaturated fatty acids reduces post-operative atrial fibrillation incidence in patients undergoing "on-pump" coronary artery bypass graft surgery

    PubMed ID: 22128614

    Perioperative n‑3 PUFA reduced post‑op atrial fibrillation incidence substantially (particularly on‑pump CABG) — clinically relevant cardiac benefit.

  151. A low-fat high-carbohydrate diet supplemented with long-chain n-3 PUFA reduces the risk of the metabolic syndrome

    PubMed ID: 21839455

    Dietary RCT including n-3 reduced MetS prevalence and some risk factors relevant to CVD risk.

  152. n-3 polyunsaturated fatty acids in the prevention of atrial fibrillation recurrences after electrical cardioversion: a prospective, randomized study

    PubMed ID: 21844082

    Randomized trial showed 2 g/day fish oil significantly reduced atrial fibrillation recurrence—clinically meaningful cardiac benefit.

  153. Reduced thrombin formation and altered fibrin clot properties induced by polyunsaturated omega-3 fatty acids on top of dual antiplatelet therapy in patients undergoing percutaneous coronary intervention (OMEGA-PCI clot)

    PubMed ID: 21617138

    Improved clot permeability, shorter lysis time, and reduced thrombin generation after PCI indicate meaningful antithrombotic mechanisms relevant to cardiac outcomes.

  154. Dose-dependent effects of omega-3-polyunsaturated fatty acids on systolic left ventricular function, endothelial function, and markers of inflammation in chronic heart failure of nonischemic origin: a double-blind, placebo-controlled, 3-arm study

    PubMed ID: 21570522

    Dose‑dependent improvements in LVEF and FMD in severe CHF provide strong cardiac benefit signal.

  155. Effects of n-3 polyunsaturated fatty acids on left ventricular function and functional capacity in patients with dilated cardiomyopathy

    PubMed ID: 21215550

    Large randomized trial in nonischemic dilated cardiomyopathy showed marked LVEF improvements, exercise capacity gains and major reduction in HF hospitalizations.

  156. Effects of chronic omega-3 polyunsaturated fatty acid supplementation on human atrial mechanical function after reversion of atrial arrhythmias to sinus rhythm: reversal of tachycardia-mediated atrial cardiomyopathy with fish oils

    PubMed ID: 21232631

    Chronic high‑dose fish oil preserved left atrial mechanical function and dramatically lowered atrial stunning incidence — important cardiac functional benefit.

  157. Effects of chronic omega-3 polyunsaturated fatty acid supplementation on human pulmonary vein and left atrial electrophysiology in paroxysmal atrial fibrillation

    PubMed ID: 21624541

    High‑dose fish oil in paroxysmal AF patients prolonged atrial refractory periods and greatly reduced AF inducibility—strong electrophysiologic heart benefit.

  158. [Antiarrhythmic activity of omega-3 polyunsaturated fatty acids in patients with stable ischemic heart disease and ventricular rhythm disturbances]

    PubMed ID: 21591384

    Concentrated omega‑3 associated with marked reductions in ventricular extrasystoles and paroxysms in ischemic heart disease patients (arrhythmia benefit).

  159. Baseline lipoprotein lipids and low-density lipoprotein cholesterol response to prescription omega-3 acid ethyl ester added to Simvastatin therapy

    PubMed ID: 20451686

    Prescription omega‑3 added to statin reduced non‑HDL (net atherogenic cholesterol) despite raising LDL in low‑LDL subgroup.

  160. Preventive effects of eicosapentaenoic acid on coronary artery disease in patients with peripheral artery disease

    PubMed ID: 20484828

    EPA markedly reduced major coronary events in patients with peripheral artery disease (large clinical reduction in MCE).

  161. The metabolic effects of omega-3 plant sterol esters in mixed hyperlipidemic subjects

    PubMed ID: 20617456

    Omega‑3 plant sterol esters produced a substantial triglyceride reduction and modest hsCRP decrease — favorable for CV risk.

  162. n-3 LC-PUFA-enriched dairy products are able to reduce cardiovascular risk factors: a double-blind, cross-over study

    PubMed ID: 20304540

    n‑3 enriched dairy (3 g/day LC‑PUFA) reduced triglycerides and improved cholesterol ratios — favorable CV risk profile changes.

  163. Effect of omega-3 fatty acids on heart rate variability in depressed patients with coronary heart disease

    PubMed ID: 20716712

    Omega‑3 prevented worsening of HRV and modestly lowered heart rate in depressed CHD patients — clinically relevant autonomic/cardio effects.

  164. Effects of atorvastatin and n-3 fatty acid supplementation on VLDL apolipoprotein C-III kinetics in men with abdominal obesity

    PubMed ID: 20181806

    Fish oil lowered triglycerides in obese men — beneficial cardiac‑risk lipid effect.

  165. Effects of omega-3 polyunsaturated fatty-acid supplementation on redox status in chronic renal failure patients with dyslipidemia

    PubMed ID: 20303788

    In dyslipidemic CRF patients 2.1 g/day fish oil produced large (~43–48%) triglyceride reductions and improved oxidative‑stress markers—strong cardiometabolic benefit.

  166. Effects of chronic omega-3 polyunsaturated fatty acid supplementation on human atrial electrophysiology

    PubMed ID: 21147262

    Physiologic trial showed increased atrial refractory periods and reduced inducible AF with chronic fish oil — important cardiac benefit.

  167. Highly purified eicosapentaenoic acid reduces cardio-ankle vascular index in association with decreased serum amyloid A-LDL in metabolic syndrome

    PubMed ID: 19763135

    EPA improved arterial stiffness and cardiometabolic markers in metabolic syndrome, supporting vascular/cardio benefits.

  168. Suppressive effect of EPA on the incidence of coronary events in hypercholesterolemia with impaired glucose metabolism: Sub-analysis of the Japan EPA Lipid Intervention Study (JELIS)

    PubMed ID: 19447387

    JELIS subanalysis: EPA supplementation substantially reduced coronary events in patients with impaired glucose metabolism.

  169. Effects of n-3 polyunsaturated fatty acid therapy on plasma inflammatory markers and N-terminal pro-brain natriuretic peptide in elderly patients with chronic heart failure

    PubMed ID: 20146881

    Elderly CHF patients had reductions in inflammatory markers and NT‑proBNP with 2 g/day n‑3 — relevant to HF risk/management.

  170. The effect of the plasma n-3/n-6 polyunsaturated fatty acid ratio on the dietary LDL phenotype transformation - insights from the LIPGENE study

    PubMed ID: 19481310

    Dietary n-3 shifted LDL phenotype from dense/pro-atherogenic B to less atherogenic A in metabolic syndrome patients—a mechanistic cardiovascular benefit.

  171. Effects of long chain omega-3 fatty acids on metalloproteinases and their inhibitors in combined dyslipidemia patients

    PubMed ID: 19397392

    Six-month omega‑3 lowered TG, raised HDL and reduced hs‑CRP and remodeling markers—favorable heart-risk profile.

  172. Beneficial effects of intravenously administered N-3 fatty acids for the prevention of atrial fibrillation after coronary artery bypass surgery: a prospective randomized study

    PubMed ID: 19629889

    Perioperative IV fish oil reduced AF incidence after CABG and shortened ICU time—clinically meaningful heart outcome.

  173. Independent and interactive effects of plant sterols and fish oil n-3 long-chain polyunsaturated fatty acids on the plasma lipid profile of mildly hyperlipidaemic Indian adults

    PubMed ID: 19296875

    2 g/day fish oil reduced triglycerides (~15%) and modestly raised HDL in mildly hyperlipidaemic adults.

  174. Fish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetes

    PubMed ID: 19394939

    Improved endothelial function (FMD) and lowered TNF-α/triglycerides—favorable for cardiovascular health.

  175. Comparison of seal oil to tuna oil on plasma lipid levels and blood pressure in hypertriglyceridaemic subjects

    PubMed ID: 19727884

    Fish/seal oil lowered triglycerides (clinically relevant) and reduced systolic BP—cardiovascular risk factors improved.

  176. Effects of EPA on coronary artery disease in hypercholesterolemic patients with multiple risk factors: sub-analysis of primary prevention cases from the Japan EPA Lipid Intervention Study (JELIS)

    PubMed ID: 18667204

    Large statin-treated trial subgroup: EPA markedly lowered coronary events in patients with high TG/low HDL.

  177. Effects of adding prescription omega-3 acid ethyl esters to simvastatin (20 mg/day) on lipids and lipoprotein particles in men and women with mixed dyslipidemia

    PubMed ID: 18678300

    Prescription omega-3 added to simvastatin substantially lowered triglycerides, VLDL and non-HDL cholesterol.

  178. Reduction in the recurrence of stroke by eicosapentaenoic acid for hypercholesterolemic patients: subanalysis of the JELIS trial

    PubMed ID: 18451347

    In hypercholesterolemic statin-treated patients, EPA reduced recurrent stroke risk (~20% reduction).

  179. Effects of omega-3 fatty acid supplements on serum lipids, apolipoproteins and malondialdehyde in type 2 diabetes patients

    PubMed ID: 18561722

    Omega-3 (2 g/day) reduced triglycerides and ApoB-100 in type 2 diabetes patients (cardiometabolic markers).

  180. Effect of n-3 polyunsaturated fatty acids in patients with chronic heart failure (the GISSI-HF trial): a randomised, double-blind, placebo-controlled trial

    PubMed ID: 18757090

    Large RCT in chronic heart failure (≈7,000 pts) found 1 g/day n‑3 PUFA modestly but significantly reduced all‑cause mortality and death/CV hospitalization.

  181. Fish oil in combination with high or low intakes of linoleic acid lowers plasma triacylglycerols but does not affect other cardiovascular risk markers in healthy men

    PubMed ID: 18492834

    Substantial fasting and postprandial TG reductions in healthy men (up to 51%) are cardioprotective lipid changes relevant to heart health.

  182. The effect of fish oil supplementation on heart rate in healthy Danish infants

    PubMed ID: 18679165

    Infant supplementation lowered resting heart rate (longer RR) especially in boys, an autonomic change associated with cardiovascular benefit.

  183. Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS): a randomised open-label, blinded endpoint analysis

    PubMed ID: 17398308

    Large open-label trial (1.8 g/day EPA added to statin) reduced major coronary events by ~19% — robust cardiovascular outcome.

  184. Eicosapentaenoic acid reduces the progression of carotid intima-media thickness in patients with type 2 diabetes

    PubMed ID: 16616147

    Purified EPA slowed carotid atherosclerosis and improved arterial stiffness in type 2 diabetic patients.

  185. Factorial study of the effect of n-3 fatty acid supplementation and atorvastatin on the kinetics of HDL apolipoproteins A-I and A-II in men with abdominal obesity

    PubMed ID: 16825679

    4 g/day fish oil in obese men lowered triglycerides and raised HDL—favourable cardiometabolic changes.

  186. N-3 fatty acids as secondary prevention against cardiovascular events in patients who undergo chronic hemodialysis: a randomized, placebo-controlled intervention trial

    PubMed ID: 17699287

    In hemodialysis patients n-3 was associated with fewer myocardial infarctions (secondary outcome), suggesting a possible specific cardiac benefit.

  187. The relationship between tissue RBC n-3 fatty acids and pulse wave velocity

    PubMed ID: 16634535

    Higher RBC EPA correlated with lower arterial stiffness (observational)—supportive vascular/heart relevance.

  188. Trans, and n-3 polyunsaturated fatty acids and vascular function-a yin yang situation?

    PubMed ID: 16713391

    n-3 PUFA lowered triglycerides and mean arterial pressure and reduced heart rate in a subgroup—markers relevant to heart health.

  189. Influence of long-term intervention with dietary counseling, long-chain n-3 fatty acid supplements, or both on circulating markers of endothelial activation in men with long-standing hyperlipidemia

    PubMed ID: 15755826

    Elderly hyperlipidemic men had reduced endothelial activation markers after n‑3 supplementation (supports vascular/heart benefit).

  190. N-3 Fatty acids for the prevention of atrial fibrillation after coronary artery bypass surgery: a randomized, controlled trial

    PubMed ID: 15893193

    RCT showed a large reduction in postoperative atrial fibrillation and shorter hospital stay with perioperative n-3 PUFA.

  191. Prevention of fatal arrhythmias in high-risk subjects by fish oil n-3 fatty acid intake

    PubMed ID: 16267249

    Large trial in ICD patients signaled reduced potentially fatal ventricular arrhythmias in several analyses (primary narrowly missed).

  192. Omega-3 fatty acid prevents heart rate variability reductions associated with particulate matter

    PubMed ID: 16210665

    Fish oil prevented air-pollution–related HRV declines in elderly, a cardioprotective physiologic effect.

  193. Can n-3 PUFA reduce cardiac arrhythmias? Results of a clinical trial

    PubMed ID: 15253884

    Arrhythmia trial showed reduced ectopic beats and improved HDL/TG—favorable cardiovascular markers and rhythm outcomes.

  194. Can foods with added soya-protein or fish-oil reduce risk factors for coronary disease? A factorial randomised controlled trial

    PubMed ID: 15853118

    DHA-enriched foods raised HDL by ~6% (favorable heart-risk change), though total cholesterol and BP unchanged.

  195. Comparison of the effects of simultaneous administration of vitamin C and omega-3 fatty acids on lipoproteins, apo A-I, apo B, and malondialdehyde in hyperlipidemic patients

    PubMed ID: 12847992

    1 g/day omega-3 lowered TG and improved TG/HDL ratio without raising LDL in hyperlipidemic patients — favorable cardiovascular lipid profile effect.

  196. n-3 long-chain FA decrease serum levels of TG and remnant-like particle-cholesterol in humans

    PubMed ID: 12848279

    Low-dose fish oil reduced TG and remnant cholesterol — favorable changes for atherothrombotic risk (moderate-sized RCT).

  197. Atorvastatin and omega-3 fatty acids protect against activation of the coagulation system in patients with combined hyperlipemia

    PubMed ID: 12871402

    Omega‑3 with atorvastatin reduced postprandial coagulation activation markers — evidence for reduced prothrombotic state.

  198. Association of n-3 polyunsaturated fatty acids with stability of atherosclerotic plaques: a randomised controlled trial

    PubMed ID: 12583947

    Fish oil incorporated into carotid plaques and produced features consistent with increased plaque stability — mechanistic CV benefit.

  199. Early protection against sudden death by n-3 polyunsaturated fatty acids after myocardial infarction: time-course analysis of the results of the Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico (GISSI)-Prevenzione

    PubMed ID: 11997274

    Large randomized post‑MI trial (1 g/day) showed marked reductions in total and sudden death—strong cardiovascular outcome evidence.

  200. Regulatory effects of HMG CoA reductase inhibitor and fish oils on apolipoprotein B-100 kinetics in insulin-resistant obese male subjects with dyslipidemia

    PubMed ID: 12145148

    Fish oil lowered TGs and altered apoB kinetics in insulin-resistant obese men — meaningful cardiometabolic changes.

  201. Dietary long-chain n-3 PUFAs increase LPL gene expression in adipose tissue of subjects with an atherogenic lipoprotein phenotype

    PubMed ID: 12032174

    Marked triglyceride reduction (-35%) and increased adipose LPL activity indicate significant atherogenic-lipid improvements relevant to heart health.

  202. Factorial study of the effects of atorvastatin and fish oil on dyslipidaemia in visceral obesity

    PubMed ID: 12059988

    Well-controlled RCT in dyslipidaemic men: fish oil lowered TGs and modestly raised HDL — relevant to heart risk reduction.

  203. The effect of n-3 fatty acids on coronary atherosclerosis: results from SCIMO, an angiographic study, background and implications

    PubMed ID: 11838000

    Randomized angiographic study: ~1.5 g/day n‑3 reduced inflammatory gene expression and decreased progression (or increased regression) of coronary lesions — strong direct cardiovascular evidence.

  204. Effects of a high-dose concentrate of n-3 fatty acids or corn oil introduced early after an acute myocardial infarction on serum triacylglycerol and HDL cholesterol

    PubMed ID: 11451717

    Post‑MI trial demonstrated significant monthly HDL increases and triglyceride reductions with high‑dose n‑3, supporting favorable lipid profile after MI despite no event reduction.

  205. Eicosapentaenoic acid effect on hyperlipidemia in menopausal Japanese women. The Niigata Epadel Study Group

    PubMed ID: 11004352

    EPA 1.8 g/day in menopausal women produced large (~27%) triglyceride reductions and modest total cholesterol lowering — favorable cardiac risk factor changes.

  206. Dietary supplementation with marine omega-3 fatty acids improve systemic large artery endothelial function in subjects with hypercholesterolemia

    PubMed ID: 10676668

    Improved endothelial function (FMD) and TG reduction in hypercholesterolemic subjects — supports vascular/heart health.

  207. Effect of omega-3 fatty acids and simvastatin on hemostatic risk factors and postprandial hyperlipemia in patients with combined hyperlipemia

    PubMed ID: 10634827

    Add‑on to simvastatin reduced postprandial lipemia and prothrombotic markers relevant to heart disease.

  208. Eicosapentanoic acid reduces plasma levels of remnant lipoproteins and prevents in vivo peroxidation of LDL in dialysis patients

    PubMed ID: 10505695

    Substantial reductions in remnant lipoproteins and ox‑LDL in dialysis patients imply strong cardiovascular benefit.

  209. Dietary fish as a major component of a weight-loss diet: effect on serum lipids, glucose, and insulin metabolism in overweight hypertensive subjects

    PubMed ID: 10539741

    Marked fasting TG reductions and HDL2 increases in overweight hypertensive adults are cardioprotective changes.

  210. Differential effects of dietary supplementation with fish oil or soy lecithin on human platelet adhesion

    PubMed ID: 10595648

    Reduced platelet adhesiveness suggests lower thrombotic risk, relevant to heart disease prevention.

  211. Correlation of serum triglyceride and its reduction by omega-3 fatty acids with lipid transfer activity and the neutral lipid compositions of high-density and low-density lipoproteins

    PubMed ID: 10217357

    Lowered triglycerides and favorable lipoprotein composition support cardiovascular risk reduction.

  212. Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto miocardico

    PubMed ID: 10465168

    Large randomized post‑MI trial (1 g/day n‑3) reduced death and major cardiovascular events over 3.5 years.

  213. One-year treatment with ethyl esters of n-3 fatty acids in patients with hypertriglyceridemia and glucose intolerance: reduced triglyceridemia, total cholesterol and increased HDL-C without glycemic alterations

    PubMed ID: 9622285

    Large trial in hypertriglyceridemia showed significant TG lowering and HDL increases—lipid changes consistent with reduced CV risk.

  214. Effects of dietary fish and weight reduction on ambulatory blood pressure in overweight hypertensives

    PubMed ID: 9774368

    Dietary fish produced clinically meaningful ambulatory BP and heart‑rate reductions—clear cardiac risk‑factor improvements.

  215. [n-3 polyunsaturated fatty acids, heart rate variability and ventricular arrhythmias in post-AMI-patients. A clinical controlled trial]

    PubMed ID: 9312922

    Post‑MI study increased HRV, a favorable electrophysiologic heart‑risk marker.

  216. Safety and efficacy of Omacor in severe hypertriglyceridemia

    PubMed ID: 9865671

    Large randomized trial in very high‑TG patients: TG −45%, HDL +13% (substantial atherogenic lipid improvement).

  217. N-3 fatty acids do not lead to an increased diabetic risk in patients with hyperlipidemia and abnormal glucose tolerance. Italian Fish Oil Multicenter Study

    PubMed ID: 9174486

    Large multicenter study showing robust triglyceride reductions without worsening glycemic control (favorable CV lipid effect).

  218. Effect of dietary supplementation with n-3 fatty acids on coronary artery bypass graft patency

    PubMed ID: 8540453

    Large CABG RCT showed significant reduction in vein graft occlusion and a serum n‑3 dose–response relation — meaningful cardiac outcome.

  219. Comparison of effects of N-3 to N-6 fatty acids on serum level of lipoprotein(a) in patients with coronary artery disease

    PubMed ID: 7653444

    In coronary patients fish oil lowered triglycerides, reduced Lp(a) overall and raised HDL—beneficial lipid changes relevant to heart disease risk.

  220. Effects of a low-dose fish oil concentrate on angina, exercise tolerance time, serum triglycerides, and platelet function

    PubMed ID: 7985829

    Low-dose fish oil in CAD patients reduced angina frequency by ~41% and improved exercise tolerance — clinically relevant cardiac benefit.

  221. Effect of eicosapentaenoic acid on restenosis rate, clinical course and blood lipids in patients after percutaneous transluminal coronary angioplasty

    PubMed ID: 2222347

    Randomized trial showed marked reduction in restenosis after coronary angioplasty with EPA‑rich fish oil — strong cardioprotective signal.

  222. Reduction of cardiovascular risk factors by the diet - Evaluation of the MoKaRi concept by a parallel-designed randomized study

    PubMed ID: 40057729

    Fish oil (3 g/day) added to a cardioprotective diet produced larger TG drops and weight loss — clinically relevant heart‑health improvements.

  223. Supplementation with omega-3 or omega-6 fatty acids attenuates platelet reactivity in postmenopausal women

    PubMed ID: 35791734

    Reduced platelet activation and increased platelet ω‑3 content suggest a potential cardioprotective mechanism.

  224. Dietary intake of n-3 long-chain polyunsaturated fatty acids and risk of myocardial infarction in coronary artery disease patients with or without diabetes mellitus: a prospective cohort study

    PubMed ID: 24103380

    Large prospective cohort: higher long‑chain n‑3 intake associated with much lower AMI risk in diabetics (but a complex subgroup effect overall).

  225. Fish oil before cardiac surgery: neutrophil activation is unaffected but myocardial damage is moderated

    PubMed ID: 15763437

    Preoperative fish oil markedly reduced 24‑hour troponin I and improved lipids, suggesting cardioprotective effects in the surgical setting.

  226. Myokine Circulating Levels in Postmenopausal Women with Overweight or Obesity: Effects of Resistance Training and/or DHA-Rich n-3 PUFA Supplementation

    PubMed ID: 40806137

    DHA‑rich n‑3 reduced VLDL‑C and improved atherogenic index—favorable lipid changes for heart health.

  227. 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

    Dose‑response omega‑3 study raised tissue n‑3 and lowered triglycerides substantially—mechanistically favorable for heart health.

  228. A Bayesian analysis of the VITAL trial: effects of ω-3 fatty acid supplementation on cardiovascular events

    PubMed ID: 40032221

    Large primary‑prevention RCT (Bayesian reanalysis): daily EPA+DHA produced modest but robust reductions in coronary events (MI/CAD).

  229. Effects of fish oil intervention on type 2 diabetes early risk novel biomarkers in healthy middle-aged and elderly adults: a double-blind randomized controlled trial

    PubMed ID: 40356575

    Dose-dependent EPA/DHA increases with improvements in fasting insulin/HOMA-IR imply reduced cardiometabolic risk.

  230. 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

    Raising omega-3 index by fish or supplement supports cardiovascular risk reduction through improved blood omega-3 status.

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

    PubMed ID: 41201837

    Large randomized trial in hemodialysis patients: EPA+DHA substantially lowered major CV events, cardiac death, MI and stroke (robust clinical benefit).

  232. 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 program including fish oil produced substantial TG reductions and glucose improvements—favorable cardiometabolic effects.

  233. 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 and oxidized LDL markers in higher-TG subjects—markers relevant to atherosclerotic risk.

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

    PubMed ID: 38830807

    Purified omega‑3 ethyl esters lowered TAG, non‑HDL‑C, VLDL‑C and ApoC‑III in severe hypertriglyceridemia (relevant to cardiovascular risk).

  235. 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 in T2D with high TGs produced large triglyceride reductions—a favorable cardiometabolic effect.

  236. 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

    Lowered remnant cholesterol and improved ABI in dialysis patients indicate vascular/atherosclerotic benefit.

  237. 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

    High‑dose EPA+DHA added to statin therapy lowered triglycerides and was associated with coronary fatty plaque regression and fewer events in some subgroups.

  238. 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

    Large post‑AMI analysis: greater on‑treatment EPA increases associated with fewer major CV events (but increased AF risk).

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

    PubMed ID: 31271554

    In hypertriglyceridemic obese children, 3 g/day omega‑3 reduced triglycerides by ~39% vs placebo, a robust heart‑risk biomarker improvement.

  240. 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

    Achieving omega-3 index ≥4% was associated with significantly less coronary plaque progression over 30 months (imaging-based cardiovascular benefit).

  241. 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 substantially lowered triglycerides and affected lipoprotein/lipase activity—biochemical changes consistent with improved cardiovascular risk profile.

  242. 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 markedly raised omega‑3 index and lowered triglycerides; subgroup liver‑fat reduction supports cardiometabolic benefit.

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

    PubMed ID: 30407633

    Controlled feeding crossover trial: DHA lowered TAG by ~24% in metabolic‑syndrome participants (robust lipid benefit for cardiovascular risk reduction).

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

    PubMed ID: 29846653

    DHA altered LDL‑C and particle size and apoB kinetics versus EPA—mechanistically relevant to cardiovascular risk though effects are complex.

  245. 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 reduced mean heart rate and triglycerides and produced some favorable HRV changes in dialysis patients.

  246. 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 showed ~23% fasting triglyceride reduction and favorable VLDL changes—established cardiometabolic benefit relevant to heart health.

  247. 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

    8‑week omega‑3 in CAD patients raised irisin and lowered hs‑CRP and LDL—biomarker improvements relevant to heart health.

  248. 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

    Large RCT: EPA+DHA on top of statin reduced triglycerides and, with adherence, attenuated fibrous coronary plaque progression.

  249. 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 fish‑oil produced large triglyceride reductions—important for cardiovascular risk management (but LDL rose modestly).

  250. The effect of plant sterols and different low doses of omega-3 fatty acids from fish oil on lipoprotein subclasses

    PubMed ID: 26019023

    In hypercholesterolemic subjects, adding EPA+DHA to plant-sterol spread dose-dependently reduced VLDL-TG and VLDL-Chol in atherogenic large VLDL subclasses—beneficial lipid-subclass remodeling.

  251. 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 and CRP, biomarkers linked to cardiovascular risk.

  252. 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 shifted LDL particle profile toward larger, less atherogenic particles—favorable for cardiovascular risk.

  253. 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‑TG patients, OM3‑CA improved atherogenic lipoprotein features (reduced VLDL, ApoCIII, Lp‑PLA2) indicating substantial cardiovascular biomarker benefit.

  254. 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 reduced central aortic pressure — a potentially cardioprotective hemodynamic effect.

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

    PubMed ID: 24746829

    Higher dietary LC‑n‑3PUFA associated with better small‑artery function and improved inflammatory/endothelial markers (heart health–related vascular benefits).

  256. Reduction of prothrombin and Factor V levels following supplementation with omega-3 fatty acids is sex dependent: a randomised controlled study

    PubMed ID: 24997005

    Short‑term EPA/DHA lowered some coagulation factors, consistent with reduced thrombotic risk.

  257. 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 associated with progression of coronary atheroma in statin‑treated patients (observational within trial data).

  258. A new, microalgal DHA- and EPA-containing oil lowers triacylglycerols in adults with mild-to-moderate hypertriglyceridemia

    PubMed ID: 25123060

    DHA+EPA formulation lowered triglycerides by ~19–23%—clinically relevant for cardiovascular risk.

  259. 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 doses of EPA+DHA added to a plant‑sterol spread produced dose‑dependent triglyceride reductions (cardiovascular risk factor).

  260. 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 improved HDL, markedly reduced TG, lowered SBP and reduced predicted 10‑yr CHD risk in abdominally obese adults.

  261. Effects of high dose intravenous fish oil on human atrial electrophysiology: implications for possible anti- and pro-arrhythmic mechanisms in atrial fibrillation

    PubMed ID: 23602291

    High‑dose IV fish oil acutely reduced AF inducibility but increased atrial flutter inducibility and slowed conduction—clear electrophysiologic effects with mixed clinical implications.

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

    PubMed ID: 24461313

    Krill oil modestly lowered fasting triglycerides (~10%) over 12 weeks without raising LDL‑C in adults with borderline/high TGs—beneficial for heart risk profile.

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

    PubMed ID: 24299019

    Adding 4 g/day ω‑3 to statin therapy in obese insulin‑resistant men further lowered VLDL‑TG via reduced production and increased clearance—meaningful cardiometabolic effect.

  264. 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

    Year‑long TAK‑085 study confirmed sustained triglyceride lowering with 4 g/day, supporting long‑term cardiovascular risk factor improvement.

  265. 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

    TAK‑085 (EPA+DHA) lowered triglycerides substantially at 4 g/day — lipid benefit relevant to cardiovascular risk.

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

    PubMed ID: 23916928

    Combined fish oil + vitamins markedly cut postoperative atrial fibrillation (large clinical effect), though confounded by vitamins.

  267. Eicosapentaenoic and docosahexaenoic acid supplementations reduce platelet aggregation and hemostatic markers differentially in men and women

    PubMed ID: 23390192

    EPA/DHA reduced platelet aggregation (antithrombotic effect) supporting cardiovascular risk reduction mechanisms.

  268. Docosahexaenoic acid supplementation, vascular function and risk factors for cardiovascular disease: a randomized controlled trial in young adults

    PubMed ID: 23817470

    DHA substantially lowered triglycerides (~28%) in healthy young adults — important heart-risk factor improvement.

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

    PubMed ID: 23238663

    Lowered platelet oxidative stress and triglycerides in hypertensive diabetic patients — cardioprotective mechanisms.

  270. 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 OM3 reduced TG and, with niacin, improved HDL and arterial stiffness — beneficial heart-risk profile changes.

  271. 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 ω‑3 added to atorvastatin produced favorable LDL particle shifts and lowered Lp‑PLA2/ApoCIII — relevant to CVD risk modulation.

  272. Differential association of docosahexaenoic and eicosapentaenoic acids with carotid intima-media thickness

    PubMed ID: 21757663

    Higher DHA associated with lower carotid IMT in men — observational evidence suggestive of cardiovascular benefit.

  273. Eicosapentaenoic acid ethyl ester (AMR101) therapy in patients with very high triglyceride levels (from the Multi-center, plAcebo-controlled, Randomized, double-blINd, 12-week study with an open-label Extension [MARINE] trial)

    PubMed ID: 21683321

    Large randomized trial of purified EPA (AMR101) produced substantial TG reductions (placebo‑corrected ≈−33%) without raising LDL — strong cardiometabolic benefit.

  274. 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 TAG formulation lowered fasting TGs in statin‑treated dyslipidemic patients — formulation‑specific cardiovascular lipid benefit.

  275. Relationships between plasma fatty acid composition and coronary artery disease

    PubMed ID: 21099130

    Higher on-treatment plasma EPA was associated with significantly lower risk of major coronary events in a large analysis.

  276. 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

    EPA incorporation into carotid plaques with reduced inflammation and stability markers suggests cardioprotective vascular effects.

  277. 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

    Multiple cardiometabolic improvements (lipids, BP, inflammation) in metabolic syndrome support a beneficial heart-health profile with fish oil.

  278. 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

    Modest triglyceride lowering and anti‑inflammatory leukotriene changes in HIV patients support improved cardiovascular risk factors.

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

    PubMed ID: 19515734

    Anti‑atherogenic transcriptional changes in immune cells (NF‑κB/eicosanoid pathways) indicate mechanistic heart‑health effects.

  280. 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

    EPA/DHA‑enriched enteral formula in elderly normalized plasma TAG after 3 months — favorable lipid change for heart risk reduction.

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

    PubMed ID: 18982439

    In idiopathic dilated cardiomyopathy, n‑3 PUFA markedly reduced arrhythmic episodes and normalized electrical risk markers — clinically meaningful cardiac benefit.

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

    PubMed ID: 18339222

    DHA‑rich fish oil improved HRV and reduced heart rates in at‑risk overweight adults (meaningful autonomic/cardiac benefits).

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

    PubMed ID: 17393216

    DHA added to statin therapy produced an additional ~27% TG lowering and cholesterol improvements — relevant adjunctive heart benefits.

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

    PubMed ID: 17977469

    Dose-dependent TG reductions and erythrocyte DHA incorporation indicate cardioprotective lipid changes.

  285. Docosahexaenoic acid supplementation improves fasting and postprandial lipid profiles in hypertriglyceridemic men

    PubMed ID: 17684201

    Marked reductions in fasting TAG, large VLDL and small dense LDL (despite modest LDL-C rise) are improvements in atherogenic lipoprotein profile.

  286. 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

    Clinically meaningful triglyceride reductions (~19–22%) in coronary artery disease patients at cardioprotective doses support cardiovascular risk reduction.

  287. Evaluation of the effects of Neptune Krill Oil on the clinical course of hyperlipidemia

    PubMed ID: 15656713

    Krill oil RCT reported broad lipid and glucose improvements vs fish oil/placebo—favorable heart‑risk profile (krill differs from standard fish oil).

  288. 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 triglycerides, raised HDL, and reduced heart rate in postmenopausal women—clinically relevant cardiometabolic benefits.

  289. Circulating triacylglycerol and apoE levels in response to EPA and docosahexaenoic acid supplementation in adult human subjects

    PubMed ID: 15469651

    High‑dose DHA produced a substantial (22%) triglyceride reduction versus control—favorable for heart disease risk.

  290. 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

    High‑dose omega‑3 pre‑treatment produced a modest reduction in coronary restenosis rates (angiographic outcome).

  291. Omega-3 fatty acids improve blood pressure control and preserve renal function in hypertensive heart transplant recipients

    PubMed ID: 11207085

    Prevention of BP rise and preserved renal function in hypertensive heart-transplant patients indicates CV/organ-protective effects.

  292. 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 lowered triglycerides and VLDL substantially in CHD patients on statin therapy — favorable cardiac risk modification.

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

    PubMed ID: 10938022

    3 g/day fish oil markedly lowered fasting/postprandial triglycerides and reduced small dense LDL — cardioprotective lipid effects.

  294. 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

    High‑dose fish oil (4 g/day) markedly lowered TG (−26%) and improved TG:HDL ratio in postmenopausal women—beneficial for cardiac risk.

  295. 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

    EPA/DHA lowered TGs; DHA increased HDL2 and LDL particle size but also raised LDL‑C—clinically relevant lipid shifts.

  296. The effect of dietary omega-3 fatty acids on coronary atherosclerosis. A randomized, double-blind, placebo-controlled trial

    PubMed ID: 10189324

    Long‑term FO modestly slowed coronary atherosclerosis progression and trended toward fewer events.

  297. Effects of highly purified eicosapentaenoic acid and docosahexaenoic acid on hemodynamics in humans

    PubMed ID: 9665096

    DHA lowered HR and marine oils improved LV diastolic filling—favorable cardiac functional effects.

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

    PubMed ID: 8729093

    Mechanistic trial: EPA lowers TG/VLDL, DHA alters HDL subfractions — lipid actions relevant to heart risk.

  299. 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

    Omega-3 concentrate lowered triglycerides ~28%, raised HDL and lowered BP in combined hyperlipidaemia — strong cardiometabolic benefits.

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

    PubMed ID: 7939369

    Post‑CABG triglyceride reductions and insulin improvement suggest improved cardiovascular risk profile after fish oil.

  301. Marine oils dose-dependently inhibit vasoconstriction of forearm resistance vessels in humans

    PubMed ID: 8418020

    Marked suppression of vasoconstrictor responses supports a cardioprotective vascular mechanism.

  302. Effects of a fish oil supplement on blood pressure and serum lipids in patients treated for coronary artery disease

    PubMed ID: 1617510

    In coronary disease patients fish oil robustly lowered triglycerides and favorably influenced BP trajectory.

  303. Double-blind, randomized, controlled trial of fish oil supplements in prevention of recurrence of stenosis after coronary angioplasty

    PubMed ID: 1537131

    Large randomized trial reported reduced angiographic restenosis after PTCA with fish oil—clinically meaningful cardiovascular benefit.

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

    PubMed ID: 1534256

    Large RCT showed ~21% triglyceride lowering and modest HDL rise—favorable effects for cardiovascular risk.

  305. [Effect on the lipid profile of diet supplemented with fish oil concentrate]

    PubMed ID: 2195704

    Concentrated fish oil produced a robust ~19.5% triglyceride reduction — clinically relevant to heart health.

  306. Effect of eicosapentaenoic and docosahexaenoic acids on blood pressure in hypertension. A population-based intervention trial from the Tromsø study

    PubMed ID: 2137901

    BP reductions in mild hypertension support cardiovascular benefit.

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

    PubMed ID: 2141757

    Dose‑response trial in healthy men showed dose‑related triglyceride lowering and favorable plasma n‑3 incorporation.

  308. Alterations in serum phosphatidylcholine fatty acyl species by eicosapentaenoic and docosahexaenoic ethyl esters in patients with severe hypertriglyceridemia

    PubMed ID: 9101424

    Concentrated EPA/DHA incorporation into serum PC species accompanied by a substantial triglyceride reduction in severe hypertriglyceridemia—cardio‑relevant lipid effect.

  309. 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

    In T2D patients EPA (±nano‑curcumin) reduced inflammation and triglycerides—favorable cardiovascular risk factor changes.

  310. Omega 3 fatty acids can reduce early doxorubicin-induced cardiotoxicity in children with acute lymphoblastic leukemia

    PubMed ID: 34842343

    Pediatric RCT: ω‑3 prevented doxorubicin‑related rises in cardiac injury biomarkers and preserved LV systolic function—strong cardioprotective evidence.

  311. Protection from procedural myocardial injury by omega-3 polyunsaturated fatty acids (PUFAs): is related with lower levels of creatine kinase-MB (CK-MB) and troponin I?

    PubMed ID: 23134549

    Single peri‑PCI ω‑3 dose significantly reduced CK‑MB release post‑procedure, indicating acute cardioprotective effect.

  312. Effect of pravastatin and omega-3 fatty acids on plasma lipids and lipoproteins in patients with combined hyperlipidemia

    PubMed ID: 8241095

    Fish oil (~3 g/day) produced ~30% TG reduction and increased LDL particle size (potentially favorable).

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

    PubMed ID: 7702027

    Large long‑term post‑bypass RCT: fish oil lowered triglycerides (~19%) in a cardiac population, supporting cardiovascular benefit.

  314. 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 reduced epicardial adipose tissue and visceral fat, which are linked to cardiac risk.

  315. 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

    High-dose fish oil lowered triglycerides and total cholesterol—established heart-risk mediators.

  316. Effects of Epeleuton, a Novel Synthetic Second-Generation n-3 Fatty Acid, on Non-Alcoholic Fatty Liver Disease, Triglycerides, Glycemic Control, and Cardiometabolic and Inflammatory Markers

    PubMed ID: 32779505

    Epeleuton markedly reduced triglycerides and improved glycemic control—favorable for cardiovascular risk.

  317. Fish oil amplifies the effect of propranolol in mild essential hypertension

    PubMed ID: 2147175

    Fish oil lowered BP and favorably altered platelet mediators and lipids, indicating cardiac risk reduction potential (moderate sample/design).

  318. Effects of a new fish oil concentrate on plasma lipids and lipoproteins in patients with hypertriglyceridaemia

    PubMed ID: 7889894

    Concentrated fish oil substantially lowered triglycerides and VLDL—favorable for heart risk profile.

  319. Interactions between dietary fat, fish, and fish oils and their effects on platelet function in men at risk of cardiovascular disease

    PubMed ID: 9081682

    Dietary fish/fish oil reduced platelet aggregation and thromboxane responses—antithrombotic effects relevant to CV risk.

  320. Fish intake is associated with a reduced progression of coronary artery atherosclerosis in postmenopausal women with coronary artery disease

    PubMed ID: 15321802

    Prospective cohort: higher fish intake associated with less progression of coronary atherosclerosis in postmenopausal women with CAD (observational).

  321. Effects of a healthy Nordic diet on cardiovascular risk factors in hypercholesterolaemic subjects: a randomized controlled trial (NORDIET)

    PubMed ID: 20964740

    Healthy Nordics diet including fish lowered LDL and total cholesterol and modestly reduced BP and insulin — favorable cardiometabolic effects though not fish‑only.

  322. Long-term omega-3 polyunsaturated fatty acid supplementation reduces the recurrence of persistent atrial fibrillation after electrical cardioversion

    PubMed ID: 22120130

    Large randomized study: starting/continuing fish oil around cardioversion markedly reduced recurrent persistent atrial fibrillation (clinically important cardiac outcome).

  323. 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 n‑3 reduced triglycerides by ~39% and lowered systolic BP; overall cardiometabolic benefit though LDL rose modestly.

  324. Effect of fish oil on lipoproteins, lecithin:cholesterol acyltransferase, and lipid transfer protein activity in humans

    PubMed ID: 2297349

    In hypercholesterolemic men fish oil substantially lowered TG/VLDL though LDL rose modestly—mixed cardiac lipid effects.

  325. A new relationship between total/high density lipoprotein cholesterol and polyunsaturated fatty acids

    PubMed ID: 8729094

    Higher plasma PUFA% strongly associated with lower TC/HDL ratio—a lipid biomarker favorable for heart disease risk.

  326. 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

    Randomized trial in suspected AMI patients: fish oil reduced total cardiac events, nonfatal MI and cardiac deaths—strong clinical heart benefit.

  327. Eicosapentaenoic acid and docosahexaenoic acid from fish oils: differential associations with lipid responses

    PubMed ID: 12010583

    Significant triglyceride reductions in hypertriglyceridemic men support cardiovascular risk reduction (biomarker evidence).

  328. 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

    EPA+DHA reduced fasting TGs vs ALA in hyperlipidemic subjects—clinically relevant heart‑health effect.

  329. 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 produced clinically meaningful reductions in triglycerides and small dense LDL in men with an atherogenic profile.

  330. Cardiac autonomic changes associated with fish oil vs soy oil supplementation in the elderly

    PubMed ID: 15821181

    Improved heart‑rate variability in elderly nursing‑home residents after fish oil—plausible link to reduced arrhythmic/sudden‑death risk.

  331. 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 EPA/DHA lowering of n‑6:n‑3 reduced fasting and postprandial triglycerides—cardiovascular risk benefit.

  332. 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

    Lowering n‑6:n‑3 with EPA/DHA decreased triglycerides and tended to reduce small dense LDL (favourable heart‑risk changes).

  333. Higher plasma docosahexaenoic acid is associated with reduced progression of coronary atherosclerosis in women with CAD

    PubMed ID: 16983146

    Prospective cohort in women with CAD: higher DHA associated with less coronary narrowing, smaller stenosis increase, and fewer new lesions over ~3 years (strong cardiovascular signal).

  334. 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

    Feeding study showed triglyceride reductions and HDL changes with DHA/EPA — favorable lipid effects for heart health.

  335. Serum long-chain n-3 polyunsaturated fatty acids and risk of hospital diagnosis of atrial fibrillation in men

    PubMed ID: 19933935

    Large prospective cohort: higher serum long‑chain n‑3 (especially DHA) associated with substantially lower AF hospitalization risk.

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

    PubMed ID: 22110169

    Large randomized trial subgroup (post‑MI diabetics): EPA/DHA+ALA markedly lowered ventricular arrhythmia‑related events and composite arrhythmia/MI endpoint.

  337. Plasma and dietary omega-3 fatty acids, fish intake, and heart failure risk in the Physicians' Health Study

    PubMed ID: 22952185

    Large prospective cohort: higher plasma ALA/DPA and modest fish intake associated with lower future heart‑failure risk.

Cholesterol (489)
  1. Effects of fish oil supplements in NIDDM subjects. Controlled study

    PubMed ID: 2209315

    High-dose fish oil significantly reduced triglycerides in NIDDM patients — direct effect on blood fats though metabolic trade-offs noted.

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

    PubMed ID: 2141757

    Dose‑response study in healthy men: plasma n‑3 increased and serum triglycerides fell (3 g sufficient)—clear effect on blood fats.

  3. 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 phosphatidylcholine species with a clear ~26% triglyceride reduction in hypertriglyceridemic patients.

  4. 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

    High‑EPA treatment in T2D lowered TGs and improved HOMA‑IR, supporting improved lipid and metabolic profile.

  5. Effects of fish oil and curcumin supplementation on cerebrovascular function in older adults: A randomized controlled trial

    PubMed ID: 32127335

    Fish oil improved triglycerides and HDL in older overweight adults — supports favorable blood-fat profile.

  6. Curcumin and/or omega-3 polyunsaturated fatty acids supplementation reduces insulin resistance and blood lipids in individuals with high risk of type 2 diabetes: a randomised controlled trial

    PubMed ID: 30684965

    Fish oil arm lowered triglycerides by ~16.5% in people at high risk of diabetes — consistent triglyceride-lowering effect.

  7. Consumption of Goat Cheese Naturally Rich in Omega-3 and Conjugated Linoleic Acid Improves the Cardiovascular and Inflammatory Biomarkers of Overweight and Obese Subjects: A Randomized Controlled Trial

    PubMed ID: 32380746

    n‑3/CLA‑enriched food increased HDL and decreased CRP in overweight subjects (favorable lipid and inflammatory changes in combined intervention).

  8. Dysregulation of Subcutaneous White Adipose Tissue Inflammatory Environment Modelling in Non-Insulin Resistant Obesity and Responses to Omega-3 Fatty Acids - A Double Blind, Randomised Clinical Trial

    PubMed ID: 35958557

    High‑dose n‑3 raised erythrocyte EPA+DHA markedly—demonstrates strong tissue incorporation relevant to blood‑fat biology.

  9. 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

    DHA + vitamin D markedly reduced triglycerides in pediatric NAFLD—good lipid improvement though co‑intervention present.

  10. Addition of omega-3 fatty acid and coenzyme Q10 to statin therapy in patients with combined dyslipidemia

    PubMed ID: 28541926

    Omega‑3 added to statin reduced triglycerides in a randomized pilot study.

  11. The effects of [omega]3 fatty acids and coenzyme Q10 on blood pressure and heart rate in chronic kidney disease: a randomized controlled trial

    PubMed ID: 19705518

    Omega‑3 reduced triglycerides by ~24% in CKD patients — a robust improvement in blood fats.

  12. Cod-Liver Oil Improves Metabolic Indices and hs-CRP Levels in Gestational Diabetes Mellitus Patients: A Double-Blind Randomized Controlled Trial

    PubMed ID: 31956660

    Daily cod‑liver oil reduced TG/TC/LDL‑C in gestational diabetes trial — supports healthy blood‑fat effects.

  13. Fish oil supplementation alters the plasma lipidomic profile and increases long-chain PUFAs of phospholipids and triglycerides in healthy subjects

    PubMed ID: 22952598

    Robust remodeling of plasma lipid species with incorporation of long-chain n-3 into phospholipids and TGs (mechanistic support).

  14. A long-term seal- and cod-liver-oil supplementation in hypercholesterolemic subjects

    PubMed ID: 11214732

    Seal and cod-liver oil raised serum EPA (seal > cod) and reduced platelet aggregation; no change in standard serum cholesterol but clear n-3 enrichment.

  15. Effect of marine oils supplementation on coagulation and cellular activation in whole blood

    PubMed ID: 8614301

    Marine oils increased HDL and reduced triglycerides (in some groups) and altered prothrombotic markers (strong lipid effects).

  16. The effects of long-term diet and omega-3 fatty acid supplementation on coagulation factor VII and serum phospholipids with special emphasis on the R353Q polymorphism of the FVII gene

    PubMed ID: 15175795

    Large trial in older men: very‑long‑chain n‑3 reliably reduced triglycerides—consistent population evidence.

  17. Effect of chia seeds or concentrated fish oil on cardiometabolic risk markers in subjects with hypertriglyceridaemia: a parallel clinical trial

    PubMed ID: 39360590

    In people with high triglycerides fish oil produced substantial TG lowering comparable to chia seeds—clear clinical effect on blood fats.

  18. Comparative effectiveness of adding omega-3 and Manuka honey combination to conventional therapy in preventing and treating oxidative stress in pediatric β-thalassemia major - a randomized clinical trial

    PubMed ID: 37458648

    Omega‑3 (with Manuka honey) improved LDL/HDL profile in children with β‑thalassemia—favorable blood‑lipid changes in a pediatric RCT.

  19. Changes of urine metabolites in response to n-3 fatty acid supplements and their correlation with metabolic risk factors in patients with type 2 diabetes

    PubMed ID: 30977496

    Fish oil raised urine CMPF and acylcarnitines that correlated with decreased serum triglycerides—biomarker linkage to lipid improvement.

  20. A combination of (ω-3) polyunsaturated fatty acids, polyphenols and L-carnitine reduces the plasma lipid levels and increases the expression of genes involved in fatty acid oxidation in human peripheral blood mononuclear cells and HepG2 cells

    PubMed ID: 21540583

    Combined ω‑3 regimen lowered free fatty acids (−29%) and triglycerides (−24%) — favorable lipid changes though multiple components present.

  21. 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 with statin significantly lowered triglycerides (~−13.6% vs −1.7% control) though CAC unchanged.

  22. Efficacy and Safety of Omega-3 Fatty Acids in Patients Treated with Statins for Residual Hypertriglyceridemia: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

    PubMed ID: 31237134

    Similar RCT with 4 g/d omega‑3 showed ~30% TG reduction and non‑HDL‑C lowering—strong evidence for improving blood lipid profile.

  23. 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

    Adding 4 g/d ω‑3 to statin produced large, statistically significant TG and non‑HDL‑C reductions (robust RCT evidence).

  24. Effects of Omega-3 Fatty Acid Supplementation on Serum Biomarkers, Inflammatory Agents, and Quality of Life of Patients on Hemodialysis

    PubMed ID: 27903997

    Omega‑3 increased HDL in hemodialysis patients (small RCT).

  25. Omega-3 fatty acids plus rosuvastatin improves endothelial function in South Asians with dyslipidemia

    PubMed ID: 19337557

    Addition of omega‑3 to statin therapy lowered triglycerides ~34% and reduced LDL in dyslipidemic individuals — strong blood‑lipid benefit.

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

    PubMed ID: 1563884

    Fish oil did not prevent restenosis but did lower triglycerides in that angioplasty trial.

  27. Absolute Quantification of Apolipoproteins Following Treatment with Omega-3 Carboxylic Acids and Fenofibrate Using a High Precision Stable Isotope-labeled Recombinant Protein Fragments Based SRM Assay

    PubMed ID: 31591263

    Prescription OM‑3CA (4 g/d) lowered TG in NAFLD patients though it did not change apolipoprotein panel.

  28. Vascular and metabolic effects of omega-3 fatty acids combined with fenofibrate in patients with hypertriglyceridemia

    PubMed ID: 27424313

    Combination omega‑3 + fenofibrate produced a 41% TG reduction—substantial triglyceride benefit.

  29. Monocyte-suppressing effect of bezafibrate but not omega-3 fatty acids in patients with isolated hypertriglyceridaemia

    PubMed ID: 21223512

    Omega‑3 (1 g twice daily) lowered TG in isolated hypertriglyceridemia though it did not change hsCRP or monocyte cytokine release.

  30. Significant differential effects of omega-3 fatty acids and fenofibrate in patients with hypertriglyceridemia

    PubMed ID: 22153696

    Omega‑3 (2 g/d) lowered TG by ~21% and improved TG/HDL and FMD in hypertriglyceridemic patients.

  31. The effect of bezafibrate and omega-3 fatty acids on lymphocyte cytokine release and systemic inflammation in patients with isolated hypertriglyceridemia

    PubMed ID: 21630032

    Isolated high TG patients showed ~31% TG lowering at 12 weeks with 2 g/day omega‑3—strong lipid effect.

  32. Hemostatic effects of bezafibrate and ω-3 fatty acids in isolated hypertriglyceridemic patients

    PubMed ID: 21857087

    2 g/day ω‑3 lowered triglycerides and favorably affected hemostatic markers in hypertriglyceridemic patients.

  33. High doses of rosuvastatin are superior to low doses of rosuvastatin plus fenofibrate or n-3 fatty acids in mixed dyslipidemia

    PubMed ID: 21327725

    Adding 2 g/day n‑3 to low‑dose rosuvastatin produced considerable non‑HDL cholesterol reduction (improves atherogenic lipids).

  34. Prescription omega-3 fatty acid as an adjunct to fenofibrate therapy in hypertriglyceridemic subjects

    PubMed ID: 19597368

    Prescription omega-3 plus fenofibrate produced a large additional TG reduction vs fenofibrate alone (robust TG-lowering evidence).

  35. Fish oil and fenofibrate for the treatment of hypertriglyceridemia in HIV-infected subjects on antiretroviral therapy: results of ACTG A5186

    PubMed ID: 17971707

    High-dose fish oil (~4.9 g/day) lowered triglycerides by ~46% in patients with very high TGs (strong effect).

  36. Effectiveness and tolerability of oral administration of low-dose salmon oil to HIV patients with HAART-associated dyslipidemia

    PubMed ID: 18042505

    Salmon oil (3 g/d) reduced triglycerides by ~1.1 mmol/L in HIV patients — clinically meaningful TG lowering.

  37. Maxepa versus bezafibrate in hyperlipidemic cardiac transplant recipients

    PubMed ID: 1466329

    Fish oil produced a large (~36%) triglyceride reduction in cardiac transplant patients (strong lipid‑lowering evidence).

  38. Fish oil supplemented for 9 months does not improve glycaemic control or insulin sensitivity in subjects with impaired glucose regulation: a parallel randomised controlled trial

    PubMed ID: 26537735

    Nine‑month RCT increased erythrocyte n‑3 content substantially though without glycaemic benefit — clear biochemical enrichment.

  39. 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

    One‑week fish oil medical food rapidly raised EPA/DHA in WBCs, showing fast incorporation into blood lipids.

  40. Effects of whole grain, fish and bilberries on serum metabolic profile and lipid transfer protein activities: a randomized trial (Sysdimet)

    PubMed ID: 24587337

    Dietary fatty fish raised EPA/DHA and altered lipidomics toward polyunsaturated TGs and larger HDL particles.

  41. Dietary supplementation with a natural carotenoid mixture decreases oxidative stress

    PubMed ID: 12947433

    Adding carotenoids to fish oil enhanced triglyceride lowering versus fish oil alone—supports fish oil's TG‑lowering action and that co‑antioxidants can modulate effects.

  42. The effects of fatty fish intake on adolescents' nutritional status and associations with attention performance: results from the FINS-TEENS randomized controlled trial

    PubMed ID: 29475446

    Twelve weeks of fish meals or omega‑3 capsules raised RBC DHA and omega‑3 index in adolescents—biomarker evidence consistent with improved blood fatty‑acid status.

  43. Effect of fatty and lean fish intake on lipoprotein subclasses in subjects with coronary heart disease: a controlled trial

    PubMed ID: 24528693

    Fatty fish intake modestly increased HDL particle size and HDL lipid content.

  44. Horse meat consumption affects iron status, lipid profile and fatty acid composition of red blood cells in healthy volunteers

    PubMed ID: 23025273

    Regular horse‑meat consumption (source of n‑3) modestly improved cholesterol and increased RBC DHA—indirect support for dietary n‑3 effects on blood lipids.

  45. Dietary inclusion of salmon, herring and pompano as oily fish reduces CVD risk markers in dyslipidaemic middle-aged and elderly Chinese women

    PubMed ID: 22221492

    Oily‑fish consumption in dyslipidemic women produced robust increases in plasma EPA+DHA and significant triglyceride lowering—strong direct evidence for improving blood fats.

  46. Inclusion of Atlantic salmon in the Chinese diet reduces cardiovascular disease risk markers in dyslipidemic adult men

    PubMed ID: 20797476

    Daily oily fish increased blood EPA/DHA and improved triglycerides and HDL in dyslipidemic men (direct lipid benefits).

  47. 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

    Prescription omega‑3 (4 g/d) added to statin produced clear reductions in non‑HDL cholesterol and triglycerides.

  48. Safety and lipid-altering efficacy of a new omega-3 fatty acid and antioxidant-containing medical food in men and women with elevated triacylglycerols

    PubMed ID: 26076828

    Strong RCT showing significant triacylglycerol lowering with an EPA‑containing medical food—direct, high‑quality evidence.

  49. 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 fish oil lowered triglycerides in an 8‑week RCT—moderate‑strength evidence.

  50. Comparison of a immunonutrition formula enriched arginine, glutamine and omega-3 fatty acid, with a currently high-enriched enteral nutrition for trauma patients

    PubMed ID: 12924804

    Fish‑oil‑containing formula lowered triglycerides and raised serum proteins in small RCT of severe trauma/burn patients.

  51. FADS1 Genetic Variant and Omega-3 Supplementation Are Associated with Changes in Fatty Acid Composition in Red Blood Cells of Subjects with Obesity

    PubMed ID: 39458515

    In obese adults, EPA+DHA significantly raised RBC EPA/DHA (O3I), though genotype modified response—direct improvement in blood fatty‑acid markers.

  52. 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

    Higher re‑esterified TG formulation produced greater RBC EPA/DHA incorporation, indicating more effective improvement in blood fatty‑acid status.

  53. Administration of eicosapentaenoic acid may alter lipoprotein particle heterogeneity in statin-treated patients with stable coronary artery disease: A pilot 6-month randomized study

    PubMed ID: 32636128

    EPA (1.8 g/day) reduced small/very‑small LDL particles and increased large HDL particles over 6 months—strong effect on blood lipid profile.

  54. 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 the ω‑3 index by ~30% and improved ω‑6/ω‑3 ratio—clear improvement in blood fatty‑acid biomarkers.

  55. 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

    Three months of 2 g/day ω‑3 after AMI lowered triglycerides, ApoB and Lp(a) — clear lipid benefits.

  56. Administration of eicosapentaenoic acid may alter high-density lipoprotein heterogeneity in statin-treated patients with stable coronary artery disease: A 6-month randomized trial

    PubMed ID: 31543378

    Addition of EPA to statin therapy changed HDL subfraction distribution and EPA/AA ratio predicted HDL shifts — supports favorable blood‑lipid effects.

  57. Effect of rosuvastatin and eicosapentaenoic acid on neoatherosclerosis: the LINK-IT Trial

    PubMed ID: 31334703

    EPA added to statin lowered LDL‑C and improved plaque lipid index — supportive cardiovascular lipid changes.

  58. 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‑ranging trial produced proportional increases in blood EPA/DHA‑derived oxylipins and decreased AA‑derived oxylipins — strong blood lipid/fatty‑acid profile evidence.

  59. Genetic profiling of fatty acid desaturase polymorphisms identifies patients who may benefit from high-dose omega-3 fatty acids in cardiac remodeling after acute myocardial infarction-Post-hoc analysis from the OMEGA-REMODEL randomized controlled trial

    PubMed ID: 31532795

    Post‑MI ω‑3 increased EPA/DHA (omega‑3 index) and those increases correlated with improved remodeling.

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

    PubMed ID: 30414540

    DHA supplementation over 12 months produced robust incorporation into multiple plasma lipid classes — objective fatty‑acid change.

  61. 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 produced a large (~44%) median decline in fasting triglycerides and improved inflammatory markers.

  62. 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

    Supplementation increased blood n‑3 LC‑PUFA concentrations and altered AA:(DHA+EPA) ratios in children.

  63. The Ratio of Eicosapentaenoic Acid (EPA) to Arachidonic Acid may be a Residual Risk Marker in Stable Coronary Artery Disease Patients Receiving Treatment with Statin Following EPA Therapy

    PubMed ID: 28634822

    EPA supplementation increased EPA/AA ratio and modestly lowered non‑HDL cholesterol in CAD patients.

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

    PubMed ID: 27919362

    Large RCT subset: omega‑3 carboxylic acids substantially lowered TGs, reduced apoCIII and favorably altered LDL subspecies.

  65. Phospholipid Species in Newborn and 4 Month Old Infants after Consumption of Different Formulas or Breast Milk

    PubMed ID: 27571269

    Large infant study: formulas with AA+DHA substantially increased multiple plasma phospholipid DHA species (robust biomarker incorporation).

  66. The impact of an omega-3 fatty acid rich lipid emulsion on fatty acid profiles in critically ill septic patients

    PubMed ID: 27637335

    IV fish oil produced rapid EPA/DHA incorporation and lowered AA/(EPA+DHA) ratios across blood compartments (strong biomarker effects).

  67. The Ratio of Docosahexaenoic Acid and Arachidonic Acid in Infant Formula Influences the Fatty Acid Composition of the Erythrocyte Membrane in Low-Birth-Weight Infants

    PubMed ID: 26751068

    Formula with ARA+DHA raised erythrocyte ARA and DHA within 1 month (direct blood‑fat changes).

  68. 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

    Three‑month ω‑3 egg intervention raised RBC DHA/EPA and improved ω‑3/ω‑6 balance (blood‑fat improvement).

  69. Eicosapentaenoic Acid combined with optimal statin therapy improves endothelial dysfunction in patients with coronary artery disease

    PubMed ID: 24158248

    EPA lowered triglycerides and raised EPA/AA ratios in CAD patients—clinically meaningful improvement in blood lipids.

  70. Effects of supplemental long-chain omega-3 fatty acids and erythrocyte membrane fatty acid content on circulating inflammatory markers in a randomized controlled trial of healthy adults

    PubMed ID: 25091379

    Dose‑dependent increases in RBC EPA+DHA in healthy adults; limited changes in circulating inflammatory markers.

  71. 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(®) REVEAL Trial

    PubMed ID: 25185754

    Large, high‑purity EPA trial produced marked increases in omega‑3 indices and very large triglyceride reductions in hypertriglyceridemic subjects—strongest evidence for blood‑fat benefits.

  72. Highly purified eicosapentaenoic acid may increase low-density lipoprotein particle size by improving triglyceride metabolism in patients with hypertriglyceridemia

    PubMed ID: 23811682

    Purified EPA increased LDL particle size and decreased triglyceride‑rich lipoproteins—relevant favorable changes in blood‑fat profile.

  73. Omega-3 free fatty acids for the treatment of severe hypertriglyceridemia: the EpanoVa fOr Lowering Very high triglyceridEs (EVOLVE) trial

    PubMed ID: 24528690

    Robust, dose‑related TG and non‑HDL‑C lowering in severe hypertriglyceridemia with OM3‑FFA—clear effect on blood lipids.

  74. 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 randomized trial adding ω‑3 FFAs to statins lowered TG and non‑HDL‑C dose‑dependently—strong clinical lipid improvements.

  75. Treatment with omega-3 fatty acid ethyl-ester alters fatty acid composition of lipoproteins in overweight or obese adults with insulin resistance

    PubMed ID: 24378016

    Prescription n‑3 ethyl esters redistributed EPA/DPA/DHA across HDL/LDL/VLDL and lowered AA—meaningful lipoprotein compositional changes.

  76. The impact of supplemental n-3 long chain polyunsaturated fatty acids and dietary antioxidants on physical performance in postmenopausal women

    PubMed ID: 23299384

    1.2 g/day fish oil increased RBC DHA and DHA/AA ratio (favorable blood fat composition) in older women.

  77. Comparison between the AA/EPA ratio in depressed and non depressed elderly females: omega-3 fatty acid supplementation correlates with improved symptoms but does not change immunological parameters

    PubMed ID: 23046564

    EPA supplementation markedly decreased AA/EPA ratio and increased RBC EPA/DHA, beneficially altering blood fatty acid profiles.

  78. 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

    Fish‑oil lipid emulsion increased plasma DHA/EPA and decreased AA in preterm infants—clear shifts in blood fatty acid composition.

  79. Effect of a dietary intervention and n-3 fatty acid supplementation on measures of serum lipid and insulin sensitivity in persons with HIV

    PubMed ID: 19846544

    6 g/day EPA/DHA produced large triglyceride reductions and favorable serum phospholipid changes in dyslipidemia—strong lipid benefit.

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

    PubMed ID: 18590592

    Eating n‑3 enriched pork raised erythrocyte DHA and produced favorable changes in serum TAG and thromboxane.

  81. Supplementation of n-3 fatty acids during pregnancy and lactation reduces maternal plasma lipid levels and provides DHA to the infants

    PubMed ID: 16923694

    Cod liver oil during pregnancy raised maternal/infant DHA and attenuated the pregnancy-associated TG rise (favorable lipid effect).

  82. Blood profiles, body fat and mood state in healthy subjects on different diets supplemented with Omega-3 polyunsaturated fatty acids

    PubMed ID: 16101670

    AA/EPA reduction correlated with decreases in insulin and homocysteine and biochemical lipid shifts — metabolic/lipid relevance.

  83. 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

    Lowered triglycerides, increased platelet EPA/DHA and reduced platelet AA—strong lipid marker changes.

  84. Effects of n-3 polyunsaturated fatty acid supplementation in pregnancy on maternal and fetal erythrocyte fatty acid composition

    PubMed ID: 14985680

    Pregnancy RCT (4 g/day FO) robustly increased maternal and neonatal erythrocyte EPA/DHA (clear biomarker effect).

  85. The influence of different combinations of gamma-linolenic, stearidonic and eicosapentaenoic acids on the fatty acid composition of blood lipids and mononuclear cells in human volunteers

    PubMed ID: 15120716

    Feeding trials changed EPA/DGLA/AA composition across plasma and immune cells—meaningful lipid modulation.

  86. Nutrient supplementation with polyunsaturated fatty acids and micronutrients in rheumatoid arthritis: clinical and biochemical effects

    PubMed ID: 15164103

    Nutrient drink raised plasma EPA/DHA and lowered AA in RA patients—clear biochemical change.

  87. 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

    Infant formula with DHA+ARA increased RBC‑DHA by ~24% vs decrease in unsupplemented—direct blood‑fat effect.

  88. A dose-ranging exploratory study of the effects of ethyl-eicosapentaenoate in patients with persistent schizophrenic symptoms

    PubMed ID: 11755456

    Ethyl‑EPA (2–4 g/day) lowered triglycerides in schizophrenia patients — clear lipid benefit.

  89. The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans

    PubMed ID: 12145002

    Robust reductions in plasma triacylglycerol and increases in arterial compliance with EPA/DHA.

  90. Blood lipid concentrations of docosahexaenoic and arachidonic acids at birth determine their relative postnatal changes in term infants fed breast milk or formula

    PubMed ID: 10426708

    Paper quantified how birth status and milk type determine postnatal DHA/AA trajectories—explains blood‑fat variation.

  91. Prostate cancer risk and consumption of fish oils: a dietary biomarker-based case-control study

    PubMed ID: 10584888

    Observational erythrocyte EPA/DHA inversely associated with prostate cancer; demonstrates biomarker relevance of blood PUFA.

  92. 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

    Formula with DHA/AA restored infant plasma and RBC DHA/AA to breastfed levels—direct effect on blood lipids.

  93. 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‑containing formulas raised infant RBC DHA to levels similar to breastfed infants (blood biomarker effect).

  94. Effects of dietary fish oil and soy phosphatidylcholine on neutrophil fatty acid composition, superoxide release, and adhesion

    PubMed ID: 9675609

    Short FO course increased neutrophil EPA/DHA and decreased LA/AA—membrane lipid remodeling.

  95. 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‑dependent increases in plasma phospholipid DHA and decreases in triacylglycerols; cholesterol rose slightly — lipid profile changes relevant to blood fats.

  96. Comparative effects of prolonged intake of highly purified fish oils as ethyl ester or triglyceride on lipids, haemostasis and platelet function in normolipaemic men

    PubMed ID: 8404785

    Both EE and TG fish oil were incorporated into plasma lipids and reduced platelet activation; some fibrinogen reduction noted.

  97. Plasma lipid levels and platelet and neutrophil function in patients with vascular disease following fish oil and olive oil supplementation

    PubMed ID: 1328817

    Serum triglycerides decreased 26% after 4 weeks and EPA incorporation occurred; relevant to blood fat improvement.

  98. Effects of two types of fish oil supplements on serum lipids and plasma phospholipid fatty acids in coronary artery disease

    PubMed ID: 2239719

    Sustained 28–32% triglyceride reductions and ~5-fold plasma phospholipid EPA increase after 6 months.

  99. Fish-oil concentrate: effects on variables related to cardiovascular disease

    PubMed ID: 2375296

    High‑dose fish oil lowered serum triglycerides by ~22% and raised EPA:AA ratio (reversible on washout).

  100. Cognitive response to fish oil, blueberry, and combined supplementation in older adults with subjective cognitive impairment

    PubMed ID: 29458842

    Fish oil supplementation raised RBC EPA+DHA by ~32–33% at 24 weeks—direct biomarker improvement.

  101. Effects of EPA and lipoic acid supplementation on circulating FGF21 and the fatty acid profile in overweight/obese women following a hypocaloric diet

    PubMed ID: 29766165

    EPA raised plasma n‑3 (EPA/DPA) and decreased n‑6 content and changed desaturase indices—metabolic improvements in blood fats.

  102. 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

    Trial showed decreases in triglycerides/VLDL with marine ω‑3—beneficial blood‑lipid changes.

  103. Evaluation of Influencing Factors on Metabolism of Land-Based n-3 Poly Unsaturated Fatty Acids-The KoALA Study

    PubMed ID: 37892536

    High ALA intake raised erythrocyte EPA substantially (but often lowered DHA) and altered n‑6/n‑3 balance—clear effects on blood fatty acids.

  104. 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

    Marine n‑3 markedly increased erythrocyte EPA/DHA and omega‑3 index in T2DM patients—direct evidence of improved blood‑fat profile.

  105. EPA+DHA, but not ALA, Improved Lipids and Inflammation Status in Hypercholesterolemic Adults: A Randomized, Double-Blind, Placebo-Controlled Trial

    PubMed ID: 30900815

    Randomized trial showing dose‑dependent triglyceride lowering with EPA+DHA and cellular incorporation—strong evidence for improving blood fats.

  106. 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

    Large dose–response study: clear, rapid, dose‑dependent plasma EPA/DHA rises and ≈15% short‑term triglyceride reduction.

  107. Camelina Sativa Oil, but not Fatty Fish or Lean Fish, Improves Serum Lipid Profile in Subjects with Impaired Glucose Metabolism-A Randomized Controlled Trial

    PubMed ID: 29272068

    Camelina (ALA) improved total/LDL cholesterol and LDL:HDL ratio versus fish arms—dietary omega‑3 (ALA) improved lipid profile.

  108. Bioavailability of Dietary Omega-3 Fatty Acids Added to a Variety of Sausages in Healthy Individuals

    PubMed ID: 28629180

    Food delivery of ~250 mg/day EPA+DHA increased the Omega‑3 Index by ~1.5 percentage points—demonstrated bioavailability and RBC incorporation.

  109. Consumption of echium oil increases EPA and DPA in blood fractions more efficiently compared to linseed oil in humans

    PubMed ID: 26892399

    Echium oil increased EPA/DPA substantially (less DHA) and fish oil produced the largest EPA rise in comparative trial.

  110. 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

    2 g/day EPA+DHA improved HbA1c and multiple lipid measures in type 2 diabetics (RCT).

  111. Omega-3 polyunsaturated fatty acids in treating non-alcoholic steatohepatitis: A randomized, double-blind, placebo-controlled trial

    PubMed ID: 26047766

    Mixed omega‑3s improved triglycerides and plasma n‑3s in NASH patients.

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

    PubMed ID: 25633498

    High‑oleic RUTF prevented DHA decline and raised EPA/DHA in malnourished children (favorable blood PUFA profile).

  113. Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial

    PubMed ID: 26169870

    Infant oily fish feeding reliably raised infant EPA/DHA and total n‑3 LC‑PUFA.

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

    PubMed ID: 25515553

    Fish oil arm showed ~16% triglyceride reduction and HDL increase in metabolic‑syndrome/early‑diabetes patients.

  115. 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

    ALA/SDA‑enriched foods substantially raised RBC EPA and certain oils lowered total and LDL cholesterol in hypertriglyceridemia.

  116. Cheek cell fatty acids reflect n-3 PUFA in blood fractions during linseed oil supplementation: a controlled human intervention study

    PubMed ID: 24229084

    Linseed oil rapidly increased cheek‑cell and blood n‑3 measures, supporting that dietary n‑3 changes are reflected in accessible biomarkers.

  117. Lignan content of the flaxseed influences its biological effects in healthy men and women

    PubMed ID: 23885993

    High‑lignan flaxseed bars lowered total and LDL cholesterol and oxidized LDL in humans (lipid improvements though intervention is ALA/lignan based).

  118. Low-n-6 and low-n-6 plus high-n-3 diets for use in clinical research

    PubMed ID: 23328113

    Dietary intervention lowering linoleic acid and/or providing n‑3 substantially raised erythrocyte EPA/DHA (large, consistent biomarker shifts).

  119. 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 yogurt significantly raised plasma/RBC n‑3 and improved triglycerides and HDL in people with mild hypertriglyceridemia.

  120. Effects of flaxseed supplementation on erythrocyte fatty acids and multiple cardiometabolic biomarkers among Chinese with risk factors of metabolic syndrome

    PubMed ID: 23179200

    Daily flaxseed raised erythrocyte total n‑3, ALA, EPA and DPA (biochemical improvement though without clinical inflammation changes).

  121. 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

    Randomized feeding: EPA/DHA‑fortified margarine markedly increased erythrocyte EPA/DHA and nearly doubled the omega‑3 index — strong evidence of improving blood n‑3 status.

  122. 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

    In preterm infants, formula DHA increased plasma and erythrocyte DHA dose‑dependently — clear effect on blood fatty‑acid composition.

  123. Dietary oils and FADS1-FADS2 genetic variants modulate [13C]α-linolenic acid metabolism and plasma fatty acid composition

    PubMed ID: 23221573

    Controlled dietary study: flax oil raised plasma ALA, EPA and DPA (but not DHA) and showed genotype effects on conversion — important data on affecting blood n‑3 profile.

  124. 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 feeding trial: distinct LDL enrichment and modest, consistent triglyceride reductions with ALA/EPA/DHA — strong biomarker evidence for blood‑fat modulation.

  125. 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

    Randomized trial showed rapid, dose‑dependent increases in RBC DHA and total n‑3 with fish oil (clear biomarker effect).

  126. Oily fish reduces plasma triacylglycerols: a primary prevention study in overweight men and women

    PubMed ID: 17027436

    Two portions of oily fish/week lowered serum triglycerides in overweight adults (dietary n‑3 effect on lipids).

  127. 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

    Lowering n‑6:n‑3 by adding EPA/DHA reduced TAGs and shifted LDL particle profile (favourable lipid changes).

  128. 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

    EPA/DHA‑enriched diet reduced fasting and postprandial triacylglycerol (clinically relevant lipid lowering).

  129. 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 lowered plasma triglycerides 23% and reduced small dense LDL — clear favorable blood‑lipid effects.

  130. 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

    Duplicate entry to emphasize strong TG lowering vs ALA (same study ID: 12663273).

  131. Eicosapentaenoic acid and docosahexaenoic acid from fish oils: differential associations with lipid responses

    PubMed ID: 12010583

    Well‑controlled crossover fish‑oil trial produced large increases in platelet EPA/DHA and clear triglyceride lowering—strong blood‑lipid evidence.

  132. A new relationship between total/high density lipoprotein cholesterol and polyunsaturated fatty acids

    PubMed ID: 8729094

    Large cross‑sectional/feeding data: higher plasma PUFA strongly associated with lower TC/HDL ratio (robust lipid association).

  133. Dietary substitution with an alpha-linolenic acid-rich vegetable oil increases eicosapentaenoic acid concentrations in tissues

    PubMed ID: 7910999

    Fish oil supplementation increased blood/tissue EPA, showing effective modification of blood fat composition.

  134. Effect of fish oil on lipoproteins, lecithin:cholesterol acyltransferase, and lipid transfer protein activity in humans

    PubMed ID: 2297349

    Mildly hypercholesterolemic men: plasma triglycerides −24% and VLDL reductions at 6 weeks (RCT).

  135. 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

    Classic trial: marine n‑3 lowered triglycerides by 39% (strong direct effect on blood lipids).

  136. Assessing Validity of Self-Reported Dietary Intake within a Mediterranean Diet Cluster Randomized Controlled Trial among US Firefighters

    PubMed ID: 31546768

    Mediterranean diet increased plasma EPA/DHA and decreased saturated fatty acids—favorable blood‑fat changes.

  137. Effects of a New Combination of Medical Food on Endothelial Function and Lipid Profile in Dyslipidemic Subjects: A Pilot Randomized Trial

    PubMed ID: 30723735

    Product including omega‑3 improved blood lipids vs comparator though multiple active ingredients confound attribution.

  138. Dietary omega-6 fatty acid lowering increases bioavailability of omega-3 polyunsaturated fatty acids in human plasma lipid pools

    PubMed ID: 24675168

    Dietary intervention (low n‑6 + high n‑3) produced very large plasma/phospholipid EPA (+271%) and DHA (+112%) increases and AA −20% — strong biochemical evidence.

  139. Effects of a healthy Nordic diet on cardiovascular risk factors in hypercholesterolaemic subjects: a randomized controlled trial (NORDIET)

    PubMed ID: 20964740

    Diet including fish lowered LDL (−21%) and total cholesterol (−16%) in people with mild hypercholesterolemia (multicomponent diet).

  140. Effects of addition of policosanol to omega-3 fatty acid therapy on the lipid profile of patients with type II hypercholesterolaemia

    PubMed ID: 16050054

    Combination policosanol + fish oil reduced LDL/total cholesterol and maintained fish‑oil TG reduction (combination therapy).

  141. Effects of a new fish oil concentrate on plasma lipids and lipoproteins in patients with hypertriglyceridaemia

    PubMed ID: 7889894

    Large RCT in hypertriglyceridemia showed robust, clinically meaningful triglyceride and VLDL reductions with concentrated fish oil.

  142. Elevated serum phosphatidylcholine (16:1/22:6) levels promoted by fish oil and vitamin D(3) are highly correlated with biomarkers of non-alcoholic fatty liver disease in Chinese subjects

    PubMed ID: 36279014

    Metabolomic increase in PC(16:1/22:6) correlated with lower TAG and higher HDL in NAFLD patients (biomarker evidence).

  143. Concentrated fish oil ameliorates non-alcoholic fatty liver disease by regulating fibroblast growth factor 21-adiponectin axis

    PubMed ID: 35594631

    NAFLD RCT: significant TAG reduction and improved metabolic marker adiponectin.

  144. The effects of fish oil plus vitamin D(3) intervention on non-alcoholic fatty liver disease: a randomized controlled trial

    PubMed ID: 35067753

    Three-month RCT showed fish oil reduced triacylglycerol (TAG) vs control.

  145. Effects of Epeleuton, a Novel Synthetic Second-Generation n-3 Fatty Acid, on Non-Alcoholic Fatty Liver Disease, Triglycerides, Glycemic Control, and Cardiometabolic and Inflammatory Markers

    PubMed ID: 32779505

    Epeleuton (EPA-derivative) produced dose-dependent, significant triglyceride lowering.

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

    PubMed ID: 26078579

    PUFA therapy in NASH patients reduced triglycerides along with liver improvements.

  147. 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

    4 g/day fish oil produced robust reductions in triglycerides and total cholesterol in NAFLD patients.

  148. 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 and insulin sensitivity.

  149. Effects of n-3 polyunsaturated fatty acids from seal oils on nonalcoholic fatty liver disease associated with hyperlipidemia

    PubMed ID: 19009658

    Seal‑oil RCT reduced triglycerides alongside liver enzyme and ultrasound improvements.

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

    PubMed ID: 7702027

    Long‑term fish oil after bypass lowered triglycerides ~19% in a large RCT.

  151. Effect of pravastatin and omega-3 fatty acids on plasma lipids and lipoproteins in patients with combined hyperlipidemia

    PubMed ID: 8241095

    Mixed hyperlipidemia trial: ~30% triglyceride reduction with fish oil (~3 g/day).

  152. 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 lowered triglycerides by ~26% vs placebo (12‑week trial).

  153. The effect of camelina sativa oil and fish intakes on fatty acid compositions of blood lipid fractions

    PubMed ID: 30454883

    Dietary fatty fish and camelina changed EPA/DHA/ALA across multiple lipid pools—consistent biomarker changes tied to blood‑fat health.

  154. Marine n-3 fatty acid treatment for carotid plaques in patients with type 2 diabetes

    PubMed ID: 41559698

    14‑month high‑dose fish oil produced robust, dose‑dependent reductions in triglycerides and remnant cholesterol (large RCT in T2D).

  155. Omega and heart rate variability in overweight and obese schoolchildren

    PubMed ID: 39972155

    Three months EPA/DHA in overweight children lowered triglycerides and raised HDL (randomized trial).

  156. The Effects of Omega-3 Supplementation Combined with Strength Training on Neuro-Biomarkers, Inflammatory and Antioxidant Responses, and the Lipid Profile in Physically Healthy Adults

    PubMed ID: 40647193

    Omega‑3 plus resistance training improved lipid profile (↓LDL, ↑HDL, ↓TG) in active adults.

  157. Cardiovascular Outcomes With Icosapent Ethyl by Baseline Low-Density Lipoprotein Cholesterol: A Secondary Analysis of the REDUCE-IT Randomized Trial

    PubMed ID: 39968782

    High‑dose EPA reduced CV events independent of LDL and is known to lower triglycerides — strong healthy lipid relevance.

  158. Effects of niacin and omega-3 fatty acids on HDL-apolipoprotein A-I exchange in subjects with metabolic syndrome

    PubMed ID: 38408107

    P‑OM3 (prescription omega‑3) produced meaningful increases in HDL functional exchange and apoA‑I activity.

  159. Lipoprotein(a) Blood Levels and Cardiovascular Risk Reduction With Icosapent Ethyl

    PubMed ID: 38530686

    Icosapent ethyl reduced CV events in patients with elevated TGs, consistent with healthy blood‑fat effects beyond simple TG lowering.

  160. Nutritional effect on lipoproteins and their subfractions in patients with Psoriatic Arthritis: a 12-week randomized trial-the DIETA trial

    PubMed ID: 38872193

    Omega‑3 added to individualized diet increased large HDL subfraction and improved some LDL particle measures in subgroups.

  161. Dietary n-3 polyunsaturated fatty acids alter the number, fatty acid profile and coagulatory activity of circulating and platelet-derived extracellular vesicles: a randomized, controlled crossover trial

    PubMed ID: 38484976

    n‑3 lowered plasma triglycerides and enriched plasma phospholipid n‑3 content, with attendant reductions in procoagulant EVs.

  162. Improvement in Glycolipid Metabolism Parameters After Supplementing Fish Oil-Derived Omega-3 Fatty Acids Is Associated with Gut Microbiota and Lipid Metabolites in Type 2 Diabetes Mellitus

    PubMed ID: 39519588

    3 g/day fish‑oil in T2DM produced significant triglyceride lowering and improved overall lipid profile (strong lipid effect).

  163. Effects of vitamin D, omega-3 and a simple strength exercise programme in cardiovascular disease prevention: The DO-HEALTH randomized controlled trial

    PubMed ID: 38199870

    1 g/day omega‑3 in older adults produced small but statistically significant HDL rise and triglyceride lowering (modest favorable lipid changes).

  164. Evaluating the Impact of Omega-3 Fatty Acid (Soloways(TM)) Supplementation on Lipid Profiles in Adults with PPARG Polymorphisms: A Randomized, Double-Blind, Placebo-Controlled Trial

    PubMed ID: 38201926

    Randomized, genotype‑stratified trial: large LDL (~‑15%) and triglyceride (~‑21%) reductions with omega‑3 ethyl esters in PPARG variant carriers (robust pharmacogenetic lipid effect).

  165. Potential effects of icosapent ethyl on cardiovascular outcomes in cigarette smokers: REDUCE-IT smoking

    PubMed ID: 35953437

    Icosapent ethyl (EPA) showed cardiovascular event reductions in smokers; EPA is known to lower triglycerides — supports blood‑fat benefit in this context.

  166. Effect of long-chain omega-3 polyunsaturated fatty acids on cardiometabolic factors in children with acute lymphoblastic leukemia undergoing treatment: a secondary analysis of a randomized controlled trial

    PubMed ID: 37124732

    In children with ALL, omega‑3 significantly lowered triglycerides and VLDL over 3 months (clear lipid improvements).

  167. Icosapent ethyl therapy for very high triglyceride levels: a 12-week, multi-center, placebo-controlled, randomized, double-blinded, phase III clinical trial in China

    PubMed ID: 37301827

    4 g/day icosapent ethyl in patients with very high TG produced ~28% TG reduction (≈20% placebo‑adjusted) and reduced VLDL‑C/non‑HDL‑C without increasing LDL‑C.

  168. Fish oil supplementation during pregnancy and postpartum in mothers with overweight and obesity to improve body composition and metabolic health during infancy: A double-blind randomized controlled trial

    PubMed ID: 36781129

    Well‑conducted RCT showed maternal fish oil reduced maternal TGs (~17%) and infant TGs (~21%) — clear triglyceride‑lowering effect.

  169. Long-term safety and efficacy of MND-2119 (self-emulsifying formulation of highly purified eicosapentaenoic acid ethyl ester) in patients with hypertriglyceridemia: Results from a multicenter, 52-week, open-label study

    PubMed ID: 36202740

    EPA ethyl ester lowered triglycerides (−16.7% to −21.0% depending on dose) over 52 weeks with marked plasma EPA increases—strong lipid benefit.

  170. Impact of Icosapent Ethyl on Cardiovascular Risk Reduction in Patients With Heart Failure in REDUCE-IT

    PubMed ID: 35377160

    Icosapent ethyl lowered triglycerides and hs‑CRP in the REDUCE‑IT HF subgroup, supporting benefits on blood lipids.

  171. Effects of enriched seafood sticks (heat-inactivated B. animalis subsp. lactis CECT 8145, inulin, omega-3) on cardiometabolic risk factors and gut microbiota in abdominally obese subjects: randomized controlled trial

    PubMed ID: 35643872

    Seafood sticks with ω‑3 blunted postprandial TG rise and improved insulin/HOMA‑IR, indicating improved lipid handling.

  172. Efficacy and safety of self-emulsifying formulation of highly purified eicosapentaenoic acid ethyl ester (MND-2119) versus highly purified eicosapentaenoic acid ethyl ester in patients with hypertriglyceridemia: Results from a 12-week randomized, double-blind, active-controlled, phase 3 study

    PubMed ID: 35871058

    Phase‑3 RCT shows dose‑dependent and clinically important triglyceride reductions with an EPA formulation versus active comparator.

  173. Effect of Omega-3 Polyunsaturated Fatty Acids on Lipid Metabolism in Patients With Metabolic Syndrome and NAFLD

    PubMed ID: 35147302

    12‑month n‑3 PUFA markedly enriched plasma EPA/DHA lipid species (lipidomic shift toward EPA/DHA‑containing lipids).

  174. The Effect of Dietary Supplementation on Aggressive Behaviour in Australian Adult Male Prisoners: A Feasibility and Pilot Study for a Randomised, Double Blind Placebo Controlled Trial

    PubMed ID: 32867282

    Inmate pilot produced a substantial rise in erythrocyte Omega‑3 Index (+3.2%), confirming uptake into blood lipids.

  175. Monoacylglycerol Form of Omega-3s Improves Its Bioavailability in Humans Compared to Other Forms

    PubMed ID: 32272659

    MAG and FFA omega‑3 forms showed superior bioavailability (higher plasma EPA exposure) supporting greater potential effects on blood‑lipid profiles with equivalent dosing.

  176. Combined effect of n-3 fatty acids and phytosterol esters on alleviating hepatic steatosis in non-alcoholic fatty liver disease subjects: a double-blind placebo-controlled clinical trial

    PubMed ID: 32054543

    NAFLD RCT (phytosterol + EPA/DHA) lowered triglycerides and total cholesterol — combination supports lipid improvements.

  177. Lipid Profile, Lipoprotein Subfractions, and Fluidity of Membranes in Children and Adolescents with Depressive Disorder: Effect of Omega-3 Fatty Acids in a Double-Blind Randomized Controlled Study

    PubMed ID: 33050072

    Depressed children: omega‑3 shifted HDL subfractions toward less atherogenic profile — direct favorable lipoprotein changes.

  178. Reduction in Revascularization With Icosapent Ethyl: Insights From REDUCE-IT Revascularization Analyses

    PubMed ID: 33148016

    Icosapent ethyl produced major reductions in revascularization events; while lipid effects differ, outcome benefit supports clinically meaningful cardiovascular lipid‑related benefit.

  179. Short-Term Efficacy (at 12 Weeks) and Long-Term Safety (up to 52 Weeks) of Omega-3 Free Fatty Acids (AZD0585) for the Treatment of Japanese Patients With Dyslipidemia - A Randomized, Double-Blind, Placebo-Controlled, Phase III Study

    PubMed ID: 32281579

    Phase III RCT: AZD0585 produced dose‑dependent, substantial triglyceride reductions and improved ApoC‑III/non‑HDL — direct and strong evidence.

  180. Icosapent ethyl reduces atherogenic markers in high-risk statin-treated patients with stage 3 chronic kidney disease and high triglycerides

    PubMed ID: 31306043

    Icosapent ethyl 4 g/day in CKD lowered triglycerides substantially without raising LDL‑C — strong prescription‑dose effect on blood fats.

  181. Omega-3 fatty acid ethyl esters improve low-density lipoprotein subclasses without increasing low-density lipoprotein-cholesterol levels: A phase 4, randomized study

    PubMed ID: 31809985

    Omega‑3 ethyl esters added to statin therapy improved LDL particle size and reduced various atherogenic lipid measures in dyslipidemia patients.

  182. Effects of Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester) on Atherogenic Lipid/Lipoprotein, Apolipoprotein, and Inflammatory Parameters in Patients With Elevated High-Sensitivity C-Reactive Protein (from the ANCHOR Study)

    PubMed ID: 31277790

    Icosapent ethyl 4 g/day produced robust, significant triglyceride and atherogenic lipid reductions in statin‑treated high‑risk patients.

  183. [Effects of ω-3 polyunsaturated fatty acids from different sources on glucolipid metabolism in type 2 diabetic patients with dyslipidemia]

    PubMed ID: 31177752

    Randomized trial in T2D/dyslipidemia found fish oil substantially lowered triglycerides and increased HDL (robust lipid changes).

  184. Effects of Icosapent Ethyl on Total Ischemic Events: From REDUCE-IT

    PubMed ID: 30898607

    REDUCE‑IT (4 g EPA) produced substantial reductions in ischemic events in patients with elevated TGs; high‑dose EPA is established to lower triglycerides and improve outcomes.

  185. REDUCE-IT USA: Results From the 3146 Patients Randomized in the United States

    PubMed ID: 31707829

    Icosapent ethyl substantially lowered major ischemic events in statin‑treated patients with elevated TGs (supports beneficial effects on atherogenic lipids/outcomes).

  186. A combination of omega-3 and plant sterols regulate glucose and lipid metabolism in individuals with impaired glucose regulation: a randomized and controlled clinical trial

    PubMed ID: 31043161

    Omega‑3 (±plant sterols) improved fasting glucose/HOMA‑IR and reduced triacylglycerol and hs‑CRP—meaningful TG lowering.

  187. Supplementation with saury oil, a fish oil high in omega-11 monounsaturated fatty acids, improves plasma lipids in healthy subjects

    PubMed ID: 31784345

    Saury fish oil lowered triglycerides and raised HDL‑C and cholesterol efflux capacity in healthy adults (small crossover RCT).

  188. Beneficial effects of probiotic combination with omega-3 fatty acids in NAFLD: a randomized clinical study

    PubMed ID: 30221912

    Probiotic + omega‑3 lowered serum triglycerides and total cholesterol in NAFLD patients (RCT).

  189. Effect of omega-3 fatty acids supplementation combined with lifestyle intervention on adipokines and biomarkers of endothelial dysfunction in obese adolescents with hypertriglyceridemia

    PubMed ID: 30513433

    Omega‑3 + lifestyle in obese teens improved triglycerides and other metabolic markers (randomized study).

  190. Lipid Effects of Icosapent Ethyl in Women with Diabetes Mellitus and Persistent High Triglycerides on Statin Treatment: ANCHOR Trial Subanalysis

    PubMed ID: 29583081

    High‑dose EPA produced large, statistically robust reductions in triglycerides, non‑HDL‑C, VLDL‑TG and ApoB in diabetic women.

  191. Effect of Eicosapentaenoic acid (EPA) supplementation on cardiovascular markers in patients with type 2 diabetes mellitus: A randomized, double-blind, placebo-controlled trial

    PubMed ID: 29588138

    EPA (2 g/day) in T2D lowered atherogenic index of plasma (AIP) and related metabolites (positive effect on blood‑fat risk).

  192. Effects of marine n-3 fatty acid supplementation in renal transplantation: A randomized controlled trial

    PubMed ID: 30125457

    Marine n‑3 reduced triglycerides in renal transplant recipients (secondary outcomes).

  193. Effects of omega-3 fatty acids on metabolic syndrome in patients with schizophrenia: a 12-week randomized placebo-controlled trial

    PubMed ID: 30519766

    Omega‑3 in schizophrenia+MetS lowered triglycerides over 12 weeks (TG improvement).

  194. Statin dose reduction with complementary diet therapy: A pilot study of personalized medicine

    PubMed ID: 29503145

    Combined nutraceutical including fish oil lowered LDL (~14%), total cholesterol and hs‑CRP in statin‑treated diabetics.

  195. Replication of a Gene-Diet Interaction at CD36, NOS3 and PPARG in Response to Omega-3 Fatty Acid Supplements on Blood Lipids: A Double-Blind Randomized Controlled Trial

    PubMed ID: 29703528

    Genotype‑specific differences in triglyceride lowering indicate fish‑oil can favorably modify blood fats in some genetic backgrounds.

  196. A low-fat spread with added plant sterols and fish omega-3 fatty acids lowers serum triglyceride and LDL-cholesterol concentrations in individuals with modest hypercholesterolaemia and hypertriglyceridaemia

    PubMed ID: 29725824

    Combined spread containing 1 g/day EPA+DHA lowered TG (~10%) and LDL (~5%)—meaningful lipid improvements though combination product.

  197. Dose-dependent effects of fish oil on cardio-metabolic biomarkers in healthy middle-aged and elderly Chinese people: a double-blind randomized controlled trial

    PubMed ID: 29781483

    Well‑powered RCT showed dose‑dependent EPA/DHA increases and clear triglyceride reductions in older adults.

  198. Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia

    PubMed ID: 30415628

    Icosapent ethyl markedly lowered major ischemic events in statin‑treated patients with high TGs; lipid‑lowering mechanism central to effect.

  199. Phytosterols and Omega 3 Supplementation Exert Novel Regulatory Effects on Metabolic and Inflammatory Pathways: A Proteomic Study

    PubMed ID: 28608804

    ω‑3 milk altered HDL/LDL proteome and responders had ~30% TG reduction—strong mechanistic and clinical lipid signal.

  200. Omega-3 supplementation on inflammatory markers in patients with chronic Chagas cardiomyopathy: a randomized clinical study

    PubMed ID: 28599665

    Significant triglyceride lowering in Chagas cardiomyopathy trial (−21.1 mg/dL vs −4.1) — clear blood‑fat effect.

  201. Abnormal lipoprotein oxylipins in metabolic syndrome and partial correction by omega-3 fatty acids

    PubMed ID: 29413356

    High-dose prescription omega-3 partially normalized proinflammatory oxylipins in lipoproteins in MetSyn—improves lipid-associated inflammatory profile.

  202. The Effect of Eicosapentaenoic Acid on the Serum Levels and Enzymatic Activity of Paraoxonase 1 in the Patients With Type 2 Diabetes Mellitus

    PubMed ID: 29034644

    EPA increased PON1 activity and modestly improved HDL and other lipid markers — favorable lipid/anti‑atherogenic changes.

  203. Beneficial Effects of n-3 Fatty Acids on Cardiometabolic and Inflammatory Markers in Type 2 Diabetes Mellitus: A Clinical Trial

    PubMed ID: 29017158

    High‑dose n‑3 improved atherogenic index (log TG/HDL) and other lipid‑related indices in T2DM.

  204. Effects of 12-week supplementation of marine Omega-3 PUFA-based formulation Omega3Q10 in older adults with prehypertension and/or elevated blood cholesterol

    PubMed ID: 29282085

    Omega3Q10 modestly reduced LDL and total cholesterol over 12 weeks — direct improvement in blood lipid markers.

  205. Effect of Omega-3 Polyunsaturated Fatty Acids Supplementation on Body Composition and Circulating Levels of Follistatin-Like 1 in Males With Coronary Artery Disease: A Randomized Double-Blind Clinical Trial

    PubMed ID: 28826313

    ω‑3 supplementation lowered LDL and hs‑CRP in CAD patients — favorable lipid biomarker changes.

  206. Comparative Study Between Conventional Fasting Versus Overnight Infusion of Lipid or Carbohydrate on Insulin and Free Fatty Acids in Obese Patients Undergoing Elective On-pump Coronary Artery Bypass Grafting. A Prospective Randomized Trial

    PubMed ID: 29306619

    Perioperative lipid infusion with 15% fish oil lowered free fatty acids, TG/VLDL and glucose acutely — metabolic lipid improvements.

  207. Beneficial effect of n-3 polyunsaturated fatty acids on inflammation and analgesic use in psoriatic arthritis: a randomized, double blind, placebo-controlled trial

    PubMed ID: 28303758

    n‑3 PUFA changed leukotrienes and lowered analgesic use in psoriatic arthritis; also known to influence eicosanoid lipid mediators.

  208. A randomized trial and novel SPR technique identifies altered lipoprotein-LDL receptor binding as a mechanism underlying elevated LDL-cholesterol in APOE4s

    PubMed ID: 28276521

    Mechanistic study showed fish oil altered TRL–LDLR interactions that may influence LDL metabolism—relevant to blood-fat handling.

  209. Omega-3 carboxylic acids in patients with severe hypertriglyceridemia: EVOLVE II, a randomized, placebo-controlled trial

    PubMed ID: 29289538

    Randomized trial demonstrating significant triglyceride and non-HDL cholesterol reductions with omega-3 carboxylic acid in very high TG adults.

  210. Comparison of the effect of omega-3 supplements and fresh fish on lipid profile: a randomized, open-labeled trial

    PubMed ID: 29259181

    Direct head‑to‑head RCT: farmed trout twice weekly produced large, clinically meaningful reductions in TG, total cholesterol and LDL vs omega‑3 capsules.

  211. A randomized controlled trial of eicosapentaenoic acid in patients with coronary heart disease on statins

    PubMed ID: 28863874

    EPA added to statin therapy reduced plaque lipid volume and atheroma, reflecting improved atherogenic lipid biology.

  212. Parenteral nutrition-associated cholestasis and triglyceridemia in surgical term and near-term neonates: A pilot randomized controlled trial of two mixed intravenous lipid emulsions

    PubMed ID: 29415837

    SMOF (fish‑oil containing) lipid emulsion reduced triglycerides in neonates on parenteral nutrition — clear TG lowering effect.

  213. High-quality fish oil has a more favourable effect than oxidised fish oil on intermediate-density lipoprotein and LDL subclasses: a randomised controlled trial

    PubMed ID: 28558855

    High‑quality fish oil reduced atherogenic IDL and LDL particle concentrations vs oxidized fish oil/sunflower oil in healthy volunteers (lipoprotein subclass improvement).

  214. Effects of MAT9001 containing eicosapentaenoic acid and docosapentaenoic acid, compared to eicosapentaenoic acid ethyl esters, on triglycerides, lipoprotein cholesterol, and related variables

    PubMed ID: 28391875

    See above (repeated evidence of strong TG/ApoC3 reductions).

  215. Usefulness of Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester) in Women to Lower Triglyceride Levels (Results from the MARINE and ANCHOR Trials)

    PubMed ID: 27939227

    High‑purity EPA at 4 g/day reduced triglycerides by ~21–23% in women and markedly raised EPA—strong evidence for improving blood lipids.

  216. Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on remnant-like particle cholesterol from the MARINE and ANCHOR studies

    PubMed ID: 27596132

    Icosapent ethyl 4 g/day substantially lowered remnant cholesterol across phase‑3 cohorts—robust favorable effect on atherogenic lipids.

  217. Omega 3 Fatty Acids Supplementation and Oxidative Stress in HIV-Seropositive Patients. A Clinical Trial

    PubMed ID: 27015634

    In HIV patients, omega‑3 lowered triglycerides (significant) and showed some oxidative‑stress changes per‑protocol—direct TG lowering.

  218. Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on plasma apolipoprotein C-III levels in patients from the MARINE and ANCHOR studies

    PubMed ID: 27206952

    High‑purity EPA (4 g/d) markedly and consistently lowered ApoC‑III in phase‑3 trials—strong mechanistic lipid effect.

  219. One month of omega-3 fatty acid supplementation improves lipid profiles, glucose levels and blood pressure in overweight schoolchildren with metabolic syndrome

    PubMed ID: 27658130

    Short pediatric study reported improved lipid profiles after 1 month of omega‑3—supports favorable blood‑fat changes (small study).

  220. Red blood cell oleic acid levels reflect olive oil intake while omega-3 levels reflect fish intake and the use of omega-3 acid ethyl esters: The Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto Miocardico-Heart Failure trial

    PubMed ID: 27632919

    Prescription omega‑3 ethyl esters raised the RBC omega‑3 index substantially—clear incorporation into blood lipids.

  221. Effects of sardine-enriched diet on metabolic control, inflammation and gut microbiota in drug-naïve patients with type 2 diabetes: a pilot randomized trial

    PubMed ID: 27090218

    Sardine intervention in T2D raised erythrocyte EPA/DHA (omega‑3 index) and increased adiponectin; relevant to healthier lipid/metabolic profile.

  222. Fish Oil Supplementation Enhances Pulmonary Strength and Endurance in Women Undergoing Chemotherapy

    PubMed ID: 27340931

    4 g/day fish oil in chemotherapy patients improved lipid profiles (lower TAG, preserved HDL) and lactate handling, indicating favorable blood‑fat changes.

  223. Effects of n-3 polyunsaturated fatty acids (ω-3) supplementation on some cardiovascular risk factors with a ketogenic Mediterranean diet

    PubMed ID: 25689563

    Overweight adults on ketogenic Mediterranean diet plus ω‑3 had larger TG and insulin reductions than diet alone — supports ω‑3 effect on blood fats in that context.

  224. The Effect of n-3 Fatty Acids on Small Dense Low-Density Lipoproteins in Patients With End-Stage Renal Disease: A Randomized Placebo-Controlled Intervention Study

    PubMed ID: 25771840

    Hemodialysis RCT: modest ω‑3 lowered triglycerides significantly — clear lipid (TG) improvement in that population.

  225. Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester): Effects Upon High-Sensitivity C-Reactive Protein and Lipid Parameters in Patients With Metabolic Syndrome

    PubMed ID: 25893544

    Icosapent ethyl robustly lowered triglycerides and non‑HDL-C (and hsCRP) in metabolic-syndrome subgroups — strong support for improving blood fats.

  226. Marine n-3 polyunsaturated fatty acids lower plasma proprotein convertase subtilisin kexin type 9 levels in pre- and postmenopausal women: A randomised study

    PubMed ID: 26143741

    Marine n‑3 (2.2 g/day) reduced plasma PCSK9 in women — mechanistic evidence relating to LDL regulation and blood-fat control.

  227. Effects of niacin and omega-3 fatty acids on the apolipoproteins in overweight patients with elevated triglycerides and reduced HDL cholesterol

    PubMed ID: 25932792

    Prescription omega‑3 and/or niacin altered apolipoprotein profiles and apoC3 glycosylation in overweight patients — biochemical evidence for blood-fat modulation (complex interventions).

  228. Randomized Multicenter Placebo-Controlled Trial of Omega-3 Fatty Acids for the Control of Aromatase Inhibitor-Induced Musculoskeletal Pain: SWOG S0927

    PubMed ID: 25940724

    Omega‑3 lowered triglycerides significantly in women on aromatase inhibitors despite no joint pain benefit.

  229. Icosabutate for the treatment of very high triglycerides: A placebo-controlled, randomized, double-blind, 12-week clinical trial

    PubMed ID: 26892135

    Icosabutate produced very large (~33% placebo‑corrected) triglyceride and remnant lipoprotein reductions with strong statistical significance—robust blood‑fat effect.

  230. Short-Term, High-Dose Fish Oil Supplementation Increases the Production of Omega-3 Fatty Acid-Derived Mediators in Patients With Peripheral Artery Disease (the OMEGA-PAD I Trial)

    PubMed ID: 26296857

    High‑dose fish oil significantly increased omega‑3 index and lowered triglycerides (between‑group significant), supporting healthy blood‑fat effects.

  231. Effect of vitamin B-12 and n-3 polyunsaturated fatty acids on plasma homocysteine, ferritin, C-reaction protein, and other cardiovascular risk factors: a randomized controlled trial

    PubMed ID: 26420180

    Fish oil lowered triglycerides and raised plasma EPA/DHA; combination with B12 gave synergistic homocysteine reduction—clear favorable lipid changes.

  232. Short communication: effects of omega-3 fatty acids on triglycerides and high-density lipoprotein subprofiles in HIV-infected persons with hypertriglyceridemia

    PubMed ID: 24988179

    Placebo-controlled crossover in HIV patients showed large TG reduction and favorable HDL subfraction shifts.

  233. The effects of vitamin E and omega-3 PUFAs on endothelial function among adolescents with metabolic syndrome

    PubMed ID: 25136638

    2.4 g/day omega‑3 in adolescents raised HDL significantly and improved endothelial marker VEGF.

  234. n-3 PUFA esterified to glycerol or as ethyl esters reduce non-fasting plasma triacylglycerol in subjects with hypertriglyceridemia: a randomized trial

    PubMed ID: 25403919

    3 g/day omega‑3 substantially reduced non-fasting triglycerides and markedly raised erythrocyte EPA+DHA (omega‑3 index).

  235. Effects of supplementation with omega-3 on insulin sensitivity and non-esterified free fatty acid (NEFA) in type 2 diabetic patients

    PubMed ID: 24936727

    High-dose (4 g/day) omega-3 lowered NEFA and improved insulin sensitivity in T2D — favorable effects on circulating free fatty acids.

  236. Omega-3 fatty acid therapy dose-dependently and significantly decreased triglycerides and improved flow-mediated dilation, however, did not significantly improve insulin sensitivity in patients with hypertriglyceridemia

    PubMed ID: 25147070

    Dose-dependent triglyceride lowering observed in randomized trial — clear effect on blood lipids.

  237. Effects of omega-3 on metabolic markers in postmenopausal women with metabolic syndrome

    PubMed ID: 25394692

    Postmenopausal MetS trial: adding omega‑3 reduced triglycerides substantially — direct clinical lipid benefit.

  238. Effects of icosapent ethyl on lipoprotein particle concentration and size in statin-treated patients with persistent high triglycerides (the ANCHOR Study)

    PubMed ID: 26073397

    Icosapent ethyl markedly reduced total VLDL and small LDL particle concentrations and increased LDL size in statin-treated high-TG patients — strong lipid-fraction benefits.

  239. Effect of probiotic (VSL#3) and omega-3 on lipid profile, insulin sensitivity, inflammatory markers, and gut colonization in overweight adults: a randomized, controlled trial

    PubMed ID: 24795503

    Probiotic+omega-3 arm increased HDL and reduced LDL modestly — lipid improvements with omega-3 included.

  240. A randomized clinical trial to determine the efficacy of manufacturers' recommended doses of omega-3 fatty acids from different sources in facilitating cardiovascular disease risk reduction

    PubMed ID: 24952576

    Pharmacokinetic study shows that concentrated rTG fish oil most effectively raises blood EPA/DHA — supports capacity to change circulating lipid composition.

  241. A calorie-restriction diet supplemented with fish oil and high-protein powder is associated with reduced severity of metabolic syndrome in obese women

    PubMed ID: 25248358

    Fish oil added to calorie-restriction programs produced significant triglyceride reductions versus diet alone.

  242. Effects of n-3 fish oil on metabolic and histological parameters in NASH: a double-blind, randomized, placebo-controlled trial

    PubMed ID: 25195547

    One-year NASH trial produced marked reduction in RBC n-6:n-3 ratio and hepatic-fat reductions (lipid remodeling).

  243. A double-blind randomized trial of fish oil to lower triglycerides and improve cardiometabolic risk in adolescents

    PubMed ID: 25008950

    4 g/day fish oil in adolescents significantly reduced triglycerides and large VLDL particle number and lowered PAI-1.

  244. Omega-3 polyunsaturated fatty acids reduce insulin resistance and triglycerides in obese children and adolescents

    PubMed ID: 23438101

    Omega‑3 reduced triglycerides in obese children (clinically meaningful lipid improvement).

  245. Icosapent ethyl, a pure ethyl ester of eicosapentaenoic acid: effects on circulating markers of inflammation from the MARINE and ANCHOR studies

    PubMed ID: 23325450

    Icosapent ethyl trials in hypertriglyceridemia reduced inflammatory/oxidative markers and are used to treat elevated TGs (lipid therapy context).

  246. Omega-3 fatty acid therapy reduces triglycerides and interleukin-6 in hypertriglyeridemic HIV patients

    PubMed ID: 23683266

    Omega‑3 esters modestly lowered triglycerides in HIV patients over 8 weeks (lipid improvement).

  247. Effects of icosapent ethyl on lipid and inflammatory parameters in patients with diabetes mellitus-2, residual elevated triglycerides (200-500 mg/dL), and on statin therapy at LDL-C goal: the ANCHOR study

    PubMed ID: 23835245

    Icosapent ethyl 4 g/day produced large, clinically significant triglyceride reductions and improved non‑HDL‑C in statin‑treated diabetics.

  248. Dietary supplementation with long chain omega-3 polyunsaturated fatty acids and weight loss in obese adults

    PubMed ID: 23697585

    Small RCT during calorie restriction showed fish oil significantly lowered triglycerides (~27%).

  249. Effect of omega-3 dietary supplements with different oxidation levels in the lipidic profile of women: a randomized controlled trial

    PubMed ID: 23863036

    Low‑oxidation ω‑3 capsules lowered triglycerides and improved cholesterol versus oxidized capsules.

  250. Diets naturally rich in polyphenols improve fasting and postprandial dyslipidemia and reduce oxidative stress: a randomized controlled trial

    PubMed ID: 24368433

    Marine LCn‑3s reduced postprandial chylomicron cholesterol and VLDL apoB‑48—improves postprandial lipid handling.

  251. Combined fish oil and high oleic sunflower oil supplements neutralize their individual effects on the lipid profile of healthy men

    PubMed ID: 23888318

    Clear TG lowering by fish oil in healthy men (2 g/day) in randomized study.

  252. Untitled

    PubMed ID: 22811376

    Omega‑3 reduced triglycerides (particularly when combined with multivitamins) in a randomized trial.

  253. Untitled

    PubMed ID: 22894624

    Large RCT of purified EPA showed substantial, dose-dependent TG lowering (−33% at 4 g/day) with no LDL rise—strong evidence for improving blood fats.

  254. Effects of omega-3 fatty acids supplementation on serum adiponectin levels and some metabolic risk factors in women with polycystic ovary syndrome

    PubMed ID: 23017309

    In PCOS women, omega‑3 improved triglycerides, LDL and total cholesterol (favorable lipid profile changes).

  255. Icosapent ethyl, a pure EPA omega-3 fatty acid: effects on lipoprotein particle concentration and size in patients with very high triglyceride levels (the MARINE study)

    PubMed ID: 23312052

    Icosapent ethyl 4 g/day reduced large VLDL and LDL particle numbers and VLDL size—strong favorable lipid remodeling.

  256. Effects of omega-3 fatty acids on postprandial triglycerides and monocyte activation

    PubMed ID: 23017356

    High‑dose fish oil (4 g/day) lowered fasting and peak postprandial triglycerides in crossover study.

  257. The effects of n-3 long-chain polyunsaturated fatty acid supplementation on biomarkers of kidney injury in adults with diabetes: results of the GO-FISH trial

    PubMed ID: 23275364

    Small crossover trial in diabetics with proteinuria showed triglyceride lowering (and improvements in kidney markers in RAAS‑user subgroup).

  258. Efficacy and safety of eicosapentaenoic acid ethyl ester (AMR101) therapy in statin-treated patients with persistent high triglycerides (from the ANCHOR study)

    PubMed ID: 22819432

    Purified EPA (4 g/day) produced large, dose‑dependent reductions in triglycerides and non‑HDL cholesterol (robust lipid benefit).

  259. Untitled

    PubMed ID: 23173831

    3 g/day fish-oil lowered triacylglycerides in healthy older adults in a 5-week crossover trial.

  260. Untitled

    PubMed ID: 23034965

    High‑dose fish oil reduced circulating triglycerides in severely obese non‑diabetic patients.

  261. A low-fat high-carbohydrate diet supplemented with long-chain n-3 PUFA reduces the risk of the metabolic syndrome

    PubMed ID: 21839455

    LFHCC + n-3 reduced hypertriglyceridemia prevalence and improved metabolic syndrome lipid components.

  262. Effects of duration of treatment and dosage of eicosapentaenoic acid and stearidonic acid on red blood cell eicosapentaenoic acid content

    PubMed ID: 22064208

    Well‑powered dosing study showing dose‑dependent RBC EPA increases and quantified SDA→EPA conversion efficiencies — strong biomarker evidence for altering blood fatty acids.

  263. Consumption of salmon v. salmon oil capsules: effects on n-3 PUFA and selenium status

    PubMed ID: 21736825

    Direct comparison showed both salmon and capsules similarly increased erythrocyte long‑chain n‑3 levels.

  264. Baseline lipoprotein lipids and low-density lipoprotein cholesterol response to prescription omega-3 acid ethyl ester added to Simvastatin therapy

    PubMed ID: 20451686

    Adding prescription omega‑3 to statin reduced non‑HDL cholesterol overall despite LDL rises in some subsets.

  265. The metabolic effects of omega-3 plant sterol esters in mixed hyperlipidemic subjects

    PubMed ID: 20617456

    Omega‑3 plant sterol esters lowered triglycerides by ~19% — strong triglyceride‑lowering effect.

  266. n-3 LC-PUFA-enriched dairy products are able to reduce cardiovascular risk factors: a double-blind, cross-over study

    PubMed ID: 20304540

    3 g/day LC‑PUFA via n‑3 enriched dairy reduced TAG, improved LDL/HDL ratio and increased n‑3 index.

  267. [Effect of n-3 fatty acids in glycemic and lipid profiles, oxidative stress and total antioxidant capacity in patients with the metabolic syndrome]

    PubMed ID: 20694407

    Fish oil lowered triglycerides and raised antioxidant capacity but increased LDL and insulin resistance (mixed lipid/metabolic effects).

  268. Effects of atorvastatin and n-3 fatty acid supplementation on VLDL apolipoprotein C-III kinetics in men with abdominal obesity

    PubMed ID: 20181806

    Fish oil lowered plasma triglycerides in obese men (clear lipid effect).

  269. Effects of omega-3 polyunsaturated fatty-acid supplementation on redox status in chronic renal failure patients with dyslipidemia

    PubMed ID: 20303788

    Marked triglyceride reductions (−43 to −48%) in dyslipidemic CRF patients after fish oil provide strong evidence for improving blood fats.

  270. Fish-oil supplement has neutral effects on vascular and metabolic function but improves renal function in patients with Type 2 diabetes mellitus

    PubMed ID: 20121889

    12-week fish-oil in type 2 diabetics produced a clear triglyceride drop (−0.47 mmol/L).

  271. The effect of the plasma n-3/n-6 polyunsaturated fatty acid ratio on the dietary LDL phenotype transformation - insights from the LIPGENE study

    PubMed ID: 19481310

    Dietary n-3 produced a favorable shift in LDL phenotype (less dense, less atherogenic) in metabolic syndrome—clinically relevant lipid remodeling.

  272. Marine omega-3 fatty acid intake: associations with cardiometabolic risk and response to weight loss intervention in the Look AHEAD (Action for Health in Diabetes) study

    PubMed ID: 19841042

    Large observational sample: higher habitual marine n-3 intake associated with lower triglycerides and trend to higher HDL.

  273. Effects of long chain omega-3 fatty acids on metalloproteinases and their inhibitors in combined dyslipidemia patients

    PubMed ID: 19397392

    Six-month supplementation improved triglycerides, raised HDL and improved other lipid/remodeling markers in dyslipidemia.

  274. Independent and interactive effects of plant sterols and fish oil n-3 long-chain polyunsaturated fatty acids on the plasma lipid profile of mildly hyperlipidaemic Indian adults

    PubMed ID: 19296875

    2 g/day fish oil gave ~15% triglyceride reduction and modest HDL increase in hyperlipidaemic Indians.

  275. Fish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetes

    PubMed ID: 19394939

    Fish oil lowered triglycerides and improved endothelial markers in offspring-of-diabetics trial.

  276. Comparison of seal oil to tuna oil on plasma lipid levels and blood pressure in hypertriglyceridaemic subjects

    PubMed ID: 19727884

    Fish and seal oil lowered plasma triglycerides (seal > fish) in hypertriglyceridaemic adults.

  277. Effects of adding prescription omega-3 acid ethyl esters to simvastatin (20 mg/day) on lipids and lipoprotein particles in men and women with mixed dyslipidemia

    PubMed ID: 18678300

    Strong triglyceride (-44%), VLDL and non-HDL reductions when prescription omega-3 added to simvastatin.

  278. Herring ( Clupea harengus) intake influences lipoproteins but not inflammatory and oxidation markers in overweight men

    PubMed ID: 18634706

    Whole-fish (herring) modestly increased HDL in overweight men over 6 weeks.

  279. Effects of omega-3 fatty acid supplements on serum lipids, apolipoproteins and malondialdehyde in type 2 diabetes patients

    PubMed ID: 18561722

    2 g/day omega-3 reduced triglycerides and ApoB-100 in type 2 diabetes trial.

  280. The lipid-lowering effects of phytosterols and (n-3) polyunsaturated fatty acids are synergistic and complementary in hyperlipidemic men and women

    PubMed ID: 18492838

    Short trial: n‑3 alone lowered triglycerides by ~22% and increased HDL; combination with phytosterols produced larger overall lipid changes (short duration).

  281. The effect of n-3 fatty acids on lipids and lipoproteins in patients treated with chronic haemodialysis: a randomized placebo-controlled intervention study

    PubMed ID: 18436564

    Large hemodialysis RCT showed a clear, significant triglyceride reduction after 3 months of n‑3 supplementation.

  282. Simvastatin vs therapeutic lifestyle changes and supplements: randomized primary prevention trial

    PubMed ID: 18613992

    Program including fish oil produced large TG and LDL improvements versus control, though fish oil was combined with other interventions.

  283. Fish oil in combination with high or low intakes of linoleic acid lowers plasma triacylglycerols but does not affect other cardiovascular risk markers in healthy men

    PubMed ID: 18492834

    Strong, double-blind evidence of marked fasting and postprandial triglyceride reductions (up to 51%), especially with low dietary LA—high-quality lipid benefit.

  284. Identification of potential serum biomarkers of inflammation and lipid modulation that are altered by fish oil supplementation in healthy volunteers

    PubMed ID: 18491311

    Fish oil shifted HDL toward larger, cholesterol-rich HDL2 particles and altered apolipoproteins—favorable lipid remodeling.

  285. The effect of low dose omega-3 on plasma lipids in hemodialysis patients

    PubMed ID: 17951945

    In HD patients, omega-3 increased HDL by ~28% and lowered triacylglycerols—meaningful improvements in blood lipids.

  286. The effect of n - 3 PUFA/gamma-cyclodextrin complex on serum lipids in healthy volunteers--a randomized, placebo-controlled, double-blind trial

    PubMed ID: 17704023

    Randomized trial showed a clear ~17% serum triglyceride reduction and RBC EPA incorporation with EPA+DHA supplementation.

  287. Additive benefits of long-chain n-3 polyunsaturated fatty acids and weight-loss in the management of cardiovascular disease risk in overweight hyperinsulinaemic women

    PubMed ID: 16552404

    When added during weight loss, long-chain n-3 gave incremental triglyceride benefits and increased adiponectin—supportive of lipid/metabolic improvements.

  288. Factorial study of the effect of n-3 fatty acid supplementation and atorvastatin on the kinetics of HDL apolipoproteins A-I and A-II in men with abdominal obesity

    PubMed ID: 16825679

    4 g/day fish oil in obese men lowered triglycerides and raised HDL (and affected HDL kinetics)—robust metabolic effect.

  289. Trans, and n-3 polyunsaturated fatty acids and vascular function-a yin yang situation?

    PubMed ID: 16713391

    n-3 PUFA significantly reduced triglycerides in a randomized study—strong direct effect on blood fats.

  290. Dietary intake of differently fed salmon; the influence on markers of human atherosclerosis

    PubMed ID: 15638820

    Controlled dietary trial in CHD patients eating very high marine n‑3 salmon had marked increases in blood n‑3 and reductions in triglycerides.

  291. Randomized study of the safety and efficacy of fish oil (omega-3 fatty acid) supplementation with dietary and exercise counseling for the treatment of antiretroviral therapy-associated hypertriglyceridemia

    PubMed ID: 16231263

    Fish oil plus diet/exercise substantially lowered triglycerides but raised LDL-C in HIV patients.

  292. Effects of simvastain combined with omega-3 fatty acids on high sensitive C-reactive protein, lipidemia, and fibrinolysis in patients with mixed dyslipidemia

    PubMed ID: 15250255

    Omega‑3 with simvastatin produced large TG reductions and modest total‑cholesterol change.

  293. Effects of trans- and n-3 unsaturated fatty acids on cardiovascular risk markers in healthy males. An 8 weeks dietary intervention study

    PubMed ID: 15220949

    Healthy‑men dietary n‑3 lowers triglycerides in 8‑week intervention.

  294. The effect of n-3 fatty acids on plasma lipids and lipoproteins and blood pressure in patients with CRF

    PubMed ID: 15211441

    Chronic renal‑failure RCT showed ~21% triglyceride lowering and ~8% HDL increase.

  295. Can n-3 PUFA reduce cardiac arrhythmias? Results of a clinical trial

    PubMed ID: 15253884

    Arrhythmia trial reported significant TG lowering and HDL increase with 3 g/day fish oil.

  296. Can foods with added soya-protein or fish-oil reduce risk factors for coronary disease? A factorial randomised controlled trial

    PubMed ID: 15853118

    DHA-enriched foods increased HDL by ~6% — clinically relevant blood-fat improvement.

  297. Comparison of the effects of simultaneous administration of vitamin C and omega-3 fatty acids on lipoproteins, apo A-I, apo B, and malondialdehyde in hyperlipidemic patients

    PubMed ID: 12847992

    1 g/day omega-3 for 10 weeks reduced triglycerides and improved TG/HDL ratio without increasing LDL — favorable lipid outcomes.

  298. n-3 long-chain FA decrease serum levels of TG and remnant-like particle-cholesterol in humans

    PubMed ID: 12848279

    Daily low-dose fish oil (~860 mg EPA+DHA) clearly and consistently lowered TG and remnant-like particle cholesterol over 12 weeks.

  299. Effects of dietary saturated, monounsaturated and n-3 fatty acids on fasting lipoproteins, LDL size and post-prandial lipid metabolism in healthy subjects

    PubMed ID: 12618280

    3.6 g/day fish oil robustly lowered fasting and postprandial triglycerides and VLDL in healthy subjects — strong evidence for TG-lowering.

  300. Impact of the Pro12Ala polymorphism of the PPAR-gamma2 gene on serum triacylglycerol response to n-3 fatty acid supplementation

    PubMed ID: 12765846

    Genotype-dependent greater TAG reductions with n‑3 (Ala12 carriers) under lower-fat diets — supports TG lowering but with interindividual variability.

  301. Dietary fish oil decreases C-reactive protein, interleukin-6, and triacylglycerol to HDL-cholesterol ratio in postmenopausal women on HRT

    PubMed ID: 14505813

    Postmenopausal women: fish oil lowered TG and improved TG/HDL ratio versus safflower oil.

  302. Regulatory effects of HMG CoA reductase inhibitor and fish oils on apolipoprotein B-100 kinetics in insulin-resistant obese male subjects with dyslipidemia

    PubMed ID: 12145148

    Clear decreases in plasma TGs and VLDL-apoB secretion with fish oil in insulin-resistant obese men — strong evidence.

  303. Fatty acid saturation of the diet and plasma lipid concentrations, lipoprotein particle concentrations, and cholesterol efflux capacity

    PubMed ID: 11864853

    Dietary n‑3 PUFA improved HDL-related cholesterol efflux capacity — a functional improvement in blood lipid health.

  304. Dietary long-chain n-3 PUFAs increase LPL gene expression in adipose tissue of subjects with an atherogenic lipoprotein phenotype

    PubMed ID: 12032174

    Marked fasting TG reduction (-35%) and large increases in adipose LPL mRNA/activity — robust metabolic effects on blood fats.

  305. Factorial study of the effects of atorvastatin and fish oil on dyslipidaemia in visceral obesity

    PubMed ID: 12059988

    RCT in viscerally obese dyslipidaemic men showed significant TG lowering (-0.38 mmol/L) and modest HDL increase — strong direct evidence.

  306. Dietary fish oil does not influence acute rejection rate and graft survival after renal transplantation: a randomized placebo-controlled study

    PubMed ID: 11981081

    Post-kidney transplant fish oil modestly lowered triglycerides (~19% between-group difference).

  307. [The effect of omega-3 fatty acids on risk factors for cardiovascular diseases]

    PubMed ID: 11789299

    In CVD patients on lipid-lowering drugs, n‑3 substantially lowered triglycerides (~-34.9%).

  308. Effects of a high-dose concentrate of n-3 fatty acids or corn oil introduced early after an acute myocardial infarction on serum triacylglycerol and HDL cholesterol

    PubMed ID: 11451717

    Post‑MI high‑dose n‑3 significantly lowered triacylglycerol monthly changes and modestly increased HDL — clear favorable effects on blood lipids.

  309. Eicosapentaenoic acid effect on hyperlipidemia in menopausal Japanese women. The Niigata Epadel Study Group

    PubMed ID: 11004352

    EPA (1.8 g/day) over 48 weeks produced a ~27% reduction in triglycerides and modest total cholesterol lowering in 141 women — strong lipid benefit.

  310. Dietary supplementation with marine omega-3 fatty acids improve systemic large artery endothelial function in subjects with hypercholesterolemia

    PubMed ID: 10676668

    4 g/day marine n‑3 for 4 months lowered triglycerides significantly (~16%) in hypercholesterolemic subjects — robust TG lowering and endothelial benefits.

  311. Eicosapentaenoic acid ethyl ester supplementation in cachectic cancer patients and healthy subjects: effects on lipolysis and lipid oxidation

    PubMed ID: 11104593

    Short EPA reduced plasma free fatty acids and triacylglycerol in healthy volunteers.

  312. Lipid-lowering effect of polyunsaturated fatty acids in hemodialysis patients

    PubMed ID: 11070146

    Randomized trial in hemodialysis patients showed lower TG and LDL and higher HDL after fish oil — favorable lipid changes.

  313. [The effect of n-3 polyunsaturated fatty acids on the lipid spectrum indices in the 2nd-3rd pregnancy trimesters]

    PubMed ID: 10650525

    n‑3 PUFA during pregnancy lowered triglycerides and VLDL‑cholesterol in late pregnancy.

  314. Eicosapentanoic acid reduces plasma levels of remnant lipoproteins and prevents in vivo peroxidation of LDL in dialysis patients

    PubMed ID: 10505695

    1800 mg/day EPA produced very large (~52%) remnant lipoprotein reductions and ~38% ox‑LDL decline.

  315. Dietary fish as a major component of a weight-loss diet: effect on serum lipids, glucose, and insulin metabolism in overweight hypertensive subjects

    PubMed ID: 10539741

    Fasting triacylglycerols fell ~29% with fish consumption; HDL2 rose, notably with weight loss.

  316. Correlation of serum triglyceride and its reduction by omega-3 fatty acids with lipid transfer activity and the neutral lipid compositions of high-density and low-density lipoproteins

    PubMed ID: 10217357

    Clear triglyceride lowering and favorable HDL/LDL neutral‑lipid composition changes in hypertriglyceridemic subjects.

  317. One-year treatment with ethyl esters of n-3 fatty acids in patients with hypertriglyceridemia and glucose intolerance: reduced triglyceridemia, total cholesterol and increased HDL-C without glycemic alterations

    PubMed ID: 9622285

    Large randomized trial in hypertriglyceridemia: 2 g/day EPA/DHA significantly lowered TG, modestly reduced total cholesterol and raised HDL—strong lipid benefit.

  318. Effect of n-3 polyunsaturated fatty acids on cyclosporine pharmacokinetics in kidney graft recipients: a randomized placebo-controlled study

    PubMed ID: 9589380

    High‑dose n‑3 PUFA substantially lowered triglycerides in kidney transplant recipients (clear lipid improvement).

  319. Effects of Simvastatin and omega-3 fatty acids on plasma lipoproteins and lipid peroxidation in patients with combined hyperlipidaemia

    PubMed ID: 9566646

    Adding 4 g/day omega‑3 to simvastatin produced additional triglyceride lowering and modest cholesterol/ApoE improvements.

  320. Safety and efficacy of Omacor in severe hypertriglyceridemia

    PubMed ID: 9865671

    Large randomized double‑blind trial with ~45% triglyceride lowering and favorable HDL change — strong evidence.

  321. N-3 fatty acids do not lead to an increased diabetic risk in patients with hyperlipidemia and abnormal glucose tolerance. Italian Fish Oil Multicenter Study

    PubMed ID: 9174486

    Large multicenter trial showing robust triglyceride reductions (~21.5%–15% vs placebo) over months.

  322. Therapy of post-renal transplantation hyperlipidaemia: comparative study with simvastatin and fish oil

    PubMed ID: 9351079

    Small trial: total cholesterol and triglycerides reduced, but HDL was also lowered (mixed lipid effect).

  323. The independent and combined effects of aerobic exercise and dietary fish intake on serum lipids and glycemic control in NIDDM. A randomized controlled study

    PubMed ID: 9167099

    Dyslipidemic NIDDM patients had significant triglyceride lowering when given fish oil.

  324. Dietary fish oil (4 g daily) and cardiovascular risk markers in healthy men

    PubMed ID: 9437183

    Four weeks of fish oil lowered postprandial triglycerides (~−30% in a nonfasting subset) though fasting lipids were unchanged.

  325. Modulation of lipid profile by fish oil and garlic combination

    PubMed ID: 9347681

    Combined fish oil + garlic lowered triglycerides substantially (−34%) in a short crossover study (confounded by garlic).

  326. Effect of garlic and fish-oil supplementation on serum lipid and lipoprotein concentrations in hypercholesterolemic men

    PubMed ID: 9022529

    Hypercholesterolemic men had a −37% triglyceride reduction on fish oil (3.6 g/day) — robust effect.

  327. Increased plasma levels of tissue factor pathway inhibitor (TFPI) after n-3 polyunsaturated fatty acids supplementation in patients with chronic atherosclerotic disease

    PubMed ID: 8701396

    In atherosclerotic patients 3 g/day n‑3 produced rapid ~−32% triglyceride reductions.

  328. Postprandial triacylglycerolaemia: the effect of low-fat dietary treatment with and without fish oil supplementation

    PubMed ID: 8880041

    Low‑dose fish oil reduced fasting triglycerides and preserved HDL2 on a low‑fat diet, though postprandial TG increased.

  329. The triglyceride lowering effect of fish oils is affected by fish consumption

    PubMed ID: 8960947

    RCT showing marked triglyceride lowering (up to −27.8% overall, larger when baseline fish intake low).

  330. Fish oil in diabetic nephropathy

    PubMed ID: 8908382

    One‑year fish oil reduced triglycerides in diabetics with nephropathy (but raised LDL/total cholesterol—mixed blood‑fat effects).

  331. Comparison of effects of N-3 to N-6 fatty acids on serum level of lipoprotein(a) in patients with coronary artery disease

    PubMed ID: 7653444

    Coronary patients had TG ↓20%, HDL ↑8.3% and Lp(a) reductions in many—clear favorable blood‑fat changes.

  332. Controlled trial of fish oil for regression of human coronary atherosclerosis. HARP Research Group

    PubMed ID: 7759696

    High-dose fish oil lowered triglycerides by ~30% — strong effect on blood fats though no angiographic benefit.

  333. A comparison of fish oil or corn oil supplements in hyperlipidemic subjects with NIDDM

    PubMed ID: 7698053

    In diabetics with high lipids fish oil substantially lowered VLDL and triglycerides (clear metabolic benefit).

  334. The acute effects of a single very high dose of n-3 fatty acids on plasma lipids and lipoproteins in healthy subjects

    PubMed ID: 8152348

    Single very large dose (20 g) acutely lowered plasma triglycerides and VLDL by ≈33% — pronounced acute lipid effect.

  335. Reduction of blood pressure and plasma triglycerides by omega-3 fatty acids in treated hypertensives

    PubMed ID: 7852747

    Double-blind crossover showed substantial TG lowering (~-21%) and raised HDL2 — strong dyslipidemia benefit.

  336. [Efficacy and tolerability of simvastatin and omega-3 fatty acid combination in patients with coronary disease, hypercholesterolemia and hypertriglyceridemia]

    PubMed ID: 8200011

    Omega‑3 plus simvastatin produced marked additional triglyceride reduction vs simvastatin alone.

  337. Influence of supplementation with N-3 fatty acids on different coronary risk factors in men--a placebo controlled study

    PubMed ID: 1413984

    Well‑controlled 12‑month trial showing clear, dose‑dependent triglyceride reductions.

  338. Fish oil treatment and apolipoprotein(a)

    PubMed ID: 1586386

    Dose‑response trial showed strong rises in blood EPA and dose‑dependent triglyceride lowering.

  339. Reduction of cardiovascular risk factors by the diet - Evaluation of the MoKaRi concept by a parallel-designed randomized study

    PubMed ID: 40057729

    3 g/day EPA+DHA on a cardioprotective diet caused larger TG reductions vs diet alone (clinically meaningful).

  340. Metabolic characteristics of healthy adult males as affected by ingestion of a liquid nutritional formula containing fish oil, oligosaccharides, gum arabic and antioxidant vitamins

    PubMed ID: 9449222

    Enteral formula with fish oil rapidly changed plasma and RBC phospholipid fatty acid profiles (EPA/DHA increases).

  341. Effects of omega-3 fatty acids on serum lipids, lipoprotein (a), and hematologic factors in hemodialysis patients

    PubMed ID: 21859401

    In hemodialysis patients omega‑3 significantly lowered triglycerides over 10 weeks (clear lipid effect).

  342. Effects of milk enriched with omega-3 fatty acid, oleic acid and folic acid in patients with metabolic syndrome

    PubMed ID: 16701922

    Milk enriched with omega‑3 (and other nutrients) for 3 months modestly improved triglycerides and total cholesterol (multi‑ingredient product).

  343. Effects of extra virgin olive oil and fish oil on lipid profile and oxidative stress in patients with metabolic syndrome

    PubMed ID: 25933490

    Fish oil + extra‑virgin olive oil improved total cholesterol and LDL in metabolic syndrome (combination product).

  344. Effect of combined supplementation of fish oil with garlic pearls on the serum lipid profile in hypercholesterolemic subjects

    PubMed ID: 16350679

    Fish oil combined with garlic produced large percentage reductions in total cholesterol, LDL and triglycerides (combination limits attribution solely to fish oil).

  345. Fish oil before cardiac surgery: neutrophil activation is unaffected but myocardial damage is moderated

    PubMed ID: 15763437

    Preoperative fish oil lowered triglycerides (~17%) and raised HDL modestly, demonstrating clear lipid benefits.

  346. Myokine Circulating Levels in Postmenopausal Women with Overweight or Obesity: Effects of Resistance Training and/or DHA-Rich n-3 PUFA Supplementation

    PubMed ID: 40806137

    DHA‑rich supplementation reduced VLDL‑c and improved atherogenic index in postmenopausal women.

  347. 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

    Dose‑response RCT: high‑dose (5 g/d) EPA+DHA increased tissue n‑3 and reduced plasma triglycerides by ~24–27 mg/dL—strong lipid effect.

  348. A Bayesian analysis of the VITAL trial: effects of ω-3 fatty acid supplementation on cardiovascular events

    PubMed ID: 40032221

    Primary prevention trial's coronary event benefit is consistent with favorable effects on blood lipids and cardiovascular risk.

  349. Effects of fish oil intervention on type 2 diabetes early risk novel biomarkers in healthy middle-aged and elderly adults: a double-blind randomized controlled trial

    PubMed ID: 40356575

    12-week fish-oil raised serum EPA/DHA dose-dependently with metabolic benefits—robust blood-fat evidence.

  350. 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 weekly fish portions or daily supplements increased omega-3 index by ~2 percentage points over 8 weeks—clear erythrocyte evidence.

  351. Comparative Bioavailability of DHA and EPA from Microalgal and Fish Oil in Adults

    PubMed ID: 41096614

    Microalgal omega-3 raised plasma PL DHA/EPA non-inferiorly to fish oil—strong bioavailability evidence for raising blood omega-3.

  352. Safety and efficacy of docosahexaenoic acid supplementation during neoadjuvant breast cancer therapy: Findings from the phase II, double-blind, randomized controlled DHA-WIN trial

    PubMed ID: 40490846

    High-dose DHA during chemo roughly doubled erythrocyte DHA—clear incorporation into blood lipids despite no tumor biomarker effects.

  353. 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

    Intervention raised erythrocyte n-3 index by ~61% and lowered triglycerides—strong changes in blood fatty-acid markers.

  354. Pharmacokinetic Comparison Between a Fixed-Dose Combination of Atorvastatin/Omega-3-Acid Ethyl Esters and the Corresponding Loose Combination in Healthy Korean Male Subjects

    PubMed ID: 38352172

    Fixed-dose combo showed bioequivalent EPA/DHA pharmacokinetics vs separate dosing—relevant to maintaining blood-fat levels.

  355. Effects of dietary supplementation of fish oil plus vitamin D(3) on gut microbiota and fecal metabolites, and their correlation with nonalcoholic fatty liver disease risk factors: a randomized controlled trial

    PubMed ID: 38356413

    90-day fish-oil+vitamin D raised certain omega-3 fecal metabolites and correlated with insulin resistance marker; blood-fat changes also reported.

  356. The effect of fish oil rich in cetoleic acid on the omega-3 index and skin quality

    PubMed ID: 38788345

    Cetoleic-rich oil increased omega-3 index comparably to higher EPA/DHA oils in pilot trials.

  357. 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

    Fish oil and SynΩ3 increased omega-3 index/total plasma EPA+DHA albeit to different extents—blood-fat changes documented.

  358. 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 increased EPA/DHA and lowered TG in higher‑TG subgroup—blood-fat and lipid improvements.

  359. Sex, Body Mass Index, and APOE4 Increase Plasma Phospholipid-Eicosapentaenoic Acid Response During an ω-3 Fatty Acid Supplementation: A Secondary Analysis

    PubMed ID: 38513888

    RCT secondary analysis showed large plasma phospholipid EPA/DHA increases and identified predictors of response—strong biomarker evidence.

  360. The Relationship Between Dietary and Supplemental omega-3 Highly Unsaturated Fatty Acid Intake, Blood and Tissue omega-3 Highly Unsaturated Fatty Acid Concentrations, and Colorectal Polyp Recurrence: A Secondary Analysis of the seAFOod Polyp Prevention Trial

    PubMed ID: 39675479

    Secondary analysis tied achieved RBC EPA increases to outcomes—demonstrates clinical relevance of raising blood EPA.

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

    PubMed ID: 38830807

    Multicenter trial in very high TG patients showed consistent reductions in TAG, non‑HDL‑C, VLDL‑C and ApoC‑III.

  362. Impact of omega-3 fatty acids on hypertriglyceridemia, lipidomics, and gut microbiome in patients with type 2 diabetes

    PubMed ID: 39163858

    Large RCT in T2D with high TGs: 4 g/day fish oil substantially lowered serum triglycerides and altered lipidomics.

  363. Equal bioavailability of omega-3 PUFA from Calanus oil, fish oil and krill oil: A 12-week randomized parallel study

    PubMed ID: 36960737

    Calanus, fish oil and krill oil produced comparable rises in RBC EPA+DHA (omega‑3 index), supporting improved blood fatty acid status.

  364. 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

    Adding fish oil to glimepiride improved HbA1c and reduced triglycerides in T2D over 12 weeks.

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

    PubMed ID: 36728325

    Dose‑dependent increases in RBC DHA and Omega‑3 Index (6 g/day reached >8% rapidly) demonstrate robust lipid‑related biomarker improvement.

  366. A combined DHA-rich fish oil and cocoa flavanols intervention does not improve cognition or brain structure in older adults with memory complaints: results from the CANN randomized, controlled parallel-design study

    PubMed ID: 37315924

    Combined DHA‑rich fish oil and cocoa lowered triglycerides by ≈22% at 3 months (clear lipid effect though no cognitive benefit).

  367. 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

    High‑dose EPA+DHA produced meaningful triglyceride lowering and associated plaque regression in a large randomized trial — strong support for improving blood lipids.

  368. A Head-to-Head Comparison of a Free Fatty Acid Formulation of Omega-3 Pentaenoic Acids Versus Icosapent Ethyl in Adults With Hypertriglyceridemia: The ENHANCE-IT Study

    PubMed ID: 35232215

    FFA EPA+DPA produced much larger plasma EPA increases and greater TG lowering vs EE over 28 days

  369. 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 (200 mg/day) raised breast‑milk DHA absolute and relative concentrations—robust blood/milk fat effect

  370. 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

    Triglycerides decreased and HDL increased alongside muscle gains—clear healthy blood‑fat improvements

  371. 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

    4 g/day EPA+DHA produced substantial TG, non‑HDL and small dense LDL improvements—strong blood‑fat benefits

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

    PubMed ID: 34989797

    Pooled RCTs in severe HTG showed significant and clinically important triglyceride lowering.

  373. 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‑only RCT raised O3I and modestly lowered total and VLDL cholesterol.

  374. 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

    Significant fasting TG reduction (especially 4 g) and postprandial TG lowering—clear healthy blood‑fat effect

  375. Dietary supplementation with seed oil from transgenic Camelina sativa induces similar increments in plasma and erythrocyte DHA and EPA to fish oil in healthy humans

    PubMed ID: 32513312

    Transgenic Camelina oil produced similar increases in blood EPA/DHA and fish oil reduced fasting TAG (~−20%) — supports FO efficacy for blood fats.

  376. 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

    High‑dose EPA+DHA lowered triglycerides in CKD patients — clinically relevant improvement in blood fats.

  377. 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% and markedly reduced TRL/VLDL particle concentrations — strong evidence for improving blood lipids.

  378. 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 of farmed salmon raised O3I and lowered triglycerides in a controlled feeding RCT — clear dietary effect on blood fats.

  379. 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

    Well-controlled crossover trial showed DHA or EPA can lower triglycerides in many individuals; DHA had higher responder proportion.

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

    PubMed ID: 31271554

    Large double‑blind RCT in hypertriglyceridemic obese children demonstrated a large (~39%) triglyceride reduction with omega‑3—very strong evidence for blood‑fat benefit.

  381. 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 raised erythrocyte EPA+DHA and modestly reduced triacylglycerol while raising HDL—positive randomized dietary evidence.

  382. 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 (RBC/plasma EPA+DHA) associated with less coronary plaque progression; good biomarker–outcome linkage.

  383. 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

    Randomized trial showed DHA markedly lowered serum triglycerides (~23.5% reduction) and altered lipoprotein metabolism—strong direct evidence for improving blood fats.

  384. 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 increased RBC omega‑3 index dramatically and decreased triglycerides by ~18%—robust effect on blood fats.

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

    PubMed ID: 30407633

    Crossover feeding trial showed consistent ~24% TAG reduction with dietary DHA across genotypes (robust evidence).

  386. 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

    Dialysis patients given 2 g/d marine n‑3 had significant triglyceride reductions (~0.33 mmol/L, ≈17%).

  387. Effects of n-3 fatty acids and exercise on oxidative stress parameters in type 2 diabetic: a randomized clinical trial

    PubMed ID: 29713249

    Small T2DM trial documented ~17% fasting triglyceride reduction (supportive evidence).

  388. A Novel Self-Micro-Emulsifying Delivery System Enhances Enrichment of Eicosapentaenoic Acid and Docosahexaenoic Acid after Single and Repeated Dosing in Healthy Adults in a Randomized Trial

    PubMed ID: 30203029

    SMEDS formulation RCT produced greater incorporation of EPA/DHA and a larger rise in the omega‑3 index vs standard EE, supporting improved blood omega‑3 status and downstream lipid effects.

  389. 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

    Placebo‑controlled trial demonstrated ~23% triglyceride lowering and large VLDL‑TG reductions at 1 g/day DHA (strong lipid‑lowering evidence).

  390. 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

    Rapid doubling of omega‑3 index after supplementation implies expected favorable effects on triglycerides/ECM of blood fats (biomarker evidence).

  391. 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 reduced LDL and hs‑CRP in CAD patients over 8 weeks—supportive of improved blood fat profile.

  392. 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 markedly lowered fasting triglycerides (~40–45%) in treated HIV patients (sustained effect).

  393. Eicosapentaenoic and Docosahexaenoic Acids Attenuate Progression of Albuminuria in Patients With Type 2 Diabetes Mellitus and Coronary Artery Disease

    PubMed ID: 28710178

    Lovaza lowered triglycerides and attenuated albuminuria progression in diabetics — meaningful metabolic improvements.

  394. 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 (median −14.3%) and affected plaque progression in a large RCT.

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

    PubMed ID: 28515020

    High‑dose DHA raised the red‑cell Omega‑3 Index more than equivalent EPA—strong biomarker effect on blood fatty‑acid status.

  396. 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

    Metabolomics study linked fish‑oil–induced CMPF and EPA/DHA increases to triglyceride reductions in T2D subjects.

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

    PubMed ID: 28457318

    High‑dose fish oil produced a large absolute increase in the omega‑3 index (RBC EPA+DHA) — relevant biomarker for blood‑fat profile.

  398. The benefits of ω-3 supplementation depend on adiponectin basal level and adiponectin increase after the supplementation: A randomized clinical trial

    PubMed ID: 28063515

    Supplementation increased adiponectin and led to lipid/glucose improvements in certain subgroups—supportive in responders.

  399. 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

    Large RCT (Omacor) produced ~30% triglyceride reductions—robust, clinically meaningful effect on blood lipids.

  400. 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‑3s altered triglycerides and total cholesterol in hemodialysis patients—lipid changes observed.

  401. 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

    In diabetics fish oil lowered TGs and raised HDL—supportive evidence for improving blood fats.

  402. 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 improved triglycerides and HDL but raised LDL; consistent lipid effects versus EPA in crossover trial.

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

    PubMed ID: 27733252

    DHA lowered postprandial TG ~20% while EPA lowered Lp‑PLA2—clear effects on lipid and inflammatory markers.

  404. 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 + vitamin E lowered total and LDL cholesterol in menopausal‑transition women; fish oil alone raised oxidative marker—mixed but lipid effect present.

  405. 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 associated with lower TG in schoolchildren—observational support for lipid benefit.

  406. 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 n‑3 feeding in elderly lowered triglycerides and tended to increase RBC n‑3 — beneficial effects on circulating lipids.

  407. The effect of plant sterols and different low doses of omega-3 fatty acids from fish oil on lipoprotein subclasses

    PubMed ID: 26019023

    EPA+DHA addition to plant-sterol spread dose-dependently reduced VLDL-TG and VLDL-Chol in large (atherogenic) VLDL particles—detailed lipid-subclass improvements.

  408. 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 correlated with triglycerides and rose dose‑dependently after supplementation (biomarker link to lipid effects).

  409. 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 produced dose‑dependent favorable shifts (↓sd‑LDL, ↑lb‑LDL, ↑mean LDL diameter) — clear improvement in lipid phenotype.

  410. Effects of Dietary n-3 Fatty Acids on Hepatic and Peripheral Insulin Sensitivity in Insulin-Resistant Humans

    PubMed ID: 25852206

    High‑dose EPA+DHA lowered triglycerides (~−19%) in insulin‑resistant adults — robust TG lowering demonstrated.

  411. 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

    Large RCT in statin‑treated patients showed dose‑dependent reductions in VLDL, ApoCIII and favorable LDL particle changes with 2–4 g/day omega‑3 — strong effect on blood lipids.

  412. 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 decreased PCSK9 and triglycerides in metabolic‑syndrome subjects — clear favourable lipid regulatory effects.

  413. Long-chain n-3 polyunsaturated fatty acid dietary recommendations are moderately efficient in optimizing their status in healthy middle-aged subjects with low fish consumption: a cross-over study

    PubMed ID: 24655487

    Oily fish or capsules increased RBC EPA/DHA (omega‑3 index), indicating improved blood fatty‑acid profile.

  414. High-oleic canola oil consumption enriches LDL particle cholesteryl oleate content and reduces LDL proteoglycan binding in humans

    PubMed ID: 25528432

    DHA altered LDL cholesteryl‑ester fatty‑acid composition (increased EPA/DHA in LDL CE)—lipid composition change relevant to blood fats.

  415. A new, microalgal DHA- and EPA-containing oil lowers triacylglycerols in adults with mild-to-moderate hypertriglyceridemia

    PubMed ID: 25123060

    Randomized trial: microalgal DHA+EPA and standard fish oil both lowered triglycerides ~19–23%—strong evidence for improving blood lipids.

  416. 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, clinically meaningful triglyceride reductions (~9–16%) and RBC EPA+DHA increases when omega‑3 added to spread.

  417. 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

    Well‑powered trial showed large, dose‑dependent increases in RBC EPA and n‑3 index and large AA/EPA ratio reductions (biomarkers linked to lipid effects).

  418. 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 produced marked triglyceride reductions (~−20.7%) and increased HDL — strong clinical lipid benefits.

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

    PubMed ID: 24461313

    Large 12‑week krill oil RCT showed modest (~10%) fasting triglyceride lowering without LDL‑C increase—clinically relevant lipid improvement.

  420. Blood lipids profile in hyperlipidemic children undergoing different dietary long chain polyunsaturated supplementations: a preliminary clinical trial

    PubMed ID: 24228803

    Small preliminary RCT in hyperlipidemic children: DHA improved HDL, total cholesterol/HDL ratio and reduced triglycerides—direct lipid benefits though small sample.

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

    PubMed ID: 24299019

    Mechanistic RCT: 4 g/day ω‑3 added to statin markedly reduced VLDL‑TG production and increased clearance—strong evidence for improving triglyceride‑rich lipoproteins.

  422. 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

    52‑week trial showed sustained triglyceride lowering with TAK‑085 4 g/day and good tolerability.

  423. 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

    TAK‑085 4 g/day produced large, statistically significant triglyceride reductions in adults with hypertriglyceridemia.

  424. Improvement of major depression is associated with increased erythrocyte DHA

    PubMed ID: 23733443

    Fish oil substantially raised erythrocyte DHA; biomarker increases indicate improved blood fatty‑acid composition.

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

    PubMed ID: 24252845

    Dose‑response RCT produced clear, dose‑dependent increases in RBC EPA+DHA (omega‑3 index), directly improving blood fatty‑acid status.

  426. DHA supplementation and pregnancy outcomes

    PubMed ID: 23426033

    Maternal 600 mg/day DHA raised maternal/cord DHA (RBC) substantially — favorable blood‑fat transfer in pregnancy.

  427. Docosahexaenoic acid supplementation, vascular function and risk factors for cardiovascular disease: a randomized controlled trial in young adults

    PubMed ID: 23817470

    DHA lowered fasting triglycerides by ~28% in healthy adults — strong lipid effect.

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

    PubMed ID: 23238663

    Fish oil reduced plasma triglycerides in hypertensive diabetic subjects (and lowered platelet oxidative stress).

  429. 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 produced significant triglyceride lowering and HDL raising — clear healthy blood‑fat benefit.

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

    PubMed ID: 22929118

    3 months FO doubled RBC omega-3 index and altered lipid-pathway gene expression — strong biomarker/lipid-pathway support.

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

    PubMed ID: 22348468

    Infant FO raised erythrocyte and plasma DHA — direct evidence of changing blood LC-PUFA composition.

  432. The change in low-density lipoprotein cholesterol concentration is positively related to plasma docosahexaenoic acid but not eicosapentaenoic acid

    PubMed ID: 22653220

    JELIS subanalysis showed modest positive correlation between DHA rises and LDL increases — relevant to blood-fat profile complexity.

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

    PubMed ID: 22892157

    In metabolic syndrome, prescription OM3 reduced TGs (~−13%) and combined therapy strongly reduced TGs — clear lipid benefits.

  434. 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

    Well-controlled dose-response study demonstrating graded incorporation of EPA/DHA into plasma, platelets, RBCs — direct blood-fat biomarker effect.

  435. Effects of prescription omega-3-acid ethyl esters on fasting lipid profile in subjects with primary hypercholesterolemia

    PubMed ID: 21297494

    POM3 (4 g/day) reduced triglycerides/VLDL with small LDL rise — consistent beneficial TG effects on blood lipids.

  436. Effect of fish oil supplementation on serum triglycerides, LDL cholesterol and LDL subfractions in hypertriglyceridemic adults

    PubMed ID: 21924882

    High‑dose fish oil produced large (~26%) TG reductions but increased LDL‑C — strong effect on blood fats (mixed clinical implications).

  437. Metabolic and endocrine effects of long-chain versus essential omega-3 polyunsaturated fatty acids in polycystic ovary syndrome

    PubMed ID: 21640360

    In PCOS patients fish oil lowered TGs but tended to worsen insulin sensitivity — direct but mixed effects on lipid/metabolic profile.

  438. 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

    Strong RCT evidence: adding prescription ω‑3 to statin shifted LDL to larger particles and lowered ApoCIII and Lp‑PLA2 — clear improvement in atherogenic lipoprotein profile.

  439. Eicosapentaenoic acid ethyl ester (AMR101) therapy in patients with very high triglyceride levels (from the Multi-center, plAcebo-controlled, Randomized, double-blINd, 12-week study with an open-label Extension [MARINE] trial)

    PubMed ID: 21683321

    AMR101 produced large, consistent triglyceride reductions (median placebo‑corrected −33.1% at 4 g/day) — very strong evidence for improving blood fats.

  440. 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

    rTAG formulation lowered fasting TGs over 6 months in statin‑treated dyslipidemic patients — favorable formulation‑specific lipid effect.

  441. 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 produced a large, significant triglyceride reduction in HAART‑treated patients.

  442. Effect of low doses of long-chain n-3 PUFAs on endothelial function and arterial stiffness: a randomized controlled trial

    PubMed ID: 21865334

    Highest tested dose modestly lowered triglycerides over 12 months.

  443. Effects of seal oil and tuna-fish oil on platelet parameters and plasma lipid levels in healthy subjects

    PubMed ID: 20652432

    Seal oil altered platelet fatty acids, decreased p‑selectin and improved TAG/HDL over 2 weeks.

  444. Effects of a convenience drink fortified with n-3 fatty acids on the n-3 index

    PubMed ID: 20420756

    8‑week drink (200 mg EPA + 300 mg DHA) substantially raised erythrocyte n‑3 index in atherosclerotic patients.

  445. Enhanced increase of omega-3 index in response to long-term n-3 fatty acid supplementation from triacylglycerides versus ethyl esters

    PubMed ID: 21063431

    RCT showed rTAG form produces greater RBC EPA+DHA increases than ethyl esters—improves tissue ω‑3 status.

  446. Algal docosahexaenoic acid affects plasma lipoprotein particle size distribution in overweight and obese adults

    PubMed ID: 21178084

    Isolated DHA improved VLDL/LDL/HDL particle sizes and lowered total and VLDL triglycerides in overweight/obese adults.

  447. 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

    4 g/day omega-3 added to simvastatin produced a large (≈41%) additional triglyceride reduction vs simvastatin alone.

  448. 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

    One‑gram/day fish oil for 6 months improved triglycerides and other lipid markers in metabolic syndrome, a clear effect on blood fats.

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

    PubMed ID: 19915202

    EPA+DHA rapidly and substantially reduced plasma n‑6/n‑3 ratio over 4 weeks, a strong biomarker change supporting healthier fatty acid profile.

  450. 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

    Randomized trial in HIV patients showed a modest but significant triglyceride reduction (p=0.03) with fish oil — direct lipid improvement.

  451. 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 EPA/DHA increased plasma incorporation and normalized plasma TAG after 3 months in elderly patients.

  452. Change in fatty acid composition of serum lipids in obese females after short-term weight-reducing regimen with the addition of n-3 long chain polyunsaturated fatty acids in comparison to controls

    PubMed ID: 18271691

    Low‑dose fish oil during weight loss prevented unfavorable serum FA changes and increased EPA/DHA proportions in serum — clear effect on blood lipid composition.

  453. Milk enriched with "healthy fatty acids" improves cardiovascular risk markers and nutritional status in human volunteers

    PubMed ID: 19084376

    One‑year randomized trial of milk enriched with fish oil and other components reduced triglycerides and improved HDL/LDL markers.

  454. Inclusion of fish or fish oil in weight-loss diets for young adults: effects on blood lipids

    PubMed ID: 18490931

    In a weight‑loss trial, oily fish (salmon) produced greater TG reductions than no fish; fish oil capsules had smaller/borderline effects — supports TG lowering in diet context.

  455. Algal-oil capsules and cooked salmon: nutritionally equivalent sources of docosahexaenoic acid

    PubMed ID: 18589030

    Algal-oil capsules and cooked salmon raised plasma phospholipid and erythrocyte DHA substantially over 2 weeks, demonstrating efficient delivery of blood omega‑3s.

  456. 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

    Overweight-women trial lowered TGs along with inflammation and improved insulin response.

  457. 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

    Clear, large and rapid triglyceride reductions in hypertriglyceridemic HIV patients (strong support).

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

    PubMed ID: 17393216

    High-dose DHA added to statins lowered triglycerides by ~27% — robust TG-lowering effect.

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

    PubMed ID: 17977469

    Dose-response DHA trial produced large graded reductions in triglycerides per g/day DHA.

  460. Docosahexaenoic acid supplementation improves fasting and postprandial lipid profiles in hypertriglyceridemic men

    PubMed ID: 17684201

    Randomized trial in hypertriglyceridemic men showed large TG reductions (−24%) and marked decreases in large VLDL and small dense LDL particles.

  461. Microalgal docosahexaenoic acid decreases plasma triacylglycerol in normolipidaemic vegetarians: a randomised trial

    PubMed ID: 16571158

    DHA-rich microalgae oil lowered triglycerides by ~23% in vegetarians (but raised LDL/total cholesterol).

  462. 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

    Cardioprotective doses of omega-3s significantly lowered triglycerides (~19–22%) in CAD patients.

  463. The bioavailability and pharmacodynamics of different concentrations of omega-3 acid ethyl esters

    PubMed ID: 16806871

    More concentrated omega-3 formulations resulted in greater serum EPA/DHA incorporation and larger short-term TG/VLDL reductions.

  464. Lipid responses to a dietary docosahexaenoic acid supplement in men and women with below average levels of high density lipoprotein cholesterol

    PubMed ID: 15930485

    1.52 g/day DHA reduced triglycerides and small dense LDL but raised LDL and total cholesterol — mixed but strong effect on some lipid fractions.

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

    PubMed ID: 16296399

    Doubled omega-3 index in vegetarians — reiteration of strong blood-fat status improvement (included again due to direct relevance).

  466. Evaluation of the effects of Neptune Krill Oil on the clinical course of hyperlipidemia

    PubMed ID: 15656713

    Krill oil produced improvements in total cholesterol, TG, LDL and HDL vs fish oil/placebo in an RCT (krill ≠ fish oil but lipid benefit reported).

  467. 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 (+8%) and improved TG:HDL ratio in postmenopausal women (crossover RCT).

  468. Circulating triacylglycerol and apoE levels in response to EPA and docosahexaenoic acid supplementation in adult human subjects

    PubMed ID: 15469651

    DHA produced a significant 22% triglyceride reduction and favorable phospholipid incorporation—strong lipid effect.

  469. 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 regimens lowered triglycerides; one combination reduced LDL by ~11% (small study).

  470. 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 modestly raised HDL in a randomized trial.

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

    PubMed ID: 12562865

    Accelerated chylomicron TG clearance and large reductions in apoB48/100 indicate improved postprandial lipid handling.

  472. 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 triglycerides and raised HDL2 in hypertensive diabetics (but with an adverse short-term fasting glucose rise).

  473. Nutritional effect of including egg yolk in the weaning diet of breast-fed and formula-fed infants: a randomized controlled trial

    PubMed ID: 12036817

    Dietary n‑3 enriched eggs raised erythrocyte DHA by ~30–40%, improving tissue/blood fatty‑acid profile.

  474. Effects of atorvastatin and omega-3 fatty acids on LDL subfractions and postprandial hyperlipemia in patients with combined hyperlipemia

    PubMed ID: 11383326

    Addition of omega-3 to atorvastatin improved some lipid fractions and postprandial TG versus baseline, though not vs placebo in small trial.

  475. 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

    One-year Omacor data showed sustained ~20–40% reductions in triglycerides/VLDL in CHD patients on simvastatin.

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

    PubMed ID: 10938022

    Strong crossover trial: 3 g/day fish oil produced large reductions in fasting and postprandial triglycerides and small dense LDL.

  477. 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

    4 g/day EPA+DHA reduced serum triglycerides by 26% and improved TG:HDL ratio—robust lipid improvements.

  478. 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

    EPA and DHA significantly lowered TGs; DHA uniquely raised HDL2 and increased LDL particle size while increasing LDL‑C.

  479. Lipid peroxidation during n-3 fatty acid and vitamin E supplementation in humans

    PubMed ID: 9168460

    Raised blood EPA/DHA markedly (but increased lipid peroxidation markers) — biochemical support for blood‑fat change.

  480. Incorporation of n-3 fatty acids into plasma lipid fractions, and erythrocyte membranes and platelets during dietary supplementation with fish, fish oil, and docosahexaenoic acid-rich oil among healthy young men

    PubMed ID: 9252957

    Consistent dose‑related incorporation of dietary EPA/DHA into plasma, RBCs and platelets — biomarker support for lipid effects.

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

    PubMed ID: 8729093

    Clear randomized evidence that EPA lowers TG/VLDL while DHA affects HDL subfractions — strong lipid evidence.

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

    PubMed ID: 8933125

    Clear reductions in fasting and postprandial triglycerides and a large increase in HDL2/HDL3 ratio—strong lipid benefit.

  483. 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

    Omega-3 concentrate reduced triglycerides by ~28% and increased HDL — clear, clinically meaningful improvements in blood fats.

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

    PubMed ID: 7486485

    Fish oil lowered triglycerides in hypertensive adults — supports blood-fat improvements in this population.

  485. 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

    Raised HDL2 cholesterol in a large trial (esp. in women) — modest favorable effect on blood lipoproteins.

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

    PubMed ID: 7939369

    Median triglycerides decreased by ~33% over 6 months after CABG—strong triglyceride‑lowering evidence.

  487. Effects of a fish oil supplement on blood pressure and serum lipids in patients treated for coronary artery disease

    PubMed ID: 1617510

    Marked triglyceride lowering in coronary disease patients in a large randomized study.

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

    PubMed ID: 1534256

    Large RCT with ~21% triglyceride lowering and modest HDL increase — robust evidence for improving blood lipids.

  489. [Effect on the lipid profile of diet supplemented with fish oil concentrate]

    PubMed ID: 2195704

    Concentrated fish oil markedly lowered triglycerides (~19.5%) and tended to improve HDL/total cholesterol — strong lipid benefit.

Inflammation (372)
  1. Different gene expression profiles in normo- and dyslipidemic men after fish oil supplementation: results from a randomized controlled trial

    PubMed ID: 22929118

    3-month FO doubled omega-3 index and changed expression of immune/inflammatory pathways — consistent anti-inflammatory biology.

  2. Effects of n-3 polyunsaturated fatty acids in subjects with nonalcoholic fatty liver disease

    PubMed ID: 18054848

    n‑3 PUFA + diet reduced TNF‑α and improved inflammatory/insulin markers in NAFLD trial.

  3. Effects of n-3 polyunsaturated fatty acids from seal oils on nonalcoholic fatty liver disease associated with hyperlipidemia

    PubMed ID: 19009658

    Seal‑oil RCT improved symptoms and liver inflammation markers consistent with anti‑inflammatory effects.

  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 metabolic/inflammatory markers alongside reduced steatosis.

  5. Liver-protecting effects of omega-3 fish oil lipid emulsion in liver transplantation

    PubMed ID: 23155344

    Perioperative ω-3 nutrition associated with reduced infections and improved markers consistent with less inflammation.

  6. [Application of a lipid emulsion for parenteral nutrition support in intensive care patients following gastrointestinal surgeries]

    PubMed ID: 26403745

    Fish-oil–containing lipid emulsion in ICU reduced CRP and IL-6 and shortened ICU stay.

  7. Effectiveness of ω-3 Polyunsaturated Fatty Acids Based Lipid Emulsions for Treatment of Patients after Hepatectomy: A Prospective Clinical Trial

    PubMed ID: 27322311

    Postoperative fish-oil nutrition reduced inflammation and complications after hepatectomy.

  8. Intravenous fish oil containing lipid emulsion attenuates inflammatory cytokines and the development of bronchopulmonary dysplasia in very premature infants: A double-blind, randomized controlled trial

    PubMed ID: 29941233

    IV fish oil in very preterm infants decreased IL-1β/IL-6 and reduced BPD incidence—strong anti-inflammatory effect.

  9. Four-oil intravenous lipid emulsion effect on plasma fatty acid composition, inflammatory markers and clinical outcomes in acutely ill patients: A randomised control trial (Foil fact)

    PubMed ID: 30638739

    In critical illness EPA/DHA incorporation correlated inversely with SOFA; liver enzymes and inflammatory signals improved.

  10. Effect of Weight Reduction Diets Containing Fish, Walnut or Fish plus Walnut on Cardiovascular Risk Factors in Overweight and Obese Women

    PubMed ID: 31679359

    Combined fish+walnut improved inflammatory/coagulation markers during weight loss vs single interventions.

  11. The effects of fish oil plus vitamin D(3) intervention on non-alcoholic fatty liver disease: a randomized controlled trial

    PubMed ID: 35067753

    Fish oil reduced TNF-α in NAFLD trial, indicating decreased inflammation.

  12. Elevated serum phosphatidylcholine (16:1/22:6) levels promoted by fish oil and vitamin D(3) are highly correlated with biomarkers of non-alcoholic fatty liver disease in Chinese subjects

    PubMed ID: 36279014

    FO increased a phosphatidylcholine species that correlated inversely with ALT, TAG and inflammatory cytokines (IL‑1β, TNF‑α).

  13. Targeted alteration of dietary n-3 and n-6 fatty acids for the treatment of chronic headaches: a randomized trial

    PubMed ID: 23886520

    Randomized diet increasing n‑3 and lowering n‑6 reduced headache days and impact and raised blood EPA/DHA — clinical anti‑inflammatory benefit.

  14. Dietary omega-6 fatty acid lowering increases bioavailability of omega-3 polyunsaturated fatty acids in human plasma lipid pools

    PubMed ID: 24675168

    Dietary lowering of n‑6 with increased EPA/DHA produced marked rises in EPA/DHA and a 20% drop in AA — a strong biochemical anti‑inflammatory signal.

  15. Circulating levels of endocannabinoids and oxylipins altered by dietary lipids in older women are likely associated with previously identified gene targets

    PubMed ID: 27452639

    Six months fish oil raised EPA/DHA and shifted oxylipin/endocannabinoid profiles toward n‑3–derived mediators (mechanistic anti‑inflammatory signal).

  16. Assessing Validity of Self-Reported Dietary Intake within a Mediterranean Diet Cluster Randomized Controlled Trial among US Firefighters

    PubMed ID: 31546768

    Mediterranean diet increased plasma EPA/DHA and was associated with lower TNF‑α and decreased SFAs—anti‑inflammatory changes.

  17. Dietary linoleic acid lowering alone does not lower arachidonic acid or endocannabinoids among women with overweight and obesity: A randomized, controlled trial

    PubMed ID: 38100748

    Controlled feeding RCT: adding EPA/DHA reduced arachidonic acid (substrate for pro‑inflammatory eicosanoids) and increased DHA-derived ECBs.

  18. 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‑ω‑3/low‑ω‑6 diet reduced headache days/pain and increased DHA‑derived anti‑nociceptive mediators—clinically meaningful inflammatory pain reduction.

  19. 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‑response trial showed reduced IL‑6 production at moderate fish‑oil doses—a direct anti‑inflammatory signal.

  20. Enteral nutrition with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants reduces alveolar inflammatory mediators and protein influx in patients with acute respiratory distress syndrome

    PubMed ID: 12576957

    EPA-containing enteral diet in ARDS lowered BALF IL-8 and other markers and improved oxygenation (reduced lung inflammation).

  21. Influence of low-dose polyunsaturated fatty acids supplementation on the inflammatory response of healthy adults

    PubMed ID: 17664057

    Low‑dose PUFA blend decreased pro‑inflammatory LTB4 and PGE1 (biochemical anti‑inflammatory signal).

  22. 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

    Omega‑3 containing lipid emulsion in infants increased EPA and correlated with decreases in LTB4 and early PCT, showing anti‑inflammatory effects post‑op.

  23. 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

    Cohort data: higher long‑term PUFA intakes (including n‑3) associated with substantially lower odds of elevated CRP 12 years later.

  24. 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

    Omega‑3 supplementation lowered inflammatory and non‑inflammatory acne lesion counts and reduced IL‑8 staining.

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

    PubMed ID: 25240692

    DHA‑enriched dietary oil reduced IL1B expression and hs‑CRP and increased adiponectin — anti‑inflammatory signals.

  26. 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 fat in preterms lowered IL‑6/IL‑8 and shifted fatty acid profile toward ω‑3.

  27. Clinical Benefits of n-3 PUFA and ɤ-Linolenic Acid in Patients with Rheumatoid Arthritis

    PubMed ID: 28346333

    Fish oil reduced RA disease activity and pain with clear anti‑inflammatory clinical effects.

  28. 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

    SDA (Ahiflower) oil increased anti‑inflammatory IL‑10 production ex vivo along with EPA/DPA rises.

  29. 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

    Rapid, dose‑dependent EPA/DHA incorporation and short‑term triglyceride decline—supports anti‑inflammatory effects via lipid changes.

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

    PubMed ID: 29633621

    Omega‑3 enriched eggs reduced hsCRP and other inflammatory markers alongside improved microvascular function.

  31. EPA+DHA, but not ALA, Improved Lipids and Inflammation Status in Hypercholesterolemic Adults: A Randomized, Double-Blind, Placebo-Controlled Trial

    PubMed ID: 30900815

    Dose‑dependent triglyceride lowering and reduction of PBMC IL‑6 production with EPA+DHA—strong anti‑inflammatory clinical trial evidence.

  32. 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 intake raised multiple EPA/DHA‑derived anti‑inflammatory lipid mediators—clear biochemical anti‑inflammatory signal.

  33. Evaluation of Influencing Factors on Metabolism of Land-Based n-3 Poly Unsaturated Fatty Acids-The KoALA Study

    PubMed ID: 37892536

    Substantial linseed ALA increased EPA but lowered DHA and altered n‑6/n‑3 ratio—biochemical shifts relevant to inflammation.

  34. A Walnut-Enriched Diet for 2 Years Changes the Serum Oxylipin Profile in Healthy Older Persons

    PubMed ID: 38081585

    Long RCT showed increased ALA/EPA oxylipins and decreased pro‑inflammatory n‑6 HETEs—mechanistic anti‑inflammatory profile.

  35. 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

    Clear RCT evidence of reduced TNF‑α and IL‑6 and increased IL‑10 after marine ω‑3 supplementation.

  36. Influence of dietary fish on eicosanoid metabolism in man

    PubMed ID: 2123355

    Dietary fish (mackerel) shifted eicosanoids away from pro-thrombotic/pro-inflammatory TX toward EPA-derived prostacyclin-type metabolites.

  37. Effects of two types of fish oil supplements on serum lipids and plasma phospholipid fatty acids in coronary artery disease

    PubMed ID: 2239719

    Long-term fish oil raised EPA and reduced triglycerides; biochemical profile changes are consistent with anti-inflammatory potential.

  38. Plasma lipid levels and platelet and neutrophil function in patients with vascular disease following fish oil and olive oil supplementation

    PubMed ID: 1328817

    Clear reduction in neutrophil LTB4 (proinflammatory mediator) and platelet effects.

  39. Effects of different doses of fish oil on rectal cell proliferation in patients with sporadic colonic adenomas

    PubMed ID: 7958682

    Reduced rectal mucosal proliferation and decreased mucosal arachidonic acid with increased EPA/DHA (anti-inflammatory tissue changes).

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

    PubMed ID: 8720373

    Short-term n‑3 supplementation increased tissue EPA and significantly reduced gingival index (objective inflammation reduction).

  41. 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 for 14 days reduced psoriasis severity and shifted eicosanoid production toward less inflammatory species.

  42. Inhibition of leukotriene synthesis, pharmacokinetics, and tolerability of a novel dietary fatty acid formulation in healthy adult subjects

    PubMed ID: 12852710

    GLA+EPA emulsion inhibited leukotriene biosynthesis and prevented GLA-induced AA rise; direct anti-inflammatory mechanism.

  43. Impact of omega-3 fatty acid enriched TPN on leukotriene synthesis by leukocytes after major surgery

    PubMed ID: 12553951

    Postoperative RCT with omega‑3 TPN increased LTB5 and LTB5/LTB4 ratio indicating reduced proinflammatory 5‑series leukotriene signaling.

  44. Fish oil and antioxidants alter the composition and function of circulating mononuclear cells in Crohn disease

    PubMed ID: 15531659

    Crohn's RCT: PBMC EPA/DHA increased and proinflammatory IFN‑γ and PGE2 production decreased.

  45. Omega-3 fatty acids improve liver and pancreas function in postoperative cancer patients

    PubMed ID: 15239141

    Postop FO‑TPN produced improved biochemical recovery (liver/pancreas tests), consistent with lower inflammatory stress.

  46. Improved fatty acid and leukotriene pattern with a novel lipid emulsion in surgical patients

    PubMed ID: 16041475

    Postoperative emulsion increased n‑3 phospholipids, shifted leukotrienes and shortened hospital stay.

  47. 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 added to mesalazine significantly reduced relapses in pediatric Crohn's, reflecting reduced inflammatory activity.

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

    PubMed ID: 19390480

    Maternal omega‑3 decreased LPS‑stimulated PGE2 release—a clear reduction in a pro‑inflammatory mediator.

  49. Supplementation with fatty acids influences the airway nitric oxide and inflammatory markers in patients with cystic fibrosis

    PubMed ID: 20639712

    n‑3 supplementation reduced ESR and IL‑8 and affected airway NO in CF patients—clinically relevant inflammatory marker changes.

  50. Incorporation of n-3 PUFA and γ-linolenic acid in blood lipids and red blood cell lipids together with their influence on disease activity in patients with chronic inflammatory arthritis--a randomized controlled human intervention trial

    PubMed ID: 21816071

    3 g/day n‑3 LC‑PUFA decreased DAS28 and pain in inflammatory arthritis with large biochemical incorporation—strong anti‑inflammatory signal.

  51. ALOX5 gene variants affect eicosanoid production and response to fish oil supplementation

    PubMed ID: 21296957

    Fish oil increased EPA/DHA‑derived metabolites (pro‑resolving mediators) and altered eicosanoid profiles.

  52. Impact of EPA ingestion on COX- and LOX-mediated eicosanoid synthesis in skin with and without a pro-inflammatory UVR challenge--report of a randomised controlled study in humans

    PubMed ID: 24311515

    EPA supplementation shifted skin eicosanoids (lower PGE2, higher PGE3/12‑HEPE) indicating reduced pro‑inflammatory signalling in skin.

  53. Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy

    PubMed ID: 24589090

    Preoperative fish‑oil immunonutrition lowered PGE2 and reduced infectious complications—clinical and mechanistic anti‑inflammatory signals.

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

    PubMed ID: 24736647

    Fish oil increased neutrophil electrophilic ω‑3 derivatives—potent anti‑inflammatory mediators—strong mechanistic evidence.

  55. n-3 fatty acids reduce plasma 20-hydroxyeicosatetraenoic acid and blood pressure in patients with chronic kidney disease

    PubMed ID: 26103129

    n‑3 reduced 20‑HETE and F2‑isoprostanes in CKD; these biochemical reductions predicted blood‑pressure falls—robust anti‑inflammatory/oxidative evidence.

  56. Association between Serum Phospholipid Fatty Acids and Intraprostatic Inflammation in the Placebo Arm of the Prostate Cancer Prevention Trial

    PubMed ID: 25926387

    Observational data: higher serum EPA/DHA associated with markedly lower intraprostatic inflammation.

  57. Early initiation of eicosapentaenoic acid and statin treatment is associated with better clinical outcomes than statin alone in patients with acute coronary syndromes: 1-year outcomes of a randomized controlled study

    PubMed ID: 27865182

    High‑dose EPA started after PCI reduced cardiovascular events and raised EPA/AA ratio—consistent with anti‑inflammatory cardiovascular benefit.

  58. The impact of an omega-3 fatty acid rich lipid emulsion on fatty acid profiles in critically ill septic patients

    PubMed ID: 27637335

    IV fish oil in sepsis rapidly altered EPA/DHA incorporation and AA/(EPA+DHA) ratios; ratio changes correlated with survival (anti‑inflammatory implication).

  59. 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 clinical improvement and lipid mediator shifts toward pro‑resolution (strong anti‑inflammatory evidence).

  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

    DHA markedly reduced triglycerides and both systemic and adipose inflammation markers in treated HIV patients.

  61. Aerobic Physical Activity and a Low Glycemic Diet Reduce the AA/EPA Ratio in Red Blood Cell Membranes of Patients with NAFLD

    PubMed ID: 30217048

    Intervention lowered AA/EPA inflammatory ratio alongside improved metabolic/NAFLD outcomes.

  62. 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‑ranging RCT showed linear, strong increases in anti‑inflammatory EPA/DHA‑derived oxylipins — robust mechanistic anti‑inflammatory evidence.

  63. n-3 PUFAs improve erythrocyte fatty acid profile in patients with small AAA: a randomized controlled trial

    PubMed ID: 30914500

    Small RCT in AAA: omega‑3 lowered RBC AA and reduced RDW, indicating a less proinflammatory blood profile.

  64. Effects of fish oil supplementation on eicosanoid production in patients at higher risk for colorectal cancer

    PubMed ID: 30640206

    Fish oil raised RBC n‑3 and transiently lowered urinary PGE‑M and rectal PGE2 in non‑NSAID users — evidence of reduced prostaglandin‑mediated inflammation.

  65. Dose- and time-dependent increase in circulating anti-inflammatory and pro-resolving lipid mediators following eicosapentaenoic acid supplementation in patients with major depressive disorder and chronic inflammation

    PubMed ID: 33316626

    Dose‑dependent EPA increases and rises in SPMs with concordant AA reductions demonstrate a strong biochemical anti‑inflammatory effect.

  66. Effect of arachidonic and docosahexaenoic acid supplementation on respiratory outcomes and neonatal morbidities in preterm infants

    PubMed ID: 36473425

    ARA+DHA shortened respiratory support in preterms, consistent with reduced inflammatory lung injury.

  67. Mechanistic insights into the health benefits of fish-oil supplementation against fine particulate matter air pollution: a randomized controlled trial

    PubMed ID: 36309727

    Fish‑oil attenuated PM2.5‑triggered increases in pro‑inflammatory AA metabolites and preserved DHA metabolites in a randomized mechanistic trial.

  68. 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

    Twelve‑week EPA/DHA intervention raised tissue SPMs and downregulated inflammatory gene expression in subcutaneous fat (strong tissue anti‑inflammatory signals).

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

    PubMed ID: 37121228

    Enteral ARA+DHA in very preterm infants reduced IL‑6 burden (AUC) and transiently lowered other cytokines—randomized evidence of reduced systemic inflammation.

  70. Enteral supplementation with arachidonic and docosahexaenoic acid and pulmonary outcome in extremely preterm infants

    PubMed ID: 38377640

    Substudy showed higher serum AA associated with less severe BPD and no increase in pulmonary morbidity with supplementation, implicating fatty‑acid effects on inflammation.

  71. Arachidonic acid and docosahexaenoic acid levels correlate with the inflammation proteome in extremely preterm infants

    PubMed ID: 38603973

    High‑dimensional proteomics revealed widespread associations between serum AA/DHA and many inflammation‑related proteins over the neonatal period.

  72. Enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids in patients after operation: immunologic, metabolic, and clinical outcome

    PubMed ID: 1377838

    Immune‑enhancing feed including omega‑3 reduced infections and improved outcomes likely via anti‑inflammatory/immune modulation.

  73. A prospective, randomized clinical trial on perioperative feeding with an arginine-, omega-3 fatty acid-, and RNA-enriched enteral diet: effect on host response and nutritional status

    PubMed ID: 10574478

    Perioperative group had lower IL‑6 and other inflammatory markers with arginine + omega‑3 formula.

  74. An immune-enhancing enteral diet reduces mortality rate and episodes of bacteremia in septic intensive care unit patients

    PubMed ID: 10752808

    Septic ICU trial with enriched formula showed fewer infections and deaths, consistent with reduced inflammatory/clinical burden.

  75. Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients

    PubMed ID: 11819790

    Post‑op GI cancer patients had lower CRP, IL‑6 and TNF‑α after immunonutrition that included omega‑3s.

  76. Role of enteral immunonutrition in patients with gastric carcinoma undergoing major surgery

    PubMed ID: 15851366

    Decreases in IL‑6 and TNF‑α reported post‑op with immunonutrition including omega‑3s.

  77. Attenuation of the systemic inflammatory response and infectious complications after gastrectomy with preoperative oral arginine and omega-3 fatty acids supplemented immunonutrition

    PubMed ID: 19629583

    Perioperative arginine+omega‑3 shortened SIRS duration—evidence of reduced systemic inflammatory response (multi‑nutrient).

  78. Randomized study of antiinflammatory and immune-modulatory effects of enteral immunonutrition during concurrent chemoradiotherapy for esophageal cancer

    PubMed ID: 24274379

    Enteral immunonutrition including ω‑3 blunted rises in CRP and TNF during chemoradiotherapy—clear clinical anti‑inflammatory effect.

  79. 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 fish oil reduced sCD163 (macrophage activation marker) in T2D—a meaningful anti‑inflammatory biomarker change.

  80. Multimodal perioperative care plus immunonutrition versus traditional care in total hip arthroplasty: a randomized pilot study

    PubMed ID: 27038614

    Multimodal fast‑track protocol with preop immune nutrition (including fish oil) reduced CRP after hip replacement (multi‑component intervention).

  81. Immunonutrition suppresses acute inflammatory responses through modulation of resolvin E1 in patients undergoing major hepatobiliary resection

    PubMed ID: 26965712

    EPA‑enriched immunonutrition raised resolvin E1 and lowered IL‑6 after major liver surgery—mechanistic and clinical anti‑inflammatory signals.

  82. Functional and metabolic effects of omega-3 polyunsaturated fatty acid supplementation and the role of β-hydroxy-β-methylbutyrate addition in chronic obstructive pulmonary disease: A randomized clinical trial

    PubMed ID: 39181037

    EPA/DHA (with HMB) lowered several proinflammatory cytokines in COPD patients.

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

    PubMed ID: 40671417

    Krill oil lowered TNF‑α and CRP during weight‑loss program—direct reductions in inflammatory markers.

  84. Fatty fish intake decreases lipids related to inflammation and insulin signaling--a lipidomics approach

    PubMed ID: 19390588

    Fatty fish intake reduced ceramides/DGs/lysoPCs linked to inflammation and insulin resistance (robust lipidomic signal).

  85. Inclusion of Atlantic salmon in the Chinese diet reduces cardiovascular disease risk markers in dyslipidemic adult men

    PubMed ID: 20797476

    Daily oily fish reduced IL‑6 and improved lipid/inflammatory profile in dyslipidemic men.

  86. Dietary inclusion of salmon, herring and pompano as oily fish reduces CVD risk markers in dyslipidaemic middle-aged and elderly Chinese women

    PubMed ID: 22221492

    Eight weeks of oily‑fish intake in dyslipidemic women increased EPA+DHA and decreased TNF‑α and IL‑6—direct anti‑inflammatory biomarker changes.

  87. Dietary supplementation with a natural carotenoid mixture decreases oxidative stress

    PubMed ID: 12947433

    Carotenoid + fish oil reduced oxidative damage markers and enhanced TG lowering versus fish oil alone—supports reduced oxidative/inflammatory stress when combined with antioxidants.

  88. A diet high in fatty fish, bilberries and wholegrain products improves markers of endothelial function and inflammation in individuals with impaired glucose metabolism in a randomised controlled trial: the Sysdimet study

    PubMed ID: 21870174

    Diet including fatty fish lowered hsCRP and endothelial activation marker (E‑selectin) in at‑risk adults.

  89. Effect of enteral feeding with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in patients with acute respiratory distress syndrome. Enteral Nutrition in ARDS Study Group

    PubMed ID: 10470743

    Enteral EPA‑containing formula markedly reduced bronchoalveolar neutrophils and clinical organ failure in ARDS (strong anti‑inflammatory signal; combined formula).

  90. 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

    Clinical reduction in knee pain/function suggests anti‑inflammatory action in osteoarthritic symptoms with omega‑3 product.

  91. 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

    Short trial showed rapid EPA/DHA incorporation and decreased proinflammatory PGE2 in radiotherapy patients.

  92. Multifunctional dietary approach reduces intestinal inflammation in relation with changes in gut microbiota composition in subjects at cardiometabolic risk: the SINFONI project

    PubMed ID: 39710576

    Cereal product including omega‑3 reduced fecal calprotectin and fasting LPS — reduced gut inflammation.

  93. Influence of a total parenteral nutrition enriched with omega-3 fatty acids on leukotriene synthesis of peripheral leukocytes and systemic cytokine levels in patients with major surgery

    PubMed ID: 9042869

    Strong RCT evidence of shifts to less proinflammatory leukotrienes and lower TNF‑α after omega‑3 enriched nutrition.

  94. Maternal fish oil supplementation in pregnancy modifies neonatal leukotriene production by cord-blood-derived neutrophils

    PubMed ID: 17596121

    Maternal fish-oil lowered neonatal leukotriene production and correlated with lower neonatal proinflammatory cytokine output.

  95. Plasma VEGF and IL-8 Levels in Patients with Mixed Dyslipidaemia. Effect of Rosuvastatin Monotherapy or its Combination at a Lower Dose with Omega-3 Fatty Acids: A Pilot Study

    PubMed ID: 27041244

    Addition of ω‑3 decreased IL‑8 in dyslipidemia patients—anti‑inflammatory signal despite mixed VEGF result.

  96. Effects of Omega-3 Fatty Acid Supplementation on Serum Biomarkers, Inflammatory Agents, and Quality of Life of Patients on Hemodialysis

    PubMed ID: 27903997

    Reduction in VCAM (inflammatory marker) in hemodialysis patients after omega‑3 supplementation.

  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 increased specialized pro‑resolving mediators and reduced plasma MPO (RCT mechanistic evidence of reduced inflammation).

  98. High-dose Omega-3 Alters Serum Magnesium and Calcium Levels and Affects Fibromyalgia Symptoms: A Randomized, Double-blind, Placebo-Control Study

    PubMed ID: 39377412

    Fibromyalgia trial showed symptom improvement and correlated rises in Ca/Mg; implies reduced inflammatory pain processes.

  99. Comparative effectiveness of adding omega-3 and Manuka honey combination to conventional therapy in preventing and treating oxidative stress in pediatric β-thalassemia major - a randomized clinical trial

    PubMed ID: 37458648

    In β‑thalassemia children omega‑3 (with Manuka honey) reduced oxidative‑stress marker 8‑iso‑PGF2α and hemolysis marker—anti‑oxidative/anti‑inflammatory effects.

  100. Early enteral feeding in postsurgical cancer patients. Fish oil structured lipid-based polymeric formula versus a standard polymeric formula

    PubMed ID: 8604913

    Postoperative cancer patients fed fish‑oil formula had fewer infections and lower inflammatory complications—clinically relevant inflammation reduction.

  101. Effect of marine oils supplementation on coagulation and cellular activation in whole blood

    PubMed ID: 8614301

    Marine oils reduced TNF and other inflammatory/coagulation markers in a large randomized supplementation study.

  102. Cod liver oil (n-3 fatty acids) as an non-steroidal anti-inflammatory drug sparing agent in rheumatoid arthritis

    PubMed ID: 18362100

    Cod liver oil allowed NSAID reduction in RA (suggests symptom/inflammation reduction despite unchanged activity scores).

  103. Cod-Liver Oil Improves Metabolic Indices and hs-CRP Levels in Gestational Diabetes Mellitus Patients: A Double-Blind Randomized Controlled Trial

    PubMed ID: 31956660

    Cod‑liver oil reduced hs‑CRP and other inflammation markers in pregnant women with GDM — clear anti‑inflammatory signal.

  104. A randomized controlled trial of the effects of n-3 fatty acids on resolvins in chronic kidney disease

    PubMed ID: 25908532

    Marked increases in specialized proresolving lipid mediators after omega‑3 (biomarker evidence of anti‑inflammatory activity).

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

    PubMed ID: 27007392

    Omega‑3 reduced plasma F2‑isoprostanes and altered telomere length in CKD—evidence of reduced oxidative/inflammatory stress.

  106. Addition of omega-3 fatty acid and coenzyme Q10 to statin therapy in patients with combined dyslipidemia

    PubMed ID: 28541926

    Omega‑3 (±CoQ10) reduced hsCRP and IL‑6 in statin‑treated dyslipidemia patients (pilot RCT).

  107. The clinical effect of dietary supplementation with omega-3 fish oils and/or copper in systemic lupus erythematosus

    PubMed ID: 15290734

    Fish oil slightly reduced SLE activity (clinical inflammation index) though lab immunologic indices unchanged.

  108. Dysregulation of Subcutaneous White Adipose Tissue Inflammatory Environment Modelling in Non-Insulin Resistant Obesity and Responses to Omega-3 Fatty Acids - A Double Blind, Randomised Clinical Trial

    PubMed ID: 35958557

    Subcutaneous adipose transcriptome showed downregulation of inflammatory genes after 12 weeks of high‑dose n‑3 (human tissue evidence).

  109. Effect of a collagen-enriched beverage with or without omega-3 fatty acids on wound healing, metabolic biomarkers, and adipokines in patients with major burns

    PubMed ID: 36724726

    Collagen+ω‑3 lowered hs‑CRP/pre‑albumin ratio and prevented adiponectin decline after burns (anti‑inflammatory signal).

  110. The Effect of a Fish Oil and/or Probiotic Intervention from Early Pregnancy Onwards on Colostrum Immune Mediators: A Randomized, Placebo-Controlled, Double-Blinded Clinical Trial in Overweight/Obese Mothers

    PubMed ID: 37326413

    Combination FO+probiotics produced modest increases in select colostrum immune mediators and small inflammatory changes.

  111. Consumption of Goat Cheese Naturally Rich in Omega-3 and Conjugated Linoleic Acid Improves the Cardiovascular and Inflammatory Biomarkers of Overweight and Obese Subjects: A Randomized Controlled Trial

    PubMed ID: 32380746

    n‑3/CLA‑enriched cheese (with lifestyle program) produced ~36% CRP reduction (anti‑inflammatory marker).

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

    PubMed ID: 14652498

    DHA plus antioxidants reduced post‑exercise IL‑6 and CRP versus placebo.

  113. Omega-3 fatty acids supplementation attenuates inflammatory markers after eccentric exercise in untrained men

    PubMed ID: 21358504

    Omega‑3 supplementation blunted several exercise‑induced inflammatory and muscle‑damage responses.

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

    PubMed ID: 25029008

    DHA modestly lowered IL‑6 after eccentric exercise—evidence of reduced inflammatory response.

  115. Omega 3 fatty acids can reduce early doxorubicin-induced cardiotoxicity in children with acute lymphoblastic leukemia

    PubMed ID: 34842343

    Pediatric trial: ω‑3 reduced MDA and preserved antioxidant markers vs control during doxorubicin exposure (anti‑oxidant/anti‑inflammatory effect).

  116. The synergistic effects of ω-3 fatty acids and nano-curcumin supplementation on tumor necrosis factor (TNF)-α gene expression and serum level in migraine patients

    PubMed ID: 28478481

    ω‑3 + nano‑curcumin markedly downregulated TNF‑α mRNA and serum TNF‑α (strong anti‑inflammatory combination effect).

  117. A Novel Combination of ω-3 Fatty Acids and Nano-Curcumin Modulates Interleukin-6 Gene Expression and High Sensitivity C-reactive Protein Serum Levels in Patients with Migraine: A Randomized Clinical Trial Study

    PubMed ID: 29938621

    ω‑3 and/or nanocurcumin lowered IL‑6 expression and hs‑CRP in migraine patients, largest effect with combination.

  118. The Combined Effects of ω -3 Fatty Acids and Nano-Curcumin Supplementation on Intercellular Adhesion Molecule-1 (ICAM-1) Gene Expression and Serum Levels in Migraine Patients

    PubMed ID: 29237386

    ω‑3 reduced ICAM-1 serum levels (inflammation/adhesion) and combo reduced migraine frequency — supports anti-inflammatory activity.

  119. The Neuromodulatory Effects of ω-3 Fatty Acids and Nano-Curcumin on the COX-2/ iNOS Network in Migraines: A Clinical Trial Study from Gene Expression to Clinical Symptoms

    PubMed ID: 30760195

    ω‑3 + nano-curcumin downregulated COX-2 and iNOS and reduced migraine frequency — strong inflammatory-marker and clinical improvement.

  120. 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

    In T2D patients high‑EPA fish oil reduced hs‑CRP and improved antioxidant capacity—robust anti‑inflammatory biomarker changes.

  121. Reduced ex vivo stimulated IL-6 response in infants randomized to fish oil from 9 to 18 months, especially among PPARG2 and COX2 wild types

    PubMed ID: 25498245

    Infant RCT: fish oil reduced stimulated IL‑6 in some genetic subgroups—anti‑inflammatory signal in early life immune responses.

  122. Dietary fish oil and olive oil supplementation in patients with rheumatoid arthritis. Clinical and immunologic effects

    PubMed ID: 2363736

    Clear dose-dependent reductions in inflammatory mediators (LTB4, IL-1) and clinical joint signs in RA — strong anti-inflammatory evidence.

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

    PubMed ID: 1464864

    Omega-3 improved morning stiffness and global assessments in RA alongside expected anti-inflammatory mechanisms.

  124. 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

    RA patients required much less NSAID use over 12 months, consistent with clinically meaningful anti‑inflammatory benefit.

  125. n-3 fatty acid ethyl ester administration to healthy subjects and to hypertriglyceridemic patients reduces tissue factor activity in adherent monocytes

    PubMed ID: 7918310

    Substantial and sustained reduction in monocyte tissue factor activity indicates a strong anti‑inflammatory effect.

  126. 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

    High‑dose FO lowered CD25 expression on stimulated T cells in inflammatory skin disease—anti‑inflammatory effect.

  127. Effect of eicosapentaenoic acid and docosahexaenoic acid on oxidative stress and inflammatory markers in treated-hypertensive type 2 diabetic subjects

    PubMed ID: 14583341

    EPA/DHA reduced urinary F2‑isoprostanes (oxidative-stress marker) in hypertensive diabetics.

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

    PubMed ID: 17720098

    IL‑6 and WBC declines observed in dialysis patients, though intervention combined DHA and gamma‑tocopherol.

  129. A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosus

    PubMed ID: 17875549

    SLE RCT produced significant decreases in disease activity and oxidative stress markers.

  130. 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

    Overweight-women trial lowered CRP and IL-6 along with TGs.

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

    PubMed ID: 19515734

    1.8 g/day EPA+DHA produced broad anti‑inflammatory and anti‑atherogenic shifts in immune‑cell gene expression (genome‑wide effect).

  132. 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 toward anti‑inflammatory leukotriene LTB5 and improved LTB5/LTB4 ratio in HIV patients indicates inflammatory profile improvement.

  133. DHA supplementation decreases serum C-reactive protein and other markers of inflammation in hypertriglyceridemic men

    PubMed ID: 19158225

    DHA supplementation significantly reduced neutrophils, CRP (‑15%) and IL‑6 (‑23%) in hypertriglyceridemic men — strong anti‑inflammatory evidence.

  134. Fish oil supplementation lowers C-reactive protein levels independent of triglyceride reduction in patients with end-stage renal disease

    PubMed ID: 19461006

    EPA+DHA reduced CRP over 6 months in dialysis patients, supporting systemic anti‑inflammatory effect.

  135. 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

    hs‑CRP decreased in metabolic syndrome subjects on fish oil, consistent with reduced inflammation.

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

    PubMed ID: 19595382

    Large randomized 3‑year trial reported ≈10% reduction in IL‑18 with n‑3 supplementation, consistent anti‑inflammatory action.

  137. 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

    EPA incorporated into carotid plaques and was linked to lower plaque inflammation and reduced inflammatory mRNA markers.

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

    PubMed ID: 20545703

    Children with asthma showed reduced exhaled NO and improved airway responsiveness markers.

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

    PubMed ID: 20572767

    Periodontitis RCT decreased local inflammatory markers (RANKL, MMP‑8) with clinical benefit.

  140. 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

    Large TNF‑α reduction (≈60%) after perioperative EPA/DHA lipid emulsion — strong anti‑inflammatory signal.

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

    PubMed ID: 22079797

    Septic neonate study lowered IL‑1β and was associated with milder clinical course, consistent with anti‑inflammatory action.

  142. Fish oil supplementation improves neutrophil function during cancer chemotherapy

    PubMed ID: 22160495

    Preservation/improvement of neutrophil function during chemotherapy indicates anti‑inflammatory/immune‑protective effects.

  143. Effect of n-3 fatty acids on patients with advanced lung cancer: a double-blind, placebo-controlled study

    PubMed ID: 22114792

    Chemotherapy study showed reductions in CRP and IL‑6 with EPA+DHA — clear anti‑inflammatory signal in patients.

  144. The effects of fish oil supplementation on markers of inflammation in chronic kidney disease patients

    PubMed ID: 22285316

    Small CKD RCT reduced IL-1β (borderline) but not IL-6/TNF-α — modest anti-inflammatory signal.

  145. 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 FO in T2D lowered TNF-α and IL-2 significantly, indicating short-term anti-inflammatory action.

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

    PubMed ID: 23238663

    In hypertensive diabetic patients fish oil lowered platelet oxidative stress markers and triglycerides — anti-inflammatory vascular effect.

  147. Effect of n-3 supplementation on hyperactivity, oxidative stress and inflammatory mediators in children with attention-deficit-hyperactivity disorder

    PubMed ID: 24568073

    Significant reductions in CRP and IL-6 in children taking EPA+DHA — clear anti-inflammatory signal.

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

    PubMed ID: 23916928

    Combined fish oil + vitamins markedly lowered post‑op oxidative stress and inflammation markers (trial included combined antioxidants).

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

    PubMed ID: 24190860

    High‑dose omega‑3 reduced febrile response to endotoxin and trended to lower multiple inflammatory biomarkers.

  150. 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

    Study found that high responders to supplementation (linked to diet) had larger EPA incorporation and greater reductions in plasma triglycerides, VLDL size and monocyte LTB4 (inflammatory mediator).

  151. Omega-3 fatty acids reduce adipose tissue macrophages in human subjects with insulin resistance

    PubMed ID: 23328126

    12‑week RCT showed decreased adipose macrophages, lower plasma MCP‑1, and increased capillaries—clear tissue‑level anti‑inflammatory remodeling.

  152. 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

    Supplementation substantially raised blood EPA/DHA and was associated with reductions in pentraxin‑3 (an inflammatory marker).

  153. Efficacy of fish oil on serum of TNF α , IL-1 β , and IL-6 oxidative stress markers in multiple sclerosis treated with interferon beta-1b

    PubMed ID: 23861993

    Marked, consistent reductions in TNFα, IL‑1β, IL‑6 and NO metabolites over 12 months in MS patients indicate robust anti‑inflammatory effects.

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

    PubMed ID: 24970858

    DHA reduced local gingival inflammation markers (GCF hsCRP, IL‑1β) and clinical gingival indices in periodontitis trial.

  155. 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

    Preoperative n‑3 markedly increased less‑inflammatory leukotriene/metabolite profiles (LTB5, 5‑HEPE) and decreased pro‑inflammatory LTB4.

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

    PubMed ID: 25204316

    Reduced LPS‑induced chemokine responses (RANTES, MCP‑1) in PBMCs of dialysis patients without systemic CRP/IL‑6 changes.

  157. Effects of oral supplementation with omega-3 fatty acids on nutritional state and inflammatory markers in maintenance hemodialysis patients

    PubMed ID: 24613294

    Small anti‑inflammatory biomarker changes (ferritin, IL‑10/IL‑6 ratio) observed in dialysis patients with fish oil.

  158. 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 shifts reflect reduced pro‑inflammatory pathway activity after 7 weeks FO.

  159. 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

    Omega‑3 PN blunted postoperative rises in IL‑6/TNFα/WBC and reduced infections—strong anti‑inflammatory clinical signal.

  160. 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

    Omega‑3 supplement with diet reduced airway neutrophils and improved respiratory scores in horses (anti‑inflammatory effect).

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

    PubMed ID: 24746829

    Higher long‑chain n‑3 intake associated with decreased hs‑CRP and improved endothelial/inflammatory markers (observational/within‑trial evidence).

  162. Dietary Omega-3 Fatty Acid Supplementation Reduces Inflammation in Obese Pregnant Women: A Randomized Double-Blind Controlled Clinical Trial

    PubMed ID: 26340264

    In obese pregnant women omega‑3 substantially lowered CRP and multiple inflammatory genes in adipose and placenta (strong anti‑inflammatory evidence).

  163. 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 and triglycerides and rose dose‑dependently after EPA/DHA supplementation.

  164. Omega 3 (n-3) fatty acids down-regulate nuclear factor-kappa B (NF-κB) gene and blood cell adhesion molecule expression in patients with homozygous sickle cell disease

    PubMed ID: 25976467

    Sickle cell patients showed increased EPA/DHA and decreased NF‑κB and WBC count — meaningful anti‑inflammatory changes.

  165. Inflammation as a predictive biomarker for response to omega-3 fatty acids in major depressive disorder: a proof-of-concept study

    PubMed ID: 25802980

    EPA antidepressant benefit was pronounced in patients with elevated inflammatory markers—links to inflammation modulation and clinical response.

  166. 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 produced stronger, consistent reductions in several inflammatory markers (IL‑18, adiponectin changes) versus EPA—robust anti‑inflammatory signal.

  167. 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 enteral DHA reduced cellular inflammatory markers and was associated with fewer sepsis events and shorter ICU stays.

  168. Effects of omega-3 fatty acid plus alpha-tocopherol supplementation on malnutrition-inflammation score, biomarkers of inflammation and oxidative stress in chronic hemodialysis patients

    PubMed ID: 27554670

    Significant improvements in malnutrition–inflammation score and antioxidant capacity in hemodialysis patients.

  169. A Randomized, Double-Masked, Placebo-Controlled Clinical Trial of Two Forms of Omega-3 Supplements for Treating Dry Eye Disease

    PubMed ID: 27817918

    Krill/fish oil reduced tear IL‑17A and improved dry‑eye inflammation markers.

  170. Macrophage Activation in Pediatric Nonalcoholic Fatty Liver Disease (NAFLD) Correlates with Hepatic Progenitor Cell Response via Wnt3a Pathway

    PubMed ID: 27310371

    NAFLD cohort showed decreased pro‑inflammatory macrophages and improved histologic inflammation with DHA.

  171. 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/infant cytokine shifts indicate an anti‑inflammatory pattern with supplementation.

  172. Impact of Docosahexaenoic Acid Therapy on Subgingival Plaque Microbiota

    PubMed ID: 28517974

    DHA+aspirin improved periodontal clinical outcomes via host‑modulation, implying anti‑inflammatory action in tissues.

  173. 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 (18‑HEPE, 17‑HDHA) in cord blood, promoting inflammation resolution at birth.

  174. 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

    In older adults with MCI, omega‑3 lowered IL‑6, TNF‑α and sPLA2 over 6 months, indicating reduced systemic inflammation.

  175. 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

    Large reductions in proinflammatory cytokines (IL‑1β, IL‑6) and large IL‑10 increase in DMD boys indicate strong anti‑inflammatory effects.

  176. EPA + DHA supplementation reduces PMN activation in microenvironment of chronic venous leg ulcers: A randomized, double-blind, controlled study

    PubMed ID: 28758717

    EPA+DHA reduced wound neutrophil activation and proteases (MMP‑8, HNE) with trends to improved healing.

  177. 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

    n‑3 PUFA increased antioxidant capacity and reduced oxidative damage in early schizophrenia, correlating with symptom reduction (anti‑inflammatory/antioxidant effect).

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

    PubMed ID: 28131045

    High‑dose EPA/DHA changed anti‑inflammatory gene expression in abdominal obesity (PPARA up, CD14 down).

  179. 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 FO in PAD markedly raised omega‑3 index and precursors of specialized pro‑resolving mediators—strong biochemical anti‑inflammatory signal.

  180. Dietary supplementation with low-dose omega-3 fatty acids reduces salivary tumor necrosis factor-α levels in patients with chronic periodontitis: a randomized controlled clinical study

    PubMed ID: 28177133

    Adjunct omega‑3 lowered salivary TNF‑α at 6 months in periodontitis, showing local anti‑inflammatory effect.

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

    PubMed ID: 29735019

    Large reductions in circulating pro‑inflammatory cytokines (IL‑6, IL‑1β, TNF‑α) after 2.5 g/day EPA+DHA in people with chronic wounds (robust anti‑inflammatory signal).

  182. 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

    Reported reductions in inflammatory markers in CAD patients treated with EPA+DHA.

  183. 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

    Gestational diabetes RCT showed decreased IL‑1 and TNF‑α gene expression and upregulated PPAR‑γ (anti‑inflammatory molecular changes).

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

    PubMed ID: 29940888

    Prenatal EPA lowered maternal IL‑6, TNFα and IL‑15 versus placebo — clear anti‑inflammatory signal in humans.

  185. Double-blind, randomized, multicenter phase 2 study of SC411 in children with sickle cell disease (SCOT trial)

    PubMed ID: 30097463

    Sickle cell trial showed reductions in inflammatory/coagulation markers (sE‑selectin) and signals toward fewer crises.

  186. Effects of DHA-enriched fish oil on gene expression levels of p53 and NF-κB and PPAR-γ activity in PBMCs of patients with T2DM: A randomized, double-blind, clinical trial

    PubMed ID: 31831363

    DHA increased PPAR‑γ activity in immune cells, a pathway involved in anti‑inflammatory responses (mechanistic support).

  187. 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 FO as adjunct to periodontal therapy significantly reduced bleeding on probing, improved attachment and lowered salivary pro‑inflammatory cytokines.

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

    PubMed ID: 32436902

    Adjunctive ω‑3 improved periodontal pocket depth and attachment—localized anti‑inflammatory/clinical effect.

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

    PubMed ID: 32044905

    Significant reductions in TNF‑α and CRP in hypertensive adults after 90 days.

  190. 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

    Reduced AA and altered corticolimbic connectivity; biochemical anti‑inflammatory shifts observed.

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

    PubMed ID: 36005883

    High‑dose EPA showed inflammatory biomarker changes correlated with symptom improvements.

  192. 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

    Adjunctive omega‑3 in periodontal therapy produced significantly greater reductions in pocket depth and attachment loss, consistent with reduced local inflammation.

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

    PubMed ID: 37026312

    Large trial in VDT users improved dry‑eye signs (TBUT, osmolarity, goblet cell density) consistent with reduced ocular surface inflammation.

  194. 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 reduced neutrophil/lymphocyte ratio and neutrophils in normotensive subgroup, indicating systemic anti‑inflammatory effects associated with plaque regression.

  195. 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 improved systemic antioxidant capacity and reduced inflammatory cytokines (IL‑6, TNF‑α) in keratoconus patients.

  196. Long-Chain Omega-3 Fatty Acid Supplementation and Exercise-Induced Muscle Damage: EPA or DHA?

    PubMed ID: 38051142

    EPA or DHA improved some exercise‑recovery measures and impacted inflammation markers vs placebo.

  197. [Parenteral supplementation with EPA/DHA omega-3 fatty acids improves recovery prognosis in critically ill patients]

    PubMed ID: 36602145

    Parenteral EPA/DHA in critically ill patients improved prognostic scores and mortality—consistent with attenuation of harmful inflammation.

  198. 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

    In depressed, inflamed individuals, clinical response to EPA correlated with rises in pro‑resolving mediators and CRP reductions.

  199. 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

    Adjunctive high‑dose fish oil reduced periodontal inflammation and pathogen counts at early follow‑up.

  200. 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 (strong biomarker signal).

  201. 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 omega‑3 markedly lowered pro‑inflammatory mediators and increased pro‑resolving precursors (strong biomarker evidence).

  202. 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+n‑3 produced large rapid rises in specialized pro-resolving mediator precursors—strong mechanistic evidence for resolution of inflammation.

  203. The effect of fish oil rich in cetoleic acid on the omega-3 index and skin quality

    PubMed ID: 38788345

    Cetoleic-rich fish oil reduced skin erythema (inflammation) and raised omega-3 index in small pilot trials.

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

    PubMed ID: 41201837

    Large trial showed major CV event reductions in dialysis patients — plausible contribution from anti‑inflammatory effects of EPA/DHA.

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

    PubMed ID: 40644954

    Multinutrient+ω-3 reduced a composite low-grade inflammation score in older adults (RCT evidence).

  206. 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

    Higher blood EPA (and DHA) mediated modest reductions in pain interference—consistent with an anti‑inflammatory mechanism in migraine.

  207. 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 altered adipose oxylipins and reduced triglycerides, indicating shifts in inflammatory lipid mediators.

  208. An oral supplement enriched with fish oil, soluble fiber, and antioxidants for corticosteroid sparing in ulcerative colitis: a randomized, controlled trial

    PubMed ID: 15822041

    Supplement including fish oil produced a steroid‑sparing effect in UC, implying reduced inflammatory burden.

  209. Resistance Training Alone or Combined With N-3 PUFA-Rich Diet in Older Women: Effects on Muscle Fiber Hypertrophy

    PubMed ID: 30052800

    Resistance training + omega‑3 diet downregulated IL‑1β and upregulated mTOR — clear anti‑inflammatory molecular signal.

  210. Effect of six months of fish oil supplementation in stable rheumatoid arthritis. A double-blind, controlled study

    PubMed ID: 1529284

    RA study showed biochemical n‑3 increases and reduced NSAID use consistent with lowered inflammatory activity.

  211. Treatment of ulcerative colitis with fish oil supplementation: a prospective 12 month randomised controlled trial

    PubMed ID: 1353742

    Rectal EPA increased and leukotriene B4 synthesis fell markedly in UC, indicating anti‑inflammatory action.

  212. Decreased interleukin-1 beta levels in plasma from rheumatoid arthritis patients after dietary supplementation with n-3 polyunsaturated fatty acids

    PubMed ID: 1458789

    RA trial demonstrated decreased IL‑1β, an objective inflammatory marker.

  213. A controlled trial of fish oil in IgA nephropathy. Mayo Nephrology Collaborative Group

    PubMed ID: 7935657

    High‑dose fish oil slowed progression of IgA nephropathy (likely via anti‑inflammatory effects).

  214. [Fish oils and rheumatoid arthritis. A randomized and double-blind study]

    PubMed ID: 8066866

    12-week n‑3 PUFA produced small but significant reductions in CRP and some RA symptoms.

  215. Long-term effect of omega-3 fatty acid supplementation in active rheumatoid arthritis. A 12-month, double-blind, controlled study

    PubMed ID: 8003055

    One-year omega‑3 improved RA clinical outcomes and reduced need for other anti‑inflammatory meds.

  216. Effects of high-dose fish oil on rheumatoid arthritis after stopping nonsteroidal antiinflammatory drugs. Clinical and immune correlates

    PubMed ID: 7639807

    RA trial showed reduced IL‑1β and marked clinical improvement — clear anti-inflammatory effect in inflammatory disease.

  217. The effect of n-3 fatty acids on neutrophil chemiluminescence

    PubMed ID: 7624736

    Robust reduction in neutrophil chemiluminescence (oxidative burst) after n‑3 PUFA—strong anti‑inflammatory biomarker evidence.

  218. Effect of an enteric-coated fish-oil preparation on relapses in Crohn's disease

    PubMed ID: 8628335

    Marked reduction in Crohn's relapse/greater remission implies clinically relevant anti‑inflammatory effects in IBD.

  219. [The use of n-3 fatty acids in chronic juvenile arthritis]

    PubMed ID: 9064671

    CRP decrease in juvenile arthritis indicates systemic anti‑inflammatory effect relevant to inflammatory conditions.

  220. The long-term outcome of patients with IgA nephropathy treated with fish oil in a controlled trial. Mayo Nephrology Collaborative Group

    PubMed ID: 10446945

    Long‑term fish oil slowed progression in IgA nephropathy, consistent with anti‑inflammatory/immune effects.

  221. Eicosapentanoic acid reduces plasma levels of remnant lipoproteins and prevents in vivo peroxidation of LDL in dialysis patients

    PubMed ID: 10505695

    Large reductions in remnant lipoproteins and ox‑LDL (in dialysis) imply reduced atherogenic inflammation.

  222. Efficacy of fish oil concentrate in the treatment of rheumatoid arthritis

    PubMed ID: 11036827

    RA patients had modest clinical improvement and biochemical EPA incorporation consistent with anti‑inflammatory effect.

  223. The effect of n-3 fatty acids on coronary atherosclerosis: results from SCIMO, an angiographic study, background and implications

    PubMed ID: 11838000

    1.5 g/day n‑3 reduced inflammatory gene expression (PDGF/MCP‑1) and was associated with less angiographic progression — strong human anti-inflammatory signal.

  224. Dietary fish oil decreases C-reactive protein, interleukin-6, and triacylglycerol to HDL-cholesterol ratio in postmenopausal women on HRT

    PubMed ID: 14505813

    Postmenopausal women on HRT: fish oil decreased CRP and IL‑6 versus safflower oil.

  225. Inhibition of leukotriene biosynthesis by a novel dietary fatty acid formulation in patients with atopic asthma: a randomized, placebo-controlled, parallel-group, prospective trial

    PubMed ID: 12852711

    EPA+GLA emulsion lowered leukotriene biosynthesis (inflammatory mediator) in atopic asthma.

  226. Effects of simvastain combined with omega-3 fatty acids on high sensitive C-reactive protein, lipidemia, and fibrinolysis in patients with mixed dyslipidemia

    PubMed ID: 15250255

    Omega‑3 added to statin therapy produced substantial reductions in hsCRP and triglycerides vs baseline/placebo.

  227. Supplementation of fish oil and olive oil in patients with rheumatoid arthritis

    PubMed ID: 15723739

    RA trial showed clinical improvement in inflammatory joint disease consistent with anti‑inflammatory action.

  228. Effects of omega-3 polyunsaturated fatty acids on inflammatory markers in COPD

    PubMed ID: 16354850

    Omega-3 supplement in COPD lowered leukotriene B4 and improved symptoms, indicating anti-inflammatory effects.

  229. Omega-3 fatty acids inhibit an increase of proinflammatory cytokines in patients with active Crohn's disease compared with omega-6 fatty acids

    PubMed ID: 16305726

    Enteral omega-3 blunted increases in multiple proinflammatory cytokines in active Crohn's disease vs omega-6.

  230. Dietary intake of differently fed salmon; the influence on markers of human atherosclerosis

    PubMed ID: 15638820

    Salmon (high marine n‑3) in CHD patients reduced IL‑6 and VCAM‑1 in 6‑week randomized dietary study.

  231. Effects of enteral feeding with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in mechanically ventilated patients with severe sepsis and septic shock

    PubMed ID: 16850002

    EPA-containing enteral formula reduced mortality in sepsis; likely mediated by modulation of inflammation (but formula had other components).

  232. Dietary (n-3) fatty acids reduce plasma F2-isoprostanes but not prostaglandin F2alpha in healthy humans

    PubMed ID: 16614408

    Supplemental fish oil lowered nonenzymatic lipid-peroxidation marker (8-iso-PGF2α), suggesting reduced oxidative/inflammatory stress.

  233. Benefit of an enteral diet enriched with eicosapentaenoic acid and gamma-linolenic acid in ventilated patients with acute lung injury

    PubMed ID: 16484911

    EPA+GLA enteral feeding reduced ventilation needs and improved pulmonary mechanics in acute lung injury — anti-inflammatory/beneficial host-response.

  234. Omega-3 fatty acids-supplemented parenteral nutrition decreases hyperinflammatory response and attenuates systemic disease sequelae in severe acute pancreatitis: a randomized and controlled study

    PubMed ID: 18443134

    Parenteral omega-3 in severe pancreatitis produced clear decreases in CRP and improved clinical inflammatory outcomes.

  235. Impact of postoperative omega-3 fatty acid-supplemented parenteral nutrition on clinical outcomes and immunomodulations in colorectal cancer patients

    PubMed ID: 18416476

    Postoperative fish-oil PN reduced IL-6 on day 8 and shifted immune-cell ratios, indicating reduced postoperative inflammation.

  236. Anti-inflammatory and cardioprotective effects of n-3 polyunsaturated fatty acids and plant sterols in hyperlipidemic individuals

    PubMed ID: 18977480

    n‑3 PUFA plus plant sterols markedly reduced hs‑CRP, TNF‑α, IL‑6 and other inflammatory markers (short combined intervention).

  237. Fish oil-supplemented parenteral nutrition in severe acute pancreatitis patients and effects on immune function and infectious risk: a randomized controlled trial

    PubMed ID: 19568921

    Parenteral n-3 increased anti-inflammatory IL-10 and immune marker HLA-DR versus omega-6.

  238. Fish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetes

    PubMed ID: 19394939

    TNF-α decreased and endothelial function improved after fish oil—consistent anti-inflammatory action.

  239. Regulation of omega-3 fish oil emulsion on the SIRS during the initial stage of severe acute pancreatitis

    PubMed ID: 19224159

    IV fish oil in severe acute pancreatitis reduced SIRS and pro-/anti-inflammatory cytokine shifts.

  240. Fish oil supplementation decreases serum soluble receptor activator of nuclear factor-kappa B ligand/osteoprotegerin ratio in female patients with rheumatoid arthritis

    PubMed ID: 20034487

    RA adjunct fish oil reduced TNF-α (key inflammatory cytokine) and improved bone-related markers.

  241. Reduced ex vivo interleukin-6 production by dietary fish oil is not modified by linoleic acid intake in healthy men

    PubMed ID: 19494025

    Oral fish oil lowered LPS-stimulated IL-6 production ex vivo—evidence of lowered inflammatory reactivity.

  242. Increased consumption of fatty and lean fish reduces serum C-reactive protein concentrations but not inflammation markers in feces and in colonic biopsies

    PubMed ID: 20032491

    Dietary fish intake modestly reduced serum CRP over 6 months—systemic inflammation signal.

  243. Effects of long chain omega-3 fatty acids on metalloproteinases and their inhibitors in combined dyslipidemia patients

    PubMed ID: 19397392

    Six-month supplementation lowered hs‑CRP and other inflammatory/remodeling markers in dyslipidemic patients.

  244. Enteral nutrition enriched with eicosapentaenoic acid (EPA) preserves lean body mass following esophageal cancer surgery: results of a double-blinded randomized controlled trial

    PubMed ID: 19247018

    Perioperative EPA attenuated postoperative TNF-α/IL-8/IL-10 responses after major surgery.

  245. Effects of unsaturated fat dietary supplements on blood lipids, and on markers of malnutrition and inflammation in hemodialysis patients

    PubMed ID: 19541503

    Unsaturated/fish‑oil containing supplement lowered serum CRP in hemodialysis patients (statistically significant), indicating anti‑inflammatory effect in that population.

  246. Effects of n-3 polyunsaturated fatty acid therapy on plasma inflammatory markers and N-terminal pro-brain natriuretic peptide in elderly patients with chronic heart failure

    PubMed ID: 20146881

    n‑3 PUFA lowered TNF‑α and IL‑6 in elderly chronic heart‑failure patients.

  247. Highly purified eicosapentaenoic acid reduces cardio-ankle vascular index in association with decreased serum amyloid A-LDL in metabolic syndrome

    PubMed ID: 19763135

    EPA reduced CRP and other inflammatory/oxidative markers in metabolic syndrome patients.

  248. Randomized clinical trial of intravenous soybean oil alone versus soybean oil plus fish oil emulsion after gastrointestinal cancer surgery

    PubMed ID: 20473991

    Parenteral fish-oil reduced SIRS and inflammatory complications after GI cancer surgery.

  249. Effects of weight loss and seafood consumption on inflammation parameters in young, overweight and obese European men and women during 8 weeks of energy restriction

    PubMed ID: 20551965

    Salmon intake during calorie restriction produced substantial reductions in hsCRP and IL‑6 versus control diets.

  250. Effects of omega-3 polyunsaturated fatty-acid supplementation on redox status in chronic renal failure patients with dyslipidemia

    PubMed ID: 20303788

    2.1 g/day fish oil in CRF markedly lowered triglycerides and improved oxidative‑stress markers (TBARS) and antioxidant enzymes, indicating reduced oxidative/inflammatory stress.

  251. Eicosapentaenoic acid reduces rectal polyp number and size in familial adenomatous polyposis

    PubMed ID: 20348368

    EPA reduced rectal polyp number/size in FAP, consistent with anti‑inflammatory/chemopreventive effects.

  252. Antioxidant therapy reduces oxidative and inflammatory tissue damage in patients subjected to cardiac surgery with extracorporeal circulation

    PubMed ID: 21138533

    Perioperative n‑3 plus antioxidants reduced tissue oxidative stress and systemic inflammation (combination therapy).

  253. The metabolic effects of omega-3 plant sterol esters in mixed hyperlipidemic subjects

    PubMed ID: 20617456

    n‑3 (as plant sterol esters) produced marked TG reduction and modest hsCRP decrease (inflammation marker).

  254. Omega-3 supplementation lowers inflammation and anxiety in medical students: a randomized controlled trial

    PubMed ID: 21784145

    Significant decrease in stimulated IL‑6 and trend for TNF‑α reduction, consistent anti‑inflammatory effect.

  255. Superiority of a fish oil-enriched emulsion to medium-chain triacylglycerols/long-chain triacylglycerols in gastrointestinal surgery patients: a randomized clinical trial

    PubMed ID: 22113064

    Postoperative parenteral fish oil decreased IL‑6, TNF‑α and NF‑κB, showing anti‑inflammatory effects.

  256. Comparison of the effects of different intravenous fat emulsions in patients with systemic inflammatory response syndrome and sepsis

    PubMed ID: 22205554

    Direct reductions in proinflammatory cytokines (TNF‑α, IL‑6, IL‑1) and increased IL‑10 with parenteral fish oil in sepsis.

  257. Enteral nutrition with eicosapentaenoic acid, γ-linolenic acid and antioxidants in the early treatment of sepsis: results from a multicenter, prospective, randomized, double-blinded, controlled study: the INTERSEPT study

    PubMed ID: 21658240

    EPA/GLA enteral formula markedly reduced progression to severe sepsis/septic shock and organ failures — large anti‑inflammatory/clinical effect.

  258. The effect of n-3 polyunsaturated fatty acids on leukotriene B₄ and leukotriene B₅ production from stimulated neutrophil granulocytes in patients with chronic kidney disease

    PubMed ID: 21530211

    Clear shift from proinflammatory leukotriene (LTB4) to less inflammatory LTB5 in CKD patients.

  259. The efficacy of host response modulation therapy (omega-3 plus low-dose aspirin) as an adjunctive treatment of chronic periodontitis (clinical and biochemical study)

    PubMed ID: 21261621

    Periodontal adjunctive therapy produced decreased IL‑1β and increased IL‑10 — local anti‑inflammatory effects.

  260. Dose-dependent effects of omega-3-polyunsaturated fatty acids on systolic left ventricular function, endothelial function, and markers of inflammation in chronic heart failure of nonischemic origin: a double-blind, placebo-controlled, 3-arm study

    PubMed ID: 21570522

    High‑dose n‑3 decreased IL‑6 in severe CHF in a dose‑dependent manner.

  261. [Efficacy evaluation of an oral powder supplement enriched with eicosapentaenoic acid in cancer patients]

    PubMed ID: 22411387

    EPA-enriched supplement reduced INF-γ in cancer patients, showing reduced pro-inflammatory cytokine.

  262. Untitled

    PubMed ID: 22227725

    Parenteral fish‑oil reduced multiple inflammatory cytokines after major surgery (RCT, ICU patients).

  263. Untitled

    PubMed ID: 22751375

    Feeding formula with fish oil produced a large CRP reduction in critically ill patients, supporting anti‑inflammatory action.

  264. Untitled

    PubMed ID: 22340541

    Fish-oil–enriched IV nutrition after colorectal surgery lowered IL‑6 and TNF‑α vs control.

  265. Untitled

    PubMed ID: 22640930

    Large RCT in overweight adults showed prevention of increases and modest reductions in systemic IL‑6 and TNF‑α with fish oil.

  266. Untitled

    PubMed ID: 23034965

    High‑dose fish oil in severely obese patients reduced adipose inflammatory gene expression and circulating IL‑6.

  267. Untitled

    PubMed ID: 23010452

    Randomized trial showed reduced F2‑isoprostanes (oxidative stress) and associations between improved n‑6:n‑3 ratio and telomere length—evidence of reduced oxidative/inflammatory burden.

  268. Effect of omega-3 (n-3) fatty acid supplementation in patients with sickle cell anemia: randomized, double-blind, placebo-controlled trial

    PubMed ID: 23193009

    Large RCT in sickle cell disease showed marked clinical benefit (fewer vaso‑occlusive events) consistent with anti‑inflammatory effect in that setting.

  269. [The effects of ω-3 fish oil lipid emulsion on inflammation-immune response and organ function in patients with severe acute pancreatitis]

    PubMed ID: 23327958

    IV ω‑3 lipids in severe pancreatitis reduced CRP and improved inflammatory/immune recovery markers.

  270. Efficacy and safety of eicosapentaenoic acid ethyl ester (AMR101) therapy in statin-treated patients with persistent high triglycerides (from the ANCHOR study)

    PubMed ID: 22819432

    High‑purity EPA (4 g/day) significantly lowered hsCRP in statin‑treated patients (robust anti‑inflammatory marker change).

  271. Efficacy of omega-3 in treatment of recurrent aphthous stomatitis and improvement of quality of life: a randomized, double-blind, placebo-controlled study

    PubMed ID: 24268387

    Systemic ω‑3 reduced ulcer pain/duration—consistent with anti‑inflammatory effects at mucosal sites.

  272. Effect of a low-fat fish oil diet on proinflammatory eicosanoids and cell-cycle progression score in men undergoing radical prostatectomy

    PubMed ID: 24169960

    Low‑fat plus fish‑oil pre‑surgery lowered pro‑inflammatory eicosanoids and correlated with reduced tissue proliferation markers.

  273. Fish oil-supplemented parenteral nutrition in patients following esophageal cancer surgery: effect on inflammation and immune function

    PubMed ID: 23368915

    Perioperative ω‑3 reduced procalcitonin (inflammation marker) by day 6.

  274. Energy-restricted, n-3 polyunsaturated fatty acids-rich diet improves the clinical response to immuno-modulating drugs in obese patients with plaque-type psoriasis: a randomized control clinical trial

    PubMed ID: 24120032

    Psoriasis patients on n‑3‑rich diet had marked clinical skin improvement—plausibly via reduced skin/systemic inflammation.

  275. Protective effect of fish oil supplementation on DNA damage induced by cigarette smoking

    PubMed ID: 24288948

    Smokers trial decreased 8‑OHdG and modestly increased TAC (lower oxidative stress/inflammation biomarkers).

  276. Effects of icosapent ethyl on lipid and inflammatory parameters in patients with diabetes mellitus-2, residual elevated triglycerides (200-500 mg/dL), and on statin therapy at LDL-C goal: the ANCHOR study

    PubMed ID: 23835245

    Icosapent ethyl lowered hsCRP and other inflammation markers in statin‑treated diabetics (strong anti‑inflammatory biomarker effect).

  277. Treatment with n-3 polyunsaturated fatty acids overcomes the inverse association of vitamin D deficiency with inflammation in severely obese patients: a randomized controlled trial

    PubMed ID: 23372745

    High‑dose n‑3 PUFA reduced IL‑6 in severely obese adults (robust anti‑inflammatory biomarker change).

  278. Omega-3 fatty acid therapy reduces triglycerides and interleukin-6 in hypertriglyeridemic HIV patients

    PubMed ID: 23683266

    Omega‑3 esters reduced IL‑6 and TNF‑α in HIV patients alongside triglyceride lowering (clear anti‑inflammatory signal).

  279. Polyunsaturated omega-3 fatty acids reduce lipoprotein-associated phospholipase A(2) in patients with stable angina

    PubMed ID: 24555913

    Omega‑3 (1 g/day) reduced Lp‑PLA2 mass/activity and oxidized LDL after PCI (anti‑inflammatory/anti‑atherogenic signals).

  280. Icosapent ethyl, a pure ethyl ester of eicosapentaenoic acid: effects on circulating markers of inflammation from the MARINE and ANCHOR studies

    PubMed ID: 23325450

    High‑purity EPA (4 g/day) markedly reduced hsCRP, Lp‑PLA2 and Ox‑LDL in hypertriglyceridemic patients.

  281. A randomized, double-masked study to evaluate the effect of omega-3 fatty acids supplementation in meibomian gland dysfunction

    PubMed ID: 24039409

    Omega-3 nutraceutical improved tear stability and reduced lid inflammation/expressibility in MGD trial.

  282. A randomized controlled trial investigating the effects of parenteral fish oil on survival outcomes in critically ill patients with sepsis: a pilot study

    PubMed ID: 24408035

    Parenteral fish oil in septic ICU patients reduced CRP and organ dysfunction—strong anti-inflammatory signal.

  283. A calorie-restriction diet supplemented with fish oil and high-protein powder is associated with reduced severity of metabolic syndrome in obese women

    PubMed ID: 25248358

    In obese women fish oil reduced CRP and IL-6 vs diet alone — direct clinical inflammation marker reduction.

  284. Effect of probiotic (VSL#3) and omega-3 on lipid profile, insulin sensitivity, inflammatory markers, and gut colonization in overweight adults: a randomized, controlled trial

    PubMed ID: 24795503

    Probiotic+omega-3 arm showed significant hs-CRP reduction (combo and probiotic alone) — supports anti-inflammatory effects when combined with other agents.

  285. Effects of omega-3 fatty acid supplementation on insulin metabolism and lipid profiles in gestational diabetes: Randomized, double-blind, placebo-controlled trial

    PubMed ID: 24973862

    In gestational diabetes, omega‑3 slightly reduced hs‑CRP versus placebo over 6 weeks (small RCT), supporting modest anti‑inflammatory effect.

  286. Early eicosapentaenoic acid treatment after percutaneous coronary intervention reduces acute inflammatory responses and ventricular arrhythmias in patients with acute myocardial infarction: a randomized, controlled study

    PubMed ID: 25305703

    Peri-PCI EPA reduced CRP and early cardiac events — clinical inflammation marker lowered with clinical relevance.

  287. Placebo-controlled randomized clinical trial of fish oil's impact on fatigue, quality of life, and disease activity in Systemic Lupus Erythematosus

    PubMed ID: 26283629

    SLE trial reduced ESR and physician-rated disease activity indicating decreased systemic inflammation.

  288. Immunomodulation by lipid emulsions in pulmonary inflammation: a randomized controlled trial

    PubMed ID: 25962383

    Acute infusion clearly reduced BAL neutrophils and cytokines after LPS challenge—strong human mechanistic anti-inflammatory evidence.

  289. Effect of vitamin B-12 and n-3 polyunsaturated fatty acids on plasma homocysteine, ferritin, C-reaction protein, and other cardiovascular risk factors: a randomized controlled trial

    PubMed ID: 26420180

    Fish oil (alone and with B12) lowered CRP and ferritin and raised EPA/DHA; combined treatment produced synergistic homocysteine reduction—clear anti‑inflammatory/biomarker changes.

  290. Short-Term, High-Dose Fish Oil Supplementation Increases the Production of Omega-3 Fatty Acid-Derived Mediators in Patients With Peripheral Artery Disease (the OMEGA-PAD I Trial)

    PubMed ID: 26296857

    High‑dose fish oil increased pro‑resolving lipid mediators (e.g., 18‑HEPE) and lowered triglycerides, supporting inflammation resolution biochemistry despite no between‑group FMD benefit.

  291. Effect of omega 3 fatty acids plus low-dose aspirin on both clinical and biochemical profiles of patients with chronic periodontitis and type 2 diabetes: a randomized double blind placebo-controlled study

    PubMed ID: 25604769

    Omega‑3 + low‑dose aspirin as adjunct to periodontal therapy significantly reduced local inflammatory biomarkers (MCP‑3, IL‑1β) and improved clinical inflammation measures.

  292. The Effect of Omega-3 Fatty Acids in Patients With Active Rheumatoid Arthritis Receiving DMARDs Therapy: Double-Blind Randomized Controlled Trial

    PubMed ID: 26925896

    In early RA, omega‑3 reduced ESR and clinical inflammatory signs substantially when added to DMARDs.

  293. Lipidomic changes of LDL in overweight and moderately hypercholesterolemic subjects taking phytosterol- and omega-3-supplemented milk

    PubMed ID: 25773888

    Small crossover: ω-3–enriched milk changed LDL lipid composition in ways considered less inflammatory/atherogenic — biochemical evidence of anti-inflammatory effect.

  294. Influence of n-3 polyunsaturated fatty acids enriched lipid emulsions on nosocomial infections and clinical outcomes in critically ill patients: ICU lipids study

    PubMed ID: 25226273

    ICU RCT: fish-oil–containing PN lowered nosocomial infection rates and increased infection‑free days, consistent with clinically relevant immunomodulation and lower inflammation.

  295. Omega-3 fatty acid supplementation affects pregnancy outcomes in gestational diabetes: a randomized, double-blind, placebo-controlled trial

    PubMed ID: 25747955

    GDM RCT: maternal hs‑CRP and MDA fell with omega‑3 supplementation — direct evidence of reduced maternal inflammation/oxidative stress.

  296. Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester): Effects Upon High-Sensitivity C-Reactive Protein and Lipid Parameters in Patients With Metabolic Syndrome

    PubMed ID: 25893544

    Icosapent ethyl trials: large RCT subgroup data showed substantial hsCRP reductions and triglyceride improvement — strong anti-inflammatory biomarker evidence.

  297. [Effects of omega-3 polyunsaturated fatty acids on postoperative inflammatory reaction and clinical efficacy]

    PubMed ID: 26211765

    Postoperative RCT: significant reductions in CRP, IL‑1, IL‑6 and higher IL‑10 with ω‑3 — strong anti‑inflammatory signal in surgical setting.

  298. Effects of the Addition of Eicosapentaenoic Acid to Strong Statin Therapy on Inflammatory Cytokines and Coronary Plaque Components Assessed by Integrated Backscatter Intravascular Ultrasound

    PubMed ID: 26667367

    EPA add‑on to statin reduced plaque inflammatory cytokines and altered plaque composition toward less lipid / more fibrous tissue — local anti‑inflammatory effect.

  299. [Clinical application of enteral immune nutrition for chronic obstructive pulmonary disease patients]

    PubMed ID: 26178502

    Immune‑nutrition (including ω‑3) lowered IL‑6 and CRP in critically ill COPD patients — evidence of reduced systemic inflammation (multi‑component formula).

  300. Effects of n-3 polyunsaturated fatty acids (ω-3) supplementation on some cardiovascular risk factors with a ketogenic Mediterranean diet

    PubMed ID: 25689563

    Ketogenic diet plus ω‑3 led to larger decreases in TNF‑α than diet alone — supports inflammation‑reducing effect within that intervention.

  301. n-3 fatty acid-based parenteral nutrition improves postoperative recovery for cirrhotic patients with liver cancer: A randomized controlled clinical trial

    PubMed ID: 27614675

    Reduced infective complications and overall complications after surgery in cirrhotic patients likely reflects immunomodulatory/anti‑inflammatory benefit of n‑3 PN.

  302. A Randomized Controlled Trial of Omega 3 Fatty Acids in Rosacea Patients with Dry Eye Symptoms

    PubMed ID: 27050028

    Six‑month RCT in rosacea patients with dry eye showed consistent symptom and objective tear/eyelid improvements—anti‑inflammatory ocular/ocular‑surface effects.

  303. Proper balance of omega-3 and omega-6 fatty acid supplements with topical cyclosporine attenuated contact lens-related dry eye syndrome

    PubMed ID: 27766505

    Balanced oral n‑3/n‑6 plus topical therapy reduced ocular surface cytokines in contact‑lens related dry eye, indicating reduced local inflammation.

  304. Omega-3 fatty acids, inflammatory status and biochemical markers of patients with systemic lupus erythematosus: a pilot study

    PubMed ID: 29173690

    Omega‑3 decreased CRP in women with low‑activity SLE—clear short‑term anti‑inflammatory signal.

  305. Beneficial Effects of Omega-3 Supplement to the Enteral Feeding in Children With Mild to Moderate Sepsis

    PubMed ID: 26704762

    Pediatric sepsis RCT showed marked reductions in IL‑6, CRP and improved clinical outcomes—strong anti‑inflammatory evidence.

  306. Efficacy of Omega-3 in Treatment of Recurrent Aphthous Stomatitis: A Randomised, Double-blind, Placebo-controlled Study

    PubMed ID: 27622219

    Fewer and smaller oral ulcers and reduced pain suggest local anti‑inflammatory effects of ω‑3 in mucosal disease.

  307. Dietary supplementation with omega-3 fatty acids and oleate enhances exercise training effects in patients with metabolic syndrome

    PubMed ID: 27356240

    Ω‑3 + oleate plus exercise lowered CRP by ~32%—clear inflammatory marker reduction in metabolic syndrome context.

  308. Effect of omega 3 polyunsaturated fatty acids derived from fish oil in major burn patients: A prospective randomized controlled pilot trial

    PubMed ID: 28153504

    Enteral fish‑oil in burns reduced severe sepsis/septic shock and gastric dysfunction, consistent with decreased inflammatory complications.

  309. Metabolic Response to Omega-3 Fatty Acids and Vitamin E Co-Supplementation in Patients with Fibrocystic Breast Disease: A Randomized, Double-Blind, Placebo-Controlled Trial

    PubMed ID: 28846009

    ω‑3 + vitamin‑E led to large hs‑CRP reductions and improved insulin/triglycerides in fibrocystic breast disease (anti‑inflammatory effect; co‑supplement caveat).

  310. The effects of omega-3 and vitamin E co-supplementation on parameters of mental health and gene expression related to insulin and inflammation in subjects with polycystic ovary syndrome

    PubMed ID: 29306057

    Omega-3 + vitamin E downregulated TNF-α and IL-8 gene expression in PCOS—clinical inflammatory biomarker changes.

  311. Beneficial effect of n-3 polyunsaturated fatty acids on inflammation and analgesic use in psoriatic arthritis: a randomized, double blind, placebo-controlled trial

    PubMed ID: 28303758

    n‑3 PUFA changed leukotriene profiles (↓LTB4, ↑LTB5) and reduced analgesic use in psoriatic arthritis — clear anti‑inflammatory signal.

  312. Effect of Omega-3 Polyunsaturated Fatty Acids Supplementation on Body Composition and Circulating Levels of Follistatin-Like 1 in Males With Coronary Artery Disease: A Randomized Double-Blind Clinical Trial

    PubMed ID: 28826313

    ω‑3 supplementation reduced hs‑CRP in coronary patients, supporting systemic anti‑inflammatory action.

  313. Beneficial Effects of n-3 Fatty Acids on Cardiometabolic and Inflammatory Markers in Type 2 Diabetes Mellitus: A Clinical Trial

    PubMed ID: 29017158

    Significant MCP‑1 reduction and improved atherogenic index after 2.7 g/day n‑3 in T2DM — direct anti‑inflammatory marker change.

  314. Abnormal lipoprotein oxylipins in metabolic syndrome and partial correction by omega-3 fatty acids

    PubMed ID: 29413356

    High-dose prescription omega-3 partially normalized pro-inflammatory lipoprotein oxylipins in MetSyn—robust mechanistic effect on inflammatory mediators.

  315. Effects of Omega-3 Fatty Acids Against Chemotherapy-induced Mucositis: A Double-blind Randomized Clinical Trial

    PubMed ID: 29324423

    Reduced mucositis severity and pain in chemotherapy patients — clinical anti‑inflammatory/anti‑symptom effect on mucosa.

  316. Omega-3 supplementation on inflammatory markers in patients with chronic Chagas cardiomyopathy: a randomized clinical study

    PubMed ID: 28599665

    Attenuation of IL‑10 decline and triglyceride lowering in Chagas cardiomyopathy indicates anti‑inflammatory effects.

  317. The effects of fish oil on gene expression in patients with polycystic ovary syndrome

    PubMed ID: 29359480

    Downregulation of IL‑1 and IL‑8 gene expression in PBMCs after 12 weeks demonstrates anti‑inflammatory molecular effects.

  318. Intravenous omega-3 fatty acids are associated with better clinical outcome and less inflammation in patients with predicted severe acute pancreatitis: A randomised double blind controlled trial

    PubMed ID: 32921364

    IV fish‑oil in severe pancreatitis produced robust decreases in CRP, leukocytes and cytokines with clinical improvement—strong anti‑inflammatory evidence.

  319. The effects of ω-3 fish oil emulsion-based parenteral nutrition plus combination treatment for acute paraquat poisoning

    PubMed ID: 30392424

    Fish‑oil parenteral nutrition markedly lowered TNF‑α and other inflammatory markers and reduced mortality—very strong inflammation benefit in this setting.

  320. Effects of ω-3 supplementation on the nutritional status, immune, and inflammatory profiles of gastric cancer patients: A randomized controlled trial

    PubMed ID: 30710885

    ω‑3 enriched nutrition reduced IL‑6 in gastric cancer outpatients (clinical inflammatory marker).

  321. The effects of omega-3 fatty acids and vitamin E co-supplementation on gene expression related to inflammation, insulin and lipid in patients with Parkinson's disease: A randomized, double-blind, placebo-controlled trial

    PubMed ID: 30554092

    PBMC expression showed ↓TNF‑α and ↑PPAR‑γ after omega‑3 + vitamin E (anti‑inflammatory gene changes).

  322. High-dose ω-3 Fatty Acid Plus Vitamin D3 Supplementation Affects Clinical Symptoms and Metabolic Status of Patients with Multiple Sclerosis: A Randomized Controlled Clinical Trial

    PubMed ID: 29982544

    ω‑3 + vitamin D RCT reduced hs‑CRP and oxidative stress markers robustly in MS patients (strong anti‑inflammatory signal).

  323. Statin dose reduction with complementary diet therapy: A pilot study of personalized medicine

    PubMed ID: 29503145

    Combined nutraceutical including fish oil reduced hs‑CRP by ~35% in statin‑treated diabetics (inflammation reduction).

  324. A Moderate Interleukin-6 Reduction, Not a Moderate Weight Reduction, Improves the Serum Iron Status in Diet-Induced Weight Loss with Fish Oil Supplementation

    PubMed ID: 30052315

    During calorie restriction fish oil produced larger IL‑6 reductions vs control (anti‑inflammatory effect).

  325. Effects of omega-3 fatty acids on metabolic syndrome in patients with schizophrenia: a 12-week randomized placebo-controlled trial

    PubMed ID: 30519766

    Omega‑3 lowered TNF‑α in schizophrenia with metabolic syndrome (anti‑inflammatory effect).

  326. Efficacy of a Mediterranean diet supplemented with fatty fish in ameliorating inflammation in paediatric asthma: a randomised controlled trial

    PubMed ID: 30378203

    Dietary fatty fish reduced airway inflammation (FeNO) in asthmatic children (inflammatory marker reduction).

  327. Effect of Eicosapentaenoic Acid on Body Composition and Inflammation Markers in Patients with Head and Neck Squamous Cell Cancer from a Public Hospital in Mexico

    PubMed ID: 29697274

    EPA reduced inflammatory markers (IL‑6) and helped preserve weight/lean mass in cancer patients—moderate anti‑inflammatory effect.

  328. Eicosapentaenoic Acid Reduces Fecal Levels of Calprotectin and Prevents Relapse in Patients With Ulcerative Colitis

    PubMed ID: 29391271

    EPA‑FFA produced large, clinically relevant reductions in fecal calprotectin and relapse in UC—strong anti‑inflammatory/maintenance evidence.

  329. Omega-3 decreases IL-6 levels in HIV and human herpesvirus-8 coinfected patients in Uganda

    PubMed ID: 29381560

    Prevented IL‑6 rise in HIV/HHV‑8 patients and raised EPA/DHA (randomized trial).

  330. Beneficial effects of probiotic combination with omega-3 fatty acids in NAFLD: a randomized clinical study

    PubMed ID: 30221912

    Combined probiotic+omega‑3 markedly reduced multiple inflammatory cytokines in NAFLD patients.

  331. Effects of omega-3 polyunsaturated fatty acids on fibrosis, endothelial function and myocardial performance, in ischemic heart failure patients

    PubMed ID: 29752009

    Ischemic heart‑failure trial showed decreases in hsCRP and other biomarker improvements (short crossover RCT).

  332. Effect of Omega-3 Fatty Acids on Chronic Periodontitis Patients in Postmenopausal Women: A Randomised Controlled Clinical Study

    PubMed ID: 30175329

    Improved periodontal outcomes and raised antioxidant (SOD) activity, consistent with reduced local inflammation.

  333. Effects of Vitamin D and Omega-3 Fatty Acids Co-Supplementation on Inflammatory Factors and Tumor Marker CEA in Colorectal Cancer Patients Undergoing Chemotherapy: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

    PubMed ID: 32441198

    Vitamin D + ω‑3 co‑supplementation lowered TNF‑α and IL‑1β in colorectal cancer patients (inflammation reduced though co‑intervention present).

  334. Alleviated systemic oxidative stress effects of combined atmospheric oxidant capacity by fish oil supplementation: A randomized, double-blinded, placebo-controlled trial

    PubMed ID: 31476451

    Oral ω‑3 ameliorated pollution‑induced increases in oxidative/inflammatory biomarkers (MPO, MDA) and raised TAC.

  335. Cardiovascular Benefits of Fish-Oil Supplementation Against Fine Particulate Air Pollution in China

    PubMed ID: 31023432

    Fish‑oil blunted inflammatory biomarker responses to PM2.5 exposure (double‑blind RCT).

  336. A combination of omega-3 and plant sterols regulate glucose and lipid metabolism in individuals with impaired glucose regulation: a randomized and controlled clinical trial

    PubMed ID: 31043161

    Randomized trial showed ω‑3 (±plant sterols) improved HOMA‑IR and reduced hs‑CRP/inflammation markers (meaningful anti‑inflammatory signal).

  337. Randomized Study of the Effect of Vitamin D and Omega-3 Fatty Acids Cosupplementation as Adjuvant Chemotherapy on Inflammation and Nutritional Status in Colorectal Cancer Patients

    PubMed ID: 31106659

    Vitamin D3 + ω‑3 co‑supplementation significantly decreased CRP and TNF‑α in colorectal cancer patients (clear anti‑inflammatory change though co‑intervention confounds attribution).

  338. Effects of Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester) on Atherogenic Lipid/Lipoprotein, Apolipoprotein, and Inflammatory Parameters in Patients With Elevated High-Sensitivity C-Reactive Protein (from the ANCHOR Study)

    PubMed ID: 31277790

    Icosapent ethyl 4 g/day lowered hsCRP in statin‑treated patients — evidence of anti‑inflammatory effect.

  339. Icosapent ethyl reduces atherogenic markers in high-risk statin-treated patients with stage 3 chronic kidney disease and high triglycerides

    PubMed ID: 31306043

    Icosapent ethyl 4 g/day in CKD reduced hsCRP, Lp‑PLA2 and ox‑LDL — consistent anti‑inflammatory/oxidative marker reductions.

  340. Insulin Resistance Modifies the Effects of Omega-3 Acid Ethyl Esters on Left Ventricular Remodeling After Acute Myocardial Infarction (from the OMEGA-REMODEL Randomized Clinical Trial)

    PubMed ID: 31948661

    High‑dose omega‑3 after MI reduced hsCRP and markers of inflammation and fibrosis in insulin‑sensitive patients — inflammation‑related benefit in a subgroup.

  341. Protective effects of dietary fish-oil supplementation on skin inflammatory and oxidative stress biomarkers induced by fine particulate air pollution: a pilot randomized, double-blind, placebo-controlled trial

    PubMed ID: 32333793

    Fish oil reduced skin inflammatory biomarker (IL‑1α) and oxidative protein responses to PM2.5 exposure in an RCT — strong local anti‑inflammatory signal for skin.

  342. Impact of Varying Dosages of Fish Oil on Recovery and Soreness Following Eccentric Exercise

    PubMed ID: 32727162

    High‑dose fish oil reduced exercise‑induced soreness and CK rise — suggests reduced exercise‑related inflammation/damage.

  343. Omega-3 PUFA and aspirin as adjuncts to periodontal debridement in patients with periodontitis and type 2 diabetes mellitus: Randomized clinical trial

    PubMed ID: 32103495

    Adjunct ω‑3 + aspirin to periodontal debridement improved periodontal inflammation and reduced HbA1c — clinically meaningful local/systemic anti‑inflammatory effects.

  344. A Randomized, Double-blind, Placebo-controlled Clinical Study to Investigate the efficacy of Herring Roe Oil for treatment of Psoriasis

    PubMed ID: 32378724

    RCT in psoriasis showed PASI improvement — supports anti‑inflammatory skin effects.

  345. Combined effect of n-3 fatty acids and phytosterol esters on alleviating hepatic steatosis in non-alcoholic fatty liver disease subjects: a double-blind placebo-controlled clinical trial

    PubMed ID: 32054543

    NAFLD trial: decreased TGF‑β and improved lipids with phytosterol+EPA/DHA — anti‑inflammatory/fibrosis biomarker changes (combination).

  346. Prevention of oxaliplatin-related neurotoxicity by ω-3 PUFAs: A double-blind randomized study of patients receiving oxaliplatin combined with capecitabine for colon cancer

    PubMed ID: 33327312

    Omega‑3 during oxaliplatin chemotherapy reduced neuropathy incidence and preserved nerve function; anti‑inflammatory/neuroprotective mechanisms plausible and partly supported by QoL and nerve‑conduction data.

  347. Omega-3 fatty acids ameliorate cognitive dysfunction in schizophrenia patients with metabolic syndrome

    PubMed ID: 32304881

    Omega‑3 decreased CRP and increased BDNF in schizophrenia patients with metabolic syndrome, aligning anti‑inflammatory and neurotrophic effects with cognitive gains.

  348. Omega 3 Supplementation Can Regulate Inflammatory States in Gas Station Workers: A Double-Blind Placebo-Controlled Clinical Trial

    PubMed ID: 32176565

    Strong RCT signal: significant decreases in IFN‑γ and IL‑17 and trends in CRP/other cytokines—robust anti‑inflammatory evidence.

  349. Oral supplementation with omega-3 fatty acids and inflammation markers in patients with chronic kidney disease in hemodialysis

    PubMed ID: 31935118

    Double‑blind RCT showing reductions in CRP, IL‑6, TNF‑α over 12 weeks—clear anti‑inflammatory effect.

  350. Effect of Omega-3 Polyunsaturated Fatty Acids on Lipid Metabolism in Patients With Metabolic Syndrome and NAFLD

    PubMed ID: 35147302

    GGT fell in NAFLD trial and plasma lipid remodeling occurred—consistent with reduced hepatic inflammation, though liver‑fat unchanged.

  351. Randomized Controlled Trial of Omega-3 and -6 Fatty Acid Supplementation to Reduce Inflammatory Markers in Children with Autism Spectrum Disorder

    PubMed ID: 35013866

    DHA+EPA+GLA reduced IL‑2 (significant) and trended to lower IL‑1β in children with ASD (anti‑inflammatory signal).

  352. Effects of EN combined with PN enriched with n-3 polyunsaturated fatty acids on immune related indicators and early rehabilitation of patients with gastric cancer: A randomized controlled trial

    PubMed ID: 35500316

    Perioperative n‑3 nutrition decreased CRP, IL‑6 and TNF‑α versus control (clear anti‑inflammatory effect).

  353. Immunomodulatory Effects of Omega-3 Fatty Acids in Patients with Differentiated Thyroid Cancer Before or After Radioiodine Ablation

    PubMed ID: 35293348

    Post‑RAI omega‑3 increased IL‑10 and reduced pro‑inflammatory Th1/Th17 ratios, indicating anti‑inflammatory immunologic shifts.

  354. Impact of Icosapent Ethyl on Cardiovascular Risk Reduction in Patients With Heart Failure in REDUCE-IT

    PubMed ID: 35377160

    REDUCE‑IT subgroup analysis in heart‑failure patients found hs‑CRP reductions with icosapent ethyl, consistent with anti‑inflammatory effects.

  355. Comparative effectiveness of adding Omega-3 or Vitamin D to standard therapy in preventing and treating episodes of painful crisis in pediatric sickle cell patients

    PubMed ID: 35916800

    Omega‑3 reduced painful crises and pain scores in sickle‑cell disease, consistent with clinically meaningful anti‑inflammatory effects in that condition.

  356. Plasma and rectal mucosal oxylipin levels during aspirin and eicosapentaenoic acid treatment in the seAFOod polyp prevention trial

    PubMed ID: 37003144

    EPA increased 18‑HEPE (precursor to proresolving mediators) in blood/tissue, supporting inflammation‑resolution biology though downstream resolvins were not detected.

  357. Effect of long-chain omega-3 polyunsaturated fatty acids on cardiometabolic factors in children with acute lymphoblastic leukemia undergoing treatment: a secondary analysis of a randomized controlled trial

    PubMed ID: 37124732

    Omega‑3 reduced IL‑6 in children with ALL over 3 months (direct anti‑inflammatory effect).

  358. The effect of omega-3 fatty acids supplementation on inflammatory biomarkers in subjects with migraine: a randomized, double-blind, placebo-controlled trial

    PubMed ID: 37126739

    In migraine patients omega‑3 raised anti‑inflammatory IL‑4 and lowered pro‑inflammatory IFN‑γ (small RCT).

  359. Effects of Exercise and Omega-3-Supplemented, High-Protein Diet on Inflammatory Markers in Serum, on Gene Expression Levels in PBMC, and after Ex Vivo Whole-Blood LPS Stimulation in Old Adults

    PubMed ID: 36674453

    Well‑conducted RCT adding omega‑3 to protein+exercise in older adults produced consistent reductions in multiple serum and PBMC inflammatory markers (strong biomarker evidence).

  360. Vitamin D and Marine n-3 Fatty Acids for Autoimmune Disease Prevention: Outcomes Two Years After Completion of a Double-Blind, Placebo-Controlled Trial

    PubMed ID: 38272846

    VITAL extension showed reduced incident autoimmune disease with n‑3s (clinical outcome consistent with immune/inflammatory modulation).

  361. Comparison of n-3 PUFA-Enriched vs. Olive-Oil-Based Lipid Emulsion on Oxidative Stress and Inflammatory Response in Critically Ill Post-Surgery Adults: Secondary Analysis of a Randomized Controlled Trial

    PubMed ID: 39519287

    Fish‑oil‑containing parenteral lipids attenuated rise in oxidative stress marker and showed decreases in IL‑1β/IL‑6 (biochemical anti‑inflammatory effect).

  362. Impact of Omega-3 Fatty Acid Supplementation in Parenteral Nutrition on Inflammatory Markers and Clinical Outcomes in Critically Ill COVID-19 Patients: A Randomized Controlled Trial

    PubMed ID: 39339646

    Parenteral omega‑3 in critically ill COVID‑19 lowered CRP/IL‑6 and shortened LOS—clear anti‑inflammatory signal with clinical benefit.

  363. Parenteral n-3 polyunsaturated fatty acids supplementation improves postoperative recovery for patients with Crohn's disease after bowel resection: a randomized, unblinded controlled clinical trial

    PubMed ID: 38569774

    Postoperative parenteral n‑3 markedly reduced IL‑6/IL‑1β/TNF‑α/CRP and halved complications—strong anti‑inflammatory and clinical effect.

  364. Nutritional Support Reduces Circulating Cytokines in Patients with Heart Failure

    PubMed ID: 38892570

    EPA/DHA‑enriched oral supplements in heart‑failure patients reduced circulating inflammatory cytokines (IL‑6, IL‑8, IP‑10) vs control.

  365. Biomarkers of oxidation, inflammation and intestinal permeability in persons with diabetes mellitus with parenteral nutrition: A multicenter randomized trial

    PubMed ID: 39672082

    n‑3 enriched PN in T2DM patients reduced numerous proinflammatory cytokines and avoided oxidative marker increases—robust biomarker evidence.

  366. The effects of Omega-3 fatty acids and vitamin D supplementation on the quality of life and blood inflammation markers in newly diagnosed breast cancer women: An open-labelled randomised controlled trial

    PubMed ID: 39577691

    Omega‑3 (with vitamin D) reduced hsCRP and TNF‑α in chemo patients—anti‑inflammatory effects present though combined supplement confounds attribution.

  367. Omega-3 fatty acids effectively mitigate high-sensitivity C-reactive protein (hs-CRP) biomarker of inflammation in acute myocardial infarction patients: a randomized, double-blind, placebo-controlled clinical trial

    PubMed ID: 39073419

    Post‑MI 2 g/day omega‑3 lowered hs‑CRP more than placebo in RCT (anti‑inflammatory signal).

  368. The effect of eight weeks combined training with omega-3 supplementation on the levels of intercellular adhesion molecule-1 and vascular cell adhesion molecule-1 in older women

    PubMed ID: 38777428

    Omega‑3 plus exercise produced additional reductions in vascular adhesion molecules (ICAM‑1) vs exercise alone.

  369. Inflammatory markers after supplementation with marine n-3 or plant n-6 PUFAs: A randomized double-blind crossover study

    PubMed ID: 40058591

    High‑dose marine n‑3 reduced TNF, RANTES, MIP‑1β in abdominally obese adults.

  370. The Effects of Omega-3 Supplementation Combined with Strength Training on Neuro-Biomarkers, Inflammatory and Antioxidant Responses, and the Lipid Profile in Physically Healthy Adults

    PubMed ID: 40647193

    Omega‑3 added to resistance training lowered CRP/IL‑6/TNF‑α substantially.

  371. Efficacy of probiotic co-supplementation with omega-3 PUFAs on pancreatic beta-cell function in type 2 diabetes

    PubMed ID: 41028784

    Probiotic+ω‑3 lowered TNF‑α and improved insulin sensitivity in T2D (small co‑supplement trial).

  372. Effects of fish oil supplementation on biomarkers of vascular endothelial function in middle-aged and older adults: a randomized controlled trial

    PubMed ID: 41568898

    12 weeks of ω‑3 lowered endothelial inflammation markers (ICAM‑1, MCP‑1) in older adults.

Pregnancy support (255)
  1. Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk

    PubMed ID: 15333721

    Infant DHA supplementation improved visual acuity maturation and raised RBC DHA—clear developmental benefit in infancy.

  2. The effect of docosahexaenoic acid and folic acid supplementation on placental apoptosis and proliferation

    PubMed ID: 16870008

    Fish oil combined with folate increased a placental proliferation marker (PCNA) by ~66% vs placebo — possible placental benefits though combination therapy limits attribution.

  3. 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

    Large RCT in pregnancy raised maternal and cord DHA/EPA levels significantly — strong biomarker evidence relevant to fetal development.

  4. 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

    Antenatal supplementation raised early lactation milk DHA/EPA and was associated with higher infant DHA at 1 year and modest developmental correlations.

  5. Does maternal docosahexaenoic acid supplementation during pregnancy and lactation lower BMI in late infancy?

    PubMed ID: 17547539

    Maternal DHA led to modestly lower infant weight and BMI at 21 months (developmental impact).

  6. Docosahexaenoic acid supplementation and time at achievement of gross motor milestones in healthy infants: a randomized, prospective, double-blind, placebo-controlled trial

    PubMed ID: 19056592

    Large trial showed daily DHA in infancy slightly hastened sitting by ~1 week — modest developmental benefit in early motor milestone.

  7. 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

    Large RCT: 200 mg/day maternal DHA doubled breast milk DHA and raised infant RBC-DHA — clear biomarker support for improved DHA supply to the infant.

  8. Essential n-3 fatty acids in pregnant women and early visual acuity maturation in term infants

    PubMed ID: 18326591

    Maternal DHA (400 mg/day) increased odds of better infant visual acuity at 60 days in a randomized trial.

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

    PubMed ID: 19141765

    RCT of high‑dose DHA in very preterm infants showed no overall cognitive benefit but a statistically significant improvement in girls at 18 months.

  10. Plasma or red blood cell phospholipids can be used to assess docosahexaenoic acid status in women during pregnancy

    PubMed ID: 19358928

    Maternal plasma and RBC DHA measurements correlate with cord blood DHA, validating transfer and relevance of maternal supplementation to infant status.

  11. Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy

    PubMed ID: 19489765

    Maternal EPA+DHA reduced infant food allergy and IgE‑associated eczema in high‑risk infants — clinically meaningful infant outcome tied to maternal supplementation.

  12. Effect of omega-3 polyunsaturated fatty acid supplementation on semen profile and enzymatic anti-oxidant capacity of seminal plasma in infertile men with idiopathic oligoasthenoteratospermia: a double-blind, placebo-controlled, randomised study

    PubMed ID: 21219381

    Omega-3 supplementation increased sperm count/concentration in infertile men—relevant to conception and early development.

  13. Growth to age 18 months following prenatal supplementation with docosahexaenoic acid differs by maternal gravidity in Mexico

    PubMed ID: 21178082

    Maternal 400 mg/day DHA trial follow‑up found no growth differences at 18 months but remains directly relevant to prenatal supplementation evidence.

  14. Prenatal docosahexaenoic acid supplementation and infant morbidity: randomized controlled trial

    PubMed ID: 21807696

    Prenatal DHA modestly reduced some early infant cold symptoms and illness durations — neonatal health/development relevance.

  15. High-dose docosahexaenoic acid supplementation of preterm infants: respiratory and allergy outcomes

    PubMed ID: 21708809

    Maternal high‑DHA RCT reduced BPD in certain preterm infant subgroups and lowered reported hay fever—strong neonatal benefit signal.

  16. 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

    Randomized dietary provision of two portions/week of salmon to low-fish pregnant women markedly increased maternal and cord EPA/DHA concentrations—strong biomarker evidence for fetal n-3 status improvement.

  17. Fish consumption, erythrocyte fatty acids, and preterm birth

    PubMed ID: 21508745

    Observational/secondary analyses in high‑risk women linked moderate fish intake/higher erythrocyte n‑3 with lower recurrent preterm birth risk — clinically important perinatal association.

  18. 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 during pregnancy/lactation reduced infant IgE‑associated allergic disease — RCT evidence of infant benefit.

  19. Consumption of a DHA-containing functional food during pregnancy is associated with lower infant ponderal index and cord plasma insulin concentration

    PubMed ID: 21521543

    Maternal DHA intake linked to lower newborn ponderal index and cord insulin in an RCT — perinatal metabolic effects.

  20. Dietary counseling to improve fat quality during pregnancy alters maternal fat intake and infant essential fatty acid status

    PubMed ID: 21593355

    Pregnancy dietary counselling improved newborn essential fatty‑acid markers at birth — evidence that maternal diet modulates neonatal DHA status.

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

    PubMed ID: 22348468

    Infant FO raised DHA and improved early communicative gestures — positive infant developmental signal.

  22. Maternal consumption of a DHA-containing functional food benefits infant sleep patterning: an early neurodevelopmental measure

    PubMed ID: 22269042

    Maternal DHA improved newborn sleep-state organization and reduced arousals — meaningful early developmental effect.

  23. 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 FO reduced infant atopic eczema and egg sensitisation — beneficial infant outcomes following maternal supplementation.

  24. DHA supplementation and pregnancy outcomes

    PubMed ID: 23426033

    Large RCT: 600 mg/day DHA increased maternal/cord DHA, lengthened gestation (~+2.9 days) and raised birth weight (~+172 g).

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

    PubMed ID: 23531328

    RCT in pregnancy: maternal DHA lengthened gestation (~+1.3 wk) and increased newborn birth weight (clear perinatal benefits).

  26. Effects of docosahexaenoic acid supplementation during pregnancy on fetal heart rate and variability: a randomized clinical trial

    PubMed ID: 23433688

    Prenatal DHA increased fetal heart‑rate variability and improved neonatal motor/autonomic scores—evidence of neurobehavioral maturation.

  27. A pilot randomized controlled trial to promote healthful fish consumption during pregnancy: the Food for Thought Study

    PubMed ID: 23496848

    Educational intervention increased low‑mercury DHA‑rich fish intake in pregnancy and raised maternal DHA intake without increasing mercury.

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

    PubMed ID: 23531329

    Prenatal fish oil altered cord blood Th2/Th1 chemokine ratios (immune programming) relevant to infant allergy risk and immune development.

  29. 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 very‑low‑birth‑weight infants reduced severe retinopathy and cholestasis and raised DHA substantially—strong neonatal outcome benefits.

  30. Randomized controlled trial of fish oil supplementation in pregnancy on childhood allergies

    PubMed ID: 24111502

    Large prenatal high‑dose n‑3 LCPUFA trial trended toward less IgE‑mediated allergic disease in children up to age 3 (not statistically significant) but is directly pregnancy/child development focused.

  31. Modulation of DNA methylation states and infant immune system by dietary supplementation with ω-3 PUFA during pregnancy in an intervention study

    PubMed ID: 23761484

    Maternal DHA supplementation altered global DNA methylation patterns in newborn immune cells (not broad promoter methylation), indicating potential developmental immune programming effects.

  32. Fish oil-supplementation from 9 to 12 months of age affects infant attention in a free-play test and is related to change in blood pressure

    PubMed ID: 24045099

    Late‑infancy fish oil altered an attention measure and correlated with erythrocyte EPA and lower systolic BP—signals of infant neurodevelopmental and cardiovascular effects (small study).

  33. Proportions and concentrations of serum n-3 fatty acids can be increased by dietary counseling during pregnancy

    PubMed ID: 24045792

    Pregnancy dietary counseling increased maternal serum DHA and total n‑3 by the third trimester—direct evidence that maternal diet/supplementation raises maternal DHA status relevant to fetal development.

  34. 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 DHA in pregnancy robustly corrected maternal and neonatal membrane DHA deficits (large, significant biomarker effects).

  35. Growth and fatty acid profiles of VLBW infants receiving a multicomponent lipid emulsion from birth

    PubMed ID: 24667866

    Neonatal RCT: fish‑oil‑containing lipid emulsion improved weight/head circumference growth and increased plasma EPA/DHA in VLBW infants.

  36. Association between fatty acid supplementation and prenatal stress in African Americans: a randomized controlled trial

    PubMed ID: 25415158

    Prenatal omega‑3 reduced maternal perceived stress and baseline cortisol—potential indirect benefit to fetal environment.

  37. Effects of maternal n-3 fatty acid supplementation on placental cytokines, pro-resolving lipid mediators and their precursors

    PubMed ID: 25504868

    Maternal n‑3 supplementation raised placental DHA and SPM precursors—biochemical support for fetal DHA delivery.

  38. Omega-3 fatty acid deficiency in infants before birth identified using a randomized trial of maternal DHA supplementation in pregnancy

    PubMed ID: 24427279

    Large randomized prenatal DHA trial reduced likelihood of infants scoring in lower quartiles for early language and visual acuity.

  39. Omega-3 fatty acid supplementation during pregnancy and respiratory symptoms in children

    PubMed ID: 24626819

    Prenatal DHA (400 mg/day) reduced some infant respiratory symptoms in offspring of allergic mothers — meaningful neonatal clinical effect.

  40. The Effect of Omega-3 Docosahexaenoic Acid Supplementation on Gestational Length: Randomized Trial of Supplementation Compared to Nutrition Education for Increasing n-3 Intake from Foods

    PubMed ID: 26413500

    Maternal 600 mg/day DHA increased gestational length (~4 days), raised maternal RBC‑DHA and pooled supplementation lowered early preterm birth rate — clinically relevant perinatal benefit.

  41. Prenatal Fish Oil Supplementation and Allergy: 6-Year Follow-up of a Randomized Controlled Trial

    PubMed ID: 27225316

    Prenatal fish oil lowered sensitization to one house‑dust‑mite allergen at age 6—specific offspring immune effect.

  42. Growth and tolerance of infants fed formula with a new algal source of docosahexaenoic acid: Double-blind, randomized, controlled trial

    PubMed ID: 27914519

    Infant formula with alternative DHA source was safe and produced equivalent RBC DHA—relevant to infant development/nutrition.

  43. 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 increased birth weight and Apgar scores and reduced infant cortisol responses—clinically meaningful neonatal outcomes.

  44. Dietary supplementation with docosahexaenoic acid (DHA) improves seminal antioxidant status and decreases sperm DNA fragmentation

    PubMed ID: 27792396

    DHA improved seminal antioxidant status and reduced sperm DNA damage—reproductive benefit relevant to conception/pregnancy outcomes.

  45. Prenatal DHA supplementation and infant attention

    PubMed ID: 27362506

    Prenatal DHA improved infant sustained attention across the first year—robust neurodevelopmental signal.

  46. Docosahexaenoic acid supplementation (DHA) and the return on investment for pregnancy outcomes

    PubMed ID: 27499448

    Maternal DHA (600 mg/day) associated with markedly fewer very early preterm births and reduced infant hospitalization costs—strong perinatal benefit.

  47. Daily Enteral DHA Supplementation Alleviates Deficiency in Premature Infants

    PubMed ID: 26846324

    Enteral DHA in preterm infants increased blood DHA and improved linear growth — direct neonatal developmental benefit.

  48. Fish Oil-Derived Fatty Acids in Pregnancy and Wheeze and Asthma in Offspring

    PubMed ID: 28029926

    Late‑pregnancy fish oil substantially reduced offspring persistent wheeze/asthma and certain lower respiratory infections—strong developmental effect.

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

    PubMed ID: 28752418

    Perinatal fish oil produced a small but significant benefit in infant communication at 4 months (early developmental outcome).

  50. 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 supplementation altered maternal and infant cytokines toward anti‑inflammatory profiles, relevant to fetal/newborn immune development.

  51. 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 SPM precursors in cord blood at birth, indicating biochemical effects relevant to neonatal inflammation/resolution.

  52. The effect of fish oil supplementation on maternal and neonatal outcomes: a triple-blind, randomized controlled trial

    PubMed ID: 28141545

    Low‑dose FO in pregnancy raised maternal DHA and was associated with fewer low‑birth‑weight babies (significant reduction in LBW incidence).

  53. 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 women with gestational diabetes: fish oil altered gene expression toward less inflammation and modestly improved maternal glucose/triglycerides—relevant to pregnancy metabolic health.

  54. 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

    Pooled/dose‑response analysis: higher prenatal DHA exposure associated with substantially lower early preterm birth and VLBW (clear pregnancy outcome benefit).

  55. Intrauterine DHA exposure and child body composition at 5 y: exploratory analysis of a randomized controlled trial of prenatal DHA supplementation

    PubMed ID: 29381793

    Maternal prenatal DHA increases correlated with slightly higher lean mass in children at age 5 (observational correlation within RCT context).

  56. 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 parenteral lipid prevented cholestasis in preterm infants (important neonatal hepatic outcome).

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

    PubMed ID: 30614004

    Enteral DHA reduced severe retinopathy of prematurity in very‑low‑birth‑weight infants (clinically important neonatal outcome).

  58. 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) produced lower systolic/diastolic BP in offspring who became overweight, indicating a durable developmental/physiologic programming effect.

  59. The Kansas University DHA Outcomes Study (KUDOS) clinical trial: long-term behavioral follow-up of the effects of prenatal DHA supplementation

    PubMed ID: 31004139

    Prenatal DHA trial reported reduced early preterm birth and improved infant visual attention though long-term cognitive/behavioral benefits were inconsistent after SES adjustment.

  60. 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

    In extremely low birth weight infants, parenteral lipid emulsion containing fish oil accelerated aEEG brain maturation by ~2 weeks—strong neonatal developmental benefit.

  61. Multiple Micronutrients and Docosahexaenoic Acid Supplementation during Pregnancy: A Randomized Controlled Study

    PubMed ID: 32823606

    Maternal multivitamin with 200 mg DHA randomized trial raised maternal RBC DHA, omega-3 index and vitamin D—biomarker improvements relevant to fetus.

  62. Effects of coadministration of DHA and vitamin E on spermatogram, seminal oxidative stress, and sperm phospholipids in asthenozoospermic men: a randomized controlled trial

    PubMed ID: 32453396

    DHA improved sperm motility and counts in men with asthenozoospermia — fertility benefit relevant to conception/pregnancy potential.

  63. Effect of Milk-Based Infant Formula Fortified with PUFAs on Lipid Profile, Growth and Micronutrient Status of Young Children: A Randomized Double-Blind Clinical Trial

    PubMed ID: 33374975

    Infant PUFA‑fortified formula raised infant blood DHA and folate status—direct infant development substrate evidence.

  64. Effect of omega-3 lcpufa supplementation on maternal fatty acid and oxylipin concentrations during pregnancy

    PubMed ID: 33038832

    Large pregnancy cohort biomarker analysis: DHA supplementation raised maternal DHA and DHA‑derived oxylipins (biological relevance to birth outcomes).

  65. Prenatal docosahexaenoic acid effect on maternal-infant DHA-equilibrium and fetal neurodevelopment: a randomized clinical trial

    PubMed ID: 34552200

    Large prenatal RCT: higher DHA dose greatly increased maternal and cord DHA and maternal–infant equilibrium (strong biomarker support).

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

    PubMed ID: 36074245

    Prenatal DHA modified arsenic‑related increased risk of early childhood atopic dermatitis—direct prenatal/child development interaction

  67. Effect of Maternal Docosahexaenoic Acid Supplementation on Very Preterm Infant Growth: Secondary Outcome of a Randomized Clinical Trial

    PubMed ID: 35413719

    Maternal DHA during lactation affected very preterm infant weight velocity (benefit for females) and had sex‑specific growth impacts

  68. Docosahexaenoic acid (DHA) intake estimated from a 7-question survey identifies pregnancies most likely to benefit from high-dose DHA supplementation

    PubMed ID: 36657936

    High‑dose DHA in pregnancy markedly reduced early preterm and preterm birth in women with low baseline DHA—strong pregnancy/infant outcome

  69. 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 increased breast‑milk DHA substantially—direct infant nutrition benefit

  70. Early and late preterm birth rates in participants adherent to randomly assigned high dose docosahexaenoic acid (DHA) supplementation in pregnancy

    PubMed ID: 36680919

    Large RCT: high‑dose DHA in pregnancy markedly reduced early preterm birth among adherent women (strong perinatal outcome benefit in adherent/low‑baseline DHA subgroup).

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

    PubMed ID: 37294565

    Neonatal high‑dose DHA increased IQ at 5 years (neurodevelopmental benefit) although it modestly raised BPD risk — important trade‑off in infant outcomes.

  72. Subgroup analyses of a randomized trial of DHA supplementation for infants born preterm with assessments of cognitive development up to 7-years of age: What happens in infants born <29 weeks' gestation?

    PubMed ID: 37979339

    Neonatal/high‑DHA supplementation in extremely preterm infants reduced the proportion with low cognitive scores at 18 months (transient early benefit).

  73. Docosahexaenoic Acid Supplementation for Neonatal Hyperbilirubinemia: A Double-Blind, Randomized Clinical Trial

    PubMed ID: 38680033

    Neonatal DHA reduced bilirubin, NSE and phototherapy need—clinically relevant neonatal outcomes.

  74. 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 DHA and reduced early preterm birth in Black participants—strong pregnancy outcome signal.

  75. Growth patterns in infants born to women with pregestational overweight/obesity supplemented with docosahexaenoic acid during pregnancy

    PubMed ID: 38922906

    Higher maternal DHA led to reduced infant weight gain in first 4 months—clear postnatal growth effect from prenatal dosing.

  76. Docosahexaenoic Acid Supplementation During Pregnancy and Lactation and Infant Morbidity: Findings from DHANI Trial

    PubMed ID: 40126831

    Maternal DHA produced small early reductions in infant respiratory and minor illnesses—modest neonatal health effects.

  77. Effects of Prenatal DHA Dose on Infant Visual Attention

    PubMed ID: 40791013

    800 mg/day prenatal DHA improved infant visual learning and attention HR patterns—meaningful developmental outcomes.

  78. [Docosahexaenoic acid benefits on growth and body composition of septic neonates. Randomized trial]

    PubMed ID: 40489675

    Enteral DHA in septic neonates preserved length/head circumference and body composition—clinically relevant neonatal development benefit.

  79. Can prenatal conditions impact the effect of omega-3 on bronchopulmonary dysplasia in very preterm infants? A secondary analysis of a randomized controlled trial

    PubMed ID: 40072608

    Very preterm infants: exploratory subgroup indicated DHA reduced BPD in those with chorioamnionitis and vaginal delivery—neonatal benefit in subgroup.

  80. Maternal micronutrient status and preterm versus term birth for black and white US women

    PubMed ID: 22527984

    Observationally, a high maternal omega‑6:omega‑3 ratio (marker of low omega‑3 status) was associated with increased odds of spontaneous preterm birth in a subgroup.

  81. Effect of dietary omega-3 fatty acids on retinal function of very-low-birth-weight neonates

    PubMed ID: 2255573

    Marine oil supplementation of formula in very‑low‑birth‑weight infants raised long‑chain n‑3 and improved rod retinal function — direct developmental benefit in infants.

  82. Randomised controlled trial of effect of fish-oil supplementation on pregnancy duration

    PubMed ID: 1349049

    Large RCT in 533 pregnant women: fish‑oil supplements in late pregnancy prolonged gestation (~+4 days) and modestly increased birthweight.

  83. First year growth of preterm infants fed standard compared to marine oil n-3 supplemented formula

    PubMed ID: 1491608

    Very low birth weight infants fed marine oil formula had worse growth through first year—evidence of potential harm in this neonatal context.

  84. [Fish oil supplementation and duration of pregnancy. A randomized controlled trial]

    PubMed ID: 8009754

    Large randomized trial: third‑trimester fish oil prolonged pregnancy (~+4 days) and increased birth weight (~+107 g).

  85. Randomised clinical trials of fish oil supplementation in high risk pregnancies. Fish Oil Trials In Pregnancy (FOTIP) Team

    PubMed ID: 10740336

    Across trials fish oil reduced recurrent preterm birth from 33% to 21% (absolute −12%), strong pregnancy benefit.

  86. Fish oil supplementation in pregnancy modifies neonatal allergen-specific immune responses and clinical outcomes in infants at high risk of atopy: a randomized, controlled trial

    PubMed ID: 14657879

    Maternal fish oil raised neonatal n‑3 status and was linked to reduced certain allergic outcomes and milder eczema.

  87. Maternal fish oil supplementation in pregnancy reduces interleukin-13 levels in cord blood of infants at high risk of atopy

    PubMed ID: 12680858

    Maternal supplementation increased neonatal n‑3 PUFA and lowered cord IL‑13 (immune marker).

  88. A randomized controlled trial of the effect of fish oil supplementation in late pregnancy and early lactation on the n-3 fatty acid content in human breast milk

    PubMed ID: 15736915

    Supplementation from week 30 strongly and consistently increased DHA and n‑3 LCPUFA in early breast milk — direct, large biochemical effect relevant to infant development.

  89. Maternal fish oil supplementation in lactation: effect on visual acuity and n-3 fatty acid content of infant erythrocytes

    PubMed ID: 15233397

    Maternal fish oil during lactation raised milk DHA ~3-fold and infant RBC-DHA ~50% — strong biomarker support for infant DHA exposure.

  90. Effect of a cholesterol-lowering diet on maternal, cord, and neonatal lipids, and pregnancy outcome: a randomized clinical trial

    PubMed ID: 16202717

    A pregnancy diet promoting fish was linked to lower preterm delivery incidence and reduced maternal cholesterol.

  91. Duration of pregnancy in relation to fish oil supplementation and habitual fish intake: a randomised clinical trial with fish oil

    PubMed ID: 17299499

    In high‑risk pregnancies fish oil from mid-pregnancy delayed spontaneous labor in women with low/moderate habitual fish intake.

  92. Effects of a dairy product fortified with multiple micronutrients and omega-3 fatty acids on birth weight and gestation duration in pregnant Chilean women

    PubMed ID: 17565762

    Large randomized trial: maternal consumption of omega-3–fortified milk modestly increased newborn birth weight—direct pregnancy/infant outcome.

  93. Fish oil intake compared with olive oil intake in late pregnancy and asthma in the offspring: 16 y of registry-based follow-up from a randomized controlled trial

    PubMed ID: 18614738

    Maternal fish oil in late pregnancy produced a large long-term reduction in offspring asthma/allergic asthma—strong developmental benefit.

  94. Low-dose aspirin and omega-3 fatty acids improve uterine artery blood flow velocity in women with recurrent miscarriage due to impaired uterine perfusion

    PubMed ID: 18692841

    Omega-3 supplements improved uterine blood flow in women with recurrent miscarriage (reproductive/perfusion benefit).

  95. Safety and efficacy of a lipid emulsion containing a mixture of soybean oil, medium-chain triglycerides, olive oil, and fish oil: a randomised, double-blind clinical trial in premature infants requiring parenteral nutrition

    PubMed ID: 20531018

    In premature infants receiving parenteral fish-oil emulsion, RBC n‑3 levels rose and GGT fell—direct neonatal nutritional and hepatic benefit.

  96. A double-blind, randomized clinical trial of the effect of omega-3 fatty acids on the oxidative stress of preterm neonates fed through parenteral nutrition

    PubMed ID: 20551967

    Parenteral omega‑3 in preterm infants increased antioxidant vitamins and total antioxidant capacity — directly relevant to neonatal nutritional support.

  97. A randomized controlled intervention with fish oil versus sunflower oil from 9 to 18 months of age: exploring changes in growth and skinfold thicknesses

    PubMed ID: 21691253

    Infant fish oil raised erythrocyte n‑3 substantially and produced a lower skinfold ratio at 18 months (some developmental biomarker/anthropometry effects).

  98. Increased intake of oily fish in pregnancy: effects on neonatal immune responses and on clinical outcomes in infants at 6 mo

    PubMed ID: 22218160

    Maternal oily‑fish consumption raised cord blood n‑3 FA and altered neonatal CBMC cytokine production (direct pregnancy/newborn biological effects).

  99. The influence of fish-oil lipid emulsions on retinopathy of prematurity in very low birth weight infants: a randomized controlled trial

    PubMed ID: 24314586

    In premature infants, fish‑oil–containing IV lipid markedly reduced retinopathy of prematurity incidence—strong neonatal relevance.

  100. Early enteral fat supplement and fish oil increases fat absorption in the premature infant with an enterostomy

    PubMed ID: 23453547

    Enteral Microlipid + fish oil improved fat absorption and reduced IV fat needs in premature infants—clinically relevant neonatal nutrition benefit.

  101. Maternal dietary counseling during pregnancy and infant fatty acid profiles

    PubMed ID: 24224882

    Randomized maternal counseling increased infant cord n‑3 levels and lowered n‑6:n‑3 ratio—clear evidence of nutrient transfer to newborn.

  102. Randomized controlled trial of early enteral fat supplement and fish oil to promote intestinal adaptation in premature infants with an enterostomy

    PubMed ID: 24630347

    In premature infants with enterostomy, early enteral fish-oil fat improved enteral feeding, lowered conjugated bilirubin, and aided growth after repair.

  103. Effects of omega-3 fatty acid supplementation on insulin metabolism and lipid profiles in gestational diabetes: Randomized, double-blind, placebo-controlled trial

    PubMed ID: 24973862

    Omega‑3 in pregnant women with gestational diabetes improved insulin resistance markers and lowered hs‑CRP versus placebo (small RCT), supporting maternal metabolic/inflammatory benefit.

  104. A randomized-controlled clinical trial investigating the effect of omega-3 fatty acids and vitamin E co-supplementation on markers of insulin metabolism and lipid profiles in gestational diabetes

    PubMed ID: 27055970

    In women with gestational diabetes, omega‑3 + vitamin E improved fasting glucose, insulin sensitivity and some lipid measures over 6 weeks—beneficial maternal metabolic effects in pregnancy.

  105. Omega-3 fatty acid supplementation affects pregnancy outcomes in gestational diabetes: a randomized, double-blind, placebo-controlled trial

    PubMed ID: 25747955

    RCT in women with gestational diabetes: maternal inflammation/oxidative stress markers fell and newborn hyperbilirubinemia and length of stay were reduced — direct pregnancy/newborn benefit evidence.

  106. Fish oil supplementation during pregnancy and allergic respiratory disease in the adult offspring

    PubMed ID: 27246522

    Maternal fish‑oil supplementation in pregnancy substantially reduced offspring asthma medication use up to 24 years — strong long‑term child health signal.

  107. Enteral High Fat-Polyunsaturated Fatty Acid Blend Alters the Pathogen Composition of the Intestinal Microbiome in Premature Infants with an Enterostomy

    PubMed ID: 27856001

    Enteral fish‑oil PUFA in preterm infants reduced cholestasis and suspected sepsis and altered microbiome — neonatal clinical benefits relevant to early development.

  108. A Randomized Controlled Clinical Trial Investigating the Effects of Omega-3 Fatty Acids and Vitamin E Co-Supplementation on Biomarkers of Oxidative Stress, Inflammation and Pregnancy Outcomes in Gestational Diabetes

    PubMed ID: 27881297

    Six‑week ALA + vit E in gestational diabetes improved antioxidant biomarkers and associated with fewer neonatal hyperbilirubinemia events—perinatal benefit though intervention was ALA + vitamin E.

  109. Prenatal omega-3 fatty acid supplementation does not affect offspring telomere length and F2-isoprostanes at 12 years: A double blind, randomized controlled trial

    PubMed ID: 27637341

    Prenatal fish‑oil lowered a birth oxidative‑stress marker (cord F2‑isoprostanes) though no sustained effect at 12 years—direct perinatal biochemical effect.

  110. Fish oil supplementation from 9 to 18 months of age affects the insulin-like growth factor axis in a sex-specific manner in Danish infants

    PubMed ID: 26758502

    Daily fish oil from 9–18 months altered IGF‑axis markers in a sex‑specific manner—evidence of early‑life growth/development effects.

  111. A randomized controlled study of the efficacy of 4 weeks of supplementation with ω-3 polyunsaturated fatty acids in cases of unexplained oligohydramnios

    PubMed ID: 27559716

    Randomized supplementation increased amniotic fluid volume and improved uterine artery Doppler indices in unexplained oligohydramnios—direct obstetric benefit.

  112. MaFOS-GDM trial: Maternal fish oil supplementation in women with gestational diabetes and cord blood DNA methylation at insulin like growth factor-1 (IGF-1) gene

    PubMed ID: 29460817

    Maternal fish‑oil in gestational diabetes changed cord‑blood IGF‑1 and IGF‑1 promoter methylation with a non‑robust lower birthweight signal—direct perinatal effects.

  113. Can polymorphisms in the fatty acid desaturase (FADS) gene cluster alter the effects of fish oil supplementation on plasma and erythrocyte fatty acid profiles? An exploratory study

    PubMed ID: 28929400

    Direct infant study showing fish‑oil supplementation increases DHA accretion in blood in a genotype‑dependent manner — strong relevance to infant development.

  114. Evaluation of the effectiveness of low-dose aspirin and omega 3 in treatment of asymmetrically intrauterine growth restriction: A randomized clinical trial

    PubMed ID: 28068596

    In IUGR pregnancies, supplementing aspirin with omega‑3 increased fetal weight, improved uterine/umbilical blood flow and raised birth weight — clear perinatal benefit.

  115. The effect of omega-3 supplementation on pregnancy outcomes by smoking status

    PubMed ID: 28549983

    Omega-3 reduced recurrent spontaneous preterm delivery and low birth weight in women who smoked—strong clinical pregnancy outcome effect in subgroup.

  116. Effect of Omega-3 and -6 Supplementation on Language in Preterm Toddlers Exhibiting Autism Spectrum Disorder Symptoms

    PubMed ID: 28748334

    Omega‑3/6 for preterm toddlers at risk for autism increased gesture use (early communicative development) — child developmental benefit.

  117. Effect of fish oil supplementation in pregnancy on bone, lean, and fat mass at six years: randomised clinical trial

    PubMed ID: 30181143

    Large randomized maternal trial (2.4 g/day) showed modest increases in offspring BMI, lean mass and bone mass up to age 6 (predefined secondary outcomes).

  118. The Efficacy of Omega-3 Supplement on Prevention of Retinopathy of Prematurity in Premature Infants: A Randomized Double-blinded Controlled trial

    PubMed ID: 29852863

    In at‑risk preterm infants enteral ω‑3 reduced incidence and severity of ROP—important neonatal development outcome related to early life care.

  119. Fish Oil Supplementation in Pregnancy Increases Gestational Age, Size for Gestational Age, and Birth Weight in Infants: A Randomized Controlled Trial

    PubMed ID: 30418579

    Supplementing pregnant women with n‑3 LCPUFA late in pregnancy slightly prolonged gestation and increased birth weight and size‑for‑gestational‑age (clear perinatal benefit).

  120. Effect of a 6-week "Mediterranean" dietary intervention on in vitro human embryo development: the Preconception Dietary Supplements in Assisted Reproduction double-blinded randomized controlled trial

    PubMed ID: 31870562

    Six‑week preconception/IVF supplementation including ω‑3 accelerated embryo cleavage and improved day‑3 embryo quality—direct fertility/pregnancy‑relevant effect (no clinical pregnancy data here).

  121. Effects of Maternal Fish Oil and/or 5-Methyl-Tetrahydrofolate Supplementation during Pregnancy on Offspring Brain Resting-State at 10 Years Old: A Follow-Up Study from the NUHEAL Randomized Controlled Trial

    PubMed ID: 32899673

    Maternal fish‑oil supplementation altered children's resting‑state brain connectivity at ~10 years with no clear cognitive harm and some memory trend — meaningful prenatal brain effect signal.

  122. The efficacy and safety of peripheral intravenous parenteral nutrition vs 10% glucose in preterm infants born 30 to 33 weeks' gestation: a randomised controlled trial

    PubMed ID: 32799841

    Peripheral PN including fish‑oil increased early weight and length gain in moderately preterm infants — direct developmental/growth relevance.

  123. Prenatal dietary supplements influence the infant airway microbiota in a randomized factorial clinical trial

    PubMed ID: 31969566

    Large prenatal RCT altered infant airway microbiota and may explain part of reduced wheeze risk—direct perinatal effect.

  124. Fish Oil and Vitamin D Supplementations in Pregnancy Protect Against Childhood Croup

    PubMed ID: 36184023

    Large randomized prenatal fish‑oil trial reduced doctor‑diagnosed croup in offspring—robust, clinically important offspring outcome.

  125. Furan fatty acid metabolite in newborns predicts risk of asthma

    PubMed ID: 36254396

    Newborn CMPF (marker of maternal fish/fish‑oil intake) associated with lower childhood asthma across cohorts—strong prenatal signal.

  126. The Influence of Vitamin E and Omega-3 Fatty Acids on Reproductive Health Indices Among Male Workers Exposed to Electromagnetic Fields

    PubMed ID: 35172663

    Combined vitamin E and omega‑3 supplementation improved sperm morphology and motility in male workers, directly relevant to fertility and early conception outcomes.

  127. Effect of Omega-3 fatty acid supplementation on sexual function of pregnant women: a double blind randomized controlled trial

    PubMed ID: 35854106

    Prenatal omega‑3 improved maternal sexual‑function and lowered gestational anxiety; while maternal outcomes don't directly measure fetal development, they are relevant to pregnancy wellbeing.

  128. Fish oil supplementation during pregnancy and postpartum in mothers with overweight and obesity to improve body composition and metabolic health during infancy: A double-blind randomized controlled trial

    PubMed ID: 36781129

    Prenatal+postpartum high‑dose fish oil lowered maternal and infant triglycerides though it did not change neonatal body fat at 2 weeks (metabolic effects on mother/infant).

  129. The impact of fish oil and/or probiotics on serum fatty acids and the interaction with low-grade inflammation in pregnant women with overweight and obesity: secondary analysis of a randomised controlled trial

    PubMed ID: 37642166

    Pregnancy trial produced robust increases in maternal circulating EPA/DHA (expected biologic transfer), but some fatty‑acid signatures were associated with altered GDM risk (mixed clinical implications).

  130. Atopic and non-atopic effects of fish oil supplementation during pregnancy

    PubMed ID: 37696621

    Large maternal n‑3 LCPUFA RCT reduced offspring non‑atopic asthma (~73%) and lowered certain infections, demonstrating strong infant health effects from prenatal supplementation.

  131. Supplementation With Fish Oil in Pregnancy Reduces Gastroenteritis in Early Childhood

    PubMed ID: 34927195

    Maternal fish‑oil from week 24 reduced early‑childhood gastroenteritis days and episode risk through age 3—meaningful child‑health benefits.

  132. Effects of mixed oil emulsion on short-term clinical outcomes in premature infants: A prospective, multicenter, randomized controlled trial

    PubMed ID: 37138099

    In very preterm/VLBW infants a fish‑oil containing parenteral emulsion reduced PNAC, severe hypertriglyceridemia and metabolic bone‑disease markers—clinically important neonatal benefits.

  133. Lipid profile after omega-3 supplementation in neonates with intrauterine growth retardation: a randomized controlled trial

    PubMed ID: 37202530

    In IUGR newborns, two weeks of omega‑3 improved leptin, triglycerides, HDL and growth—consistent neonatal metabolic/development support.

  134. Safety and Efficacy of a Composite Lipid Emulsion with Fish Oil in Hospitalized Neonates and Infants Requiring Prolonged Parenteral Nutrition - A Randomized, Double-Blind, Multicenter, Controlled Trial

    PubMed ID: 39374788

    In neonates receiving prolonged PN, fish‑oil containing emulsion significantly lowered conjugated bilirubin and cholestasis markers—important infant clinical outcome (postnatal, neonatal development relevance).

  135. Fish oil supplementation during pregnancy, anthropometrics, and metabolic health at age ten: A randomized clinical trial

    PubMed ID: 38569788

    Large prenatal n‑3 trial associated with higher BMI and increased odds of overweight at age 10 — clear evidence that maternal supplementation affected child growth (adverse outcome).

  136. Prenatal Fish Oil Supplementation, Maternal COX1 Genotype, and Childhood Atopic Dermatitis: A Secondary Analysis of a Randomized Clinical Trial

    PubMed ID: 39196551

    Prenatal supplementation affected eicosanoid markers and produced genotype‑dependent effects on childhood eczema risk (relevant to child immune/skin development).

  137. Intravenous fish oil containing lipid emulsion attenuates inflammatory cytokines and the development of bronchopulmonary dysplasia in very premature infants: A double-blind, randomized controlled trial

    PubMed ID: 29941233

    Very preterm infants receiving early IV fish-oil had lower inflammatory cytokines, less BPD and shorter ventilation—clinically important neonatal outcomes.

  138. Plasma oxylipins and unesterified precursor fatty acids are altered by DHA supplementation in pregnancy: Can they help predict risk of preterm birth?

    PubMed ID: 31931275

    DHA supplementation in pregnant women raised unesterified DHA and oxylipins; identified oxylipin/AA associations with preterm birth risk—direct pregnancy biomarker data.

  139. Prenatal choline supplementation improves biomarkers of maternal docosahexaenoic acid (DHA) status among pregnant participants consuming supplemental DHA: a randomized controlled trial

    PubMed ID: 35575618

    Prenatal choline supplementation (with background DHA) increased maternal plasma PC‑DHA and RBC DHA — likely improves fetal DHA supply.

  140. Genetic Variants in One-Carbon Metabolism and Their Effects on DHA Biomarkers in Pregnant Women: A Post-Hoc Analysis

    PubMed ID: 36145177

    Maternal genotype influenced maternal and cord DHA levels during DHA supplementation—relevant to fetal DHA supply.

  141. DHA, nutrient intake, and maternal characteristics as predictors of pregnancy outcomes in a randomised clinical trial of DHA supplementation

    PubMed ID: 37806075

    Large RCT: higher maternal DHA intake/status linked to longer gestation, fewer preterm births and larger newborns — strong perinatal benefit.

  142. Identifying women who may benefit from higher dose omega-3 supplementation during pregnancy to reduce their risk of prematurity: exploratory analyses from the ORIP trial

    PubMed ID: 37068907

    Large randomized trial: maternal omega‑3 supplementation markedly reduced early preterm birth in women with low baseline n‑3—strong pregnancy benefit.

  143. Predictors of compliance with higher dose omega-3 fatty acid supplementation during pregnancy and implications for the risk of prematurity: exploratory analysis of the ORIP randomised trial

    PubMed ID: 37739459

    ORIP analysis showed compliers to omega‑3 supplementation had a modest reduction in preterm birth—practical pregnancy outcome insight.

  144. Neuroprotective nutrients in pregnancy and infant brain function

    PubMed ID: 40412614

    Maternal DHA correlated with several infant EEG markers of brain function—strong observational support for perinatal DHA importance.

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

    PubMed ID: 1386065

    Very‑low‑birth‑weight infants fed marine n‑3 showed better early retinal function—strong neonatal development evidence.

  146. Effects of preterm infant formula supplementation with alpha-linolenic acid with a linoleate/alpha-linolenate ratio of 6: a multicentric study

    PubMed ID: 11248877

    ALA‑supplemented preterm formula maintained RBC DHA similar to breast milk—favorable for infant DHA status.

  147. 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

    Demonstrated good intestinal absorption and retention of supplemented AA and DHA in neonates—supports effective delivery to infants.

  148. Relationship between omega3 long-chain polyunsaturated fatty acid status during early infancy and neurodevelopmental status at 1 year of age

    PubMed ID: 11972740

    Early DHA status correlated with 1‑year neurodevelopment scores—associational support for infant development importance.

  149. 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

    In preterm infants, added LCPUFA raised plasma DHA to breast‑milk levels—supports neonatal DHA provisioning.

  150. 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

    Randomized maternal cod‑liver‑oil produced modest but significant cognitive advantage in children at 4 years—direct developmental benefit.

  151. Modification of dietary polyunsaturated fatty acids via complementary food enhances n-3 long-chain polyunsaturated fatty acid synthesis in healthy infants: a double blinded randomised controlled trial

    PubMed ID: 19193660

    Infant complementary‑food RCT increased infants' blood long‑chain n‑3, directly relevant to infant nutrient status and development.

  152. Docosahexaenoic acid supplementation from mid-pregnancy to parturition influenced breast milk fatty acid concentrations at 1 month postpartum in Mexican women

    PubMed ID: 21178076

    Randomized prenatal DHA (400 mg/day) produced small but statistically significant increases in breast‑milk DHA at 1 month postpartum.

  153. 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 trial in preterm infants: higher formula DHA raised plasma and erythrocyte DHA dose‑dependently — directly relevant to infant DHA status and development.

  154. Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial

    PubMed ID: 26169870

    Complementary feeding with oily fish in infants reliably raised EPA/DHA — strong evidence supporting infant development needs for DHA.

  155. The effects of different lipid emulsions on the lipid profile, fatty acid composition, and antioxidant capacity of preterm infants: A double-blind, randomized clinical trial

    PubMed ID: 26561301

    Different IV lipid emulsions shifted premature infants' fatty acids (some lowered n‑3) — relevant to preterm nutritional support.

  156. 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 fat in preterms raised EPA/DHA and reduced inflammatory cytokines — relevant to neonatal outcomes.

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

    PubMed ID: 25633498

    HO‑RUTF prevented DHA decline in severely malnourished children, supporting nutritional strategies for child neurodevelopment.

  158. Effects of Maternal Supplementation With Omega-3 Precursors on Human Milk Composition

    PubMed ID: 28418808

    Randomized lactation study: ALA‑rich foods increased milk ALA and improved LA:ALA ratio—directly relevant to infant n‑3 precursor supply in breast milk.

  159. 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

    Preterm infant trial: milk fortifier containing MCT, ALA and DHA increased infant plasma/RBC EPA/DPA/DHA—direct evidence for neonatal incorporation.

  160. 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 portions of fish weekly in women of childbearing age raised serum EPA/DHA and lowered n‑6:n‑3 ratio—useful for pregnancy preparation.

  161. 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/day algal DHA increased blood DHA across diet groups—supplement relevant to maternal DHA status.

  162. 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

    Large pregnancy cohort: higher maternal plasma DHA/ALA in early pregnancy associated with larger fetal growth trajectories—direct relevance to fetal development.

  163. 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 (ALA) supplementation in pregnancy was associated with fewer postpartum depressive symptoms—maternal mental health impacts baby/family outcomes.

  164. 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

    In Japanese infants, maternal fish consumption and breastfeeding correlated with higher infant DHA/EPA levels—supports infant n‑3 supply.

  165. 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

    Observational cohort showed markedly lower blood n‑3 LCPUFA in pregnant Indian women vs Australians — indicates dietary gaps relevant to pregnancy nutrition.

  166. Effects of fish oil supplementation in the third trimester of pregnancy on prostacyclin and thromboxane production

    PubMed ID: 8456902

    Late-pregnancy fish oil shifted maternal and fetal eicosanoids toward EPA-derived products and lowered some arachidonic-derived thromboxane levels (fetal biochemical effects).

  167. 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 in term‑infant formula raised blood DHA/AA and improved early visual acuity — direct infant development effect.

  168. 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

    LCP‑enriched preterm formula normalized infants' plasma and RBC DHA/AA to levels of human milk — strong support for neonatal LCP provisioning.

  169. Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants

    PubMed ID: 9702915

    DHA formula raised infant RBC DHA to breastfed levels and improved VEP acuity—relevant to infant development.

  170. 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 formulas produced RBC DHA comparable to breastfeeding—biomarker support though visual benefit not definitive.

  171. 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

    DHA+AA formula produced plasma/RBC DHA/AA similar to breast milk—restoring perinatal fatty‑acid status.

  172. Blood lipid concentrations of docosahexaenoic and arachidonic acids at birth determine their relative postnatal changes in term infants fed breast milk or formula

    PubMed ID: 10426708

    Birth fatty‑acid status strongly determines postnatal DHA/AA trajectories; milk type also influences infant status.

  173. A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants

    PubMed ID: 10755457

    DHA formula improved MDI and visual development at 18 months—positive developmental RCT evidence.

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

    PubMed ID: 11144440

    Formula DHA normalized infant blood DHA and improved early retinal/visual outcomes (infant development).

  175. A multicenter long-term safety and efficacy trial of preterm formula supplemented with long-chain polyunsaturated fatty acids

    PubMed ID: 10941962

    Preterm infants given DHA+AA showed long‑term DHA accretion and safety—important for preterm development.

  176. 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

    Term infants on high‑DHA/low‑EPA formula maintained DHA but had lower AA—relevant to infant fatty‑acid status.

  177. Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial

    PubMed ID: 11483801

    Large RCT: supplemented preterm infants had better visual neurophysiology and motor index (clinical developmental benefits).

  178. Docosahexaenoic acid and arachidonic acid enhance growth with no adverse effects in preterm infants fed formula

    PubMed ID: 12032520

    Preterm infants fed DHA+ARA formula gained weight faster (+13%) with no safety/vision issues (well‑powered RCT).

  179. [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

    Formula without omega‑3/6 produced large decreases in infant RBC AA and DHA (nutritional deficit relevant to development).

  180. 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

    Infants weaned to DHA+ARA formula had higher RBC‑DHA and better visual maturation at 1 year (developmental outcome).

  181. 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 produced improved mental scores and growth in boys (subgroup developmental benefit).

  182. Effects of n-3 polyunsaturated fatty acid supplementation in pregnancy on maternal and fetal erythrocyte fatty acid composition

    PubMed ID: 14985680

    Pregnancy RCT with 4 g/day FO robustly increased maternal and neonatal erythrocyte EPA/DHA—direct perinatal effect.

  183. Fish oil supplementation in pregnancy lowers F2-isoprostanes in neonates at high risk of atopy

    PubMed ID: 15129731

    Maternal fish oil reduced neonatal oxidative stress at birth (neonatal biochemical benefit).

  184. 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 supplementation markedly increased DHA/EPA in early breast milk (direct infant nutrient delivery).

  185. Growth and development of preterm infants fed infant formulas containing docosahexaenoic acid and arachidonic acid

    PubMed ID: 15812447

    Preterm formula with DHA/ARA yielded better growth and Bayley developmental scores versus unsupplemented formula.

  186. 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 had healthier body composition at 1 year—important developmental outcome.

  187. Visual maturation of term infants fed long-chain polyunsaturated fatty acid-supplemented or control formula for 12 mo

    PubMed ID: 15817866

    Term infant DHA/ARA formula improved visual acuity and significantly raised RBC DHA across the first year (infant development support).

  188. 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 was safe and associated with better eye–hand coordination in toddlers (developmental benefit).

  189. Supplementation of n-3 fatty acids during pregnancy and lactation reduces maternal plasma lipid levels and provides DHA to the infants

    PubMed ID: 16923694

    Large RCT in pregnancy: cod liver oil increased maternal/infant DHA and improved maternal lipid profile—strong prenatal nutritional effect.

  190. 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

    Long-term follow-up showed visual and IQ maturation similar to breast-fed children when formula contained DHA+ARA.

  191. 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 randomized soy-formula trial: DHA+ARA raised infant blood DHA/ARA and supported normal growth/tolerance.

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

    PubMed ID: 19118992

    Maternal AA+DHA supplementation substantially increased both AA and DHA in breast milk—directly relevant to infant nutrient supply.

  193. Hypoallergenicity and effects on growth and tolerance of a new amino acid-based formula with docosahexaenoic acid and arachidonic acid

    PubMed ID: 18534230

    Amino‑acid formula with DHA/ARA supported normal growth in healthy infants and was hypoallergenic in CMA subjects (infant development/safety).

  194. Higher dose of docosahexaenoic acid in the neonatal period improves visual acuity of preterm infants: results of a randomized controlled trial

    PubMed ID: 18842793

    Higher neonatal DHA intake improved visual acuity at 4 months, supporting infant sensory development.

  195. Improved cognitive development among preterm infants attributable to early supplementation of human milk with docosahexaenoic acid and arachidonic acid

    PubMed ID: 18519483

    Very preterm infant supplementation improved early cognitive/problem‑solving and recognition memory outcomes at 6 months.

  196. Three randomized controlled trials of early long-chain polyunsaturated Fatty Acid supplementation on means-end problem solving in 9-month-olds

    PubMed ID: 19765006

    DHA+ARA formula trials produced cognitive benefits in infants—direct developmental implications.

  197. 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

    Formula DHA improved infant visual acuity at 12 months—direct developmental benefit to infants.

  198. The impact of early nutrition on incidence of allergic manifestations and common respiratory illnesses in children

    PubMed ID: 20227721

    Infants fed DHA/ARA formula had lower URIs and allergies through age 3—clinically relevant developmental/health outcomes.

  199. Attention among very low birth weight infants following early supplementation with docosahexaenoic and arachidonic acid

    PubMed ID: 20624152

    VLBW infants given DHA+AA showed improved attention at 20 months—developmental benefit in a high‑risk infant group.

  200. 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

    Term infants fed DHA‑supplemented formula had higher MDI at 18 months—evidence of neurodevelopmental benefit.

  201. Pre- and post-term growth in pre-term infants supplemented with higher-dose DHA: a randomised controlled trial

    PubMed ID: 21443815

    Large RCT in preterm infants: higher‑dose DHA produced a small but significant increase in length at 18 months and subgroup growth benefits—direct developmental impact.

  202. Post term dietary-induced changes in DHA and AA status relate to gains in weight, length, and head circumference in preterm infants

    PubMed ID: 21995887

    Observational study in preterm infants linking higher RBC‑DHA to greater weight/length gain and RBC‑AA to head growth—strong associative developmental evidence.

  203. Enhanced prostaglandin F2α formation in human pregnancy and the effect of increased oily fish intake: results from the Salmon in Pregnancy Study

    PubMed ID: 22047909

    Pregnant women eating farmed salmon had higher maternal EPA/DHA and lower AA—maternal biomarker change relevant to fetal supply.

  204. 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

    Preterm infants receiving 10% fish‑oil lipid emulsion had higher plasma DHA/EPA and lower AA vs soybean oil—direct neonatal fatty‑acid changes relevant to development.

  205. Salmon consumption during pregnancy alters fatty acid composition and secretory IgA concentration in human breast milk

    PubMed ID: 22739373

    Randomized dietary salmon during pregnancy markedly increased newborn/breast‑milk EPA/DPA/DHA—direct evidence of fetal/infant LC‑PUFA exposure.

  206. 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

    Maternal n‑3 LCPUFA plus counseling lowered maternal/cord n‑6:n‑3 ratio and maternal DHA correlated with larger birth size—clinical developmental associations.

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

    PubMed ID: 23710566

    Higher infant RBC‑DHA associated with more advanced spontaneous movement patterns—associative evidence linking DHA to early motor development.

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

    PubMed ID: 23783296

    Infant formula with DHA/AA produced faster information‑processing at age 6—long‑term neurodevelopmental benefit from early LC‑PUFA exposure.

  209. Higher docosahexaenoic acid, lower arachidonic acid and reduced lipid tolerance with high doses of a lipid emulsion containing 15% fish oil: a randomized clinical trial

    PubMed ID: 24525115

    Fish‑oil–containing lipid emulsions in very‑low‑birth‑weight infants increased DHA/EPA but lowered AA and showed lipid‑tolerance issues—direct neonatal fatty‑acid impact with safety signals at higher doses.

  210. Docosahexaenoic acid (DHA) supplementation in pregnancy differentially modulates arachidonic acid and DHA status across FADS genotypes in pregnancy

    PubMed ID: 25500337

    600 mg/day maternal DHA substantially increased maternal RBC‑DHA at delivery; genetic effects on ARA noted—clear biomarker support relevant to fetal supply.

  211. Liquid human milk fortifier significantly improves docosahexaenoic and arachidonic acid status in preterm infants

    PubMed ID: 24863250

    HMF containing DHA/ARA raised preterm infants' plasma DHA and ARA (direct neonatal LCPUFA status improvement).

  212. Early enteral fat supplementation improves protein absorption in premature infants with an enterostomy

    PubMed ID: 24603562

    Early enteral fish oil in very preterm infants improved protein absorption, intestinal growth markers and tissue EPA—supports neonatal adaptation.

  213. A dose response randomised controlled trial of docosahexaenoic acid (DHA) in preterm infants

    PubMed ID: 25997653

    Enteral DHA prevented the usual postnatal decline in blood DHA in very preterm infants and was well tolerated—strong biochemical support for neonatal DHA maintenance.

  214. A randomized longitudinal dietary intervention study during pregnancy: effects on fish intake, phospholipids, and body composition

    PubMed ID: 25554072

    Counseling increased pregnant women's fish intake and serum EPA/DHA but did not change weight/composition—biomarker improvement in pregnancy.

  215. The Ratio of Docosahexaenoic Acid and Arachidonic Acid in Infant Formula Influences the Fatty Acid Composition of the Erythrocyte Membrane in Low-Birth-Weight Infants

    PubMed ID: 26751068

    In LBW infants, added ARA+DHA raised erythrocyte ARA/DHA rapidly—relevant to early development.

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

    PubMed ID: 27391868

    Higher‑DHA formula raised RBC DHA similar to breastfed infants—biomarker relevant to infant development though clinical effects limited.

  217. Neonatal fatty acid status and cardiometabolic health at 9years

    PubMed ID: 27411172

    Cord AA levels were associated with lower diastolic BP at age 9 (longitudinal perinatal association).

  218. Maternal single nucleotide polymorphisms in the fatty acid desaturase 1 and 2 coding regions modify the impact of prenatal supplementation with DHA on birth weight

    PubMed ID: 26912491

    Large prenatal DHA RCT showed a genotype‑by‑treatment interaction: certain maternal FADS genotypes had heavier infants with prenatal DHA (meaningful perinatal effect in subgroups).

  219. Phospholipid Species in Newborn and 4 Month Old Infants after Consumption of Different Formulas or Breast Milk

    PubMed ID: 27571269

    Large study showing formulas supplemented with AA+DHA markedly altered infant plasma phospholipids to levels similar to breastfed infants (nutritional substrate for development).

  220. 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 omega‑3 raised milk DHA/EPA and reduced IgE‑associated allergic disease in infants at 24 months (clinically relevant developmental/immune outcome).

  221. Docosahexaenoic acid (DHA) and arachidonic acid (ARA) balance in developmental outcomes

    PubMed ID: 28651697

    Infant dose‑response trial found optimal DHA:ARA balance improves cognitive outcomes (attention/IQ) — important for neurodevelopmental dosing decisions.

  222. Fish oil supplemental dose needed to reach 1g% DHA+EPA in mature milk

    PubMed ID: 29413361

    Randomized dose‑finding in pregnant women provided clear dosing targets (~750–1000 mg/day DHA+EPA) to reach RBC and mature breast‑milk DHA+EPA targets — directly relevant to fetal/infant supply.

  223. Milk protein-based formulas containing different oils affect fatty acids balance in term infants: A randomized blinded crossover clinical trial

    PubMed ID: 28410612

    Infant formula without palm olein improved fat/DHA/ARA absorption and calcium retention — relevant to infant nutrition and bone development.

  224. 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 brain‑specific fatty acids increased multiple newborn brain MRI volumes, a strong developmental structural endpoint.

  225. 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

    Infant DHA/ARA formula resulted in persistent changes in brain function, connectivity and metabolites at ~9 years.

  226. Influence of Human Milk and Parenteral Lipid Emulsions on Serum Fatty Acid Profiles in Extremely Preterm Infants

    PubMed ID: 29679529

    In extremely preterm infants, milk DHA intake predicted serum DHA and parenteral fish‑oil changed EPA/DHA and reduced AA — relevant to neonatal fatty‑acid status.

  227. Maternal Pre-Pregnancy Obesity Attenuates Response to Omega-3 Fatty Acids Supplementation During Pregnancy

    PubMed ID: 30518052

    Pregnant women given 2000 mg/day ω‑3 had higher blood EPA+DHA and lower n‑6/n‑3 ratio (clear biomarker change).

  228. Factors associated with plasma n-3 and n-6 polyunsaturated fatty acid levels in Tanzanian infants

    PubMed ID: 31024091

    Observational study: maternal plasma DHA strongly predicted infant plasma DHA at 3 months — direct relevance to infant development.

  229. 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

    Infant FADS genotypes affected AA/DHA responses to formula; supplementation raised LCPUFAs toward breastfeeding levels—important for infant development and supplementation strategies.

  230. Fatty Acid Supplementation and Socioemotional Outcomes: Secondary Analysis of a Randomized Trial

    PubMed ID: 32887793

    DHA+AA lowered caregiver‑screening risk for autism in preterm toddlers—suggestive of some neurodevelopmental benefit (screening endpoint).

  231. 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 increased milk DHA/EPA and greatly improved AA/(DHA+EPA) balance—direct infant nutrient supply benefit.

  232. 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 balance predicted faster processing speed in children through age 9 in a prenatal cohort—developmental cognitive evidence.

  233. Effect of arachidonic and docosahexaenoic acid supplementation on respiratory outcomes and neonatal morbidities in preterm infants

    PubMed ID: 36473425

    Enteral ARA+DHA shortened duration of respiratory support in very preterm infants—clinically important neonatal outcome.

  234. 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 supplementation reduced severe ROP incidence in extremely preterm infants—important eye/developmental outcome.

  235. Effect of arachidonic and docosahexaenoic acid supplementation on quality of growth in preterm infants: A secondary analysis of a randomized controlled trial

    PubMed ID: 37856920

    ARA+DHA from day 2 to term improved linear growth (length z‑score) in very preterm infants in a randomized trial—clear developmental benefit.

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

    PubMed ID: 38061271

    Early enteral ARA+DHA increased white‑matter FA and reduced radial diffusivity at term‑equivalent age—evidence of improved brain maturation.

  237. 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 lipid intake strongly altered absolute vs relative AA/DHA trajectories in preterms—relevant to neonatal fatty‑acid management.

  238. Polyunsaturated Fatty Acid Intake during Complementary Feeding and Neurodevelopmental Outcome in Very Low Birth Weight Infants

    PubMed ID: 37513559

    Higher PUFA intake during complementary feeding in VLBW infants associated with better cognitive and motor outcomes at 12 months.

  239. Enteral supplementation with arachidonic and docosahexaenoic acid and pulmonary outcome in extremely preterm infants

    PubMed ID: 38377640

    Enteral AA+DHA did not increase pulmonary morbidity; higher serum AA associated with less severe BPD—neonatal respiratory/developmental relevance.

  240. Arachidonic acid and docosahexaenoic acid levels correlate with the inflammation proteome in extremely preterm infants

    PubMed ID: 38603973

    Strong associations between AA/DHA and inflammation‑related proteome over first 100 days point to significant effects on neonatal immune/developmental biology.

  241. Platelet characteristics in extremely preterm infants after fatty acid supplementation: a randomized controlled trial

    PubMed ID: 39702768

    AA+DHA supplementation reduced severe ROP among thrombocytopenic infants and modified platelet angiogenic proteins—mechanistic neonatal benefit.

  242. Proteomic Profile in Retinopathy of Prematurity: A Secondary Analysis of the Mega Donna Mega Randomized Clinical Trial

    PubMed ID: 41505112

    AA+DHA supplementation in extremely preterm infants reduced severe ROP in the parent trial — clinically meaningful neonatal development outcome.

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

    PubMed ID: 33339438

    Randomized trial in lactating women: maternal multinutrient capsule containing DHA produced a marked, statistically robust increase in breast‑milk DHA—direct delivery to infant (strong evidence for nutrient transfer).

  244. Maternal fish oil supplementation in pregnancy modifies neonatal leukotriene production by cord-blood-derived neutrophils

    PubMed ID: 17596121

    Maternal fish-oil lowered neonatal LTB4 and neonatal proinflammatory cytokine responses—direct perinatal developmental immune effects.

  245. 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 raised cord plasma DHA and higher DHA linked to more mature newborn EEG and slightly longer gestation in upper quartile infants.

  246. Cod-Liver Oil Improves Metabolic Indices and hs-CRP Levels in Gestational Diabetes Mellitus Patients: A Double-Blind Randomized Controlled Trial

    PubMed ID: 31956660

    In women with gestational diabetes, cod‑liver oil improved maternal glycemic control, inflammation and was associated with fewer perinatal complications — clear pregnancy/baby relevance.

  247. Omega-3 LCPUFA supplement: a nutritional strategy to prevent maternal and neonatal oxidative stress

    PubMed ID: 27072591

    Maternal EPA+DHA (~400 mg/day) reduced oxidative damage and increased antioxidant enzymes in mothers and newborns (RCT biomarker evidence).

  248. Effects of Maternal Ω-3 Supplementation on Fatty Acids and on Visual and Cognitive Development

    PubMed ID: 25988553

    Maternal FO (~400 mg EPA+DHA/day) reliably raised maternal and newborn DHA levels (strong biomarker effect), though developmental outcomes were unchanged.

  249. Docosahexaenoic acid supplementation in pregnancy and early lactation: Impacts on breast milk docosahexaenoic acid and Maternal-Infant gut microbiota - A randomized controlled trial

    PubMed ID: 41045839

    Low‑dose maternal DHA (100 mg/day) raised colostrum DHA and increased maternal/infant Lactobacillus at 42 days (biomarker/microbiome changes).

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

    PubMed ID: 8541278

    Maternal fish oil in late pregnancy clearly increased neonatal/umbilical DHA and reduced deficiency markers — direct, biologically meaningful support for fetal/infant development.

  251. Effect of increasing breast milk docosahexaenoic acid on plasma and erythrocyte phospholipid fatty acids and neural indices of exclusively breast fed infants

    PubMed ID: 9306083

    Dose‑dependent increases in maternal milk DHA and infant plasma/erythrocyte DHA (strong biochemical evidence), though no neurodevelopmental effect shown here.

  252. Transforming growth factor beta in human milk does not change in response to modest intakes of docosahexaenoic acid

    PubMed ID: 11768164

    Maternal DHA increased breast‑milk DHA in a dose-dependent manner, improving postnatal DHA supply though no change in measured milk TGF-beta factors.

  253. 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

    LCP‑supplemented formula improved infant visual maturation (an important developmental endpoint).

  254. 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

    DHA supplementation raised maternal plasma and milk DHA concentrations, increasing infant/maternal DHA exposure though without cytokine changes.

  255. A randomized trial of docosahexaenoic acid supplementation during the third trimester of pregnancy

    PubMed ID: 12636950

    Third‑trimester DHA supplementation increased gestation length by ~6 days—meaningful perinatal effect.

Blood circulation (179)
  1. Treatment With Icosapent Ethyl to Reduce Ischemic Events in Patients With Prior Percutaneous Coronary Intervention: Insights From REDUCE-IT PCI

    PubMed ID: 35261279

    REDUCE‑IT subgroup (prior PCI) with prescription EPA (icosapent ethyl) markedly reduced first and total ischemic events and revascularizations—strong circulation/ischemia benefit.

  2. Efficacy and safety of self-emulsifying formulation of highly purified eicosapentaenoic acid ethyl ester (MND-2119) versus highly purified eicosapentaenoic acid ethyl ester in patients with hypertriglyceridemia: Results from a 12-week randomized, double-blind, active-controlled, phase 3 study

    PubMed ID: 35871058

    Phase‑3 EPA formulation produced dose‑dependent and clinically meaningful triglyceride reductions, which can favorably influence circulatory risk factors.

  3. [Influence of Omega-3 PUFA on Non-invasive factors determining the risk of arrhYthmias eXcess and sudden cardiac death in patients with HFpEF with ischemic etiology (ONYX)]

    PubMed ID: 33228511

    Ischemic HFrEF RCT: higher‑dose omega‑3 reduced 24‑h heart rate, ventricular ectopy and improved LVEF and exercise VO2—meaningful circulatory/functional gains.

  4. Long Chain Omega-3 Polyunsaturated Fatty Acids Improve Vascular Stiffness in Abdominal Aortic Aneurysm: A Randomized Controlled Trial

    PubMed ID: 33396567

    12 weeks of LC n‑3 PUFA (1.8 g/day) in AAA patients significantly decreased aortic PWV (arterial stiffness) and resting heart rate — strong vascular/circulatory signal.

  5. Reduction in Revascularization With Icosapent Ethyl: Insights From REDUCE-IT Revascularization Analyses

    PubMed ID: 33148016

    Icosapent ethyl markedly reduced coronary revascularizations (PCI, CABG) in high‑risk statin‑treated patients — strong cardiovascular/circulatory endpoint evidence.

  6. Vitamin D, Marine n-3 Fatty Acids, and Primary Prevention of Cardiovascular Disease Current Evidence

    PubMed ID: 31895658

    VITAL trial: 1 g/day ω‑3 modestly reduced myocardial infarction (secondary endpoint) — supports large‑scale cardiovascular benefit.

  7. Omega-3 fatty acids reduce post-operative risk of deep vein thrombosis and pulmonary embolism after surgery for elderly patients with proximal femoral fractures: a randomized placebo-controlled, double-blind clinical trial

    PubMed ID: 32440816

    1 g/day omega‑3 for 30 days after hip fracture surgery significantly reduced postoperative DVT/PE incidence — clinically important circulatory/thrombotic benefit.

  8. Effects of n-3 PUFA on endothelial function in patients with peripheral arterial disease: a randomised, placebo-controlled, double-blind trial

    PubMed ID: 31262371

    In PAD patients, 4 g/day fish oil improved flow‑mediated dilation (FMD) significantly over 3 months — direct evidence of improved endothelial function/circulation.

  9. Effects of Icosapent Ethyl on Total Ischemic Events: From REDUCE-IT

    PubMed ID: 30898607

    REDUCE‑IT (icosapent ethyl) markedly reduced total ischemic cardiovascular events, reflecting improved vascular outcomes.

  10. REDUCE-IT USA: Results From the 3146 Patients Randomized in the United States

    PubMed ID: 31707829

    REDUCE‑IT US cohort: high‑dose EPA greatly lowered major ischemic events and mortality (major circulatory benefits).

  11. Cardiovascular Benefits of Fish-Oil Supplementation Against Fine Particulate Air Pollution in China

    PubMed ID: 31023432

    Fish‑oil attenuated harmful cardiovascular biomarker responses to air pollution (suggests circulation protection).

  12. Fish oil and aspirin effects on arteriovenous fistula function: Secondary outcomes of the randomised omega-3 fatty acids (Fish oils) and Aspirin in Vascular access OUtcomes in REnal Disease (FAVOURED) trial

    PubMed ID: 30913208

    Perioperative fish‑oil roughly halved AVF rescue thrombosis interventions (meaningful vascular/thrombotic benefit).

  13. Relationship between long-chain omega-3 polyunsaturated fatty acid intake and ankle brachial index, pulse wave velocity and resting heart rate in a sample of overweight adults: A secondary analysis of baseline data in the HealthTrack study

    PubMed ID: 30311348

    Higher long‑chain omega‑3 intake associated with lower resting heart rate in overweight adults (observational).

  14. Effects of omega-3 polyunsaturated fatty acids on fibrosis, endothelial function and myocardial performance, in ischemic heart failure patients

    PubMed ID: 29752009

    Ischemic HF trial showed marked increases in flow‑mediated dilation and improvements in diastolic filling and systolic indices.

  15. Effects of sarpogrelate, eicosapentaenoic acid and pitavastatin on arterioslcerosis obliterans-related biomarkers in patients with type 2 diabetes (SAREPITASO study)

    PubMed ID: 30271161

    Pitavastatin+EPA improved ankle‑brachial index and reduced platelet activation markers—direct peripheral circulation benefit.

  16. Effects of marine n-3 fatty acid supplementation in renal transplantation: A randomized controlled trial

    PubMed ID: 30125457

    Renal transplant RCT improved endothelial function and lowered triglycerides and hs‑CRP, indicating better vascular function.

  17. Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia

    PubMed ID: 30415628

    Icosapent ethyl sharply reduced ischemic cardiovascular events — major clinical benefit tied to vascular/ischemic outcomes.

  18. Evaluation of the effectiveness of low-dose aspirin and omega 3 in treatment of asymmetrically intrauterine growth restriction: A randomized clinical trial

    PubMed ID: 28068596

    Omega‑3 added to aspirin in IUGR pregnancies improved uterine/umbilical artery blood flow — direct uteroplacental circulation benefit.

  19. Enteral Diet Enriched with ω-3 Fatty Acid Improves Oxygenation After Thoracic Esophagectomy for Cancer: A Randomized Controlled Trial

    PubMed ID: 28138734

    Enteral EPA after esophagectomy significantly improved oxygenation (PaO2/FiO2) — direct improvement in oxygen delivery/respiratory circulation parameter.

  20. Omega-3 carboxylic acids in patients with severe hypertriglyceridemia: EVOLVE II, a randomized, placebo-controlled trial

    PubMed ID: 29289538

    Omega-3 carboxylic acid significantly lowered triglycerides and non-HDL cholesterol—improvements that support vascular health and circulation.

  21. A randomized controlled trial of eicosapentaenoic acid in patients with coronary heart disease on statins

    PubMed ID: 28863874

    EPA added to statin therapy reduced atheroma and plaque lipid volume → improved vascular status and likely circulation benefit.

  22. A randomized controlled study of the efficacy of 4 weeks of supplementation with ω-3 polyunsaturated fatty acids in cases of unexplained oligohydramnios

    PubMed ID: 27559716

    Increased amniotic fluid and improved uterine artery Doppler indices with ω‑3 suggest improved uteroplacental blood flow.

  23. Effect of Omega-3 Acid Ethyl Esters on Left Ventricular Remodeling After Acute Myocardial Infarction: The OMEGA-REMODEL Randomized Clinical Trial

    PubMed ID: 27482002

    Post‑MI high‑dose fish‑oil attenuated adverse remodeling and myocardial fibrosis, outcomes relevant to cardiac function/circulation.

  24. Short term omega-3 polyunsaturated fatty acid supplementation induces favorable changes in right ventricle function and diastolic filling pressure in patients with chronic heart failure; A randomized clinical trial

    PubMed ID: 26807502

    Chronic systolic heart‑failure trial: omega‑3 lowered BNP substantially and produced modest favorable chamber changes—improves cardiac hemodynamic profile.

  25. The effect of marine n-3 polyunsaturated fatty acids on cardiac autonomic and hemodynamic function in patients with psoriatic arthritis: a randomised, double-blind, placebo-controlled trial

    PubMed ID: 27955663

    In psoriatic arthritis patients, marine n‑3 improved cardiac autonomic indices (lower HR, higher RR interval)—favorable circulatory/ autonomic effects.

  26. Endothelial function and insulin sensitivity during acute non-esterified fatty acid elevation: Effects of fat composition and gender

    PubMed ID: 25921849

    Acute crossover in healthy volunteers: DHA‑rich fish oil improved flow‑mediated dilatation (FMD) and increased insulin sensitivity (men) — direct endothelial/circulatory benefit.

  27. Effects of the Addition of Eicosapentaenoic Acid to Strong Statin Therapy on Inflammatory Cytokines and Coronary Plaque Components Assessed by Integrated Backscatter Intravascular Ultrasound

    PubMed ID: 26667367

    Coronary plaque stabilization (less lipid, more fibrous) and reduced local cytokines with EPA add‑on suggest improved arterial health relevant to circulation.

  28. Icosabutate for the treatment of very high triglycerides: A placebo-controlled, randomized, double-blind, 12-week clinical trial

    PubMed ID: 26892135

    Icosabutate markedly lowered triglycerides and remnant lipoproteins (favorable for vascular health), suggesting potential circulation/atherogenic benefit though not a direct FMD outcome.

  29. Omega-3 polyunsaturated Fatty acids reduce the incidence of postoperative atrial fibrillation in patients with history of prior myocardial infarction undergoing isolated coronary artery bypass grafting

    PubMed ID: 24756483

    Pre-op omega‑3 reduced post‑CABG AF incidence and shortened ICU stay—improved perioperative cardiovascular outcomes imply circulatory benefit.

  30. Omega-3 fatty acid therapy dose-dependently and significantly decreased triglycerides and improved flow-mediated dilation, however, did not significantly improve insulin sensitivity in patients with hypertriglyceridemia

    PubMed ID: 25147070

    Higher fish-oil doses improved flow-mediated dilation (endothelial function) — direct evidence for improved vascular function/circulation.

  31. Early eicosapentaenoic acid treatment after percutaneous coronary intervention reduces acute inflammatory responses and ventricular arrhythmias in patients with acute myocardial infarction: a randomized, controlled study

    PubMed ID: 25305703

    Early post-PCI EPA reduced short-term cardiac events and arrhythmias and lowered CRP — suggests vascular/cardiac protection.

  32. Alimentary habits, physical activity, and Framingham global risk score in metabolic syndrome

    PubMed ID: 24652053

    Lifestyle programs including omega-3 reduced vascular age and cardiovascular risk scores — supports improved vascular health (multifactorial intervention).

  33. Fish-oil supplementation alters numbers of circulating endothelial progenitor cells and microparticles independently of eNOS genotype

    PubMed ID: 25332321

    8-week fish oil increased endothelial progenitor cells and reduced endothelial microparticles—supports vascular repair/function.

  34. Long-chain omega-3 fatty acids improve brain function and structure in older adults

    PubMed ID: 23796946

    LC‑n3 reduced carotid intima‑media thickness and diastolic BP, indicating improved vascular structure/function.

  35. Fish oil and neurovascular reactivity to mental stress in humans

    PubMed ID: 23408034

    In healthy men fish oil blunted heart‑rate and sympathetic responses to mental stress, indicating improved autonomic/circulatory reactivity.

  36. Untitled

    PubMed ID: 23237436

    Post-MI omega-3 reduced ventricular ectopy and improved electrophysiologic markers tied to circulation/arrhythmic risk.

  37. Untitled

    PubMed ID: 23107655

    Omega-3 improved HRV and other autonomic markers in heart failure patients at 3 months (transient benefit).

  38. Untitled

    PubMed ID: 22839709

    Ischemic heart disease patients had reduced ventricular ectopy and improved HRV/HRT after 6 months of omega‑3.

  39. Effect of omega-3 (n-3) fatty acid supplementation in patients with sickle cell anemia: randomized, double-blind, placebo-controlled trial

    PubMed ID: 23193009

    Reduced vaso‑occlusive events in sickle cell patients indicates clinically meaningful improvement in microvascular/occlusive processes.

  40. Untitled

    PubMed ID: 22847178

    Acute replacement of SFA with LC n‑3 improved flow‑mediated dilation versus SFA alone, indicating endothelial/vascular benefit.

  41. Untitled

    PubMed ID: 22550196

    Daily fish oil in dialysis patients halved thrombosis rate and reduced intervention rate for AV‑grafts—clear clinically meaningful vascular/flow benefit.

  42. Reduced thrombin formation and altered fibrin clot properties induced by polyunsaturated omega-3 fatty acids on top of dual antiplatelet therapy in patients undergoing percutaneous coronary intervention (OMEGA-PCI clot)

    PubMed ID: 21617138

    Fish oil made fibrin clots more permeable and easier to lyse and reduced thrombin generation after PCI—mechanistic improvements in thrombosis/flow.

  43. Dose-dependent decrease of platelet activation and tissue factor by omega-3 polyunsaturated fatty acids in patients with advanced chronic heart failure

    PubMed ID: 21800004

    Dose‑dependent reductions in platelet activation, P‑selectin and plasma tissue factor indicate antithrombotic effects relevant to circulation.

  44. Dose-dependent effects of omega-3-polyunsaturated fatty acids on systolic left ventricular function, endothelial function, and markers of inflammation in chronic heart failure of nonischemic origin: a double-blind, placebo-controlled, 3-arm study

    PubMed ID: 21570522

    High‑dose n‑3 improved flow‑mediated dilation in severe CHF, a marker of vascular function.

  45. Effects of n-3 polyunsaturated fatty acids on left ventricular function and functional capacity in patients with dilated cardiomyopathy

    PubMed ID: 21215550

    n‑3 improved LVEF and peak VO2 in dilated cardiomyopathy, indicating improved cardiac function and circulation.

  46. Effects of chronic omega-3 polyunsaturated fatty acid supplementation on human atrial mechanical function after reversion of atrial arrhythmias to sinus rhythm: reversal of tachycardia-mediated atrial cardiomyopathy with fish oils

    PubMed ID: 21232631

    Chronic fish oil preserved left‑atrial mechanical function and greatly reduced atrial stunning after arrhythmia conversion — improved atrial mechanics/circulation.

  47. Add-on therapy of EPA reduces oxidative stress and inhibits the progression of aortic stiffness in patients with coronary artery disease and statin therapy: a randomized controlled study

    PubMed ID: 21701083

    Adding EPA to statin improved carotid β‑index and associated with baPWV decrease, indicating better arterial stiffness/vascular function.

  48. Preventive effects of eicosapentaenoic acid on coronary artery disease in patients with peripheral artery disease

    PubMed ID: 20484828

    EPA markedly reduced major coronary events in PAD patients — strong clinical vascular benefit in this subgroup.

  49. Effect of omega-3 fatty acids on heart rate variability in depressed patients with coronary heart disease

    PubMed ID: 20716712

    Omega‑3 prevented deterioration in HRV and tended to lower resting heart rate — relevant to autonomic/circulatory regulation.

  50. Highly purified eicosapentaenoic acid reduces cardio-ankle vascular index in association with decreased serum amyloid A-LDL in metabolic syndrome

    PubMed ID: 19763135

    EPA improved arterial stiffness (CAVI, PWV) in metabolic syndrome—direct evidence of improved vascular function.

  51. The effects of pitavastatin, eicosapentaenoic acid and combined therapy on platelet-derived microparticles and adiponectin in hyperlipidemic, diabetic patients

    PubMed ID: 19172517

    EPA reduced platelet-derived microparticles (pro-thrombotic marker), suggesting potential benefit for microvascular/hemostatic aspects of circulation in dyslipidemic diabetics.

  52. Effects of long chain omega-3 fatty acids on metalloproteinases and their inhibitors in combined dyslipidemia patients

    PubMed ID: 19397392

    Improvements in lipids, hs‑CRP and matrix‑remodeling markers support vascular health.

  53. Beneficial effects of intravenously administered N-3 fatty acids for the prevention of atrial fibrillation after coronary artery bypass surgery: a prospective randomized study

    PubMed ID: 19629889

    Perioperative IV fish oil reduced AF and ICU time after bypass—clinical circulatory benefit.

  54. Fish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetes

    PubMed ID: 19394939

    Significant improvement in flow-mediated dilation (FMD), a direct measure of endothelial/vascular function.

  55. Dose-dependent increases in heart rate variability and arterial compliance in overweight and obese adults with DHA-rich fish oil supplementation

    PubMed ID: 19664302

    DHA-rich fish oil improved large-artery compliance and HRV measures over 12 weeks (vascular function markers).

  56. Comparison of seal oil to tuna oil on plasma lipid levels and blood pressure in hypertriglyceridaemic subjects

    PubMed ID: 19727884

    Fish/seal oil lowered systolic blood pressure in hypertriglyceridaemic adults (circulatory benefit).

  57. Effects of adding prescription omega-3 acid ethyl esters to simvastatin (20 mg/day) on lipids and lipoprotein particles in men and women with mixed dyslipidemia

    PubMed ID: 18678300

    Adding prescription omega-3 to simvastatin modestly lowered systolic/diastolic BP, supporting improved vascular parameters.

  58. Low-dose aspirin and omega-3 fatty acids improve uterine artery blood flow velocity in women with recurrent miscarriage due to impaired uterine perfusion

    PubMed ID: 18692841

    Omega-3 improved uterine artery pulsatility index and uterine perfusion (improved regional blood flow).

  59. Omega-3 polyunsaturated fatty acid in peripheral arterial disease: effect on lipid pattern, disease severity, inflammation profile, and endothelial function

    PubMed ID: 18237823

    PAD patients randomized to n‑3 PUFA improved endothelial function (FMD +3.3 percentage points) and reduced soluble thrombomodulin.

  60. Fish oil supplementation improves large arterial elasticity in overweight hypertensive patients

    PubMed ID: 17805229

    In overweight hypertensive patients fish oil improved large-artery elasticity (C1) though BP did not change.

  61. Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS): a randomised open-label, blinded endpoint analysis

    PubMed ID: 17398308

    Large outcomes trial (EPA on statin background) reduced major coronary events — implies improved vascular outcomes.

  62. Effect of diet or very long chain omega-3 fatty acids on progression of atherosclerosis, evaluated by carotid plaques, intima-media thickness and by pulse wave propagation in elderly men with hypercholesterolaemia

    PubMed ID: 16926660

    Omega‑3 supplementation increased pulse-wave propagation time (improved arterial elasticity) in elderly hypercholesterolaemic men.

  63. Eicosapentaenoic acid reduces the progression of carotid intima-media thickness in patients with type 2 diabetes

    PubMed ID: 16616147

    Purified EPA slowed carotid IMT progression and improved arterial stiffness in type 2 diabetes (direct vascular benefit).

  64. The relationship between tissue RBC n-3 fatty acids and pulse wave velocity

    PubMed ID: 16634535

    Cross-sectional association: higher RBC EPA correlated with lower arterial stiffness (baPWV) in healthy men (observational).

  65. Influence of long-term intervention with dietary counseling, long-chain n-3 fatty acid supplements, or both on circulating markers of endothelial activation in men with long-standing hyperlipidemia

    PubMed ID: 15755826

    Elderly hyperlipidemic men showed reductions in endothelial activation markers (sICAM‑1, sTM) after n‑3 supplementation, supporting vascular benefit.

  66. Omega-3 fatty acid prevents heart rate variability reductions associated with particulate matter

    PubMed ID: 16210665

    Fish oil largely prevented PM2.5-associated reductions in heart-rate variability, a favorable cardiac-autonomic effect.

  67. Can n-3 PUFA reduce cardiac arrhythmias? Results of a clinical trial

    PubMed ID: 15253884

    Trial in arrhythmia patients reduced premature atrial/ventricular beats and improved rhythm burden—improved cardiac electrophysiologic stability.

  68. Atorvastatin and omega-3 fatty acids protect against activation of the coagulation system in patients with combined hyperlipemia

    PubMed ID: 12871402

    Omega‑3 added to atorvastatin further reduced markers of postprandial coagulation activation (FVIIa, F1+2) — evidence for effects on thrombotic activation/coagulation.

  69. Association of n-3 polyunsaturated fatty acids with stability of atherosclerotic plaques: a randomised controlled trial

    PubMed ID: 12583947

    Oral fish oil incorporated into carotid plaques and shifted morphology toward features of greater plaque stability (mechanistic benefit to circulation).

  70. The effect of n-3 fatty acids on coronary atherosclerosis: results from SCIMO, an angiographic study, background and implications

    PubMed ID: 11838000

    n‑3 reduced inflammatory gene expression and correlated with less progression/regression of coronary lesions on angiography — supports improved coronary vascular status.

  71. Influence of age and dietary fish oil on plasma soluble adhesion molecule concentrations

    PubMed ID: 11115423

    Age‑dependent effects on endothelial activation markers (sVCAM‑1 decreased in elderly) indicating improved vascular activation/health in some subgroups.

  72. Dietary supplementation with marine omega-3 fatty acids improve systemic large artery endothelial function in subjects with hypercholesterolemia

    PubMed ID: 10676668

    4 g/day marine omega‑3 for 4 months improved flow‑mediated dilation (FMD) and reduced triglycerides in hypercholesterolemic subjects — direct, clinically relevant endothelial/circulatory benefit.

  73. Effect of omega-3 fatty acids and simvastatin on hemostatic risk factors and postprandial hyperlipemia in patients with combined hyperlipemia

    PubMed ID: 10634827

    Add‑on to simvastatin reduced postprandial hyperlipemia and some prothrombotic markers, favorable for circulation.

  74. Eicosapentanoic acid reduces plasma levels of remnant lipoproteins and prevents in vivo peroxidation of LDL in dialysis patients

    PubMed ID: 10505695

    Marked reductions in remnant lipoproteins and ox‑LDL would improve vascular environment and circulation.

  75. Differential effects of dietary supplementation with fish oil or soy lecithin on human platelet adhesion

    PubMed ID: 10595648

    Fish oil significantly reduced ADP‑ and thrombin‑stimulated platelet adhesion, improving haemostatic profile.

  76. Effects of dietary fish and weight reduction on ambulatory blood pressure in overweight hypertensives

    PubMed ID: 9774368

    Daily fish meals lowered ambulatory heart rate and contributed to 24‑h BP reductions—benefits to systemic circulatory metrics.

  77. Cost-Effectiveness of Icosapent Ethyl in REDUCE-IT USA: Results From Patients Randomized in the United States

    PubMed ID: 38156550

    REDUCE‑IT USA (icosapent ethyl) markedly reduced major CV events and mortality, implying improved ischemic outcomes and coronary circulation benefits at population level.

  78. Effects of a low-dose fish oil concentrate on angina, exercise tolerance time, serum triglycerides, and platelet function

    PubMed ID: 7985829

    Low-dose fish oil reduced angina attacks and improved exercise tolerance in CAD patients — functional circulation/ischemia benefit.

  79. Effect of dietary fish oil on renal function and rejection in cyclosporine-treated recipients of renal transplants

    PubMed ID: 8350886

    Improved glomerular filtration rate and effective renal plasma flow indicate enhanced renal perfusion/circulation.

  80. Supplementation with omega-3 or omega-6 fatty acids attenuates platelet reactivity in postmenopausal women

    PubMed ID: 35791734

    Postmenopausal women: fish oil raised platelet EPA/DHA and substantially reduced platelet aggregation and activation markers, lowering thrombotic tendency.

  81. A Bayesian analysis of the VITAL trial: effects of ω-3 fatty acid supplementation on cardiovascular events

    PubMed ID: 40032221

    Large primary‑prevention trial: daily EPA+DHA modestly reduced coronary events (MI/CAD) — clinically relevant to circulation and cardiac outcomes.

  82. 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 and lowered atherogenic remnant cholesterol in hemodialysis patients.

  83. Erythrocyte deformability and aggregability in patients undergoing colon cancer surgery and effects of two infusions with omega-3 fatty acids

    PubMed ID: 31658051

    IV n‑3 reduced erythrocyte aggregability, a direct hemorheological improvement relevant to microcirculation.

  84. 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 (3.7 g/day EPA+DHA) improved pulse‑wave velocity (arterial stiffness) in CKD patients — direct vascular/circulatory benefit.

  85. Influence of different supplementation on platelet aggregation in patients with rheumatoid arthritis

    PubMed ID: 31076942

    In RA patients, concentrated fish oil lowered a platelet aggregation measure, a hemostasis/circulatory parameter relevant to circulation and thrombosis risk.

  86. 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% associated with significantly less coronary plaque progression over 30 months (direct vascular imaging evidence).

  87. The Effect of Marine n-3 Polyunsaturated Fatty Acids on Heart Rate Variability in Renal Transplant Recipients: A Randomized Controlled Trial

    PubMed ID: 31757095

    In renal transplant recipients, marine n‑3 PUFA modestly improved frequency‑domain HRV responses to standing, indicating improved autonomic cardiovascular responsiveness.

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

    PubMed ID: 30407633

    DHA reduced triglycerides by ~24% in metabolic‑syndrome subjects (improved lipid profile can support vascular health).

  89. 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

    Dialysis RCT found reduced heart rate, some favorable HRV changes and lower triglycerides — suggests autonomic/circulatory benefits.

  90. 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

    Low‑dose DHA‑rich tuna oil lowered fasting triglycerides (~23%) and VLDL‑TG, which favorably alters atherogenic lipoproteins related to circulation.

  91. 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 attenuated progression of fibrous coronary plaque in adherent patients, supporting vascular benefit.

  92. Effects of omega-3 fatty acid plus alpha-tocopherol supplementation on malnutrition-inflammation score, biomarkers of inflammation and oxidative stress in chronic hemodialysis patients

    PubMed ID: 27554670

    Plasma NO increase with omega‑3 suggests vasodilatory/circulatory improvement in hemodialysis patients.

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

    PubMed ID: 28457318

    PAD patients had marked increases in omega‑3 index — relevant to peripheral vascular disease and circulation risk markers.

  94. 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 modestly reduced central aortic pressures and RBC omega‑3/6 increases associated with better spatial working memory (cardiovascular stiffness reduction).

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

    PubMed ID: 24746829

    Higher dietary LC‑n‑3PUFA associated with better small‑artery reactive hyperemia (saRHI) and improved endothelial markers (observational/intervention analysis).

  96. Reduction of prothrombin and Factor V levels following supplementation with omega-3 fatty acids is sex dependent: a randomised controlled study

    PubMed ID: 24997005

    EPA/DHA modestly lowered key coagulation factors (Factor II, V, vWF) — supports improved thrombotic/circulatory profile.

  97. 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 RCT in adults with elevated triglycerides produced a modest (~10%) TG lowering without raising LDL‑C—clinically relevant circulatory lipid improvement.

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

    PubMed ID: 24299019

    Mechanistic trial in obese insulin‑resistant men showed 4 g/day ω‑3 plus statin further reduced VLDL‑TG via lower production and higher clearance—improves atherogenic lipoprotein profile relevant to circulation.

  99. Eicosapentaenoic and docosahexaenoic acid supplementations reduce platelet aggregation and hemostatic markers differentially in men and women

    PubMed ID: 23390192

    Randomized trial showed EPA/DHA reduced platelet aggregation substantially (sex‑specific effects), implying reduced thrombotic tendency.

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

    PubMed ID: 21831993

    Acute inclusion of DHA‑rich oil prevented postprandial endothelial dysfunction (FMD +2% vs saturated fat) — clear vascular endothelial benefit.

  101. Differential association of docosahexaenoic and eicosapentaenoic acids with carotid intima-media thickness

    PubMed ID: 21757663

    Cross‑sectional: higher serum DHA associated with lower carotid IMT — suggests anti‑atherosclerotic/circulatory benefit (observational).

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

    PubMed ID: 20472253

    In overweight adolescent boys, fish oil lowered systolic and diastolic BP (SBP −3.8 mmHg, DBP −2.6 mmHg) — relevant to circulation and vascular health.

  103. Effects of n-3 fatty acids on macro- and microvascular function in subjects with type 2 diabetes mellitus

    PubMed ID: 20071644

    EPA/DHA attenuated postprandial decline in flow-mediated dilation and improved microvascular reactive hyperemia in type 2 diabetes patients.

  104. Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction

    PubMed ID: 19487105

    During diet-induced weight loss, salmon or fish oil modestly reduced diastolic BP (~2.5 mmHg vs cod), suggesting small circulatory benefits.

  105. 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

    Fish oil improved blood pressure, triglycerides and other cardiometabolic markers in metabolic syndrome, supporting improved cardiovascular risk/circulation.

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

    PubMed ID: 18982439

    In dilated cardiomyopathy patients, n‑3 PUFA reduced arrhythmic markers and episodes and improved electrical risk tests — improved cardiac electrical stability relates to circulation/heart function.

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

    PubMed ID: 18339222

    DHA‑rich fish oil increased HF HRV and lowered resting/exercise heart rates (improved autonomic control relevant to circulation).

  108. A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosus

    PubMed ID: 17875549

    SLE trial improved endothelial function (flow-mediated dilation) substantially.

  109. 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 (well‑powered RCT).

  110. The effect of dietary omega-3 fatty acids on coronary atherosclerosis. A randomized, double-blind, placebo-controlled trial

    PubMed ID: 10189324

    Long‑term FO slowed angiographic coronary atherosclerosis progression modestly (clinical circulation benefit).

  111. Effects of highly purified eicosapentaenoic acid and docosahexaenoic acid on hemodynamics in humans

    PubMed ID: 9665096

    DHA reduced resting heart rate and marine oils improved diastolic filling—improvements in cardiac hemodynamics.

  112. n-3 fatty acid ethyl ester administration to healthy subjects and to hypertriglyceridemic patients reduces tissue factor activity in adherent monocytes

    PubMed ID: 7918310

    Marked reductions in monocyte TF activity suggest lowered thrombogenicity, relevant to circulation and clot risk.

  113. Marine oils dose-dependently inhibit vasoconstriction of forearm resistance vessels in humans

    PubMed ID: 8418020

    Dose‑dependent large suppression of vasoconstrictor responses to angiotensin II and norepinephrine—strong vascular effect.

  114. Fish oil supplementation in patients with stable claudication

    PubMed ID: 2240382

    Improved red cell deformability in claudication suggests better microcirculatory rheology, though walking performance did not improve.

  115. Effect of eicosapentaenoic and docosahexaenoic acids on blood pressure in hypertension. A population-based intervention trial from the Tromsø study

    PubMed ID: 2137901

    Fish oil lowered systolic and diastolic blood pressure in mildly hypertensive people—improves vascular parameters.

  116. Effects of fish oil and curcumin supplementation on cerebrovascular function in older adults: A randomized controlled trial

    PubMed ID: 32127335

    Reduced cerebral artery stiffness in men indicates a vascular/arterial compliance benefit in older overweight adults.

  117. [State of the structure and functions of the arterial wall in patients with chronic heart failure against the background of permanent atrial fibrillation and assessment of vasoprotective effect of omega-3 polyunsaturated fatty acids]

    PubMed ID: 23548422

    Omega‑3 improved arterial elasticity and reduced TIMP‑1 in ischemic HF with AF — robust vasoprotective/elasticity benefit.

  118. Effects of purified eicosapentaenoic acid and docosahexaenoic acid on platelet, fibrinolytic and vascular function in hypertensive type 2 diabetic patients

    PubMed ID: 12482554

    DHA (not EPA) reduced platelet aggregation and thromboxane production in hypertensive diabetics — supports reduced thrombotic/flow impairment.

  119. EPA, but not DHA, decreases mean platelet volume in normal subjects

    PubMed ID: 12530552

    EPA reduced platelet activation marker and altered platelet EPA content — plausible mechanism to improve microcirculation/flow.

  120. A long-term seal- and cod-liver-oil supplementation in hypercholesterolemic subjects

    PubMed ID: 11214732

    Seal and cod-liver oil raised serum n-3s and reduced whole-blood platelet aggregation (human long-term supplementation).

  121. Effect of marine oils supplementation on coagulation and cellular activation in whole blood

    PubMed ID: 8614301

    Marine oils reduced prothrombin fragment 1+2 and other prothrombotic markers, indicating improved haemostatic profile.

  122. Omega 3 fatty acids effect on the vascular calcification biomarkers fetuin A and osteoprotegerin in hemodialysis patients

    PubMed ID: 34286397

    Omega-3 increased fetuin-A and OPG in hemodialysis patients—biomarkers that may protect against vascular calcification.

  123. Concomitant Use of Rosuvastatin and Eicosapentaenoic Acid Significantly Prevents Native Coronary Atherosclerotic Progression in Patients With In-Stent Neoatherosclerosis

    PubMed ID: 32759543

    EPA added to statin reduced plaque lipid content and macrophage signals (improved plaque characteristics).

  124. Effect of icosapent ethyl on progression of coronary atherosclerosis in patients with elevated triglycerides on statin therapy: final results of the EVAPORATE trial

    PubMed ID: 32860032

    High-dose EPA (icosapent ethyl) slowed/reversed coronary plaque progression (direct vascular benefit).

  125. Effect of rosuvastatin or its combination with omega-3 fatty acids on circulating CD34(+) progenitor cells and on endothelial colony formation in patients with mixed dyslipidaemia

    PubMed ID: 27415612

    ω‑3 added to rosuvastatin increased circulating endothelial progenitor cells and CFU‑ECs—supports vascular repair/circulation.

  126. Effects of n-3 polyunsaturated fatty acids and of rosuvastatin on left ventricular function in chronic heart failure: a substudy of GISSI-HF trial

    PubMed ID: 20952767

    Small but significant long‑term LVEF improvement in chronic HF implies better cardiac output/circulation.

  127. Omega-3 fatty acids plus rosuvastatin improves endothelial function in South Asians with dyslipidemia

    PubMed ID: 19337557

    Adding omega‑3 to rosuvastatin improved endothelium‑dependent vasodilation and lowered TG/LDL in dyslipidemic subjects — supports improved vascular function.

  128. Vascular and metabolic effects of omega-3 fatty acids combined with fenofibrate in patients with hypertriglyceridemia

    PubMed ID: 27424313

    Combo n‑3 + fenofibrate improved vascular markers (FMD) over 2 months vs placebo.

  129. Significant differential effects of omega-3 fatty acids and fenofibrate in patients with hypertriglyceridemia

    PubMed ID: 22153696

    Omega‑3 (2 g/d) lowered TGs and improved flow‑mediated dilation in hypertriglyceridemic patients.

  130. [Oxidation stress, insulin resistance and endothelial dysfunction during the treatment of hyperlipidaemia]

    PubMed ID: 17323614

    Addition of n‑3 (3.6 g/d) to statin therapy improved flow‑mediated vasodilation (endothelial function) over 12 months.

  131. Effects of omega-3 fatty acids and/or antioxidants on endothelial cell markers

    PubMed ID: 9767357

    High‑dose n‑3 in smokers changed endothelial/hemostatic markers (vWF and sTM decreased)—evidence of circulatory/hemostatic modulation though some markers rose.

  132. Myocardial protection during elective coronary artery bypasses grafting by pretreatment with omega-3 polyunsaturated fatty acids

    PubMed ID: 23789288

    Preoperative IV ω‑3 improved early myocardial metabolism and markers of cardiac injury after elective CABG—consistent with improved myocardial perfusion/oxygen extraction.

  133. N-3 polyunsaturated fatty acids early supplementation improves ultrasound indices of endothelial function, but not through NO inhibitors in patients with acute myocardial infarction: N-3 PUFA supplementation in acute myocardial infarction

    PubMed ID: 20705373

    One month of n‑3 PUFA after MI improved flow‑mediated dilatation (FMD), a direct endothelial/circulatory function measure.

  134. Randomized Trial for Evaluation in Secondary Prevention Efficacy of Combination Therapy-Statin and Eicosapentaenoic Acid (RESPECT-EPA)

    PubMed ID: 38873793

    Icosapent ethyl in statin‑treated coronary patients reduced coronary events (secondary) though primary composite narrowly missed significance; relevant to vascular outcomes.

  135. Administration of eicosapentaenoic acid may alter lipoprotein particle heterogeneity in statin-treated patients with stable coronary artery disease: A pilot 6-month randomized study

    PubMed ID: 32636128

    EPA added to statin therapy reduced small/medium LDL particles and raised large HDL particles—favorable effects on atherogenic lipoprotein profile relevant to circulation.

  136. 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 with EPA/DHA raised ω‑3 index and lowered homocysteine in elderly—biomarkers linked to vascular risk and circulation.

  137. 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 (2 g/day) raised nitric oxide ~62% and shifted eicosanoids toward ω‑3 mediators — supports endothelial function/circulation.

  138. Effect of rosuvastatin and eicosapentaenoic acid on neoatherosclerosis: the LINK-IT Trial

    PubMed ID: 31334703

    Adding EPA to statin therapy stabilized neoatherosclerotic plaques (less lipid/macrophage signal) — meaningful vascular/circulatory benefit.

  139. Genetic profiling of fatty acid desaturase polymorphisms identifies patients who may benefit from high-dose omega-3 fatty acids in cardiac remodeling after acute myocardial infarction-Post-hoc analysis from the OMEGA-REMODEL randomized controlled trial

    PubMed ID: 31532795

    High‑dose ω‑3 after MI improved LV remodeling and reduced non‑infarct fibrosis — functional cardiac/circulatory benefit.

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

    PubMed ID: 27919362

    Omega‑3 carboxylic acids lowered TGs, reduced apoCIII and increased less‑atherogenic LDL subspecies—favorable for vascular health.

  141. Early initiation of eicosapentaenoic acid and statin treatment is associated with better clinical outcomes than statin alone in patients with acute coronary syndromes: 1-year outcomes of a randomized controlled study

    PubMed ID: 27865182

    Randomized trial: starting high‑dose EPA after PCI markedly reduced 1‑year cardiovascular events and cardiovascular death (major circulation outcome).

  142. Eicosapentaenoic Acid combined with optimal statin therapy improves endothelial dysfunction in patients with coronary artery disease

    PubMed ID: 24158248

    EPA improved flow‑mediated dilation (FMD) and lowered triglycerides in CAD patients already on statins — clear endothelial/circulatory benefit.

  143. Stabilizing effect of combined eicosapentaenoic acid and statin therapy on coronary thin-cap fibroatheroma

    PubMed ID: 24637411

    EPA added to rosuvastatin produced plaque‑stabilizing changes and lower vascular inflammation markers, suggesting improved vascular health.

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

    PubMed ID: 21701167

    Prescription ω‑3 reduced multiple platelet activation markers in stable CAD, supporting reduced thrombogenicity and better microcirculation.

  145. Treatment of aspirin-resistant patients with omega-3 fatty acids versus aspirin dose escalation

    PubMed ID: 20117379

    Omega‑3 restored aspirin responsiveness and produced large thromboxane reductions in aspirin‑resistant coronary patients—strong circulatory benefit.

  146. Effects of polyunsaturated omega-3 fatty acids on responsiveness to dual antiplatelet therapy in patients undergoing percutaneous coronary intervention: the OMEGA-PCI (OMEGA-3 fatty acids after pci to modify responsiveness to dual antiplatelet therapy) study

    PubMed ID: 20394870

    Adding 1 g/day omega‑3 to dual antiplatelet therapy reduced platelet reactivity after PCI—direct improvement in platelet function relevant to circulation.

  147. 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

    Lowered triglycerides and improved atherogenic markers, supportive of better vascular health.

  148. The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans

    PubMed ID: 12145002

    EPA/DHA increased systemic arterial compliance by 27–36% in dyslipidemic adults.

  149. Comparative effects of prolonged intake of highly purified fish oils as ethyl ester or triglyceride on lipids, haemostasis and platelet function in normolipaemic men

    PubMed ID: 8404785

    Both ethyl-ester and triglyceride fish oil reduced platelet activation measures and were incorporated into plasma lipids — improves hemostatic profile.

  150. Influence of dietary fish on eicosanoid metabolism in man

    PubMed ID: 2123355

    Dietary mackerel shifted eicosanoids away from thromboxane toward prostacyclin-type metabolites (anti-thrombotic, circulatory benefit).

  151. Fish-oil concentrate: effects on variables related to cardiovascular disease

    PubMed ID: 2375296

    High‑dose fish oil lowered fibrinogen (antithrombotic marker) and TGs, suggesting improved blood rheology/vascular risk.

  152. The Effects of α-Linolenic Acid Intake on Skin and Blood Vessel Health and Subjective Fatigue in Middle-Aged Japanese Females: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Comparative Trial

    PubMed ID: 40754213

    ALA supplementation modestly reduced brachial‑ankle pulse wave velocity (improved vascular stiffness), a circulation marker.

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

    PubMed ID: 29633621

    Omega‑3 enriched eggs improved microvascular reactivity (PORH) and lowered triglycerides/BP—direct microcirculation evidence.

  154. 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 EPA+DHA modestly lowered systolic blood pressure and angiotensin II—improved vascular parameters likely aiding circulation.

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

    PubMed ID: 22110169

    In post‑MI diabetic patients, EPA/DHA+ALA lowered arrhythmia‑related events and composite cardiac endpoints, reflecting improved cardiac outcomes.

  156. 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

    Feeding study showed modest triglyceride reductions and LDL fatty‑acid shifts with n‑3 types — relevant to vascular risk and circulation.

  157. Higher plasma docosahexaenoic acid is associated with reduced progression of coronary atherosclerosis in women with CAD

    PubMed ID: 16983146

    Higher plasma DHA in women with CAD was associated with less coronary artery narrowing and fewer new lesions over ~3 years — direct vascular benefit.

  158. Cardiac autonomic changes associated with fish oil vs soy oil supplementation in the elderly

    PubMed ID: 15821181

    Fish oil improved heart‑rate variability measures (cardiac autonomic function), which relate to circulatory control and sudden‑death risk.

  159. Enteral nutrition with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants reduces alveolar inflammatory mediators and protein influx in patients with acute respiratory distress syndrome

    PubMed ID: 12576957

    In ARDS, EPA+GLA diet improved oxygenation (Pao2/FiO2) — a functional circulation/oxygen-delivery improvement in lungs.

  160. Effects of dietary n-3 polyunsaturated fatty acids from plant and marine origin on platelet aggregation in healthy elderly subjects

    PubMed ID: 10655965

    EPA/DHA diets significantly reduced ex vivo platelet aggregation (reduced thrombogenic potential).

  161. 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

    Fish oil given early after suspected AMI reduced cardiac events and deaths—clinical evidence of improved cardiovascular outcomes/circulation.

  162. A prospective, multicenter, randomized study of the efficacy of eicosapentaenoic acid for cerebral vasospasm: the EVAS study

    PubMed ID: 23032083

    EPA reduced symptomatic cerebral vasospasm and vasospasm‑related infarction after SAH — a clear cerebrovascular circulation benefit.

  163. Long-term omega-3 polyunsaturated fatty acid supplementation reduces the recurrence of persistent atrial fibrillation after electrical cardioversion

    PubMed ID: 22120130

    Long‑term high‑dose fish oil substantially reduced recurrent persistent atrial fibrillation, a major cardiac/arrhythmic circulation outcome.

  164. Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm microcirculation in hyperlipidemic, overweight men

    PubMed ID: 10982541

    DHA (vs EPA) improved endothelium‑dependent and -independent vasodilation and attenuated norepinephrine‑induced constriction.

  165. Interactions between dietary fat, fish, and fish oils and their effects on platelet function in men at risk of cardiovascular disease

    PubMed ID: 9081682

    Dietary fish or fish oil reduced platelet aggregation and thromboxane responses in men at increased CV risk.

  166. Fish oil amplifies the effect of propranolol in mild essential hypertension

    PubMed ID: 2147175

    Fish oil improved platelet mediators and lowered BP/norepinephrine in hypertensives, implying beneficial vascular effects.

  167. 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

    4 g/day fish oil lowered triglycerides and total cholesterol—improvements in blood lipids that relate to vascular risk/circulation.

  168. Effect of dietary supplementation with n-3 fatty acids on coronary artery bypass graft patency

    PubMed ID: 8540453

    Large RCT showed reduced vein graft occlusion after CABG, a clinically relevant circulatory/vascular outcome.

  169. Potential effects of icosapent ethyl on cardiovascular outcomes in cigarette smokers: REDUCE-IT smoking

    PubMed ID: 35953437

    Prescription EPA on statin therapy lowered CV events in current/former smokers, indicating improved clinical circulatory outcomes in that subgroup.

  170. Omega-3 fatty acids supplementation improves early-stage diabetic nephropathy and subclinical atherosclerosis in pediatric patients with type 1 diabetes: A randomized controlled trial

    PubMed ID: 37862823

    In children with T1DM, 6‑month omega‑3 lowered carotid intima‑media thickness (structural vascular improvement), albuminuria and HbA1c.

  171. Icosapent ethyl therapy for very high triglyceride levels: a 12-week, multi-center, placebo-controlled, randomized, double-blinded, phase III clinical trial in China

    PubMed ID: 37301827

    4 g/day icosapent ethyl in adults with very high TG significantly lowered TG, VLDL‑C and non‑HDL‑C—favorable lipid changes that support vascular health.

  172. Long-term safety and efficacy of MND-2119 (self-emulsifying formulation of highly purified eicosapentaenoic acid ethyl ester) in patients with hypertriglyceridemia: Results from a multicenter, 52-week, open-label study

    PubMed ID: 36202740

    EPA ethyl ester lowered triglycerides over 52 weeks with dose response—improved circulating lipid profile supports vascular health.

  173. Prevention of Cardiovascular Events and Mortality With Icosapent Ethyl in Patients With Prior Myocardial Infarction

    PubMed ID: 35483753

    REDUCE‑IT analysis in prior‑MI patients showed significant reductions in major ischemic events, MI and CV mortality with EPA—robust vascular benefit.

  174. Omega and heart rate variability in overweight and obese schoolchildren

    PubMed ID: 39972155

    Three months EPA/DHA in overweight children improved heart‑rate variability indices (RMSSD, SDNN) indicating autonomic/circulatory benefit.

  175. The effect of eight weeks combined training with omega-3 supplementation on the levels of intercellular adhesion molecule-1 and vascular cell adhesion molecule-1 in older women

    PubMed ID: 38777428

    Exercise + omega‑3 lowered vascular adhesion molecules (ICAM‑1/VCAM‑1), consistent with improved endothelial function.

  176. The Role of Omega-3 Polyunsaturated Fatty Acids in Patients with Metabolic Syndrome and Endothelial Dysfunction

    PubMed ID: 39859026

    Two‑month n‑3 improved endothelial function (RHI), reduced arterial stiffness (augmentation index) and improved vascular biomarkers—strong circulation benefit.

  177. Icosapent ethyl modulates circulating vascular regenerative cell content: The IPE-PREVENTION CardioLink-14 trial

    PubMed ID: 38552629

    Prescription EPA (icosapent ethyl) increased circulating vascular‑regenerative progenitor cells and reduced oxidative stress—mechanistically supports vascular repair/circulation benefits.

  178. Dietary n-3 polyunsaturated fatty acids alter the number, fatty acid profile and coagulatory activity of circulating and platelet-derived extracellular vesicles: a randomized, controlled crossover trial

    PubMed ID: 38484976

    n‑3 supplementation lowered procoagulant EVs, reduced thrombin generation and clot growth—mechanistic evidence for improved haemostatic profile/circulation.

  179. Icosapent ethyl following acute coronary syndrome: the REDUCE-IT trial

    PubMed ID: 38252107

    Icosapent ethyl given early after ACS on top of statin showed large reductions in recurrent ischemic events (post‑ACS circulatory/ischemic benefit).

Immune support (203)
  1. Fish oil supplementation of lactating mothers affects cytokine production in 2 1/2-year-old children

    PubMed ID: 16196417

    Maternal fish oil produced lasting increases in child IFN-γ and IFN-γ/IL-10 ratio.

  2. High-dose fish oil and antioxidants in Crohn's disease and the response of bone turnover: a randomised controlled trial

    PubMed ID: 16115360

    Reduced mitogen-stimulated IFN-γ in Crohn's patients indicates immunomodulation.

  3. Inhibition of leukotriene biosynthesis by a novel dietary fatty acid formulation in patients with atopic asthma: a randomized, placebo-controlled, parallel-group, prospective trial

    PubMed ID: 12852711

    EPA+GLA emulsion reduced leukotriene biosynthesis in atopic asthma — a direct immune mediator effect (combination product).

  4. Impact of fish oil enriched total parenteral nutrition on DNA synthesis, cytokine release and receptor expression by lymphocytes in the postoperative period

    PubMed ID: 11895146

    Perioperative fish-oil TPN augmented cytokine production (IL-2, IFN-γ, TNF-α) indicating strong immunomodulatory effects.

  5. Nutritional treatment for acquired immunodeficiency virus infection using an enterotropic peptide-based formula enriched with n-3 fatty acids: a randomized prospective trial

    PubMed ID: 11781670

    HIV patients receiving an n-3–containing enteral formula had a statistically significant rise in CD4 count (clinical immune marker), though formula differed in other components.

  6. Dietary omega-3 polyunsaturated fatty acids plus vitamin E restore immunodeficiency and prolong survival for severely ill patients with generalized malignancy: a randomized control trial

    PubMed ID: 9445198

    Omega‑3+vitamin E improved T‑helper:T‑suppressor ratio and reduced TNF in malnourished cancer patients (immune marker improvements, but confounded by vitamin E).

  7. Effect of an enteric-coated fish-oil preparation on relapses in Crohn's disease

    PubMed ID: 8628335

    Large RCT in Crohn's with marked relapse reduction indicates clinically meaningful immune-modulating benefit in IBD.

  8. Effects of high-dose fish oil on rheumatoid arthritis after stopping nonsteroidal antiinflammatory drugs. Clinical and immune correlates

    PubMed ID: 7639807

    High-dose fish oil improved RA disease activity and lowered IL‑1β (an immune/inflammatory cytokine) — supports immune modulation.

  9. Long-term effect of omega-3 fatty acid supplementation in active rheumatoid arthritis. A 12-month, double-blind, controlled study

    PubMed ID: 8003055

    12-month omega-3 trial in RA showed improved patient/physician assessments and med-sparing — indicates immune-modulating benefit in autoimmune disease.

  10. [Fish oils and rheumatoid arthritis. A randomized and double-blind study]

    PubMed ID: 8066866

    12-week n‑3 PUFA in active RA produced small but significant symptom and CRP improvements — some immune/inflammatory effect.

  11. A controlled trial of fish oil in IgA nephropathy. Mayo Nephrology Collaborative Group

    PubMed ID: 7935657

    High‑dose fish oil markedly slowed IgA nephropathy progression (an immune‑mediated renal disease), consistent with immune effects.

  12. Effect of dietary fish oil on renal function and rejection in cyclosporine-treated recipients of renal transplants

    PubMed ID: 8350886

    Reduced rejection episodes in kidney-transplant recipients, indicating immune-modulatory effects.

  13. Decreased interleukin-1 beta levels in plasma from rheumatoid arthritis patients after dietary supplementation with n-3 polyunsaturated fatty acids

    PubMed ID: 1458789

    RA trial showed reduced IL‑1β and modest clinical improvement, indicating immune-modulatory effects.

  14. The effects of dietary supplementation with fish oil on renal function and the course of early postoperative rejection episodes in cyclosporine-treated renal transplant recipients

    PubMed ID: 1496538

    In transplant recipients fish oil improved renal recovery after rejection and altered cyclosporine levels (immune‑related context).

  15. Treatment of ulcerative colitis with fish oil supplementation: a prospective 12 month randomised controlled trial

    PubMed ID: 1353742

    Fish oil raised rectal EPA and reduced leukotriene B4 synthesis in UC, indicating local immune/eicosanoid modulation.

  16. Resistance Training Alone or Combined With N-3 PUFA-Rich Diet in Older Women: Effects on Muscle Fiber Hypertrophy

    PubMed ID: 30052800

    N-3–rich diet downregulated IL‑1β (anti‑inflammatory signaling) — plausible immune‑modulating effect.

  17. Effect of microbiological and immunological enteral nutrition on intestinal function and immune status in the patients with long-term use of antibiotics

    PubMed ID: 24089227

    Enteral formula with deep‑sea fish oil improved immune cell markers (CD4/CD8/NK) in antibiotic‑treated patients.

  18. 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

    DHA increased plasma IFN-γ and TNF-α and altered oxylipins, indicating immune modulation.

  19. 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 neutrophil/lymphocyte ratio and maintained cytokine secretion during chemotherapy—clear immune biomarker preservation.

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

    PubMed ID: 40644954

    Multinutrient+ω-3 lowered a composite low-grade inflammation score, reflecting improved immune/inflammatory status.

  21. 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+n‑3 rapidly raised pro-resolving mediator precursors, which modulate immune/resolution pathways.

  22. 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 omega‑3 lowered pro‑inflammatory mediators and raised pro‑resolving precursors (supports immune resolution).

  23. [Parenteral supplementation with EPA/DHA omega-3 fatty acids improves recovery prognosis in critically ill patients]

    PubMed ID: 36602145

    Improved clinical outcomes in critically ill patients receiving EPA/DHA (suggests immune/host‑response benefit).

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

    PubMed ID: 32044905

    Lowered CRP and TNF-α indicating systemic immuno-inflammatory modulation.

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

    PubMed ID: 29940888

    Prenatal EPA lowered maternal pro‑inflammatory cytokines (IL‑6, TNFα), indicating immune/modulatory effects in pregnancy.

  26. 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 showing downregulation of IL‑1 and TNF‑α gene expression and upregulation of PPAR‑γ (anti‑inflammatory signature).

  27. 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

    CAD trial reported reductions in inflammatory markers alongside other clinical benefits.

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

    PubMed ID: 29735019

    Strong RCT in older adults with chronic wounds showing large reductions in pro‑inflammatory cytokines (IL‑6, IL‑1β, TNF‑α).

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

    PubMed ID: 28131045

    High‑dose EPA/DHA altered immune-related gene expression (PPARA, TRAF3, CD14) consistent with immune modulation.

  30. 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

    In DMD boys, omega‑3 markedly shifted cytokine profile (↓IL‑1β/IL‑6, ↑IL‑10), indicating strong immunomodulation.

  31. 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 supplementation shifted maternal and infant cytokines toward a more anti‑inflammatory/immune‑modulating profile.

  32. Fish Oil-Derived Fatty Acids in Pregnancy and Wheeze and Asthma in Offspring

    PubMed ID: 28029926

    Maternal fish oil reduced offspring wheeze/asthma and respiratory infections, implying immune development effects.

  33. 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

    Flavonoid+fish‑oil induced antiviral/immune‑modulating blood transcriptome signatures.

  34. Effects of omega-3 fatty acid plus alpha-tocopherol supplementation on malnutrition-inflammation score, biomarkers of inflammation and oxidative stress in chronic hemodialysis patients

    PubMed ID: 27554670

    Improved malnutrition–inflammation score and antioxidant/NO markers in hemodialysis patients indicate immune/inflammatory benefit.

  35. 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 inflammatory cell markers, sepsis and organ dysfunction — direct immune/protection signal.

  36. The Effect of Krill Oil Supplementation on Exercise Performance and Markers of Immune Function

    PubMed ID: 26407095

    Krill oil increased omega‑3 index and augmented post‑exercise NK activity and IL‑2—modest immunomodulatory benefit.

  37. Omega 3 (n-3) fatty acids down-regulate nuclear factor-kappa B (NF-κB) gene and blood cell adhesion molecule expression in patients with homozygous sickle cell disease

    PubMed ID: 25976467

    In children with sickle cell, fish oil raised EPA/DHA and reduced WBC and NF‑κB expression — anti‑inflammatory/immune signalling effects.

  38. Dietary Omega-3 Fatty Acid Supplementation Reduces Inflammation in Obese Pregnant Women: A Randomized Double-Blind Controlled Clinical Trial

    PubMed ID: 26340264

    Omega‑3 in obese pregnant women reduced systemic CRP and lowered inflammatory gene expression in adipose and placenta (immune/inflammatory modulation).

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

    PubMed ID: 26074314

    EPA/DHA differentially changed immune‑related PBMC gene expression after 6 weeks, showing direct immunomodulatory effects.

  40. 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

    Large RCT in children showed DHA/EPA reduced illness days and prevented iron-related increases in respiratory illness.

  41. 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 PN reduced inflammatory markers and markedly fewer postoperative infections.

  42. 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 transcriptome changes after 7 wks indicated modulation of immune‑related pathways (cell cycle/ER stress/apoptosis).

  43. Omega-3 fatty acid supplementation during pregnancy and respiratory symptoms in children

    PubMed ID: 24626819

    Prenatal DHA reduced some infant respiratory symptoms in offspring of allergic mothers, indicating neonatal immune/airway benefit.

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

    PubMed ID: 25204316

    Lowered LPS‑induced endothelial chemokine expression (RANTES, MCP‑1) in dialysis patients, indicating immune signalling effects.

  45. 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

    7‑day preoperative n‑3 shifted neutrophil eicosanoids toward less‑inflammatory profiles (LTB5/5‑HEPE increases).

  46. Efficacy of fish oil on serum of TNF α , IL-1 β , and IL-6 oxidative stress markers in multiple sclerosis treated with interferon beta-1b

    PubMed ID: 23861993

    Large RCT in MS showed marked reductions in proinflammatory cytokines and NO products over 12 months, indicating strong immune‑modulatory effects.

  47. Omega-3 fatty acids reduce adipose tissue macrophages in human subjects with insulin resistance

    PubMed ID: 23328126

    In insulin‑resistant subjects fish oil reduced adipose inflammatory macrophages and MCP‑1 and increased capillaries—direct tissue immune/inflammatory changes.

  48. Modulation of DNA methylation states and infant immune system by dietary supplementation with ω-3 PUFA during pregnancy in an intervention study

    PubMed ID: 23761484

    Maternal DHA altered global/newborn immune‑cell methylation patterns (especially in smokers), suggesting developmental immune modulation.

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

    PubMed ID: 24190860

    High‑dose omega‑3 blunted LPS‑evoked fever and trended to lower inflammatory responses to endotoxin.

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

    PubMed ID: 23531329

    Prenatal EPA/DHA changed cord Th2/Th1 chemokine ratios toward less Th2 dominance, indicating immune programming.

  51. Effect of n-3 supplementation on hyperactivity, oxidative stress and inflammatory mediators in children with attention-deficit-hyperactivity disorder

    PubMed ID: 24568073

    EPA+DHA reduced CRP/IL-6 and raised antioxidant enzymes in children with ADHD — anti-inflammatory/immune modulation.

  52. 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 FO reduced atopic eczema and egg sensitisation in infants — clear immune/allergy-relevant clinical signals.

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

    PubMed ID: 22929118

    3-month FO produced large RBC index rise and broad immune-related gene expression changes, implying immune modulation potential.

  54. DHA supplementation during pregnancy and lactation affects infants' cellular but not humoral immune response

    PubMed ID: 21941411

    Maternal DHA changed infant lymphocyte subsets and lowered some proinflammatory cytokine production — mechanistic immune effects.

  55. 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

    Randomized maternal EPA+DHA reduced IgE‑associated allergic disease in infants — strong RCT evidence for immune modulation in offspring.

  56. Fish oil supplementation improves neutrophil function during cancer chemotherapy

    PubMed ID: 22160495

    Prevented chemotherapy‑associated neutrophil loss and improved neutrophil function — direct immunoprotective signal.

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

    PubMed ID: 22079797

    Septic neonates had increased leukocyte DHA and greater IL‑1β reduction with milder clinical course.

  58. 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

    Perioperative IV EPA/DHA sharply reduced TNF‑α in infants — strong anti‑inflammatory/immune effect in high‑risk patients.

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

    PubMed ID: 20545703

    Children with asthma had reduced exhaled NO and raised EPA—evidence of airway immune/inflammatory modulation.

  60. 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

    In HIV patients, fish oil shifted leukotriene profiles toward anti-inflammatory LTB5 and modestly lowered triglycerides, indicating immune/inflammatory modulation.

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

    PubMed ID: 19515734

    PBMC transcription shifted toward anti-inflammatory/anti‑atherogenic patterns indicating modulation of immune-cell activity.

  62. 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

    Randomized trial in children showed fewer and shorter respiratory illnesses and altered TGF-β1, directly supporting immune-protective effects.

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

    PubMed ID: 18241260

    High-dose DHA reduced eczema severity and suppressed IgE synthesis in PBMCs, indicating immune-modulating effects in allergic disease.

  64. Decreased cord blood IL-4, IL-13, and CCR4 and increased TGF-beta levels after fish oil supplementation of pregnant women

    PubMed ID: 17980419

    Maternal fish oil shifted neonatal immune markers (TH2 down, TGF-β up), showing immune effects.

  65. A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosus

    PubMed ID: 17875549

    SLE RCT lowered disease activity and oxidative stress, implying immunomodulatory benefit.

  66. 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

    High‑dose FO reduced T‑cell activation marker (CD25) in atopic dermatitis/psoriasis patients—direct immunomodulation.

  67. 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 reduction in monocyte tissue-factor activity suggests modulation of immune/inflammatory cell function.

  68. Dietary fish oil and olive oil supplementation in patients with rheumatoid arthritis. Clinical and immunologic effects

    PubMed ID: 2363736

    Reduced macrophage IL-1 and LTB4 in RA indicates immune/inflammatory modulation relevant to autoimmune disease.

  69. Reduced ex vivo stimulated IL-6 response in infants randomized to fish oil from 9 to 18 months, especially among PPARG2 and COX2 wild types

    PubMed ID: 25498245

    Infant RCT: fish oil reduced stimulated IL‑6 (immune cytokine) in certain genotypes, indicating immune modulation.

  70. Effects of hydrolyzed collagen alone or in combination with fish oil on the gut microbiome in patients with major burns

    PubMed ID: 38114377

    Prevention of Bifidobacterium decline with added ω‑3 suggests a gut‑immune modulatory effect in burn patients.

  71. The clinical effect of dietary supplementation with omega-3 fish oils and/or copper in systemic lupus erythematosus

    PubMed ID: 15290734

    Modest symptomatic improvement in SLE activity (SLAM‑R), suggesting immunomodulatory benefit.

  72. Effect of marine oils supplementation on coagulation and cellular activation in whole blood

    PubMed ID: 8614301

    Marine oils reduced inflammatory markers (TNF) and monocyte tissue-factor activity, supporting immunomodulation.

  73. Early enteral feeding in postsurgical cancer patients. Fish oil structured lipid-based polymeric formula versus a standard polymeric formula

    PubMed ID: 8604913

    Postoperative fish‑oil feeding associated with fewer infections and complications, a clinically meaningful immune‑related outcome.

  74. Maternal fish oil supplementation in pregnancy modifies neonatal leukotriene production by cord-blood-derived neutrophils

    PubMed ID: 17596121

    Maternal supplementation reduced neonatal inflammatory leukotriene production and neonatal IL-6 responses (perinatal immune modulation).

  75. Influence of a total parenteral nutrition enriched with omega-3 fatty acids on leukotriene synthesis of peripheral leukocytes and systemic cytokine levels in patients with major surgery

    PubMed ID: 9042869

    Postoperative omega‑3 TPN clearly shifted leukotrienes to less inflammatory forms and lowered TNF‑α, showing strong immunomodulation.

  76. Arginine, glutamine, and fish oil supplementation in cancer patients treated with concurrent chemoradiotherapy: A randomized control study

    PubMed ID: 31146957

    Arginine/glutamine/fish‑oil nutrition in cancer patients lowered severe hematologic toxicities and improved treatment completion—suggests immune/host‑supportive effects (multi‑nutrient).

  77. Efficacy of preoperative immunonutrition in locally advanced pancreatic cancer undergoing irreversible electroporation (IRE)

    PubMed ID: 28162818

    Preop immunonutrition (including fish oil) before IRE reduced complications and shortened LOS, consistent with improved perioperative immune outcomes (multi‑nutrient study).

  78. Immunonutrition suppresses acute inflammatory responses through modulation of resolvin E1 in patients undergoing major hepatobiliary resection

    PubMed ID: 26965712

    Preoperative EPA‑enriched immunonutrition reduced postoperative infections and raised resolvin E1 while lowering IL‑6—direct immunomodulatory evidence.

  79. Randomized study of antiinflammatory and immune-modulatory effects of enteral immunonutrition during concurrent chemoradiotherapy for esophageal cancer

    PubMed ID: 24274379

    Enteral immunonutrition including ω‑3 blunted CRP and TNF rises during chemoradiotherapy—clinically relevant immunomodulation.

  80. A randomized clinical trial with two doses of a omega 3 fatty acids oral and arginine enhanced formula in clinical and biochemical parameters of head and neck cancer ambulatory patients

    PubMed ID: 23661523

    Omega‑3/arginine oral nutrition improved blood protein and immune markers in post‑surgical head & neck patients (small RCT).

  81. Effect of perioperative immuno-enhanced enteral nutrition on inflammatory response, nutritional status, and outcomes in head and neck cancer patients undergoing major surgery

    PubMed ID: 21058198

    Perioperative enteral immunonutrition lowered complication rates after head & neck surgery.

  82. Attenuation of the systemic inflammatory response and infectious complications after gastrectomy with preoperative oral arginine and omega-3 fatty acids supplemented immunonutrition

    PubMed ID: 19629583

    Arginine+omega‑3 periop formula reduced infections and shortened SIRS—strong clinical signal (multi‑nutrient).

  83. Immunoenhanced enteral nutrition formulas in head and neck cancer surgery: a prospective, randomized clinical trial

    PubMed ID: 18449445

    Small RCT of immune‑enhanced feeds showed fewer postoperative infections.

  84. Effect of early postoperative enteral immunonutrition on wound healing in patients undergoing surgery for gastric cancer

    PubMed ID: 15681102

    Perioperative immunonutrition (includes omega‑3) reduced wound complications and improved collagen—supports host defense.

  85. Effects of postoperative enteral immune-enhancing diet on plasma endotoxin level, plasma endotoxin inactivation capacity and clinical outcome

    PubMed ID: 16196295

    Enteral omega‑3 improved endotoxin‑inactivation capacity and slightly shorter hospital stay — immunologic functional effect.

  86. Role of enteral immunonutrition in patients with gastric carcinoma undergoing major surgery

    PubMed ID: 15851366

    Postoperative immunonutrition improved protein markers and immune/inflammatory parameters (arginine/glutamine + n‑3).

  87. Nutritional approach in malnourished surgical patients: a prospective randomized study

    PubMed ID: 11822956

    Perioperative immunonutrition in malnourished GI cancer patients reduced complications and LOS; included omega‑3s.

  88. Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer

    PubMed ID: 12464864

    Large randomized study showed reduced postop infection rates and immune/gut improvements with preop arginine + n‑3 supplementation.

  89. [The role of immune enhanced enteral nutrition on plasma amino acid, gut permeability and clinical outcome (a randomized, double blind, controlled, multi-center clinical trail with 120 cases)]

    PubMed ID: 12905875

    Multicenter RCT improved plasma arginine, IgM and CD3/CD4 indices and shortened hospital stay with immune‑enhanced feeds including n‑3.

  90. Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients

    PubMed ID: 11819790

    Double‑blind trial in GI cancer surgery improved cellular immune function and lowered inflammatory markers (multi‑nutrient).

  91. An immune-enhancing enteral diet reduces mortality rate and episodes of bacteremia in septic intensive care unit patients

    PubMed ID: 10752808

    Multicenter ICU RCT showed reduced mortality and bacteremia with enriched immunonutrition that included omega‑3s.

  92. Outcome and cost-effectiveness of perioperative enteral immunonutrition in patients undergoing elective upper gastrointestinal tract surgery: a prospective randomized study

    PubMed ID: 10593328

    Large multicenter trial showed fewer early postop infections with an omega‑3 containing formula.

  93. A prospective, randomized clinical trial on perioperative feeding with an arginine-, omega-3 fatty acid-, and RNA-enriched enteral diet: effect on host response and nutritional status

    PubMed ID: 10574478

    Perioperative immunonutrition improved short‑half‑life proteins and reduced pro‑inflammatory cytokines (multi‑nutrient).

  94. Early postoperative enteral immunonutrition: clinical outcome and cost-comparison analysis in surgical patients

    PubMed ID: 9295822

    Large RCT found fewer late postoperative infections with immunonutrition (includes n‑3), strong clinical immune signal though combined nutrients.

  95. A randomized trial of isonitrogenous enteral diets after severe trauma. An immune-enhancing diet reduces septic complications

    PubMed ID: 8857857

    Severe‑trauma RCT: immune‑enhancing (including fish‑oil) enteral feed markedly reduced septic complications and LOS.

  96. Early postoperative enteral nutrition with arginine-omega-3 fatty acids and ribonucleic acid-supplemented diet versus placebo in cancer patients: an immunologic evaluation of Impact

    PubMed ID: 7536138

    Small RCT showed improved T‑cell/antibody measures with omega‑3 containing formula; supports immune support but confounded.

  97. Benefits of early postoperative enteral feeding in cancer patients

    PubMed ID: 8924741

    Postoperative cancer patients fed omega‑3 formula had better nutrition/immunity markers and fewer/severe infections.

  98. Modulation of postoperative immune response by enteral nutrition with a diet enriched with arginine, RNA, and omega-3 fatty acids in patients with upper gastrointestinal cancer

    PubMed ID: 7539633

    Small study: enteral formula with omega‑3 altered postoperative cytokines and accelerated immune recovery (multi‑nutrient confounder).

  99. 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‑containing enteral formula showed fewer infections and shorter hospital stays, strong clinical immune benefit.

  100. Enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids in patients after operation: immunologic, metabolic, and clinical outcome

    PubMed ID: 1377838

    Postoperative enteral feed with omega‑3 reduced infections and improved nitrogen balance; clinically meaningful immune outcomes.

  101. Arachidonic acid and docosahexaenoic acid levels correlate with the inflammation proteome in extremely preterm infants

    PubMed ID: 38603973

    AA and DHA levels strongly associated with hundreds of inflammation‑related proteins over 100 days, showing immune/inflammatory modulation.

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

    PubMed ID: 37121228

    Randomized ARA+DHA reduced IL‑6 AUC in very preterm infants, indicating modulation of postnatal inflammatory/immune responses.

  103. Mechanistic insights into the health benefits of fish-oil supplementation against fine particulate matter air pollution: a randomized controlled trial

    PubMed ID: 36309727

    Fish‑oil blunted PM2.5‑induced pro‑inflammatory lipid‑mediator changes in adults, suggesting protective immune modulation.

  104. Effect of arachidonic and docosahexaenoic acid supplementation on respiratory outcomes and neonatal morbidities in preterm infants

    PubMed ID: 36473425

    Enteral ARA+DHA shortened respiratory support in preterms (likely via reduced inflammatory lung injury).

  105. Reduction of Arachidonate Is Associated With Increase in B-Cell Activation Marker in Infants: A Randomized Trial

    PubMed ID: 27276431

    Infant ARA intake influenced lymphocyte ARA and a B‑cell activation marker (CD54) — direct immune biomarker effect.

  106. 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 was associated with fewer IgE-related allergic diseases in infants (immune effect via milk).

  107. 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 shifted EPA/DHA and AA ratios in septic patients; ratio reduction correlated with survival (immune modulation).

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

    PubMed ID: 24736647

    Fish oil increased neutrophil electrophilic ω‑3 derivatives (bioactive immune modulators).

  109. Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy

    PubMed ID: 24589090

    Randomized preoperative immunonutrition (fish‑oil/arginine) reduced infectious complications and lowered PGE2 while increasing EPA—direct clinical immune benefit.

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

    PubMed ID: 22805468

    Large RCT of postnatal fish oil raised infant n‑3 status and shifted cytokine responses toward Th1 (immune biomarker change).

  111. The impact of early nutrition on incidence of allergic manifestations and common respiratory illnesses in children

    PubMed ID: 20227721

    DHA/ARA formula reduced URI and allergic disease incidence in children—direct clinical immune benefit.

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

    PubMed ID: 18493214

    AA+DHA changed T‑cell/monocyte activation and adhesion markers in children (immunophenotype shifts).

  113. 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

    Randomized pediatric Crohn trial: fish-oil reduced relapse rates and raised RBC EPA/DHA, strong clinical immune effect.

  114. Improved fatty acid and leukotriene pattern with a novel lipid emulsion in surgical patients

    PubMed ID: 16041475

    Postop n‑3 emulsion altered leukotriene patterns (LTB5/LTB4) and shortened hospital stay.

  115. 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 with reduced IFN-γ and PGE2—meaningful immunomodulation.

  116. The influence of different combinations of gamma-linolenic, stearidonic and eicosapentaenoic acids on the fatty acid composition of blood lipids and mononuclear cells in human volunteers

    PubMed ID: 15120716

    Controlled feeding altered EPA/DGLA/AA in immune cells, indicating modulation of immune lipid profile.

  117. Inhibition of leukotriene synthesis, pharmacokinetics, and tolerability of a novel dietary fatty acid formulation in healthy adult subjects

    PubMed ID: 12852710

    GLA+EPA emulsion reduced leukotriene biosynthesis, a key inflammatory/immune mediator.

  118. 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 reduced psoriasis severity and altered inflammatory mediator production (immune-mediated skin disease).

  119. Plasma lipid levels and platelet and neutrophil function in patients with vascular disease following fish oil and olive oil supplementation

    PubMed ID: 1328817

    Reduced neutrophil LTB4 and shifted leukotriene profile toward less-inflammatory products.

  120. 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

    RCT in obese adults showed ω‑3 activated FFAR4 in PBMCs and reduced proinflammatory cytokines (TNF‑α, IL‑6) indicating immune‑modulating effects.

  121. 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

    Increased anti‑inflammatory EPA/DHA‑derived lipid mediators after fatty‑fish feeding—biochemical immune‑modulating signal.

  122. EPA+DHA, but not ALA, Improved Lipids and Inflammation Status in Hypercholesterolemic Adults: A Randomized, Double-Blind, Placebo-Controlled Trial

    PubMed ID: 30900815

    Reduced PBMC inflammatory cytokine production (IL‑6/TNF‑α) with EPA+DHA—direct immune modulation 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

    SDA oil raised EPA/DPA and increased LPS‑stimulated IL‑10 (anti‑inflammatory), indicating immune modulation.

  124. Clinical Benefits of n-3 PUFA and ɤ-Linolenic Acid in Patients with Rheumatoid Arthritis

    PubMed ID: 28346333

    Fish oil reduced RA inflammatory activity and pain, reflecting immune/inflammatory benefits.

  125. 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 in preterms lowered IL‑6/IL‑8 and raised ω‑3 — direct anti‑inflammatory/immune modulation.

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

    PubMed ID: 25240692

    DHA‑enriched dietary oil reduced IL1B expression and hs‑CRP, signifying reduced proinflammatory signalling.

  127. 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

    Postoperative omega‑3 lipid emulsion raised EPA and was linked to lower PCT and LTB4 in infants, indicating modulation of immune/inflammatory responses.

  128. 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 cluster‑RCT in schoolchildren showed fewer and shorter infection episodes with higher n‑3 intake.

  129. The impact of microbial immune enteral nutrition on the patients with acute radiation enteritis in bowel function and immune status

    PubMed ID: 24366547

    Enteral formula including deep‑sea fish oil improved cellular immune parameters and symptoms in radiation enteritis patients.

  130. EFFECTS OF STANDARD AND/OR GLUTAMINE DIPEPTIDE AND/OR OMEGA-3 FATTY ASCID-SUPPLEMENTED PARENTERAL NUTRITION ON NEUTROPHIL FUNCTIONS, INTERLEUKIN-8 LEVEL AND LENGTH OF STAY--A DOUBLE BLIND,CONTROLLED, RANDOMISED STUDY

    PubMed ID: 26866103

    Short TPN trial showed improved neutrophil phagocytosis with omega‑3 in malnourished cancer patients.

  131. Intravenous fish oil containing lipid emulsion attenuates inflammatory cytokines and the development of bronchopulmonary dysplasia in very premature infants: A double-blind, randomized controlled trial

    PubMed ID: 29941233

    Early IV fish-oil in very preterm infants reduced inflammatory cytokines and lowered bronchopulmonary dysplasia risk (immune/inflammatory mediated).

  132. Effectiveness of ω-3 Polyunsaturated Fatty Acids Based Lipid Emulsions for Treatment of Patients after Hepatectomy: A Prospective Clinical Trial

    PubMed ID: 27322311

    Post-hepatectomy ω-3 PN lowered complications (including infectious) and inflammation.

  133. Effects of ω-3 fish oil lipid emulsion combined with parenteral nutrition on patients undergoing liver transplantation

    PubMed ID: 22421017

    Ω-3–supplemented PN lowered infectious morbidity after liver transplant.

  134. Effect of parenteral fish oil lipid emulsion in parenteral nutrition supplementation combined with enteral nutrition support in patients undergoing pancreaticoduodenectomy

    PubMed ID: 22699972

    Perioperative fish oil reduced infectious complications after pancreatic surgery.

  135. Influence of n-3 polyunsaturated fatty acids enriched lipid emulsions on nosocomial infections and clinical outcomes in critically ill patients: ICU lipids study

    PubMed ID: 25226273

    Randomized ICU trial: fish-oil–containing parenteral lipids significantly reduced nosocomial infections and increased infection‑free days (clinically meaningful immune benefit).

  136. [Effects of omega-3 polyunsaturated fatty acids on postoperative inflammatory reaction and clinical efficacy]

    PubMed ID: 26211765

    Post‑op RCT: ω‑3 reduced SIRS and inflammatory cytokines and sped recovery — supports immunomodulatory benefit.

  137. [Clinical application of enteral immune nutrition for chronic obstructive pulmonary disease patients]

    PubMed ID: 26178502

    Critically ill COPD patients improved weaning and lowered IL‑6 on an immune‑nutrition formula that included ω‑3 (multi‑component intervention).

  138. Enteral High Fat-Polyunsaturated Fatty Acid Blend Alters the Pathogen Composition of the Intestinal Microbiome in Premature Infants with an Enterostomy

    PubMed ID: 27856001

    Enteral fish‑oil PUFA in preterm infants associated with fewer suspected sepsis episodes and microbiome shifts — suggests immune benefits in neonates.

  139. n-3 fatty acid-based parenteral nutrition improves postoperative recovery for cirrhotic patients with liver cancer: A randomized controlled clinical trial

    PubMed ID: 27614675

    n‑3–enriched parenteral nutrition in cirrhotic patients reduced infective complications—direct clinical immune/infection benefit.

  140. Omega-3 fatty acids, inflammatory status and biochemical markers of patients with systemic lupus erythematosus: a pilot study

    PubMed ID: 29173690

    In low‑activity SLE, omega‑3 reduced CRP (an inflammatory/immune marker), suggesting immune‑modulating effects.

  141. Beneficial Effects of Omega-3 Supplement to the Enteral Feeding in Children With Mild to Moderate Sepsis

    PubMed ID: 26704762

    Enteral ω‑3 in pediatric sepsis lowered IL‑6/CRP and shortened PICU stay and mortality—strong clinical immune/inflammatory benefit.

  142. Changes in plasma chemokine C-C motif ligand 2 levels during treatment with eicosapentaenoic acid predict outcome in patients undergoing surgery for colorectal cancer liver metastasis

    PubMed ID: 27058904

    Pre‑op EPA lowered plasma CCL2 (pro‑tumour chemokine); biomarker change suggests immune/inflammatory modulation.

  143. Efficacy of Omega-3 in Treatment of Recurrent Aphthous Stomatitis: A Randomised, Double-blind, Placebo-controlled Study

    PubMed ID: 27622219

    Oral ω‑3 reduced pain and ulcer recurrence in recurrent aphthous stomatitis, implying mucosal immune/inflammatory modulation.

  144. Effect of omega 3 polyunsaturated fatty acids derived from fish oil in major burn patients: A prospective randomized controlled pilot trial

    PubMed ID: 28153504

    Enteral fish‑oil nutrition in major burns reduced severe sepsis/septic shock rates, consistent with immune‑supportive effects.

  145. Metabolic Response to Omega-3 Fatty Acids and Vitamin E Co-Supplementation in Patients with Fibrocystic Breast Disease: A Randomized, Double-Blind, Placebo-Controlled Trial

    PubMed ID: 28846009

    Significant hs‑CRP reduction in ω‑3+vitamin‑E group indicates anti‑inflammatory/immune effects (co‑supplementation caveat).

  146. Beneficial effect of n-3 polyunsaturated fatty acids on inflammation and analgesic use in psoriatic arthritis: a randomized, double blind, placebo-controlled trial

    PubMed ID: 28303758

    Modulated leukotriene production and reduced analgesic use in psoriatic arthritis → immune/inflammatory modulation.

  147. Effect of Omega-3 Polyunsaturated Fatty Acids Supplementation on Body Composition and Circulating Levels of Follistatin-Like 1 in Males With Coronary Artery Disease: A Randomized Double-Blind Clinical Trial

    PubMed ID: 28826313

    hs‑CRP lowered in coronary patients after ω‑3 supplementation, consistent with reduced systemic inflammation.

  148. Beneficial Effects of n-3 Fatty Acids on Cardiometabolic and Inflammatory Markers in Type 2 Diabetes Mellitus: A Clinical Trial

    PubMed ID: 29017158

    Decreased MCP‑1 (proinflammatory chemokine) in T2DM after high‑dose n‑3 — direct anti‑inflammatory/immune modulation.

  149. Intravenous omega-3 fatty acids are associated with better clinical outcome and less inflammation in patients with predicted severe acute pancreatitis: A randomised double blind controlled trial

    PubMed ID: 32921364

    IV fish‑oil reduced CRP, leukocytes and inflammatory mediators in severe acute pancreatitis—clinically relevant immune/inflammatory effects.

  150. The effects of ω-3 fish oil emulsion-based parenteral nutrition plus combination treatment for acute paraquat poisoning

    PubMed ID: 30392424

    Parenteral fish‑oil reduced TNF‑α and other inflammatory markers and improved survival in poisoned patients, reflecting immune/inflammatory benefit.

  151. High-dose ω-3 Fatty Acid Plus Vitamin D3 Supplementation Affects Clinical Symptoms and Metabolic Status of Patients with Multiple Sclerosis: A Randomized Controlled Clinical Trial

    PubMed ID: 29982544

    MS trial (ω‑3 + vitamin D) reduced hs‑CRP and improved disability—indicative of immune/anti‑inflammatory effects (co-supplementation).

  152. Eicosapentaenoic Acid Reduces Fecal Levels of Calprotectin and Prevents Relapse in Patients With Ulcerative Colitis

    PubMed ID: 29391271

    EPA‑FFA markedly lowered fecal calprotectin and relapse rates in UC, indicating strong immune/inflammation modulation in gut.

  153. Omega-3 decreases IL-6 levels in HIV and human herpesvirus-8 coinfected patients in Uganda

    PubMed ID: 29381560

    Prevented IL‑6 rise and raised EPA/DHA in HIV/HHV‑8 patients, suggesting immune/inflammatory modulation.

  154. Oral supplementation with omega-3 fatty acids and inflammation markers in patients with chronic kidney disease in hemodialysis

    PubMed ID: 31935118

    Double‑blind RCT in hemodialysis patients showing reductions in CRP, IL‑6, TNF‑α (systemic immune/inflammatory markers).

  155. Vitamin D and marine omega 3 fatty acid supplementation and incident autoimmune disease: VITAL randomized controlled trial

    PubMed ID: 35082139

    Large RCT showing modest/ borderline reduction in autoimmune disease (confirmed+probable), implying some immune benefit.

  156. Randomized Controlled Trial of Omega-3 and -6 Fatty Acid Supplementation to Reduce Inflammatory Markers in Children with Autism Spectrum Disorder

    PubMed ID: 35013866

    In preschool ASD children, DHA+EPA+GLA reduced IL‑2 (an immune/inflammatory cytokine).

  157. Effects of EN combined with PN enriched with n-3 polyunsaturated fatty acids on immune related indicators and early rehabilitation of patients with gastric cancer: A randomized controlled trial

    PubMed ID: 35500316

    Perioperative n‑3 PN/EN raised lymphocyte subsets and reduced postoperative complications, indicating improved immune function.

  158. Immunomodulatory Effects of Omega-3 Fatty Acids in Patients with Differentiated Thyroid Cancer Before or After Radioiodine Ablation

    PubMed ID: 35293348

    Post‑radioiodine omega‑3 shifted cytokine/T‑helper ratios toward anti‑inflammatory profiles, demonstrating immunomodulatory effects.

  159. [Vitamin D like one of few prevention possibilities for autoimmune diseases?]

    PubMed ID: 35899748

    Large RCT (VITAL) reported ~22% reduction in autoimmune disease incidence with vitamin D + omega‑3; supports immune-modulating effect (though attribution to omega‑3 alone is limited).

  160. Effect of Postoperative ω-3 Fatty Acid Immunonutritional Therapy on NK Cell Gene Methylation in Elderly Patients with Gastric Cancer

    PubMed ID: 35467300

    Perioperative ω‑3 immunonutrition increased NK cell activity and altered TNF‑α promoter methylation, indicating enhanced innate immune activity.

  161. Atopic and non-atopic effects of fish oil supplementation during pregnancy

    PubMed ID: 37696621

    Large prenatal n‑3 LCPUFA RCT reduced childhood infections and non‑atopic asthma in offspring—clinically important effects on immune outcomes.

  162. Supplementation With Fish Oil in Pregnancy Reduces Gastroenteritis in Early Childhood

    PubMed ID: 34927195

    Maternal fish‑oil reduced days/episodes of gastroenteritis in offspring, indicating improved infection resistance in early childhood.

  163. Effects of Exercise and Omega-3-Supplemented, High-Protein Diet on Inflammatory Markers in Serum, on Gene Expression Levels in PBMC, and after Ex Vivo Whole-Blood LPS Stimulation in Old Adults

    PubMed ID: 36674453

    Omega‑3 added to protein+exercise lowered multiple systemic and cell inflammatory markers in older adults (biomarker evidence of immune modulation).

  164. Vitamin D and Marine n-3 Fatty Acids for Autoimmune Disease Prevention: Outcomes Two Years After Completion of a Double-Blind, Placebo-Controlled Trial

    PubMed ID: 38272846

    VITAL extension showed a sustained modest reduction in incident autoimmune disease with n‑3 supplementation (large RCT).

  165. Correction of omega-3 fatty acid deficiency and improvement in disease activity in patients with systemic lupus erythematosus treated with krill oil concentrate: a multicentre, randomised, double-blind, placebo-controlled trial

    PubMed ID: 39009356

    Krill oil produced transient reductions in SLE disease activity and corrected omega‑3 deficiency, indicating immunomodulatory benefit in autoimmune disease.

  166. Impact of Omega-3 Fatty Acid Supplementation in Parenteral Nutrition on Inflammatory Markers and Clinical Outcomes in Critically Ill COVID-19 Patients: A Randomized Controlled Trial

    PubMed ID: 39339646

    Parenteral omega‑3 in critically ill COVID‑19 lowered inflammatory markers and shortened LOS, consistent with improved immune/inflammatory control.

  167. Parenteral n-3 polyunsaturated fatty acids supplementation improves postoperative recovery for patients with Crohn's disease after bowel resection: a randomized, unblinded controlled clinical trial

    PubMed ID: 38569774

    Postoperative parenteral n‑3 reduced inflammatory cytokines and complications, suggesting immune‑supportive/anti‑inflammatory effects that improved outcomes.

  168. Biomarkers of oxidation, inflammation and intestinal permeability in persons with diabetes mellitus with parenteral nutrition: A multicenter randomized trial

    PubMed ID: 39672082

    n‑3 enriched PN lowered multiple proinflammatory cytokines vs other lipid emulsions, consistent with immunomodulation.

  169. Treatment of delirium in intensive care patients with sepsis using daily intravenous infusions with omega-3 fatty acids

    PubMed ID: 40643182

    IV fish‑oil in septic ICU reduced delirium/ventilator days — implies immune‑mediated clinical benefit.

  170. The Effect of Fish Oil, Vitamin D and Protein on URTI Incidence in Young Active People

    PubMed ID: 25664999

    Multi‑nutrient supplement containing fish oil reduced total URTI symptom days (−38%); design limits attribution to fish oil but supports modest immune benefit.

  171. Liver-protecting effects of omega-3 fish oil lipid emulsion in liver transplantation

    PubMed ID: 23155344

    Post-op fish-oil nutrition reduced infectious complications and hospital stay → supports immune/infection outcomes.

  172. Omega 3 Supplementation Can Regulate Inflammatory States in Gas Station Workers: A Double-Blind Placebo-Controlled Clinical Trial

    PubMed ID: 32176565

    Direct RCT evidence of lowered pro‑inflammatory cytokines (IFN‑γ, IL‑17) indicating immune modulation.

  173. Immunomodulation by lipid emulsions in pulmonary inflammation: a randomized controlled trial

    PubMed ID: 25962383

    Acute infusion reduced airway neutrophil recruitment and proinflammatory cytokines after LPS challenge—direct immune-modulating effect.

  174. Effects of growing-up milk supplemented with prebiotics and LCPUFAs on infections in young children

    PubMed ID: 24614142

    Growing-up milk with n‑3 LCPUFAs modestly reduced infection incidence in daycare children.

  175. [Impact of microbial immune enteral nutrition on postoperative insulin resistance and infectious complication of patients with abdominal infection]

    PubMed ID: 25070447

    Multi-component enteral formula including deep-sea fish oil increased CD4/NK counts and reduced postoperative infections — supports immune benefits (component attribution limited).

  176. A randomized controlled trial investigating the effects of parenteral fish oil on survival outcomes in critically ill patients with sepsis: a pilot study

    PubMed ID: 24408035

    Parenteral fish oil in sepsis lowered CRP and organ dysfunction, implying immune/inflammatory modulation.

  177. Fish oil-supplemented parenteral nutrition in patients following esophageal cancer surgery: effect on inflammation and immune function

    PubMed ID: 23368915

    Post‑op IV ω‑3 reduced procalcitonin and improved CD4/CD8 ratio—signals improved immune status.

  178. Efficacy of omega-3 in treatment of recurrent aphthous stomatitis and improvement of quality of life: a randomized, double-blind, placebo-controlled study

    PubMed ID: 24268387

    Oral ω‑3 reduced frequency, duration and pain of mouth ulcers—clinically meaningful mucosal/immune benefit.

  179. [Application of microbiological and immunological enteral nutrition in patients with gastrointestinal cancer complicated with diabetes mellitus]

    PubMed ID: 22648843

    Perioperative enteral formula including fish oil raised immune cell counts and improved clinical recovery (multi‑component intervention).

  180. [The effects of ω-3 fish oil lipid emulsion on inflammation-immune response and organ function in patients with severe acute pancreatitis]

    PubMed ID: 23327958

    IV fish‑oil in severe pancreatitis improved immune markers (CD4+/CD4:CD8) and clinical recovery markers.

  181. Untitled

    PubMed ID: 22340541

    Fish-oil–enriched TPN reduced infections and SIRS after colorectal surgery, directly supporting immune/anti-infective effects.

  182. Untitled

    PubMed ID: 22227725

    Fish‑oil parenteral nutrition reduced IL‑1/IL‑8/IFN‑γ in major‑surgery ICU patients.

  183. Untitled

    PubMed ID: 23398953

    Pre-op fish‑oil infusion improved multiple postoperative immune biomarkers (IL‑10, leukocyte function) though no clinical infection benefit.

  184. [Efficacy evaluation of an oral powder supplement enriched with eicosapentaenoic acid in cancer patients]

    PubMed ID: 22411387

    EPA-enriched supplement reduced IFN-γ in cancer patients, indicating immunomodulation.

  185. Enteral n-3 fatty acids and micronutrients enhance percentage of positive neutrophil and lymphocyte adhesion molecules: a potential mediator of pressure ulcer healing in critically ill patients

    PubMed ID: 22040465

    ICU formula including fish oil changed leukocyte adhesion markers and prevented pressure‑ulcer worsening (immune‑related), though confounded by micronutrients.

  186. The efficacy of host response modulation therapy (omega-3 plus low-dose aspirin) as an adjunctive treatment of chronic periodontitis (clinical and biochemical study)

    PubMed ID: 21261621

    Systemic omega‑3 + low‑dose aspirin shifted local gingival cytokines toward resolution and improved periodontal outcomes.

  187. Enteral nutrition with eicosapentaenoic acid, γ-linolenic acid and antioxidants in the early treatment of sepsis: results from a multicenter, prospective, randomized, double-blinded, controlled study: the INTERSEPT study

    PubMed ID: 21658240

    EPA/GLA enteral formula reduced progression to severe sepsis and organ failures — strong clinical immune/host‑response benefit.

  188. Comparison of the effects of different intravenous fat emulsions in patients with systemic inflammatory response syndrome and sepsis

    PubMed ID: 22205554

    Parenteral fish‑oil in sepsis altered cytokines (↑IL‑10, ↓TNF/IL‑6) indicating immune modulation.

  189. Randomized clinical trial of intravenous soybean oil alone versus soybean oil plus fish oil emulsion after gastrointestinal cancer surgery

    PubMed ID: 20473991

    Perioperative parenteral fish-oil reduced infectious complications and SIRS after GI cancer surgery.

  190. Reduced ex vivo interleukin-6 production by dietary fish oil is not modified by linoleic acid intake in healthy men

    PubMed ID: 19494025

    Oral fish oil reduced LPS-stimulated IL-6 production ex vivo, showing immune cell functional changes.

  191. Regulation of omega-3 fish oil emulsion on the SIRS during the initial stage of severe acute pancreatitis

    PubMed ID: 19224159

    IV fish oil reduced SIRS and cytokine signals in severe acute pancreatitis, indicating immune modulation.

  192. Fish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetes

    PubMed ID: 19394939

    Decreased TNF-α in offspring-of-diabetics trial indicates reduced systemic inflammation.

  193. Fish oil-supplemented parenteral nutrition in severe acute pancreatitis patients and effects on immune function and infectious risk: a randomized controlled trial

    PubMed ID: 19568921

    Parenteral n-3 increased IL-10 and monocyte HLA-DR, indicating immunomodulation.

  194. Impact of postoperative omega-3 fatty acid-supplemented parenteral nutrition on clinical outcomes and immunomodulations in colorectal cancer patients

    PubMed ID: 18416476

    Post-op parenteral fish oil lowered IL-6 and raised CD4+/CD8+ ratio, indicating immune-modulating effects.

  195. Omega-3 fatty acids-supplemented parenteral nutrition decreases hyperinflammatory response and attenuates systemic disease sequelae in severe acute pancreatitis: a randomized and controlled study

    PubMed ID: 18443134

    Parenteral omega-3 in severe pancreatitis reduced CRP and improved clinical inflammatory endpoints—immune-relevant.

  196. Fish oil intake compared with olive oil intake in late pregnancy and asthma in the offspring: 16 y of registry-based follow-up from a randomized controlled trial

    PubMed ID: 18614738

    Maternal fish oil reduced offspring allergic asthma long-term, implying immunomodulatory effects in development.

  197. Effect of providing a formula supplemented with long-chain polyunsaturated fatty acids on immunity in full-term neonates

    PubMed ID: 17640422

    Adding long‑chain n‑3 PUFAs to infant formula changed immune cell markers toward a breast‑fed profile.

  198. Fish oil supplementation modulates immune function in healthy infants

    PubMed ID: 17374672

    Infant trial showed increased erythrocyte n-3 and shifts in cytokine responses consistent with altered/accelerated immune maturation.

  199. The effects of fish oil and high or low linoleic acid intake on fatty acid composition of human peripheral blood mononuclear cells

    PubMed ID: 17663804

    Clear biochemical incorporation of EPA/DHA into immune cell membranes — mechanistic support for immune modulation.

  200. Evaluation of clinical safety and beneficial effects of a fish oil containing lipid emulsion (Lipoplus, MLF541): data from a prospective, randomized, multicenter trial

    PubMed ID: 17261965

    Postoperative IV fish oil changed leukotriene profile/EPA and shortened hospital stay, consistent with immune/host-response modulation.

  201. Effects of enteral feeding with eicosapentaenoic acid, gamma-linolenic acid, and antioxidants in mechanically ventilated patients with severe sepsis and septic shock

    PubMed ID: 16850002

    Enteral formula containing EPA (with GLA/antioxidants) reduced mortality in sepsis—supports immune/critical-care outcome though not fish oil–only.

  202. Omega-3 fatty acids inhibit an increase of proinflammatory cytokines in patients with active Crohn's disease compared with omega-6 fatty acids

    PubMed ID: 16305726

    Enteral omega-3 in active Crohn's blunted rises in multiple proinflammatory cytokines vs omega-6 — clinical immune/inflammation signal.

  203. The clinical value of parenteral immunonutrition in surgical patients

    PubMed ID: 15906909

    Post-op PN with omega-3 reduced infectious complications and sped recovery of immune markers.

Brain health (188)
  1. 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

    Altered emotion‑related brain connectivity with erythrocyte EPA+DHA uptake—neural effects documented though clinical change modest.

  2. 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 substantially reduced frequency/severity of breath‑holding spells (neurologic/behavioral pediatric condition), suggesting central nervous system benefit.

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

    PubMed ID: 37294565

    Neonatal high‑dose DHA increased full‑scale IQ at 5 years (mean ≈+3.45 points), indicating a meaningful neurodevelopmental benefit despite increased BPD risk.

  4. Subgroup analyses of a randomized trial of DHA supplementation for infants born preterm with assessments of cognitive development up to 7-years of age: What happens in infants born <29 weeks' gestation?

    PubMed ID: 37979339

    Subgroup of very preterm infants showed fewer low cognitive scores at 18 months with high‑DHA (transient early cognitive benefit).

  5. 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

    Depression responder biomarker changes link EPA‑derived mediators to symptomatic brain/behavior improvement.

  6. Docosahexaenoic Acid Supplementation for Neonatal Hyperbilirubinemia: A Double-Blind, Randomized Clinical Trial

    PubMed ID: 38680033

    Neonatal DHA reduced neuron‑specific enolase and abnormal MRI rates—evidence of neuroprotection in newborns with hyperbilirubinemia.

  7. 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 supplementation (alone or with folic acid) improved global cognition (full IQ) and reduced DNA oxidative damage in MCI—strong brain-support signal.

  8. 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

    Lower recurrence of late-life depression suggests neuroprotective/brain-stabilizing benefit though symptom scores did not change.

  9. Omega-3 polyunsaturated fatty acids supplementation improves memory in first-diagnosed, drug-naïve patients with depression: Secondary analysis of data from a randomized controlled trial

    PubMed ID: 38244783

    Fish-oil adjunct in depressed patients produced a small improvement in immediate memory—evidence of cognitive benefit.

  10. Effects of Prenatal DHA Dose on Infant Visual Attention

    PubMed ID: 40791013

    Higher-dose prenatal DHA improved infants' visual learning and attention heart-rate patterns—developmental brain-support outcomes.

  11. Omega 3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial

    PubMed ID: 10232294

    Prolonged remission in bipolar disorder indicates central nervous system benefit from omega‑3 supplementation.

  12. Randomized, placebo-controlled study of ethyl-eicosapentaenoic acid as supplemental treatment in schizophrenia

    PubMed ID: 12202284

    EPA adjunct improved psychiatric symptom scores in schizophrenia—direct central nervous system benefit.

  13. A dose-ranging study of the effects of ethyl-eicosapentaenoate in patients with ongoing depression despite apparently adequate treatment with standard drugs

    PubMed ID: 12365878

    EPA improved depressive symptoms in outpatient adults—supports brain/mood effects.

  14. A randomized controlled trial of the effect of fish oil supplementation in late pregnancy and early lactation on the n-3 fatty acid content in human breast milk

    PubMed ID: 15736915

    Large increases in breast‑milk DHA with maternal supplementation support infant DHA supply, relevant to early brain development.

  15. Maternal fish oil supplementation in lactation: effect on visual acuity and n-3 fatty acid content of infant erythrocytes

    PubMed ID: 15233397

    Maternal supplementation raised infant RBC DHA substantially though no group visual-acuity benefit; biomarker evidence for brain substrate increase.

  16. The Oxford-Durham study: a randomized, controlled trial of dietary supplementation with fatty acids in children with developmental coordination disorder

    PubMed ID: 15867048

    Fatty-acid supplementation improved reading and behavior in children with developmental coordination disorder.

  17. Omega-3/omega-6 fatty acids for attention deficit hyperactivity disorder: a randomized placebo-controlled trial in children and adolescents

    PubMed ID: 18448859

    Omega-3/6 supplementation led to meaningful ADHD symptom improvement in a subset (notably inattention), supporting neurodevelopmental/brain function effects in some children.

  18. The effects of omega-3 fatty acids monotherapy in Alzheimer's disease and mild cognitive impairment: a preliminary randomized double-blind placebo-controlled study

    PubMed ID: 18573585

    Omega‑3 improved global clinical impression and improved cognition in the MCI subgroup in a randomized trial (24 weeks).

  19. Comparison of therapeutic effects of omega-3 fatty acid eicosapentaenoic acid and fluoxetine, separately and in combination, in major depressive disorder

    PubMed ID: 18247193

    EPA had antidepressant effects comparable to fluoxetine, relevant to central nervous system function.

  20. Reduction in cerebral atrophy associated with ethyl-eicosapentaenoic acid treatment in patients with Huntington's disease

    PubMed ID: 18831882

    Ethyl-EPA was associated with less regional brain atrophy in early Huntington's disease (neuroprotective signal).

  21. Childrens' learning and behaviour and the association with cheek cell polyunsaturated fatty acid levels

    PubMed ID: 20172688

    Higher cheek‑cell omega‑3 associated with fewer attention/behaviour problems in schoolchildren — supports cognitive/behavioural brain benefits.

  22. Long-chain omega-3 fatty acids for indicated prevention of psychotic disorders: a randomized, placebo-controlled trial

    PubMed ID: 20124114

    RCT in individuals at ultra‑high risk of psychosis showed marked reduction in progression to psychotic disorder and symptom/function improvement with omega‑3.

  23. EPA supplementation improves teacher-rated behaviour and oppositional symptoms in children with ADHD

    PubMed ID: 20491709

    In children with ADHD, 0.5 g/day EPA for 15 weeks improved teacher‑rated inattention and produced substantial responder effects in oppositional subgroup — clinically relevant cognitive benefit.

  24. A randomized controlled intervention with fish oil versus sunflower oil from 9 to 18 months of age: exploring changes in growth and skinfold thicknesses

    PubMed ID: 21691253

    Infant fish oil increased erythrocyte n‑3 PUFA substantially (biomarker of brain‑relevant DHA availability) though clinical effects on fat mass were minimal.

  25. Effects of duration of treatment and dosage of eicosapentaenoic acid and stearidonic acid on red blood cell eicosapentaenoic acid content

    PubMed ID: 22064208

    Demonstrated dose‑dependent RBC EPA incorporation from EPA and SDA — strong biomarker relevance for brain DHA/EPA delivery considerations.

  26. The effect of phosphatidylserine containing Omega3 fatty-acids on attention-deficit hyperactivity disorder symptoms in children: a double-blind placebo-controlled trial, followed by an open-label extension

    PubMed ID: 21807480

    PS+DHA formulation improved some ADHD behavioral ratings in older children/adolescents—cognitive/behavioral brain support signal (product was mixed but contains omega‑3 DHA).

  27. Oxidative stress in Rett syndrome: natural history, genotype, and variants

    PubMed ID: 21888765

    In Rett syndrome (neurological disorder), omega‑3 reduced oxidative stress and improved clinical severity—neurologic/brain relevance.

  28. Untitled

    PubMed ID: 23173831

    Five weeks of 3 g/day fish-oil modestly improved working memory in healthy older adults—direct cognitive benefit.

  29. Omega-3 fatty acids are protective against paclitaxel-induced peripheral neuropathy: a randomized double-blind placebo controlled trial

    PubMed ID: 22894640

    Oral ω‑3 during paclitaxel chemotherapy reduced incidence of peripheral neuropathy and preserved sensory nerve amplitude (neural protection).

  30. Long-chain omega-3 fatty acids improve brain function and structure in older adults

    PubMed ID: 23796946

    26‑week LC‑n3 improved executive function and structural brain measures in healthy older adults (strongest direct brain outcome).

  31. Evaluation of the effect of omega-3 fatty acids in the treatment of premenstrual syndrome: "a pilot trial"

    PubMed ID: 23642943

    Omega-3 reduced depressive and anxiety symptoms in women with PMS—support for mood/brain effects.

  32. Effect of omega-3 fatty acids for indicated prevention of young patients at risk for psychosis: when do they begin to be effective?

    PubMed ID: 23778032

    RCT in ultra-high-risk youth showed omega-3 reduced overall and domain-specific psychiatric symptoms over 12 weeks.

  33. Omega-3 supplementation and loneliness-related memory problems: secondary analyses of a randomized controlled trial

    PubMed ID: 25264972

    Higher-dose omega-3 (2.5 g/d) prevented loneliness-related decline in immediate and delayed verbal episodic memory with plasma biomarker correlation — direct cognitive benefit.

  34. Reduction in behavior problems with omega-3 supplementation in children aged 8-16 years: a randomized, double-blind, placebo-controlled, stratified, parallel-group trial

    PubMed ID: 25146492

    Large pediatric RCT showed sustained reductions in behavior problems — supports neurodevelopmental/behavioral brain benefits.

  35. Diet-induced changes in iron and n-3 fatty acid status and associations with cognitive performance in 8-11-year-old Danish children: secondary analyses of the Optimal Well-Being, Development and Health for Danish Children through a Healthy New Nordic Diet School Meal Study

    PubMed ID: 26359192

    School‑meal intervention increased EPA+DHA status and was associated with modest reading performance gains, supporting cognitive/brain benefits in children.

  36. Longer-term outcome in the prevention of psychotic disorders by the Vienna omega-3 study

    PubMed ID: 26263244

    Randomized, double‑blind trial in at‑risk youth showing marked reduction in transition to psychosis and long‑term symptom/function improvements — strong neuroprotective/brain support evidence.

  37. Plasma Fatty Acid Profiles in Relation to Cognition and Gender in Alzheimer's Disease Patients During Oral Omega-3 Fatty Acid Supplementation: The OmegAD Study

    PubMed ID: 26402079

    In AD patients, greater plasma ω‑3 increases during supplementation associated with slower cognitive decline on ADAS‑cog over 6 months — supports cognitive/brain benefit.

  38. Effect of Omega-3 Fatty Acids on Depressive Symptoms in HIV-Positive Individuals: A Randomized, Placebo-Controlled Clinical Trial

    PubMed ID: 27323793

    Omega‑3 improved depressive symptoms (cognitive/affective domain) in HIV‑positive patients (RCT).

  39. Omega 3/6 fatty acids for reading in children: a randomized, double-blind, placebo-controlled trial in 9-year-old mainstream schoolchildren in Sweden

    PubMed ID: 27545509

    Three‑month randomized trial in 9–10‑year‑olds: omega‑3/6 improved specific reading skills, especially in attention‑impaired children—direct cognitive benefit.

  40. Association between Blood Omega-3 Index and Cognition in Typically Developing Dutch Adolescents

    PubMed ID: 26729157

    Higher blood EPA+DHA in adolescents associated with faster information processing and fewer attention errors—robust cross‑sectional cognitive association.

  41. Efficacy and Safety of Omega-3/6 Fatty Acids, Methylphenidate, and a Combined Treatment in Children With ADHD

    PubMed ID: 24464327

    Ω‑3/6 supplementation reduced ADHD symptoms and augmented methylphenidate effects—clinical neurobehavioral benefit in children.

  42. A Mediterranean-style dietary intervention supplemented with fish oil improves diet quality and mental health in people with depression: A randomized controlled trial (HELFIMED)

    PubMed ID: 29215971

    Dietary program including fish oil improved depressive symptoms and mental‑health QoL, relevant to brain/mental health.

  43. Can polymorphisms in the fatty acid desaturase (FADS) gene cluster alter the effects of fish oil supplementation on plasma and erythrocyte fatty acid profiles? An exploratory study

    PubMed ID: 28929400

    Infant DHA accumulation with fish‑oil supplementation (genotype‑dependent) supports early brain development relevance.

  44. Fatty fish intake and attention performance in 14-15 year old adolescents: FINS-TEENS - a randomized controlled trial

    PubMed ID: 28969711

    Adolescents consuming fatty fish had small but significant processing‑speed improvements vs meat/supplements — cognitive/brain support signal.

  45. Psychoeducational Psychotherapy and Omega-3 Supplementation Improve Co-Occurring Behavioral Problems in Youth with Depression: Results from a Pilot RCT

    PubMed ID: 27604240

    Omega‑3 improved attention and behavioral problems in depressed children/adolescents — direct neuropsychiatric benefit.

  46. Telomerase level increase is related to n-3 polyunsaturated fatty acid efficacy in first episode schizophrenia: Secondary outcome analysis of the OFFER randomized clinical trial

    PubMed ID: 29241838

    First‑episode schizophrenia RCT showed telomerase increase correlated with symptom improvement after n‑3 — biological and clinical brain‑relevant effect.

  47. Predictors of longer-term outcome in the Vienna omega-3 high-risk study

    PubMed ID: 28823721

    Greater increases in EPA predicted lower long-term transition to psychosis—associative evidence linking EPA changes to brain-related outcomes.

  48. Omega-3 supplementation associated with improved parent-rated executive function in youth with mood disorders: secondary analyses of the omega 3 and therapy (OATS) trials

    PubMed ID: 29063592

    RCT evidence of improved executive functioning in youth with mood disorders supports cognitive/brain benefits of omega-3.

  49. Effect of Omega-3 and -6 Supplementation on Language in Preterm Toddlers Exhibiting Autism Spectrum Disorder Symptoms

    PubMed ID: 28748334

    Omega‑3/6 in preterm toddlers increased gesture use (early social communication) — developmental brain/communication benefit.

  50. Cognitive Changes with Omega-3 Polyunsaturated Fatty Acids in Non-Demented Older Adults with Low Omega-3 Index

    PubMed ID: 29083439

    Three-year supplementation in older adults with low omega-3 status improved an executive function test (COWAT)—supportive long-term cognitive evidence.

  51. High-dose ω-3 Fatty Acid Plus Vitamin D3 Supplementation Affects Clinical Symptoms and Metabolic Status of Patients with Multiple Sclerosis: A Randomized Controlled Clinical Trial

    PubMed ID: 29982544

    MS trial showed clinical disability improvement plus anti‑inflammatory effects—relevant to CNS disease-modification/brain support (co‑supplemented).

  52. A potential role for adjunctive omega-3 polyunsaturated fatty acids for depression and anxiety symptoms in recent onset psychosis: Results from a 16 week randomized placebo-controlled trial for participants concurrently treated with risperidone

    PubMed ID: 30241990

    Adjunctive omega‑3 improved psychosis symptoms and depression/anxiety—clinical CNS benefit in recent‑onset psychosis.

  53. Effects of Long Chain Omega-3 Polyunsaturated Fatty Acids on Brain Function in Mildly Hypertensive Older Adults

    PubMed ID: 30279397

    Physiological cerebrovascular improvements and better neurovascular coupling (pilot RCT) imply potential brain support despite no cognitive change.

  54. Impulsiveness in children with attention-deficit/hyperactivity disorder after an 8-week intervention with the Mediterranean diet and/or omega-3 fatty acids: A randomised clinical trial

    PubMed ID: 31883771

    RCT in children with ADHD (EPA+DHA) modestly lowered impulsiveness scores—evidence of neurobehavioral benefit.

  55. High-dose eicosapentaenoic acid (EPA) improves attention and vigilance in children and adolescents with attention deficit hyperactivity disorder (ADHD) and low endogenous EPA levels

    PubMed ID: 31745072

    High‑dose EPA improved focused attention (CPT measures) in children, especially those with low baseline EPA (direct cognitive benefit).

  56. An increase in plasma brain derived neurotrophic factor levels is related to n-3 polyunsaturated fatty acid efficacy in first episode schizophrenia: secondary outcome analysis of the OFFER randomized clinical trial

    PubMed ID: 31098654

    Fish oil increased plasma BDNF in first‑episode schizophrenia and BDNF change correlated with less depressive symptoms — supportive but peripheral measure and uncertain CNS translation.

  57. Efficacy of Omega-3 and Korean Red Ginseng in Children with Subthreshold ADHD: A Double-Blind, Randomized, Placebo-Controlled Trial

    PubMed ID: 32847461

    Omega‑3 + red ginseng RCT in children with subthreshold ADHD improved ADHD and behavioral ratings — suggests cognitive/attentional benefits (combination product).

  58. Effects of Omega-3 PUFAs on lipid profiles and antioxidant response in depressed adolescents: A metabolomic and lipidomic study

    PubMed ID: 40158256

    EPA/DHA incorporation correlated with antidepressant and cognitive improvement in adolescents.

  59. Eicosapentaenoic acid versus placebo as adjunctive therapy in chronic migraine: A randomized controlled trial

    PubMed ID: 39221580

    2 g/day EPA RCT produced clinically meaningful reductions in migraine days/frequency — neurological benefit.

  60. Dietary counseling plus omega-3 supplementation in the treatment of generalized anxiety disorder: results of a randomized wait-list controlled pilot trial (the 'EASe-GAD Trial')

    PubMed ID: 39316026

    Diet+omega‑3 program in GAD improved anxiety symptoms substantially—supports neurobehavioral benefits though combined intervention confounds attribution.

  61. Omega-3 Supplementation Reduces Schizotypal Personality in Children: A Randomized Controlled Trial

    PubMed ID: 38300759

    Well‑powered RCT in children showed sustained reductions in schizotypal personality scores with omega‑3—behavioral/neurological support.

  62. A 12-week randomized double-blind clinical trial of eicosapentaenoic acid intervention in episodic migraine

    PubMed ID: 38499208

    High‑dose EPA reduced monthly migraine days and disability—neurological benefit relevant to brain support.

  63. Omega-3 polyunsaturated fatty acids in the prevention of relapse in patients with stable bipolar disorder: A 6-month pilot randomized controlled trial

    PubMed ID: 38039650

    Pilot RCT in bipolar disorder showed reduced depressive relapse (CNS benefit) — suggests mood/brain support in mood‑disorder context.

  64. Twelve Weeks of Additional Fish Intake Improves the Cognition of Cognitively Intact, Resource-Limited Elderly People: A Randomized Control Trial

    PubMed ID: 35166302

    Food‑based fish intervention improved global cognition (CASI) and a visual‑construction cognitive domain in older, low‑income adults, with biochemical omega‑3 increases.

  65. Omega-3 fatty acids ameliorate cognitive dysfunction in schizophrenia patients with metabolic syndrome

    PubMed ID: 32304881

    Omega‑3 improved delayed memory in schizophrenia patients with metabolic syndrome, increased BDNF and lowered CRP, supporting neurotrophic/anti‑inflammatory brain effects.

  66. Prevention of oxaliplatin-related neurotoxicity by ω-3 PUFAs: A double-blind randomized study of patients receiving oxaliplatin combined with capecitabine for colon cancer

    PubMed ID: 33327312

    Omega‑3 reduced chemotherapy‑induced peripheral neuropathy and preserved nerve conduction and QoL, indicating neuroprotective effects relevant to nervous‑system support.

  67. Treatment of delirium in intensive care patients with sepsis using daily intravenous infusions with omega-3 fatty acids

    PubMed ID: 40643182

    IV fish‑oil in septic ICU reduced delirium days — clinically relevant brain outcome (large RCT in ICU).

  68. Supplementation of Omega-3 Increases Serum Levels of Brain-Derived Neurotrophic Factor and Decreases Depression Status in Patients With Bipolar Disorder: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

    PubMed ID: 40485144

    In bipolar disorder omega‑3 raised BDNF and reduced depression scores — neurotrophic/neuropsychiatric effect.

  69. Anti-stress effects of DHA

    PubMed ID: 11237197

    DHA blunted stress hormone (NE) responses and reduced exam‑related hostility—cognitive/emotional modulation evidence.

  70. Low essential fatty acid and B-vitamin status in a subgroup of patients with schizophrenia and its response to dietary supplementation

    PubMed ID: 16384692

    Identified schizophrenia subgroup with low omega‑3 who biochemically corrected with soybean/fish oil — direct brain‑lipid relevance.

  71. The effect of souvenaid on functional brain network organisation in patients with mild Alzheimer's disease: a randomised controlled study

    PubMed ID: 24475144

    Double‑blind RCT of a multi‑nutrient medical food containing EPA/DHA preserved EEG network organization in mild Alzheimer's vs control (surrogate brain outcome).

  72. The medical food Souvenaid affects brain phospholipid metabolism in mild Alzheimer's disease: results from a randomized controlled trial

    PubMed ID: 28747210

    Souvenaid (contains DHA/EPA) changed brain phospholipid metabolism (PME/PDE), indicating increased phospholipid anabolism in mild AD — mechanistic brain effect.

  73. Adjunctive dietary intervention for bipolar disorder: a randomized, controlled, parallel-group, modified double-blinded trial of a high n-3 plus low n-6 diet

    PubMed ID: 34218509

    Dietary increase in n‑3/L6 reduction reduced mood variability and raised EPA/DHA—mental health/brain function relevance.

  74. Neuroprotective nutrients in pregnancy and infant brain function

    PubMed ID: 40412614

    Maternal DHA associated with improved infant EEG markers (ERP/latency) indicating better early brain function.

  75. 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 correlated with poorer 1‑year neurodevelopmental scores—supports cognitive/developmental role.

  76. 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

    LCPUFA in preterm formula raised plasma DHA to breast‑milk levels—biomarker important for neonatal brain development.

  77. 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

    Randomized maternal cod‑liver‑oil supplementation produced a modest but statistically significant cognitive benefit in children at age 4.

  78. 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

    In older adults with mild cognitive impairment, EPA/DHA supplementation trended toward less telomere shortening and erythrocyte DHA correlated with less shortening — suggestive neuroprotective signal.

  79. Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial

    PubMed ID: 26169870

    Infant oily‑fish feeding increased infant DHA/EPA, supporting neurodevelopment.

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

    PubMed ID: 25633498

    High‑oleic RUTF prevented DHA decline in severely malnourished children — relevant to neurodevelopment.

  81. Predictors of treatment response in young people at ultra-high risk for psychosis who received long-chain omega-3 fatty acids

    PubMed ID: 25585167

    Fish oil reduced progression to psychosis and improved functioning in ultra‑high‑risk youth — clinically meaningful brain/mental health benefit.

  82. 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 mood‑disorder trial with clinical associations to baseline fatty acids and strong EPA/DHA biomarker changes—relevant to psychiatric/brain support.

  83. 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 raised serum DHA (especially in vegetarians/vegans)—biomarker relevant to brain DHA sufficiency.

  84. 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

    12‑month perilla+nobiletin trial increased RBC ω‑3, raised BDNF and modestly improved cognitive scores—direct brain outcome evidence.

  85. Effects of a food supplement containing phosphatidylserine on cognitive function in Chinese older adults with mild cognitive impairment: A randomized double-blind, placebo-controlled trial

    PubMed ID: 39317299

    12‑month multi‑ingredient supplement (ALA/PS etc.) raised serum n‑3s and improved some memory/thinking tests in MCI—supports cognitive benefits of n‑3 increases.

  86. A randomized placebo-controlled pilot trial of omega-3 fatty acids and alpha lipoic acid in Alzheimer's disease

    PubMed ID: 24077434

    Small pilot in mild‑moderate AD showed ω‑3+LA slowed cognitive decline and functional loss vs placebo.

  87. Cognitive response to fish oil, blueberry, and combined supplementation in older adults with subjective cognitive impairment

    PubMed ID: 29458842

    Fish oil raised RBC EPA+DHA and participants reported fewer everyday cognitive problems (subjective cognitive benefit).

  88. 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 LCP‑enriched formula restored DHA/AA levels to those of human milk — relevant to brain development (biochemical basis).

  89. Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants

    PubMed ID: 9702915

    DHA supplementation raised infant RBC DHA and produced modest VEP/visual improvements relevant to brain maturation.

  90. A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants

    PubMed ID: 10755457

    DHA‑fortified formula produced a +7‑point MDI and improved visual/mental development at 18 months (RCT).

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

    PubMed ID: 11144440

    DHA in infant formula improved retinal/visual outcomes (neurophysiologic brain measure).

  92. A multicenter long-term safety and efficacy trial of preterm formula supplemented with long-chain polyunsaturated fatty acids

    PubMed ID: 10941962

    Preterm formula raised DHA long‑term—relevance to neurodevelopmental status.

  93. Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial

    PubMed ID: 11483801

    Preterm infants: improved motor and visual neurophysiology with LCPUFA supplementation.

  94. Two double-blind placebo-controlled pilot studies of eicosapentaenoic acid in the treatment of schizophrenia

    PubMed ID: 11356585

    EPA reduced schizophrenia symptoms in pilot trials (direct CNS clinical effect).

  95. A dose-ranging exploratory study of the effects of ethyl-eicosapentaenoate in patients with persistent schizophrenic symptoms

    PubMed ID: 11755456

    Ethyl‑EPA improved psychiatric symptoms in a subgroup of schizophrenia patients — CNS/brain symptom benefit.

  96. 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

    Infant DHA+ARA improved visual maturation and increased RBC‑DHA—supporting neurodevelopment and brain substrates.

  97. 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 mental scores in boys (subgroup) indicating subgroup neurodevelopmental benefit.

  98. Growth and development of preterm infants fed infant formulas containing docosahexaenoic acid and arachidonic acid

    PubMed ID: 15812447

    Preterm infants: higher Bayley mental and psychomotor scores with DHA/ARA.

  99. The effect of fish oil on physical aggression in schoolchildren--a randomized, double-blind, placebo-controlled trial

    PubMed ID: 15741051

    Behavioral trial in children showed reduced aggression/impulsivity correlated with EPA/AA changes.

  100. Body composition in preterm infants who are fed long-chain polyunsaturated fatty acids: a prospective, randomized, controlled trial

    PubMed ID: 15718356

    Preterm infant trial: DHA+ARA linked to favorable body composition and normal growth—relevant to overall developmental outcomes.

  101. Visual maturation of term infants fed long-chain polyunsaturated fatty acid-supplemented or control formula for 12 mo

    PubMed ID: 15817866

    Term infant trial showing improved visual acuity and large RBC DHA increases — supports neural/visual development.

  102. 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 in pregnancy associated with better eye–hand coordination in toddlers (neurodevelopmental benefit).

  103. 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-supported visual acuity and IQ maturation comparable to breast-fed children at age 4 (cognitive/developmental outcomes).

  104. Improved cognitive development among preterm infants attributable to early supplementation of human milk with docosahexaenoic acid and arachidonic acid

    PubMed ID: 18519483

    Large randomized trial in very preterm infants showed improved problem‑solving scores and electrophysiologic recognition memory at 6 months.

  105. Mildly abnormal general movement quality in infants is associated with higher Mead acid and lower arachidonic acid and shows a U-shaped relation with the DHA/AA ratio

    PubMed ID: 20022733

    Observational infant study linked lower AA and altered DHA/AA ratio to motor abnormalities, suggesting fatty‑acid status relates to neurodevelopment.

  106. Three randomized controlled trials of early long-chain polyunsaturated Fatty Acid supplementation on means-end problem solving in 9-month-olds

    PubMed ID: 19765006

    Multiple randomized infant‑formula trials showed improved means‑end problem solving and cognitive scores with DHA+ARA—strong developmental brain evidence.

  107. 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

    RANDOMIZED schoolchild trial: increased EPA/DHA and improvements in verbal memory and academic tests—robust cognitive benefit in children.

  108. Attention among very low birth weight infants following early supplementation with docosahexaenoic and arachidonic acid

    PubMed ID: 20624152

    VLBW infants given DHA+AA showed better attention at 20 months, with plasma DHA correlating with attention—targeted cognitive benefit.

  109. 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

    Term‑infant randomized trial: DHA in formula produced modest but measurable improvement (~+5.7 MDI points) at 18 months.

  110. Comparison between the AA/EPA ratio in depressed and non depressed elderly females: omega-3 fatty acid supplementation correlates with improved symptoms but does not change immunological parameters

    PubMed ID: 23046564

    EPA‑rich supplementation reduced depression scores and altered fatty acid ratios, relevant to brain/mood function.

  111. Omega-3 fatty acid supplementation changes intracellular phospholipase A2 activity and membrane fatty acid profiles in individuals at ultra-high risk for psychosis

    PubMed ID: 23478748

    ω‑3 supplementation lowered inPLA2 activity and altered erythrocyte PUFA profiles in ultra‑high‑risk youth—mechanistic neuroprotective evidence.

  112. Effects of fish oil supplementation on learning and behaviour of children from Australian Indigenous remote community schools: a randomised controlled trial

    PubMed ID: 23756346

    20‑week school‑day fish oil (~750 mg/day) improved a non‑verbal cognitive test in children in a large RCT—practical cognitive benefit.

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

    PubMed ID: 23710566

    Infants with higher RBC‑DHA had more advanced spontaneous movement patterns—associative evidence tying DHA to early neurodevelopment.

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

    PubMed ID: 23783296

    Infant formula with DHA/AA led to faster information‑processing at age 6—long‑term cognitive processing benefit linked to early LC‑PUFA exposure.

  115. 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

    EPA+DHA raised RBC n‑3 and produced a small working‑memory improvement in children with ADHD—task‑specific cognitive benefit.

  116. Low Doses of Long-chain Polyunsaturated Fatty Acids Affect Cognitive Function in Elderly Japanese Men: A Randomized Controlled Trial

    PubMed ID: 25891115

    Low‑dose EPA/DHA improved P300 latency (objective cognitive electrophysiology marker) and raised blood DHA—direct evidence of neural processing effects.

  117. Reduced inattention and hyperactivity and improved cognition after marine oil extract (PCSO-524®) supplementation in children and adolescents with clinical and subclinical symptoms of attention-deficit hyperactivity disorder (ADHD): a randomised, double-blind, placebo-controlled trial

    PubMed ID: 27921139

    Marine lipid RCT in children improved some memory/cognitive measures and subgroups showed symptom improvements relevant to cognitive function.

  118. Docosahexaenoic acid (DHA) and arachidonic acid (ARA) balance in developmental outcomes

    PubMed ID: 28651697

    Large infant dose‑response trial showed optimal DHA:ARA balance improves attention/IQ up to a point (biologically and clinically relevant).

  119. 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 brain‑specific fatty acid supplementation increased several newborn brain MRI volumes (notably in males).

  120. 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

    Infant DHA/ARA supplementation produced durable differences in brain activation, connectivity and metabolites at age ~9.

  121. Factors associated with plasma n-3 and n-6 polyunsaturated fatty acid levels in Tanzanian infants

    PubMed ID: 31024091

    Maternal DHA strongly predicts infant plasma DHA — biologically relevant for early brain development.

  122. 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

    Infant FADS genotypes modulated DHA/AA responses to formula, indicating genetic influence on brain fatty acid availability and potential developmental impact.

  123. Clinical Efficacy and Biological Regulations of ω-3 PUFA-Derived Endocannabinoids in Major Depressive Disorder

    PubMed ID: 31269506

    EPA‑rich omega‑3 improved depression remission and raised an EPA‑derived endocannabinoid tied to clinical improvement — supports brain/mental health.

  124. Fatty Acid Supplementation and Socioemotional Outcomes: Secondary Analysis of a Randomized Trial

    PubMed ID: 32887793

    Preterm toddlers given DHA+AA had lower caregiver‑screening risk for ASD — evidence for neurodevelopmental benefit (screening outcome).

  125. 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

    High‑dose DHA in mild Alzheimer's raised plasma DHA/EPA and showed genotype‑dependent hippocampal volume benefits — supports brain delivery/structure.

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

    PubMed ID: 33159163

    Maternal supplementation raised milk DHA/EPA significantly—mechanistically supports infant brain development via improved HUFA supply.

  127. 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 balance predicted faster processing speed in children to age 9 in a prenatal supplementation cohort—observational but developmentally relevant.

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

    PubMed ID: 38061271

    Randomized ARA+DHA improved white‑matter microstructure (higher FA, lower radial diffusivity) at term‑equivalent age—direct evidence of brain maturation support.

  129. Effects of Long-Chain Polyunsaturated Fatty Acids in Combination with Lutein and Zeaxanthin on Episodic Memory in Healthy Older Adults

    PubMed ID: 37447152

    Combined LCPUFA trials improved episodic memory in older adults with baseline cognitive decline—randomized evidence in a vulnerable subgroup.

  130. Polyunsaturated Fatty Acid Intake during Complementary Feeding and Neurodevelopmental Outcome in Very Low Birth Weight Infants

    PubMed ID: 37513559

    Higher PUFA intake during complementary feeding in VLBW infants associated with better cognitive and motor scores at 12 months.

  131. 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 randomized trial: MCT and DHA (alone or combined) improved cognition and AD biomarker in MCI—strong RCT evidence implicating DHA for brain support.

  132. Fatty acids in ADHD: plasma profiles in a placebo-controlled study of Omega 3/6 fatty acids in children and adolescents

    PubMed ID: 22753087

    Omega‑3/6 in children with ADHD produced biochemical incorporation and was associated with clinical responders—supportive of cognitive/behavioral brain effects.

  133. The LipiDiDiet trial: what does it add to the current evidence for Fortasyn Connect in early Alzheimer's disease?

    PubMed ID: 31616139

    Fortasyn Connect (multi-nutrient including DHA) slowed clinical decline and hippocampal atrophy in prodromal AD (large RCT signal).

  134. A randomized trial comparing omega-3 fatty acid plasma levels after ingestion of emulsified and non-emulsified cod liver oil formulations

    PubMed ID: 30106311

    Emulsified cod‑liver oil gave substantially higher EPA/DHA exposure — improved bioavailability plausibly supports brain DHA/EPA delivery and brain health.

  135. The Neuromodulatory Effects of ω-3 Fatty Acids and Nano-Curcumin on the COX-2/ iNOS Network in Migraines: A Clinical Trial Study from Gene Expression to Clinical Symptoms

    PubMed ID: 30760195

    Combination ω‑3 + nano-curcumin reduced headache frequency/severity and inflammatory gene expression — relevant to brain/neurologic symptom control.

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

    PubMed ID: 8541278

    Maternal fish oil increased neonatal DHA status — biologically important for fetal/infant brain development.

  137. Kinetics of the incorporation of dietary fatty acids into serum cholesteryl esters, erythrocyte membranes, and adipose tissue: an 18-month controlled study

    PubMed ID: 9374124

    Quantitative kinetics of EPA/DHA uptake into erythrocytes and adipose indicate long‑term tissue accrual relevant to brain DHA status.

  138. 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

    Infant visual and sensory improvements from LCP formula are CNS-mediated and support brain development relevance.

  139. 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

    Prenatal supplementation raised maternal and cord DHA substantially — biologic substrate for fetal brain development even though clinical outcomes were unchanged.

  140. Cognitive findings of an exploratory trial of docosahexaenoic acid and lutein supplementation in older women

    PubMed ID: 18510807

    Small RCT in older women found improved verbal fluency and some memory measures with DHA (and lutein), indicating cognitive/brain benefits in this group.

  141. 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 children with attention problems: EPA/DHA (especially phospholipid‑bound) raised blood n‑3s and significantly improved sustained attention—direct cognitive benefit.

  142. Beneficial effects of docosahexaenoic acid on cognition in age-related cognitive decline

    PubMed ID: 20434961

    900 mg/day DHA for 24 weeks modestly improved episodic and recognition memory and doubled plasma DHA in older adults.

  143. 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

    DHA dosing in boys altered cortical activation during attention and correlated with faster reaction times—mechanistic brain effects.

  144. 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

    In older adults with MCI, EPA/DHA improved depressive symptoms and DHA improved verbal fluency—suggests cognitive/mood benefits in vulnerable adults.

  145. 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

    Provision of two portions/week of salmon during pregnancy substantially raised maternal and cord EPA/DHA—biomarker support for fetal brain substrate supply (no clinical outcomes reported here).

  146. Docosahexaenoic acid-rich fish oil modulates the cerebral hemodynamic response to cognitive tasks in healthy young adults

    PubMed ID: 22020134

    DHA‑rich oil increased prefrontal haemodynamic response during cognitive tasks — physiologic brain effect without clear performance gains.

  147. Docosahexaenoic acid for reading, cognition and behavior in children aged 7-9 years: a randomized, controlled trial (the DOLAB Study)

    PubMed ID: 22970149

    DHA (600 mg/day) improved reading and working memory in poorest readers and parent‑rated behavior in schoolchildren, supporting cognitive benefit.

  148. 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 months of concentrated DHA improved multiple memory measures in older adults with MCI (small RCT).

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

    PubMed ID: 22348468

    Infant FO raised DHA and produced small improvements in early communicative gestures — direct infant neurodevelopment signal linked to LC-PUFA status.

  150. Omega-3 fatty acid augmentation of citalopram treatment for patients with major depressive disorder

    PubMed ID: 22198441

    Omega‑3s augmented antidepressant response — supports central nervous system benefit.

  151. Effect of n-3 supplementation on hyperactivity, oxidative stress and inflammatory mediators in children with attention-deficit-hyperactivity disorder

    PubMed ID: 24568073

    Behavioral improvement in ADHD children alongside biochemical changes suggests neurobehavioral benefit.

  152. 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

    Within-subject rises in erythrocyte EPA+DHA associated with better attention, behavior, and spelling (cognitive/attention correlates).

  153. Effects of docosahexaenoic acid supplementation during pregnancy on fetal heart rate and variability: a randomized clinical trial

    PubMed ID: 23433688

    Prenatal DHA increased fetal HRV and improved newborn motor/autonomic scores—signals of neurobehavioral maturation.

  154. 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‑evoked cortical activation and krill shortened P300 latency (faster processing) in elderly men—strong physiological evidence for brain support.

  155. DHA supplementation improved both memory and reaction time in healthy young adults: a randomized controlled trial

    PubMed ID: 23515006

    Six‑month DHA improved reaction times on memory tasks and episodic memory in young adults (objective cognitive gains).

  156. Fish oil-supplementation from 9 to 12 months of age affects infant attention in a free-play test and is related to change in blood pressure

    PubMed ID: 24045099

    Infant supplementation changed an attention measure correlated with erythrocyte EPA and systolic BP decreases—supports early cognitive/attentional benefit signals.

  157. 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

    Oral high‑DHA raised CSF EPA/DHA and changes correlated with Alzheimer’s biomarkers (tau), indicating CNS penetration and potential brain effects.

  158. 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

    RCT in malnourished children showed improved processing speed, attention, visual‑motor and executive functions with omega‑3.

  159. Higher RBC EPA + DHA corresponds with larger total brain and hippocampal volumes: WHIMS-MRI study

    PubMed ID: 24453077

    Large observational cohort: higher RBC EPA+DHA linked to slightly larger total brain and hippocampal volumes years later.

  160. Effects of ω-3 PUFAs supplementation on myocardial function and oxidative stress markers in typical Rett syndrome

    PubMed ID: 24526821

    Rett syndrome trial found improved myocardial function and reduced oxidative stress; neurological/clinical severity improved (~30%).

  161. Omega-3 fatty acid deficiency in infants before birth identified using a randomized trial of maternal DHA supplementation in pregnancy

    PubMed ID: 24427279

    Large prenatal DHA RCT reduced risk of poorer early language and visual outcomes in term infants (developmental brain benefit).

  162. 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‑DHA 15‑week study showed improved attention and memory maintenance in older adults with memory complaints.

  163. Reduced Symptoms of Inattention after Dietary Omega-3 Fatty Acid Supplementation in Boys with and without Attention Deficit/Hyperactivity Disorder

    PubMed ID: 25790022

    DHA+EPA margarine reduced parent‑rated inattention in boys (cognitive/attentional benefit).

  164. 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

    Concentrated n‑3 (≈2.2 g/day) adjunctive to usual care in first‑episode schizophrenia produced substantial symptomatic and functional improvements — strong brain/psychiatric support.

  165. Prenatal DHA supplementation and infant attention

    PubMed ID: 27362506

    Prenatal DHA improved sustained attention across infancy—a consistent neurodevelopmental benefit.

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

    PubMed ID: 26765633

    In college football players DHA dose‑dependently increased plasma DHA and attenuated a blood axonal‑injury biomarker (NFL) — neuroprotective signal.

  167. Prenatal supplementation with DHA improves attention at 5 y of age: a randomized controlled trial

    PubMed ID: 27604770

    Prenatal DHA large RCT showed modest improvement in sustained attention at preschool age, indicating domain‑specific neurodevelopmental benefit.

  168. The effect of APOE genotype on the delivery of DHA to cerebrospinal fluid in Alzheimer's disease

    PubMed ID: 27358067

    In AD patients DHA greatly increased plasma but only modestly CSF DHA; brain delivery was blunted by amyloid/APOE4 — important mechanistic insight for brain support.

  169. Omega-3 Fatty Acid Status Enhances the Prevention of Cognitive Decline by B Vitamins in Mild Cognitive Impairment

    PubMed ID: 26757190

    Higher baseline omega‑3 status made B‑vitamin treatment much more effective at slowing memory decline in MCI patients (interaction evidence).

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

    PubMed ID: 26890759

    26‑week DHA/EPA improved object‑location memory in healthy older adults and raised omega‑3 index.

  171. Omega-3 and -6 fatty acid supplementation and sensory processing in toddlers with ASD symptomology born preterm: A randomized controlled trial

    PubMed ID: 28941976

    Pilot RCT in preterm toddlers: omega‑3/6 raised blood DHA/EPA and showed moderate improvement in sensory processing (neurodevelopmental signal).

  172. 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 high‑dose DHA improved cognition and slowed hippocampal atrophy in MCI—a strong brain‑support signal.

  173. 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

    In older adults with MCI, omega‑3 improved global cognition and working memory/perceptual speed with reduced inflammatory markers.

  174. 24-month intervention with a specific multinutrient in people with prodromal Alzheimer's disease (LipiDiDiet): a randomised, double-blind, controlled trial

    PubMed ID: 29097166

    24‑month nutrient drink (including n‑3s) slowed hippocampal atrophy and improved clinical function (CDR‑SB) despite null primary cognitive outcome—moderate brain support signal.

  175. DHA supplementation improves cognitive function via enhancing Aβ-mediated autophagy in Chinese elderly with mild cognitive impairment: a randomised placebo-controlled trial

    PubMed ID: 29142143

    2 g/day DHA for 2 years in MCI improved cognitive tests and altered Aβ/autophagy biomarkers—strong clinical + mechanistic evidence.

  176. 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

    EPA and DHA reduced seizure frequency substantially (~39–42%) in drug‑resistant epilepsy—strong neurological benefit relevant to brain support.

  177. 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

    Pooled/dose‑response prenatal DHA exposure associated with lower early preterm birth and VLBW, with implications for improved neurodevelopmental outcomes.

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

    PubMed ID: 29530020

    Preschool dietary RCT increased RBC DHA and, in dose‑complier subanalyses, showed modest improvements in cognitive and fine‑motor measures (supportive but subgroup‑dependent).

  179. 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

    Omega‑3 reduced irritability in children with autism, indicating a behavioral/neurological benefit in that population.

  180. 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

    Extremely low birth weight infants receiving a fish‑oil‑containing parenteral lipid showed ~2‑week earlier electrophysiological brain maturation (aEEG), strong neonatal brain support evidence.

  181. 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

    In prodromal Alzheimer's, a multi‑nutrient drink that included DHA/EPA was associated with slower worsening on a global dementia score—supportive but confounded by multi‑nutrient composition.

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

    PubMed ID: 32690472

    High-dose DHA increased CSF and plasma DHA in cognitively unimpaired adults (direct evidence of brain delivery; APOE4 effect noted).

  183. 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

    RDBPC trial in older adults: DHA (with folic acid) improved cognitive test scores and lowered inflammatory markers — strong evidence of brain‑supporting effects.

  184. 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

    Adjunctive fish oil with antipsychotic attenuated white‑matter deterioration on MRI and correlated with higher DHA/DPA — neuroprotective imaging signal.

  185. Effect of Milk-Based Infant Formula Fortified with PUFAs on Lipid Profile, Growth and Micronutrient Status of Young Children: A Randomized Double-Blind Clinical Trial

    PubMed ID: 33374975

    Infant formula DHA increased blood DHA—direct substrate for early brain development.

  186. 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 omega‑3/omega‑6 + antioxidants improved global cognition and multiple cognitive domains in older adults with MCI (clinically meaningful).

  187. 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 intake for ~12 weeks improved attention and executive flexibility in children — randomized evidence for cognitive benefit.

  188. Prenatal docosahexaenoic acid effect on maternal-infant DHA-equilibrium and fetal neurodevelopment: a randomized clinical trial

    PubMed ID: 34552200

    Prenatal DHA dose‑response raised maternal and cord DHA and maternal‑infant equilibrium—supports neurodevelopment substrate delivery.

Eye health (86)
  1. Dietary ω-3 fatty acid and fish intake and incident age-related macular degeneration in women

    PubMed ID: 21402976

    Large prospective cohort: higher long‑chain n‑3 and fish intake linked to ~30–40% lower risk of sight‑threatening AMD — strong observational support.

  2. 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

    Tuna‑oil DHA raised blood ω‑3 and produced a small but significant improvement in right‑eye acuity over 90 days.

  3. Essential n-3 fatty acids in pregnant women and early visual acuity maturation in term infants

    PubMed ID: 18326591

    Maternal DHA (400 mg/day) improved infant visual acuity at 60 days in a randomized trial.

  4. The influence of supplemental lutein and docosahexaenoic acid on serum, lipoproteins, and macular pigmentation

    PubMed ID: 18469279

    DHA raised serum DHA and produced small central increases in macular pigment optical density, a direct biologic effect relevant to macular health.

  5. 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 (transient benefit).

  6. 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 supplementation substantially raised cord (fetal) DHA — DHA is a key retinal fatty acid and this biomarker change supports potential infant eye development benefit.

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

    PubMed ID: 15333721

    Infant DHA supplementation raised RBC DHA and accelerated visual acuity maturation (~1.5 chart lines) in an RCT—strong developmental eye benefit.

  8. Further evaluation of docosahexaenoic acid in patients with retinitis pigmentosa receiving vitamin A treatment: subgroup analyses

    PubMed ID: 15364709

    Adding DHA to vitamin A slowed retinal function loss for ~2 years in a subset of retinitis pigmentosa patients (large RCT signal).

  9. 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

    RCT in term infants: LCP-supplemented formula improved visual acuity and stereoacuity; plasma DHA correlated with better vision.

  10. Proteomic Profile in Retinopathy of Prematurity: A Secondary Analysis of the Mega Donna Mega Randomized Clinical Trial

    PubMed ID: 41505112

    In extremely preterm infants AA+DHA reduced severe ROP incidence in the parent trial — strong clinical eye‑health outcome attributable to LCPUFA supplementation.

  11. Platelet characteristics in extremely preterm infants after fatty acid supplementation: a randomized controlled trial

    PubMed ID: 39702768

    AA+DHA reduced severe ROP among thrombocytopenic infants with mechanistic platelet‑protein changes—randomized substudy evidence.

  12. 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

    Enteral AA:DHA supplementation in extremely preterm infants substantially lowered severe ROP incidence — strong neonatal eye health outcome.

  13. 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 markedly increased breastmilk DHA and EPA, improving HUFA balance important for infant retinal development.

  14. Association of Retinopathy of Prematurity With Low Levels of Arachidonic Acid: A Secondary Analysis of a Randomized Clinical Trial

    PubMed ID: 29423508

    Observational data: lower postnatal AA associated with higher risk of severe retinopathy of prematurity (ROP) in very preterm infants.

  15. 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

    Randomized ω‑3‑rich egg trial in children increased RBC DHA/EPA and produced a modest but significant improvement in visual acuity.

  16. 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 randomized trial: formula DHA (≥0.32%) improved infant visual acuity at 12 months—strong, direct evidence for ocular development.

  17. Higher dose of docosahexaenoic acid in the neonatal period improves visual acuity of preterm infants: results of a randomized controlled trial

    PubMed ID: 18842793

    Randomized preterm infant trial showed dose‑dependent improvement in visual acuity at 4 months with higher DHA intake.

  18. Infant nutrition and stereoacuity at age 4-6 y

    PubMed ID: 17209191

    Cohort: breastfeeding associated with better long-term stereoacuity; adding DHA to formula did not reproduce the benefit (contextual visual finding).

  19. 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 formula supported visual acuity maturation similar to breast‑fed children at age 4 (long-term visual outcome).

  20. Visual maturation of term infants fed long-chain polyunsaturated fatty acid-supplemented or control formula for 12 mo

    PubMed ID: 15817866

    Term infants: DHA/ARA formula produced better visual acuity across the first year and large RBC DHA increases.

  21. Growth and development of preterm infants fed infant formulas containing docosahexaenoic acid and arachidonic acid

    PubMed ID: 15812447

    Preterm formula DHA/ARA associated with developmental improvements including visual measures.

  22. 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

    Infants fed DHA+ARA had higher RBC‑DHA and better visual maturation (VEP acuity) at 1 year.

  23. Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial

    PubMed ID: 11483801

    Preterm infants: improved visual neurophysiology with DHA+AA supplementation (large RCT).

  24. 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

    Term infants fed high‑DHA formula maintained DHA levels—relevant to retinal DHA status.

  25. A multicenter long-term safety and efficacy trial of preterm formula supplemented with long-chain polyunsaturated fatty acids

    PubMed ID: 10941962

    Preterm DHA+AA formula raised infant phospholipid DHA long‑term; ocular development relevance.

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

    PubMed ID: 11144440

    DHA added to infant formula normalized blood DHA and improved ERG responses and visual acuity.

  27. A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants

    PubMed ID: 10755457

    Formula with DHA (±AA) produced improved visual development and higher DHA correlated with MDI at 18 months.

  28. Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants

    PubMed ID: 9702915

    DHA‑supplemented formula raised infant RBC DHA to human‑milk levels and improved sweep VEP visual acuity vs unsupplemented.

  29. 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

    LCP‑enriched preterm formula normalized plasma and RBC DHA/AA to levels seen with human milk — relevant to retinal/visual development.

  30. 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-infant DHA in formula raised DHA/AA and produced a transient improvement in visual acuity at 2 months — strong, direct eye-health signal.

  31. 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/day algal DHA raised blood DHA across diet groups—biomarker improvement relevant to retinal health.

  32. 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

    Preterm infants fed fortifier containing ALA+DHA had increased infant RBC/plasma EPA/DPA/DHA—important for retinal/visual development in preterms.

  33. 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

    Cross‑sectional association: higher plasma long‑chain n‑3 DPA correlated with greater central macular pigment density—direct retinal biomarker link.

  34. 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

    LCPUFA added to preterm infant formula raised plasma DHA to breast‑milk levels—biomarker supportive of retinal DHA supply.

  35. [Photodynamic therapy for age related macular degeneration with and without antioxidants]

    PubMed ID: 12518724

    PUFA + antioxidants shortened retinal flicker‑recovery time after PDT (short‑term retinal metabolic benefit).

  36. 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 correlated with RBC/plasma DHA and visual‑evoked potential acuity in infants — noninvasive marker linked to visual function.

  37. 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

    Long‑chain n‑3 supplementation in preterm infants improved early visual acuity in some infants—direct eye‑health benefit.

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

    PubMed ID: 1386065

    Large neonatal randomized study: marine n‑3 improved retinal rod/photoreceptor function—strong direct eye‑health evidence.

  39. 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‑containing formulas raised RBC DHA to breastfeeding levels; visual differences between formula groups were not definitive.

  40. A Multicenter, Randomized, Clinical Trial Assessing the Effect of rTG-Omega 3 Supplementation on Meibomian Gland Dysfunction Patients after Cataract Surgery rTG-Omega 3 for Meibomian Gland Dysfunction

    PubMed ID: 39907215

    rTG‑omega‑3 improved TBUT, corneal staining and OSDI in randomized cataract‑surgery patients (12 weeks).

  41. Efficacy of omega-3 fatty acids and punctal plugs in the prevention of isotretinoin-associated ocular surface disease

    PubMed ID: 32722939

    Isotretinoin RCT: punctal plugs (±ω‑3) prevented ocular‑surface deterioration; omega‑3 added benefit was present but punctal plugs drove much effect.

  42. Effects of the re-esterified triglyceride (rTG) form of omega-3 supplements on dry eye following cataract surgery

    PubMed ID: 32917627

    Randomized trial in post‑cataract dry‑eye patients: re‑esterified ω‑3 improved symptoms, staining and tear inflammation markers.

  43. Effect of 2-year nutritional supplementation on progression of age-related macular degeneration

    PubMed ID: 30880442

    Two‑year multinutrient supplement including omega‑3 lowered AMD progression vs placebo — benefit for eye disease progression though not isolatable to omega‑3.

  44. Treatment of exudative age-related macular degeneration with aflibercept combined with pranoprofen eye drops or nutraceutical support with omega-3: A randomized trial

    PubMed ID: 30680768

    A nutraceutical containing omega‑3 reduced retinal thickness and aflibercept injections in AMD patients but was a multi‑ingredient product, limiting attribution to omega‑3 alone.

  45. The Efficacy of Omega-3 Supplement on Prevention of Retinopathy of Prematurity in Premature Infants: A Randomized Double-blinded Controlled trial

    PubMed ID: 29852863

    Daily ω‑3 in at‑risk preterm infants significantly reduced incidence and severity of retinopathy of prematurity (direct ocular benefit).

  46. Oral Omega-3 Fatty Acid Supplementation for Laser In Situ Keratomileusis-Associated Dry Eye

    PubMed ID: 28060063

    Peri‑LASIK oral omega‑3 improved Schirmer tear production and reduced conjunctival staining — direct ocular surface benefit.

  47. Can polymorphisms in the fatty acid desaturase (FADS) gene cluster alter the effects of fish oil supplementation on plasma and erythrocyte fatty acid profiles? An exploratory study

    PubMed ID: 28929400

    Infant fish‑oil supplementation increased DHA in blood variably by FADS genotype — DHA is important for retinal/visual development (biologically relevant to eye health).

  48. Proper balance of omega-3 and omega-6 fatty acid supplements with topical cyclosporine attenuated contact lens-related dry eye syndrome

    PubMed ID: 27766505

    Large RCT in contact‑lens wearers: balanced oral n‑3/n‑6 supplementation alleviated contact‑lens‑related dry eye symptoms and reduced ocular cytokines.

  49. A Randomized Controlled Trial of Omega 3 Fatty Acids in Rosacea Patients with Dry Eye Symptoms

    PubMed ID: 27050028

    Six‑month randomized trial in rosacea patients showed improvements in dry‑eye signs and symptoms—robust RCT evidence for ocular surface benefits.

  50. Dietary Marine ω-3 Fatty Acids and Incident Sight-Threatening Retinopathy in Middle-Aged and Older Individuals With Type 2 Diabetes: Prospective Investigation From the PREDIMED Trial

    PubMed ID: 27541690

    Large prospective analysis: dietary long‑chain omega‑3 ≥500 mg/day associated with ~48% lower risk of sight‑threatening diabetic retinopathy—strong observational evidence for eye protection.

  51. Oral omega-3 fatty acid treatment for dry eye in contact lens wearers

    PubMed ID: 25719253

    Large randomized double‑blind trial: oral ω‑3 improved dry‑eye symptoms and tear stability (TBUT) in contact‑lens wearers — strong clinical eye benefit.

  52. Effect of oral omega-3 Fatty Acid supplementation on contrast sensitivity in patients with moderate meibomian gland dysfunction: a prospective placebo-controlled study

    PubMed ID: 25909236

    Placebo‑controlled human study in moderate meibomian gland dysfunction: oral ω‑3 improved contrast sensitivity and tear film stability — strong clinically relevant ocular benefit.

  53. A randomized, double-masked study to evaluate the effect of omega-3 fatty acids supplementation in meibomian gland dysfunction

    PubMed ID: 24039409

    Randomized trial in MGD showed improved TBUT and meibomian gland function with omega-3 (clinically meaningful).

  54. Long term effects of lutein, zeaxanthin and omega-3-LCPUFAs supplementation on optical density of macular pigment in AMD patients: the LUTEGA study

    PubMed ID: 23695657

    Lutein/zeaxanthin plus omega‑3 and antioxidants increased macular pigment and produced modest visual acuity improvements in AMD.

  55. Long-term Supplementation With n-6 and n-3 PUFAs Improves Moderate-to-Severe Keratoconjunctivitis Sicca: A Randomized Double-Blind Clinical Trial

    PubMed ID: 23884332

    GLA plus omega‑3 improved dry‑eye symptoms and preserved corneal surface with reduced conjunctival immune activation in RCT.

  56. Effects of a nutraceutical formulation based on the combination of antioxidants and ω-3 essential fatty acids in the expression of inflammation and immune response mediators in tears from patients with dry eye disorders

    PubMed ID: 23430672

    Dry‑eye RCT (antioxidant + long‑chain ω‑3) reduced tear inflammatory cytokines and improved symptoms/objective tear measures.

  57. The influence of fish-oil lipid emulsions on retinopathy of prematurity in very low birth weight infants: a randomized controlled trial

    PubMed ID: 24314586

    Randomized trial in very low birth weight infants: IV fish‑oil lipid emulsion markedly reduced retinopathy of prematurity incidence.

  58. [Efficacy assessment of Nutrilarm®, a per os omega-3 and omega-6 polyunsaturated essential fatty acid dietary formulation versus placebo in patients with bilateral treated moderate dry eye syndrome]

    PubMed ID: 21696849

    Large randomized trial showed modest but significant improvements in tear break‑up time and ocular fatigue with combined ω‑3/ω‑6 therapy for dry eye.

  59. A multicentre, double-masked, randomized, controlled trial assessing the effect of oral supplementation of omega-3 and omega-6 fatty acids on a conjunctival inflammatory marker in dry eye patients

    PubMed ID: 21834921

    Omega fatty‑acid supplementation lowered conjunctival HLA‑DR expression (inflammation biomarker) in dry‑eye patients, though symptoms did not improve significantly.

  60. TOZAL Study: an open case control study of an oral antioxidant and omega-3 supplement for dry AMD

    PubMed ID: 17324285

    Multi-ingredient supplement that included EPA/DHA showed stabilization/improvement in visual acuity over 6 months, but effect attribution to fish oil is uncertain.

  61. [Improvement of dry eye symptoms with polyunsaturated fatty acids]

    PubMed ID: 17075501

    PUFA supplementation in mild–moderate dry eye produced some symptomatic/sign improvements vs placebo (pilot RCT, modest evidence).

  62. Relation between dietary n-3 and n-6 fatty acids and clinically diagnosed dry eye syndrome in women

    PubMed ID: 16210721

    Large observational study linked higher dietary n-3 (esp. tuna) to markedly lower dry-eye odds.

  63. A randomized controlled trial of the effect of fish oil supplementation in late pregnancy and early lactation on the n-3 fatty acid content in human breast milk

    PubMed ID: 15736915

    Pregnancy-to-lactation fish oil substantially raised DHA in early breast milk — strong biochemical support for infant DHA supply relevant to eye/retinal development.

  64. Effect of dietary omega-3 fatty acids on retinal function of very-low-birth-weight neonates

    PubMed ID: 2255573

    Very‑low‑birth‑weight infant trial: marine oil in formula increased long‑chain n‑3 LCPUFA and improved rod retinal ERG thresholds — strong direct evidence for retinal/visual development.

  65. Effects of Prenatal DHA Dose on Infant Visual Attention

    PubMed ID: 40791013

    Higher prenatal DHA improved infant visual learning/attention measures—developmental visual/attention outcomes relevant to early eye/visual function.

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

    PubMed ID: 38753336

    12-week rTG omega-3 modestly improved tear-breakup time and blood fatty-acid ratios, indicating objective eye-surface benefits despite no symptom change.

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

    PubMed ID: 37026312

    Large RCT in symptomatic VDT users: ≈2400 mg/day fish oil raised RBC omega‑3 index and produced meaningful improvements in symptoms, tear stability, Schirmer, osmolarity, and goblet cell density.

  68. 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

    Marked symptom improvement in severe dry eye patients and Omega‑3 Index rise—direct eye health benefit

  69. Feasibility Study of a Docosahexaenoic Acid-Optimized Nutraceutical Formulation on the Macular Levels of Lutein in a Healthy Mediterranean Population

    PubMed ID: 32544914

    DHA added to lutein increased macular pigment optical density and raised plasma lutein—strong adjunctive evidence for macular health.

  70. Effect of Milk-Based Infant Formula Fortified with PUFAs on Lipid Profile, Growth and Micronutrient Status of Young Children: A Randomized Double-Blind Clinical Trial

    PubMed ID: 33374975

    Infant PUFA‑fortified formula raised blood DHA (important for retinal development) though clinical eye outcomes not reported.

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

    PubMed ID: 30614004

    Randomized trial in very‑low‑birth‑weight preterm infants: enteral DHA reduced risk of severe (stage 3) retinopathy of prematurity (clinically meaningful benefit).

  72. 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

    DHA adjunct to anti‑VEGF reduced macular thickness in diabetic macular edema (anatomic retinal benefit).

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

    PubMed ID: 27442314

    12‑week RCT: re‑esterified fish oil significantly improved tear osmolarity, TBUT and symptoms versus placebo.

  74. A Randomized, Double-Masked, Placebo-Controlled Clinical Trial of Two Forms of Omega-3 Supplements for Treating Dry Eye Disease

    PubMed ID: 27817918

    Three‑month RCT: krill and fish oil reduced tear osmolarity and improved TBUT; krill also reduced symptoms and tear IL‑17A.

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

    PubMed ID: 26322917

    Large RCT in VDT users: high‑dose omega‑3 improved dry‑eye symptoms, TBUT and conjunctival cytology.

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

    PubMed ID: 25697893

    Large RCT showed oral omega‑3s substantially improved dry‑eye symptoms, TBUT and conjunctival cytology—strong clinical eye‑health benefit.

  77. 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

    Three years of high‑dose DHA showed no overall CNV reduction but greatly lowered CNV risk in a CFH non‑risk genotype subgroup — genotype‑specific protective signal for AMD/CNV.

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

    PubMed ID: 26469750

    Oral DHA markedly raised RBC‑DHA and significantly slowed progression of visual field sensitivity loss in X‑linked retinitis pigmentosa (disease‑modifying trial evidence).

  79. 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

    Small RCT in wet AMD showed adjunct omega‑3 reduced vitreous VEGF‑A versus anti‑VEGF alone (biochemical benefit).

  80. Circulating omega-3 Fatty acids and neovascular age-related macular degeneration

    PubMed ID: 24557349

    Higher circulating EPA and EPA+DHA and oily fish intake were strongly associated with much lower odds of neovascular (wet) AMD (case‑control biomarker evidence).

  81. Omega-3 fatty acid deficiency in infants before birth identified using a randomized trial of maternal DHA supplementation in pregnancy

    PubMed ID: 24427279

    Maternal DHA supplementation reduced risk of infants scoring lower for early visual acuity—developmental eye benefit.

  82. 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 halved the risk of severe retinopathy needing laser and raised DHA robustly—strong direct benefit for neonatal eye health.

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

    PubMed ID: 23642375

    One‑month RCT showed substantial, clinically meaningful improvements in tear stability, symptoms and tear production for dry eye.

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

    PubMed ID: 23519529

    Large RCT in nonexudative AMD: lutein/zeaxanthin + DHA/EPA increased macular pigment density and plasma antioxidants (functional/biochemical improvements).

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

    PubMed ID: 22332205

    Higher dietary omega‑3 intake (~≥0.2 g/d) slowed long-term central vision loss in retinitis pigmentosa (large pooled data).

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

    PubMed ID: 21045648

    Randomized pilot: omega‑3 improved dry‑eye symptoms and increased tear production vs placebo — clinical symptomatic benefit.

Weight management (61)
  1. The effect of omega-3 fatty acid supplementation on weight loss and cognitive function in overweight or obese individuals on weight-loss diet

    PubMed ID: 35815739

    Randomized overweight adults on diet had greater reductions in abdominal fat with omega‑3 adjunct.

  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

    DHA cut hepatic fat and visceral adipose tissue in children with NAFLD, reflecting favorable body-composition changes.

  3. The use of novel foods enriched with long-chain n-3 fatty acids to increase dietary intake: a comparison of methodologies assessing nutrient intake

    PubMed ID: 16321598

    Intervention raised long‑chain n‑3 intake ~4.5× without weight gain in free‑living subjects.

  4. The consumption of food products from linseed-fed animals maintains erythrocyte omega-3 fatty acids in obese humans

    PubMed ID: 20012223

    Randomized diet trial (linseed‑fed animal products) preserved/increased RBC n‑3 and was linked to less weight regain long term.

  5. Effects of α-lipoic acid and eicosapentaenoic acid in overweight and obese women during weight loss

    PubMed ID: 25594166

    In a hypocaloric trial, α‑lipoic acid aided weight loss and EPA influenced leptin dynamics—evidence of adjunctive metabolic effects.

  6. Effects of EPA and lipoic acid supplementation on circulating FGF21 and the fatty acid profile in overweight/obese women following a hypocaloric diet

    PubMed ID: 29766165

    EPA supplementation during weight loss raised plasma n‑3 and FGF21 and altered desaturase indices—metabolic signalling relevant to weight regulation.

  7. Omega-3 fatty acids improve liver and pancreas function in postoperative cancer patients

    PubMed ID: 15239141

    Postoperative patients receiving FO‑enriched TPN better maintained weight vs soybean oil group.

  8. 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 had more lean mass and less fat mass at 1 year — relevant to body composition/weight management.

  9. Effects of calorie restriction plus fish oil supplementation on abnormal metabolic characteristics and the iron status of middle-aged obese women

    PubMed ID: 29362766

    Calorie restriction interventions (with/without fish oil) produced meaningful weight/metabolic improvements in obese women.

  10. A randomized clinical trial with oral Immunonutrition (omega3-enhanced formula vs. arginine-enhanced formula) in ambulatory head and neck cancer patients

    PubMed ID: 15802904

    Post‑op head & neck patients had altered weight and fat mass measures with an omega‑3 formula (multi‑ingredient but body composition changed).

  11. 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 reduced waist circumference over 8 weeks in T2D—modest anthropometric benefit.

  12. Calanus Oil and Lifestyle Interventions Improve Glucose Homeostasis in Obese Subjects with Insulin Resistance

    PubMed ID: 40278260

    Calanus (marine) oil improved HOMA‑IR (insulin resistance) in certain dose/subgroups—metabolic effect relevant to weight management.

  13. 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 attenuated lean‑mass loss and preserved strength—directly relevant to weight‑loss body‑composition management.

  14. A combination of (ω-3) polyunsaturated fatty acids, polyphenols and L-carnitine reduces the plasma lipid levels and increases the expression of genes involved in fatty acid oxidation in human peripheral blood mononuclear cells and HepG2 cells

    PubMed ID: 21540583

    Combined supplement including ω‑3s lowered FFAs/triglycerides and upregulated fat‑oxidation genes — supports metabolic/weight mechanisms (confounded).

  15. Cod-Liver Oil Improves Metabolic Indices and hs-CRP Levels in Gestational Diabetes Mellitus Patients: A Double-Blind Randomized Controlled Trial

    PubMed ID: 31956660

    Daily cod‑liver oil improved glycemic indices and insulin resistance in gestational diabetes, relevant to weight/metabolic control.

  16. Does maternal docosahexaenoic acid supplementation during pregnancy and lactation lower BMI in late infancy?

    PubMed ID: 17547539

    Maternal DHA produced modestly lower infant weight/BMI at 21 months (developmental weight effect).

  17. Inclusion of fish or fish oil in weight-loss diets for young adults: effects on blood lipids

    PubMed ID: 18490931

    Large weight‑loss trial: including oily fish led to greater triglyceride reduction than no fish and had borderline benefits for fish oil capsules — supportive for weight‑loss diet metabolic effects.

  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

    RCT in overweight young adults: fish oil during energy restriction improved insulin resistance beyond weight loss — metabolic benefit relevant to weight management.

  19. Effects of seafood consumption and weight loss on fasting leptin and ghrelin concentrations in overweight and obese European young adults

    PubMed ID: 19142567

    During energy restriction, EPA/DHA and fatty fish altered leptin, ghrelin and insulin; effects were partly explained by weight loss, indicating modest contribution to weight management.

  20. 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

    One gram/day fish oil for 6 months improved body weight and multiple cardiometabolic markers in metabolic syndrome — a direct, clinically relevant effect on weight-related outcomes.

  21. Dietary omega-3 fatty acids and fish consumption and risk of type 2 diabetes

    PubMed ID: 20980491

    Large cohort found higher marine ω‑3/fish intake associated with increased incident type 2 diabetes risk (relevant to metabolic status).

  22. 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

    Protein/energy supplement with EPA+DHA helped maintain body weight and lean mass and improved intake in cancer patients — direct weight/lean‑mass benefit.

  23. Effect of n-3 fatty acids on patients with advanced lung cancer: a double-blind, placebo-controlled study

    PubMed ID: 22114792

    EPA+DHA during chemotherapy helped patients gain/maintain body weight vs placebo — relevant to preventing cachexia/weight loss.

  24. Long-chain PUFA supplementation in rural African infants: a randomized controlled trial of effects on gut integrity, growth, and cognitive development

    PubMed ID: 23221579

    In Gambian infants fish oil raised DHA and produced modest increases in MUAC and skinfolds (growth/weight-related outcomes).

  25. 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

    Omega‑3 supplementation produced greater short‑term weight loss vs placebo in dieting overweight women (≈+1.9 kg difference).

  26. Effect of n-3 fatty acids supplementation during life style modification in women with overweight

    PubMed ID: 30660136

    In overweight women, EPA+DHA added to lifestyle modification modestly improved adiponectin and supported achieved weight/fat loss (randomized but combined‑intervention context).

  27. DHA-enriched fish oil reduces insulin resistance in overweight and obese adults

    PubMed ID: 32563863

    DHA‑enriched fish oil modestly lowered fasting insulin and HOMA‑IR in overweight adults — meaningful metabolic signal relevant to weight management/insulin sensitivity.

  28. 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

    High‑dose EPA+DHA suppressed hepatic DNL and increased fat oxidation—mechanistic weight‑relevant effects.

  29. Effects of dietary supplementation of fish oil plus vitamin D(3) on gut microbiota and fecal metabolites, and their correlation with nonalcoholic fatty liver disease risk factors: a randomized controlled trial

    PubMed ID: 38356413

    Fish-oil+vitamin D shifted gut metabolites linked to HOMA-IR, suggesting an insulin-resistance–related pathway relevant to weight management.

  30. Growth patterns in infants born to women with pregestational overweight/obesity supplemented with docosahexaenoic acid during pregnancy

    PubMed ID: 38922906

    Higher maternal DHA reduced early infant weight gain (first 4 months), demonstrating an effect on postnatal growth trajectory.

  31. 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 program including fish oil produced meaningful reductions in body weight and metabolic markers over 10 weeks.

  32. Effects of fish oil intervention on type 2 diabetes early risk novel biomarkers in healthy middle-aged and elderly adults: a double-blind randomized controlled trial

    PubMed ID: 40356575

    12-week fish-oil lowered fasting insulin and HOMA-IR—metabolic improvements that support weight/insulin resistance management.

  33. Reduction of cardiovascular risk factors by the diet - Evaluation of the MoKaRi concept by a parallel-designed randomized study

    PubMed ID: 40057729

    Addition of 3 g/day EPA+DHA to a cardioprotective diet produced greater weight loss vs diet alone — direct evidence.

  34. Dietary fish as a major component of a weight-loss diet: effect on serum lipids, glucose, and insulin metabolism in overweight hypertensive subjects

    PubMed ID: 10539741

    Fish meals produced large triglyceride drops and greater HDL2 increases, with largest benefits when combined with weight loss.

  35. Randomized trial of weight-loss-diets for young adults varying in fish and fish oil content

    PubMed ID: 17502874

    Young overweight adults on calorie restriction lost ~1 kg more with fish/fish oil over 4 weeks (male-specific effect).

  36. Simvastatin vs therapeutic lifestyle changes and supplements: randomized primary prevention trial

    PubMed ID: 18613992

    Combined lifestyle + red yeast rice + fish oil arm had substantially greater triglyceride and weight reductions vs statin arm; fish oil contribution plausible but not isolated.

  37. A diet rich in long chain omega-3 fatty acids modulates satiety in overweight and obese volunteers during weight loss

    PubMed ID: 18602429

    Higher long-chain n-3 intake increased post-meal fullness and reduced hunger in an 8-week diet study.

  38. The use of a protein and energy dense eicosapentaenoic acid containing supplement for malignancy-related weight loss in children

    PubMed ID: 19090549

    EPA-containing supplement reduced cancer-related weight loss in children (supports benefit for preventing catabolic weight loss rather than weight reduction).

  39. Supplementation of n3 long-chain polyunsaturated fatty acid synergistically decreases insulin resistance with weight loss of obese prepubertal and pubertal children

    PubMed ID: 22136960

    900 mg/day fish oil for 1 month reduced fasting insulin and HOMA‑IR by ~15% in insulin‑resistant obese children (metabolic benefit relevant to weight management).

  40. A low-fat high-carbohydrate diet supplemented with long-chain n-3 PUFA reduces the risk of the metabolic syndrome

    PubMed ID: 21839455

    LFHCC diet plus long-chain n-3 reduced metabolic syndrome prevalence and central obesity components in 12-week RCT.

  41. Omega-3 fatty acid-, micronutrient-, and probiotic-enriched nutrition helps body weight stabilization in head and neck cancer cachexia

    PubMed ID: 23562359

    Multinutrient formula including ω‑3 increased weight in malnourished cancer patients (confounded intervention).

  42. Efficacy of omega-3 in the treatment of polycystic ovary syndrome

    PubMed ID: 23550861

    Omega‑3 supplementation in PCOS was associated with reduced weight/BMI and improved metabolic markers (small, uncontrolled study).

  43. Energy-restricted, n-3 polyunsaturated fatty acids-rich diet improves the clinical response to immuno-modulating drugs in obese patients with plaque-type psoriasis: a randomized control clinical trial

    PubMed ID: 24120032

    Calorie‑restricted, n‑3‑rich diet produced substantial weight loss in obese psoriasis patients (study combined diet + n‑3).

  44. Prior supplementation with long chain omega-3 polyunsaturated fatty acids promotes weight loss in obese adults: a double-blinded randomised controlled trial

    PubMed ID: 23396496

    Prior/concurrent LC‑omega‑3 modestly increased weight loss in women on a very low‑energy diet.

  45. Omega-3 polyunsaturated fatty acids reduce insulin resistance and triglycerides in obese children and adolescents

    PubMed ID: 23438101

    In obese children omega‑3 (1.8 g/day) reduced HOMA‑IR, triglycerides and slightly lowered BMI.

  46. [Effect of Omega 3 fatty acids on body female obese composition]

    PubMed ID: 25362822

    In obese premenopausal women on diet/exercise, adding omega-3 produced greater weight/fat loss vs placebo.

  47. n-3 polyunsaturated fatty acid supplementation reduces insulin resistance in hepatitis C virus infected patients: a randomised controlled trial

    PubMed ID: 26216648

    High-dose fish oil in insulin-resistant HCV patients reduced HOMA-IR, fasting insulin and HbA1c — metabolic improvements relevant to weight management.

  48. Insulin resistance determines a differential response to changes in dietary fat modification on metabolic syndrome risk factors: the LIPGENE study

    PubMed ID: 26561628

    Dietary replacement study with modest marine n‑3 improved insulin resistance and MetS markers, especially in insulin-resistant subgroup — supports metabolic/weight-related benefits (confounded by whole-diet change).

  49. Effect of Omega-3 PUFAs Supplementation with Lifestyle Modification on Anthropometric Indices and Vo2 max in Overweight Women

    PubMed ID: 27179166

    Lifestyle program plus ω‑3 produced greater weight/fat loss and VO2max improvements versus lifestyle alone (confounding present).

  50. Dietary supplementation with omega-3 fatty acids and oleate enhances exercise training effects in patients with metabolic syndrome

    PubMed ID: 27356240

    Ω‑3 + oleate combined with intense exercise improved insulin sensitivity and HDL and reduced CRP, accompanying metabolic benefits relevant to weight management.

  51. Dietary supplementation with n-3-fatty acids in patients with pancreatic cancer and cachexia: marine phospholipids versus fish oil - a randomized controlled double-blind trial

    PubMed ID: 28578704

    Low‑dose n‑3 stabilized weight in cachectic pancreatic cancer patients—clinically relevant weight effect (weight stabilization).

  52. Effects of fish oil-derived fatty acids on suboptimal cardiovascular health: A multicenter, randomized, double-blind, placebo-controlled trial

    PubMed ID: 29066159

    High‑dose LCPUFA (4 g/day) produced a small but significant BMI reduction and improved CV health metrics after 3 months.

  53. Effects of n-3 Polyunsaturated Fatty Acid Supplementation on Serum Leptin Levels, Appetite Sensations, and Intake of Energy and Macronutrients in Obese People: A Randomized Clinical Trial

    PubMed ID: 28981381

    4‑week fish‑oil supplementation increased fullness and reduced acute energy intake by ~21% in obese subjects (short‑term satiety effect).

  54. Effects of ω-3 supplementation on the nutritional status, immune, and inflammatory profiles of gastric cancer patients: A randomized controlled trial

    PubMed ID: 30710885

    ω‑3 enriched formula produced modest weight gain in gastric cancer outpatients (clinically relevant in underweight patients).

  55. Preoperative administration of Omega-3 fatty acids on postoperative pain and acute-phase reactants in patients undergoing Roux-en-Y gastric bypass: A randomized clinical trial

    PubMed ID: 30097364

    Preoperative omega‑3 increased preop excess weight loss before gastric bypass (small RCT).

  56. Cardiometabolic Risk Factors at 5 Years After Omega-3 Fatty Acid Supplementation in Infancy

    PubMed ID: 29884682

    Infant supplementation produced slightly smaller waist and lower insulin/HOMA‑IR in boys at age 5 (RCT, sex‑specific).

  57. Efficacy of ω-3 supplementation on nutritional status, skeletal muscle, and chemoradiotherapy toxicity in cervical cancer patients: A randomized, triple-blind, clinical trial conducted in a middle-income country

    PubMed ID: 31445316

    Ω‑3 (2.5 g/d) during chemoradiotherapy helped maintain body weight and muscle quality vs control (nutritional preservation).

  58. The beneficial effects of intradialytic parenteral nutrition in hemodialysis patients with protein energy wasting: a prospective randomized controlled trial

    PubMed ID: 35296793

    IDPN containing fish‑oil lipids increased oral intake and body weight in malnourished dialysis patients (weight gain desirable here).

  59. Effects of enriched seafood sticks (heat-inactivated B. animalis subsp. lactis CECT 8145, inulin, omega-3) on cardiometabolic risk factors and gut microbiota in abdominally obese subjects: randomized controlled trial

    PubMed ID: 35643872

    Seafood sticks enriched with inulin, heat‑killed B. animalis and ω‑3 reduced fasting insulin, HOMA‑IR and blunted postprandial TG, improving metabolic indices linked to weight control.

  60. Marine Oil from C. finmarchicus Enhances Glucose Homeostasis and Liver Insulin Resistance in Obese Prediabetic Individuals

    PubMed ID: 35057577

    Calanus (marine) oil improved fasting insulin, HOMA‑IR and a hepatic insulin‑resistance index in obese prediabetics, indicating favorable metabolic effects tied to weight/metabolic control.

  61. Efficacy of probiotic co-supplementation with omega-3 PUFAs on pancreatic beta-cell function in type 2 diabetes

    PubMed ID: 41028784

    Probiotic+ω‑3 modestly improved fasting glucose and insulin sensitivity in T2D (small RCT).

Mood balance (91)
  1. Telomerase level increase is related to n-3 polyunsaturated fatty acid efficacy in first episode schizophrenia: Secondary outcome analysis of the OFFER randomized clinical trial

    PubMed ID: 29241838

    First‑episode schizophrenia RCT showed biological and symptom correlations with n‑3 PUFA — supports psychiatric/mood relevance.

  2. Anti-stress effects of DHA

    PubMed ID: 11237197

    DHA reduced exam‑related increases in hostility and blunted norepinephrine stress responses in students.

  3. 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

    Double‑blind RCT in older adults showed modest but statistically significant improvement in depression scores with low‑dose fish oil.

  4. Targeted alterations in dietary n-3 and n-6 fatty acids improve life functioning and reduce psychological distress among patients with chronic headache: a secondary analysis of a randomized trial

    PubMed ID: 25790451

    Dietary increase in ω‑3 (and lowering ω‑6) reduced psychological distress and improved mental QoL; DHA rises correlated with clinical benefit.

  5. Nutritional supplementation to reduce child aggression: a randomized, stratified, single-blind, factorial trial

    PubMed ID: 27166583

    Children given ω‑3 drink had short-term reductions in impulsive/aggressive behavior and improved behavioral measures (validated uptake).

  6. Adjunctive dietary intervention for bipolar disorder: a randomized, controlled, parallel-group, modified double-blinded trial of a high n-3 plus low n-6 diet

    PubMed ID: 34218509

    Randomized diet raising n‑3 and lowering n‑6 in bipolar disorder reduced day‑to‑day mood variability with concordant EPA/DHA increases.

  7. Serum omega-3 fatty acids are associated with variation in mood, personality and behavior in hypercholesterolemic community volunteers

    PubMed ID: 17383013

    Cross-sectional link between higher EPA/DHA and fewer depressive symptoms and lower neuroticism (associative evidence).

  8. Changes in erythrocyte membrane fatty acids during a clinical trial of eicosapentaenoic acid (EPA) supplementation in schizophrenia

    PubMed ID: 19826937

    EPA supplementation in schizophrenia correlated membrane n‑3 increases with clinical symptom improvement.

  9. Predictors of treatment response in young people at ultra-high risk for psychosis who received long-chain omega-3 fatty acids

    PubMed ID: 25585167

    RCT in ultra‑high‑risk youth: fish oil improved functioning and greatly reduced transitions to psychosis, relevant to mood/mental health.

  10. 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

    Randomized youth mood‑disorder trial: 2 g/day omega‑3 produced large EPA/DHA rises and associations with clinical response—strongest mood evidence in this set.

  11. 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

    12‑month trial increased RBC ω‑3 and raised BDNF with modest cognitive score improvements; BDNF changes can relate to mood regulation.

  12. 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

    Randomized perilla (ALA) trial in primiparous women reduced postpartum depressive symptoms with strong associations between higher ALA and lower depression odds.

  13. Two double-blind placebo-controlled pilot studies of eicosapentaenoic acid in the treatment of schizophrenia

    PubMed ID: 11356585

    Pilot RCTs: EPA reduced schizophrenia symptoms versus DHA/placebo (clinically meaningful).

  14. A dose-ranging exploratory study of the effects of ethyl-eicosapentaenoate in patients with persistent schizophrenic symptoms

    PubMed ID: 11755456

    Ethyl‑EPA (2 g/day) improved psychiatric symptoms in a clozapine-treated schizophrenia subgroup, indicating mood/psych symptom benefit.

  15. The effect of fish oil on physical aggression in schoolchildren--a randomized, double-blind, placebo-controlled trial

    PubMed ID: 15741051

    Three months of fortified foods reduced physical aggression and impulsivity (girls) with biochemical correlation.

  16. Blood profiles, body fat and mood state in healthy subjects on different diets supplemented with Omega-3 polyunsaturated fatty acids

    PubMed ID: 16101670

    AA/EPA reductions with omega‑3 correlated with improved POMS mood index in healthy adults.

  17. Comparison between the AA/EPA ratio in depressed and non depressed elderly females: omega-3 fatty acid supplementation correlates with improved symptoms but does not change immunological parameters

    PubMed ID: 23046564

    8‑week EPA‑rich supplementation significantly lowered depression scores in elderly depressed women (robust RCT evidence).

  18. Change in blood levels of eicosapentaenoic acid and posttraumatic stress symptom: A secondary analysis of data from a placebo-controlled trial of omega3 supplements

    PubMed ID: 27552592

    In trauma patients, larger rises in EPA correlated with fewer PTSD symptoms (associative secondary analysis).

  19. Clinical Efficacy and Biological Regulations of ω-3 PUFA-Derived Endocannabinoids in Major Depressive Disorder

    PubMed ID: 31269506

    Randomized trial: EPA‑rich omega‑3 improved remission rates in major depression and linked to an EPA‑derived biomarker—strong clinical evidence.

  20. Effects of Fish Oil Monotherapy on Depression and Prefrontal Neurochemistry in Adolescents at High Risk for Bipolar I Disorder: A 12-Week Placebo-Controlled Proton Magnetic Resonance Spectroscopy Trial

    PubMed ID: 32167792

    In depressed adolescents at familial bipolar risk, fish oil did not change primary depression score but improved clinician global ratings and ACC neurometabolites.

  21. The comparison of the effect of soybean and fish oil on supplementation on menopausal symptoms in postmenopausal women: A randomized, double-blind, placebo-controlled trial

    PubMed ID: 32979708

    Omega‑3 reduced menopausal symptom scores (which include mood-related items) over 12 weeks — moderate clinical signal for mood/affective symptoms.

  22. 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

    ω‑3 attenuated unfavorable thalamic GSH increase that correlated with worsening depressive symptoms—biomarker linked to mood.

  23. The effect of docosahexaenoic acid on aggression in young adults. A placebo-controlled double-blind study

    PubMed ID: 8613538

    DHA prevented exam-related increase in outward aggression in a double-blind trial—direct behavioral/mood effect.

  24. Administration of docosahexaenoic acid influences behavior and plasma catecholamine levels at times of psychological stress

    PubMed ID: 10419086

    Small trials linked DHA to reduced increases in outward aggression/stress responses during exams.

  25. An adaptogenic role for omega-3 fatty acids in stress; a randomised placebo controlled double blind intervention study (pilot) [ISRCTN22569553]

    PubMed ID: 15566625

    DHA (1.5 g/day) associated with a notable drop in perceived stress in a small RCT.

  26. Omega-3 fatty acid supplementation in patients with recurrent self-harm. Single-centre double-blind randomised controlled trial

    PubMed ID: 17267927

    RCT in self-harm patients improved depression, suicidality and stress.

  27. A double-blind dose-finding pilot study of docosahexaenoic acid (DHA) for major depressive disorder

    PubMed ID: 18539007

    Small RCT showed symptomatic improvement in depression at low-dose DHA.

  28. 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

    Small RCT in elderly depressed women showed clear symptomatic improvement with EPA+DHA.

  29. The efficacy of omega-3 supplementation for major depression: a randomized controlled trial

    PubMed ID: 20584525

    Large trial showed significant benefit in prespecified subgroup without anxiety; overall effect modest.

  30. 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

    6-month RCT in elderly with MCI: EPA and DHA improved depressive symptoms (GDS) vs control, with DHA also improving verbal fluency modestly.

  31. Eicosapentaenoic acid versus docosahexaenoic acid in mild-to-moderate depression: a randomized, double-blind, placebo-controlled trial

    PubMed ID: 22910528

    1 g/day EPA improved depression scores versus DHA/placebo in mild–moderate depression.

  32. Omega-3 fatty acid augmentation of citalopram treatment for patients with major depressive disorder

    PubMed ID: 22198441

    Omega‑3 augmentation of citalopram produced greater depression improvement and higher remission — clinically meaningful.

  33. A double-blind trial of the effect of docosahexaenoic acid and vitamin and mineral supplementation on aggression, impulsivity, and stress

    PubMed ID: 23625531

    DHA supplementation reduced laboratory measures of aggression and impulsivity in young men (behavioral/emotional endpoints).

  34. Omega-3 fatty acids in the prevention of interferon-alpha-induced depression: results from a randomized, controlled trial

    PubMed ID: 24602409

    EPA (not DHA) significantly reduced incidence and delayed onset of interferon‑induced depression in RCT.

  35. Association between fatty acid supplementation and prenatal stress in African Americans: a randomized controlled trial

    PubMed ID: 25415158

    Prenatal omega‑3 reduced perceived stress and lowered baseline cortisol late in pregnancy.

  36. Effects of omega-3 fatty acids on depression and quality of life in maintenance hemodialysis patients

    PubMed ID: 24987942

    Omega‑3 improved depressive symptoms and QoL in depressed hemodialysis patients (RCT).

  37. 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 reduced depressive symptoms in hemodialysis patients (randomized trial).

  38. 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

    Adjunctive concentrated n‑3 (≈2.2 g/day) produced clinically meaningful symptom and depressive improvements in first‑episode schizophrenia — supports mood/affect benefits as adjunct.

  39. Inflammation as a predictive biomarker for response to omega-3 fatty acids in major depressive disorder: a proof-of-concept study

    PubMed ID: 25802980

    EPA improved depressive symptoms in patients with elevated inflammatory markers—strong, biomarker‑guided antidepressant effect.

  40. Beneficial effects of dietary docosahexaenoic acid intervention on cognitive function and mental health of the oldest elderly in Japanese care facilities and nursing homes

    PubMed ID: 26822516

    DHA‑enriched meals modestly improved apathy and tended to reduce depressive symptoms in very elderly cognitively impaired subjects.

  41. Omega-3 supplements reduce self-reported physical aggression in healthy adults

    PubMed ID: 29331711

    Six weeks of EPA+DHA produced a modest but significant reduction in self‑reported physical aggression (behavioral/mood effect).

  42. 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

    n‑3 PUFA reduced oxidative stress and correlated with symptom improvement in first‑episode schizophrenia (psychiatric benefit).

  43. 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

    Omega‑3 reduced irritability in children with autism (clinically meaningful ABC irritability change).

  44. Long-Chain Omega-3 Fatty Acid Supplements in Depressed Heart Failure Patients: Results of the OCEAN Trial

    PubMed ID: 30098961

    RCT in depressed heart‑failure patients raised omega‑3 levels; although primary depression endpoint was negative, exploratory/social/cognitive measures improved.

  45. Seafood Consumption, Omega-3 Fatty Acids Intake, and Life-Time Prevalence of Depression in the PREDIMED-Plus Trial

    PubMed ID: 30567286

    Large observational cohort found moderate inverse association between moderate fish/LC‑n‑3 intake and depression prevalence/symptoms (associative evidence).

  46. Red Blood Cell Omega-3 Fatty Acid Composition and Psychotropic Drug Use in Older Adults: Results from the MAPT Study

    PubMed ID: 31641729

    Large cohort: low baseline RBC EPA+DHA associated with higher psychotropic medication use; rises in RBC EPA+DHA linked to lower psychotropic use (strong observational support).

  47. 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

    RCT in children with depressive disorders showed clear symptomatic improvement with fish‑oil.

  48. 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 trial altered emotion‑related brain connectivity with biochemical uptake; symptom change small but connectivity changed.

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

    PubMed ID: 36005883

    Higher‑dose EPA (4 g/d) produced a medium clinical signal in depressed, inflamed adults; response correlated with hs‑CRP.

  50. 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

    Reduced anxious/internalizing behaviors in preterm toddlers (caregiver‑reported)

  51. The effects of Omega-3 supplementation on stress, anxiety, depression, sleep quality, and everyday memory in individuals with psychological distress: A randomized, double-blind, placebo-controlled trial

    PubMed ID: 41461240

    Three months EPA+DHA improved perceived stress, anxiety and depression vs placebo (small RCT).

  52. Supplementation of Omega-3 Increases Serum Levels of Brain-Derived Neurotrophic Factor and Decreases Depression Status in Patients With Bipolar Disorder: A Randomized, Double-Blind, Placebo-Controlled Clinical Trial

    PubMed ID: 40485144

    RCT in bipolar disorder: 2 g/day omega‑3 raised BDNF and substantially reduced depression scores.

  53. The effect of fish oil versus krill oil intervention on clinical symptoms and cardiometabolic risk factors in patients with major depressive disorder: A randomized placebo-controlled double-blind trial

    PubMed ID: 40118278

    Randomized trial in MDD showed fish‑ and krill‑oil produced greater HDRS score improvements vs placebo.

  54. Effects of Omega-3 PUFAs on lipid profiles and antioxidant response in depressed adolescents: A metabolomic and lipidomic study

    PubMed ID: 40158256

    Adolescents: 2.7 g/day increased EPA/DHA, reduced lipid peroxidation and correlated with antidepressant and cognitive improvement.

  55. Dietary counseling plus omega-3 supplementation in the treatment of generalized anxiety disorder: results of a randomized wait-list controlled pilot trial (the 'EASe-GAD Trial')

    PubMed ID: 39316026

    Dietary counselling plus omega‑3 in GAD produced large anxiety symptom reductions; effect attribution to omega‑3 alone is limited but outcome is robust.

  56. Omega-3 Supplementation Reduces Schizotypal Personality in Children: A Randomized Controlled Trial

    PubMed ID: 38300759

    Omega‑3 supplementation in 11–12‑year‑olds reduced schizotypal scores (psychological traits), indicating behavioral/psychological effects.

  57. Omega-3 fatty acids reduce depressive symptoms only among the socially stressed: A corollary of the social signal transduction theory of depression

    PubMed ID: 37261751

    Randomized trial showed omega‑3 reduced depressive symptoms in people with high interpersonal hostility (subgroup effect).

  58. Omega-3 polyunsaturated fatty acids in the prevention of relapse in patients with stable bipolar disorder: A 6-month pilot randomized controlled trial

    PubMed ID: 38039650

    Small 6‑month RCT in bipolar patients found fewer depressive relapses and lower depression scores with omega‑3 (positive pilot evidence).

  59. Effect of Omega-3 fatty acid supplementation on sexual function of pregnant women: a double blind randomized controlled trial

    PubMed ID: 35854106

    Prenatal omega‑3 supplementation reduced pregnancy‑related anxiety (and improved sexual‑function scores) in randomized trial of pregnant women.

  60. Feasibility of Investigational Procedures and Efficacy of a Personalized Omega-3 Dietary Intervention in Alleviating Pain and Psychoneurological Symptoms in Breast Cancer Survivors

    PubMed ID: 35450801

    High‑omega fish meals produced statistically significant and clinically meaningful reductions in depression and stress in breast cancer survivors.

  61. Moody kids years later: Long-term outcomes of youth from the Omega-3 and therapy (OATS) studies

    PubMed ID: 33285389

    Long‑term follow‑up associated ongoing omega‑3 use with lower depressive severity (observational continuation of RCT participants).

  62. Lipid Profile, Lipoprotein Subfractions, and Fluidity of Membranes in Children and Adolescents with Depressive Disorder: Effect of Omega-3 Fatty Acids in a Double-Blind Randomized Controlled Study

    PubMed ID: 33050072

    RCT in depressed children: omega‑3 reduced depressive scores — direct evidence for mood improvement.

  63. An increase in plasma brain derived neurotrophic factor levels is related to n-3 polyunsaturated fatty acid efficacy in first episode schizophrenia: secondary outcome analysis of the OFFER randomized clinical trial

    PubMed ID: 31098654

    Concentrated fish‑oil raised plasma BDNF and BDNF increase correlated with reduced depressive symptoms in first‑episode schizophrenia patients — supportive for mood effects.

  64. A potential role for adjunctive omega-3 polyunsaturated fatty acids for depression and anxiety symptoms in recent onset psychosis: Results from a 16 week randomized placebo-controlled trial for participants concurrently treated with risperidone

    PubMed ID: 30241990

    Adjunctive omega‑3 in recent‑onset psychosis improved overall symptoms and strongly improved depression/anxiety in a subgroup.

  65. Influence of adjuvant omega-3-polyunsaturated fatty acids on depression, sleep, and emotion regulation among outpatients with major depressive disorders - Results from a double-blind, randomized and placebo-controlled clinical trial

    PubMed ID: 30317101

    Adjunctive omega‑3 to sertraline RCT produced clear improvements in depressive symptoms and anxiety over 12 weeks.

  66. Omega-3 supplementation associated with improved parent-rated executive function in youth with mood disorders: secondary analyses of the omega 3 and therapy (OATS) trials

    PubMed ID: 29063592

    RCT evidence of improved executive functioning in youth with mood disorders after omega-3—supports mood-related cognitive symptoms.

  67. Psychoeducational Psychotherapy and Omega-3 Supplementation Improve Co-Occurring Behavioral Problems in Youth with Depression: Results from a Pilot RCT

    PubMed ID: 27604240

    In depressed children/adolescents omega‑3 (especially with psychoeducation) improved behavioral symptoms and attention — direct mood/behavior benefit.

  68. The effects of omega-3 and vitamin E co-supplementation on parameters of mental health and gene expression related to insulin and inflammation in subjects with polycystic ovary syndrome

    PubMed ID: 29306057

    Omega-3 + vitamin E improved depression/anxiety scores and downregulated inflammatory genes in women with PCOS (clinical benefit, albeit combined supplement).

  69. A Mediterranean-style dietary intervention supplemented with fish oil improves diet quality and mental health in people with depression: A randomized controlled trial (HELFIMED)

    PubMed ID: 29215971

    Mediterranean diet plus fish oil improved depressive symptoms and mental‑health QoL versus control (randomized multi‑component trial).

  70. Effect of Omega-3 Fatty Acids on Depressive Symptoms in HIV-Positive Individuals: A Randomized, Placebo-Controlled Clinical Trial

    PubMed ID: 27323793

    Randomized trial: omega‑3 improved depressive symptoms in HIV+ patients vs placebo.

  71. Longer-term outcome in the prevention of psychotic disorders by the Vienna omega-3 study

    PubMed ID: 26263244

    RCT in at‑risk youth showed marked reduction in transition to psychosis and sustained symptom/function improvements — relevant to psychiatric/mood outcomes.

  72. Reduction in behavior problems with omega-3 supplementation in children aged 8-16 years: a randomized, double-blind, placebo-controlled, stratified, parallel-group trial

    PubMed ID: 25146492

    Large pediatric RCT showed sustained reductions in externalizing/internalizing behavior — supports mood/behavioral balance in children.

  73. Effect of omega-3 fatty acids for indicated prevention of young patients at risk for psychosis: when do they begin to be effective?

    PubMed ID: 23778032

    Omega-3 reduced psychiatric symptoms in ultra-high-risk youths for psychosis over 12 weeks.

  74. Evaluation of the effect of omega-3 fatty acids in the treatment of premenstrual syndrome: "a pilot trial"

    PubMed ID: 23642943

    Double-blind RCT in PMS showed substantial reductions in depressive and anxiety symptoms with 2 g/day omega-3.

  75. Effects of n-3 polyunsaturated fatty acids on depressive symptoms, anxiety and emotional state in patients with acute myocardial infarction

    PubMed ID: 23563024

    1 g/day n‑3 reduced depressive and state anxiety symptoms shortly after MI.

  76. Long chain omega 3 polyunsaturated fatty acids supplementation in the treatment of elderly depression: effects on depressive symptoms, on phospholipids fatty acids profile and on health-related quality of life

    PubMed ID: 21267525

    RCT in depressed elderly women: fish oil improved depressive scores and QoL.

  77. Omega-3 supplementation lowers inflammation and anxiety in medical students: a randomized controlled trial

    PubMed ID: 21784145

    Omega‑3 (~2.5 g/day) reduced anxiety scores (~20%) in medical students versus placebo.

  78. A double-blind, randomized controlled trial of ethyl-eicosapentaenoate for major depressive disorder

    PubMed ID: 19709502

    EPA (1 g/day) produced modest antidepressant effects and biologic n‑3 changes in MDD—direct mood signal.

  79. Comparison of therapeutic effects of omega-3 fatty acid eicosapentaenoic acid and fluoxetine, separately and in combination, in major depressive disorder

    PubMed ID: 18247193

    EPA matched fluoxetine and combination therapy had superior antidepressant effects in MDD trial.

  80. Depression in Parkinson's disease: a double-blind, randomized, placebo-controlled pilot study of omega-3 fatty-acid supplementation

    PubMed ID: 18485485

    Parkinson patients with major depression showed clinically meaningful MADRS reductions after fish oil (small pilot RCT).

  81. Omega-3 fatty acids for major depressive disorder during pregnancy: results from a randomized, double-blind, placebo-controlled trial

    PubMed ID: 18370571

    Pregnant women with major depression had significantly lower HAM‑D scores and higher response rates with omega‑3 (small RCT).

  82. Ethyl-eicosapentaenoic acid in first-episode psychosis: a randomized, placebo-controlled trial

    PubMed ID: 18162017

    Ethyl‑EPA sped early antipsychotic response and reduced some side effects—suggests short‑term psychiatric symptom benefit, though not sustained at 12 weeks.

  83. Efficacy of ethyl-eicosapentaenoic acid in bipolar depression: randomised double-blind placebo-controlled study

    PubMed ID: 16388069

    Adjunctive EPA (1–2 g/day) improved depressive scores vs placebo in bipolar depression (randomized trial).

  84. omega-3 Fatty acid treatment of women with borderline personality disorder: a double-blind, placebo-controlled pilot study

    PubMed ID: 12505817

    Ethyl‑EPA reduced aggression and depressive symptoms in women with borderline personality disorder (small randomized trial).

  85. A dose-ranging study of the effects of ethyl-eicosapentaenoate in patients with ongoing depression despite apparently adequate treatment with standard drugs

    PubMed ID: 12365878

    Moderately sized RCT showed 1 g/day EPA significantly improved depression scores and response rates.

  86. Randomized, placebo-controlled study of ethyl-eicosapentaenoic acid as supplemental treatment in schizophrenia

    PubMed ID: 12202284

    EPA added to antipsychotic therapy reduced symptom scores (mood/psychopathology) in small RCT.

  87. Omega 3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial

    PubMed ID: 10232294

    High‑dose omega‑3 significantly lengthened remission time in bipolar patients in a randomized double‑blind trial.

  88. Omega-3 polyunsaturated fatty acids supplementation improves memory in first-diagnosed, drug-naïve patients with depression: Secondary analysis of data from a randomized controlled trial

    PubMed ID: 38244783

    Adjunct fish-oil in first-episode depressed patients produced small cognitive gains; mood effects were limited but plausible.

  89. 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

    Year-long EPA/DHA substantially lowered recurrence risk of late-life depression (HR ≈0.30) in an RCT—strong clinical mood signal.

  90. The Efficacy of Omega-3 Fatty Acids as the Monotherapy for Depression: A Randomized, Double-Blind, Placebo-Controlled Pilot Study

    PubMed ID: 39519521

    Pilot RCT of high‑dose fish oil monotherapy produced modest, time‑dependent reductions in clinician‑rated depression scores.

  91. 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

    Responder signal in MDD: high‑dose EPA clinical improvement correlated with increases in pro‑resolving lipid mediators and reduced inflammation.

Liver support (60)
  1. Enteral High Fat-Polyunsaturated Fatty Acid Blend Alters the Pathogen Composition of the Intestinal Microbiome in Premature Infants with an Enterostomy

    PubMed ID: 27856001

    Preterm infants receiving fish‑oil–containing enteral PUFA had less cholestasis (lower conjugated bilirubin) — direct liver‑related clinical benefit.

  2. [Application of a lipid emulsion for parenteral nutrition support in intensive care patients following gastrointestinal surgeries]

    PubMed ID: 26403745

    ICU fish-oil emulsion reduced inflammatory markers and shortened ICU stay with concurrent liver-test improvements reported in surgical ICU contexts.

  3. Long-Term Treatment with n-3 Polyunsaturated Fatty Acids as a Monotherapy in Children with Nonalcoholic Fatty Liver Disease

    PubMed ID: 26316434

    One-year n-3 PUFA in obese adolescents improved HOMA-IR, ALT and ultrasound steatosis.

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

    PubMed ID: 26078579

    Six-month PUFA therapy in NASH reduced liver enzymes, blood lipids and improved biopsy features.

  5. Omega-3 Fatty acids therapy in children with nonalcoholic Fatty liver disease: a randomized controlled trial

    PubMed ID: 25771388

    Omega-3s in children with NAFLD lowered AST and GGT and raised adiponectin despite missing the primary ALT endpoint.

  6. Effects of n-3 polyunsaturated fatty acids in subjects with nonalcoholic fatty liver disease

    PubMed ID: 18054848

    n‑3 PUFA + diet improved ALT, triglycerides, inflammation, insulin resistance and reduced fatty liver on ultrasound (randomized).

  7. Effects of n-3 polyunsaturated fatty acids from seal oils on nonalcoholic fatty liver disease associated with hyperlipidemia

    PubMed ID: 19009658

    Seal‑oil omega‑3 improved ALT, triglycerides and ultrasound fatty liver outcomes in a 24‑week RCT.

  8. Hepatocellular integrity after parenteral nutrition: comparison of a fish-oil-containing lipid emulsion with an olive-soybean oil-based lipid emulsion

    PubMed ID: 19916246

    Fish‑oil containing lipid emulsion produced smaller short‑term rises in AST/ALT and alpha‑GST postoperatively (small RCT).

  9. 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 (250–500 mg/day) in children with NAFLD reduced steatosis and improved insulin sensitivity/triglycerides (randomized).

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

    PubMed ID: 23220074

    250–500 mg/day DHA reduced liver steatosis and improved lipids/ALT in children with NAFLD.

  11. Liver-protecting effects of omega-3 fish oil lipid emulsion in liver transplantation

    PubMed ID: 23155344

    Perioperative ω-3 in post-op nutrition improved liver tests after liver transplant.

  12. Four-week parenteral nutrition using a third generation lipid emulsion (SMOFlipid)--a double-blind, randomised, multicentre study in adults

    PubMed ID: 22796064

    SMOFlipid (includes fish oil) raised n-3 levels and modestly lowered ALT/AST/bilirubin in long-term PN patients.

  13. Effect of parenteral fish oil lipid emulsion in parenteral nutrition supplementation combined with enteral nutrition support in patients undergoing pancreaticoduodenectomy

    PubMed ID: 22699972

    Parenteral fish oil with enteral nutrition after pancreatic surgery decreased liver enzymes and improved nutritional markers.

  14. Effects of ω-3 fish oil lipid emulsion combined with parenteral nutrition on patients undergoing liver transplantation

    PubMed ID: 22421017

    Ω-3–supplemented PN after transplant reduced ALT and improved prognostic nutrition indices.

  15. 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

    4 g/day fish oil in adults with NAFLD improved ALT/GGT and other NAFLD biomarkers.

  16. Docosahexaenoic Acid Supplementation for Neonatal Hyperbilirubinemia: A Double-Blind, Randomized Clinical Trial

    PubMed ID: 38680033

    In neonates with hyperbilirubinemia, DHA reduced bilirubin and phototherapy need—relevant to neonatal liver/bilirubin handling.

  17. 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

    4 g/d EPA+DHA markedly reduced hepatic DNL and increased fat oxidation—mechanistic liver benefit.

  18. Impact of Long-Term Supplementation with Fish Oil in Individuals with Non-Alcoholic Fatty Liver Disease: A Double Blind Randomized Placebo Controlled Clinical Trial

    PubMed ID: 33147705

    NAFLD pilot RCT showed reduced liver stiffness and ALP with DHA‑rich fish‑oil.

  19. 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 increased omega‑3 index, lowered triglycerides and produced a substantial placebo‑corrected liver‑fat reduction in high‑FLI subgroup.

  20. 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

    Neonatal RCT: fish‑oil containing lipid emulsion eliminated parenteral nutrition–associated cholestasis in preterm infants (clear hepatic benefit).

  21. Macrophage Activation in Pediatric Nonalcoholic Fatty Liver Disease (NAFLD) Correlates with Hepatic Progenitor Cell Response via Wnt3a Pathway

    PubMed ID: 27310371

    DHA in children with NAFLD produced marked histological improvement (NAS) and favourable macrophage‑phenotype changes.

  22. Improvement in non-alcoholic fatty liver disease severity is associated with a reduction in carotid intima-media thickness progression

    PubMed ID: 26748347

    High‑dose n‑3 increased tissue DHA and was associated with decreased liver fat; relationship linked to less carotid thickening — suggests liver‑fat benefit.

  23. Effects of purified eicosapentaenoic and docosahexaenoic acids in nonalcoholic fatty liver disease: results from the Welcome* study

    PubMed ID: 25043514

    High‑dose EPA+DHA produced modest liver‑fat reductions; erythrocyte DHA strongly associated with liver‑fat decline though fibrosis unchanged.

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

    PubMed ID: 23963690

    Parenteral lipid emulsions containing fish oil markedly reduced cholestasis in very‑low‑birth‑weight infants (strong, clinically important effect).

  25. Eicosapentaenoic acid ethyl ester (AMR101) therapy in patients with very high triglyceride levels (from the Multi-center, plAcebo-controlled, Randomized, double-blINd, 12-week study with an open-label Extension [MARINE] trial)

    PubMed ID: 21683321

    Highly purified EPA produced large triglyceride reductions — lowering TGs is mechanistically relevant to hepatic steatosis, though liver outcomes were not measured.

  26. Preoperative oral supplementation with long-chain Omega-3 fatty acids beneficially alters phospholipid fatty acid patterns in liver, gut mucosa, and tumor tissue

    PubMed ID: 15961678

    Preoperative supplementation markedly increased EPA/DHA content in liver tissue, demonstrating hepatic incorporation.

  27. ω-3 fatty acids as an adjuvant therapy ameliorates methotrexate-induced hepatotoxicity in children and adolescents with acute lymphoblastic leukemia: A randomized placebo-controlled study

    PubMed ID: 26421385

    RCT in children with ALL: fish oil reduced methotrexate‑related liver enzyme increases and preserved antioxidant markers—strong liver‑protection signal.

  28. 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

    DHA + vitamin D in children with NAFLD improved liver histology, triglycerides, and HOMA‑IR—strong clinical improvement though co‑intervention confounds.

  29. Treating liver fat and serum triglyceride levels in NAFLD, effects of PNPLA3 and TM6SF2 genotypes: Results from the WELCOME trial

    PubMed ID: 26272871

    DHA+EPA trial in NAFLD showed genotype‑dependent DHA incorporation and liver‑fat outcomes (relevant to liver support).

  30. The I148M variant of PNPLA3 reduces the response to docosahexaenoic acid in children with non-alcoholic fatty liver disease

    PubMed ID: 24074360

    DHA supplementation reduced hepatic steatosis in children with NAFLD (randomized trial).

  31. Aerobic Physical Activity and a Low Glycemic Diet Reduce the AA/EPA Ratio in Red Blood Cell Membranes of Patients with NAFLD

    PubMed ID: 30217048

    LGIMD + exercise reduced AA/EPA (inflammatory index) and improved CAP (liver fat) in NAFLD patients.

  32. Superiority of a fish oil-enriched emulsion to medium-chain triacylglycerols/long-chain triacylglycerols in gastrointestinal surgery patients: a randomized clinical trial

    PubMed ID: 22113064

    Short‑term parenteral fish oil after GI surgery improved liver tests (total bilirubin) and lowered inflammatory markers.

  33. Comparison of the effects of different intravenous fat emulsions in patients with systemic inflammatory response syndrome and sepsis

    PubMed ID: 22205554

    In critically ill sepsis patients parenteral fish‑oil was associated with less hepatic steatosis vs MCT/LCT on imaging.

  34. Randomized controlled trial of early enteral fat supplement and fish oil to promote intestinal adaptation in premature infants with an enterostomy

    PubMed ID: 24630347

    In premature infants, enteral fat plus fish oil reduced conjugated bilirubin and improved post-reconstruction growth.

  35. Effects of n-3 fish oil on metabolic and histological parameters in NASH: a double-blind, randomized, placebo-controlled trial

    PubMed ID: 25195547

    One-year RCT in NASH lowered hepatic fat on imaging/biopsy morphometry though did not improve overall histology.

  36. Effect of omega-3 on hepatic regeneration in adult living donors undergoing hepatic resections for liver transplantation: A randomized controlled trial

    PubMed ID: 26518479

    Randomized trial in living liver donors: perioperative IV ω‑3 increased liver regrowth and hepatic growth factor levels — strong human evidence for liver regenerative support.

  37. n-3 fatty acid-based parenteral nutrition improves postoperative recovery for cirrhotic patients with liver cancer: A randomized controlled clinical trial

    PubMed ID: 27614675

    In cirrhotic hepatectomy patients, n‑3 enriched PN substantially reduced overall and infectious complications and shortened hospital stay—direct liver‑surgery patient benefit.

  38. Changes in plasma chemokine C-C motif ligand 2 levels during treatment with eicosapentaenoic acid predict outcome in patients undergoing surgery for colorectal cancer liver metastasis

    PubMed ID: 27058904

    Preoperative EPA reduced plasma CCL2 in patients with colorectal liver metastases and those with CCL2 reductions had longer disease‑free survival—relevant to liver surgical outcomes.

  39. Measurement of red blood cell eicosapentaenoic acid (EPA) levels in a randomised trial of EPA in patients with colorectal cancer liver metastases

    PubMed ID: 27914515

    RBC and tumour EPA incorporation in colorectal liver metastasis patients correlated with improved survival—direct liver tumour context.

  40. Beneficial effects of probiotic combination with omega-3 fatty acids in NAFLD: a randomized clinical study

    PubMed ID: 30221912

    Probiotic + omega‑3 RCT in NAFLD+diabetes reduced fatty liver index, lipids and inflammatory cytokines over 8 weeks.

  41. Four Weeks of Preoperative Omega-3 Fatty Acids Reduce Liver Volume: a Randomised Controlled Trial

    PubMed ID: 30888593

    Omega‑3 reduced total and left liver lobe volumes and visceral fat in obese women (direct hepatic/steatosis relevance).

  42. Intravenous lipid emulsions and liver function in adult chronic intestinal failure patients: Results after 5 y of home parenteral nutrition

    PubMed ID: 33221116

    5‑year HPN RCT: fish‑oil‑containing mixed ILE produced a small but significant bilirubin reduction — direct liver‑function signal.

  43. Combined effect of n-3 fatty acids and phytosterol esters on alleviating hepatic steatosis in non-alcoholic fatty liver disease subjects: a double-blind placebo-controlled clinical trial

    PubMed ID: 32054543

    NAFLD RCT combining phytosterols + EPA/DHA decreased TGF‑β and improved lipids with a trend to reduced liver fat — supports hepatic benefit (combination product).

  44. Effect of Omega-3 Polyunsaturated Fatty Acids on Lipid Metabolism in Patients With Metabolic Syndrome and NAFLD

    PubMed ID: 35147302

    12‑month RCT in NAFLD lowered GGT and produced clear EPA/DHA enrichment in plasma lipids, indicating liver‑related biochemical benefit.

  45. Marine Oil from C. finmarchicus Enhances Glucose Homeostasis and Liver Insulin Resistance in Obese Prediabetic Individuals

    PubMed ID: 35057577

    Calanus oil produced significant improvements in a hepatic insulin‑resistance index (HIRI) in obese prediabetics, indicating direct hepatic metabolic support.

  46. Effects of mixed oil emulsion on short-term clinical outcomes in premature infants: A prospective, multicenter, randomized controlled trial

    PubMed ID: 37138099

    Multicenter RCT in very‑preterm infants: SMOF (contains fish oil) substantially reduced parenteral‑nutrition‑associated cholestasis and hypertriglyceridemia—strong neonatal liver benefit.

  47. Analysis of risk factors for parenteral nutrition-associated cholestasis in preterm infants: a multicenter observational study

    PubMed ID: 37210514

    SMOF emulsion containing fish oil associated with lower PN‑associated cholestasis in preterm infants in multicenter data (clinically meaningful protective effect).

  48. Safety and Efficacy of a Composite Lipid Emulsion with Fish Oil in Hospitalized Neonates and Infants Requiring Prolonged Parenteral Nutrition - A Randomized, Double-Blind, Multicenter, Controlled Trial

    PubMed ID: 39374788

    Randomized double‑blind neonatal trial: fish‑oil‑containing lipid emulsion substantially lowered conjugated bilirubin and cholestasis markers versus soybean oil (strong liver‑protective evidence in PN infants).

  49. Gallstone Dissolution Effects of Combination Therapy with n-3 Polyunsaturated Fatty Acids and Ursodeoxycholic Acid: A Randomized, Prospective, Preliminary Clinical Trial

    PubMed ID: 38712398

    Addition of n‑3 PUFA to UDCA increased gallstone/sludge treatment response vs UDCA alone, indicating benefit to biliary/liver‑related processes.

  50. Safety and efficacy of a lipid emulsion containing a mixture of soybean oil, medium-chain triglycerides, olive oil, and fish oil: a randomised, double-blind clinical trial in premature infants requiring parenteral nutrition

    PubMed ID: 20531018

    In preterm infants on parenteral nutrition, fish-oil emulsion significantly lowered GGT (a cholestasis/liver marker) and raised n‑3 levels—direct liver-support evidence.

  51. Parenteral fish-oil-based lipid emulsion improves fatty acid profiles and lipids in parenteral nutrition-dependent children

    PubMed ID: 21775562

    Switching to fish‑oil lipid in PN‑dependent children produced large, clinically meaningful reductions in bilirubin and improved hepatic tests.

  52. Omega-3 fatty acids improve liver and pancreas function in postoperative cancer patients

    PubMed ID: 15239141

    Randomized trial in major abdominal surgery: FO in TPN improved AST/ALT and bilirubin vs soybean oil.

  53. Omega-3 polyunsaturated fatty acids in treating non-alcoholic steatohepatitis: A randomized, double-blind, placebo-controlled trial

    PubMed ID: 26047766

    Omega‑3 supplementation in biopsy‑proven NASH improved lipids and higher n‑3 levels associated with better liver histology.

  54. Elevated serum phosphatidylcholine (16:1/22:6) levels promoted by fish oil and vitamin D(3) are highly correlated with biomarkers of non-alcoholic fatty liver disease in Chinese subjects

    PubMed ID: 36279014

    Metabolomics RCT: FO increased a PC species that correlated with lower ALT, TAG and inflammatory markers in NAFLD patients.

  55. Concentrated fish oil ameliorates non-alcoholic fatty liver disease by regulating fibroblast growth factor 21-adiponectin axis

    PubMed ID: 35594631

    Three‑month RCT in NAFLD showed significant reductions in ALT and triglycerides and increased adiponectin.

  56. The effects of fish oil plus vitamin D(3) intervention on non-alcoholic fatty liver disease: a randomized controlled trial

    PubMed ID: 35067753

    Three-month RCT in NAFLD: fish oil (±vit D) lowered ALT and triglycerides and TNF-α.

  57. Efficacy of omega-3-rich Camelina sativa on the metabolic and clinical markers in nonalcoholic fatty liver disease: a randomized, controlled trial

    PubMed ID: 35421019

    Camelina (omega-3) oil trial reduced ALT and improved lipids in NAFLD patients.

  58. Four-oil intravenous lipid emulsion effect on plasma fatty acid composition, inflammatory markers and clinical outcomes in acutely ill patients: A randomised control trial (Foil fact)

    PubMed ID: 30638739

    Critically ill patients on fish-oil lipids showed greater decreases in AST/ALT/bilirubin.

  59. Efficacy of docosahexaenoic acid-choline-vitamin E in paediatric NASH: a randomized controlled clinical trial

    PubMed ID: 28511023

    DHA supplement in pediatric NASH sharply reduced severe steatosis and improved ALT/glucose.

  60. Effectiveness of ω-3 Polyunsaturated Fatty Acids Based Lipid Emulsions for Treatment of Patients after Hepatectomy: A Prospective Clinical Trial

    PubMed ID: 27322311

    Post-hepatectomy fish-oil IV nutrition improved liver tests and reduced total complications.

Blood pressure (58)
  1. Fish oil amplifies the effect of propranolol in mild essential hypertension

    PubMed ID: 2147175

    36‑week trial: fish oil lowered blood pressure comparable to propranolol and enhanced antihypertensive effect when combined.

  2. Effects of a new fish oil concentrate on plasma lipids and lipoproteins in patients with hypertriglyceridaemia

    PubMed ID: 7889894

    Large hypertriglyceridemia RCT reported a diastolic BP decrease with concentrated fish oil.

  3. Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm microcirculation in hyperlipidemic, overweight men

    PubMed ID: 10982541

    DHA improved endothelial function and attenuated vasoconstrictor responses—mechanistically supports BP control.

  4. Effects of a healthy Nordic diet on cardiovascular risk factors in hypercholesterolaemic subjects: a randomized controlled trial (NORDIET)

    PubMed ID: 20964740

    Healthy Nordic diet including fish modestly reduced systolic BP (~6.6 mmHg) in mild hypercholesterolemia patients (multicomponent diet).

  5. 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

    Randomized trial in men: marine n‑3 oils lowered systolic BP by ~5.1 mmHg (clinically meaningful).

  6. Dietary supplementation with flaxseed oil lowers blood pressure in dyslipidaemic patients

    PubMed ID: 17268413

    Randomized trial: 12 weeks of high‑ALA (flaxseed oil) significantly lowered systolic and diastolic BP in dyslipidaemic men — strong BP signal for plant n‑3 (indirect for fish oil).

  7. A dietary biomarker approach captures compliance and cardiometabolic effects of a healthy Nordic diet in individuals with metabolic syndrome

    PubMed ID: 25080537

    In the Nordic diet trial, highly compliant participants had ~1.5–2× larger improvements in blood pressure, linked to higher marine/plant n‑3 biomarkers.

  8. 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

    Randomized double‑blind trial: 2 g/day EPA+DHA produced a clinically significant lowering of systolic BP and angiotensin II.

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

    PubMed ID: 29633621

    Omega‑3 enriched eggs decreased blood pressure in healthy young adults—supportive small‑trial evidence.

  10. n-3 fatty acids reduce plasma 20-hydroxyeicosatetraenoic acid and blood pressure in patients with chronic kidney disease

    PubMed ID: 26103129

    In CKD patients, 4 g/day n‑3 significantly reduced 20‑HETE and F2‑isoprostanes and these reductions statistically predicted SBP/DBP falls—strong BP evidence.

  11. Neonatal fatty acid status and cardiometabolic health at 9years

    PubMed ID: 27411172

    Observational follow‑up: higher cord arachidonic acid was associated with modestly lower diastolic BP at age 9 (associative signal).

  12. The effects of [omega]3 fatty acids and coenzyme Q10 on blood pressure and heart rate in chronic kidney disease: a randomized controlled trial

    PubMed ID: 19705518

    Randomized trial in CKD patients showed clear reductions in 24‑h systolic and diastolic BP and heart rate with omega‑3 — strong BP benefit.

  13. Addition of omega-3 fatty acid and coenzyme Q10 to statin therapy in patients with combined dyslipidemia

    PubMed ID: 28541926

    Omega‑3 (with statin ±CoQ10) reduced systolic blood pressure in a pilot trial.

  14. Effect of eicosapentaenoic and docosahexaenoic acids on blood pressure in hypertension. A population-based intervention trial from the Tromsø study

    PubMed ID: 2137901

    Well‑powered RCT: fish oil lowered systolic (~4–6 mmHg) and diastolic BP versus corn oil in mild hypertension.

  15. Effects of a fish oil supplement on blood pressure and serum lipids in patients treated for coronary artery disease

    PubMed ID: 1617510

    In coronary disease patients fish oil markedly lowered triglycerides and lessened the rise in systolic BP vs control.

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

    PubMed ID: 7486485

    In hypertensive adults fish oil produced a modest (~3.8 mmHg) systolic BP reduction versus control.

  17. 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

    Omega-3 concentrate lowered both systolic and diastolic blood pressure in combined hyperlipidaemia — clinically meaningful effect.

  18. 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

    EPA+DHA reduced ambulatory systolic/diastolic BP in mildly hypertensive men by ~5–6 mm Hg—strong clinical BP effect.

  19. Docosahexaenoic acid but not eicosapentaenoic acid lowers ambulatory blood pressure and heart rate in humans

    PubMed ID: 10454450

    Well-controlled RCT: DHA lowered 24‑h systolic/diastolic BP and heart rate—clear BP benefit.

  20. Omega-3 fatty acids improve blood pressure control and preserve renal function in hypertensive heart transplant recipients

    PubMed ID: 11207085

    Omega-3 prevented a rise in 24‑h systolic BP in hypertensive heart-transplant patients over one year (robust clinical effect).

  21. Effects of low-dose omega-3 fatty acid substitution in type-2 diabetes mellitus with special reference to oxidative stress--a prospective preliminary study

    PubMed ID: 12421024

    Type 2 diabetic trial reported associated improvements in blood pressure alongside oxidative stress and metabolic markers.

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

    PubMed ID: 17374663

    Low‑dose DHA (0.7 g/d) lowered diastolic BP by ~3.3 mm Hg in a crossover RCT—clinically meaningful reduction.

  23. Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications

    PubMed ID: 18665413

    Small RCT: eating lean fish four times/week produced modest but significant systolic and diastolic BP reductions in CHD patients.

  24. 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

    One‑gram/day fish oil for 6 months reduced systolic BP among metabolic syndrome subjects, indicating clinically relevant BP improvements.

  25. Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction

    PubMed ID: 19487105

    In an 8‑week energy‑restriction trial, fish oil modestly lowered DBP (≈2.5 mmHg vs cod), supporting a small BP‑lowering effect.

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

    PubMed ID: 20472253

    Randomized trial in overweight adolescents showed statistically and clinically meaningful reductions in SBP and DBP vs control.

  27. Preliminary evidence that acute long-chain omega-3 supplementation reduces cardiovascular reactivity to mental stress: a randomized and placebo controlled trial

    PubMed ID: 21967854

    Three‑week ω‑3 supplementation reduced mean arterial pressure reactivity to mental stress in healthy young adults — RCT evidence for BP reactivity lowering.

  28. The effects of supplemental fish oil on blood pressure and morning cortisol in normotensive adults: a pilot study

    PubMed ID: 23104856

    6-week FO lowered systolic blood pressure and pulse pressure in healthy normotensive adults — clinically meaningful pilot result.

  29. Fish oil-supplementation from 9 to 12 months of age affects infant attention in a free-play test and is related to change in blood pressure

    PubMed ID: 24045099

    In late infancy fish oil supplementation correlated with higher erythrocyte EPA and a reduction in systolic blood pressure (small randomized trial with correlation data).

  30. 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‑rich oil lowered systolic blood pressure (~3.3% reduction) in adults with abdominal obesity in a randomized crossover trial.

  31. Interaction between a CSK gene variant and fish oil intake influences blood pressure in healthy adults

    PubMed ID: 24401815

    BP lowering with fish oil was observed in genotype noncarriers (significant genotype×treatment interaction).

  32. 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‑dose EPA+DHA lowered systolic BP by ~5 mmHg in subjects with isolated systolic hypertension—clinically meaningful subgroup effect.

  33. 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) reduced systolic and diastolic BP by ~4–5 mmHg in offspring who became overweight, a clinically meaningful, randomized prenatal effect.

  34. Docosahexaenoic acid reduces resting blood pressure but increases muscle sympathetic outflow compared with eicosapentaenoic acid in healthy men and women

    PubMed ID: 30735073

    In healthy adults, 12 weeks of DHA (~3 g/day) produced modest reductions in resting systolic and diastolic BP (~3–3.4 mmHg) versus EPA.

  35. 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

    Omega‑3 enriched foods raised tissue EPA/DHA and lowered 24‑h ambulatory diastolic blood pressure by ≈3.1 mmHg and reduced heart rate — solid BP/HR evidence.

  36. Reduction of blood pressure and plasma triglycerides by omega-3 fatty acids in treated hypertensives

    PubMed ID: 7852747

    Double-blind crossover in treated hypertensives showed small but consistent BP reductions (~-3.1/-1.8 mmHg).

  37. Delayed omega-3 fatty acid supplements in renal transplantation. A double-blind, placebo-controlled study

    PubMed ID: 7871564

    Late‑introduced fish oil in renal transplant patients produced a ~9–10 mmHg diastolic BP reduction vs placebo in the treated groups (significant).

  38. Effects of dietary fish and weight reduction on ambulatory blood pressure in overweight hypertensives

    PubMed ID: 9774368

    Dietary fish in overweight hypertensives produced clinically important 24‑h and awake BP reductions (−6/−3 mmHg alone; much larger when combined with weight loss).

  39. Effects of trans- and n-3 unsaturated fatty acids on cardiovascular risk markers in healthy males. An 8 weeks dietary intervention study

    PubMed ID: 15220949

    Dietary n‑3 intervention in healthy men lowered mean arterial BP modestly.

  40. Fish oil affects blood pressure and the plasma lipid profile in healthy Danish infants

    PubMed ID: 16365065

    Infant RCT: daily fish oil for 3 months produced a clinically significant systolic BP reduction (~6.3 mmHg).

  41. Trans, and n-3 polyunsaturated fatty acids and vascular function-a yin yang situation?

    PubMed ID: 16713391

    Daily n-3 PUFA reduced mean arterial pressure in a randomized study of healthy men (moderate evidence).

  42. Effects of adding prescription omega-3 acid ethyl esters to simvastatin (20 mg/day) on lipids and lipoprotein particles in men and women with mixed dyslipidemia

    PubMed ID: 18678300

    Add-on prescription omega-3 to simvastatin reduced systolic and diastolic BP modestly in crossover trial.

  43. Comparison of seal oil to tuna oil on plasma lipid levels and blood pressure in hypertriglyceridaemic subjects

    PubMed ID: 19727884

    Fish oil reduced systolic BP by ~5 mmHg (seal oil ~8 mmHg) in hypertriglyceridaemic adults.

  44. Nitric oxide enhancement and blood pressure decrease in patients with metabolic syndrome using soy protein or fish oil

    PubMed ID: 20857058

    In women with metabolic syndrome fish oil increased NO metabolites and produced a modest reduction in systolic blood pressure.

  45. A low-fat high-carbohydrate diet supplemented with long-chain n-3 PUFA reduces the risk of the metabolic syndrome

    PubMed ID: 21839455

    LFHCC + long-chain n-3 reduced metabolic-syndrome prevalence including reductions in hypertension prevalence in 12-week RCT.

  46. Untitled

    PubMed ID: 22313793

    90‑day fish‑oil or soy increased adiponectin/NO and produced modest systolic/diastolic BP reductions in women with metabolic syndrome.

  47. Untitled

    PubMed ID: 23173831

    Trial reported ~7 mmHg reduction in systolic BP after 5 weeks of 3 g/day fish‑oil in healthy older adults.

  48. Long-chain omega-3 fatty acids improve brain function and structure in older adults

    PubMed ID: 23796946

    LC‑n3 decreased diastolic BP in older adults (reported significant).

  49. Effects of an isocaloric healthy Nordic diet on ambulatory blood pressure in metabolic syndrome: a randomized SYSDIET sub-study

    PubMed ID: 24129358

    Healthy Nordic diet (including fish/rapeseed oil) lowered 24‑h diastolic BP and mean arterial pressure in metabolic syndrome.

  50. Hypocaloric diet associated with the consumption of jam enriched with microencapsulated fish oil decreases insulin resistance

    PubMed ID: 24951991

    Microencapsulated fish oil for 90 days in metabolic syndrome lowered systolic blood pressure versus placebo — direct BP benefit.

  51. Effects of omega-3 on metabolic markers in postmenopausal women with metabolic syndrome

    PubMed ID: 25394692

    Postmenopausal MetS RCT: adding omega‑3 to diet significantly lowered systolic blood pressure — direct clinical evidence for BP benefit in that population.

  52. Blood pressure-lowering effects of long chain n-3 fatty acids from meals enriched with liquid fish oil and from microencapsulated powder

    PubMed ID: 27457968

    Randomized double‑blind trial in adults >50 showed ~7 mmHg systolic BP reduction with fish‑oil‑enriched meals/powder — clinically meaningful and significant.

  53. One month of omega-3 fatty acid supplementation improves lipid profiles, glucose levels and blood pressure in overweight schoolchildren with metabolic syndrome

    PubMed ID: 27658130

    One‑month omega‑3 in overweight children reduced blood pressure (study small/short but showed BP improvement).

  54. Targeted medical nutrition for cachexia in chronic obstructive pulmonary disease: a randomized, controlled trial

    PubMed ID: 28891198

    Complex nutrition product including high‑dose ω‑3 reduced systolic BP by ~12.7 mmHg in cachectic COPD patients (clinically meaningful; multi‑ingredient).

  55. Effects of 12-week supplementation of marine Omega-3 PUFA-based formulation Omega3Q10 in older adults with prehypertension and/or elevated blood cholesterol

    PubMed ID: 29282085

    12‑week Omega3Q10 modestly lowered diastolic BP in older adults with elevated BP/cholesterol — direct BP effect (modest).

  56. Effects of a Japanese Cuisine-Based Antihypertensive Diet and Fish Oil on Blood Pressure and Its Variability in Participants with Untreated Normal High Blood Pressure or Stage I Hypertension: A Feasibility Randomized Controlled Study

    PubMed ID: 33298663

    Small J‑DASH diet trial including fish reduced home morning SBP by ~5.7 mmHg in one diet arm — suggests dietary fish inclusion can lower BP, though not fish‑oil supplement specific.

  57. The Role of Omega-3 Polyunsaturated Fatty Acids in Patients with Metabolic Syndrome and Endothelial Dysfunction

    PubMed ID: 39859026

    Improvements in endothelial function and arterial stiffness are relevant to blood pressure regulation and vascular health (pilot RCT evidence).

  58. [Associations of blood pressure change with change in foods' intake among adults with mild to moderate hypertension]

    PubMed ID: 38220455

    Interventional dietary change including increased fish intake associated with modest SBP/DBP reductions in hypertensive adults.

Allergy relief (34)
  1. Prenatal Fish Oil Supplementation, Maternal COX1 Genotype, and Childhood Atopic Dermatitis: A Secondary Analysis of a Randomized Clinical Trial

    PubMed ID: 39196551

    Prenatal fish‑oil changed eicosanoid markers and produced genotype‑dependent protection against childhood eczema in some maternal genotypes (evidence for allergy/atopy modulation).

  2. Fish oil supplementation in pregnancy lowers F2-isoprostanes in neonates at high risk of atopy

    PubMed ID: 15129731

    Maternal fish oil reduced neonatal oxidative stress in infants of atopic mothers—relevant to allergy risk.

  3. The impact of early nutrition on incidence of allergic manifestations and common respiratory illnesses in children

    PubMed ID: 20227721

    DHA/ARA formula led to large reductions in wheeze/asthma and any allergy through age 3—strong clinical allergy benefit in infants.

  4. 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

    Randomized maternal supplementation increased milk EPA/DHA and was linked to fewer IgE‑associated allergic conditions in infants (clinically meaningful reduction).

  5. Cow's milk-based beverage consumption in 1- to 4-year-olds and allergic manifestations: an RCT

    PubMed ID: 26920136

    Fortified cow's‑milk beverage containing DHA (plus prebiotics/β‑glucan) reduced allergic manifestations in 1–4‑year‑olds over 28 weeks—clinical allergy endpoint though multi‑ingredient.

  6. 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

    Study included atopic dermatitis and showed immunomodulation (reduced T‑cell activation) relevant to allergic skin disease.

  7. Decreased cord blood IL-4, IL-13, and CCR4 and increased TGF-beta levels after fish oil supplementation of pregnant women

    PubMed ID: 17980419

    Large maternal trial lowered cord TH2 markers and raised TGF-β, indicating potential reduced allergic risk in offspring.

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

    PubMed ID: 18241260

    High‑dose DHA improved eczema severity and reduced allergen‑driven IgE synthesis in PBMCs, providing direct allergy/atopy relief evidence.

  9. Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy

    PubMed ID: 19489765

    Maternal EPA+DHA supplementation markedly reduced infant food allergy and IgE‑associated eczema, a strong preventive effect on allergic disease in offspring.

  10. High-dose docosahexaenoic acid supplementation of preterm infants: respiratory and allergy outcomes

    PubMed ID: 21708809

    Maternal high‑DHA intake reduced bronchopulmonary dysplasia in subgroups and lowered reported hay fever in infants—strong allergy/respiratory signal.

  11. 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 reduced cumulative IgE‑associated allergic disease in infants through age 2 in an RCT — strong evidence for reducing infant allergic outcomes.

  12. 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 FO reduced atopic eczema and egg sensitisation in infants — direct allergy-related clinical benefits.

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

    PubMed ID: 23531329

    Prenatal fish‑oil altered newborn Th2/Th1 chemokine ratios toward less Th2 dominance, which could reduce allergy risk.

  14. Randomized controlled trial of fish oil supplementation in pregnancy on childhood allergies

    PubMed ID: 24111502

    Large prenatal DHA RCT trended toward reduced IgE‑mediated allergic disease by age 3 (adjusted RR 0.78) but did not reach statistical significance—suggestive but not conclusive.

  15. Omega-3 fatty acid supplementation during pregnancy and respiratory symptoms in children

    PubMed ID: 24626819

    Prenatal DHA (400 mg/d) reduced some infant respiratory symptoms (phlegm/nasal congestion) in babies of allergic mothers — clinically relevant allergy/airway benefit.

  16. Fish Oil-Derived Fatty Acids in Pregnancy and Wheeze and Asthma in Offspring

    PubMed ID: 28029926

    Late‑pregnancy fish oil reduced offspring persistent wheeze/asthma and some lower respiratory infections—strong pediatric allergy/respiratory result.

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

    PubMed ID: 36074245

    Prenatal DHA appeared to attenuate arsenic‑related increased risk of early atopic dermatitis—evidence of allergy risk modification

  18. Fish oil supplementation in pregnancy modifies neonatal allergen-specific immune responses and clinical outcomes in infants at high risk of atopy: a randomized, controlled trial

    PubMed ID: 14657879

    Prenatal fish-oil raised neonatal n‑3 and was associated with reduced odds of some atopic outcomes and milder eczema.

  19. Inhibition of leukotriene biosynthesis by a novel dietary fatty acid formulation in patients with atopic asthma: a randomized, placebo-controlled, parallel-group, prospective trial

    PubMed ID: 12852711

    EPA+GLA emulsion significantly lowered leukotriene biosynthesis in atopic asthma — direct mediator relevant to allergic inflammation.

  20. Eighteen-month outcomes of house dust mite avoidance and dietary fatty acid modification in the Childhood Asthma Prevention Study (CAPS)

    PubMed ID: 12532113

    Dietary omega-3 (as part of broader diet program) reduced early wheeze prevalence in high-risk children at 18 months.

  21. Three-year outcomes of dietary fatty acid modification and house dust mite reduction in the Childhood Asthma Prevention Study

    PubMed ID: 15480319

    Early‑life omega‑3 reduced cough in atopic children and modestly reduced house‑dust‑mite sensitization.

  22. Effect of omega-3 fatty acid concentrations in plasma on symptoms of asthma at 18 months of age

    PubMed ID: 15610365

    Higher infant plasma omega‑3 associated with fewer wheeze symptoms and related outcomes in observational analysis.

  23. Fish oil intake compared with olive oil intake in late pregnancy and asthma in the offspring: 16 y of registry-based follow-up from a randomized controlled trial

    PubMed ID: 18614738

    Late-pregnancy fish oil significantly reduced offspring asthma and allergic asthma rates through age 16—strong, long-term allergy-related benefit.

  24. Omega-3 fatty acids, vitamin C and Zn supplementation in asthmatic children: a randomized self-controlled study

    PubMed ID: 19154523

    Children with moderate asthma had improved control, lung function and airway inflammation with omega‑3 (study used additional nutrients but reported clinical asthma benefit).

  25. The impact of a medical food containing gammalinolenic and eicosapentaenoic acids on asthma management and the quality of life of adult asthma patients

    PubMed ID: 18194593

    GLA+EPA medical food improved asthma quality-of-life and reduced rescue medication use, with leukotriene effects.

  26. Untitled

    PubMed ID: 23211647

    Multi‑component supplement including fish oil improved lung function and reduced asthma medication use in children (clinical allergic airway benefit; components confounded).

  27. The impact of pre- and postnatal exposures on allergy related diseases in childhood: a controlled multicentre intervention study in primary health care

    PubMed ID: 23394141

    Community intervention that increased fish intake associated with lower doctor‑diagnosed asthma at age 2 (reduced early respiratory allergy incidence).

  28. Fish oil supplementation during pregnancy and allergic respiratory disease in the adult offspring

    PubMed ID: 27246522

    Large randomized maternal fish‑oil supplementation in pregnancy was associated with a substantial reduction in offspring asthma medication prescriptions over 24 years (clinically meaningful).

  29. Childhood fish oil supplementation modifies associations between traffic related air pollution and allergic sensitisation

    PubMed ID: 29587831

    Birth‑to‑5y RCT showed fish oil attenuated the link between traffic pollution and house‑dust‑mite sensitisation and IL‑5 responses.

  30. Efficacy of a Mediterranean diet supplemented with fatty fish in ameliorating inflammation in paediatric asthma: a randomised controlled trial

    PubMed ID: 30378203

    Mediterranean diet plus 2 fish meals/week reduced airway inflammation (FeNO) in children with mild asthma (allergic airway marker).

  31. Fish Oil and Vitamin D Supplementations in Pregnancy Protect Against Childhood Croup

    PubMed ID: 36184023

    Large randomized prenatal trial: maternal fish‑oil (2.4 g/day) reduced doctor‑diagnosed croup in offspring through age 3 (clinically relevant respiratory/allergy endpoint).

  32. Furan fatty acid metabolite in newborns predicts risk of asthma

    PubMed ID: 36254396

    Birth‑cohort metabolomics: newborn CMPF (maternal fish/fish‑oil biomarker) associated with lower childhood asthma risk across cohorts.

  33. Fish oil blunts lung function decrements induced by acute exposure to ozone in young healthy adults: A randomized trial

    PubMed ID: 35850080

    Fish‑oil substantially blunted ozone‑induced drops in FEV1 and FEV1/FVC in a controlled pulmonary challenge, indicating protection of airway function to an inhaled irritant/allergen model.

  34. Atopic and non-atopic effects of fish oil supplementation during pregnancy

    PubMed ID: 37696621

    Prenatal n‑3 LCPUFA markedly reduced non‑atopic childhood asthma (≈73%) and reduced some infections; effect on atopic/allergic outcomes was more limited and genotype‑dependent.

Memory (48)
  1. 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 months concentrated DHA fish oil improved several memory measures in older adults with MCI (small RCT).

  2. DHA supplementation improved both memory and reaction time in healthy young adults: a randomized controlled trial

    PubMed ID: 23515006

    Six‑month DHA (1.16 g/day) improved reaction times on episodic memory tasks and episodic memory performance in women (RCT).

  3. 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 cortical activation and krill shortened P300 latency (faster information processing) in elderly men—physiologic support for cognitive/ memory processing.

  4. 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

    In malnourished 8–12‑year‑olds, omega‑3 improved multiple cognitive domains (processing speed, attention, executive function) relevant to memory and cognition.

  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

    In children with attention problems, EPA/DHA improved sustained attention scores; some relevance to memory/cognitive function though study focused on attention.

  6. Beneficial effects of docosahexaenoic acid on cognition in age-related cognitive decline

    PubMed ID: 20434961

    900 mg DHA daily for 24 weeks produced modest but significant improvements on learning and memory tests in older adults.

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

    PubMed ID: 26890759

    26‑week DHA/EPA improved object‑location memory in healthy older adults.

  8. 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 supplementation modestly improved verbal fluency in older adults with MCI in an RCT—evidence for a cognitive/memory-related benefit.

  9. Docosahexaenoic acid for reading, cognition and behavior in children aged 7-9 years: a randomized, controlled trial (the DOLAB Study)

    PubMed ID: 22970149

    DHA supplementation produced small reading gains and working memory improvements in the poorest readers, supporting memory/cognitive effects.

  10. 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‑DHA trial (15 wk) reported improved attention and memory measures or maintenance of cognition in older adults.

  11. Omega-3 Fatty Acid Status Enhances the Prevention of Cognitive Decline by B Vitamins in Mild Cognitive Impairment

    PubMed ID: 26757190

    Higher baseline omega‑3 status potentiated B‑vitamin effects to slow memory decline in older adults with MCI.

  12. Cognitive findings of an exploratory trial of docosahexaenoic acid and lutein supplementation in older women

    PubMed ID: 18510807

    Small RCT in older women: DHA and lutein improved verbal fluency and combined DHA+lutein improved some memory metrics over 4 months — direct memory benefit evidence.

  13. The LipiDiDiet trial: what does it add to the current evidence for Fortasyn Connect in early Alzheimer's disease?

    PubMed ID: 31616139

    Fortasyn Connect did not change primary cognitive composite but slowed clinical decline and hippocampal atrophy (secondary memory/structural signal).

  14. 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

    DHA (alone or with MCT) improved cognitive scores in MCI over 12 months—supports memory/cognitive benefit in this population.

  15. Effects of Long-Chain Polyunsaturated Fatty Acids in Combination with Lutein and Zeaxanthin on Episodic Memory in Healthy Older Adults

    PubMed ID: 37447152

    Pooled randomized trials showed LCPUFA plus lutein/zeaxanthin improved episodic memory in older adults with baseline cognitive decline.

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

    PubMed ID: 38061271

    Improved white‑matter microstructure in preterm infants supports neural substrates for memory and cognition.

  17. 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 balance predicted better processing speed in children to age 9 — cognitive outcome relevant to memory/processing.

  18. 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 raised plasma DHA/EPA with genotype‑dependent hippocampal volume preservation in mild Alzheimer's — supports memory‑related brain structure.

  19. 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

    Infant LCPUFA supplementation produced long‑term functional/biochemical brain differences (attention/inhibition networks) relevant to memory processes.

  20. Reduced inattention and hyperactivity and improved cognition after marine oil extract (PCSO-524®) supplementation in children and adolescents with clinical and subclinical symptoms of attention-deficit hyperactivity disorder (ADHD): a randomised, double-blind, placebo-controlled trial

    PubMed ID: 27921139

    Marine lipid RCT improved some objective memory/working memory measures in children despite no overall parent‑rated ADHD improvement.

  21. Low Doses of Long-chain Polyunsaturated Fatty Acids Affect Cognitive Function in Elderly Japanese Men: A Randomized Controlled Trial

    PubMed ID: 25891115

    Improved P300 latency suggests faster cognitive processing—a surrogate that may relate to memory improvement.

  22. 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

    Term‑infant DHA supplementation produced modest improvements in mental development (MDI) at 18 months.

  23. 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

    Schoolchild RCT showed substantial improvements in verbal memory and related cognitive tests after increasing EPA/DHA.

  24. 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 formula trials improved problem‑solving/intention scores—relevant to early memory/cognitive function.

  25. 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 receiving DHA+ARA showed improved recognition memory (ERP evidence) and cognitive subscore at 6 months.

  26. A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants

    PubMed ID: 10755457

    DHA formula produced a substantial MDI gain at 18 months—suggests improved cognitive outcomes relevant to memory.

  27. A randomized placebo-controlled pilot trial of omega-3 fatty acids and alpha lipoic acid in Alzheimer's disease

    PubMed ID: 24077434

    Small pilot in mild‑moderate AD found ω‑3+LA slowed cognitive decline and reduced functional loss—relevant to memory preservation.

  28. Effects of a food supplement containing phosphatidylserine on cognitive function in Chinese older adults with mild cognitive impairment: A randomized double-blind, placebo-controlled trial

    PubMed ID: 39317299

    12‑month RCT with ALA/PS raised serum n‑3 and improved short‑term memory measures in people with MCI.

  29. 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

    12‑month trial increased RBC ω‑3 and BDNF with modest cognitive index improvement—supports memory/cognition benefit potential.

  30. Effects of Omega-3 PUFAs on lipid profiles and antioxidant response in depressed adolescents: A metabolomic and lipidomic study

    PubMed ID: 40158256

    Adolescent trial reported cognitive improvement correlated with EPA enrichment (memory/cognition signals).

  31. Twelve Weeks of Additional Fish Intake Improves the Cognition of Cognitively Intact, Resource-Limited Elderly People: A Randomized Control Trial

    PubMed ID: 35166302

    Fish intake improved overall cognition and visual‑construction domain in older adults; benefit for specific memory domains was modest but plausible.

  32. Omega-3 fatty acids ameliorate cognitive dysfunction in schizophrenia patients with metabolic syndrome

    PubMed ID: 32304881

    Omega‑3 improved delayed memory in schizophrenia patients with metabolic syndrome, concurrent with ↑BDNF and ↓CRP (strong cognitive signal).

  33. Plasma Fatty Acid Profiles in Relation to Cognition and Gender in Alzheimer's Disease Patients During Oral Omega-3 Fatty Acid Supplementation: The OmegAD Study

    PubMed ID: 26402079

    In AD patients greater plasma ω‑3 rises during supplementation were associated with slower cognitive decline on ADAS‑cog — relevant to memory/cognitive preservation.

  34. Omega-3 supplementation and loneliness-related memory problems: secondary analyses of a randomized controlled trial

    PubMed ID: 25264972

    2.5 g/d omega-3 prevented loneliness-related declines in immediate and long-delay verbal episodic memory with plasma biomarker correlation — direct memory benefit.

  35. Long-chain omega-3 fatty acids improve brain function and structure in older adults

    PubMed ID: 23796946

    Executive function improved and structural brain benefits observed in older adults—supports cognitive/memory domains.

  36. Untitled

    PubMed ID: 23173831

    Working memory measures improved modestly after 5 weeks of 3 g/day fish-oil in healthy older adults.

  37. Phosphatidylserine containing omega-3 fatty acids may improve memory abilities in non-demented elderly with memory complaints: a double-blind placebo-controlled trial

    PubMed ID: 20523044

    Phosphatidylserine+DHA product produced modest improvement in immediate verbal memory in older adults with complaints.

  38. Reduction in cerebral atrophy associated with ethyl-eicosapentaenoic acid treatment in patients with Huntington's disease

    PubMed ID: 18831882

    Reduced regional brain atrophy in Huntington's disease may translate to cognitive preservation (indirect evidence).

  39. The effects of omega-3 fatty acids monotherapy in Alzheimer's disease and mild cognitive impairment: a preliminary randomized double-blind placebo-controlled study

    PubMed ID: 18573585

    In AD/MCI trial, omega‑3 improved cognition in the MCI subgroup and overall clinical impression (small trial).

  40. Omega-3 polyunsaturated fatty acids supplementation improves memory in first-diagnosed, drug-naïve patients with depression: Secondary analysis of data from a randomized controlled trial

    PubMed ID: 38244783

    Fish-oil adjunct produced small but statistically significant improvements in immediate memory in drug-naïve depressed patients.

  41. 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/without folic acid) improved global cognitive score in MCI—supports memory/brain benefits.

  42. 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 omega‑3/omega‑6 + antioxidants improved global cognition and several domains in MCI — benefit for memory and related cognition.

  43. 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 (with folic acid) improved full‑scale IQ and specific cognitive subtests in older adults with mild cognitive problems — supports memory/cognition gains.

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

    PubMed ID: 29530020

    Preschool feeding trial: no main IQ benefit, but in children who actually ate more fish there were modest cognitive/fine‑motor improvements (suggestive memory/learning benefit in compliant subgroup).

  45. DHA supplementation improves cognitive function via enhancing Aβ-mediated autophagy in Chinese elderly with mild cognitive impairment: a randomised placebo-controlled trial

    PubMed ID: 29142143

    DHA for 2 years in older adults with MCI improved specific memory/working memory tests—strong clinical evidence for memory benefit.

  46. 24-month intervention with a specific multinutrient in people with prodromal Alzheimer's disease (LipiDiDiet): a randomised, double-blind, controlled trial

    PubMed ID: 29097166

    Nutrient drink RCT slowed hippocampal atrophy and improved clinical function (secondary outcomes) though primary NTB cognition was not significant.

  47. 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

    In MCI elders, omega‑3 improved global cognition and subdomains including perceptual speed/working memory over 6 months.

  48. 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

    High‑dose DHA in MCI improved cognitive measures and preserved hippocampal volume—supports memory benefit.

Vitality (49)
  1. Effectiveness of a Novel Food Composed of Leucine, Omega-3 Fatty Acids and Probiotic Lactobacillus paracasei PS23 for the Treatment of Sarcopenia in Elderly Subjects: A 2-Month Randomized Double-Blind Placebo-Controlled Trial

    PubMed ID: 36364828

    Leucine+omega‑3+probiotic improved physical performance and handgrip in sarcopenic older adults, consistent with increased vitality/functional energy.

  2. Sex differences in the effect of fish-oil supplementation on the adaptive response to resistance exercise training in older people: a randomized controlled trial

    PubMed ID: 27852617

    Older women on resistance training gained substantially more strength and muscle quality with ω‑3 supplementation, supporting improved functional vitality.

  3. Fish Oil Supplementation Enhances Pulmonary Strength and Endurance in Women Undergoing Chemotherapy

    PubMed ID: 27340931

    4 g/day fish oil in breast cancer patients on chemotherapy improved respiratory muscle strength and 6‑minute walk distance, indicating enhanced functional capacity/energy.

  4. Targeted medical nutrition for cachexia in chronic obstructive pulmonary disease: a randomized, controlled trial

    PubMed ID: 28891198

    Complex nutrition drink (high ω‑3 + protein/vitamin D) improved exercise fatigue and some lipids/BP in cachectic COPD patients → energy/exercise benefit (multi‑ingredient product).

  5. Lower limb explosive strength capacity in elderly women: effects of resistance training and healthy diet

    PubMed ID: 28473614

    Higher n‑3 diet amplified resistance training increases in explosive leg strength and some lean mass — improved physical function/energy.

  6. Effects of a 6-Month Multifaceted Diet and Exercise Intervention on Cognition in Older Adults at Risk of Cognitive Decline: The PONDER Double-Blind, Placebo-Controlled Randomized Trial

    PubMed ID: 35871338

    Combined exercise + ω‑3/protein/vitamin D increased lean mass in older adults, supporting physical vitality.

  7. Efficacy of ω-3 supplementation on nutritional status, skeletal muscle, and chemoradiotherapy toxicity in cervical cancer patients: A randomized, triple-blind, clinical trial conducted in a middle-income country

    PubMed ID: 31445316

    In GI cancer patients ω‑3 preserved nutritional status and reduced chemo toxicity, improving performance status (vitality indicator).

  8. Impact of Varying Dosages of Fish Oil on Recovery and Soreness Following Eccentric Exercise

    PubMed ID: 32727162

    High‑dose fish oil preserved jump power and reduced soreness after exercise — meaningful effect on physical performance/energy recovery.

  9. The efficacy and safety of peripheral intravenous parenteral nutrition vs 10% glucose in preterm infants born 30 to 33 weeks' gestation: a randomised controlled trial

    PubMed ID: 32799841

    Peripheral PN including fish‑oil improved short‑term infant weight and length gain — tangible vitality/growth signal in neonates.

  10. The beneficial effects of intradialytic parenteral nutrition in hemodialysis patients with protein energy wasting: a prospective randomized controlled trial

    PubMed ID: 35296793

    IDPN containing fish‑oil lipids increased serum albumin, energy/protein intake and body weight in malnourished dialysis patients (clear vitality/nutrition gains).

  11. Randomised Controlled Trial of Fish Oil Supplementation on Responsiveness to Resistance Exercise Training in Sarcopenic Older Women

    PubMed ID: 35889801

    In sarcopenic older women, fish‑oil + resistance training significantly increased muscle strength, 6‑min walk distance and muscle quality vs placebo.

  12. The Effects of Omega-3 Supplementation Combined with Strength Training on Neuro-Biomarkers, Inflammatory and Antioxidant Responses, and the Lipid Profile in Physically Healthy Adults

    PubMed ID: 40647193

    Omega‑3 plus resistance training increased strength/performance and improved lipids/inflammation over 8 weeks.

  13. Feasibility of Investigational Procedures and Efficacy of a Personalized Omega-3 Dietary Intervention in Alleviating Pain and Psychoneurological Symptoms in Breast Cancer Survivors

    PubMed ID: 35450801

    High‑omega fish meals reduced fatigue and improved multiple patient‑reported vitality measures in breast cancer survivors.

  14. Effects of EN combined with PN enriched with n-3 polyunsaturated fatty acids on immune related indicators and early rehabilitation of patients with gastric cancer: A randomized controlled trial

    PubMed ID: 35500316

    Reduced postoperative complications and improved immune markers can translate to better recovery/vitality.

  15. A multicomponent intervention consisting of exercise, proteins and omega-3 supplementation to improve sarcopenia in community-dwelling older adults: Lessons learned from a 5-armed randomized controlled feasibility trial

    PubMed ID: 41632571

    In sarcopenic older adults, ω‑3 added to exercise/protein yielded exploratory improvements in physical performance/strength.

  16. Synbiotic Supplementation with Probiotics and Omega-3 Fatty Acids Enhances Upper-Body Muscle Strength in Elite Swimmers: Evidence for Gut-Muscle Axis Modulation During Race-Pace Training

    PubMed ID: 41010484

    Synbiotic (probiotic+ω‑3) plus training improved high‑velocity upper‑body power and neuromuscular metrics (elite swimmers).

  17. Synergistic Effects of Probiotic and Omega-3 Supplementation with Ultra-Short Race Pace Training on Sprint Swimming Performance

    PubMed ID: 40732922

    Probiotic+ω‑3 with race‑pace training produced small but meaningful sprint performance gains in competitive swimmers.

  18. Randomized phase III clinical trial of five different arms of treatment in 332 patients with cancer cachexia

    PubMed ID: 20156909

    Multi‑agent cancer‑cachexia trial including EPA reduced fatigue and improved lean mass/REE — clinically meaningful increase in patient energy/vitality (confounded).

  19. Randomised phase III clinical trial of 5 different arms of treatment on 332 patients with cancer cachexia

    PubMed ID: 20496538

    Same Phase III cachexia trial reported increased appetite and body mass with EPA‑containing regimen — supports improved vitality/recovery (multi‑component).

  20. A Five-Ingredient Nutritional Supplement and Home-Based Resistance Exercise Improve Lean Mass and Strength in Free-Living Elderly

    PubMed ID: 32785021

    Multi‑ingredient supplement including fish oil plus resistance exercise produced meaningful gains in lean mass and lower‑body strength—translates to improved vitality.

  21. 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

    Supplement with EPA+DHA increased energy/protein intake and reduced REE in cancer patients — may translate into improved energy and vitality during treatment.

  22. 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

    Fish-oil-containing oral supplements improved quality-of-life, physical function and activity in NSCLC patients during treatment.

  23. A disease-specific enteral nutrition formula improves nutritional status and functional performance in patients with head and neck and esophageal cancer undergoing chemoradiotherapy: results of a randomized, controlled, multicenter trial

    PubMed ID: 23765693

    Enteral EPA+DHA improved subjective nutritional and functional scores and tended to spare body cell mass in cancer patients.

  24. 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

    Seal oil for 21 days increased EMG activation and reduced sprint fatigue—meaningful acute performance/energy effect in trained athletes.

  25. 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

    In CAD patients, EPA+DHA preserved physical function and increased weekly exercise minutes (supports maintained activity/functional vitality).

  26. A Randomized Trial of the Effects of Dietary n3-PUFAs on Skeletal Muscle Function and Acute Exercise Response in Healthy Older Adults

    PubMed ID: 36079794

    Six months high‑dose EPA+DHA modestly increased muscle strength in healthy older adults (functional vitality outcome).

  27. Dietary supplementation with docosahexaenoic acid rich fish oil increases circulating levels of testosterone in overweight and obese men

    PubMed ID: 33221700

    DHA‑enriched fish oil raised total testosterone in overweight men and correlated with improved insulin markers—biological signals relevant to energy/vitality.

  28. Long-chain Polyunsaturated Fatty Acid Supplementation Improves Mood in Elderly Japanese Men

    PubMed ID: 28626140

    Older men given DHA/EPA/ARA reported a modest increase in vigor (energy subscale) after 4 weeks.

  29. Fatigue reduction diet in breast cancer survivors: a pilot randomized clinical trial

    PubMed ID: 27913933

    Dietary fatty‑fish intervention in breast cancer survivors substantially reduced fatigue (BFI) and improved sleep—clinically meaningful energy/vitality improvement though multi‑food.

  30. The impact of supplemental n-3 long chain polyunsaturated fatty acids and dietary antioxidants on physical performance in postmenopausal women

    PubMed ID: 23299384

    1.2 g/day fish oil for 6 months improved walking speed in older postmenopausal women—functional energy/mobility benefit.

  31. Omega-3 fatty acids improve liver and pancreas function in postoperative cancer patients

    PubMed ID: 15239141

    FO‑supplemented TPN helped maintain weight postoperatively—suggests improved recovery/energy status.

  32. Adjunctive dietary intervention for bipolar disorder: a randomized, controlled, parallel-group, modified double-blinded trial of a high n-3 plus low n-6 diet

    PubMed ID: 34218509

    H3‑L6 diet reduced within‑person variability in energy and mood—suggests improved day‑to‑day vitality.

  33. Double-blind, randomized, multicenter phase 2 study of SC411 in children with sickle cell disease (SCOT trial)

    PubMed ID: 30097463

    Sickle cell DHA improved hemoglobin and showed signals of fewer pain crises, which can markedly improve energy/vitality in patients.

  34. Re-esterified DHA improves ventilatory threshold 2 in competitive amateur cyclists

    PubMed ID: 33087145

    High‑DHA fish oil improved submaximal cycling power and VO2 in trained cyclists — clear short‑term ergogenic/energy effect.

  35. 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

    In older adults, increased muscle mass, strength and performance indicate robust gains in physical vitality

  36. Pilot study on the effect of supplementation with long-chain ω-3 polyunsaturated fatty acids on body composition in children with acute lymphoblastic leukemia: randomized clinical trial

    PubMed ID: 37549598

    DHA/EPA partially prevented lean mass loss in children with ALL and supported growth—relevant to energy/functional status.

  37. 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 programs including fish oil improved metabolic markers and body weight—changes that can translate to increased energy/vitality.

  38. Marine n-3 polyunsaturated fatty acids slow sleep impairment progression by regulating central circadian rhythms in type 2 diabetes

    PubMed ID: 40347940

    Improved sleep and lower cortisol in T2D could boost daytime energy and vitality.

  39. Myokine Circulating Levels in Postmenopausal Women with Overweight or Obesity: Effects of Resistance Training and/or DHA-Rich n-3 PUFA Supplementation

    PubMed ID: 40806137

    Resistance training improved muscle quality and DHA‑rich n‑3 improved lipid markers—supports functional vitality in postmenopausal women.

  40. Effects of a low-dose fish oil concentrate on angina, exercise tolerance time, serum triglycerides, and platelet function

    PubMed ID: 7985829

    Improved exercise tolerance and fewer angina attacks in CAD patients suggests better functional capacity/energy.

  41. Randomized clinical trial of intravenous soybean oil alone versus soybean oil plus fish oil emulsion after gastrointestinal cancer surgery

    PubMed ID: 20473991

    Shorter hospital stays and fewer complications after GI surgery imply faster recovery and improved vitality with fish-oil nutrition.

  42. Effects of n-3 polyunsaturated fatty acids on left ventricular function and functional capacity in patients with dilated cardiomyopathy

    PubMed ID: 21215550

    n‑3 increased peak VO2 and exercise duration in dilated cardiomyopathy — objective improvement in functional capacity/energy.

  43. [Efficacy evaluation of an oral powder supplement enriched with eicosapentaenoic acid in cancer patients]

    PubMed ID: 22411387

    EPA-enriched supplement improved prealbumin (nutritional marker) in cancer patients, suggesting improved nutritional status/energy.

  44. Untitled

    PubMed ID: 22340541

    Lower infection rates and shorter stays after colorectal surgery indicate improved recovery/clinical vitality.

  45. Untitled

    PubMed ID: 22218156

    Older women gained greater muscle strength and functional performance when fish oil was combined with strength training—supports improved physical vitality.

  46. Untitled

    PubMed ID: 23017308

    In children with leukemia, fish oil improved appetite and increased energy intake and MUAMC, indicating improved nutrition/energy status.

  47. Randomized controlled trial of early enteral fat supplement and fish oil to promote intestinal adaptation in premature infants with an enterostomy

    PubMed ID: 24630347

    In preterm infants fish oil improved enteral feeding and post-repair weight gain—practical vitality/growth benefit.

  48. Effects of an oral nutritional supplement containing eicosapentaenoic acid on nutritional and clinical outcomes in patients with advanced non-small cell lung cancer: randomised trial

    PubMed ID: 24746976

    EPA-enriched supplement increased energy/protein intake and preserved lean mass in advanced lung cancer, improving symptoms and vitality.

  49. Fish oil-derived n-3 PUFA therapy increases muscle mass and function in healthy older adults

    PubMed ID: 25994567

    Six months of n-3 PUFA increased thigh muscle volume and strength in older adults—directly supports improved physical function/ vitality.

Joint comfort (34)
  1. Effects of high-dose fish oil on rheumatoid arthritis after stopping nonsteroidal antiinflammatory drugs. Clinical and immune correlates

    PubMed ID: 7639807

    High-dose fish oil produced meaningful reductions in tender joints and morning stiffness in RA patients.

  2. [The use of n-3 fatty acids in chronic juvenile arthritis]

    PubMed ID: 9064671

    Lower CRP and reported symptomatic improvement in juvenile chronic arthritis suggest potential benefit for joint inflammation/comfort.

  3. Efficacy of fish oil concentrate in the treatment of rheumatoid arthritis

    PubMed ID: 11036827

    Randomized RA trial showed modest overall clinical improvement with fish oil supplementation.

  4. Supplementation of fish oil and olive oil in patients with rheumatoid arthritis

    PubMed ID: 15723739

    Randomized trial in RA showed reduced pain, improved stiffness and function with fish oil.

  5. Fish oil supplementation decreases serum soluble receptor activator of nuclear factor-kappa B ligand/osteoprotegerin ratio in female patients with rheumatoid arthritis

    PubMed ID: 20034487

    Adjunct fish oil in RA lowered TNF-α and improved osteoprotegerin/sRANKL ratio—relevant to joint inflammation and bone turnover.

  6. Evaluation of the effects of dietary supplementation with fish oil omega-3 fatty acids on weight bearing in dogs with osteoarthritis

    PubMed ID: 20043801

    Randomized trial in dogs with osteoarthritis showed modest but significant improvement in limb weight bearing and lameness with fish‑oil.

  7. A multicenter study of the effect of dietary supplementation with fish oil omega-3 fatty acids on carprofen dosage in dogs with osteoarthritis

    PubMed ID: 20187817

    Multisite randomized dog trial showed dogs fed fish‑oil diet reduced analgesic (NSAID) dose faster, implying pain/joint benefits.

  8. A randomized, double-blinded, placebo-controlled study of the effect of a combination of lemon verbena extract and fish oil omega-3 fatty acid on joint management

    PubMed ID: 22087615

    Pilot RCT of a combined lemon verbena + fish oil supplement reported large reductions in joint pain and improved function, but attribution to fish oil alone is uncertain.

  9. The effects of fish oil capsules and vitamin B1 tablets on duration and severity of dysmenorrhea in students of high school in Urmia-Iran

    PubMed ID: 25363189

    Large RCT showed omega-3 reduced dysmenorrhea pain intensity/duration—analgesic/anti‑inflammatory relevance to pain.

  10. Immunomodulation by lipid emulsions in pulmonary inflammation: a randomized controlled trial

    PubMed ID: 25962383

    Strong anti-inflammatory effects in lungs after LPS imply systemic anti-inflammatory potential relevant to joint symptoms.

  11. The Effect of Omega-3 Fatty Acids in Patients With Active Rheumatoid Arthritis Receiving DMARDs Therapy: Double-Blind Randomized Controlled Trial

    PubMed ID: 26925896

    In early RA, omega‑3 added to DMARDs produced large, clinically meaningful improvements in joint counts, stiffness, ESR and reduced analgesic use.

  12. Beneficial effect of n-3 polyunsaturated fatty acids on inflammation and analgesic use in psoriatic arthritis: a randomized, double blind, placebo-controlled trial

    PubMed ID: 28303758

    3 g/day n‑3 PUFA reduced analgesic use and altered leukotrienes in psoriatic arthritis → clinically relevant joint symptom benefit.

  13. Omega-3 fatty acid use for obese breast cancer patients with aromatase inhibitor-related arthralgia (SWOG S0927)

    PubMed ID: 30159789

    Randomized trial showed clear, clinically meaningful reductions in joint pain and interference in obese AI‑treated breast cancer patients.

  14. l-Serine and EPA Relieve Chronic Low-Back and Knee Pain in Adults: A Randomized, Double-Blind, Placebo-Controlled Trial

    PubMed ID: 32520991

    Randomized l‑serine+EPA trial showed clinically meaningful reductions in chronic low‑back and knee pain — strong signal though product combined.

  15. Incorporation of n-3 PUFA and γ-linolenic acid in blood lipids and red blood cell lipids together with their influence on disease activity in patients with chronic inflammatory arthritis--a randomized controlled human intervention trial

    PubMed ID: 21816071

    3 g/day n‑3 LC‑PUFA produced significant reductions in arthritis disease activity and pain.

  16. 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 RA trial showed reduced tender/swollen joint counts and shifts to pro-resolving lipid mediators.

  17. 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 reduced systemic and adipose inflammation markers in treated HIV patients — plausible relevance to joint inflammation.

  18. 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

    Krill oil increased omega‑3 index and produced modest, significant improvements in knee pain/function (WOMAC).

  19. 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 trial in adults with knee pain: omega‑3 product (AvailOm) reduced pain and improved function over 8 weeks.

  20. High-dose Omega-3 Alters Serum Magnesium and Calcium Levels and Affects Fibromyalgia Symptoms: A Randomized, Double-blind, Placebo-Control Study

    PubMed ID: 39377412

    High-dose omega-3 RCT in fibromyalgia produced clinically meaningful pain reductions (relevant to musculoskeletal comfort).

  21. Cod liver oil (n-3 fatty acids) as an non-steroidal anti-inflammatory drug sparing agent in rheumatoid arthritis

    PubMed ID: 18362100

    Cod liver oil allowed many RA patients to reduce NSAID use by >30% versus placebo (NSAID-sparing effect).

  22. The effects of dietary supplementation with n-3 polyunsaturated fatty acids in patients with rheumatoid arthritis: a randomized, double blind trial

    PubMed ID: 1459173

    Randomized trial in RA showed significant reductions in morning stiffness and joint tenderness.

  23. Dietary fish oil and olive oil supplementation in patients with rheumatoid arthritis. Clinical and immunologic effects

    PubMed ID: 2363736

    Dose-dependent reductions in swollen/tender joints and inflammatory mediators in RA — strong direct evidence for joint symptom benefit.

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

    PubMed ID: 1464864

    Randomized trial showed improved morning stiffness and global assessments when omega-3 was given with naproxen.

  25. Clinical Benefits of n-3 PUFA and ɤ-Linolenic Acid in Patients with Rheumatoid Arthritis

    PubMed ID: 28346333

    Randomized trial in RA: fish oil increased EPA and produced clinically meaningful reductions in DAS28, pain and tender joints.

  26. 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

    12-month RCT in mild RA showed markedly reduced NSAID requirement without clinical worsening—strong clinical benefit for joint comfort.

  27. Supplementation with omega-3 polyunsaturated fatty acids in the management of dysmenorrhea in adolescents

    PubMed ID: 8623866

    Large reduction in menstrual pain/symptom score — shows analgesic/anti‑inflammatory effect that may relate to comfort.

  28. Effect of glucosamine sulfate with or without omega-3 fatty acids in patients with osteoarthritis

    PubMed ID: 19756416

    Large RCT showed a modest increase in very large pain‑reduction responders when omega‑3 was added to glucosamine in OA patients.

  29. Dose-titration effects of fish oil in osteoarthritic dogs

    PubMed ID: 20707845

    Dose‑dependent improvement in osteoarthritis signs in dogs (species difference lowers applicability).

  30. 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

    In CAD patients high‑dose EPA+DHA preserved physical function and was associated with markedly fewer knee/hip replacements (hard clinical endpoint).

  31. Effect of six months of fish oil supplementation in stable rheumatoid arthritis. A double-blind, controlled study

    PubMed ID: 1529284

    RA trial: high‑dose fish oil reduced NSAID consumption and had modest physician‑noted activity improvement.

  32. Decreased interleukin-1 beta levels in plasma from rheumatoid arthritis patients after dietary supplementation with n-3 polyunsaturated fatty acids

    PubMed ID: 1458789

    Randomized RA trial reported decreased IL‑1β and significant improvement in Ritchie's joint index.

  33. [Fish oils and rheumatoid arthritis. A randomized and double-blind study]

    PubMed ID: 8066866

    12-week supplementation gave small but significant improvements in RA symptoms and CRP.

  34. Long-term effect of omega-3 fatty acid supplementation in active rheumatoid arthritis. A 12-month, double-blind, controlled study

    PubMed ID: 8003055

    One-year omega‑3 (2.6 g/day) improved patient/physician RA assessments and allowed medication reduction — clinically relevant joint benefit.

Skin health (31)
  1. The effect of fish oil rich in cetoleic acid on the omega-3 index and skin quality

    PubMed ID: 38788345

    Cetoleic-rich fish oil reduced skin erythema and increased omega-3 index in pilot RCTs—direct skin inflammation benefit.

  2. Anti-Wrinkle and Skin Moisture Efficacy of 7-MEGA(TM): A Randomized, Double-Blind, Placebo Comparative Clinical Trial

    PubMed ID: 38257104

    Oral pollock oil (omega‑7) improved wrinkles, skin moisture and elasticity in middle‑aged women (relevant to skin health; not classical fish‑oil EPA/DHA but marine oil benefit).

  3. Krill oil supplementation improves transepidermal water loss, hydration and elasticity of the skin in healthy adults: Results from two randomized, double-blind, placebo-controlled, dose-finding pilot studies

    PubMed ID: 39169540

    Two small RCTs of krill oil showed dose‑dependent reductions in TEWL and improvements in hydration and elasticity—direct skin benefit.

  4. Pruritus-reducing effects of omega-3 fatty acids in hemodialysis patients: A cross-over randomized clinical trial

    PubMed ID: 35112475

    Omega‑3 supplementation reduced pruritus scores in hemodialysis patients in a randomized, double‑blind crossover trial.

  5. The effects of omega-3 on the sleep quality of patients with uremic pruritus undergoing hemodialysis: a randomized crossover study

    PubMed ID: 32427120

    In hemodialysis patients with pruritus, omega‑3 addition reduced itching and improved sleep—relevant to skin symptom relief.

  6. A Randomized, Double-blind, Placebo-controlled Clinical Study to Investigate the efficacy of Herring Roe Oil for treatment of Psoriasis

    PubMed ID: 32378724

    Herring‑roe oil RCT produced a small but significant PASI reduction in psoriasis — direct skin disease benefit.

  7. Protective effects of dietary fish-oil supplementation on skin inflammatory and oxidative stress biomarkers induced by fine particulate air pollution: a pilot randomized, double-blind, placebo-controlled trial

    PubMed ID: 32333793

    Randomized trial showed substantial reductions in skin inflammatory and oxidative responses to PM2.5 with daily fish oil for 4 months — strong, direct skin benefit.

  8. Effects of Omega-3 Fatty Acids Against Chemotherapy-induced Mucositis: A Double-blind Randomized Clinical Trial

    PubMed ID: 29324423

    Omega‑3 reduced oral mucositis severity and pain — direct mucosal/skin‑like tissue benefit.

  9. Randomized controlled trial of oral omega-3 PUFA in solar-simulated radiation-induced suppression of human cutaneous immune responses

    PubMed ID: 23364005

    EPA‑rich supplementation reduced UV‑induced suppression of skin immune responses, indicating protective skin effects.

  10. Energy-restricted, n-3 polyunsaturated fatty acids-rich diet improves the clinical response to immuno-modulating drugs in obese patients with plaque-type psoriasis: a randomized control clinical trial

    PubMed ID: 24120032

    Obese psoriasis patients on n‑3‑rich diet had large, clinically meaningful PASI improvements over 6 months.

  11. 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

    10‑week EPA+DHA supplementation significantly reduced inflammatory and non‑inflammatory acne lesions and tissue IL‑8.

  12. Untitled

    PubMed ID: 22617142

    Observational validation showed reported EPA/DHA intake correlated with dermal EPA levels, supporting skin bioavailability of dietary n‑3s.

  13. Effect of eicosapentaenoic acid, an omega-3 polyunsaturated fatty acid, on UVR-related cancer risk in humans. An assessment of early genotoxic markers

    PubMed ID: 12771037

    Purified EPA increased erythemal (sunburn) threshold and reduced UV‑induced p53 and PBL DNA damage — clear photoprotective/skin-benefit evidence.

  14. Combination therapy with low-dose etretinate and eicosapentaenoic acid for psoriasis vulgaris

    PubMed ID: 9863281

    EPA added to etretinate produced faster and greater psoriasis improvement versus etretinate alone.

  15. The Effects of α-Linolenic Acid Intake on Skin and Blood Vessel Health and Subjective Fatigue in Middle-Aged Japanese Females: A Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Comparative Trial

    PubMed ID: 40754213

    Dose‑dependent ALA supplementation modestly increased serum ALA and showed a trend to improved skin hydration.

  16. 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 infusion improved psoriasis area and severity index significantly versus omega‑6 control.

  17. Impact of EPA ingestion on COX- and LOX-mediated eicosanoid synthesis in skin with and without a pro-inflammatory UVR challenge--report of a randomised controlled study in humans

    PubMed ID: 24311515

    Oral EPA (≈5 g/day) markedly altered dermal fatty acids and reduced PGE2, shifting skin eicosanoids toward EPA‑derived (anti‑inflammatory) species.

  18. 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 omega‑3 increased breast milk EPA/DHA and was associated with fewer IgE‑related allergic conditions in infants (eczema/allergic skin relevance).

  19. Enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids in patients after operation: immunologic, metabolic, and clinical outcome

    PubMed ID: 1377838

    Postoperative fish‑oil containing formula reduced infections and shortened hospital stay; supports improved wound/skin outcomes in surgical patients.

  20. Effect of early postoperative enteral immunonutrition on wound healing in patients undergoing surgery for gastric cancer

    PubMed ID: 15681102

    Perioperative immunonutrition with omega‑3 increased collagen deposition and markedly reduced wound‑healing complications—strong skin/wound benefit.

  21. Wrinkle reduction in post-menopausal women consuming a novel oral supplement: a double-blind placebo-controlled randomized study

    PubMed ID: 23927381

    Post‑menopausal women taking a multi‑ingredient oral supplement that included fish oil had ~10% less wrinkle depth and increased skin collagen — clinically relevant improvement but multi‑component.

  22. Evaluating the effect of omega-3-rich fish skin in the treatment of chronic, nonresponsive diabetic foot ulcers: penultimate analysis of a multicenter, prospective, randomized controlled trial

    PubMed ID: 35797557

    Omega‑3–rich acellular fish‑skin grafts markedly increased chronic diabetic foot ulcer closure rates vs standard care (large clinical effect on skin healing).

  23. Effect of a collagen-enriched beverage with or without omega-3 fatty acids on wound healing, metabolic biomarkers, and adipokines in patients with major burns

    PubMed ID: 36724726

    In burn patients collagen+ω‑3 accelerated wound closure and improved Vancouver scar scores—direct skin/wound benefit.

  24. A diet enriched in eicosapentanoic acid, gamma-linolenic acid and antioxidants in the prevention of new pressure ulcer formation in critically ill patients with acute lung injury: A randomized, prospective, controlled study

    PubMed ID: 17933438

    Enteral EPA/GLA/antioxidant formula reduced new pressure‑ulcer formation in critically ill patients (skin integrity benefit in a complex formula).

  25. 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

    High‑dose FO improved biochemical immune markers in psoriasis/atopic dermatitis patients and raised EPA/DHA in blood.

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

    PubMed ID: 18241260

    High‑dose DHA reduced SCORAD scores (eczema severity) and suppressed allergen‑driven IgE synthesis, providing direct clinical skin benefit in atopic eczema.

  27. Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy

    PubMed ID: 19489765

    Maternal EPA+DHA decreased infant IgE‑associated eczema incidence and food allergy in high‑risk infants — strong preventive skin/allergy effect in offspring.

  28. 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 fish oil reduced atopic eczema incidence in infants — clear skin-health clinical benefit.

  29. EPA + DHA supplementation reduces PMN activation in microenvironment of chronic venous leg ulcers: A randomized, double-blind, controlled study

    PubMed ID: 28758717

    Reduced neutrophil activation and proteases in venous leg ulcers and trends to faster wound area reduction support skin/wound benefit.

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

    PubMed ID: 29735019

    Study in older adults with chronic wounds showed marked anti‑inflammatory cytokine reductions that could plausibly support skin/wound healing (indirect evidence).

  31. Effect of Omega-3 Polyunsaturated Fatty Acid Supplementation on Clinical Outcome of Atopic Dermatitis in Children

    PubMed ID: 39275147

    Randomized pediatric trial (fish oil + GLA + vitamin D) produced clinically meaningful reductions in eczema severity and steroid use.

Sleep quality (12)
  1. Fatty acids and sleep in UK children: subjective and pilot objective sleep results from the DOLAB study--a randomized controlled trial

    PubMed ID: 24605819

    DHA 600 mg/day in schoolchildren increased objective sleep by ~58 min (actigraphy) and higher DHA associated with fewer sleep problems.

  2. Fatigue reduction diet in breast cancer survivors: a pilot randomized clinical trial

    PubMed ID: 27913933

    Three‑month fatty‑fish–rich diet in breast cancer survivors reduced fatigue and improved PSQI sleep scores, with increased serum EPA (multi‑food intervention).

  3. Maternal consumption of a DHA-containing functional food benefits infant sleep patterning: an early neurodevelopmental measure

    PubMed ID: 22269042

    Maternal DHA reduced newborn arousals and improved early sleep-state organization — direct sleep-related benefit for infants.

  4. Fish consumption, sleep, daily functioning, and heart rate variability

    PubMed ID: 24812543

    Eating fatty fish several times weekly improved some sleep measures (sleep latency/disturbance) in an RCT dietary intervention.

  5. Effect of Docosahexaenoic Acid and Eicosapentaenoic Acid Supplementation on Sleep Quality in Healthy Subjects: A Randomized, Double-Blinded, Placebo-Controlled Trial

    PubMed ID: 36235788

    Randomized double‑blind trial: DHA+EPA improved objective sleep efficiency and altered dreaming reports — direct, high‑quality evidence.

  6. Effect of Omega-3 Polyunsaturated Fatty Acid Supplementation on Clinical Outcome of Atopic Dermatitis in Children

    PubMed ID: 39275147

    Pediatric combination product improved sleep/quality of life in children with eczema (product included fish oil + GLA + vitD).

  7. Marine n-3 polyunsaturated fatty acids slow sleep impairment progression by regulating central circadian rhythms in type 2 diabetes

    PubMed ID: 40347940

    Long-term fish-oil in type 2 diabetes improved PSQI sleep scores, lowered cortisol, and changed clock-gene expression—robust sleep-related RCT evidence.

  8. Effect of low doses of long chain n-3 polyunsaturated fatty acids on sleep-time heart rate variability: a randomized, controlled trial

    PubMed ID: 23896537

    Large RCT observed increases in sleep‑time long‑term HRV indices (autonomic modulation during sleep) with n‑3 supplementation.

  9. Influence of adjuvant omega-3-polyunsaturated fatty acids on depression, sleep, and emotion regulation among outpatients with major depressive disorders - Results from a double-blind, randomized and placebo-controlled clinical trial

    PubMed ID: 30317101

    Adjunctive omega‑3 improved sleep disturbances alongside mood improvements in the sertraline trial.

  10. The effects of omega-3 on the sleep quality of patients with uremic pruritus undergoing hemodialysis: a randomized crossover study

    PubMed ID: 32427120

    Randomized crossover in dialysis patients with pruritus showed improved sleep quality with added omega‑3 (PSQI changes reported).

  11. Feasibility of Investigational Procedures and Efficacy of a Personalized Omega-3 Dietary Intervention in Alleviating Pain and Psychoneurological Symptoms in Breast Cancer Survivors

    PubMed ID: 35450801

    Personalized fish‑based interventions significantly improved sleep problems in breast cancer survivors in a randomized feasibility trial.

  12. The effects of Omega-3 supplementation on stress, anxiety, depression, sleep quality, and everyday memory in individuals with psychological distress: A randomized, double-blind, placebo-controlled trial

    PubMed ID: 41461240

    750 mg/day EPA+DHA over 3 months improved self‑reported sleep quality in psychologically distressed adults.

Bone health (6)
  1. Effects of mixed oil emulsion on short-term clinical outcomes in premature infants: A prospective, multicenter, randomized controlled trial

    PubMed ID: 37138099

    SMOF containing fish oil reduced markers of metabolic bone disease and high ALP in very‑preterm infants, indicating protective effects on neonatal bone health.

  2. Effect of fish oil supplementation in pregnancy on bone, lean, and fat mass at six years: randomised clinical trial

    PubMed ID: 30181143

    Maternal fish‑oil resulted in a small but statistically significant increase in offspring bone mineral content at age 6.

  3. Impact of Omega-3 and Vitamin D Supplementation on Bone Turnover Markers in Children with Leukemia: Follow-Up During and After Supplementation

    PubMed ID: 40806109

    In children with ALL, ω‑3 plus vitamin D/Ca increased 25(OH)D, lowered PTH and reduced bone resorption marker (direct bone-protective effect).

  4. Calcium, gamma-linolenic acid and eicosapentaenoic acid supplementation in senile osteoporosis

    PubMed ID: 9932142

    Older women receiving EPA+GLA+calcium maintained/increased BMD vs placebo+calcium (pilot; combined intervention).

  5. Milk protein-based formulas containing different oils affect fatty acids balance in term infants: A randomized blinded crossover clinical trial

    PubMed ID: 28410612

    NoPALM infant formula increased calcium absorption and retention versus palm‑olein formula — direct implication for bone mineral retention.

  6. 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 associated with reduced bone resorption in AI‑treated breast cancer survivors (small pilot trial).

Hair & Nails (1)
  1. Effect of a nutritional supplement on hair loss in women

    PubMed ID: 25573272

    Six-month omega‑3/6 plus antioxidants improved hair density and reduced shedding in women—direct hair benefit.

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