Omega-3 Fatty Acids
19 benefits mapped to clinical evidence across supplements.
Dose per serving from products
4,566 products in our catalogue print how much Omega-3 Fatty Acids a serving holds.
Most common: 500 mcg to 1 mg, 18% of 4,566 products.
| Dose per serving | Products |
|---|---|
| 500 mcg or less | 11 |
| 500 mcg to 1 mg | 842 |
| 1 mg to 2.5 mg | 128 |
| 2.5 mg to 5 mg | 392 |
| 5 mg to 10 mg | 13 |
| 10 mg to 25 mg | 49 |
| 25 mg to 50 mg | 162 |
| 50 mg to 100 mg | 331 |
| 100 mg to 250 mg | 788 |
| 250 mg to 500 mg | 579 |
| 500 mg to 1 g | 701 |
| 1 g to 2.5 g | 503 |
| over 2.5 g | 67 |
Dose per serving from research
1,392 study groups in 1,023 studies say how much Omega-3 Fatty Acids participants took a day.
These are the doses the studies gave. They are not a recommendation.
Most common: 1 g to 2.5 g, 36% of 1,392 study groups.
| Daily dose | Study groups |
|---|---|
| 100 mg or less | 22 |
| 100 mg to 250 mg | 52 |
| 250 mg to 500 mg | 85 |
| 500 mg to 1 g | 272 |
| 1 g to 2.5 g | 495 |
| 2.5 g to 5 g | 408 |
| over 5 g | 58 |
Commonly used together
516 of 1,405 study groups took Omega-3 Fatty Acids with something else. Shown: what 3 or more different studies gave. The 10 most common of 44.
What was given together, not what works together.
| Taken with | Study groups |
|---|---|
| Docosahexaenoic Acid | 244 |
| Fish Oil | 124 |
| Vitamin E | 57 |
| Vitamin D | 37 |
| Vitamin C | 17 |
| EPA | 15 |
| Lutein | 13 |
| Phytosterols | 12 |
| Selenium | 12 |
| Vitamin A | 12 |
Benefit Evidence
Bigger babies, longer gestation
Affects preterm risk
Mostly no direct support
Anxiety/hostility â, 31% norepi
Depression/mood â, improved scores
Recovery: less damage/inflammation
+23pp ROM,+52% O3i
Faster muscle rebuilding
Hydrationâ, TEWLâ
Eczema/psoriasisâ, itchâ
PUFAâ, inflammationâ
Bone breakdownâ; inflammationâ
BMDâ; resorptionâ
Calcium absorptionâ
Bigger babies, longer gestation
Affects preterm risk
Mostly no direct support
Recovery: less damage/inflammation
+23pp ROM,+52% O3i
Faster muscle rebuilding
Research sources
Heart health (423)
- 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-3 carboxylic acids significantly lowered TGs (~26%), a beneficial cardiometabolic effect.
- Benefits of Icosapent Ethyl Across the Range of Kidney Function in Patients With Established Cardiovascular Disease or Diabetes: REDUCE-IT RENAL
PubMed ID: 34706555
REDUCEâIT: 4 g/day icosapent ethyl produced ~25% RRR in major CV eventsâhighâquality, direct evidence for heart protection (EPA prescription).
- Effect of icosapent ethyl on progression of coronary atherosclerosis in patients with elevated triglycerides on statin therapy: a prospective, placebo-controlled randomized trial (EVAPORATE): interim results
PubMed ID: 32609331
Imaging RCT: IPE slowed total and nonâcalcified coronary plaque progressionâmechanistic support for heart benefits seen in outcome trials.
- Treatment of Chinese Patients with Hypertriglyceridemia with a Pharmaceutical-Grade Preparation of Highly Purified Omega-3 Polyunsaturated Fatty Acid Ethyl Esters: Main Results of a Randomized, Double-Blind, Controlled Trial
PubMed ID: 34552329
Pharmaceutical omega-3 ethyl esters dose-dependently and robustly lowered triglycerides and improved non-HDL cholesterolâdirect heart-risk factor improvement.
- Icosapent Ethyl Reduces Ischemic Events in Patients With a History of Previous Coronary Artery Bypass Grafting: REDUCE-IT CABG
PubMed ID: 34710343
Icosapent ethyl (4 g/day EPA) in post-CABG patients produced substantial reductions in ischemic eventsâstrong, high-quality cardiovascular outcome evidence.
- Ï-3 fatty acid alleviates virus-induced myocardial injury by regulating TLR4 and TLR3 expression
PubMed ID: 34298398
In virus-related myocardial injury, omega-3 lowered inflammatory markers and improved cardiac measures (direct heart-support signals).
- Blood pressure lowering in elderly subjects: a double-blind crossover study of omega-3 and omega-6 fatty acids
PubMed ID: 1989427
Highâdose fish oil lowered BP and triglycerides in hypertensive elderly â clinically relevant heartârisk factor improvements.
- Comparative Reductions in Investigator-Reported and Adjudicated Ischemic Events in REDUCE-IT
PubMed ID: 34620410
Repeat entry (same rationale): strong large outcome benefit for CV events with EPA (included because primary heartâhealth evidence).
- Omega and heart rate variability in overweight and obese schoolchildren
PubMed ID: 39972155
In children, omegaâ3 improved HRV and lipids (TG down, HDL up) â supportive of favorable early heartâhealth markers.
- Differential cardiovascular impact of Ï-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
STRENGTH trial subanalysis: Ïâ3 carboxylic acid reduced major CV events in Asians â subgroup heartâhealth signal (exploratory).
- The impact of Omega-3 supplementation on arrhythmia reduction in acute coronary syndrome patients: a randomized clinical trial
PubMed ID: 39788951
Short ACS RCT reduced AF/PACs/PVCs over 5 days â acute arrhythmia benefit with potential cardiac event relevance.
- 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-derived ML effectâscore analysis identifies who benefits from omegaâ3 for CHD risk reduction â supports targeted heart benefit.
- Cardiovascular Outcomes With Icosapent Ethyl by Baseline Low-Density Lipoprotein Cholesterol: A Secondary Analysis of the REDUCE-IT Randomized Trial
PubMed ID: 39968782
REDUCEâIT: large RCT showing highâdose EPA (icosapent ethyl) added to statin therapy substantially reduced coronary events â strongest direct heartâhealth evidence.
- Effects of niacin and omega-3 fatty acids on HDL-apolipoprotein A-I exchange in subjects with metabolic syndrome
PubMed ID: 38408107
Prescription omegaâ3 improved HDL apoAâI exchange and apoAâI functional activity, a plausible mechanism supporting cardiovascular benefit.
- 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
Acute MI RCT: omegaâ3 produced greater hsâCRP reduction vs placebo, indicating reduced postâMI inflammation which is cardioprotective.
- 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
PostâMI supplementation showed no ITT benefit but responders who raised omegaâ3 index had fewer longâterm events â suggestive clinical benefit in responders.
- The Role of Omega-3 Polyunsaturated Fatty Acids in Patients with Metabolic Syndrome and Endothelial Dysfunction
PubMed ID: 39859026
Improved endothelial measures and reduced ApoB in metabolicâsyndrome patients indicate cardiometabolic benefit relevant to heart health.
- Lipoprotein(a) Blood Levels and Cardiovascular Risk Reduction With Icosapent Ethyl
PubMed ID: 38530686
Large randomized outcomes trial/substudy: highâpurity EPA (icosapent ethyl) reduced major adverse cardiovascular events across Lp(a) levels â strong heartâprotection evidence.
- 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
Large VITAL reanalysis using winâratio found reduced coronary events (MI/CHD) in lowâfish consumers randomized to 1 g/day omegaâ3.
- 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
Genotypeâtargeted RCT showed LDL and TG improvements with omegaâ3 in PPARG carriers, supportive of heartârisk lowering in responders.
- Potential effects of icosapent ethyl on cardiovascular outcomes in cigarette smokers: REDUCE-IT smoking
PubMed ID: 35953437
REDUCEâIT subgroup analysis of purified EPA showed meaningful reductions in major cardiovascular events in current/former smokers.
- 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
Children with T1D showed improved lipids, albuminuria and carotid intima thickness after omegaâ3, indicating cardiometabolic and vascular benefit.
- 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 RCT of highâdose purified EPA robustly lowered triglycerides and atherogenic lipidsâstrong surrogate evidence for heart benefit.
- 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
Longâterm EPA formulation reduced triglycerides doseâdependently over 52 weeks with good tolerabilityâcardiometabolic lipid benefit.
- Prevention of Cardiovascular Events and Mortality With Icosapent Ethyl in Patients With Prior Myocardial Infarction
PubMed ID: 35483753
REDUCEâIT priorâMI subgroup: significant reductions in ischemic events, MI and CV deathâstrong heartâprotection evidence for IPE.
- Treatment With Icosapent Ethyl to Reduce Ischemic Events in Patients With Prior Percutaneous Coronary Intervention: Insights From REDUCE-IT PCI
PubMed ID: 35261279
REDUCEâIT priorâPCI subgroup: large, statistically robust reductions in primary ischemic events and revascularization with highâdose EPA.
- Impact of Icosapent Ethyl on Cardiovascular Risk Reduction in Patients With Heart Failure in REDUCE-IT
PubMed ID: 35377160
REDUCEâIT HF subgroup: substantial TG and hsâCRP reductions and trend to fewer eventsâsupportive biomarker and modest clinical signals.
- Diabetes Mellitus, Race, and Effects of Omega-3 Fatty Acids on Incidence of Heart Failure Hospitalization
PubMed ID: 35361440
VITAL ancillary found substantial reductions in first and recurrent heart-failure hospitalizations among participants with diabetesâstrong outcome signal in that subgroup.
- 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
Large phase 3 RCT showed dose-related triglyceride lowering with EPA formulationâclinically meaningful lipid benefit for cardiovascular risk.
- [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
Small randomized study in ischemic HFrEF showed lower heart rate, fewer ventricular extrasystoles, and modest LVEF increaseâdirect cardiac benefit.
- Long Chain Omega-3 Polyunsaturated Fatty Acids Improve Vascular Stiffness in Abdominal Aortic Aneurysm: A Randomized Controlled Trial
PubMed ID: 33396567
Small RCT in AAA patients: LCânâ3 reduced PWV (arterial stiffness) and resting heart rateâdirect heart/vascular benefit.
- Reduction in Revascularization With Icosapent Ethyl: Insights From REDUCE-IT Revascularization Analyses
PubMed ID: 33148016
REDUCEâIT (icosapent ethyl 4 g/day on statin) showed robust, statistically significant reductions in first and total coronary revascularizations (PCI/CABG).
- Vitamin D, Marine n-3 Fatty Acids, and Primary Prevention of Cardiovascular Disease Current Evidence
PubMed ID: 31895658
VITAL large primaryâprevention trial found a 28% reduction in total myocardial infarction with 1 g/day marine Ïâ3 despite a null primary composite.
- 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 Dyslipidemiaă- A Randomized, Double-Blind, Placebo-Controlled, Phase III Study
PubMed ID: 32281579
Phase III trial of Ïâ3 free fatty acids produced doseâdependent, clinically meaningful triglyceride reductions â a key cardiometabolic risk factor.
- 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
Highâdose Ïâ3 improved left ventricular remodeling and reduced myocardial fibrosis and hsCRP in a subgroup postâMI, indicating cardioprotective remodeling.
- 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 lowered triglycerides and hsCRP in highârisk CKD patients on statins, supporting CV risk modification.
- 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
4 g/day Ïâ3 ethyl esters improved LDL particle size and lowered atherogenic lipids/apolipoproteinsâbeneficial atherogenic profile changes.
- 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/d) in statinâtreated highârisk patients lowered triglycerides and hsCRP over 12 weeksâfavourable intermediate markers of CV risk.
- Effects of Icosapent Ethyl on Total Ischemic Events: From REDUCE-IT
PubMed ID: 30898607
Major randomized trial (REDUCEâIT) with 4 g/day icosapent ethyl substantially reduced ischemic cardiovascular eventsârobust heartâprotection data.
- REDUCE-IT USA: Results From the 3146 Patients Randomized in the United States
PubMed ID: 31707829
Large randomized outcomes subgroup: 4 g/day EPA (icosapent ethyl) markedly reduced heart attacks, strokes, revascularizations and deathâstrong heartâbenefit evidence.
- Benefits of Fasting Abbreviation with Carbohydrates and Omega-3 Infusion During CABG: a Double-Blind Controlled Randomized Trial
PubMed ID: 30916121
Perioperative Ïâ3 reduced postoperative atrial fibrillation (POAF) and vasoactive drug needsâdirect cardiac rhythm benefit in surgical setting.
- Long-term vitamin D and high-dose n-3 fatty acids' supplementation improve markers of cardiometabolic risk in type 2 diabetic patients with CHD
PubMed ID: 31309919
Highâdose nâ3 + vitamin D improved carotid IMT and multiple lipids in T2DM+CHD â direct atherosclerotic/heart support evidence.
- 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
Omegaâ3 (with/without plant sterols) improved fasting glucose/insulin resistance and triglycerides in preâdiabetes â relevant cardiometabolic risk reduction.
- Supplementation with saury oil, a fish oil high in omega-11 monounsaturated fatty acids, improves plasma lipids in healthy subjects
PubMed ID: 31784345
Saury oil (rich in omegaâ3) reduced triglycerides and increased HDL without raising LDL â favorable heart risk profile.
- 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
Fish oil reduced rescue thrombectomy/thrombolysis procedures in AV fistula patients â important vascular/heartârelated outcome.
- Effects of omega-3 polyunsaturated fatty acids on fibrosis, endothelial function and myocardial performance, in ischemic heart failure patients
PubMed ID: 29752009
Short crossover RCT in ischemic HF improved LVEF, GLS, endothelial function and reduced ST2/hsCRPâcoherent cardiac improvements.
- Lipid Effects of Icosapent Ethyl in Women with Diabetes Mellitus and Persistent High Triglycerides on Statin Treatment: ANCHOR Trial Subanalysis
PubMed ID: 29583081
Icosapent ethyl (4 g/day) in diabetic patients on statins robustly and substantially lowered triglycerides and improved atherogenic lipids (RCT subgroup).
- 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
2 g/day EPA in T2D lowered methionine/cysteine and improved atherogenic index (AIP), indicating cardiometabolic benefit.
- Effects of marine n-3 fatty acid supplementation in renal transplantation: A randomized controlled trial
PubMed ID: 30125457
Marine Ïâ3 lowered triglycerides and hsâCRP and improved endothelial function (secondary endpoints) in transplant recipients.
- Statin dose reduction with complementary diet therapy: A pilot study of personalized medicine
PubMed ID: 29503145
Combined nutraceutical (incl. fish oil) reduced LDL and hsâCRPâfavorable cardiometabolic changes (not solely attributable to Ïâ3).
- 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
Dietary spread (plant sterols + EPA/DHA) lowered TG and LDL in dyslipidemiaâfavorable cardiac risk marker changes.
- 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
Doseâdependent improvements in TG, adiponectin and CRP in older adultsâcardioâmetabolic risk reduction.
- Marine n-3 Fatty Acids and Prevention of Cardiovascular Disease and Cancer
PubMed ID: 30415637
Large primary prevention RCT showed no overall composite benefit but a substantial reduction in myocardial infarctionâmeaningful heart benefit signal.
- Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia
PubMed ID: 30415628
Icosapent ethyl 4 g/day on top of statin markedly reduced major ischemic events and CV deathsâhighâquality strong evidence.
- Impact of Adding Eicosapentaenoic Acid to Statin Therapy on Plasma Pentraxin 3 Level in Patients with Stable Coronary Artery Disease: A 6-Month, Randomized Controlled Study
PubMed ID: 27778191
EPA added to statin therapy improved residual lipids and reduced PTX3 in a strongâstatin subgroupâcardioârelevant.
- Phytosterols and Omega 3 Supplementation Exert Novel Regulatory Effects on Metabolic and Inflammatory Pathways: A Proteomic Study
PubMed ID: 28608804
Omegaâ3 milk lowered TGs and improved HDL protein compositionâfavorable for cardiac risk profile.
- Omega-3 supplementation on inflammatory markers in patients with chronic Chagas cardiomyopathy: a randomized clinical study
PubMed ID: 28599665
In Chagas cardiomyopathy, omegaâ3 lowered triglycerides and moderated ILâ10 declineâbeneficial cardiac metabolic signals.
- 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 HDL in diabetesâimproved antioxidant/antiâatherogenic profile.
- Beneficial Effects of n-3 Fatty Acids on Cardiometabolic and Inflammatory Markers in Type 2 Diabetes Mellitus: A Clinical Trial
PubMed ID: 29017158
nâ3PUFA improved the atherogenic index in T2D and lowered MCPâ1âcardiometabolic and inflammatory benefits.
- 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
Small RCT in CAD men showed LDLâC lowering (~16%) and hsâCRP reductionâsupportive cardiometabolic effects.
- Omega-3 carboxylic acids in patients with severe hypertriglyceridemia: EVOLVE II, a randomized, placebo-controlled trial
PubMed ID: 29289538
See above: clinically significant TG and nonâHDL lowering in severe hypertriglyceridemia.
- 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
Perioperative omegaâ3 reduced postoperative atrial fibrillation rates after CABGâhard cardiac outcome improvement.
- Comparison of the effect of omega-3 supplements and fresh fish on lipid profile: a randomized, open-labeled trial
PubMed ID: 29259181
Fresh fish intake produced large improvements in TG/LDL/HDL vs supplementsâclinically relevant heart health effects.
- A randomized controlled trial of eicosapentaenoic acid in patients with coronary heart disease on statins
PubMed ID: 28863874
Adding EPA to highâdose statin therapy reduced total atheroma volume and lipid plaque content â strong surrogate benefit for coronary disease.
- Dietary supplementation with omega-3 fatty acids and oleate enhances exercise training effects in patients with metabolic syndrome
PubMed ID: 27356240
Omegaâ3 + oleate with exercise improved insulin sensitivity, reduced CRP and raised HDL â cardiometabolic improvements supportive of heart health.
- 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
MAT9001 produced large reductions in TG, VLDL and ApoC3 vs EPAâEEâfavorable for cardiovascular risk.
- 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 at 4 g/day substantially lowered triglycerides without raising LDLâstrong cardiovascular biomarker evidence.
- Effect of Omega-3 Acid Ethyl Esters on Left Ventricular Remodeling After Acute Myocardial Infarction: The OMEGA-REMODEL Randomized Clinical Trial
PubMed ID: 27482002
Highâdose omegaâ3 (4 g/day) after MI reduced adverse LV remodeling and nonâinfarct fibrosis in a wellâpowered RCTâstrong cardioprotective evidence.
- Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on remnant-like particle cholesterol from the MARINE and ANCHOR studies
PubMed ID: 27596132
Highâpurity EPA (4 g/day) significantly reduced RLPâC and triglycerides in large trialsâstrong atherogenic lipid lowering supporting heart benefit.
- Omega 3 Fatty Acids Supplementation and Oxidative Stress in HIV-Seropositive Patients. A Clinical Trial
PubMed ID: 27015634
Omegaâ3 (2.4 g/day) in HIV+ patients reduced triglyceridesâfavorable for cardiac risk profile.
- Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on plasma apolipoprotein C-III levels in patients from the MARINE and ANCHOR studies
PubMed ID: 27206952
Prescription EPA markedly lowered ApoCâIII and triglycerides in phaseâ3 analysesârobust lipid changes relevant to heart risk.
- 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
In systolic heartâfailure patients, 6 months of omegaâ3 improved BNP and multiple echocardiographic measures (direct cardiac benefit).
- 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
3 g/day nâ3 improved HRV (increased RR interval, lower HR) in psoriatic arthritisâfavorable autonomic cardiac effect.
- 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 omegaâ3 raised RBC omegaâ3 index and increased proportion reaching proposed cardioprotective index levels (biomarker supportive).
- 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
~1.5 g/day EPA+DHA produced clinically meaningful systolic BP reduction (~7 mmHg), supportive for heart health.
- 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
Omegaâ3 lowered PCSK9 levels in women, a mechanism that could reduce LDL and cardiovascular risk.
- Icosabutate for the treatment of very high triglycerides: A placebo-controlled, randomized, double-blind, 12-week clinical trial
PubMed ID: 26892135
Marked triglyceride, remnant and ApoCâIII reductions in very highâTG patientsârelevant to CV risk reduction.
- 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
Lowered triglycerides and increased proâresolving mediators in PAD patients â supportive cardiovascular biology despite null FMD.
- 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
Preoperative omegaâ3 reduced postoperative atrial fibrillation after CABG and shortened ICU stay â meaningful cardiac/surgical outcome.
- Short communication: effects of omega-3 fatty acids on triglycerides and high-density lipoprotein subprofiles in HIV-infected persons with hypertriglyceridemia
PubMed ID: 24988179
Marked triglyceride lowering and improved HDL subfractions in HIVâinfected patients with hypertriglyceridemia â favorable cardiac risk profile.
- 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 RCT produced large nonâfasting TG reductions and raised omegaâ3 index (cardioâmetabolic benefit).
- 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
Doseâdependent TG lowering and improved flowâmediated dilation (endothelial function) support heart health.
- 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
EPA initiated after acute MI reduced 30âday composite events and ventricular arrhythmias â strong shortâterm cardiac outcome benefit.
- Effects of omega-3 on metabolic markers in postmenopausal women with metabolic syndrome
PubMed ID: 25394692
In metabolic syndrome, omegaâ3 plus diet lowered triglycerides and blood pressure â improves cardiovascular risk factors.
- 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 reduced atherogenic VLDL and LDL particle concentrations in statinâtreated highârisk patients â favorable cardiovascular risk marker changes.
- Fish-oil supplementation alters numbers of circulating endothelial progenitor cells and microparticles independently of eNOS genotype
PubMed ID: 25332321
Increased EPCs and reduced EMPsâsupports endothelial repair relevant to heart health.
- Icosapent ethyl, a pure ethyl ester of eicosapentaenoic acid: effects on circulating markers of inflammation from the MARINE and ANCHOR studies
PubMed ID: 23325450
4 g/day EPA reduced inflammatory and oxidative biomarkers in highâTG patients â clinically relevant for residual cardiovascular risk mitigation.
- Polyunsaturated omega-3 fatty acids reduce lipoprotein-associated phospholipase A(2) in patients with stable angina
PubMed ID: 24555913
Lowered LpâPLA2 and oxidizedâLDL in stable angina patientsâimproved biomarkers tied to coronary risk.
- Omega-3 fatty acid therapy reduces triglycerides and interleukin-6 in hypertriglyeridemic HIV patients
PubMed ID: 23683266
3.6 g/day reduced triglycerides and inflammatory cytokines and raised omegaâ3 index in HIV patients â cardiometabolic benefits.
- 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 meaningful TG and remnant lipid reductions and lowered inflammation â biomarkers consistent with cardiovascular benefit.
- Combined fish oil and high oleic sunflower oil supplements neutralize their individual effects on the lipid profile of healthy men
PubMed ID: 23888318
Fish oil lowered triglycerides in healthy men (~13%), supporting cardiovascular risk factor improvement.
- Fish oil and neurovascular reactivity to mental stress in humans
PubMed ID: 23408034
Reduced cardiac autonomic reactivity to mental stress and blunted MSNAâfavorable physiologic effects relevant to cardiac risk.
- Untitled
PubMed ID: 23237436
PostâMI RCT reduced ventricular ectopy and improved multiple ECG suddenâdeath risk markers with 1 g/day Ïâ3.
- Untitled
PubMed ID: 23107655
Heartâfailure trial found transient HRV/autonomic improvements at 3 months that were not sustained at 12 months.
- Untitled
PubMed ID: 22811376
Omega-3 reduced triglycerides in RCT; combined intervention data show lipid benefits relevant to cardiovascular risk.
- Untitled
PubMed ID: 22894624
Phase III RCT (highâpurity EPA) produced large, doseâdependent TG lowering â clear heartârisk biomarker benefit.
- Untitled
PubMed ID: 22839709
Ischemic heart disease patients on 1 g/day showed increased RBC Ïâ3 index, fewer arrhythmias and improved HRV.
- 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
High-dose pure EPA (4 g/day) markedly reduced large VLDL and small LDL particle concentrations and VLDL size in very high-TG patients â robust atherogenic-lipoprotein improvements relevant to heart disease risk.
- Effects of omega-3 fatty acids on postprandial triglycerides and monocyte activation
PubMed ID: 23017356
4 g/day omega-3 lowered fasting and postprandial triglycerides (~15â18%), a cardiometabolic benefit.
- 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
Robust phaseâ3 RCT in statinâtreated patients showing large, doseâdependent reductions in triglycerides, nonâHDL and hsâCRPâstrong cardiometabolic relevance.
- 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 nâ3 reduced postâCABG atrial fibrillation, a clinically important cardiac arrhythmia endpoint.
- A low-fat high-carbohydrate diet supplemented with long-chain n-3 PUFA reduces the risk of the metabolic syndrome
PubMed ID: 21839455
Modestâdose nâ3 reduced metabolicâsyndrome prevalence and hypertensionâfactors tied to heart disease risk.
- n-3 polyunsaturated fatty acids in the prevention of atrial fibrillation recurrences after electrical cardioversion: a prospective, randomized study
PubMed ID: 21844082
Periâcardioversion Ïâ3 reduced AF recurrence by ~38% at 1 year (clinically meaningful cardiac outcome).
- 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
In PCI patients Ïâ3 improved fibrin clot permeability, decreased thrombin generation and oxidative stress (clinically relevant cardiac effects).
- 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
Doseâdependent improvements in LVEF and FMD and reduced ILâ6 in severe HF patients â meaningful cardiac benefits.
- Effects of n-3 polyunsaturated fatty acids on left ventricular function and functional capacity in patients with dilated cardiomyopathy
PubMed ID: 21215550
Large RCT in nonischemic dilated cardiomyopathy: nâ3 improved LVEF/exercise capacity and markedly reduced HF hospitalizations.
- 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 atrial mechanical function and reduced spontaneous echo contrast after cardioversion.
- Effects of chronic omega-3 polyunsaturated fatty acid supplementation on human pulmonary vein and left atrial electrophysiology in paroxysmal atrial fibrillation
PubMed ID: 21624541
Fish oil prolonged atrial/PV refractoriness and substantially reduced AF initiation from pulmonary veins â clear electrophysiologic benefit.
- 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
EPA plus statin linked to less progression of arterial stiffness and reduced oxidative stress markers in some patients â supports cardiovascular benefit.
- [Antiarrhythmic activity of omega-3 polyunsaturated fatty acids in patients with stable ischemic heart disease and ventricular rhythm disturbances]
PubMed ID: 21591384
1 g/day reduced ventricular extrasystoles, paired extrasystoles and paroxysms of VT in ischemic heart disease patients (arrhythmia reduction).
- Baseline lipoprotein lipids and low-density lipoprotein cholesterol response to prescription omega-3 acid ethyl ester added to Simvastatin therapy
PubMed ID: 20451686
Omegaâ3 added to statin reduced triglyceride burden and nonâHDL cholesterol overall, favorable for heart risk though LDL rose in some subgroups.
- Preventive effects of eicosapentaenoic acid on coronary artery disease in patients with peripheral artery disease
PubMed ID: 20484828
JELIS PAD subgroup: EPA significantly reduced major coronary events by ~56% â strong clinical evidence for heart benefit in PAD patients.
- The metabolic effects of omega-3 plant sterol esters in mixed hyperlipidemic subjects
PubMed ID: 20617456
Omegaâ3 plant sterol esters produced a 19% triglyceride reduction and modest diastolic BP and hsâCRP decreasesârobust metabolic cardioprotective signals.
- 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 longâchain nâ3 PUFA significantly lowered triglycerides and improved HDL/LDL ratioâstrong cardiovascular riskâfactor improvements.
- Effect of omega-3 fatty acids on heart rate variability in depressed patients with coronary heart disease
PubMed ID: 20716712
2 g/day omegaâ3 prevented decline in VLF (HRV) and modestly lowered heart rate in depressed CAD patientsâbeneficial autonomic/cardiac effects.
- 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 abdominally obese menâa favorable CV risk factor change relevant to heart health.
- Effects of omega-3 polyunsaturated fatty-acid supplementation on redox status in chronic renal failure patients with dyslipidemia
PubMed ID: 20303788
Marked triglyceride lowering (â43% to â48%) in renal failure patients supports reduced cardiovascular risk via lipid lowering.
- Effects of chronic omega-3 polyunsaturated fatty acid supplementation on human atrial electrophysiology
PubMed ID: 21147262
Highâdose fish oil prolonged atrial refractoriness and reduced AF inducibilityâstrong cardiac electrophysiology benefit.
- 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, oxidizedâLDL and metabolic markers in metabolicâsyndrome patients â supportive of heart benefit.
- 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
Large JELIS analysis: purified EPA added to statin therapy reduced coronary events, particularly in impairedâglucoseâmetabolism subgroup.
- 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
HF patients had reduced NTâproBNP and inflammatory biomarkers after nâ3, consistent with cardiac stress reduction.
- The effects of pitavastatin, eicosapentaenoic acid and combined therapy on platelet-derived microparticles and adiponectin in hyperlipidemic, diabetic patients
PubMed ID: 19172517
Lowered plateletâderived microparticles and improved adiponectin with combination therapyâbeneficial for cardiovascular risk.
- Effects of long chain omega-3 fatty acids on metalloproteinases and their inhibitors in combined dyslipidemia patients
PubMed ID: 19397392
Sixâmonth supplementation improved TG/HDL and reduced inflammatory/coagulation markers relevant to CVD risk.
- 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 omegaâ3 reduced postoperative AF incidenceâclinically meaningful cardiac outcome.
- 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
Large RCT: fish oil lowered TG (~15%) and modestly raised HDLâclear cardioprotective lipid changes.
- Fish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetes
PubMed ID: 19394939
Improved endothelial function (FMD) and lowered TG/TNFâα in atârisk individuals.
- Comparison of seal oil to tuna oil on plasma lipid levels and blood pressure in hypertriglyceridaemic subjects
PubMed ID: 19727884
Fish/seal oil decreased triglycerides and systolic BP in hypertriglyceridemic subjects.
- 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
JELIS showed significant reduction in coronary events (especially in high-TG/low-HDL subgroup)âstrong heart protection evidence in that population.
- 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 lipid benefits (large reductions in triglycerides, VLDL, nonâHDL) when prescription omegaâ3 added to simvastatinâclear cardiometabolic impact.
- Reduction in the recurrence of stroke by eicosapentaenoic acid for hypercholesterolemic patients: subanalysis of the JELIS trial
PubMed ID: 18451347
EPA added to statin therapy reduced recurrent strokeâimportant cardiovascular event reduction.
- Effects of omega-3 fatty acid supplements on serum lipids, apolipoproteins and malondialdehyde in type 2 diabetes patients
PubMed ID: 18561722
Significant triglyceride and ApoBâ100 reductions in T2D support cardiometabolic risk improvement.
- The lipid-lowering effects of phytosterols and (n-3) polyunsaturated fatty acids are synergistic and complementary in hyperlipidemic men and women
PubMed ID: 18492838
Omega-3 alone and with phytosterols produced meaningful improvements in triglycerides and LDL/total cholesterol.
- 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
Clear triglyceride-lowering in hemodialysis patientsâfavorable for CVD risk profile.
- 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 HF trial showed modest reductions in all-cause mortality and CV hospitalizations with 1 g/day nâ3 PUFA.
- The effect of low dose omega-3 on plasma lipids in hemodialysis patients
PubMed ID: 17951945
In dialysis patients omega-3 raised HDL and lowered TGs, favorable CVD lipid changes.
- 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
Reliable triglyceride lowering (â17%) in healthy subjects â favorable for cardiovascular risk profile.
- Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS): a randomised open-label, blinded endpoint analysis
PubMed ID: 17398308
Large randomized trial (EPA + statin) showed a modest but significant reduction in major coronary events.
- Highly purified omega-3 polyunsaturated fatty acids are effective as adjunct therapy for secondary prevention of myocardial infarction
PubMed ID: 17575805
GISSI trial (11,324 pts) showed â20% lower all-cause mortality and â45% lower sudden cardiac death with 1 g/day omega-3 post-MIâstrong evidence.
- 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
Diet counselling reduced IMT progression; omegaâ3 improved arterial elasticityâmodest heart benefit.
- Eicosapentaenoic acid reduces the progression of carotid intima-media thickness in patients with type 2 diabetes
PubMed ID: 16616147
Purified EPA improved carotid IMT and reduced arterial stiffnessâdirect atherosclerotic/cardiovascular benefit.
- 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
Obese men: fish oil decreased TG and increased HDL subfractionsâfavorable lipid changes for cardiac risk.
- 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 supplementation reduced myocardial infarctions (secondary outcome) though primary composite endpoint unchanged.
- Trans, and n-3 polyunsaturated fatty acids and vascular function-a yin yang situation?
PubMed ID: 16713391
4 g/day n-3 lowered triglycerides, mean arterial pressure and 24-h heart rateâphysiologic changes beneficial for heart health.
- 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
3-year trial in hyperlipidemic men reduced endothelial-activation markers linked to atherosclerosis riskâsupportive of heart benefits.
- Dietary intake of differently fed salmon; the influence on markers of human atherosclerosis
PubMed ID: 15638820
Salmon diet lowered triglycerides and inflammatory markers relevant to atherosclerosis.
- N-3 Fatty acids for the prevention of atrial fibrillation after coronary artery bypass surgery: a randomized, controlled trial
PubMed ID: 15893193
Perioperative nâ3 PUFA halved postoperative atrial fibrillation incidence and shortened hospital stay â strong cardiac outcome benefit in CABG patients.
- Prevention of fatal arrhythmias in high-risk subjects by fish oil n-3 fatty acid intake
PubMed ID: 16267249
Highârisk ICD trial showed trends/significant reductions in some analysesâsuggestive antiarrhythmic/heart protection.
- Omega-3 fatty acid prevents heart rate variability reductions associated with particulate matter
PubMed ID: 16210665
Prevention of pollution-induced HRV decline supports cardiac autonomic protection.
- 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
Marked triglyceride and hsCRP reductions when added to statin indicate cardioprotective biochemical effects.
- 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 nâ3 reduced triglycerides and mean arterial pressure in healthy men â supports cardiovascular risk reduction.
- The effect of n-3 fatty acids on plasma lipids and lipoproteins and blood pressure in patients with CRF
PubMed ID: 15211441
21% triglyceride reduction and HDL increase in chronic renal failure â clinically relevant cardiac risk factor improvements.
- 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 for 10 weeks lowered triglycerides and improved TG/HDL without LDL rise â favorable cardiovascular lipid changes.
- n-3 long-chain FA decrease serum levels of TG and remnant-like particle-cholesterol in humans
PubMed ID: 12848279
Randomized trial demonstrated significant triglyceride and remnant lipid reductionsâfavorable heart risk profile.
- Atorvastatin and omega-3 fatty acids protect against activation of the coagulation system in patients with combined hyperlipemia
PubMed ID: 12871402
Omegaâ3 added to atorvastatin reduced postprandial coagulation activation markers (favorable for cardiovascular risk).
- Association of n-3 polyunsaturated fatty acids with stability of atherosclerotic plaques: a randomised controlled trial
PubMed ID: 12583947
Fishâoil supplementation increased EPA/DHA in carotid plaques and shifted plaque features toward greater stability (direct vascular benefit).
- 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
GISSIâPrevenzione: large randomized postâMI trial showing significant early reductions in total mortality and sudden cardiac death with 1 g/day nâ3âstrong clinical heart benefit.
- [The effect of omega-3 fatty acids on risk factors for cardiovascular diseases]
PubMed ID: 11789299
Concentrated omegaâ3 in statinâtreated CVD patients lowered a targeted cardiovascular risk parameterâsupportive biomarker evidence.
- The effect of n-3 fatty acids on coronary atherosclerosis: results from SCIMO, an angiographic study, background and implications
PubMed ID: 11838000
Reduced proâatherosclerotic mRNA and associated with reduced angiographic atherosclerosis â supports antiâatherosclerotic heart benefit.
- 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
PostâMI highâdose nâ3 improved HDL and lowered triglycerides though no reduction in clinical events in this trial.
- Eicosapentaenoic acid effect on hyperlipidemia in menopausal Japanese women. The Niigata Epadel Study Group
PubMed ID: 11004352
EPA added to estriol markedly reduced triglycerides (~27%) in hyperlipidemic menopausal womenâcardiometabolic benefit.
- Dietary supplementation with marine omega-3 fatty acids improve systemic large artery endothelial function in subjects with hypercholesterolemia
PubMed ID: 10676668
Improved endothelial function and â16% triglyceride reductionâboth clinically meaningful for CV risk reduction.
- Effect of omega-3 fatty acids and simvastatin on hemostatic risk factors and postprandial hyperlipemia in patients with combined hyperlipemia
PubMed ID: 10634827
Added omegaâ3 improved postprandial lipemia and lowered some prothrombotic markers in hyperlipemia patients on simvastatin.
- Eicosapentanoic acid reduces plasma levels of remnant lipoproteins and prevents in vivo peroxidation of LDL in dialysis patients
PubMed ID: 10505695
Large decreases in remnant lipoproteins and ox-LDL in dialysis patients are strongly anti-atherogenic.
- 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
Adding daily fish to weight-loss yielded large TG drops and HDL2 improvementsâcardioprotective lipid changes.
- 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) showed significant reductions in death and major cardiovascular eventsâdefinitive support.
- 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
One-year n-3 ethyl ester treatment produced consistent TG lowering and HDL increase in a large trialâstrong CV biomarker benefit.
- Effect of n-3 polyunsaturated fatty acids on cyclosporine pharmacokinetics in kidney graft recipients: a randomized placebo-controlled study
PubMed ID: 9589380
Strong TG lowering and possible better creatinine at 1 year in transplant patientsâcardio-renal implications.
- Effects of Simvastatin and omega-3 fatty acids on plasma lipoproteins and lipid peroxidation in patients with combined hyperlipidaemia
PubMed ID: 9566646
Adding fish oil to simvastatin further lowered TGsâclinically relevant lipid improvement for CV risk.
- Effects of dietary fish and weight reduction on ambulatory blood pressure in overweight hypertensives
PubMed ID: 9774368
Lowering ambulatory BP and heart rate with fish intake supports cardiovascular risk reduction.
- Safety and efficacy of Omacor in severe hypertriglyceridemia
PubMed ID: 9865671
Placeboâcontrolled trial in severe hypertriglyceridemia showed large TG reduction (â45%) and favorable lipoprotein changes.
- 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: significant TG reduction at 6 months without worsening glycemic control.
- 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
Atherosclerosis RCT showed rapid TG lowering and haemostatic marker improvements.
- Effect of dietary supplementation with n-3 fatty acids on coronary artery bypass graft patency
PubMed ID: 8540453
Reduced veinâgraft occlusion after CABG â clinically relevant cardiac/vascular outcome.
- 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
Highâdose fish oil in coronary patients produced significant TG lowering, modest HDL increase and Lp(a) reductionâfavorable cardiac lipid profile.
- 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 large dose produced a marked nextâday reduction in TG and VLDLâdemonstrates acute lipid effects relevant to CV risk.
- Reduction of blood pressure and plasma triglycerides by omega-3 fatty acids in treated hypertensives
PubMed ID: 7852747
In treated hypertensives, omegaâ3 modestly reduced BP and substantially lowered TG (~21%), beneficial for cardiac risk.
- [Efficacy and tolerability of simvastatin and omega-3 fatty acid combination in patients with coronary disease, hypercholesterolemia and hypertriglyceridemia]
PubMed ID: 8200011
Combined with simvastatin, omegaâ3 produced significantly larger triglyceride reductions â cardiometabolic benefit though confounded.
- Influence of supplementation with N-3 fatty acids on different coronary risk factors in men--a placebo controlled study
PubMed ID: 1413984
Longâterm supplementation produced clear doseâdependent triglyceride loweringâconsistent cardiometabolic benefit.
- Fish oil treatment and apolipoprotein(a)
PubMed ID: 1586386
Highâdose fish oil doseâdependently raised EPA and lowered triglyceridesâstrong lipidâmediated heart benefit.
- Effect of eicosapentaenoic acid on restenosis rate, clinical course and blood lipids in patients after percutaneous transluminal coronary angioplasty
PubMed ID: 2222347
Postâangioplasty EPA treatment significantly reduced restenosis rate versus placebo (clear cardiovascular clinical benefit).
- Reduction in Serum LDL Cholesterol Using a Nutrient Compendium in Hyperlipidemic Adults Unable or Unwilling to Use Statin Therapy: A Double-Blind Randomized Crossover Clinical Trial
PubMed ID: 35079806
Intervention snacks containing omegaâ3 were associated with ~8.8% LDL and ~5% TC reduction in statinâcandidates, supporting lipid benefit.
- Mediterranean dietary pattern in a randomized trial: prolonged survival and possible reduced cancer rate
PubMed ID: 9625397
Large Mediterraneanâstyle RCT (including higher nâ3 intake) reported major reductions in total mortality; relevant to heart/overall cardiovascular outcomes though multiâcomponent.
- Supplementation with omega-3 or omega-6 fatty acids attenuates platelet reactivity in postmenopausal women
PubMed ID: 35791734
Clear reductions in platelet aggregation/activation reduce thrombotic risk relevant to heart disease and acute coronary events.
- 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
Prospective cohort: higher dietary longâchain nâ3 associated with much lower AMI risk in diabetics â observational supportive evidence.
- Randomized dose-response trial of n-3 fatty acids in hormone receptor negative breast cancer survivors - impact on breast adipose oxylipin and DNA methylation patterns
PubMed ID: 40288580
Highâdose EPA+DHA lowered plasma triglycerides substantially and altered cardiometabolic oxylipins â supports heart risk reduction.
- A Bayesian analysis of the VITAL trial: effects of Ï-3 fatty acid supplementation on cardiovascular events
PubMed ID: 40032221
Large primaryâprevention RCT showing modest but consistent reductions in coronary events and MI risk with EPA+DHA â strong direct heart outcome evidence.
- Fish-Oil Supplementation and Cardiovascular Events in Patients Receiving Hemodialysis
PubMed ID: 41201837
Large doubleâblind RCT in hemodialysis patients found substantial reductions in serious CV events, cardiac death and MI with 4 g/day fish oil.
- 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
In subgroup with higher baseline TG, scallop oil lowered TG and oxidized LDLâmarkers relevant to cardiac risk.
- Efficacy and safety of omega-3-acid ethyl acetate 90 capsules in severe hypertriglyceridemia: A randomized, controlled, multicenter study
PubMed ID: 38830807
Purified omegaâ3 ethyl esters significantly lowered triglycerides and other atherogenic lipids in severe hypertriglyceridemia (RCT), supporting cardiometabolic risk reduction.
- 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 reduced triglycerides substantially in T2D with high TG â clinically relevant CV risk biomarker improvement.
- Omega-3 Fatty Acids Reduce Remnant-like Lipoprotein Cholesterol and Improve the Ankle-Brachial Index of Hemodialysis Patients with Dyslipidemia: A Pilot Study
PubMed ID: 38256336
Highâdose EPA+DHA produced sizable reductions in atherogenic remnant cholesterol and triglycerides and improved ABI in dialysis patients.
- 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 omegaâ3 to glimepiride improved HbA1c, triglycerides and HDL over 12 weeks â metabolic and lipid improvements tied to cardiovascular risk.
- 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
Imaging trial: triglyceride lowering with EPA+DHA associated with lipidârich plaque regression and far fewer cardiac eventsâstrong heart benefit signal.
- 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
FFAâEPA raised plasma EPA/DPA and modestly superior TG reductions and hsâCRP changes vs EPAâEE â supportive biomarker benefits relevant to heart health.
- 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 on statin substantially improved TG, nonâHDL and small dense LDLâclinically relevant heartârisk improvements.
- 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
Onâtreatment EPA rises associated with fewer major adverse cardiac events in postâMI patients, though AF risk increased â clinically relevant but mixed.
- Effectiveness of a Novel Ï-3 Krill Oil Agent in Patients With Severe Hypertriglyceridemia: A Randomized Clinical Trial
PubMed ID: 34989797
Large phaseâ3 RCT: significant TG lowering without LDLâC rise in severe hypertriglyceridemiaâfavorable cardiovascular lipid effects.
- Changes in lipoprotein particle subclasses, standard lipids, and apolipoproteins after supplementation with n-3 or n-6 PUFAs in abdominal obesity: A randomized double-blind crossover study
PubMed ID: 33933722
Robust reductions in triglycerides and favorable lipoprotein shifts with highâdose EPA+DHA are cardioprotective markers.
- Omega-3 fatty acids ameliorate vascular inflammation: A rationale for their atheroprotective effects
PubMed ID: 33812168
EPA reduced vascular inflammatory markers implicated in atherosclerosis â plausible cardioprotective mechanism.
- Effects of DHA-Rich n-3 Fatty Acid Supplementation and/or Resistance Training on Body Composition and Cardiometabolic Biomarkers in Overweight and Obese Post-Menopausal Women
PubMed ID: 34371972
DHA reduced triglycerides and diastolic BP â beneficial for heart health in overweight/obese postmenopausal women.
- Comparison of Omega-3 Eicosapentaenoic Acid Versus Docosahexaenoic Acid-Rich Fish Oil Supplementation on Plasma Lipids and Lipoproteins in Normolipidemic Adults
PubMed ID: 32178279
Both EPAâ and DHAârich highâdose oils lowered triglycerides and VLDL particle number â favorable cardiometabolic lipid effects.
- 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
Eating farmed salmon increased O3I and reduced triglycerides for the rapeseedâfed group â supports dietary omegaâ3 benefit for cardiac risk factors.
- Comparing the serum TAG response to high-dose supplementation of either DHA or EPA among individuals with increased cardiovascular risk: the ComparED study
PubMed ID: 30854986
Crossover trial showed DHA/EPA lowered triglycerides in a substantial fraction of participants (responder heterogeneity).
- Effect of supplementation with omega-3 fatty acids on hypertriglyceridemia in pediatric patients with obesity
PubMed ID: 31271554
3 g/day omega-3 produced large, significant triglyceride reductions in hypertriglyceridemic obese children (strong CVD risk marker improvement).
- An omega-3 fatty acid plasma index â„4% prevents progression of coronary artery plaque in patients with coronary artery disease on statin treatment
PubMed ID: 31055222
Achieving omegaâ3 index â„4% associated with prevention of coronary plaque progression (imaging endpoint) in statin users.
- 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 produced a robust triglyceride reduction (~23%) and increased LPL activity â clear cardiometabolic benefit.
- Evaluation of a High Concentrate Omega-3 for Correcting the Omega-3 Fatty Acid Nutritional Deficiency in Non-Alcoholic Fatty Liver Disease (CONDIN)
PubMed ID: 30127297
Highâdose EPA+DHA increased omegaâ3 index and reduced triglycerides (~18%) â strong heartârisk factor improvement.
- 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: DHA lowered triglycerides by ~24% â robust cardiometabolic benefit relevant to heart health.
- 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: nâ3 improved HRV indices, reduced heart rate (~2.5 bpm) and lowered triglycerides â favourable cardiac/autonomic effects.
- Effect of Low Dose Docosahexaenoic Acid-Rich Fish Oil on Plasma Lipids and Lipoproteins in Pre-Menopausal Women: A Doseâ»Response Randomized Placebo-Controlled Trial
PubMed ID: 30297663
Dose RCT showing ~23% TG reduction at 1 g/day DHA supports heartâhealth lipid benefit.
- 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
Small RCT in CAD patients increased irisin and lowered hsâCRP and LDL â modest cardiometabolic benefits.
- Effects of docosahexanoic acid on metabolic and fat parameters in HIV-infected patients on cART: A randomized, double-blind, placebo-controlled study
PubMed ID: 28648475
Substantial (~40%+) TG reduction in cARTâtreated patients is a clinically meaningful cardiometabolic benefit.
- Eicosapentaenoic and Docosahexaenoic Acids Attenuate Progression of Albuminuria in Patients With Type 2 Diabetes Mellitus and Coronary Artery Disease
PubMed ID: 28710178
Lovaza attenuated progression of albuminuria in T2D+CAD patients and lowered triglycerides â cardiometabolic/renal protection relevant to heart health.
- Effect of Eicosapentaenoic and Docosahexaenoic Acids Added to Statin Therapy on Coronary Artery Plaque in Patients With Coronary Artery Disease: A Randomized Clinical Trial
PubMed ID: 29246960
Highâdose EPA+DHA added to statins reduced triglycerides and prevented fibrous coronary plaque progression in adherent patients â strong cardiac benefit signal.
- Serum metabolomics profiles in response to n-3 fatty acids in Chinese patients with type 2 diabetes: a double-blind randomised controlled trial
PubMed ID: 27404516
Fish oil in T2D raised EPA/DHA and CMPF; CMPF increase correlated with TG reductionsâmechanistic and lipid benefits relevant to heart risk.
- Predictors of change in omega-3 index with fish oil supplementation in peripheral artery disease
PubMed ID: 28457318
Marked omegaâ3 index increase in PAD patients (biomarker linked to cardiovascular outcomes) after highâdose fish oil.
- 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 inflammatory markers and HDL versus EPA; these biomarker changes support cardiovascular benefit.
- Effects of eicosapentaenoic acid and docosahexaenoic acid on cardiovascular disease risk factors: a randomized clinical trial
PubMed ID: 27733252
DHA lowered postprandial triglycerides but raised LDL; highâdose EPA lowered LpâPLA2âmixed but clinically relevant lipid/inflammatory changes for heart risk.
- 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 periâmenopausal womenâcardiovascularly relevant though oxidative stress rose with fish oil alone.
- 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 added to plant sterols improved VLDL subclass lipids and HDL distributionâmechanistic cardiovascular benefits.
- 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 associations with triglycerides and CRP and doseâresponse increases support cardiometabolic relevance.
- Effect of TAK-085 on Low-density Lipoprotein Particle Size in Patients with Hypertriglyceridemia: A Double-blind Randomized Clinical Study
PubMed ID: 26222126
Concentrated EPA+DHA (TAKâ085) produced doseârelated favourable LDL particle shifts and reduction in smallâdense LDLâstrongly cardiometabolicârelevant.
- 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 statinâtreated, highâTG patients showing doseâdependent TG reduction, increased LDL particle size and reductions in ApoCIII and LpâPLA2 â strong cardiovascular benefit markers.
- Docosahexaenoic Acid Attenuates Cardiovascular Risk Factors via a Decline in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Plasma Levels
PubMed ID: 26620373
DHAâenriched oil lowered PCSK9 and triglycerides in a feeding study â favorable lipid effects relevant to heart health.
- Aterofisiol(Âź) in carotid plaque evolution
PubMed ID: 26229448
Multinutrient supplement including omegaâ3 reduced plaque lipid and surgical neurological events â supportive but attribution uncertain.
- Reduction of prothrombin and Factor V levels following supplementation with omega-3 fatty acids is sex dependent: a randomised controlled study
PubMed ID: 24997005
RCT reductions in procoagulant factors and vWF support decreased thrombosis risk, relevant to heart health.
- Effects of Ï-3 PUFAs supplementation on myocardial function and oxidative stress markers in typical Rett syndrome
PubMed ID: 24526821
One year of highâdose omegaâ3 improved subclinical biventricular systolic function and lowered oxidative stress markers in Rett syndrome (cardiac function support in disease context).
- 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 circulating DHA correlated with progression of coronary atherosclerosis in statinâtreated diabetics (observational association).
- A new, microalgal DHA- and EPA-containing oil lowers triacylglycerols in adults with mild-to-moderate hypertriglyceridemia
PubMed ID: 25123060
DHAârich algal oil and fish oil each produced substantial triglyceride reductions vs control (RCT).
- 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
EPA+DHA doseâdependently lowered triglyceridesâan established heartârisk biomarker improvement.
- DHA-enriched high-oleic acid canola oil improves lipid profile and lowers predicted cardiovascular disease risk in the canola oil multicenter randomized controlled trial
PubMed ID: 24829493
DHAâenriched diet improved HDL, markedly lowered triglycerides and reduced predicted 10ây CHD riskâstrong randomized feeding evidence for cardiac benefit.
- Plasma n-3 polyunsaturated fatty acids in chronic heart failure in the GISSI-Heart Failure Trial: relation with fish intake, circulating biomarkers, and mortality
PubMed ID: 23351824
In chronic heart failure, supplementation markedly raised EPA/DHA and reduced an inflammatory marker; biochemical changes relevant to heart health though mortality links were inconclusive.
- 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 RCT showed krill oil lowered fasting triglycerides without raising LDLâclinically relevant heart risk biomarker improvement.
- Eicosapentaenoic acid improves glycemic control in elderly bedridden patients with type 2 diabetes
PubMed ID: 24067797
Elderly bedridden T2D patients had improved glycemia and atherogenic lipoproteins with EPA/DHA â cardiometabolic benefit in a highârisk group.
- Blood lipids profile in hyperlipidemic children undergoing different dietary long chain polyunsaturated supplementations: a preliminary clinical trial
PubMed ID: 24228803
Pediatric DHA produced favorable HDL and TG changes â relevant to longâterm heart health.
- Atorvastatin plus omega-3 fatty acid ethyl ester decreases very-low-density lipoprotein triglyceride production in insulin resistant obese men
PubMed ID: 24299019
Ïâ3 ethyl esters added to atorvastatin produced additional, mechanistically characterized VLDLâTG lowering â strong CV biomarker benefit.
- Long-term safety and efficacy of TAK-085 in Japanese subjects with hypertriglyceridemia undergoing lifestyle modification: the omega-3 fatty acids randomized long-term (ORL) study
PubMed ID: 24314359
52-week prescription EPA+DHA produced sustained, dose-dependent triglyceride reductionsâbeneficial cardiac lipid profile change.
- 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
Highâdose EPA+DHA (4 g/day) produced large, clinically meaningful triglyceride reductions, strongly relevant to heart health.
- A randomized controlled trial to prevent post-operative atrial fibrillation by antioxidant reinforcement
PubMed ID: 23916928
Perioperative nâ3 PUFA plus antioxidants markedly reduced postâoperative atrial fibrillation (large absolute effect), a clinically relevant cardiac endpoint (but intervention included vitamins).
- Determinants of erythrocyte omega-3 fatty acid content in response to fish oil supplementation: a dose-response randomized controlled trial
PubMed ID: 24252845
Doseâresponse increases in omegaâ3 index (RBC EPA+DHA) are linked with cardiac risk modification and strengthen biomarkerâbased heart health claims.
- Eicosapentaenoic and docosahexaenoic acid supplementations reduce platelet aggregation and hemostatic markers differentially in men and women
PubMed ID: 23390192
Reductions in platelet aggregation and favourable hemostatic changes lower thrombotic risk relevant to cardiovascular health.
- 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 adults â established heartâhealth biomarker effect (mixed endothelial findings).
- Platelet redox balance in diabetic patients with hypertension improved by n-3 fatty acids
PubMed ID: 23238663
Fish oil reduced platelet oxidative stress and triglycerides in T2DM+HT patients â relevant to heart disease risk reduction.
- Effects of prescription niacin and omega-3 fatty acids on lipids and vascular function in metabolic syndrome: a randomized controlled trial
PubMed ID: 22892157
Prescription omegaâ3 (with niacin) produced large TG reductions and improved HDL and, with niacin, reduced arterial stiffnessâstrong cardiovascular risk marker effects.
- DHA-rich fish oil reverses the detrimental effects of saturated fatty acids on postprandial vascular reactivity
PubMed ID: 21831993
Acute RCT demonstrated a robust improvement in endothelial function (FMD), a key marker of cardiovascular health.
- Effects of prescription omega-3-acid ethyl esters on fasting lipid profile in subjects with primary hypercholesterolemia
PubMed ID: 21297494
Prescription omega-3 reduced TGs and VLDL in hypercholesterolemia, though small LDL rise occurredâgenerally favorable for TG-driven risk.
- Effect of fish oil supplementation on serum triglycerides, LDL cholesterol and LDL subfractions in hypertriglyceridemic adults
PubMed ID: 21924882
4 g/d EPA+DHA lowered triglycerides substantially but raised LDL-C and LDL subclasses; net cardiac implication mixed.
- Effects of prescription omega-3-acid ethyl esters, coadministered with atorvastatin, on circulating levels of lipoprotein particles, apolipoprotein CIII, and lipoprotein-associated phospholipase A2 mass in men and women with mixed dyslipidemia
PubMed ID: 22108152
Adding prescription omega-3 to atorvastatin produced favourable LDL particle shifts and reduced pro-atherogenic proteins.
- Differential association of docosahexaenoic and eicosapentaenoic acids with carotid intima-media thickness
PubMed ID: 21757663
Cross-sectional inverse association between serum DHA and carotid IMT suggests anti-atherosclerotic potential.
- 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
High-purity EPA (4 g/day) produced substantial, clinically meaningful triglyceride reductions without raising LDL in severe hypertriglyceridemia.
- 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
Formulation (rTAG) of omega-3 lowered fasting triglycerides over six months in statin-treated dyslipidemic subjects.
- 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
Significant triglyceride reductions in HIV patients are cardioprotective (clinically meaningful lipid benefit).
- Effect of low doses of long-chain n-3 PUFAs on endothelial function and arterial stiffness: a randomized controlled trial
PubMed ID: 21865334
Up to 1.8 g/day lowered triglycerides (~16.5%) in older adults â beneficial lipid effect but no endothelial improvement.
- Effects of seal oil and tuna-fish oil on platelet parameters and plasma lipid levels in healthy subjects
PubMed ID: 20652432
Seal oil reduced platelet activation and improved TG/HDL over 14 days â favorable antiâthrombotic and lipid signals.
- Algal docosahexaenoic acid affects plasma lipoprotein particle size distribution in overweight and obese adults
PubMed ID: 21178084
Algal DHA improved lipoprotein particle sizes and lowered triglycerides â supports heart health.
- 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 omegaâ3 + simvastatin produced large triglyceride reduction â strong cardiometabolic benefit.
- A randomized clinical trial on n-3 polyunsaturated fatty acids supplementation and all-cause mortality in elderly men at high cardiovascular risk
PubMed ID: 20389249
Borderline tendency to fewer deaths in elderly men at high CV risk; suggests possible cardiac benefit though not definitive.
- Relationships between plasma fatty acid composition and coronary artery disease
PubMed ID: 21099130
Large trial showing higher on-treatment EPA associated with ~20% fewer major coronary eventsâstrong evidence for cardiac benefit.
- 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 plaques with reduced inflammation and markers of plaque instability supports cardiovascular risk reduction mechanisms.
- 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
1 g/day fish oil in metabolic syndrome lowered weight, BP, triglycerides, and hsâCRP â broad CVD risk improvements.
- Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells
PubMed ID: 19515734
Large geneâexpression trial showed downregulation of inflammatory/atherogenic pathwaysârelevant to heart disease prevention.
- Influence of an eicosapentaenoic and docosahexaenoic acid-enriched enteral nutrition formula on plasma fatty acid composition and biomarkers of insulin resistance in the elderly
PubMed ID: 19573960
Enteral nâ3 feeding reduced TAGs in elderly (improves a cardiac risk marker).
- Beneficial effects of long-chain n-3 fatty acids included in an energy-restricted diet on insulin resistance in overweight and obese European young adults
PubMed ID: 18491071
Fish oil improved insulin sensitivity during calorie restrictionâmetabolic benefit relevant to heart health.
- Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications
PubMed ID: 18665413
Lean fish intake modestly lowered blood pressure in CHD patientsâcardiac risk reduction.
- The role of n-3 PUFAs in preventing the arrhythmic risk in patients with idiopathic dilated cardiomyopathy
PubMed ID: 18982439
Dilated cardiomyopathy RCT demonstrated reductions in arrhythmic risk markers and NSVT episodes (strong cardiac benefit).
- Inclusion of fish or fish oil in weight-loss diets for young adults: effects on blood lipids
PubMed ID: 18490931
Oily fish/fish oil reduced triglycerides and produced favourable lipid trends in a weightâloss trial (cardiac risk).
- Docosahexaenoic acid-rich fish oil improves heart rate variability and heart rate responses to exercise in overweight adults
PubMed ID: 18339222
DHAârich oil improved HRV and lowered heart rate â indicators of improved cardiac autonomic function.
- Impact of foods enriched with n-3 long-chain polyunsaturated fatty acids on erythrocyte n-3 levels and cardiovascular risk factors
PubMed ID: 17349088
Dietary EPA+DHA raised erythrocyte nâ3 linked to better arterial compliance and lower inflammatory/platelet markers.
- Reduction in triglyceride level with N-3 polyunsaturated fatty acids in HIV-infected patients taking potent antiretroviral therapy: a randomized prospective study
PubMed ID: 17179770
Large RCT in HIV patients with high TGs showed ~25% TG reduction and good tolerabilityâclinically meaningful heartârisk improvement.
- 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 (FMD) and decreased oxidative stress â relevant to heart health in inflammatory disease.
- Dose-dependent effects of docosahexaenoic acid supplementation on blood lipids in statin-treated hyperlipidaemic subjects
PubMed ID: 17393216
Large TG lowering in statin-treated patients is cardioprotective; complex LDL shifts but overall favorable lipid effects for heart health.
- Docosahexaenoic acid supplementation improves fasting and postprandial lipid profiles in hypertriglyceridemic men
PubMed ID: 17684201
DHA lowered TG and small dense LDL â favorable for heart disease risk though total LDL rose modestly.
- Microalgal docosahexaenoic acid decreases plasma triacylglycerol in normolipidaemic vegetarians: a randomised trial
PubMed ID: 16571158
Marked TG lowering (~23%) supports cardiovascular risk reduction though LDL/total cholesterol rose.
- 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
In CAD patients, omega-3 (DHA alone or DHA+EPA) lowered triglycerides ~18â22% â meaningful cardiometabolic improvement.
- The bioavailability and pharmacodynamics of different concentrations of omega-3 acid ethyl esters
PubMed ID: 16806871
More concentrated formulations produced greater EPA/DHA incorporation and larger TG/VLDL reductions â supports dose-dependent heart benefit.
- Soluble adhesion molecules in healthy subjects: a dose-response study using n-3 fatty acids
PubMed ID: 15553594
High-dose n-3 reduced sP-selectin (platelet/endothelial activation) â favorable for cardiac risk.
- Evaluation of the effects of Neptune Krill Oil on the clinical course of hyperlipidemia
PubMed ID: 15656713
Krill oil improved blood lipids (total cholesterol, TG, LDL) vs comparators â supports heart health.
- 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
2.8 g/day DHA lowered TG (-20%), raised HDL and reduced resting heart rate â robust cardioprotective risk-factor changes.
- Circulating triacylglycerol and apoE levels in response to EPA and docosahexaenoic acid supplementation in adult human subjects
PubMed ID: 15469651
High-dose DHA lowered triglycerides by ~22% and raised apoE â strong cardiometabolic lipid benefits.
- The effects of dietary fatty acid supplementation on endothelial function and vascular tone in healthy subjects
PubMed ID: 14553835
Tuna-oil improved endothelial function â a key component of cardiovascular health.
- Lipid responses in mildly hypertriglyceridemic men and women to consumption of docosahexaenoic acid-enriched eggs
PubMed ID: 14639800
DHAâenriched eggs improved serum TG and HDL â favorable heart risk markers.
- 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
Omegaâ3 preâtreatment modestly reduced restenosis after angioplasty â clinical vascular benefit relevant to heart health.
- Omega-3 fatty acid supplementation accelerates chylomicron triglyceride clearance
PubMed ID: 12562865
Enhanced chylomicron TG clearance, lower postprandial TG and apoBâ48 â improves atherogenic lipoprotein handling.
- 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 transplant patients supports cardiovascular protection.
- 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
Oneâyear Omacor in simvastatinâtreated patients lowered triglycerides 20â30% and VLDL 30â40%âclinically meaningful lipid improvement.
- 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
~26% triglyceride reduction and improved TG:HDL in postmenopausal womenâfavorable cardiac risk marker changes.
- 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 4 g/day lowered triacylglycerols by ~18â20%âan established cardiometabolic benefit; LDL/insulin effects need consideration.
- Heart rate variability and fatty acid content of blood cell membranes: a dose-response study with n-3 fatty acids
PubMed ID: 10479194
Improved HRV in men (linked to suddenâdeath risk) supports cardiac autonomic benefits.
- The effect of dietary omega-3 fatty acids on coronary atherosclerosis. A randomized, double-blind, placebo-controlled trial
PubMed ID: 10189324
Two-year fish-oil supplementation modestly reduced progression of coronary atherosclerosis â direct heart disease outcome.
- 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 lowered systolic/diastolic BP 5â6 mmHg in mild hypertensive men â supports heart health via BP reduction.
- Effects of highly purified eicosapentaenoic acid and docosahexaenoic acid on hemodynamics in humans
PubMed ID: 9665096
DHA lowered resting heart rate and improved LV diastolic filling â direct beneficial cardiac physiology.
- Eicosapentaenoic acid is primarily responsible for hypotriglyceridemic effect of fish oil in humans
PubMed ID: 8729093
EPA documented as main TGâlowering agent; DHA altered HDL subfractions â meaningful lipid effects relevant to heart disease.
- Fish diet, fish oil and docosahexaenoic acid rich oil lower fasting and postprandial plasma lipid levels
PubMed ID: 8933125
Moderate fish/fish oil lowered fasting/postprandial TG and raised favorable HDL2/HDL3 ratio in healthy men.
- 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
Concentrated EPA/DHA lowered triglycerides and improved HDL and BP â clinically meaningful heartârisk marker improvements.
- Serum fatty acids and the risk of coronary heart disease
PubMed ID: 7677125
Observational nested caseâcontrol: higher serum DPA/DHA associated with lower coronary heart disease risk.
- 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 tissue factor activity and increased EPA/DHA â suggests reduced thrombotic risk relevant to heart disease.
- Long-term effects of n-3 fatty acids on serum lipids and glycaemic control
PubMed ID: 7939369
Sixâmonth postâbypass trial showed substantial triglyceride lowering â favorable cardiac risk modification.
- Effects of a fish oil supplement on blood pressure and serum lipids in patients treated for coronary artery disease
PubMed ID: 1617510
Coronary patients had major triglyceride decreases and an attenuation of systolic BP riseâbeneficial for cardiac risk.
- Double-blind, randomized, controlled trial of fish oil supplements in prevention of recurrence of stenosis after coronary angioplasty
PubMed ID: 1537131
Large RCT showing reduced angiographic restenosis after angioplasty with periâprocedural fish oilâclear vascular/heart outcome.
- Docosahexaenoic and eicosapentaenoic acids in plasma phospholipids are divergently associated with high density lipoprotein in humans
PubMed ID: 1534256
Wellâpowered RCT with large triglyceride reductions and modest HDL riseâclinically relevant heart disease risk modulation.
- Influence of fish oil on blood lipids in coronary artery disease
PubMed ID: 1831755
Doseâdependent triglyceride lowering in CAD patients supports heartâprotective lipid effects.
- Effect of eicosapentaenoic and docosahexaenoic acids on blood pressure in hypertension. A population-based intervention trial from the TromsĂž study
PubMed ID: 2137901
Modest BP reductions with EPA/DHA in mild hypertension support cardiovascular risk lowering.
- Dose-response effects of fish-oil supplementation in healthy volunteers
PubMed ID: 2141757
Doseâdependent lowering of triglycerides and HDL subfraction changesâmeaningful for heart health.
- Alterations in serum phosphatidylcholine fatty acyl species by eicosapentaenoic and docosahexaenoic ethyl esters in patients with severe hypertriglyceridemia
PubMed ID: 9101424
Significant triglyceride lowering in severe hypertriglyceridemia supports cardiovascular risk reduction.
- Effects of fish oil and curcumin supplementation on cerebrovascular function in older adults: A randomized controlled trial
PubMed ID: 32127335
Fish oil reduced triglycerides and raised HDL; reduced arterial stiffness in men â established cardiometabolic benefits supportive of heart health.
- Omega 3 fatty acids can reduce early doxorubicin-induced cardiotoxicity in children with acute lymphoblastic leukemia
PubMed ID: 34842343
Randomized pediatric trial: Ïâ3 prevented chemoârelated cardiac injury and preserved systolic functionâstrong heart protection evidence.
- 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
3 g omegaâ3 before PCI reduced CKâMB rise â suggests reduced periprocedural myocardial injury.
- 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
nâ3 enriched goat cheese increased HDL and lowered CRP in overweight/obese adults â favorable heartârelated lipid and inflammation changes.
- Reduced effect on apoptosis of 4-hydroxyhexenal and oxidized LDL enriched with n-3 fatty acids from postmenopausal women
PubMed ID: 15808325
Reduced proâapoptotic oxLDL activity after fish oil â favorable for atherosclerotic processes.
- [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
Improved arterial elasticity, pulse wave velocity and TIMPâ1 in ischemic CHF with AF â favorable cardiovascular structural/function signals.
- Addition of omega-3 fatty acid and coenzyme Q10 to statin therapy in patients with combined dyslipidemia
PubMed ID: 28541926
Omegaâ3 added to statin lowered triglycerides and inflammatory markers vs statin aloneâsupports cardiovascular riskâfactor improvement (coâtherapies confound).
- 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
Omegaâ3 reduced ambulatory BP, heart rate and triglycerides in CKD patientsâclinically meaningful cardiometabolic improvements.
- A long-term seal- and cod-liver-oil supplementation in hypercholesterolemic subjects
PubMed ID: 11214732
Longâterm seal/codâliver oil reduced platelet aggregationâpotential antiâthrombotic heart benefit.
- 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
In older men, omegaâ3 lowered triglycerides (heart risk factor) though it did not alter clotting factors measured in that trial.
- Effect of chia seeds or concentrated fish oil on cardiometabolic risk markers in subjects with hypertriglyceridaemia: a parallel clinical trial
PubMed ID: 39360590
EPA+DHA modestly lowered triglycerides in CAD patientsâfavourable impact on a major cardiac risk factor.
- 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
Metabolomic RCT in T2D linked fishâoil intake markers to triglyceride reductions â supports cardiometabolic effects.
- 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 markedly lowered triglycerides and raised omegaâ3 index in CAD patientsârobust lipid benefit relevant to heart health despite no CAC slowing.
- 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
Adjunctive EPA (±DHA) increased fibrous cap thickness in vulnerable coronary plaques â plaque stabilization relevant to heart health.
- Concomitant Use of Rosuvastatin and Eicosapentaenoic Acid Significantly Prevents Native Coronary Atherosclerotic Progression in Patients With In-Stent Neoatherosclerosis
PubMed ID: 32759543
EPA + rosuvastatin reduced plaque lipid and inflammatory markers in vivo â supports cardiovascular benefit.
- 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
Purified EPA (4 g/day) + statin produced plaque regression and major atherosclerotic improvements.
- 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
Highâdose (4 g/day) omegaâ3 added to statin produced large, clinically meaningful triglyceride and nonâHDL reductions.
- Efficacy and Safety of Adding Omega-3 Fatty Acids in Statin-treated Patients with Residual Hypertriglyceridemia: ROMANTIC (Rosuvastatin-OMAcor iN residual hyperTrIglyCeridemia), a Randomized, Double-blind, and Placebo-controlled Trial
PubMed ID: 29223557
Highâquality multicenter RCT: 4 g/day Ïâ3 markedly lowered TGs/nonâHDLâC in statinâtreated patientsâstrong heart risk benefit.
- 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
Improved circulating progenitor cells and CFUâECs with Ïâ3/statin combinationâsupports vascular repair relevant to heart health.
- 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
GISSIâHF substudy: modest but significant LVEF improvements with nâ3 over years â clinically relevant cardiac benefit in heart failure.
- Omega-3 fatty acids plus rosuvastatin improves endothelial function in South Asians with dyslipidemia
PubMed ID: 19337557
Omegaâ3 improved endothelial function and lipid profile when added to rosuvastatin in dyslipidemic adults.
- Vascular and metabolic effects of omega-3 fatty acids combined with fenofibrate in patients with hypertriglyceridemia
PubMed ID: 27424313
Large triglyceride reductions and improved vascular markers in combination therapyâheartâprotective signals though partially fenofibrateâdriven.
- Significant differential effects of omega-3 fatty acids and fenofibrate in patients with hypertriglyceridemia
PubMed ID: 22153696
Omegaâ3 lowered triglycerides and improved endothelial function (flowâmediated dilation) in hypertriglyceridemiaâsupports cardiovascular risk reduction.
- The effect of bezafibrate and omega-3 fatty acids on lymphocyte cytokine release and systemic inflammation in patients with isolated hypertriglyceridemia
PubMed ID: 21630032
Prescription omegaâ3 produced a ~31% TG reduction in isolated hypertriglyceridemiaâa key modifiable cardiac risk factor.
- Hemostatic effects of bezafibrate and Ï-3 fatty acids in isolated hypertriglyceridemic patients
PubMed ID: 21857087
Omegaâ3 lowered triglycerides and some hemostatic markers (fibrinogen/PAIâ1/factor VII), potentially lowering thrombotic risk.
- Prescription omega-3 fatty acid as an adjunct to fenofibrate therapy in hypertriglyceridemic subjects
PubMed ID: 19597368
Prescription Ïâ3 added to fenofibrate produced very large TG reductionsâclinically meaningful for cardiac risk.
- [Oxidation stress, insulin resistance and endothelial dysfunction during the treatment of hyperlipidaemia]
PubMed ID: 17323614
Ïâ3 with hypolipidaemic therapy improved LDL oxidative markers and endothelial functionâfavors heart health.
- Maxepa versus bezafibrate in hyperlipidemic cardiac transplant recipients
PubMed ID: 1466329
Large triglyceride reductions in transplant patients â supports heartârisk lipid benefits though cholesterol unchanged.
- Including walnuts in a low-fat/modified-fat diet improves HDL cholesterol-to-total cholesterol ratios in patients with type 2 diabetes
PubMed ID: 15562184
Walnut (ALA) diet improved HDL and lowered LDL in T2Dâdietary omegaâ3 benefit relevant to heart health.
- 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 elevated EPA/DHA and improved HDL particle size and nâ3ârich TG speciesâfavorable cardiac lipid profile changes.
- Effect of fatty and lean fish intake on lipoprotein subclasses in subjects with coronary heart disease: a controlled trial
PubMed ID: 24528693
Fattyâfish increased DHA and modest HDL changes in CHD patientsâsupportive of heart benefits.
- 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
Lowered TAG and favorable lipid/inflammatory changes in middleâaged/older womenâsupports heart health.
- Inclusion of Atlantic salmon in the Chinese diet reduces cardiovascular disease risk markers in dyslipidemic adult men
PubMed ID: 20797476
Improved triglycerides and HDL after oilyâfish intake are established heartâhealth markers.
- Effect of supplemented intake of omega-3 fatty acids on arrhythmias in patients with ICD: fish oil therapy may reduce ventricular arrhythmia
PubMed ID: 28664342
In ICD patients with ischemic cardiomyopathy, 3.6 g/day fish oil reduced ventricular tachyarrhythmic events versus placeboâdirect, clinically important cardiac benefit.
- 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
Adding prescription omegaâ3 to simvastatin reduced nonâHDL cholesterolâimproves lipid parameters relevant to heart disease risk.
- 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
Medical food with 1.8 g EPA produced a significant reduction in triglycerides â robust cardiometabolic benefit.
- Effects of DHA-enriched fish oil on monocyte/macrophage activation marker sCD163, asymmetric dimethyl arginine, and insulin resistance in type 2 diabetic patients
PubMed ID: 27578110
DHAâenriched oil lowered triglycerides in T2DMâbeneficial for cardiac risk profile.
- 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
PostâAMI omegaâ3 improved flowâmediated dilatation (endothelial function), a surrogate of cardiovascular risk.
- Randomized Trial for Evaluation in Secondary Prevention Efficacy of Combination Therapy-Statin and Eicosapentaenoic Acid (RESPECT-EPA)
PubMed ID: 38873793
Large statin-treated trial of icosapent ethyl showed significant reduction in coronary events and a borderline primary MACE reduction â strong RCT evidence for cardiac benefit (with AF signal).
- Polyunsaturated Fatty Acid Impact on Clinical Outcomes in Acute Coronary Syndrome Patients With Dyslipidemia: Subanalysis of HIJ-PROPER
PubMed ID: 31390907
ACS trial subgroup: low EPA/AA identified patients who derived event reduction from intensified lipid therapyâEPA/AA prognostic for CV outcomes.
- Effect of rosuvastatin and eicosapentaenoic acid on neoatherosclerosis: the LINK-IT Trial
PubMed ID: 31334703
EPA added to highâdose statin reduced plaque lipid index, macrophage grade and LDLâstrong plaqueâstabilizing heart benefits.
- 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
Randomized postâMI trial showed omegaâ3 improved LV remodeling, reduced fibrosis and NTâproBNP in a genotypeâdefined subgroup.
- 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 added to statin therapy gave an additional ~10% drop in nonâHDL cholesterol and raised EPA/AA ratioâfavorable for cardiovascular risk reduction.
- The effect of omega-3 carboxylic acids on apolipoprotein CIII-containing lipoproteins in severe hypertriglyceridemia
PubMed ID: 27919362
OM3âCA reduced apoCIII and favorably redistributed LDL subspeciesâmechanistically relevant to CVD risk.
- 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 study: starting highâdose EPA after PCI with statin produced large reductions in 1âyear major CV events and cardiovascular deathâstrong direct evidence.
- n-3 fatty acids reduce plasma 20-hydroxyeicosatetraenoic acid and blood pressure in patients with chronic kidney disease
PubMed ID: 26103129
Biochemical reductions in oxidative lipids associated with bloodâpressure lowering in CKDâsupports potential cardiovascular benefit via mechanistic pathways.
- Eicosapentaenoic Acid combined with optimal statin therapy improves endothelial dysfunction in patients with coronary artery disease
PubMed ID: 24158248
EPA modestly improved endothelial function (FMD) and lowered triglycerides in CAD patients.
- Stabilizing effect of combined eicosapentaenoic acid and statin therapy on coronary thin-cap fibroatheroma
PubMed ID: 24637411
EPA added to statin improved plaque morphology (fibrous cap thickening) and lowered plaque inflammationâdirect cardioprotective mechanism.
- Efficacy of a unique omega-3 formulation on the correction of nutritional deficiency and its effects on cardiovascular disease risk factors in a randomized controlled VASCAZEN(Âź) REVEAL Trial
PubMed ID: 25185754
Highâpurity EPA produced large TG reductions and corrected omegaâ3 deficiency rapidly â very strong support for heart riskâfactor improvement.
- Highly purified eicosapentaenoic acid may increase low-density lipoprotein particle size by improving triglyceride metabolism in patients with hypertriglyceridemia
PubMed ID: 23811682
Purified EPA reduced TRLs and increased LDL particle size â favorable heartârelated lipoprotein changes.
- Effect of pretreatment with omega-3 polyunsaturated fatty acids (PUfas) on hematological parameters and platelets aggregation in patients during elective coronary artery bypass grafting
PubMed ID: 23700945
IV Ïâ3 reduced collagenâstimulated platelet aggregation periâCABG with no increased bleeding â relevant cardiac perioperative outcome.
- 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
Higher nâ3:nâ6 ratios associated with less plaque progression in pravastatin subgroup (observational imaging support).
- Omega-3 free fatty acids for the treatment of severe hypertriglyceridemia: the EpanoVa fOr Lowering Very high triglyceridEs (EVOLVE) trial
PubMed ID: 24528690
Robust RCT in severe hypertriglyceridemia showing large TG and nonâHDL reductions â strong CVD riskâfactor benefit.
- 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 showed meaningful triglyceride and nonâHDL reductions with OM3âFFA in statinâtreated highârisk patients.
- 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 nâ3 shifted lipoprotein AA/EPA/DHA composition and correlated with improved MAP/pulse pressureâcardiovascular relevance.
- 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 CAD patients, increases in serum n-3/n-6 ratios were associated with less coronary plaque progression (observational association).
- Early impact of prescription Omega-3 fatty acids on platelet biomarkers in patients with coronary artery disease and hypertriglyceridemia
PubMed ID: 21701167
Short RCT reduced platelet activation markers, indicating antithrombotic potential relevant to heart health.
- Low omega-6 vs. low omega-6 plus high omega-3 dietary intervention for chronic daily headache: protocol for a randomized clinical trial
PubMed ID: 21496264
Dietary interventions produced large increases in omega-3 index and favorable HUFA shifts â beneficial cardiovascular biomarkers.
- 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 supplementation reduced platelet reactivity in PCI patients when added to aspirin+clopidogrel, relevant to secondary cardiac risk.
- 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
Highâdose omegaâ3 plus diet markedly lowered triglycerides in dyslipidemic patients.
- Regular consumption of n-3 fatty acid-enriched pork modifies cardiovascular risk factors
PubMed ID: 18590592
n-3âenriched pork increased DHA and improved triglycerides and platelet-related markers in healthy adults (favorable CVD risk signals).
- 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
Moderateâdose fish oil lowered triglycerides, increased HDL and reduced platelet AA â favorable cardiovascular risk marker changes.
- 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 and lowered triglycerides in dyslipidemic adults â directly cardiovascular-relevant.
- 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
Doseâdependent increases in DHA and decreases in triacylglycerols â favorable cardiometabolic effects.
- 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
Incorporation into plasma lipids and reduced platelet activation â cardioprotective surrogate effects.
- Plasma lipid levels and platelet and neutrophil function in patients with vascular disease following fish oil and olive oil supplementation
PubMed ID: 1328817
Four weeks of fish oil lowered TG ~26%, reduced platelet aggregation and neutrophil LTB4 â multiple mechanisms supporting cardiovascular protection.
- Effects of two types of fish oil supplements on serum lipids and plasma phospholipid fatty acids in coronary artery disease
PubMed ID: 2239719
Six months of fish oil markedly lowered TG but increased LDL in some patients with coronary disease â clinically important but mixed effects.
- Influence of dietary fish on eicosanoid metabolism in man
PubMed ID: 2123355
Mackerel consumption changed platelet eicosanoids (âthromboxane, âprostacyclin metabolite) â favorable cardiovascular mediator shifts.
- Dietary n-3 alpha-linolenic and n-6 linoleic acids modestly lower serum lipoprotein(a) concentration but differentially influence other atherogenic lipoprotein traits: A randomized trial
PubMed ID: 38714425
ALA diet led to modest LDL and Lp(a) decreases, favorable for heart risk reduction.
- Effects of marine-derived and plant-derived omega-3 polyunsaturated fatty acids on erythrocyte fatty acid composition in type 2 diabetic patients
PubMed ID: 35144649
Fish oil reduced triglycerides in typeâ2 diabetes patients; perilla (ALA) had favorable glycemic effects â both relevant for cardiovascular risk.
- Plasma Omega-3 Fatty Acids and the Risk of Cardiovascular Events in Patients After an Acute Coronary Syndrome in MERLIN-TIMI 36
PubMed ID: 33840228
In postâACS patients higher circulating longâchain marine Ïâ3 was robustly associated with substantially lower cardiovascular and sudden cardiac death.
- Effect of n-3 polyunsaturated fatty acids on ischemic heart disease and cardiometabolic risk factors: a two-sample Mendelian randomization study
PubMed ID: 34749668
Large MR analysis indicates genetically higher ALA linked to lower ischemic heart disease risk and improved lipid markers.
- 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 showed doseâdependent, clinically meaningful triglyceride reductions with EPA+DHA â established heartârisk benefit.
- Omega-3 polyunsaturated fatty acids-enriched hen eggs consumption enhances microvascular reactivity in young healthy individuals
PubMed ID: 29633621
Omegaâ3 enriched eggs reduced triglycerides, lowered blood pressure and improved microvascular reactivityâmultiple cardiometabolic improvements.
- 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
Doseâdependent plasma EPA/DHA increases and modest triglyceride lowering provide strong biomarker and metabolic support for heart health.
- Intake of Fatty Fish Alters the Size and the Concentration of Lipid Components of HDL Particles and Camelina Sativa Oil Decreases IDL Particle Concentration in Subjects with Impaired Glucose Metabolism
PubMed ID: 29645359
Fatty fish intake favorably remodeled HDL (larger, more lipidârich) and other lipoprotein subclass improvements relevant to CVD risk.
- Effect of alpha-linolenic acid in combination with the flavonol quercetin on markers of cardiovascular disease risk in healthy, non-obese adults: A randomized, double-blinded placebo-controlled crossover trial
PubMed ID: 30278429
Highâdose ALA lowered total cholesterol, LDLâC and apoBâclassic heartârisk factor improvements.
- 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
Fish oil RCT in T2D improved HbA1c and lipid profile including TG/LDLâcardiometabolic benefits relevant to heart health.
- Dietary α-Linolenic Acid, Marine Ï-3 Fatty Acids, and Mortality in a Population With High Fish Consumption: Findings From the PREvenciĂłn con DIeta MEDiterrĂĄnea (PREDIMED) Study
PubMed ID: 26813890
Large Mediterranean cohort: meeting ALA and marine nâ3 targets associated with markedly lower fatal CVD/CHD and allâcause mortality (strong observational evidence).
- 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 (~16%) and raised HDL in metabolic syndrome/T2Dâclassic cardioprotective lipid changes.
- 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
Plant/microalgae n-3 oils reduced total and LDL cholesterol and raised erythrocyte EPA in hypertriglyceridemic adultsâfavorable heart disease risk markers.
- Intakes of PUFAs were inversely associated with plasma C-reactive protein 12 years later in a middle-aged population with vitamin E intake as an effect modifier
PubMed ID: 24027184
Prospective link between higher nâ3 intake and lower odds of elevated CRP suggests longâterm cardiac risk reduction.
- Lignan content of the flaxseed influences its biological effects in healthy men and women
PubMed ID: 23885993
Flaxseed bars lowered total and LDL cholesterol and oxidized LDL â supporting reduced atherosclerotic risk.
- Effects of n-3 fatty acids on major cardiovascular events in statin users and non-users with a history of myocardial infarction
PubMed ID: 22301766
Large postâMI trial: additional lowâdose nâ3 reduced major CV events in statin nonâusers (borderline), with no benefit in statin users â mixed but clinically relevant.
- Randomized placebo-controlled intervention with n-3 LC-PUFA-supplemented yoghurt: effects on circulating eicosanoids and cardiovascular risk factors
PubMed ID: 23332800
nâ3 supplementation improved triglycerides and HDLâcardiometabolic effects favorable for heart health.
- Plasma and dietary omega-3 fatty acids, fish intake, and heart failure risk in the Physicians' Health Study
PubMed ID: 22952185
Large prospective data found higher plasma ALA/DPA and modest fish intake associated with lower future heartâfailure risk (observational).
- n-3 fatty acids, ventricular arrhythmia-related events, and fatal myocardial infarction in postmyocardial infarction patients with diabetes
PubMed ID: 22110169
PostâMI diabetic subgroup analysis found a large, significant reduction in ventricular arrhythmiaârelated events with combined EPAâDHA+ALAâstrong cardiovascular safety/benefit signal (subgroup/postâhoc caveats).
- 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 circulating longâchain nâ3, especially DHA, associated with lower longâterm atrial fibrillation riskâstrong associative evidence for cardiac benefit.
- Dietary alpha-linolenic acid, EPA, and DHA have differential effects on LDL fatty acid composition but similar effects on serum lipid profiles in normolipidemic humans
PubMed ID: 19261730
Dietary ALA/EPA/DHA changed LDL fatty acids, lowered triglycerides and DHA raised HDL â clinically relevant lipid improvements for heart health.
- Flaxseed oil and fish-oil capsule consumption alters human red blood cell n-3 fatty acid composition: a multiple-dosing trial comparing 2 sources of n-3 fatty acid
PubMed ID: 18779299
Fish oil raised DHA and total nâ3 in RBCs and flax raised RBC EPA/DPA â clear biomarker changes supportive of heart health.
- Higher plasma docosahexaenoic acid is associated with reduced progression of coronary atherosclerosis in women with CAD
PubMed ID: 16983146
Higher plasma DHA linked to slower coronary atherosclerosis progression in women (prospective clinical association).
- Oily fish reduces plasma triacylglycerols: a primary prevention study in overweight men and women
PubMed ID: 17027436
Two oilyâfish servings/week lowered triacylglycerols over 24 weeks (cardiovascular risk biomarker).
- 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
Longâchain nâ3 intake reduced triglycerides and small dense LDL proportionâstrong cardiometabolic biomarker improvements.
- Flaxseed oil increases the plasma concentrations of cardioprotective (n-3) fatty acids in humans
PubMed ID: 16365063
ALA supplementation raised EPA/DPA in a chronically ill cohortâimproves circulating cardioprotective nâ3s.
- Effect of varying the ratio of n-6 to n-3 fatty acids by increasing the dietary intake of alpha-linolenic acid, eicosapentaenoic and docosahexaenoic acid, or both on fibrinogen and clotting factors VII and XII in persons aged 45-70 y: the OPTILIP study
PubMed ID: 16960164
Lowering nâ6:nâ3 with EPA/DHA produced consistent and clinically relevant reductions in fasting and postprandial triglycerides.
- Effect of randomized supplementation with high dose olive, flax or fish oil on serum phospholipid fatty acid levels in adults with attention deficit hyperactivity disorder
PubMed ID: 16188207
Highâdose fish oil increased EPA/DHA and improved AA:EPAâmechanistic markers tied to cardiovascular effects.
- The dietary alpha-linolenic acid to linoleic acid ratio does not affect the serum lipoprotein profile in humans
PubMed ID: 16317123
Higher dietary ALA modestly lowered LDL and some VLDL particles in healthy volunteers.
- 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 (long-chain nâ3) markedly lowered triglycerides and small dense LDLâclinically relevant cardiometabolic benefit.
- Eicosapentaenoic acid and docosahexaenoic acid from fish oils: differential associations with lipid responses
PubMed ID: 12010583
EPA+DHA lowered triglycerides (heart risk factor) but raised LDL and LDL oxidizability â mixed but clinically important cardiac effects.
- Effect of alpha-linolenic acid-rich Camelina sativa oil on serum fatty acid composition and serum lipids in hypercholesterolemic subjects
PubMed ID: 12370843
Camelina (ALA) increased EPA/DPA and produced a substantial LDLâcholesterol reduction (~12%) â strong cardiometabolic signal.
- Effects of dietary n-3 polyunsaturated fatty acids from plant and marine origin on platelet aggregation in healthy elderly subjects
PubMed ID: 10655965
Marine EPA/DHA reduced ex vivo platelet aggregation in older adultsâpotentially cardioprotective.
- Essential fatty acids and cardiovascular disease: the Edinburgh Artery Study
PubMed ID: 10613625
Large population study showed lower nâ3 (EPA/ALA) associated with some cardiovascular outcomes (observational evidence).
- 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
RCT in patients with suspected MI found fish oil reduced total cardiac events, nonfatal MI and cardiac deaths â strong clinical evidence for heart protection.
- Mediterranean alpha-linolenic acid-rich diet in secondary prevention of coronary heart disease
PubMed ID: 7911176
Large randomized secondaryâprevention trial: ALAârich Mediterranean diet markedly reduced recurrent cardiac events and overall mortality â strong heartâhealth signal (dietary nâ3 relevance).
- 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
Dietary EPA+DHA lowered systolic BP and substantially reduced triglycerides/VLDL â direct cardiometabolic improvements linked to heart risk reduction.
- Long-term omega-3 polyunsaturated fatty acid supplementation reduces the recurrence of persistent atrial fibrillation after electrical cardioversion
PubMed ID: 22120130
Large trial with substantial reduction in AF recurrence when fish oil started before cardioversion â strong cardiac rhythm benefit.
- Fish intake is associated with a reduced progression of coronary artery atherosclerosis in postmenopausal women with coronary artery disease
PubMed ID: 15321802
Prospective cohort showed higher fish intake associated with less progression of coronary stenosis in postmenopausal women (observational).
- Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm microcirculation in hyperlipidemic, overweight men
PubMed ID: 10982541
DHA improved microvascular dilation and reduced vasoconstriction â favorable for cardiac/vascular health.
- Interactions between dietary fat, fish, and fish oils and their effects on platelet function in men at risk of cardiovascular disease
PubMed ID: 9081682
Reduced platelet aggregation and thromboxane responses â antithrombotic effects relevant to heart health.
- Effects of a new fish oil concentrate on plasma lipids and lipoproteins in patients with hypertriglyceridaemia
PubMed ID: 7889894
Robust RCT showing pronounced triglyceride/VLDL reductions and HDL increases â important cardiometabolic benefit.
- Fish oil amplifies the effect of propranolol in mild essential hypertension
PubMed ID: 2147175
Fish oil reduced blood pressure and improved lipids/neurohormonal markers in mild hypertension â potential heart-protective effects.
- The effects of fish oil plus vitamin D(3) intervention on non-alcoholic fatty liver disease: a randomized controlled trial
PubMed ID: 35067753
Improvements in triglycerides and inflammatory markers in NAFLD support reduced cardiovascular risk.
- 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 produced substantial triglyceride reductionsârelevant to heart disease risk (EPA derivative rather than pure fish oil).
- Effect of Weight Reduction Diets Containing Fish, Walnut or Fish plus Walnut on Cardiovascular Risk Factors in Overweight and Obese Women
PubMed ID: 31679359
Fish+walnut diet during weight loss reduced SBP and improved LDL/HDL and inflammatory markersâcardiometabolic benefit.
- Long-Term Treatment with n-3 Polyunsaturated Fatty Acids as a Monotherapy in Children with Nonalcoholic Fatty Liver Disease
PubMed ID: 26316434
12âmonth nâ3 PUFA improved triglycerides and HDL in childrenâfavourable heart risk profile changes.
- 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 improved triglycerides, total cholesterol and glucoseâstrong cardiovascular risk factor improvements.
- 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 (cardiac fat) and improved triglyceridesâbeneficial for cardiac health.
- Long-term metabolic effects of n-3 polyunsaturated fatty acids in patients with coronary artery disease
PubMed ID: 7702027
Long-term post-bypass fish-oil reduced triglycerides by ~19% without major adverse metabolic effects.
- Effect of pravastatin and omega-3 fatty acids on plasma lipids and lipoproteins in patients with combined hyperlipidemia
PubMed ID: 8241095
Clear ~30% triglyceride lowering in randomized data supports cardiovascular risk-factor improvement.
Blood circulation (397)
- Omega-3 free fatty acids for the treatment of severe hypertriglyceridemia: the EpanoVa fOr Lowering Very high triglyceridEs (EVOLVE) trial
PubMed ID: 24528690
Large RCT in very high TGs showing substantial TG lowering (doseâresponsive) and improved nonâHDL â important circulatory lipid benefit.
- 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 showed doseâdependent TG and nonâHDL reductions with OM3âFFA, improving atherogenic lipid profile.
- 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 nâ3 ethyl esters increased EPA/DPA/DHA across lipoprotein fractions and decreased AA; mechanistically relevant to circulation.
- 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
Observational association: increases in serum n-3/n-6 ratios linked to less coronary plaque progression by IVUS.
- Early impact of prescription Omega-3 fatty acids on platelet biomarkers in patients with coronary artery disease and hypertriglyceridemia
PubMed ID: 21701167
Modest reductions in platelet activation markers after short treatment â antiplatelet/antithrombotic mechanism for circulation.
- Treatment of aspirin-resistant patients with omega-3 fatty acids versus aspirin dose escalation
PubMed ID: 20117379
Omegaâ3 improved platelet responsiveness and thromboxane in aspirinâresistant patientsârelevant to circulation/antithrombotic effects.
- 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 dual antiplatelet therapy reduced platelet reactivity after PCI, improving factors relevant to circulation.
- 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
Highâdose nâ3 plus diet counseling cut triglycerides substantially in HIV dyslipidemia.
- Regular consumption of n-3 fatty acid-enriched pork modifies cardiovascular risk factors
PubMed ID: 18590592
Dietary n-3 via enriched pork raised DHA and improved some cardiovascular risk markers including triglycerides and platelet markers.
- 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
12âweek fish oil trial lowered triglycerides, improved HDL and reduced platelet AA â favorable effects on atherogenic profile.
- The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans
PubMed ID: 12145002
7-week EPA/DHA trial raised arterial elasticity (+36% with EPA) and lowered triglycerides â directly relevant to vascular function.
- 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
Doseâdependent increases in DHA/AA and reductions in triacylglycerols â favorable circulatory riskâfactor changes.
- 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
Fish oil incorporation reduced platelet activation/TxB2 â supports improved microcirculatory and antithrombotic profile.
- Influence of dietary fish on eicosanoid metabolism in man
PubMed ID: 2123355
Mackerel intake altered platelet eicosanoid production (less thromboxane, more prostacyclin metabolite) â favorable vascular mediator profile.
- 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 reduced arterial stiffness (brachialâankle PWV) and raised serum nâ3 â supports vascular health.
- Dietary n-3 alpha-linolenic and n-6 linoleic acids modestly lower serum lipoprotein(a) concentration but differentially influence other atherogenic lipoprotein traits: A randomized trial
PubMed ID: 38714425
ALAârich diets produced modest LDL and Lp(a) reductions, which are favorable for circulation.
- Effects of marine-derived and plant-derived omega-3 polyunsaturated fatty acids on erythrocyte fatty acid composition in type 2 diabetic patients
PubMed ID: 35144649
Fish oil raised erythrocyte EPA/DHA and reduced triglycerides in T2DM patients, supporting circulatory risk improvement.
- Plasma Omega-3 Fatty Acids and the Risk of Cardiovascular Events in Patients After an Acute Coronary Syndrome in MERLIN-TIMI 36
PubMed ID: 33840228
Higher circulating longâchain marine Ïâ3 levels were strongly associated with lower cardiovascular and sudden cardiac death risk after ACS.
- Effect of n-3 polyunsaturated fatty acids on ischemic heart disease and cardiometabolic risk factors: a two-sample Mendelian randomization study
PubMed ID: 34749668
Mendelian randomization found genetically higher ALA linked to lower ischemic heart disease and improved cardiometabolic markers, supporting circulatory benefit from ALA pathways.
- The effects of n-3 fatty acids from flaxseed oil on genetic and metabolic profiles in patients with gestational diabetes mellitus: a randomised, double-blind, placebo-controlled trial
PubMed ID: 31902378
Flaxseed ALA reduced triglycerides and improved lipids in gestational diabetes, beneficial for circulation.
- EPA+DHA, but not ALA, Improved Lipids and Inflammation Status in Hypercholesterolemic Adults: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 30900815
Supplemental EPA+DHA produced clinically meaningful triglyceride reductions, a key circulatory risk factor.
- Omega-3 polyunsaturated fatty acids-enriched hen eggs consumption enhances microvascular reactivity in young healthy individuals
PubMed ID: 29633621
Omegaâ3 enriched eggs improved microvascular reactivity and lowered BP/TG in healthy adultsâdirect circulating vascular benefit.
- The effects of omega-3 fatty acids and vitamin E co-supplementation on gene expression of lipoprotein(a) and oxidized low-density lipoprotein, lipid profiles and biomarkers of oxidative stress in patients with polycystic ovary syndrome
PubMed ID: 27619403
Flaxseedâderived omegaâ3 improved lipids and oxidative markers in PCOS women.
- 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
Fish oil improved lipids (TG, LDL, TC) in diabetics, supporting vascular health.
- Dietary α-Linolenic Acid, Marine Ï-3 Fatty Acids, and Mortality in a Population With High Fish Consumption: Findings From the PREvenciĂłn con DIeta MEDiterrĂĄnea (PREDIMED) Study
PubMed ID: 26813890
Large cohort: adequate ALA/marine nâ3 intake associated with substantially lower cardiovascular mortality (observational).
- 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 (~16%) and raised HDL in metabolic syndrome/T2Dâclinically relevant lipid improvements for circulation.
- 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
Plant/microalgae n-3 oils lowered total and LDL cholesterol and raised erythrocyte EPA in hypertriglyceridemic adultsâdirect cardiometabolic/circulatory benefit.
- Lignan content of the flaxseed influences its biological effects in healthy men and women
PubMed ID: 23885993
Flaxseed bar RCT: marked reductions in total, LDL and oxidized LDL â supports improved vascular risk profile.
- 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
PostâMI trial subgroup: omegaâ3 reduced major events in statin nonâusers (borderline) â some circulatory/clinical CV signal.
- Randomized placebo-controlled intervention with n-3 LC-PUFA-supplemented yoghurt: effects on circulating eicosanoids and cardiovascular risk factors
PubMed ID: 23332800
Doseâdependent nâ3 intervention lowered triglycerides and raised HDL in hypertriglyceridemic adultsâdirect circulation/lipid benefit.
- 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
Margarines with EPA/DHA markedly raised erythrocyte omegaâ3 index quicklyâbiomarker linked to vascular health.
- Higher plasma docosahexaenoic acid is associated with reduced progression of coronary atherosclerosis in women with CAD
PubMed ID: 16983146
Higher plasma DHA associated with slower CAD progression in women (observational vascular outcome).
- Oily fish reduces plasma triacylglycerols: a primary prevention study in overweight men and women
PubMed ID: 17027436
Two oilyâfish portions/week lowered blood triglycerides over 24 weeks (cardioâcirculatory biomarker).
- 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
Adding longâchain nâ3s reduced triglycerides and fewer small dense LDL particlesâfavorable for circulation/arterial health.
- Effect of varying the ratio of n-6 to n-3 fatty acids by increasing the dietary intake of alpha-linolenic acid, eicosapentaenoic and docosahexaenoic acid, or both on fibrinogen and clotting factors VII and XII in persons aged 45-70 y: the OPTILIP study
PubMed ID: 16960164
Lowering nâ6:nâ3 with EPA/DHA reduced fasting and postprandial triglycerides, beneficial to circulation.
- Cardiac autonomic changes associated with fish oil vs soy oil supplementation in the elderly
PubMed ID: 15821181
2 g/day fish oil increased heartârate variability (improved autonomic cardiac function), a robust cardiovascular physiology effect.
- Effect of randomized supplementation with high dose olive, flax or fish oil on serum phospholipid fatty acid levels in adults with attention deficit hyperactivity disorder
PubMed ID: 16188207
Highâdose fish oil increased EPA/DHA and lowered AA:EPA ratioâbiomarkers linked to vascular/antiâthrombotic effects.
- Effect of an increased intake of alpha-linolenic acid and group nutritional education on cardiovascular risk factors: the Mediterranean Alpha-linolenic Enriched Groningen Dietary Intervention (MARGARIN) study
PubMed ID: 11815311
ALA margarine lowered fibrinogen (proâthrombotic) though lipid changes were mixed; partial circulatory benefit.
- Effect of alpha-linolenic acid-rich Camelina sativa oil on serum fatty acid composition and serum lipids in hypercholesterolemic subjects
PubMed ID: 12370843
Camelina (ALA) increased EPA/DPA and lowered LDL â12% â meaningful cardiometabolic improvement.
- 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 diet reduced ex vivo platelet aggregation in older adultsâdirect effect on blood flow/clotting potential.
- 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 in suspected MI patients reduced cardiac events and nonfatal MI, consistent with improved circulation/cardiovascular outcomes.
- Mediterranean alpha-linolenic acid-rich diet in secondary prevention of coronary heart disease
PubMed ID: 7911176
Alphaâlinolenicârich Mediterranean diet after MI reduced recurrent cardiac events and mortality â strong circulation/secondary prevention signal (dietary nâ3 relevant).
- 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
Dietary EPA+DHA lowered systolic BP (â5.1 mmHg) and markedly reduced triglycerides/VLDL â direct circulation/Cardio risk improvements.
- Effects of dietary oleic, linoleic and alpha-linolenic acids on blood pressure, serum lipids, lipoproteins and the formation of eicosanoid precursors in patients with mild essential hypertension
PubMed ID: 1972963
Twoâweek linseed (ALA) diet lowered stress systolic BP and triglycerides in hypertensive men â supports vascular benefits.
- Effects of a New Combination of Medical Food on Endothelial Function and Lipid Profile in Dyslipidemic Subjects: A Pilot Randomized Trial
PubMed ID: 30723735
Multiâingredient medical food including omegaâ3 improved endothelial function (flowâmediated dilation) vs comparatorâmoderate, confounded evidence for circulation.
- 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 infarction after SAH, a clear cerebrovascular circulation benefit.
- Long-term omega-3 polyunsaturated fatty acid supplementation reduces the recurrence of persistent atrial fibrillation after electrical cardioversion
PubMed ID: 22120130
Large trial showing reduced AF recurrence with fish oil implies improved cardiac rhythm circulation outcomes.
- Fish intake is associated with a reduced progression of coronary artery atherosclerosis in postmenopausal women with coronary artery disease
PubMed ID: 15321802
Observational link between higher fish intake and less progression of coronary stenosis â supports circulation/vascular benefit.
- Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm microcirculation in hyperlipidemic, overweight men
PubMed ID: 10982541
DHA improved microvascular endothelium-dependent dilation and reduced vasoconstriction in overweight men â direct vascular benefit.
- 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 omega-3 reduced platelet aggregation and thromboxane B2 â consistent antithrombotic/circulatory effects.
- Effects of a new fish oil concentrate on plasma lipids and lipoproteins in patients with hypertriglyceridaemia
PubMed ID: 7889894
Large RCT showing substantial triglyceride/VLDL reductions and HDL increases â strong circulation-related lipid benefits.
- Fish oil amplifies the effect of propranolol in mild essential hypertension
PubMed ID: 2147175
Randomized trial where fish oil reduced BP and improved lipids and neurohormonal markers â circulation benefits.
- 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 lowered triglycerides and improved inflammatory markers in NAFLD, supporting vascular risk reduction.
- Effect of Weight Reduction Diets Containing Fish, Walnut or Fish plus Walnut on Cardiovascular Risk Factors in Overweight and Obese Women
PubMed ID: 31679359
Dietary marine + plant omegaâ3s during weight loss reduced systolic BP and improved lipidsâdirect BP/circulatory benefit in overweight women.
- Long-Term Treatment with n-3 Polyunsaturated Fatty Acids as a Monotherapy in Children with Nonalcoholic Fatty Liver Disease
PubMed ID: 26316434
12âmonth nâ3 PUFA improved lipids and insulin resistance in childrenâfavourable for longâterm circulatory health.
- 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
Improved triglycerides, total cholesterol and glucose in adults with NAFLD/hyperlipidemiaâfavourable for circulation/vascular risk.
- 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 (cardiac) fat and visceral fatâindirectly beneficial to cardiovascular circulation.
- 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 omegaâ3 produced large triglyceride reductions (~30%), relevant to circulation and atherogenic lipids.
- Predictors of change in omega-3 index with fish oil supplementation in peripheral artery disease
PubMed ID: 28457318
4.4 g/day fish oil substantially raised the omegaâ3 index in PAD patients, a biomarker linked to vascular health and circulation.
- Serum metabolomics profiles in response to n-3 fatty acids in Chinese patients with type 2 diabetes: a double-blind randomised controlled trial
PubMed ID: 27404516
Fish oil in T2D increased EPA/DHA and a metabolite (CMPF) correlated with larger TG reductionsâfavorable lipid effects relevant to circulation.
- Effect of Eicosapentaenoic and Docosahexaenoic Acids Added to Statin Therapy on Coronary Artery Plaque in Patients With Coronary Artery Disease: A Randomized Clinical Trial
PubMed ID: 29246960
Highâdose EPA+DHA added to statins reduced triglycerides and prevented fibrous coronary plaque progression (perâprotocol) â clinically relevant circulation benefit.
- Effects of docosahexanoic acid on metabolic and fat parameters in HIV-infected patients on cART: A randomized, double-blind, placebo-controlled study
PubMed ID: 28648475
Large (~40%) and sustained TG reductions in cART patients indicate meaningful circulatory/lipid benefits.
- Relationship between the omega-3 index and specialized pro-resolving lipid mediators in patients with peripheral arterial disease taking fish oil supplements
PubMed ID: 28778393
Marked omegaâ3 index rise and increased proâresolving mediators in PAD patients imply vascular antiâinflammatory/repair potential.
- 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
In dialysis patients nâ3 improved vagal HRV indices, lowered heart rate and reduced triglycerides â favourable circulatory/autonomic effects.
- 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
Highâdose EPA+DHA raised RBC omegaâ3 index and reduced triglycerides (~18%) â clinically relevant circulation/metabolic improvements.
- 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 produced a clear ~23% triglyceride reduction and increased LPL activity â strong favorable effect on circulatory lipid risk factors.
- An omega-3 fatty acid plasma index â„4% prevents progression of coronary artery plaque in patients with coronary artery disease on statin treatment
PubMed ID: 31055222
Omegaâ3 index â„4% associated with reduced coronary plaque progression in statin-treated patients.
- 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 EPA/DHA and modestly lowered triglycerides and raised HDL.
- Effect of supplementation with omega-3 fatty acids on hypertriglyceridemia in pediatric patients with obesity
PubMed ID: 31271554
3 g/day in hypertriglyceridemic obese children produced large triglyceride reductions.
- 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/wk farmed salmon increased O3I and lowered triglycerides vs control â favorable circulation/metabolic markers.
- Comparison of Omega-3 Eicosapentaenoic Acid Versus Docosahexaenoic Acid-Rich Fish Oil Supplementation on Plasma Lipids and Lipoproteins in Normolipidemic Adults
PubMed ID: 32178279
Highâdose EPA/DHA (â4.8 g/day) lowered TG and VLDLâP in healthy adults â direct lipid improvements relevant to circulation.
- 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
In CKD patients omegaâ3s reduced triglycerides and improved pulseâwave velocity (arterial stiffness) â direct vascular benefit.
- 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
Foodâbased omegaâ3 increased omegaâ3 index and modestly lowered 24âh diastolic BP and heart rateâcirculatory benefits.
- 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
Highâdose ethyl esters lowered fasting/postprandial TG and improved some postprandial vascular measures.
- Erythrocyte deformability and aggregability in patients undergoing colon cancer surgery and effects of two infusions with omega-3 fatty acids
PubMed ID: 31658051
Perioperative IV omegaâ3 increased erythrocyte EPA and reduced redâcell aggregationâimproves microcirculatory properties.
- Effects of DHA-Rich n-3 Fatty Acid Supplementation and/or Resistance Training on Body Composition and Cardiometabolic Biomarkers in Overweight and Obese Post-Menopausal Women
PubMed ID: 34371972
DHA lowered triglycerides and diastolic BP in overweight/obese postmenopausal women â direct circulation benefits.
- Omega-3 fatty acids ameliorate vascular inflammation: A rationale for their atheroprotective effects
PubMed ID: 33812168
Highâdose EPA reduced endothelial/vascular inflammatory markers (CCL2, VCAM1), a plausible atheroprotective mechanism.
- Short-Term Intake of Yellowstripe Scad versus Salmon Did Not Induce Similar Effects on Lipid Profile and Inflammatory Markers among Healthy Overweight Adults despite Their Comparable EPA+DHA Content
PubMed ID: 34684525
Salmon intake reduced triglycerides and ILâ6 vs comparator, supporting shortâterm cardiometabolic improvements.
- Changes in lipoprotein particle subclasses, standard lipids, and apolipoproteins after supplementation with n-3 or n-6 PUFAs in abdominal obesity: A randomized double-blind crossover study
PubMed ID: 33933722
Highâdose EPA+DHA produced substantial triglyceride and lipoprotein improvements in adults with abdominal obesity.
- Effectiveness of a Novel Ï-3 Krill Oil Agent in Patients With Severe Hypertriglyceridemia: A Randomized Clinical Trial
PubMed ID: 34989797
Large phaseâ3 RCT: krillâoil Ïâ3 substantially lowered fasting triglycerides in severe hypertriglyceridemiaâstrong circulation/lipid benefit.
- Changes in eicosapentaenoic acid and docosahexaenoic acid and risk of cardiovascular events and atrial fibrillation: A secondary analysis of the OMEMI trial
PubMed ID: 34982486
In postâMI patients, onâtreatment EPA rises associated with fewer major cardiac events (but also higher AF risk) â mixed but relevant to circulation.
- Lipid extract from blue mussel (Mytilus edulis) improves glycemic traits in Chinese type 2 diabetic mellitus patients: a double-blind randomized controlled trial
PubMed ID: 36409163
Blueâmussel lipid extract (contains nâ3s) lowered triglycerides and insulin resistanceâindirect circulation/metabolic support (complex product).
- 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
Addâon 4 g/day EPA+DHA on statin markedly lowered TG, VLDL, small dense LDL and nonâHDLâclinically relevant circulatory lipid improvements.
- Effects of fish oil-derived n-3 polyunsaturated fatty acid on body composition, muscle strength and physical performance in older people: a secondary analysis of a randomised, double-blind, placebo-controlled trial
PubMed ID: 36571774
Fish oil improved some blood lipids (TG down, HDL up) alongside muscle benefits in older adults.
- 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
Freeâfattyâacid EPA raised plasma EPA/DPA and produced modestly larger triglyceride reductions vs icosapent ethyl (randomized crossover, n=100).
- 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
Imaging RCT: greater TG lowering with EPA+DHA associated with lipidârich plaque regression and fewer cardiac eventsâstrong mechanistic circulation evidence.
- DHA Supplementation During Pregnancy Enhances Maternal Vagally Mediated Cardiac Autonomic Control in Humans
PubMed ID: 35953431
Prenatal DHA increased maternal vagal tone and lowered heart rate â direct physiological circulatory benefit.
- A randomized clinical trial of omega-3 fatty acid and vitamin D supplementation on electrocardiographic risk profiles
PubMed ID: 37454148
Supplemental omegaâ3s increased HRV and produced small ECG changes consistent with improved autonomic/circulatory tone.
- Omega-3 Fatty Acids Reduce Remnant-like Lipoprotein Cholesterol and Improve the Ankle-Brachial Index of Hemodialysis Patients with Dyslipidemia: A Pilot Study
PubMed ID: 38256336
Highâdose EPA+DHA reduced remnant cholesterol/TG and improved ankleâbrachial index â objective vascular improvements.
- 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 TG substantially lowered serum triglycerides and shifted lipidomic profile (large RCT).
- Efficacy and safety of omega-3-acid ethyl acetate 90 capsules in severe hypertriglyceridemia: A randomized, controlled, multicenter study
PubMed ID: 38830807
Purified omegaâ3 ethyl esters produced substantial triglyceride and atherogenic lipid reductions in severe hypertriglyceridemia (RCT).
- 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 in higherâTG subgroup, markers relevant to circulation.
- Fish-Oil Supplementation and Cardiovascular Events in Patients Receiving Hemodialysis
PubMed ID: 41201837
Large RCT in hemodialysis patients showed marked reduction in serious cardiovascular events (strong circulation/vascular benefit).
- A Bayesian analysis of the VITAL trial: effects of Ï-3 fatty acid supplementation on cardiovascular events
PubMed ID: 40032221
Large primaryâprevention trial showing modest reductions in coronary events/MI â strong clinical circulation/vascular outcome signal.
- 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
Doseâresponse RCT lowered triglycerides and changed adipose/plasma oxylipins, supporting improved vascular risk profile.
- 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 cohort found higher dietary longâchain nâ3 linked to lower AMI risk in diabetics â observational but relevant to circulation.
- Supplementation with omega-3 or omega-6 fatty acids attenuates platelet reactivity in postmenopausal women
PubMed ID: 35791734
Robust RCT/crossover showing sustained reductions in platelet activation and aggregation â directly improves circulatory/antithrombotic function.
- Fish oil treatment and apolipoprotein(a)
PubMed ID: 1586386
Doseâdependent EPA rise and triglyceride lowering support improved circulating lipid profile relevant to circulation.
- Delayed omega-3 fatty acid supplements in renal transplantation. A double-blind, placebo-controlled study
PubMed ID: 7871564
Modest diastolic blood pressure reduction in postâtransplant patients â circulatory parameter improvement.
- Increased plasma thrombin-antithrombin III complex levels in non-insulin dependent diabetic patients with albuminuria are reduced by ethyl icosapentatenoate
PubMed ID: 8607100
Reduced thrombinâantithrombin complex (TAT) in diabetics â favorable effect on coagulation/circulation.
- Effect of dietary supplementation with n-3 fatty acids on coronary artery bypass graft patency
PubMed ID: 8540453
Randomized trial showed reduced vein-graft occlusion after CABG (clinically meaningful vascular benefit).
- 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
Atherosclerosis RCT showed TG lowering and haemostatic changes potentially beneficial to circulation.
- Safety and efficacy of Omacor in severe hypertriglyceridemia
PubMed ID: 9865671
Severe hypertriglyceridemia trial showed very large TG reductions and favorable VLDL changes relevant to circulation.
- Effects of dietary fish and weight reduction on ambulatory blood pressure in overweight hypertensives
PubMed ID: 9774368
Daily fish meals lowered ambulatory BP and heart rate, indicating improved circulatory metrics.
- 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 with improved HDL/TG profile supports better vascular health and circulation.
- 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
Post-MI reduction in major CV events implies improved overall circulatory outcomes.
- Differential effects of dietary supplementation with fish oil or soy lecithin on human platelet adhesion
PubMed ID: 10595648
Reduced stimulated platelet adhesiveness implies lower thrombotic tendency and improved blood flow.
- 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
Adding a fish meal to weight loss improved lipids and insulin responsesâfavorable for vascular health.
- 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 in dialysis patients are anti-atherogenicârelevant to circulation.
- Effect of omega-3 fatty acids and simvastatin on hemostatic risk factors and postprandial hyperlipemia in patients with combined hyperlipemia
PubMed ID: 10634827
In hyperlipemia patients on simvastatin, omegaâ3 improved postprandial lipemia and reduced prothrombotic markers, benefiting circulation.
- 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 omegaâ3 improved flowâmediated dilation (endothelial function) in hypercholesterolemic subjects.
- Influence of age and dietary fish oil on plasma soluble adhesion molecule concentrations
PubMed ID: 11115423
Ageâdependent reduction in soluble VCAMâ1 in older adults â favorable endothelial activation marker change.
- The effect of n-3 fatty acids on coronary atherosclerosis: results from SCIMO, an angiographic study, background and implications
PubMed ID: 11838000
Lowered proâatherosclerotic cytokine mRNA and associated with reduced angiographic atherosclerosis progression.
- [The effect of omega-3 fatty acids on risk factors for cardiovascular diseases]
PubMed ID: 11789299
Concentrated omegaâ3 in statinâtreated CVD patients reduced a targeted cardiovascular risk marker (biomarker improvement).
- Fatty acid saturation of the diet and plasma lipid concentrations, lipoprotein particle concentrations, and cholesterol efflux capacity
PubMed ID: 11864853
Controlled feeding study improved serum cholesterol efflux and altered lipoprotein/apolipoprotein patterns (biomarkers relevant to circulation).
- 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 postâMI trial showed early reductions in sudden cardiac death and total mortality, strong cardiovascular/circulatory benefit.
- 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
nâ3 lowered fasting/postprandial triglycerides (good) though LDLâC rose (mixed circulatory effects).
- Atorvastatin and omega-3 fatty acids protect against activation of the coagulation system in patients with combined hyperlipemia
PubMed ID: 12871402
Adding omegaâ3 to atorvastatin reduced several coagulation activation markers, suggesting reduced thrombogenicity in circulation.
- n-3 long-chain FA decrease serum levels of TG and remnant-like particle-cholesterol in humans
PubMed ID: 12848279
Randomized trial (860 mg/day) produced consistent, significant triglyceride and remnantâcholesterol reductionsâdirect circulation risk markers.
- 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 for 10 weeks significantly lowered triglycerides and improved TG/HDL â beneficial vascular/lipid effects.
- The effect of n-3 fatty acids on plasma lipids and lipoproteins and blood pressure in patients with CRF
PubMed ID: 15211441
8 weeks nâ3 lowered triglycerides (â21%) and raised HDL in chronic renal failure â favorable circulation/lipid changes.
- 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 nâ3 lowered triglycerides and mean arterial pressure in healthy men â supports circulation benefits.
- 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
Combination with simvastatin produced large triglyceride reductionsâfavourable for circulation/lipid profile.
- 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
Marked triglyceride lowering in HIV patients indicates clear circulatory metabolic benefit (tempered by LDL rise).
- Omega-3 fatty acid prevents heart rate variability reductions associated with particulate matter
PubMed ID: 16210665
Prevented PM2.5-related HRV declines, implying vascular/autonomic protection relevant to circulation.
- N-3 Fatty acids for the prevention of atrial fibrillation after coronary artery bypass surgery: a randomized, controlled trial
PubMed ID: 15893193
Perioperative nâ3 reduced postoperative atrial fibrillation after CABG â improved perioperative cardiac outcomes relevant to circulation.
- Dietary intake of differently fed salmon; the influence on markers of human atherosclerosis
PubMed ID: 15638820
Dietary marine nâ3 (salmon) lowered triglycerides and adhesion molecules (VCAM-1), supporting vascular health.
- 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
Large RCT in hyperlipidemic men reduced endothelial-activation markers (sICAM-1, sTM), supportive of improved vascular health.
- Trans, and n-3 polyunsaturated fatty acids and vascular function-a yin yang situation?
PubMed ID: 16713391
4 g/day n-3 reduced triglycerides, mean arterial pressure and 24-h heart rate in healthy men (direct vascular/circulatory effects).
- The relationship between tissue RBC n-3 fatty acids and pulse wave velocity
PubMed ID: 16634535
Cross-sectional: higher RBC EPA associated with lower arterial stiffness (baPWV), suggesting vascular benefit (observational).
- 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
Obese men: 4 g/day fish oil lowered TG and raised HDLâfavorable circulatory lipid changes relevant to circulation/vascular risk.
- Eicosapentaenoic acid reduces the progression of carotid intima-media thickness in patients with type 2 diabetes
PubMed ID: 16616147
Purified EPA slowed/reversed carotid IMT and improved arterial stiffness in T2D over ~2 years.
- 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
Large trial: omegaâ3 improved arterial elasticity (pulse wave propagation) in elderly men.
- Highly purified omega-3 polyunsaturated fatty acids are effective as adjunct therapy for secondary prevention of myocardial infarction
PubMed ID: 17575805
Large post-MI trial (GISSI) showed substantial mortality and sudden-death reductionsâstrong cardiovascular/circulatory benefit.
- Effects of eicosapentaenoic acid on major coronary events in hypercholesterolaemic patients (JELIS): a randomised open-label, blinded endpoint analysis
PubMed ID: 17398308
Large trial with EPA added to statin lowered major coronary eventsâsupports improved vascular outcomes.
- 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
8âweek RCT produced a clear ~17% fasting triglyceride reduction, a favorable vascular risk factor change.
- 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
1 g/day n-3 PUFA modestly reduced mortality and CV hospitalizations in chronic heart failure patients.
- 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
In dialysis patients omega-3 lowered triglyceridesâa favorable circulation/lipid effect.
- The lipid-lowering effects of phytosterols and (n-3) polyunsaturated fatty acids are synergistic and complementary in hyperlipidemic men and women
PubMed ID: 18492838
Omega-3 (alone and with phytosterols) produced substantial triglyceride and LDL/total cholesterol improvements relevant to circulation.
- Omega-3 polyunsaturated fatty acid in peripheral arterial disease: effect on lipid pattern, disease severity, inflammation profile, and endothelial function
PubMed ID: 18237823
Improved endothelial function (FMD) and soluble thrombomodulin in peripheral artery diseaseâdirect vascular benefit.
- Reduction in the recurrence of stroke by eicosapentaenoic acid for hypercholesterolemic patients: subanalysis of the JELIS trial
PubMed ID: 18451347
Large trial showed reduced recurrent strokeâclear vascular benefit.
- 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 produced large reductions in triglycerides/VLDL and non-HDLâstrongly circulation-relevant.
- 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
JELIS subgroup showed large CAD risk reduction in dyslipidemic patientsâstrong cardiovascular/circulatory relevance.
- Comparison of seal oil to tuna oil on plasma lipid levels and blood pressure in hypertriglyceridaemic subjects
PubMed ID: 19727884
Fish/seal oils lowered triglycerides and systolic BPâbeneficial for vascular health.
- Fish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetes
PubMed ID: 19394939
Improved flow-mediated dilation and reduced TG/TNF-뱉direct endothelial function improvement.
- 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 omega-3 reduced postoperative atrial fibrillation and ICU stay, indicating circulatory benefits.
- The effects of pitavastatin, eicosapentaenoic acid and combined therapy on platelet-derived microparticles and adiponectin in hyperlipidemic, diabetic patients
PubMed ID: 19172517
EPA reduced proâthrombotic plateletâderived microparticles, beneficial for circulation/coagulation.
- 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
In elderly HF patients nâ3 lowered NTâproBNP and inflammatory markers, consistent with improved cardiac stress/circulation markers.
- 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
Large JELIS analyses show EPA reduced coronary events in highârisk subgroups, implying circulation/atherosclerotic benefit.
- Highly purified eicosapentaenoic acid reduces cardio-ankle vascular index in association with decreased serum amyloid A-LDL in metabolic syndrome
PubMed ID: 19763135
Randomized metabolicâsyndrome trial: 1.8 g/day EPA improved arterial stiffness (CAVI) and improved vascular/inflammatory markers.
- 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
In type 2 diabetes fish oil lowered triglycerides (improving a circulation risk factor) though no change in endothelial function.
- Effects of chronic omega-3 polyunsaturated fatty acid supplementation on human atrial electrophysiology
PubMed ID: 21147262
Increased atrial refractory periods and reduced AF inducibilityâelectrophysiologic circulation benefit.
- 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 longâchain nâ3 PUFA in dairy improved triglycerides and HDL/LDL ratioâmarkers relevant to circulation and atherosclerotic risk.
- The metabolic effects of omega-3 plant sterol esters in mixed hyperlipidemic subjects
PubMed ID: 20617456
Omegaâ3 plant sterol esters produced substantial triglyceride lowering and modest diastolic BP reductionâfavors healthier circulation.
- Preventive effects of eicosapentaenoic acid on coronary artery disease in patients with peripheral artery disease
PubMed ID: 20484828
JELIS PAD subgroup showed marked reduction in major coronary events with EPA, supporting clinically meaningful circulatory/cardio benefit in PAD.
- [Antiarrhythmic activity of omega-3 polyunsaturated fatty acids in patients with stable ischemic heart disease and ventricular rhythm disturbances]
PubMed ID: 21591384
Reduced ventricular extrasystoles and mean heart rate â cardiac rhythm benefits with secondary circulation relevance.
- 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
EPA addition to statin therapy reduced arterial stiffness indices (baPWV, carotid ÎČ) indicating improved vascular function.
- Effects of chronic omega-3 polyunsaturated fatty acid supplementation on human pulmonary vein and left atrial electrophysiology in paroxysmal atrial fibrillation
PubMed ID: 21624541
Chronic fish oil prolonged atrial/PV refractoriness and reduced AF inducibility â favorable electrophysiologic/circulatory effects.
- 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
Fish oil preserved atrial mechanical function and reduced atrial stunning after cardioversion â improved atrial performance relevant to circulation.
- Effects of n-3 polyunsaturated fatty acids on left ventricular function and functional capacity in patients with dilated cardiomyopathy
PubMed ID: 21215550
In nonischemic dilated cardiomyopathy, nâ3 improved LVEF, peak VO2 and reduced HF hospitalizations â major circulatory/clinical benefits.
- 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
Higherâdose nâ3 improved LVEF and FMD in severe HF patients â improved cardiac and endothelial function.
- 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
Doseâdependent reductions in platelet activation, Pâselectin and tissue factor in CHF patients indicate improved antithrombotic/haemostatic profile relevant to circulation.
- 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 fibrin clot structure, reduced thrombin generation and oxidative stress in PCI patientsâproâcirculatory effects.
- n-3 polyunsaturated fatty acids in the prevention of atrial fibrillation recurrences after electrical cardioversion: a prospective, randomized study
PubMed ID: 21844082
Periâcardioversion nâ3 reduced AF recurrence at 1 yearâmeaningful rhythm/circulatory outcome.
- A low-fat high-carbohydrate diet supplemented with long-chain n-3 PUFA reduces the risk of the metabolic syndrome
PubMed ID: 21839455
1.24 g/day nâ3 lowered metabolicâsyndrome features including hypertension and waist circumferenceâfavors vascular health.
- 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 nâ3PUFA roughly halved postâCABG atrial fibrillation rates, a clinically meaningful circulation/arrhythmia endpoint.
- Untitled
PubMed ID: 22313793
Fish oil (and/or soy) raised adiponectin/NO and produced modest BP improvements in metabolicâsyndrome women.
- Untitled
PubMed ID: 23173831
Healthy older adults had a clinically meaningful systolic BP reduction (~7 mmHg) after 5 weeks of Ïâ3.
- 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
Large trial in statinâtreated patients showed substantial triglyceride and nonâHDL reductions that favorably affect vascular risk and circulation.
- 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
Highâdose pure EPA substantially reduced large VLDL and small LDL particle concentrations in very highâTG patients â strong atherogenic-lipoprotein benefit.
- n-3 fatty acids and cardiovascular outcomes in patients with dysglycemia
PubMed ID: 22686415
Large RCT showed no reduction in CV events but a modest triglyceride reductionâbenefit to circulation biomarkers but no clinical events.
- Untitled
PubMed ID: 22839709
IHD cohort with 1 g/day Ïâ3 improved HRV and reduced arrhythmia metrics â supports circulatory/autonomic benefits.
- Untitled
PubMed ID: 22894624
Large RCT (icosapent ethyl) produced marked triglyceride reductions â directly relevant to circulation/arterial lipid load.
- Untitled
PubMed ID: 22623230
RCT showed improved platelet inhibition in PCI patients on dual antiplatelet therapy â relevant to vascular circulation/antithrombotic effects.
- Untitled
PubMed ID: 23237436
PostâMI RCT showed reductions in ventricular ectopy and ECG markers of electrical instability â relevant to cardiac circulation/arrhythmia risk.
- Fish oil and neurovascular reactivity to mental stress in humans
PubMed ID: 23408034
8âweek trial blunted heartârate and sympathetic reactivity to stressâfavorable hemodynamic effects relevant to circulation.
- 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 produced large triglyceride/remnant lipid reductions â beneficial for vascular risk and circulation.
- Omega-3 fatty acid therapy reduces triglycerides and interleukin-6 in hypertriglyeridemic HIV patients
PubMed ID: 23683266
3.6 g/day in hypertriglyceridemic HIV patients reduced triglycerides and inflammatory cytokines, supporting vascular benefit.
- Polyunsaturated omega-3 fatty acids reduce lipoprotein-associated phospholipase A(2) in patients with stable angina
PubMed ID: 24555913
1âmonth RCT in stable angina reduced LpâPLA2 and oxidizedâLDLâimproved vascular inflammatory/lipid markers tied to circulation.
- Icosapent ethyl, a pure ethyl ester of eicosapentaenoic acid: effects on circulating markers of inflammation from the MARINE and ANCHOR studies
PubMed ID: 23325450
Highâdose EPA (4 g/day) lowered inflammatory/oxidative markers (OxâLDL, LpâPLA2, hsCRP) in highâTG patients, supporting vascular health.
- Fish-oil supplementation alters numbers of circulating endothelial progenitor cells and microparticles independently of eNOS genotype
PubMed ID: 25332321
Increased EPCs and decreased EMPsâcellular markers favor endothelial repair.
- Effects of icosapent ethyl on lipoprotein particle concentration and size in statin-treated patients with persistent high triglycerides (the ANCHOR Study)
PubMed ID: 26073397
Reduced atherogenic VLDL and LDL particle concentrations in statin-treated highârisk patients â favorable circulation/lipoprotein profile.
- 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
EPA started after PCI reduced 30âday adverse cardiac events and ventricular arrhythmias â acute cardiac/circulatory benefit.
- 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
Doseâdependent triglyceride lowering and improved endothelial function (strong circulation evidence).
- Isoenergetic diets differing in their n-3 fatty acid and polyphenol content reflect different plasma and HDL-fraction lipidomic profiles in subjects at high cardiovascular risk
PubMed ID: 24961394
Dietary nâ3 intervention changed blood/HDL lipidomic profiles and associated with lower LDL signals (moderate relevance).
- 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 RCT substantially lowered nonâfasting triglycerides (large, clinically relevant circulation benefit).
- 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
Preoperative omegaâ3 lowered incidence of postâCABG atrial fibrillation and shortened ICU stay â clinically important perioperative circulatory outcome.
- 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
Lowered triglycerides and enriched pro-resolving lipid mediators in PAD patients despite no FMD change â biologically relevant vascular effects.
- 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% placeboâcorrected) triglyceride and remnant reductions (highly relevant).
- Metabolic response to omega-3 fatty acid supplementation in patients with diabetic nephropathy: A randomized, double-blind, placebo-controlled trial
PubMed ID: 26611718
Flaxseed oil trial in diabeticânephropathy patients lowered triglycerides/VLDL and improved insulin measuresâmetabolic benefits linked to vascular risk.
- Effects of niacin and omega-3 fatty acids on the apolipoproteins in overweight patients with elevated triglycerides and reduced HDL cholesterol
PubMed ID: 25932792
Altered apolipoprotein/lipoprotein composition in highâTG overweight patients (biochemical circulation effects).
- 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 (4 g/day EPA) produced large triglyceride and nonâHDL reductions and lowered hsCRPâclear atherogenic lipid/imflammation improvements relevant to circulation.
- 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 trial showed triglyceride lowering (circulatory lipid improvement) though LDL pattern unchanged.
- 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 statin therapy reduced plaque lipid volume and increased fibrous volumeâdirect improvement in coronary plaque composition.
- Endothelial function and insulin sensitivity during acute non-esterified fatty acid elevation: Effects of fat composition and gender
PubMed ID: 25921849
Acute crossover study showed clear improvement in endothelial function (FMD) when LC nâ3 added to a saturatedâfat meal.
- 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
~1.5 g/day EPA+DHA reduced systolic BP ~7 mmHg (improves circulation/BP).
- 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
Improved heartârate variability and lower resting heart rate in psoriatic arthritis suggest autonomic/circulatory benefit.
- 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
Heartâfailure trial showed improvements in BNP and multiple echo indices indicating improved cardiac function/circulation.
- Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on plasma apolipoprotein C-III levels in patients from the MARINE and ANCHOR studies
PubMed ID: 27206952
Prescription EPA (4 g/day) markedly lowered ApoCâIII and triglyceridesâfavorable for circulation/atherogenic lipids.
- Omega 3 Fatty Acids Supplementation and Oxidative Stress in HIV-Seropositive Patients. A Clinical Trial
PubMed ID: 27015634
In HIV+ patients 2.4 g/day lowered triglyceridesârelevant to vascular risk and circulation.
- Icosapent ethyl (eicosapentaenoic acid ethyl ester): Effects on remnant-like particle cholesterol from the MARINE and ANCHOR studies
PubMed ID: 27596132
Highâpurity EPA (4 g/day) reduced remnantâlike particle cholesterol and triglyceridesâbeneficial for circulation.
- Effect of Omega-3 Acid Ethyl Esters on Left Ventricular Remodeling After Acute Myocardial Infarction: The OMEGA-REMODEL Randomized Clinical Trial
PubMed ID: 27482002
PostâMI omegaâ3 reduced adverse remodeling (cardiac structural benefit relevant to circulation), though not a direct circulation measure.
- 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) substantially lowered triglycerides and boosted EPAâstrong favorable lipid changes for circulation/vascular risk.
- 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
MAT9001 reduced triglycerides, VLDL and ApoC3 much more than EPAâEEâclear atherogenic lipid improvements relevant to circulation.
- A randomized controlled trial of eicosapentaenoic acid in patients with coronary heart disease on statins
PubMed ID: 28863874
EPA added to statin reduced coronary plaque volume and lipid content â surrogate evidence of improved vascular health/circulation.
- Comparison of the effect of omega-3 supplements and fresh fish on lipid profile: a randomized, open-labeled trial
PubMed ID: 29259181
Eating trout twice weekly produced large improvements in TG, LDL and HDL vs capsulesâclinically meaningful circulation/lipid benefits.
- 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 omegaâ3 markedly reduced postoperative atrial fibrillation after CABGâcardiac rhythm/circulatory benefit.
- Enteral Diet Enriched with Ï-3 Fatty Acid Improves Oxygenation After Thoracic Esophagectomy for Cancer: A Randomized Controlled Trial
PubMed ID: 28138734
Enteral EPA/GLA improved postoperative PaO2/FiO2 (~+15%), a direct improvement in oxygenation/circulatory gas exchange.
- Beneficial Effects of n-3 Fatty Acids on Cardiometabolic and Inflammatory Markers in Type 2 Diabetes Mellitus: A Clinical Trial
PubMed ID: 29017158
nâ3PUFA improved the atherogenic index in T2Dâfavorable for circulation/vascular risk.
- Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia
PubMed ID: 30415628
Large RCT (icosapent ethyl) produced marked reductions in ischemic eventsâstrong evidence of circulation/ischemic benefit.
- Effects of marine n-3 fatty acid supplementation in renal transplantation: A randomized controlled trial
PubMed ID: 30125457
Improved endothelial function and lower triglycerides/hsâCRP indicate better vascular/endothelial health.
- 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 reduced atherogenic index and sulfur amino acids in T2D, suggesting improved vascular risk profile.
- Effects of sarpogrelate, eicosapentaenoic acid and pitavastatin on arterioslcerosis obliterans-related biomarkers in patients with type 2 diabetes (SAREPITASO study)
PubMed ID: 30271161
EPA added to statin therapy improved ABI and reduced platelet activation markers (vascular function evidence).
- 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
Omegaâ3 added to lifestyle in obese teens improved endothelial dysfunction markers and triglycerides.
- Effects of omega-3 polyunsaturated fatty acids on fibrosis, endothelial function and myocardial performance, in ischemic heart failure patients
PubMed ID: 29752009
Short RCT in ischaemic HF showed improved endothelial function and multiple vascular markers.
- 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
Fish oil reduced rescue thrombosis procedures in AV fistula patients â clinically relevant circulatory/thrombosis outcome.
- Supplementation with saury oil, a fish oil high in omega-11 monounsaturated fatty acids, improves plasma lipids in healthy subjects
PubMed ID: 31784345
Saury (LCMUFA + omegaâ3) lowered triglycerides and raised HDL â favorable for circulation/CV risk.
- 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
Omegaâ3 (±plant sterols) reduced triglycerides and improved metabolic markers in preâdiabetes â relevant to circulation/CV risk.
- Long-term vitamin D and high-dose n-3 fatty acids' supplementation improve markers of cardiometabolic risk in type 2 diabetic patients with CHD
PubMed ID: 31309919
Coâsupplementation including highâdose nâ3 improved carotid IMT and lipids in T2DM+CHD patients â direct vascular benefit.
- Benefits of Fasting Abbreviation with Carbohydrates and Omega-3 Infusion During CABG: a Double-Blind Controlled Randomized Trial
PubMed ID: 30916121
Perioperative Ïâ3 reduced need for vasoactive drugs, implying improved perioperative hemodynamics/circulatory stability.
- REDUCE-IT USA: Results From the 3146 Patients Randomized in the United States
PubMed ID: 31707829
Large outcomes trial (icosapent ethyl) reduced ischemic cardiovascular events, reflecting improved vascular outcomes/circulation.
- Effects of Icosapent Ethyl on Total Ischemic Events: From REDUCE-IT
PubMed ID: 30898607
Major trial showed substantial reductions in ischemic events and total ischemic event rates (favors circulation/vascular outcomes).
- [Effects of Ï-3 polyunsaturated fatty acids from different sources on glucolipid metabolism in type 2 diabetic patients with dyslipidemia]
PubMed ID: 31177752
Fishâoil arm lowered triglycerides and raised HDL versus plant oil, favourable lipid changes relevant to circulation.
- 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/d) lowered triglycerides and hsCRP in statin-treated patientsâbeneficial circulatory risk profile changes.
- 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
4 g/day Ïâ3 ethyl esters improved lipoprotein subclass profile (larger LDL particles, lower atherogenic lipids), relevant to vascular health.
- Effects of n-3 PUFA on endothelial function in patients with peripheral arterial disease: a randomised, placebo-controlled, double-blind trial
PubMed ID: 31262371
Randomized trial in peripheral arterial disease showed significant improvement in FMD and omegaâ3 incorporation.
- 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
Postâhip fracture RCT reported large, significant reductions in DVT and pulmonary embolism after 1 month of omegaâ3.
- Reduction in Revascularization With Icosapent Ethyl: Insights From REDUCE-IT Revascularization Analyses
PubMed ID: 33148016
Icosapent ethyl substantially lowered coronary revascularization events, indicating major vascular/circulatory benefit.
- Long Chain Omega-3 Polyunsaturated Fatty Acids Improve Vascular Stiffness in Abdominal Aortic Aneurysm: A Randomized Controlled Trial
PubMed ID: 33396567
RCT in AAA patients: 1.8 g/day LCânâ3 reduced PWV and resting heart rate (direct vascular benefit).
- [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
Dose-dependent reductions in 24-h heart rate and ventricular extrasystoles in HFrEF patients indicate meaningful circulatory/autonomic effects.
- 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
EPA formulation lowered triglycerides, which favorably affects circulatory risk profile though not a direct flow measurement.
- 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
Pulse-pressure reduction in women with abdominal obesity suggests a beneficial effect on vascular function and circulation.
- Diabetes Mellitus, Race, and Effects of Omega-3 Fatty Acids on Incidence of Heart Failure Hospitalization
PubMed ID: 35361440
VITAL ancillary showed reduced heart-failure hospitalizations in diabetics, implying improved cardiovascular outcomes and circulation in that subgroup.
- Impact of Icosapent Ethyl on Cardiovascular Risk Reduction in Patients With Heart Failure in REDUCE-IT
PubMed ID: 35377160
REDUCEâIT HF subgroup: substantial triglyceride and hsâCRP reductions, modest/uncertain clinical endpoint benefitâsupports improved lipid/circulatory risk profile.
- Treatment With Icosapent Ethyl to Reduce Ischemic Events in Patients With Prior Percutaneous Coronary Intervention: Insights From REDUCE-IT PCI
PubMed ID: 35261279
Icosapent ethyl produced large, consistent reductions in ischemic events and revascularizations in priorâPCI subgroupâstrong circulation/ischemia benefit.
- Prevention of Cardiovascular Events and Mortality With Icosapent Ethyl in Patients With Prior Myocardial Infarction
PubMed ID: 35483753
Icosapent ethyl substantially lowered ischemic events, MI and CV death in priorâMI subgroupâdirect supportive evidence for circulation/vascular outcomes.
- 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
Longâterm purified EPA lowered triglycerides ~17â21% with good safetyâfavorable circulating lipid changes.
- 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
Large RCT of purified EPA produced large triglyceride and atherogenic lipoprotein reductions linked to improved circulatory risk profile.
- Potential effects of icosapent ethyl on cardiovascular outcomes in cigarette smokers: REDUCE-IT smoking
PubMed ID: 35953437
REDUCEâIT subgroup showed lower major cardiovascular events in smokers with purified EPA, implying improved cardiovascular/circulatory outcomes.
- 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
Genotypeâstratified RCT showed marked LDL and TG reductions in PPARG carriers, suggesting circulation/lipid improvements in responders.
- 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
VITAL winâratio reanalysis found fewer coronary events (MI/CHD) in lowâfish consumers taking 1 g/day omegaâ3, indicating circulation/CHD benefit in that subgroup.
- Cost-Effectiveness of Icosapent Ethyl in REDUCE-IT USA: Results From Patients Randomized in the United States
PubMed ID: 38156550
Costâeffectiveness analysis of REDUCEâIT (icosapent ethyl) based on large RCT showing large reductions in CV events â implies improved circulation outcomes.
- Cardiovascular Benefits of Icosapent Ethyl in Patients With and Without Atrial Fibrillation in REDUCE-IT
PubMed ID: 36802845
REDUCEâIT subgroup analyses confirm MACE reductions but note increased AF hospitalization â net circulation/heart benefit with tradeoffs.
- Icosapent ethyl following acute coronary syndrome: the REDUCE-IT trial
PubMed ID: 38252107
REDUCEâIT subgroup (recent ACS) with large reductions in ischemic events and revascularizations â strong circulation/ischemia benefit.
- 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 type 2 diabetes trial fishâoil improved triglycerides and HDL and metabolic markers, supporting better vascular risk profile.
- 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
Crossover RCT showed reduced procoagulant extracellular vesicles, lower thrombin generation and lower triglycerides â mechanistic circulatory improvements.
- Nutritional effect on lipoproteins and their subfractions in patients with Psoriatic Arthritis: a 12-week randomized trial-the DIETA trial
PubMed ID: 38872193
In psoriatic arthritis, diet + omegaâ3 improved HDL subfractions over 12 weeks (favorable lipid/circulatory profile).
- Effects of icosapent ethyl according to baseline residual risk in patients with atherosclerotic cardiovascular disease: results from REDUCE-IT
PubMed ID: 38678009
Large ASCVD subgroup from REDUCEâIT showing ~25â30% relative reduction in major CV events â robust vascular benefit.
- Lipoprotein(a) Blood Levels and Cardiovascular Risk Reduction With Icosapent Ethyl
PubMed ID: 38530686
Large cardiovascular outcomes trial (icosapent ethyl) reduced MACE, consistent with improved largeâvessel cardiovascular outcomes.
- Icosapent ethyl modulates circulating vascular regenerative cell content: The IPE-PREVENTION CardioLink-14 trial
PubMed ID: 38552629
Icosapent ethyl increased vascular progenitor subsets and lowered oxidative stress in those cells â supports vascular regenerative capacity.
- The Role of Omega-3 Polyunsaturated Fatty Acids in Patients with Metabolic Syndrome and Endothelial Dysfunction
PubMed ID: 39859026
RCT in metabolicâsyndrome patients showed improved endothelial function (âRHI, âAI) and lower ApoB â direct, objective vascular benefit.
- 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
PostâMI trial: no overall event reduction but treatment responders (âomegaâ3 index) had fewer longâterm events, suggesting circulatory/clinical benefit in responders.
- 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
Combined exercise+omegaâ3 reduced vascular adhesion markers (ICAM/VCAM) and improved metabolic measures, indicating vascular benefit.
- Effects of niacin and omega-3 fatty acids on HDL-apolipoprotein A-I exchange in subjects with metabolic syndrome
PubMed ID: 38408107
Prescription omegaâ3 increased HDL apoAâI exchange/activity, a mechanistic improvement relevant to vascular health.
- Cardiovascular Outcomes With Icosapent Ethyl by Baseline Low-Density Lipoprotein Cholesterol: A Secondary Analysis of the REDUCE-IT Randomized Trial
PubMed ID: 39968782
Large cardiovascular outcome trial (highâdose EPA) showing substantial reductions in coronary events â strong indirect support for circulation/vascular benefit.
- 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-derived predictive modeling identifies subgroups who gain CHD risk reduction from omegaâ3, supporting populationâlevel circulatory benefit in some.
- Omega and heart rate variability in overweight and obese schoolchildren
PubMed ID: 39972155
In overweight children, omegaâ3 improved heartârate variability and lipids (TG down, HDL up)âgood support for healthier cardiac autonomic/circulatory profile.
- Comparative Reductions in Investigator-Reported and Adjudicated Ischemic Events in REDUCE-IT
PubMed ID: 34620410
Large CV outcome trial showed major ischemic event reductions with EPAâsupports improved vascular outcomes and circulation.
- Blood pressure lowering in elderly subjects: a double-blind crossover study of omega-3 and omega-6 fatty acids
PubMed ID: 1989427
Fishâoil lowered blood pressure and triglycerides in hypertensive elderly â supports circulatory health.
- Enteral and supplemental parenteral nutrition enriched with omega-3 polyunsaturated fatty acids in intensive care patients - A randomized, controlled, double-blind clinical trial
PubMed ID: 33932802
RCT in ventilated ICU patients showed earlier cessation of catecholamines (improved hemodynamic recovery), a circulation-related clinical signal.
- Icosapent Ethyl Reduces Ischemic Events in Patients With a History of Previous Coronary Artery Bypass Grafting: REDUCE-IT CABG
PubMed ID: 34710343
Icosapent ethyl markedly reduced ischemic events in post-CABG patients, indicating important circulation/cardiovascular benefits (prescription EPA study).
- Effect of icosapent ethyl on progression of coronary atherosclerosis in patients with elevated triglycerides on statin therapy: a prospective, placebo-controlled randomized trial (EVAPORATE): interim results
PubMed ID: 32609331
IPE slowed coronary plaque progression on CTâmechanistic evidence that omegaâ3 (EPA) benefits arterial circulation.
- Benefits of Icosapent Ethyl Across the Range of Kidney Function in Patients With Established Cardiovascular Disease or Diabetes: REDUCE-IT RENAL
PubMed ID: 34706555
Large trial (icosapent ethyl) reduced major CV events in statinâtreated highâTG patientsâstrong clinical support for vascular/circulatory benefit.
- Circulating triacylglycerol and apoE levels in response to EPA and docosahexaenoic acid supplementation in adult human subjects
PubMed ID: 15469651
High-dose DHA markedly lowered triglycerides and raised apoE, improving circulating lipid profile relevant to circulation.
- 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 resting heart rate â favorable circulatory risk-factor changes.
- Evaluation of the effects of Neptune Krill Oil on the clinical course of hyperlipidemia
PubMed ID: 15656713
Krill oil trial showed improvements in total cholesterol, triglycerides and LDL versus fish oil/placebo (n=120).
- Soluble adhesion molecules in healthy subjects: a dose-response study using n-3 fatty acids
PubMed ID: 15553594
High-dose n-3 lowered sP-selectin (platelet/endothelial activation marker), implying improved vascular/endothelial status.
- Lipid responses to a dietary docosahexaenoic acid supplement in men and women with below average levels of high density lipoprotein cholesterol
PubMed ID: 15930485
Significant triglyceride and smallâdense LDL reductions (good for circulation) but LDL cholesterol rose, making net vascular benefit uncertain.
- 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
In CAD patients omega-3 lowered triglycerides ~18â22% â clinically relevant for circulation/atherogenic risk.
- Microalgal docosahexaenoic acid decreases plasma triacylglycerol in normolipidaemic vegetarians: a randomised trial
PubMed ID: 16571158
Large triglyceride lowering (~23%) in vegetarians â clear favorable circulating lipid effect (but LDL rose).
- Docosahexaenoic acid supplementation improves fasting and postprandial lipid profiles in hypertriglyceridemic men
PubMed ID: 17684201
DHA 3 g/day produced a marked -24% triglyceride reduction and decreased small dense LDL â clear beneficial circulatory lipid changes though LDL rose modestly.
- Dose-dependent effects of docosahexaenoic acid-rich fish oil on erythrocyte docosahexaenoic acid and blood lipid levels
PubMed ID: 17977469
Doseâresponse trial in overweight adults showed strong triglyceride lowering and HDL rise per g DHA â robust metabolic benefit for circulation.
- Low-dose docosahexaenoic acid lowers diastolic blood pressure in middle-aged men and women
PubMed ID: 17374663
Lowâdose DHA lowered diastolic BP ~3.3 mmHg and raised blood DHA â supports circulatory improvements including BP.
- Dose-dependent effects of docosahexaenoic acid supplementation on blood lipids in statin-treated hyperlipidaemic subjects
PubMed ID: 17393216
Highâdose DHA (8 g/day) in statin-treated patients cut triglycerides ~27% â clinically meaningful circulatory lipid benefit.
- 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 (FMD) â indicates improved vascular health in disease.
- Impact of foods enriched with n-3 long-chain polyunsaturated fatty acids on erythrocyte n-3 levels and cardiovascular risk factors
PubMed ID: 17349088
Dietary EPA+DHA increased erythrocyte nâ3 and these rises associated with better arterial compliance and lower TXB2.
- Docosahexaenoic acid-rich fish oil improves heart rate variability and heart rate responses to exercise in overweight adults
PubMed ID: 18339222
DHAârich oil improved heartârate variability and lowered resting HR in overweight adults â supports circulatory/autonomic health.
- Inclusion of fish or fish oil in weight-loss diets for young adults: effects on blood lipids
PubMed ID: 18490931
Oily fish/fish oil during calorie restriction produced greater TG reductions and favourable lipid trends (circulatory risk).
- The role of n-3 PUFAs in preventing the arrhythmic risk in patients with idiopathic dilated cardiomyopathy
PubMed ID: 18982439
Cardiomyopathy trial showed marked reductions in arrhythmic risk markers and NSVT episodes (strong circulatory/arrhythmia benefit).
- Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications
PubMed ID: 18665413
Lean fish intervention modestly lowered systolic/diastolic BP in CHD patients (benefit to circulation).
- Beneficial effects of long-chain n-3 fatty acids included in an energy-restricted diet on insulin resistance in overweight and obese European young adults
PubMed ID: 18491071
Fish oil predicted reductions in fasting insulin and HOMAâIR during calorie restriction (metabolic improvements relevant to circulation).
- Influence of an eicosapentaenoic and docosahexaenoic acid-enriched enteral nutrition formula on plasma fatty acid composition and biomarkers of insulin resistance in the elderly
PubMed ID: 19573960
Enteral nâ3 feeding in elderly raised EPA/DHA and lowered triglycerides (favourable circulatory risk marker changes).
- 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
Small triglyceride lowering in treated HIV patients and shift toward antiâinflammatory leukotrienesâbeneficial for circulation though modest.
- Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction
PubMed ID: 19487105
Salmon or fish oil during weight loss reduced SBP/DBP (~4 mmHg) â beneficial bloodâpressure effect.
- 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 atherosclerotic plaques with reduced plaque inflammation and features of greater stabilityârelevant to vascular health.
- Relationships between plasma fatty acid composition and coronary artery disease
PubMed ID: 21099130
Higher blood EPA associated with fewer major coronary events, implying improved large-vessel circulation outcomes.
- Gender-specific inhibition of platelet aggregation following omega-3 fatty acid supplementation
PubMed ID: 20708391
Acute EPA/DHA reduced platelet aggregation (sexâspecific) â plausible shortâterm circulatory benefit.
- Prospective randomized comparison between omega-3 fatty acid supplements plus simvastatin versus simvastatin alone in Korean patients with mixed dyslipidemia: lipoprotein profiles and heart rate variability
PubMed ID: 20877395
Adding 4 g/day nâ3 to simvastatin produced large TG reductions â favorable for circulatory risk profile.
- The effects of dietary fatty acid supplementation on endothelial function and vascular tone in healthy subjects
PubMed ID: 14553835
Improved endothelium-dependent vasodilation in healthy middle-aged adults â direct marker of vascular function.
- Effects of n-3 fatty acids on macro- and microvascular function in subjects with type 2 diabetes mellitus
PubMed ID: 20071644
Improved postprandial macro- (FMD) and microvascular blood flow in type 2 diabetics â direct vascular benefit.
- Effects of seal oil and tuna-fish oil on platelet parameters and plasma lipid levels in healthy subjects
PubMed ID: 20652432
Seal oil reduced platelet activation (pâselectin) and lowered TG/increased HDL over 14 days â antithrombotic/lipid signals.
- Effect of low doses of long-chain n-3 PUFAs on endothelial function and arterial stiffness: a randomized controlled trial
PubMed ID: 21865334
1.8 g/day lowered triglycerides (~16.5%) in older adults though no change in endothelial function.
- Differential association of docosahexaenoic and eicosapentaenoic acids with carotid intima-media thickness
PubMed ID: 21757663
Inverse association between serum DHA and carotid IMT suggests anti-atherosclerotic/vascular benefit.
- Effects of prescription omega-3-acid ethyl esters, coadministered with atorvastatin, on circulating levels of lipoprotein particles, apolipoprotein CIII, and lipoprotein-associated phospholipase A2 mass in men and women with mixed dyslipidemia
PubMed ID: 22108152
Favorable shifts in LDL particle size and reductions in ApoCIII/Lp-PLA2 when added to atorvastatin, implying improved vascular risk profile.
- Preliminary evidence that acute long-chain omega-3 supplementation reduces cardiovascular reactivity to mental stress: a randomized and placebo controlled trial
PubMed ID: 21967854
Short RCT reduced bloodâpressure reactivity to mental stressâfavorable cardiovascular reactivity effect.
- DHA-rich fish oil reverses the detrimental effects of saturated fatty acids on postprandial vascular reactivity
PubMed ID: 21831993
Acute RCT showed large, significant improvement in endothelial flowâmediated dilatation (direct vascular function evidence).
- Effects of prescription niacin and omega-3 fatty acids on lipids and vascular function in metabolic syndrome: a randomized controlled trial
PubMed ID: 22892157
Prescription omegaâ3 (with/without niacin) reduced triglycerides and arterial stiffness (augmentation index), directly improving vascular function.
- 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 (nâ3) lowered triglycerides and raised HDL in highârisk women, beneficial for circulation.
- Platelet redox balance in diabetic patients with hypertension improved by n-3 fatty acids
PubMed ID: 23238663
In T2DM+HT patients fish oil reduced platelet oxidative stress and lowered triglycerides â meaningful circulatory/cardiometabolic effects.
- Docosahexaenoic acid supplementation, vascular function and risk factors for cardiovascular disease: a randomized controlled trial in young adults
PubMed ID: 23817470
DHA markedly lowered triglycerides/VLDL in healthy adults (mixed endothelial results) â clear lipid/circulatory effect.
- Eicosapentaenoic and docosahexaenoic acid supplementations reduce platelet aggregation and hemostatic markers differentially in men and women
PubMed ID: 23390192
Clear reductions in platelet aggregation and changes in hemostatic markers support improved circulatory/thrombotic profiles.
- A randomized controlled trial to prevent post-operative atrial fibrillation by antioxidant reinforcement
PubMed ID: 23916928
Perioperative nâ3 PUFA (with vitamins) reduced postâop atrial fibrillation and improved antioxidant/inflammatory markers, indicating improved circulatory outcomes (confounded by vitamins).
- 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
TAKâ085 (EPA+DHA) at 4 g/day produced clinically meaningful triglyceride reductions vs EPA alone, directly improving lipidâmediated circulatory risk.
- Atorvastatin plus omega-3 fatty acid ethyl ester decreases very-low-density lipoprotein triglyceride production in insulin resistant obese men
PubMed ID: 24299019
Ïâ3 ethyl esters added to statin further lowered VLDLâTG via production/clearance changes â direct lipid/circulation relevance.
- Eicosapentaenoic acid improves glycemic control in elderly bedridden patients with type 2 diabetes
PubMed ID: 24067797
Elderly T2D patients on controlled diet had improved glycemia and atherogenic lipoprotein markers with EPA/DHA â cardiometabolic/circulatory relevance.
- 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 RCT showing krill oil lowered fasting triglycerides without raising LDLârelevant to circulation and lipid risk.
- 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 diet improved lipids and modestly lowered systolic BP, reducing predicted CHD riskâdirectly relevant to circulation.
- Low doses of eicosapentaenoic acid and docosahexaenoic acid from fish oil dose-dependently decrease serum triglyceride concentrations in the presence of plant sterols in hypercholesterolemic men and women
PubMed ID: 25122648
Doseâdependent EPA+DHA lowered triglyceridesâfavorable lipid change for circulation/vascular risk.
- Interaction between a CSK gene variant and fish oil intake influences blood pressure in healthy adults
PubMed ID: 24401815
Highâdose EPA+DHA reduced blood pressure in a genetic subgroup, indicating BP/circulatory benefit in responders.
- A new, microalgal DHA- and EPA-containing oil lowers triacylglycerols in adults with mild-to-moderate hypertriglyceridemia
PubMed ID: 25123060
DHA or fish oil produced substantial triglyceride reductions vs control (clinically relevant).
- Reduction of prothrombin and Factor V levels following supplementation with omega-3 fatty acids is sex dependent: a randomised controlled study
PubMed ID: 24997005
RCT showed modest decreases in procoagulant factors (Factor II, V, vWF), supporting improved hemostatic/circulatory profile.
- Increasing long-chain n-3PUFA consumption improves small peripheral artery function in patients at intermediate-high cardiovascular risk
PubMed ID: 24746829
Higher dietary longâchain nâ3 intake associated with improved smallâartery reactive hyperemia index (saRHI) and favorable lipids.
- The effects of long-chain omega-3 fish oils and multivitamins on cognitive and cardiovascular function: a randomized, controlled clinical trial
PubMed ID: 25565485
Large RCT in older adults found reduced aortic pulse and augmentation pressures with higherâdose fish oil â direct vascular improvement.
- Docosahexaenoic Acid Attenuates Cardiovascular Risk Factors via a Decline in Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Plasma Levels
PubMed ID: 26620373
DHAâenriched feeding lowered PCSK9 and triglycerides â favorable lipid changes relevant to circulation.
- 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 statinâtreated patients, prescription omegaâ3 substantially lowered triglycerides, increased LDL particle size and improved ApoCIII/LpâPLA2 â meaningful cardiometabolic circulation markers.
- Effect of TAK-085 on Low-density Lipoprotein Particle Size in Patients with Hypertriglyceridemia: A Double-blind Randomized Clinical Study
PubMed ID: 26222126
TAKâ085 (EPA+DHA) produced dose-related favourable shifts in LDL particle size (less atherogenic), directly relevant to circulation/atherosclerotic risk.
- 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
Doseâdependent increases in RBC DPA and inverse baseline associations with triglycerides/CRP support cardiometabolic relevance.
- The effect of plant sterols and different low doses of omega-3 fatty acids from fish oil on lipoprotein subclasses
PubMed ID: 26019023
Adding EPA+DHA to plant-sterol spread reduced VLDL triglyceride/cholesterol in large VLDL particles and shifted HDL subclassesâbeneficial for circulating lipoprotein profile.
- Effects of eicosapentaenoic acid and docosahexaenoic acid on cardiovascular disease risk factors: a randomized clinical trial
PubMed ID: 27733252
DHA substantially lowered post-meal triglycerides (good for postprandial circulation) though LDL rose; overall relevant to circulation.
- 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 favourable inflammatory marker and HDL changes versus EPAâbiomarkers that support healthier circulation.
- Lipid responses in mildly hypertriglyceridemic men and women to consumption of docosahexaenoic acid-enriched eggs
PubMed ID: 14639800
DHAâenriched eggs lowered triglycerides (â12.3%) and raised HDL (+5.0%) â clinically relevant lipid improvements.
- 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
Preâtreatment with omegaâ3s modestly reduced angiographic restenosis after PTCA â vascular outcome benefit.
- Omega-3 fatty acid supplementation accelerates chylomicron triglyceride clearance
PubMed ID: 12562865
Accelerated chylomicron TG clearance and lower postprandial TG/apoBâ48 â favorable for circulating lipoprotein handling.
- Omega-3 fatty acids improve blood pressure control and preserve renal function in hypertensive heart transplant recipients
PubMed ID: 11207085
Prevented longâterm systolic BP rise and vascular resistance increase in hypertensive transplant patients â strong circulatory benefit.
- 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
Significant triglyceride lowering (reduces atherogenic burden) supports vascular health though LDL/insulin effects complicate net impact.
- Heart rate variability and fatty acid content of blood cell membranes: a dose-response study with n-3 fatty acids
PubMed ID: 10479194
Doseâdependent improvement in heartârate variability in menâa direct marker of autonomic/cardiac health.
- The effect of dietary omega-3 fatty acids on coronary atherosclerosis. A randomized, double-blind, placebo-controlled trial
PubMed ID: 10189324
Two-year fish-oil trial modestly reduced progression of coronary atherosclerosis â direct circulation/vascular disease outcome.
- Docosahexaenoic acid but not eicosapentaenoic acid lowers ambulatory blood pressure and heart rate in humans
PubMed ID: 10454450
Purified DHA reduced ambulatory blood pressure and heart rate â favorable hemodynamic effects relevant to circulation.
- 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
4 g/day EPA+DHA lowered systolic/diastolic blood pressure ~5â6 mmHg in mild hypertensive men â meaningful circulatory benefit.
- Effects of highly purified eicosapentaenoic acid and docosahexaenoic acid on hemodynamics in humans
PubMed ID: 9665096
Supplemental DHA lowered resting heart rate and improved diastolic filling â positive physiologic circulatory effects.
- Fish diet, fish oil and docosahexaenoic acid rich oil lower fasting and postprandial plasma lipid levels
PubMed ID: 8933125
Dietary fish/fish oil lowered fasting and postprandial TG and improved HDL2/3 ratio â beneficial circulatory lipid profile.
- 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
Concentrated EPA/DHA substantially lowered triglycerides and improved HDL and blood pressure â meaningful circulatory risk improvements.
- Effects of n-3 polyunsaturated fatty acids on glucose homeostasis and blood pressure in essential hypertension. A randomized, controlled trial
PubMed ID: 7486485
Modest systolic BP and triglyceride reductions in hypertensives â relevant to circulation.
- The effect of consumption of fish oil-enriched spreadable fats on platelet phospholipid fatty acid composition in human volunteers
PubMed ID: 7814240
EPA/DHA incorporation into platelet phospholipids and lowered nâ6:nâ3 ratio â plausible antithrombotic/circulatory benefit.
- 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 reduction in monocyte tissue factor activity â strong biomarker for reduced procoagulant risk and improved vascular biology.
- Effects of a fish oil supplement on blood pressure and serum lipids in patients treated for coronary artery disease
PubMed ID: 1617510
Coronary patients had large triglyceride reductions and attenuated systolic BP rise; supports circulation.
- Double-blind, randomized, controlled trial of fish oil supplements in prevention of recurrence of stenosis after coronary angioplasty
PubMed ID: 1537131
Periâprocedural fish oil reduced angiographic restenosis after angioplasty (vascular outcome).
- Docosahexaenoic and eicosapentaenoic acids in plasma phospholipids are divergently associated with high density lipoprotein in humans
PubMed ID: 1534256
Large RCT with marked (â21%) triglyceride lowering, beneficial for circulation and atherosclerotic risk.
- Influence of fish oil on blood lipids in coronary artery disease
PubMed ID: 1831755
Doseâdependent triglyceride reductions in CAD patients, a favorable circulation/cardiac risk factor effect.
- Effect of eicosapentaenoic and docosahexaenoic acids on blood pressure in hypertension. A population-based intervention trial from the TromsĂž study
PubMed ID: 2137901
EPA/DHA supplementation produced modest but significant reductions in systolic and diastolic blood pressure in mild hypertension.
- Dose-response effects of fish-oil supplementation in healthy volunteers
PubMed ID: 2141757
Doseâresponse RCT: doseârelated rises in blood nâ3 and triglyceride loweringâmeaningful circulation benefit.
- Alterations in serum phosphatidylcholine fatty acyl species by eicosapentaenoic and docosahexaenoic ethyl esters in patients with severe hypertriglyceridemia
PubMed ID: 9101424
Hypertriglyceridemia trial: EPA/DHA markedly increased serum incorporation and lowered triglycerides (~26%)âstrong circulation/metabolic benefit.
- 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
T2D trial: EPA reduced triglycerides and hsâCRPâfavorable metabolic/circulatory effects in patients.
- Effects of fish oil and curcumin supplementation on cerebrovascular function in older adults: A randomized controlled trial
PubMed ID: 32127335
Large RCT: fish oil lowered triglycerides and raised HDL and reduced arterial stiffness (in men) â direct vascular/circulatory benefits.
- 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
PeriâPCI omegaâ3 reduced CKâMB release, suggesting less procedural myocardial injury and improved immediate cardiac outcomes.
- [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 CHF with AF, omegaâ3 improved arterial elasticity and stiffness markers (direct vascular/circulatory benefit).
- 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 collagen-induced platelet aggregation and TXB2 in hypertensive T2D patients (improves circulating thrombogenicity).
- EPA, but not DHA, decreases mean platelet volume in normal subjects
PubMed ID: 12530552
EPA modestly reduced mean platelet volume (marker of platelet activation) in healthy subjects (favorable).
- 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
24âh ambulatory BP and heart rate reductions in CKD patients indicate improved circulatory parameters.
- A long-term seal- and cod-liver-oil supplementation in hypercholesterolemic subjects
PubMed ID: 11214732
Longâterm cod/seal oil increased serum EPA and reduced platelet aggregationâmay lower thrombotic risk.
- Effect of chia seeds or concentrated fish oil on cardiometabolic risk markers in subjects with hypertriglyceridaemia: a parallel clinical trial
PubMed ID: 39360590
EPA+DHA and chia both reduced triglycerides in hypertriglyceridaemic adultsâdirect circulatory riskâfactor benefit.
- 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 clearly lowered triglycerides and raised omegaâ3 index in CAD patientsâfavourable circulatory lipid effects.
- 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
EPA (±DHA) added to statin increased fibrous cap thickness in vulnerable coronary plaques (plaque stabilization).
- Concomitant Use of Rosuvastatin and Eicosapentaenoic Acid Significantly Prevents Native Coronary Atherosclerotic Progression in Patients With In-Stent Neoatherosclerosis
PubMed ID: 32759543
EPA + rosuvastatin reduced plaque lipid content and inflammatory markers in stented patients.
- 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
Highâdose purified EPA slowed/reversed coronary plaque progression â strong vascular benefit.
- 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
4 g/day omegaâ3 added to statin markedly lowered triglycerides and nonâHDL cholesterol.
- 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 statinâtreated patients: 4 g/day Ïâ3 produced substantial TG and nonâHDLâC reductionsâstrong vascular risk benefit.
- Effects of Omega-3 Fatty Acid Supplementation on Serum Biomarkers, Inflammatory Agents, and Quality of Life of Patients on Hemodialysis
PubMed ID: 27903997
In hemodialysis patients Ïâ3 raised HDL and lowered VCAMâfavorable vascular biomarker changes.
- 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
Ïâ3 (with lowâdose statin) restored circulating vascular progenitor cells and CFUâECsâsupports vascular repair capacity.
- 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
GISSIâHF substudy: modest but significant improvement in LVEF (cardiac function) with nâ3 â relevant to circulation/cardiac performance.
- Omega-3 fatty acids plus rosuvastatin improves endothelial function in South Asians with dyslipidemia
PubMed ID: 19337557
Omegaâ3 added to rosuvastatin improved endotheliumâdependent vasodilation and lipids in dyslipidemic adults.
- Vascular and metabolic effects of omega-3 fatty acids combined with fenofibrate in patients with hypertriglyceridemia
PubMed ID: 27424313
Combination with fenofibrate improved endothelial function and inflammationâcirculatory benefits likely contributed by omegaâ3.
- Monocyte-suppressing effect of bezafibrate but not omega-3 fatty acids in patients with isolated hypertriglyceridaemia
PubMed ID: 21223512
Omegaâ3 lowered triglycerides in isolated hypertriglyceridemia though without inflammatory changesârelevant to circulation via TG lowering.
- Significant differential effects of omega-3 fatty acids and fenofibrate in patients with hypertriglyceridemia
PubMed ID: 22153696
Omegaâ3 lowered triglycerides and improved flowâmediated (endotheliumâdependent) dilationâdirect endothelial/circulatory benefit.
- The effect of bezafibrate and omega-3 fatty acids on lymphocyte cytokine release and systemic inflammation in patients with isolated hypertriglyceridemia
PubMed ID: 21630032
Prescription omegaâ3 substantially lowered triglycerides (~31%) in hypertriglyceridemiaâimproves circulatory lipid burden.
- Hemostatic effects of bezafibrate and Ï-3 fatty acids in isolated hypertriglyceridemic patients
PubMed ID: 21857087
Omegaâ3 lowered triglycerides and reduced some hemostatic markers (fibrinogen/PAIâ1) â relevant to circulatory risk modulation.
- Prescription omega-3 fatty acid as an adjunct to fenofibrate therapy in hypertriglyceridemic subjects
PubMed ID: 19597368
Prescription Ïâ3 plus fenofibrate produced very large TG reductionsâstrong cardiometabolic/circulatory impact.
- [Oxidation stress, insulin resistance and endothelial dysfunction during the treatment of hyperlipidaemia]
PubMed ID: 17323614
Ïâ3 with lipid therapy improved LDL oxidative markers and flowâmediated dilation (endothelial function).
- Maxepa versus bezafibrate in hyperlipidemic cardiac transplant recipients
PubMed ID: 1466329
Large triglyceride reduction in heart transplant patients â supports circulatory lipid benefit.
- Including walnuts in a low-fat/modified-fat diet improves HDL cholesterol-to-total cholesterol ratios in patients with type 2 diabetes
PubMed ID: 15562184
Walnut (ALA) diet improved HDL and lowered LDL in T2D â relevant to circulation (dietary omegaâ3 source).
- 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
Dietary intervention raising EPA/DHA lowered endothelial activation marker (Eâselectin).
- Horse meat consumption affects iron status, lipid profile and fatty acid composition of red blood cells in healthy volunteers
PubMed ID: 23025273
Dietary intervention modestly lowered total and LDL cholesterol and raised RBC longâchain nâ3 â supports circulation/lipid effects.
- 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
Oilyâfish intake increased plasma DHA/EPA and lowered triacylglycerol (TAG) and some inflammatory markersâclear circulatory benefit.
- Inclusion of Atlantic salmon in the Chinese diet reduces cardiovascular disease risk markers in dyslipidemic adult men
PubMed ID: 20797476
Dyslipidemic men: oily fish raised EPA/DHA and improved triglycerides and HDLâdirect circulatory lipid improvements.
- Efficacy and tolerability of adding prescription omega-3 fatty acids 4 g/d to simvastatin 40 mg/d in hypertriglyceridemic patients: an 8-week, randomized, double-blind, placebo-controlled study
PubMed ID: 17825687
Prescription omegaâ3 added to simvastatin reduced nonâHDL cholesterol versus simvastatin aloneârelevant to vascular risk and circulation.
- Effects of DHA-enriched fish oil on monocyte/macrophage activation marker sCD163, asymmetric dimethyl arginine, and insulin resistance in type 2 diabetic patients
PubMed ID: 27578110
DHAâenriched fish oil lowered triglycerides in T2DM, supporting improved circulating lipids.
- Myocardial protection during elective coronary artery bypasses grafting by pretreatment with omega-3 polyunsaturated fatty acids
PubMed ID: 23789288
Preoperative IV omegaâ3 improved myocardial metabolism and oxygen extraction in CABG patients â direct circulatory/cardiac metabolic benefit.
- Gut function and immune and inflammatory responses in patients perioperatively fed with supplemented enteral formulas
PubMed ID: 8956766
Study reported increased intestinal microperfusion (improved local blood flow) after perioperative supplementation.
- Randomized Trial for Evaluation in Secondary Prevention Efficacy of Combination Therapy-Statin and Eicosapentaenoic Acid (RESPECT-EPA)
PubMed ID: 38873793
Large RCT (icosapent ethyl) showed fewer coronary events (secondary endpoint) and numeric reduction in MACE â strong CV signal.
- 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
Adding EPA to statin therapy reduced small LDL and increased large HDL particles â favorable for vascular health.
- Twelve-Week Daily Consumption of ad hoc Fortified Milk with Ï-3, D, and Group B Vitamins Has a Positive Impact on Inflammaging Parameters: A Randomized Cross-Over Trial
PubMed ID: 33266447
Fortified milk RCT raised Ïâ3 index and lowered homocysteine â biomarkers relevant to vascular risk.
- Omega-3 polyunsaturated fatty acid supplementation improves lipid metabolism and endothelial function by providing a beneficial eicosanoid-pattern in patients with acute myocardial infarction: A randomized, controlled trial
PubMed ID: 33041091
PostâAMI RCT: omegaâ3 changed eicosanoids, improved triglycerides, apoB, Lp(a) and increased a nitricâoxide endothelial marker â strong circulation/vascular relevance.
- Polyunsaturated Fatty Acid Impact on Clinical Outcomes in Acute Coronary Syndrome Patients With Dyslipidemia: Subanalysis of HIJ-PROPER
PubMed ID: 31390907
EPA/AA stratified ACS risk and treatment benefitâimplicates EPA status in cardiovascular risk stratification.
- 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
EPA altered HDL subfractions (HDL2/HDL3 ratio), a biomarker relevant to circulation/vascular risk.
- Effect of rosuvastatin and eicosapentaenoic acid on neoatherosclerosis: the LINK-IT Trial
PubMed ID: 31334703
EPA+rosuvastatin reduced plaque lipid burden and macrophage content (improves arterial health).
- 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
PostâMI highâdose omegaâ3 improved remodeling and strain markers, indicating improved cardiac/circulatory outcomes.
- Does administration of eicosapentaenoic acid increase soluble thrombomodulin level in statin-treated patients with stable coronary artery disease?
PubMed ID: 30143885
EPA added to statin raised EPA/AA and altered endothelial biomarker (sTM), supporting vascular effects.
- 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 added to statin patients improved lipid profile (nonâHDLâC) and increased EPA/AA ratioâfavorable for vascular risk.
- The effect of omega-3 carboxylic acids on apolipoprotein CIII-containing lipoproteins in severe hypertriglyceridemia
PubMed ID: 27919362
OM3âCA lowered apoCIII and shifted LDL subspecies in a cardioprotective direction despite LDLâC rises.
- 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
Highâdose EPA started after PCI reduced 1âyear cardiovascular events and deathsâimplies improved clinical circulation/cardiovascular outcomes.
- n-3 fatty acids reduce plasma 20-hydroxyeicosatetraenoic acid and blood pressure in patients with chronic kidney disease
PubMed ID: 26103129
In CKD patients, nâ3 lowered 20âHETE and oxidative lipids with associated bloodâpressure reductionâmechanistically supports circulation benefits.
- Eicosapentaenoic Acid combined with optimal statin therapy improves endothelial dysfunction in patients with coronary artery disease
PubMed ID: 24158248
Randomized CAD trial showed improved endothelial function (FMD) and lower triglycerides with EPA.
- Stabilizing effect of combined eicosapentaenoic acid and statin therapy on coronary thin-cap fibroatheroma
PubMed ID: 24637411
EPA added to statin produced plaqueâstabilizing changes (fibrous cap thickening), relevant to vascular health.
- Efficacy of a unique omega-3 formulation on the correction of nutritional deficiency and its effects on cardiovascular disease risk factors in a randomized controlled VASCAZEN(Âź) REVEAL Trial
PubMed ID: 25185754
Highâpurity EPA trial produced large corrections in omegaâ3 indices and major TG reductions â strong cardiovascular riskâfactor improvement.
- 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 reduced TRLs â favorable circulatory lipoprotein changes.
- Effect of pretreatment with omega-3 polyunsaturated fatty acids (PUfas) on hematological parameters and platelets aggregation in patients during elective coronary artery bypass grafting
PubMed ID: 23700945
Preoperative IV Ïâ3 lowered collagenâstimulated platelet aggregation without increased bleeding â relevant haemostasis effect.
- 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
Higher blood nâ3:nâ6 ratios associated with less coronary plaque progression (observational in pravastatin subgroup) â supportive but not causal.
Pregnancy support (265)
- 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 fishâoil lipid in very preterm infants reduced pulmonary inflammation and bronchopulmonary dysplasia incidenceâstrong neonatal support (premature infants).
- Omega-3 fatty acid supplements in women at high risk of breast cancer have dose-dependent effects on breast adipose tissue fatty acid composition
PubMed ID: 20335550
Doseâdependent increases of EPA/DHA in serum and breast adipose tissue indicate enhanced maternal tissue deliveryârelevant to breastfeeding and infant DHA supply.
- Eggs early in complementary feeding increase choline pathway biomarkers and DHA: a randomized controlled trial in Ecuador
PubMed ID: 29092879
Daily egg from 6â12 months increased infants' plasma DHA and cholineâstrong RCT biomarker evidence relevant to infant development.
- 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
ORIP substudy: DHA pills raised unesterified DHA and DHAâoxylipins by 24 weeks in pregnant womenâdirect pregnancy biomarker effect.
- 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 trial (participants received DHA) increased maternal plasma PCâDHA and RBC DHAârobust mechanistic evidence for improved maternal/fetal DHA status.
- Genetic Variants in One-Carbon Metabolism and Their Effects on DHA Biomarkers in Pregnant Women: A Post-Hoc Analysis
PubMed ID: 36145177
Genetic analysis showed PEMT/MTHFD1 variants modify maternal and cord DHA biomarkers â important for personalized DHA status in pregnancy.
- DHA, nutrient intake, and maternal characteristics as predictors of pregnancy outcomes in a randomised clinical trial of DHA supplementation
PubMed ID: 37806075
Large RCT: 1000 mg/d DHA vs 200 mg/d substantially increased maternal DHA status and reduced early/overall preterm birth â strong clinical pregnancy/baby benefit.
- 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 ORIP data: omegaâ3 supplementation reduced early preterm birth in women with low baseline nâ3 status â strong, clinically actionable pregnancy benefit.
- 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
Large pregnancy trial showed fewer preterm births among compliers â supportive clinical evidence for pregnancy outcomes.
- Neuroprotective nutrients in pregnancy and infant brain function
PubMed ID: 40412614
Higher maternal DHA associated with improved infant EEG/ERP markers â supportive associative evidence for infant neurodevelopment.
- Retinal development in very-low-birth-weight infants fed diets differing in omega-3 fatty acids
PubMed ID: 1386065
Preterm infant diets lacking LC nâ3 impaired retinal function at term â evidence that early nâ3 is important for infant development.
- Effects of preterm infant formula supplementation with alpha-linolenic acid with a linoleate/alpha-linolenate ratio of 6: a multicentric study
PubMed ID: 11248877
Preterm formula ALA supplementation maintained RBC DHA comparable to human milk without harming growth â strong neonatal nutrient support evidence.
- Growth and development in term infants fed long-chain polyunsaturated fatty acids: a double-masked, randomized, parallel, prospective, multivariate study
PubMed ID: 11483802
Large randomized termâinfant trial of AA+DHA in formula addressing growth and development â directly relevant.
- 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
Newborns retain supplemented AA (~75%) and DHA (~62%) â strong evidence of neonatal uptake/availability.
- 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 ALA associated with lower DHA and worse motor development at 1 year â important developmental finding.
- 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
Preterm infants fed LCPâenriched formula had higher plasma DHA similar to breast milk without growth harm â direct neonatal benefit.
- 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 during pregnancy/lactation produced ~4-point higher child cognitive score at age 4 (clinical benefit to offspring).
- Docosahexaenoic acid in red blood cells of term infants receiving two levels of long-chain polyunsaturated fatty acids
PubMed ID: 16540798
Term infants fed formula with higher preformed DHA had significantly higher blood DHA at 120 daysâdirectly supports infant DHA status important for development.
- Effect of supplementing pregnant and lactating mothers with n-3 very-long-chain fatty acids on children's IQ and body mass index at 7 years of age
PubMed ID: 18676533
Maternal cod liver oil vs corn oil RCT showed no group IQ difference at 7 years but maternal nâ3 levels correlated with one sequential processing measure â modest perinatal relevance.
- 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
Replacing corn oil with rapeseed oil in infant foods increased infants' plasma nâ3 and LCâPUFA during complementary feedingâdirect relevance to infant nutrient status.
- Docosahexaenoic acid supplementation from mid-pregnancy to parturition influenced breast milk fatty acid concentrations at 1 month postpartum in Mexican women
PubMed ID: 21178076
Prenatal DHA (400 mg) increased breastâmilk DHA at 1 month postpartum â direct maternal/infant nutritional support.
- Effect of different levels of docosahexaenoic acid supply on fatty acid status and linoleic and α-linolenic acid conversion in preterm infants
PubMed ID: 22008957
Doseâdependent increases in preterm infant DHA status without suppressing endogenous synthesisârelevant for neonatal nutrition.
- 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
Parenteral Ïâ3 lipid around infant cardiac surgery increased EPA and reduced inflammatory markers postâop â neonatal clinical relevance.
- Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial
PubMed ID: 26169870
Adding salmon to complementary feeding significantly increased infant EPA and DHAâdirect evidence supporting infant nutritional supply of long-chain n-3 for development.
- 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
Type of parenteral lipid in preterm infants markedly changed blood ALA/EPA/DHA profilesâclinical relevance to neonatal nutrition though outcomes were not strongly altered.
- Modification of Docosahexaenoic Acid Composition of Milk from Nursing Women Who Received Alpha Linolenic Acid from Chia Oil during Gestation and Nursing
PubMed ID: 26247968
Chia oil in pregnancy/nursing raised maternal milk ALA and transiently increased milk DHA early in nursing and increased maternal erythrocyte EPAâsupports maternal-infant n-3 transfer.
- Effects of a lipid-based nutrient supplement during pregnancy and lactation on maternal plasma fatty acid status and lipid profile: Results of two randomized controlled trials
PubMed ID: 28237085
Lipid nutrient supplement in pregnancy/lactation modestly raised maternal and (siteâspecific) breastâmilk ALAârelevant to infant PUFA exposure.
- Effects of Maternal Supplementation With Omega-3 Precursors on Human Milk Composition
PubMed ID: 28418808
Short maternal ALA supplementation rapidly raised breastâmilk ALA and improved LA:ALA ratio (direct effect on infant milk FA profile).
- 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 fortifier with ALA and DHA increased infant plasma/RBC DHA and EPA within 3 weeksâdirectly relevant to neonatal nutrition.
- Effect of nut consumption on semen quality and functionality in healthy men consuming a Western-style diet: a randomized controlled trial
PubMed ID: 30475967
Mixedânut intervention improved sperm count/motility and reduced DNA fragmentationâmale fertility outcomes relevant to conception support.
- The effects of n-3 fatty acids from flaxseed oil on genetic and metabolic profiles in patients with gestational diabetes mellitus: a randomised, double-blind, placebo-controlled trial
PubMed ID: 31902378
In gestational diabetes, flaxseed ALA improved glycemia and inflammation â maternal metabolic benefits that can support pregnancy outcomes.
- 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/week in women of childbearing age raised serum EPA/DHA and lowered nâ6:nâ3 ratio â supports maternal stores relevant to pregnancy.
- 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
Higher earlyâpregnancy maternal DHA and ALA associated with larger fetal growth trajectories across gestation.
- 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 supplementation associated with lower postpartum depressive symptoms and higher erythrocyte ALA, relevant to perinatal mental health and maternal status.
- 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
Breastfed infants of mothers eating fish had higher infant serum DHA/EPA than formulaâfed infants â direct nutrient transfer supporting infant status.
- Associations between fatty acids providing support for n-3 and n-6 pathways are strongest in pregnant Indian vegetarians compared with pregnant Australian omnivores
PubMed ID: 41270711
Large observational study found much lower blood nâ3 levels in pregnant Indian women vs Australian women â supports the need for omegaâ3 to improve maternal nâ3 status with implications for pregnancy outcomes.
- Maternal AA/EPA Ratio and Triglycerides as Potential Biomarkers of Patients at Major Risk for Pharmacological Therapy in Gestational Diabetes
PubMed ID: 35745231
In gestational diabetes, higher AA/EPA and TG/CRP associated with need for pharmacologic therapy and heavier babies â implicates PUFA balance in pregnancy risk stratification.
- 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
Termâinfant DHA formula advanced early visual acuity and raised infant DHA â supports infant development.
- 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
DHA/AAâfortified preterm formula raised infant blood and RBC DHA/AA to match breastfed preterm infantsâstrong neonatal support.
- Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants
PubMed ID: 9702915
Infant formula DHA increased RBC DHA to breastâfed levels and improved VEP acuity â supportive for infant development.
- A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants
PubMed ID: 10755457
Early infant DHA (±AA) improved mental development at 18 months â important neurodevelopmental outcome in early life.
- Impact of early dietary intake and blood lipid composition of long-chain polyunsaturated fatty acids on later visual development
PubMed ID: 11144440
DHA-enriched formula produced breast-milkâlike blood profiles and improved visual development in infants â supports infant supplementation.
- A multicenter long-term safety and efficacy trial of preterm formula supplemented with long-chain polyunsaturated fatty acids
PubMed ID: 10941962
Preterm formula with AA+DHA increased DHA long-term with no safety signalsâuseful neonatal supplementation evidence.
- Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial
PubMed ID: 11483801
Preterm formula AA+DHA improved visual acuity and motor development â direct neonatal support evidence.
- Docosahexaenoic acid and arachidonic acid enhance growth with no adverse effects in preterm infants fed formula
PubMed ID: 12032520
Preterm infants fed DHA+ARA gained weight faster with no adverse effects â supports infant growth.
- Randomized, double-blind trial of long-chain polyunsaturated fatty acid supplementation with fish oil and borage oil in preterm infants
PubMed ID: 15069395
Preterm infant LCPUFA trial improved growth and (in boys) mental development â direct infant developmental benefit relevant to early life support.
- Effects of n-3 polyunsaturated fatty acid supplementation in pregnancy on maternal and fetal erythrocyte fatty acid composition
PubMed ID: 14985680
Pregnancy RCT: maternal fish oil increased maternal and neonatal EPA/DHA and decreased nâ6 PUFA â clear perinatal nâ3 transfer benefit.
- 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
Pregnancy RCT: fish oil markedly increased DHA/EPA in early breast milk and slightly lowered AA â strong neonatal/nursing nutrient support.
- Growth and development of preterm infants fed infant formulas containing docosahexaenoic acid and arachidonic acid
PubMed ID: 15812447
Large preterm formula RCT: DHA/ARA improved growth and developmental scores with no safety signals â strong infant support.
- Visual maturation of term infants fed long-chain polyunsaturated fatty acid-supplemented or control formula for 12 mo
PubMed ID: 15817866
Termâinfant trial: DHA+ARA improved visual acuity and raised RBC DHA â supports infant visual/cerebral development.
- Cognitive assessment of children at age 2(1/2) years after maternal fish oil supplementation in pregnancy: a randomised controlled trial
PubMed ID: 17185423
Prenatal highâdose fish oil modestly improved offspring eyeâhand coordination at 2.5 years with cordâblood DHA/EPA correlations â clear perinatal developmental benefit.
- Supplementation of n-3 fatty acids during pregnancy and lactation reduces maternal plasma lipid levels and provides DHA to the infants
PubMed ID: 16923694
Maternal codâliver nâ3 raised maternal/infant DHA and attenuated pregnancy triglyceride rise.
- 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
Infant LCPUFA produced visual/cognitive outcomes comparable to breastfeeding in some measures.
- Soy-based infant formula supplemented with DHA and ARA supports growth and increases circulating levels of these fatty acids in infants
PubMed ID: 17912568
Soy formula DHA+ARA raised infant DHA/ARA and supported normal growth (safety + substrate).
- Human milk arachidonic acid and docosahexaenoic acid contents increase following supplementation during pregnancy and lactation
PubMed ID: 19118992
Supplementation in pregnancy/lactation raised breastmilk DHA substantially (direct infant substrate).
- Hypoallergenicity and effects on growth and tolerance of a new amino acid-based formula with docosahexaenoic acid and arachidonic acid
PubMed ID: 18534230
Aminoâacid formula with DHA+ARA was safe and supported normal infant growth (safety evidence).
- Higher dose of docosahexaenoic acid in the neonatal period improves visual acuity of preterm infants: results of a randomized controlled trial
PubMed ID: 18842793
Preterm infants fed higher DHA had better visual acuity â neonatal developmental outcome.
- Improved cognitive development among preterm infants attributable to early supplementation of human milk with docosahexaenoic acid and arachidonic acid
PubMed ID: 18519483
Very preterm infants had improved recognition memory and problemâsolving with DHA+ARA.
- 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 fattyâacid ratios associated with movement quality (associative evidence).
- Three randomized controlled trials of early long-chain polyunsaturated Fatty Acid supplementation on means-end problem solving in 9-month-olds
PubMed ID: 19765006
Infant formula DHA+ARA improved early problemâsolving â developmental benefit for infants.
- The effects of omega-3 fatty acid supplementation in pregnancy on maternal eicosanoid, cytokine, and chemokine secretion
PubMed ID: 19390480
Late pregnancy omegaâ3 increased maternal EPA/DHA and reduced ex vivo PGE2 (biochemical benefit).
- The DIAMOND (DHA Intake And Measurement Of Neural Development) Study: a double-masked, randomized controlled clinical trial of the maturation of infant visual acuity as a function of the dietary level of docosahexaenoic acid
PubMed ID: 20130095
RCT in formula-fed infants: DHA improved visual development at 12 months â strong infant developmental support.
- The impact of early nutrition on incidence of allergic manifestations and common respiratory illnesses in children
PubMed ID: 20227721
Infants fed DHA/ARAâsupplemented formula had fewer URIs and allergic outcomes through age 3 in followâup of randomized trialsâstrong infant health signal.
- Attention among very low birth weight infants following early supplementation with docosahexaenoic and arachidonic acid
PubMed ID: 20624152
DHA+AA in very low birth-weight infants improved attention at 20 months â neurodevelopmental support in vulnerable infants.
- Cognitive function in 18-month-old term infants of the DIAMOND study: a randomized, controlled clinical trial with multiple dietary levels of docosahexaenoic acid
PubMed ID: 21295417
Infant formula DHA produced modest cognitive gains (MDI) at 18 months â developmental support for babies.
- 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
Eating farmed salmon during pregnancy increased maternal EPA/DHA and lowered AA â clear biochemical prenatal effect.
- 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
Large RCT in pregnancy reduced maternal/cord nâ6/nâ3 ratio and reported maternal DHA associations with larger birth size â direct pregnancy/offspring relevance.
- Effects of long-chain PUFA supplementation in infant formula on cognitive function in later childhood
PubMed ID: 23783296
Infant formula trial (DHA+ARA) produced faster processing speed at age 6 â some developmental benefit from early LCâPUFA exposure.
- 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
Preterm infants given fishâoil IV had higher DHA/EPA and lower AA but doseâdependent lipid tolerance issues â relevant but with safety considerations.
- 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 markedly raised maternal RBCâDHA at deliveryâstrong supportive evidence for prenatal DHA supplementation.
- Liquid human milk fortifier significantly improves docosahexaenoic and arachidonic acid status in preterm infants
PubMed ID: 24863250
Liquid HMF containing DHA+ARA improved preterm infant plasma DHA/ARA compared with standard fortifier â supports neonatal nutrition.
- rhBSSL improves growth and LCPUFA absorption in preterm infants fed formula or pasteurized breast milk
PubMed ID: 25222806
rhBSSL increased DHA/ARA absorption and growth velocity in very preterm infants â clinically meaningful neonatal support.
- Effects of different arachidonic acid supplementation on psychomotor development in very preterm infants; a randomized controlled trial
PubMed ID: 26424477
Very preterm infants fed higher AA:DHA formula had better psychomotor scores at 2 years (randomized trial).
- A dose response randomised controlled trial of docosahexaenoic acid (DHA) in preterm infants
PubMed ID: 25997653
Enteral DHA in very preterm infants was doseâresponsive and well tolerated, increasing infant blood DHA.
- What is the relationship between gestational age and docosahexaenoic acid (DHA) and arachidonic acid (ARA) levels?
PubMed ID: 26205427
Clear gestationalâage gradient showing very preterm infants are DHA/ARA deficient â strong rationale for perinatal supplementation.
- A randomized longitudinal dietary intervention study during pregnancy: effects on fish intake, phospholipids, and body composition
PubMed ID: 25554072
Dietary counseling in pregnancy raised maternal fish intake and serum EPA/DHAâimproves maternal LCâPUFA status though no clinical gestational outcome changes were seen.
- 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
DHA+ARA formula increased erythrocyte ARA/DHA in lowâbirthâweight infantsâbiomarker support even without shortâterm growth changes.
- Red blood cell membrane fatty acid composition in infants fed formulas with different lipid profiles
PubMed ID: 27391868
Formula higher in DHA/ARA raised RBC DHA to levels matching breastfed infantsâbiochemical support for infant nutritional status.
- 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
Prenatal DHA increased birthweight in infants of mothers with certain FADS genotypes (meaningful subgroup benefit).
- Phospholipid Species in Newborn and 4 Month Old Infants after Consumption of Different Formulas or Breast Milk
PubMed ID: 27571269
Formula supplemented with AA+DHA raised infant plasma phospholipid species toward breastfed profilesârelevant to infant nutrition.
- 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 omegaâ3 raised breast milk EPA/DHA and associated with fewer IgEârelated allergic outcomes in infants.
- Docosahexaenoic acid (DHA) and arachidonic acid (ARA) balance in developmental outcomes
PubMed ID: 28651697
Infant formula DHA improved vision and cognitive outcomes at moderate dosesâstrong evidence for earlyâlife LCPUFA benefit.
- Fish oil supplemental dose needed to reach 1g% DHA+EPA in mature milk
PubMed ID: 29413361
Doseâresponse data show ~750 mg/day DHA+EPA needed to raise maternal RBC DHA and ~1000 mg/day to reach target milk DHAâstrong pregnancy/breastmilk evidence.
- Reduction of Arachidonate Is Associated With Increase in B-Cell Activation Marker in Infants: A Randomized Trial
PubMed ID: 27276431
Moderate ARA in formula maintained lymphocyte ARA and reduced Bâcell activation markersâimmunologic effects in infants.
- 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 supplementation with brainâtargeted fatty acids increased neonatal brain volumesâstrong perinatal developmental evidence.
- 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 longâterm brain structural/functional differences at age 9ârobust developmental support.
- Influence of Human Milk and Parenteral Lipid Emulsions on Serum Fatty Acid Profiles in Extremely Preterm Infants
PubMed ID: 29679529
In very preterm infants fishâoil parenteral lipids increased infant serum EPA/DHA and showed intakeâserum correlations (infant exposure).
- Maternal Pre-Pregnancy Obesity Attenuates Response to Omega-3 Fatty Acids Supplementation During Pregnancy
PubMed ID: 30518052
Large pregnancy RCT: omegaâ3 supplementation raised maternal DHA+EPA but response was blunted by obesity (robust maternal effect).
- Growth, tolerance, and DHA and ARA status of healthy term infants receiving formula with two different ARA concentrations: Double-blind, randomized, controlled trial
PubMed ID: 31186150
Infant formula with DHA/ARA produced equivalent RBC DHA/ARA status at 120 days (relevant to infant nutrition).
- Factors associated with plasma n-3 and n-6 polyunsaturated fatty acid levels in Tanzanian infants
PubMed ID: 31024091
Maternal breastmilk/plasma PUFA strongly predicts infant DHA/AA levels in Tanzanian infants (maternalâinfant transfer observational).
- 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
Supplemented infant formula increased infant AA/DHA but FADS genotype modulated response (important for infant supplementation outcomes).
- Fatty Acid Supplementation and Socioemotional Outcomes: Secondary Analysis of a Randomized Trial
PubMed ID: 32887793
DHA+AA in preterm toddlers reduced the proportion screening at risk for ASD in this trial â promising infant developmental signal needing replication.
- Effect of fish-oil supplementation on breastmilk long-chain polyunsaturated fatty acid concentration: a randomized controlled trial in rural Ethiopia
PubMed ID: 33159163
Maternal fishâoil supplementation substantially raised breastâmilk DHA and EPA â directly relevant to infant nutritional supply.
- 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 FA balance and tHcy at birth predicted later child processing speed â suggests prenatal FA status influences later cognitive development.
- Effect of Enteral Lipid Supplement on Severe Retinopathy of Prematurity: A Randomized Clinical Trial
PubMed ID: 33523106
Large multicenter RCT in extremely preterm infants: enteral AA+DHA halved sightâthreatening ROP and increased serum AA/DHA â very high clinical relevance to neonatal support.
- Randomized Controlled Trial of Early Docosahexaenoic Acid and Arachidonic Acid Enteral Supplementation in Very Low Birth Weight Infants
PubMed ID: 33358843
Highâdose enteral DHA+ARA in VLBW infants prevented declines and raised blood DHA/ARA within 2 weeks â strong neonatal biomarker support.
- Docosahexaenoic acid-rich algae oil supplementation on breast milk fatty acid profile of mothers who delivered prematurely: a randomized clinical trial
PubMed ID: 34728723
Maternal algaeâDHA capsules markedly increased breastâmilk DHA in mothers of very preterm infants (strong infant exposure intervention).
- Maternal Factors Associated with Levels of Fatty Acids, Specifically n-3 PUFA during Pregnancy: ECLIPSES Study
PubMed ID: 33499257
Pregnancy cohort: fish intake and demographics linked to higher maternal EPA/DHA and lower nâ6/nâ3 (maternal status relevant to infant exposure).
- Effect of arachidonic and docosahexaenoic acid supplementation on respiratory outcomes and neonatal morbidities in preterm infants
PubMed ID: 36473425
Enteral ARA+DHA in very preterm infants reduced days on respiratory support and oxygen requirements (clinically meaningful neonatal benefit).
- 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
Preterm infant AA:DHA reduced severe ROP (important neonatal outcome relevant to infant health).
- 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 improved linear growth to term equivalent in very preterm infants â clinically relevant growth benefit.
- Arachidonic and docosahexaenoic acid supplementation and brain maturation in preterm infants; a double blind RCT
PubMed ID: 38061271
ARA+DHA improved whiteâmatter microstructural maturation in very preterm infants â robust neurodevelopmental biomarker relevant to infant brain support.
- 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
Enteral AA:DHA in preterm infants increased serum AA and DHA â good biomarker evidence for neonatal LCPUFA delivery.
- Essential Fatty Acid Supplementation and Early Inflammation in Preterm Infants: Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 37121228
ARA+DHA supplementation in extremely preterm infants lowered early ILâ6 and some proinflammatory cytokinesâclinically relevant neonatal benefit.
- Polyunsaturated Fatty Acid Intake during Complementary Feeding and Neurodevelopmental Outcome in Very Low Birth Weight Infants
PubMed ID: 37513559
VLBW infants with higher PUFA intake had substantially better 12âmonth cognitive and motor outcomes â supportive developmental evidence.
- Enteral supplementation with arachidonic and docosahexaenoic acid and pulmonary outcome in extremely preterm infants
PubMed ID: 38377640
AA+DHA supplementation did not increase pulmonary morbidity and higher AA associated with less severe BPD â neonatal relevance.
- Arachidonic acid and docosahexaenoic acid levels correlate with the inflammation proteome in extremely preterm infants
PubMed ID: 38603973
Higher postnatal DHA/AA levels associated with broad antiâinflammatory proteome changes in preterm infants â relevant to neonatal outcomes.
- Platelet characteristics in extremely preterm infants after fatty acid supplementation: a randomized controlled trial
PubMed ID: 39702768
AA+DHA in extremely preterm infants reduced severe ROP and early thrombocytopenia â strong neonatal benefit.
- Multiple Micronutrients, Lutein, and Docosahexaenoic Acid Supplementation during Lactation: A Randomized Controlled Trial
PubMed ID: 33339438
DHA supplementation in lactating women markedly increased breastâmilk DHA contentâdirect evidence of nutrient transfer to support infant development.
- Maternal fish oil supplementation in pregnancy modifies neonatal leukotriene production by cord-blood-derived neutrophils
PubMed ID: 17596121
Maternal fish oil in late pregnancy reduced newborn neutrophil inflammatory mediators and associated neonatal inflammatory responses.
- Similar effects on infants of n-3 and n-6 fatty acids supplementation to pregnant and lactating women
PubMed ID: 11694666
Maternal codâliver oil increased umbilical/infant DHAâdemonstrates fetal DHA transfer supportive of fetal brain/eye development biomarkers.
- Omega-3 LCPUFA supplement: a nutritional strategy to prevent maternal and neonatal oxidative stress
PubMed ID: 27072591
Maternal omegaâ3 supplementation during pregnancy/lactation reduced oxidative stress markers and increased antioxidant defenses in mothers and newbornsâclear perinatal benefit.
- Effects of Maternal Ω-3 Supplementation on Fatty Acids and on Visual and Cognitive Development
PubMed ID: 25988553
Supplementation raised maternal and infant DHA in blood/milk though functional infant visual/cognitive benefits were inconsistent.
- 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
Lowâdose maternal DHA increased colostrum DHA and raised maternal/infant Lactobacillus at 6 weeks â shortâterm neonatal/milk benefits.
- Essential fatty acid status in neonates after fish-oil supplementation during late pregnancy
PubMed ID: 8541278
Maternal supplementation in late pregnancy increased maternal and newborn DHA and lowered deficiency markers â direct neonatal biomarker benefit.
- 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
Doseâdependent increase in infant plasma/erythrocyte DHA with higher breastâmilk DHA but no shortâterm vision or developmental gains â biomarker support for infant DHA delivery.
- Plasma fatty-acid composition and antioxidant capacity in low birth-weight infants fed formula enriched with n-6 and n-3 long-chain polyunsaturated fatty acids from purified phospholipids
PubMed ID: 11161546
Formula with added longâchain nâ3/nâ6 LCP raised infant plasma DHA toward levels seen in human milkâsupports neonatal nutritional status.
- Transforming growth factor beta in human milk does not change in response to modest intakes of docosahexaenoic acid
PubMed ID: 11768164
Maternal DHAârich tuna oil raised milk DHA content proportionally â increases infant DHA exposure via breast milk.
- 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
Term infants fed LCP (DHA) had better visual and stereoacuity and higher DHA â strong infant support.
- Nutritional effect of including egg yolk in the weaning diet of breast-fed and formula-fed infants: a randomized controlled trial
PubMed ID: 12036817
Feeding infants nâ3 enriched eggs raised erythrocyte DHA by ~30â40% and improved some iron measures â nutritive infant benefit.
- A randomized trial of docosahexaenoic acid supplementation during the third trimester of pregnancy
PubMed ID: 12636950
Wellâpowered RCT: higher DHA in late pregnancy increased gestation by ~6 days â meaningful pregnancy/birth outcome.
- Maternal docosahexaenoic acid supplementation and fetal accretion
PubMed ID: 12844385
Maternal DHA supplements raised maternal DHA status and limited lateâpregnancy decline â supportive maternal DHA restoration.
- Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk
PubMed ID: 15333721
Infant RCT: DHAâenriched baby food improved infant RBC DHA and visual acuity â strong infant development support.
- Docosahexaenoic acid supply in pregnancy affects placental expression of fatty acid transport proteins
PubMed ID: 17023713
Placental fatty acid transport protein expression correlated with DHA levels, supporting mechanisms for DHA transfer to the fetus.
- 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 from midâpregnancy to delivery showed robust increases in maternal and cord DHA/EPA (clear fetal exposure), though no change in measured pregnancy outcomes.
- 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
RCT showed maternal fish oil increased breastâmilk DHA/EPA and related to better infant DHA status and some developmental scores â strong direct relevance.
- Does maternal docosahexaenoic acid supplementation during pregnancy and lactation lower BMI in late infancy?
PubMed ID: 17547539
Maternal DHA supplementation modestly lowered infant weight and BMI at 21 months â direct infant growth outcome linked to prenatal/postnatal DHA exposure.
- 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 (statistically significant), a developmental benefit for infants.
- 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 RCT showed coherent immunologic shifts in maternal and cord blood (lower ILâ4/ILâ13, higher TGFâÎČ) â relevant to fetal immune development.
- 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
Infant DHA (20 mg/day) in first year led to sitting unaided about one week earlierâevidence for early developmental support.
- Supplementation with 200 mg/day docosahexaenoic acid from mid-pregnancy through lactation improves the docosahexaenoic acid status of mothers with a habitually low fish intake and of their infants
PubMed ID: 18446020
200 mg DHA/day from midâpregnancy through lactation clearly raised maternal, breastâmilk, and infant DHA â strong support for perinatal DHA supply.
- Essential n-3 fatty acids in pregnant women and early visual acuity maturation in term infants
PubMed ID: 18326591
Maternal DHA modestly increased odds of better early infant visual acuity â clinical developmental benefit.
- Neurodevelopmental outcomes of preterm infants fed high-dose docosahexaenoic acid: a randomized controlled trial
PubMed ID: 19141765
HighâDHA feeds in preterm infants produced improved 18âmonth cognitive scores in girls (direct neonatal support evidence).
- Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy
PubMed ID: 19489765
Maternal omegaâ3 lowered infant food allergy and IgEâassociated eczema in a randomized trial.
- 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
In infertile men, EPA+DHA substantially improved sperm count and concentration â relevant to conception.
- Prenatal docosahexaenoic acid supplementation and infant morbidity: randomized controlled trial
PubMed ID: 21807696
Prenatal 400 mg/day DHA reduced several infant respiratory/illness symptom durations and time ill through 6 months â strong neonatal/infant support.
- 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
IV fishâoil lipid emulsion in infants after cardiac surgery lowered TNFâα and associated with shorter hospital stay â neonatal clinical benefit evidence.
- High-dose docosahexaenoic acid supplementation of preterm infants: respiratory and allergy outcomes
PubMed ID: 21708809
In mothers of very preterm infants, higher DHA intake reduced bronchopulmonary dysplasia in subgroups (boys, <1250 g) and lowered hay fever â clinically meaningful perinatal benefits.
- Oral administration of docosahexaenoic acid attenuates interleukin-1ÎČ response and clinical course of septic neonates
PubMed ID: 22079797
In septic neonates, DHA increased leukocyte DHA, reduced ILâ1ÎČ and was associated with milder clinical course (direct neonatal clinical/immunologic benefit).
- 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 farmed salmon twice weekly in pregnancy produced clear, significant increases in maternal and cord EPA/DHA (biologic transfer evidence).
- Fish consumption, erythrocyte fatty acids, and preterm birth
PubMed ID: 21508745
Low maternal fish intake/low erythrocyte EPA+DHA strongly associated with higher recurrent preterm birth risk; moderate intake linked with lowest risk.
- 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 fish-oil supplementation reduced infants developing IgE-associated allergic disease by age 2 and higher DHA/EPA linked to milder allergy.
- DHA supplementation during pregnancy and lactation affects infants' cellular but not humoral immune response
PubMed ID: 21941411
Maternal DHA during pregnancy/lactation altered infant cellular immune markers (Tâcell subsets, IFNâÎł) though humoral antibody effects were unchanged overall.
- Th1 and Th2 chemokines, vaccine-induced immunity, and allergic disease in infants after maternal Ï-3 fatty acid supplementation during pregnancy and lactation
PubMed ID: 21099447
Maternal Ïâ3 shifted infant chemokine balance and increased vaccine antibody responses in infants of nonâallergic mothers (immune and developmental infant benefits).
- 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 reduced newborn ponderal index and cord insulinâevidence of altered newborn adiposity/metabolism.
- Dietary counseling to improve fat quality during pregnancy alters maternal fat intake and infant essential fatty acid status
PubMed ID: 21593355
Intensive maternal counseling improved newborn essential fattyâacid markers (randomized trial showing better FA status at birth).
- 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 3â9 months of fish oil raised blood omegaâ3s and increased anthropometric/adiposity measuresâevidence of effect on infant growth parameters.
- Effects of high-dose fish oil supplementation during early infancy on neurodevelopment and language: a randomised controlled trial
PubMed ID: 22348468
Highâdose infant fish oil from birth raised infant DHA and produced modest improvements in early communicative gestures (neurodevelopmental benefit).
- Maternal consumption of a DHA-containing functional food benefits infant sleep patterning: an early neurodevelopmental measure
PubMed ID: 22269042
Maternal DHA intake produced fewer newborn sleep arousals in the first 48 hours, indicating an early neonatal neurobehavioral benefit.
- 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
Large prenatal RCT reduced infant egg sensitisation and tended to lower atopic eczemaâmeaningful childâimmunity/allergy benefit from prenatal omegaâ3.
- DHA supplementation and pregnancy outcomes
PubMed ID: 23426033
Large RCT: 600 mg/day DHA increased maternal/cord DHA, lengthened pregnancy (~3 days) and increased birth weight/length/head circumference â strong perinatal benefit.
- Effects of docosahexaenoic acid supplementation during pregnancy on fetal heart rate and variability: a randomized clinical trial
PubMed ID: 23433688
Maternal DHA increased fetal HRV and improved newborn motor/autonomic neurobehaviorâdirect developmental support for fetus/newborn.
- Developmental programming for allergy: a secondary analysis of the Mothers, Omega-3, and Mental Health Study
PubMed ID: 23531329
Prenatal EPA/DHA altered newborn cord blood chemokine ratios toward less Th2 biasâbiologically plausible immune programming beneficial for infants.
- Fish-oil fat emulsion supplementation reduces the risk of retinopathy in very low birth weight infants: a prospective, randomized study
PubMed ID: 23963690
IV fishâoil lipid emulsion in veryâlowâbirthâweight infants reduced severe ROP and cholestasis and raised DHA â strong neonatal outcomes.
- Modulation of DNA methylation states and infant immune system by dietary supplementation with Ï-3 PUFA during pregnancy in an intervention study
PubMed ID: 23761484
Maternal DHA supplementation in a large prenatal trial induced modest, contextâspecific changes in newborn global DNA methylation (LINE1), indicating prenatal biological effects.
- Proportions and concentrations of serum n-3 fatty acids can be increased by dietary counseling during pregnancy
PubMed ID: 24045792
Dietary counselling in pregnancy raised maternal serum DHA modestly by late pregnancyâsupports ability to increase maternal nâ3 status.
- 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 pregnant women with T2DM clearly increased maternal and neonatal RBC DHAâstrong evidence of transfer and increased fetal DHA exposure.
- Effect of docosahexaenoic acid supplementation on inflammatory cytokine levels in infants at high genetic risk for type 1 diabetes
PubMed ID: 25039804
DHA supplementation in infants markedly increased RBC DHA and produced modest reductions in some inflammatory markers (infant health support).
- Fish Oil (SMOFlipid) and olive oil lipid (Clinoleic) in very preterm neonates
PubMed ID: 24048161
Fishâoil containing parenteral lipid in very preterm infants reduced lipid peroxidation and increased EPA/vitamin E (neonatal oxidative stress reduction).
- Heterogeneity in cord blood DHA concentration: towards an explanation
PubMed ID: 25123061
Large cohort showed maternal supplement dose and gestational age explained substantial variation in cord blood DHAârelevant to perinatal DHA status.
- Growth and fatty acid profiles of VLBW infants receiving a multicomponent lipid emulsion from birth
PubMed ID: 24667866
Veryâlowâbirthâweight infants given multicomponent fishâoil lipid emulsion had better inâhospital growth and higher plasma EPA/DHA (neonatal support).
- Association between fatty acid supplementation and prenatal stress in African Americans: a randomized controlled trial
PubMed ID: 25415158
RCT in lowâincome pregnant women: omegaâ3 reduced perceived stress and lowered baseline cortisol late in pregnancy â direct maternal benefit.
- Omega-3 fatty acid deficiency in infants before birth identified using a randomized trial of maternal DHA supplementation in pregnancy
PubMed ID: 24427279
Randomized maternal 400 mg/d DHA increased maternal RBC DHA and influenced early infant language and visual outcomes (clinical maternalâinfant benefit).
- Omega-3 fatty acid supplementation during pregnancy and respiratory symptoms in children
PubMed ID: 24626819
Large prenatal DHA trial showed modest reductions in certain early respiratory symptoms in infants born to atopic mothers â direct infant outcome benefit in a subgroup.
- 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 omegaâ3 raised maternal EPA/DHA and reduced adipose/placental inflammation and CRPâmaternal health benefit with potential neonatal implications.
- 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 DHA (300â600 mg/day) modestly increased gestational length (~4 days) and reduced early preterm birthsâclinically relevant perinatal benefit.
- Prenatal Fish Oil Supplementation and Allergy: 6-Year Follow-up of a Randomized Controlled Trial
PubMed ID: 27225316
Prenatal fish oil reduced houseâdustâmite sensitization in children at age 6 (secondary outcome), supporting immune/allergy programming benefits from prenatal omegaâ3.
- 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, improved 1âmin Apgar, and lowered infant cortisol responses â clear perinatal benefits.
- Dietary supplementation with docosahexaenoic acid (DHA) improves seminal antioxidant status and decreases sperm DNA fragmentation
PubMed ID: 27792396
DHA increased seminal omegaâ3 and reduced sperm DNA damage (fertility biomarker relevant to conception/pregnancy outcomes).
- Docosahexaenoic acid supplementation (DHA) and the return on investment for pregnancy outcomes
PubMed ID: 27499448
Prenatal DHA (600 mg/day) associated with substantially fewer very early preterm births and large perâinfant hospital cost savings in trial subsetâstrong direct pregnancy/baby benefit.
- Daily Enteral DHA Supplementation Alleviates Deficiency in Premature Infants
PubMed ID: 26846324
Enteral DHA in preterm infants safely raised blood DHA and improved linear growth trajectoryâdirect neonatal supplementation benefit.
- 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 improved inflammatory markers and clinical outcomes (less sepsis, shorter ICU stay)âdirect neonatal clinical benefit evidence.
- Dietary patterns of early childhood and maternal socioeconomic status in a unique prospective sample from a randomized controlled trial of Prenatal DHA Supplementation
PubMed ID: 27884184
Maternal RBC DHA enrichment with supplementation and SESârelated adherence effectsâdemonstrates reliable maternal biomarker response relevant to pregnancy interventions.
- Prenatal supplementation with DHA improves attention at 5 y of age: a randomized controlled trial
PubMed ID: 27604770
Children whose mothers took prenatal DHA showed better sustained attention at age 5âdevelopmental benefit for offspring tied to prenatal supplementation.
- The effect of fish oil supplementation on serum phospholipid fatty acids profile during pregnancy: A double blind randomized controlled trial
PubMed ID: 27011294
Daily fish oil during pregnancy modestly raised maternal serum DHA proportion by late pregnancyâbiomarker evidence for supplementation efficacy in pregnancy.
- Fish Oil-Derived Fatty Acids in Pregnancy and Wheeze and Asthma in Offspring
PubMed ID: 28029926
Large RCT: maternal 2.4 g/day fish oil in late pregnancy reduced persistent wheeze/asthma and LRTI in offspring (~30% relative risk reduction).
- 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 omegaâ3 altered maternal/infant cytokines toward less proâinflammatory profiles â supportive pregnancy/infant immunomodulation (small RCT).
- Effects of prenatal n-3 fatty acid supplementation on offspring resolvins at birth and 12 years of age: a double-blind, randomised controlled clinical trial
PubMed ID: 29173199
Prenatal nâ3 increased offspring SPM precursors at birth (mechanistic mediator increases relevant to neonatal immune/resolve pathways).
- The effects of vitamin D and omega-3 fatty acid co-supplementation on glycemic control and lipid concentrations in patients with gestational diabetes
PubMed ID: 28502503
In gestational diabetes, combined vitamin D + omegaâ3 improved glycemic control and insulin resistanceâbeneficial perinatal metabolic effects though attribution is mixed.
- 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: EPA/DHA changed maternal gene expression (âPPARâÎł, âILâ1/TNF) and modestly improved fasting glucose and TGs â maternal metabolic benefits.
- 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
Secondary analysis across RCTs: higher maternal DHA dose associated with markedly lower early preterm birth and VLBW â strong clinical signal.
- Effect of prenatal EPA and DHA on maternal and umbilical cord blood cytokines
PubMed ID: 29940888
Prenatal EPA (vs DHA) lowered specific maternal inflammatory cytokines in RCT secondary analysis â relevant to maternal/fetal environment.
- 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
In very preterm infants, fishâoilâcontaining parenteral emulsion reduced cholestasis â neonatal clinical benefit tied to perinatal care.
- Enteral Docosahexaenoic Acid and Retinopathy of Prematurity: A Randomized Clinical Trial
PubMed ID: 30614004
Enteral DHA in very low birth weight preterm infants reduced severe ROP â highâimpact neonatal clinical benefit.
- 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 lowered later childhood BP in overweight/obese children â evidence for prenatal programming benefit.
- 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 (600 mg/day) reduced early preterm birth risk and improved infant visual attention (early outcome).
- [Docosahexaenoic acid in the treatment of idiopathic male infertility]
PubMed ID: 31184022
DHA improved sperm structure and viability in infertile men â relevant to conception/fertility support.
- Plasma estradiol levels and antidepressant effects of omega-3 fatty acids in pregnant women
PubMed ID: 30776476
Prenatal EPAârich supplementation: rises in EPA and estradiol associated with reduced antenatal depressive symptoms.
- Multiple Micronutrients and Docosahexaenoic Acid Supplementation during Pregnancy: A Randomized Controlled Study
PubMed ID: 32823606
Prenatal MMS including 200 mg DHA significantly raised maternal RBC DHA and omega-3 index (biomarker support for pregnancy supplementation).
- 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 (465 mg/day) plus vitamin E improved sperm motility and count in asthenozoospermic men â could support conception and thus pregnancy outcomes indirectly.
- 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
PUFAâfortified milk in young children increased blood DHA â supports postnatal nutritional status important for child development.
- Microencapsulated Tuna Oil Results in Higher Absorption of DHA in Toddlers
PubMed ID: 31963702
Microencapsulated tuna oil in toddler formula raised DHA and O3I quickly â supports infant/toddler DHA repletion relevant to early development.
- Effect of omega-3 lcpufa supplementation on maternal fatty acid and oxylipin concentrations during pregnancy
PubMed ID: 33038832
DHA supplementation in pregnancy raised total DHA and several DHAâderived oxylipins, attenuating normal gestational declines.
- Prenatal docosahexaenoic acid effect on maternal-infant DHA-equilibrium and fetal neurodevelopment: a randomized clinical trial
PubMed ID: 34552200
800 mg/day DHA substantially increased maternal and cord RBCâDHA and maternalâinfant DHA equilibriumâstrong biochemical support.
- Efficacy of Docosahexaenoic Acid for the Prevention of Necrotizing Enterocolitis in Preterm Infants: A Randomized Clinical Trial
PubMed ID: 33671220
Enteral DHA given to preterm infants markedly reduced necrotizing enterocolitis â strong neonatal benefit.
- Maternal FADS2 single nucleotide polymorphism modified the impact of prenatal docosahexaenoic acid (DHA) supplementation on child neurodevelopment at 5 years: Follow-up of a randomized clinical trial
PubMed ID: 34543890
Prenatal DHA improved specific child cognitive domains at age 5 in a maternal genotype subgroup (developmental benefit).
- Infant Metabolome in Relation to Prenatal DHA Supplementation and Maternal Single-Nucleotide Polymorphism rs174602: Secondary Analysis of a Randomized Controlled Trial in Mexico
PubMed ID: 34494106
Prenatal DHA altered infant metabolome in a maternal genotypeâdependent manner â mechanistic/developmental relevance.
- Higher-Dose DHA Supplementation Modulates Immune Responses in Pregnancy and Is Associated with Decreased Preterm Birth
PubMed ID: 34959801
Large RCT: higherâdose prenatal DHA (1000 mg) linked to immunologic changes plausibly explaining reduced preterm birth risk â robust pregnancy/baby evidence.
- Docosahexaenoic Acid Effect on Prenatal Exposure to Arsenic and Atopic Dermatitis in Mexican Preschoolers
PubMed ID: 36074245
Prenatal DHA supplementation appeared to mitigate prenatal arsenicârelated increased risk of atopic dermatitis in offspringâprotective effect for infant skin/immune outcome.
- Effect of Maternal Docosahexaenoic Acid Supplementation on Very Preterm Infant Growth: Secondary Outcome of a Randomized Clinical Trial
PubMed ID: 35413719
Maternal 1.2 g/day DHA while breastfeeding improved weight and weight velocity in very preterm female infantsâsexâspecific neonatal growth support.
- Maternal High-Dose DHA Supplementation and Neurodevelopment at 18-22 Months of Preterm Children
PubMed ID: 35652296
Maternal highâdose DHA during breastfeeding showed no overall neurodevelopmental benefit at 18â22 months but possible language benefit in extremely preterm (<27 wk) infantsâcontextâlimited support.
- Docosahexaenoic acid (DHA) intake estimated from a 7-question survey identifies pregnancies most likely to benefit from high-dose DHA supplementation
PubMed ID: 36657936
Large pooled trial dataset showed highâdose DHA in pregnancy markedly lowered early preterm and preterm birth rates, especially in lowâintake women.
- Impact of DHA from Algal Oil on the Breast Milk DHA Levels of Lactating Women: A Randomized Controlled Trial in China
PubMed ID: 36014916
Daily algal DHA (200 mg) significantly increased DHA concentration and proportion in breast milk â direct lactation/infant nutrient support.
- Does antenatal supplementation with omega-3 affect child development and behavior during the first six months of life? A randomized double-blind placebo-controlled trial
PubMed ID: 36682094
Antenatal DHA led to some early infant developmental improvements and fewer routineârelated behavior problems, though primary development scores did not differ.
- Early and late preterm birth rates in participants adherent to randomly assigned high dose docosahexaenoic acid (DHA) supplementation in pregnancy
PubMed ID: 36680919
Highâdose antenatal DHA was linked to marked reductions in early preterm birth and substantially raised maternal/infant DHA â strong pregnancy/baby outcome evidence.
- Maternal supplementation with docosahexaenoic acid does not cause constriction of fetal ductus arteriosus: randomized controlled trial
PubMed ID: 38214544
Maternal DHA 450 mg/day in late pregnancy produced reassuring safety data (no fetal ductus constriction or PGE2 changes) â supports safety in pregnancy.
- Docosahexaenoic Acid Supplementation for Neonatal Hyperbilirubinemia: A Double-Blind, Randomized Clinical Trial
PubMed ID: 38680033
Neonatal RCT: DHA (100 mg/day) in newborns with severe jaundice reduced bilirubin, neuronal injury marker (NSE) and phototherapy duration â clinically meaningful neonatal benefit.
- Racial disparity in efficacy of docosahexaenoic acid supplementation for prevention of preterm birth: secondary analysis from a randomized, double-blind trial
PubMed ID: 38552960
Large prenatal DHA dataset showed higherâdose DHA and good baseline status reduced early preterm birth, especially in Black participants.
- Growth patterns in infants born to women with pregestational overweight/obesity supplemented with docosahexaenoic acid during pregnancy
PubMed ID: 38922906
800 mg/day prenatal DHA limited early infant weight gain and adiposity markers versus 200 mg/day in mothers with overweight/obesity.
- Docosahexaenoic Acid Supplementation During Pregnancy and Lactation and Infant Morbidity: Findings from DHANI Trial
PubMed ID: 40126831
Maternal 400 mg/day DHA modestly reduced some early infant respiratory/other minor symptoms but no broad morbidity benefit.
- Effects of Prenatal DHA Dose on Infant Visual Attention
PubMed ID: 40791013
Higher prenatal DHA improved infant visual learning and attentionârelated heartârate patterns at 4â6 months.
- [Docosahexaenoic acid benefits on growth and body composition of septic neonates. Randomized trial]
PubMed ID: 40489675
Randomized neonatal trial: enteral DHA in term/preterm neonates with lateâonset sepsis improved linear growth, head circumference and fatâfree mass â direct neonatal benefit.
- 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
Highâdose neonatal DHA associated with lower odds of BPD in a biologically plausible subgroup (chorioamnionitis + vaginal birth) â promising neonatal outcome signal.
- Maternal micronutrient status and preterm versus term birth for black and white US women
PubMed ID: 22527984
Caseâcontrol: high maternal Ïâ6/Ïâ3 ratio associated with increased spontaneous preterm birth odds in white women â supports relevance of maternal Ïâ3 balance for pregnancy outcomes.
- Effect of dietary omega-3 fatty acids on retinal function of very-low-birth-weight neonates
PubMed ID: 2255573
Marine nâ3 in preterm formula increased infant blood LCPUFA and improved a measure of rod retinal functionâbenefit for infant visual development.
- Randomised controlled trial of effect of fish-oil supplementation on pregnancy duration
PubMed ID: 1349049
Large RCT showed thirdâtrimester fish oil slightly prolonged gestation and increased birthweightâstrong perinatal outcome support.
- [Fish oil supplementation and duration of pregnancy. A randomized controlled trial]
PubMed ID: 8009754
Large RCT: thirdâtrimester fish oil modestly prolonged pregnancy (+4 days) and increased birth weight (+107 g), especially in low fishâconsumption women.
- [The effect of n-3 polyunsaturated fatty acids on the lipid spectrum indices in the 2nd-3rd pregnancy trimesters]
PubMed ID: 10650525
Pregnancy trial in women at risk of placental insufficiency showed decreased triglycerides and VLDL in the third trimesterârelevant to pregnancy metabolic support.
- 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 fishâoil supplementation raised neonatal erythrocyte nâ3 PUFA substantially and showed signals of reduced infant allergy/atopic outcomes (clear pregnancy/baby relevance).
- Maternal fish oil supplementation in pregnancy reduces interleukin-13 levels in cord blood of infants at high risk of atopy
PubMed ID: 12680858
Maternal fishâoil increased infant nâ3 incorporation and reduced cord blood ILâ13 (direct neonatal immune marker and relevant to infant outcomes).
- Eighteen-month outcomes of house dust mite avoidance and dietary fatty acid modification in the Childhood Asthma Prevention Study (CAPS)
PubMed ID: 12532113
Large randomized trial in pregnancy reduced early infant wheeze (~9.8% absolute reduction) â clear benefit for early respiratory outcomes.
- 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
Maternal fish oil from week 30 through lactation greatly increased breastâmilk nâ3 LCPUFA and DHA â strong biochemical support for infant nâ3 supply.
- 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 and infant RBCâDHA substantially; higher infant DHA associated with better visual acuity â strong infant nutritional/functional signal.
- Three-year outcomes of dietary fatty acid modification and house dust mite reduction in the Childhood Asthma Prevention Study
PubMed ID: 15480319
Prenatal/early-life omega-3 intervention modestly reduced cough in atopic childrenâpositive early-life respiratory outcome.
- 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 was associated with fewer wheeze symptoms at 18 monthsâsupportive observational finding.
- 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
Maternal fortified milk (including omega-3) increased mean birth weight; attribution to omega-3 is limited by co-interventions.
- 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 associated with markedly lower childhood asthma/allergic asthma up to age 16.
- 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 improved on highâdose omegaâ3, benefitting maternal mental health.
- 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
Omegaâ3 improved uterine artery blood flow (reduced pulsatility index) in women with recurrent miscarriage due to poor uterine perfusion.
- 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
Randomized neonatal trial: preterm infants given omegaâ3ârich parenteral lipids had higher antioxidant vitamin levels and total antioxidant capacity.
- 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 supplementation from 9â18 months clearly increased erythrocyte nâ3 levels and produced a small change in skinfold distribution, evidencing biological incorporation and modest developmental/bodyâcomposition effects.
- Untitled
PubMed ID: 22351892
Earlyâlife omegaâ3 supplementation prevented the link between smaller birth size and thicker carotid IMT at age 8 â direct earlyâlife vascular support.
- Increased intake of oily fish in pregnancy: effects on neonatal immune responses and on clinical outcomes in infants at 6 mo
PubMed ID: 22218160
Randomized increase in oily fish intake during pregnancy altered newborn CBMC cytokine productionâevidence of neonatal immune modulation, though clinical allergy outcomes unchanged.
- Maternal dietary counseling during pregnancy and infant fatty acid profiles
PubMed ID: 24224882
Maternal dietary counseling increased infant cord blood nâ3 FA and lowered nâ6:nâ3 ratio â direct evidence of improved perinatal nâ3 status (relevant to infant support).
- 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 women with gestational diabetes, omegaâ3 improved insulin, HOMAâIR and lowered hsâCRP â beneficial maternal metabolic effects during pregnancy.
- 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
GDM RCT: Ïâ3 + vitamin E improved maternal fasting glucose/insulin resistance and triglyceride/HDL profiles (direct pregnancy relevance).
- Omega-3 fatty acid supplementation affects pregnancy outcomes in gestational diabetes: a randomized, double-blind, placebo-controlled trial
PubMed ID: 25747955
GDM RCT reduced maternal hsâCRP and MDA and was associated with fewer newborn hyperbilirubinemia episodes and hospitalizations (direct neonatal benefit signals).
- 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
Gestational diabetes RCT (omegaâ3 + vit E) increased antioxidant capacity, lowered MDA and was associated with fewer neonates needing hyperbilirubinemia treatmentâclinically relevant perinatal signals (coâsupplementation caveat).
- A randomized controlled study of the efficacy of 4 weeks of supplementation with Ï-3 polyunsaturated fatty acids in cases of unexplained oligohydramnios
PubMed ID: 27559716
Randomized trial: 4 weeks of omegaâ3 supplementation increased amniotic fluid index and improved uterine artery blood flow in unexplained oligohydramnios (clinically relevant obstetric endpoints).
- 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
Omegaâ3 added to aspirin in pregnancies with asymmetric IUGR improved estimated fetal weight, uteroplacental Doppler flow and birth weight vs aspirin alone (coâintervention caveat).
- The effect of omega-3 supplementation on pregnancy outcomes by smoking status
PubMed ID: 28549983
Large trial subgroup analysis: Ïâ3 markedly reduced recurrent spontaneous preterm delivery and low birth weight in smokersâsubgroup/secondary but clinically important effect.
- Effect of fish oil supplementation in pregnancy on bone, lean, and fat mass at six years: randomised clinical trial
PubMed ID: 30181143
Maternal fishâoil supplementation altered child BMI, lean/fat mass and bone through age 6âdirect evidence for fetal/child growth effects.
- Maternal BMI, Mid-pregnancy Fatty Acid Concentrations,and Perinatal Outcomes
PubMed ID: 30241686
Higher midâpregnancy n6:n3 ratio associated with smaller fetal growth, shorter gestation and higher neonatal respiratory morbidityâimplicates nâ3 importance in pregnancy outcomes (observational within trial).
- An infant formula containing dairy lipids increased red blood cell membrane Omega 3 fatty acids in 4Â month-old healthy newborns: a randomized controlled trial
PubMed ID: 29433457
Infant formula with dairy lipids increased infant RBC DHA/DPAâbiomarker evidence relevant to early development and infant support.
- The Efficacy of Omega-3 Supplement on Prevention of Retinopathy of Prematurity in Premature Infants: A Randomized Double-blinded Controlled trial
PubMed ID: 29852863
Neonatal omegaâ3 in very preterm infants reduced ROP incidence/severityârelevant to neonatal/infant support.
- Cardiometabolic Risk Factors at 5 Years After Omega-3 Fatty Acid Supplementation in Infancy
PubMed ID: 29884682
Infant supplementation trial showed favorable metabolic effects at age 5 (waist, insulin) in boys â supports earlyâlife metabolic outcomes.
- Fish Oil Supplementation in Pregnancy Increases Gestational Age, Size for Gestational Age, and Birth Weight in Infants: A Randomized Controlled Trial
PubMed ID: 30418579
Large RCT in pregnancy showed slight prolongation of gestation and higher birth weight â clear clinical neonatal effects.
- 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
PreâIVF supplementation including omegaâ3 altered embryo morphokinetics and improved dayâ3 quality scores â promising preconception signal (coâsupplemented).
- Do infants of breast-feeding mothers benefit from additional long-chain PUFA from fish oil? A 6-year follow-up
PubMed ID: 32312337
Large infant trial of fish oil from birth to 6 months showed no cognitive benefit and small increases in externalizing behaviours â directly relevant to infant/pediatric outcomes (negative signal).
- Administration of an Intravenous Fat Emulsion Enriched with Medium-Chain Triglyceride/Ï-3 Fatty Acids is Beneficial Towards Anti-Inflammatory Related Fatty Acid Profile in Preterm Neonates: A Randomized, Double-Blind Clinical Trial
PubMed ID: 33207743
Parenteral fishâoil lipid in preterm infants raised EPA/Ïâ3 and lowered Ïâ6:Ïâ3 ratioârelevant neonatal nutritional status.
- Prenatal dietary supplements influence the infant airway microbiota in a randomized factorial clinical trial
PubMed ID: 31969566
Large prenatal nâ3 LCPUFA RCT changed infant airway microbiota and partly mediated reduced childhood asthma riskâstrong perinatal finding.
- Fish Oil and Vitamin D Supplementations in Pregnancy Protect Against Childhood Croup
PubMed ID: 36184023
Prenatal fish-oil supplementation (2.4 g) reduced physician-diagnosed croup in offspring over first 3 yearsâdirect clinically meaningful benefit to children.
- The Influence of Vitamin E and Omega-3 Fatty Acids on Reproductive Health Indices Among Male Workers Exposed to Electromagnetic Fields
PubMed ID: 35172663
Improvements in sperm motility and morphology with omega-3+vitamin E may support male fertility, relevant to pregnancy support.
- Effect of Omega-3 fatty acid supplementation on sexual function of pregnant women: a double blind randomized controlled trial
PubMed ID: 35854106
Daily 300 mg Ïâ3 for 8 weeks in pregnant women improved sexual function and prevented an increase in gestational anxietyâdirect pregnancyârelevant benefit.
- 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 RCT demonstrated large maternal EPA/DHA increases across lipid pools and associations of fattyâacid patterns with inflammation and GDM riskâstrong biochemical and clinical relevance.
- Atopic and non-atopic effects of fish oil supplementation during pregnancy
PubMed ID: 37696621
Large RCT of 2.4 g/day EPA+DHA in pregnancy markedly reduced childhood nonâatopic asthma (~73% reduction) and early infections (~16% fewer), with genotypeâstratified effectsâstrong direct evidence.
- Supplementation With Fish Oil in Pregnancy Reduces Gastroenteritis in Early Childhood
PubMed ID: 34927195
Same maternal fishâoil RCT showed fewer days and episodes of gastroenteritis in offspring over first 3 years, a robust pediatric outcome.
- Lipid profile after omega-3 supplementation in neonates with intrauterine growth retardation: a randomized controlled trial
PubMed ID: 37202530
Short neonatal trial in growthârestricted infants found improved weight/length gain and favorable lipids after omegaâ3 supplementation, supporting infant nutritional/ growth support.
- Prenatal Fish Oil Supplementation, Maternal COX1 Genotype, and Childhood Atopic Dermatitis: A Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 39196551
Prenatal fishâoil altered eicosanoid biology and reduced childhood eczema risk in offspring depending on maternal COX1 genotype â clear pregnancy/child health signal (genotypeâspecific).
- Effects of flaxseed oil supplementation on metaphase II oocyte rates in IVF cycles with decreased ovarian reserve: a randomized controlled trial
PubMed ID: 38469148
Flaxseed oil before IVF modestly increased mature oocyte yield, fertilization and implantation rates in women with decreased ovarian reserveâsupports reproductive/pregnancy outcomes.
- Maternal obesity, fish intake, and recurrent spontaneous preterm birth
PubMed ID: 29415593
Large observational/biomarker study: higher fish intake/erythrocyte omegaâ3 in early pregnancy associated with reduced recurrent preterm birth in lean womenâstrong pregnancy/baby relevance.
- The effect of combined supplementation with vitamin D and omega-3 fatty acids on blood glucose and blood lipid levels in patients with gestational diabetes
PubMed ID: 34107720
Vitamin D + omega-3 in gestational diabetes improved glycaemia and lipidsâmaternal metabolic benefits that can support pregnancy outcomes (combo trial).
- Fish Oil Supplementation in Pregnancy and Neurodevelopment in Childhood-A Randomized Clinical Trial
PubMed ID: 33506965
Large randomized maternal fish-oil LCPUFA trial showed improved early language and behavioral outcomes in children (strong developmental/pregnancy support evidence).
- Effect of Omega-3 Supplementation in Pregnant Women with Obesity on Newborn Body Composition, Growth and Length of Gestation: A Randomized Controlled Pilot Study
PubMed ID: 33572368
DHA+EPA in overweight/obese pregnant women increased neonatal lean mass and birthweight and prolonged gestation by ~1 week (randomized pilot with clinically meaningful neonatal outcomes).
- Omega-3 Intake Improves Clinical Pregnancy Rate in Polycystic Ovary Syndrome Patients: A Double-Blind, Randomized Study
PubMed ID: 36841983
Oral omegaâ3 in PCOS patients undergoing ovulation induction roughly doubled clinical pregnancy rates (particularly in overweight/obese)âsupport for fertility/pregnancy outcomes.
Inflammation (358)
- n-3 fatty acids reduce plasma 20-hydroxyeicosatetraenoic acid and blood pressure in patients with chronic kidney disease
PubMed ID: 26103129
nâ3 supplementation lowered plasma F2âisoprostanes and 20âHETE (oxidative/inflammatory markers) in CKDâclear biochemical antiâinflammatory signal.
- Association between Serum Phospholipid Fatty Acids and Intraprostatic Inflammation in the Placebo Arm of the Prostate Cancer Prevention Trial
PubMed ID: 25926387
Crossâsectional data: higher blood nâ3 associated with less prostate inflammationâobservational but supportive of inflammation reduction.
- Docosahexaenoic acid in the treatment of rheumatoid arthritis: AÂ double-blind, placebo-controlled, randomized cross-over study with microalgae vs. sunflower oil
PubMed ID: 28302406
DHA reduced AAâderived 5âLOX product capacity and increased DHAâderived resolving mediators in RA; clinical joint count reduction supports antiâinflammatory effect.
- Effects of docosahexanoic acid supplementation on inflammatory and subcutaneous adipose tissue gene expression in HIV-infected patients on combination antiretroviral therapy (cART). A sub-study of a randomized, double-blind, placebo-controlled study
PubMed ID: 29471285
DHA produced large declines in hsCRP and downâregulated proinflammatory genes in adipose tissue.
- 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
Doseâresponse increases in EPA/DHAâderived oxylipins and SPM precursorsâdirect biochemical antiâinflammatory mechanism.
- Effect of rosuvastatin and eicosapentaenoic acid on neoatherosclerosis: the LINK-IT Trial
PubMed ID: 31334703
EPA+statin reduced plaque macrophage content and lipid index, indicating antiâinflammatory plaque effects.
- n-3 PUFAs improve erythrocyte fatty acid profile in patients with small AAA: a randomized controlled trial
PubMed ID: 30914500
Omegaâ3 supplementation lowered proinflammatory RBC nâ6 PUFAs and RDW in AAA patients.
- 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
Doseâranging trial in inflamed depressed patients: higher EPA produced doseâdependent rises in EPA, antiâinflammatory oxylipins and some SPMs â strong mechanistic inflammatory evidence.
- 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 prevented PM2.5âassociated rises in proinflammatory AA metabolites in an RCT.
- Modification of subcutaneous white adipose tissue inflammation by omega-3 fatty acids is limited in human obesity-a double blind, randomised clinical trial
PubMed ID: 35247847
12âweek RCT: EPA+DHA raised proâresolving mediators and lowered inflammatory gene expression in subcutaneous adipose (in normalâweight subjects).
- Essential Fatty Acid Supplementation and Early Inflammation in Preterm Infants: Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 37121228
Randomized trial in extremely preterm infants showed ARA+DHA significantly reduced ILâ6 burden and some proinflammatory cytokines.
- Arachidonic acid and docosahexaenoic acid levels correlate with the inflammation proteome in extremely preterm infants
PubMed ID: 38603973
Large proteomics study in preterm infants: higher DHA/AA associated with widespread downregulation of inflammation-related proteins (observational but robust associations).
- Platelet characteristics in extremely preterm infants after fatty acid supplementation: a randomized controlled trial
PubMed ID: 39702768
Enteral AA+DHA reduced severe ROP and early thrombocytopenia with platelet-protein changes consistent with antiâinflammatory/platelet effects.
- 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
Demonstrated reductions in ILâ6 and TNFâalpha postoperatively (direct inflammatory marker changes).
- Enteral nutrition during multimodality therapy in upper gastrointestinal cancer patients
PubMed ID: 7726669
Showed higher omegaâ3 ratios and marked reduction in PGE2 (a proinflammatory mediator) and lower infection rates.
- Clinical outcome and immunology of postoperative arginine, omega-3 fatty acids, and nucleotide-enriched enteral feeding: a randomized prospective comparison with standard enteral and low calorie/low fat i.v. solutions
PubMed ID: 8875537
Reported lower CRP and favorable inflammatory cell profiles vs IV feeding.
- Immune and nutritional effects of early enteral nutrition after major abdominal operations
PubMed ID: 8639722
Faster recovery of acuteâphase proteins and milder infections, consistent with reduced inflammatory burden.
- Effect of route of delivery and formulation of postoperative nutritional support in patients undergoing major operations for malignant neoplasms
PubMed ID: 9366716
Reported improved recovery of inflammatory markers by POD8 in immunonutrition group.
- Influence of arginine, omega-3 fatty acids and nucleotide-supplemented enteral support on systemic inflammatory response syndrome and multiple organ failure in patients after severe trauma
PubMed ID: 9530643
Found significantly fewer SIRS days and lower CRP in trauma patients receiving the enriched diet.
- Immunonutrition in gastric cancer surgical patients
PubMed ID: 9834924
Perioperative use lowered ILâ6 and preserved neutrophil function (reduced early inflammatory response).
- 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 lowered ILâ6 and modified cytokine markers, indicating reduced inflammation.
- Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients
PubMed ID: 11819790
Perioperative immune formula including omegaâ3s lowered CRP and proinflammatory cytokines.
- Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer
PubMed ID: 12464864
Preop arginine + nâ3 reduced infections and improved immune markers (multiânutrient intervention).
- Randomized study of antiinflammatory and immune-modulatory effects of enteral immunonutrition during concurrent chemoradiotherapy for esophageal cancer
PubMed ID: 24274379
Enteral immunonutrition (including omegaâ3) blunted CRP/TNF rises during chemoradiotherapyâantiâinflammatory signal though multiânutrient.
- Effects of DHA-enriched fish oil on monocyte/macrophage activation marker sCD163, asymmetric dimethyl arginine, and insulin resistance in type 2 diabetic patients
PubMed ID: 27578110
DHAâenriched fish oil lowered a macrophage activation marker (sCD163), indicating reduced immune activation/inflammation.
- Immunonutrition suppresses acute inflammatory responses through modulation of resolvin E1 in patients undergoing major hepatobiliary resection
PubMed ID: 26965712
Preop immunonutrition with EPA increased resolvin E1 and lowered ILâ6âstrong mechanistic and clinical antiâinflammatory signal.
- Effect of Enteral Immunonutrition on Immune, Inflammatory Markers and Nutritional Status in Gastric Cancer Patients Undergoing Gastrectomy: A Randomized Double-Blinded Controlled Trial
PubMed ID: 30885012
Postoperative immunonutrition (contains Ïâ3) lowered CRP and altered immune cell countsâmultiânutrient but inflammation markers improved.
- Benefits of Krill Oil Supplementation During Alternate-Day Fasting in Adults With Overweight and Obesity: A Randomized Trial
PubMed ID: 40671417
Krill oil during alternateâday fasting reduced inflammatory markers (CRP, TNFâα) versus placebo and attenuated muscle lossâclinically meaningful antiâinflammatory effect.
- Fatty fish intake decreases lipids related to inflammation and insulin signaling--a lipidomics approach
PubMed ID: 19390588
Fattyâfish diet lowered several bioactive lipids linked to inflammation (DGs, ceramides, lysoPC) in CHD patients.
- Inclusion of Atlantic salmon in the Chinese diet reduces cardiovascular disease risk markers in dyslipidemic adult men
PubMed ID: 20797476
Significant ILâ6 reduction after oilyâfish interventionâdirect antiâinflammatory marker change.
- 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 lowered TNFâα (and ILâ6 with salmon) and increased adiponectinâsupports reduced systemic inflammation.
- Anti-Inflammatory Diet Prevents Subclinical Colonic Inflammation and Alters Metabolomic Profile of Ulcerative Colitis Patients in Clinical Remission
PubMed ID: 36014800
Antiâinflammatory diet including fatty fish reduced subclinical intestinal inflammation (fecal calprotectin) in UC remission.
- 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
Dietary increase in EPA/DHA was associated with lower Eâselectin and CRP reductions in subgroups.
- 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
Large multicenter RCT: fishâoil (EPA) enteral formula reduced lung neutrophils, improved oxygenation and clinical outcomes in ARDS â strong antiâinflammatory signal.
- 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
Fishâoil enriched medical food raised WBC EPA/DHA and significantly lowered serum PGE2 within 1 week â clear antiâinflammatory biomarker change.
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PubMed ID: 22227725
Surgical ICU RCT of fishâoil PN reduced multiple inflammatory cytokines over the first postoperative week.
- Untitled
PubMed ID: 22751375
Critically ill patients fed fishâoil formula had larger CRP decreases and less pressureâulcer worsening vs control.
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PubMed ID: 22340541
Elderly postâop patients on fishâoil TPN had lower ILâ6/TNFâα and fewer infections â strong clinical antiâinflammatory signal.
- Untitled
PubMed ID: 22313793
Fish oil raised adiponectin and NO in metabolicâsyndrome women, consistent with antiâinflammatory/vascular effects.
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PubMed ID: 23034965
Randomized obese patient trial showed reduced adipose inflammatory gene expression and lower plasma ILâ6 after Ïâ3 â direct antiâinflammatory evidence.
- Untitled
PubMed ID: 23010452
Randomized trial showed significant reductions in F2-isoprostanes (oxidative stress marker), indicating anti-inflammatory/anti-oxidative effects.
- Modulation of the association between plasma intercellular adhesion molecule-1 and cancer risk by n-3 PUFA intake: a nested case-control study
PubMed ID: 22378736
Observational analysis: higher n-3 intake weakened the association between sICAM-1 (an inflammation/adhesion marker) and later cancer risk, implying modulation of inflammatory pathways.
- [The effects of Ï-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 reduced CRP and improved immune markers â clear anti-inflammatory biomarker and clinical-parameter effects.
- 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
Large RCT showed hsâCRP decreased ~22% with highâpurity EPA, a strong antiâinflammatory biomarker effect.
- 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 diet decreased pro-inflammatory eicosanoids (15(S)-HETE, LTB4) and lowered a tumor cell-cycle proliferation score â strong tissue biomarker anti-inflammatory signal.
- Fish oil-supplemented parenteral nutrition in patients following esophageal cancer surgery: effect on inflammation and immune function
PubMed ID: 23368915
Perioperative IV fishâoil reduced procalcitonin and improved CD4+/CD8+ ratio by day 6âshortâterm antiâinflammatory/immune modulation.
- Effects of a nutraceutical formulation based on the combination of antioxidants and Ï-3 essential fatty acids in the expression of inflammation and immune response mediators in tears from patients with dry eye disorders
PubMed ID: 23430672
Antioxidant+omegaâ3 supplementation in dryâeye patients lowered tear inflammatory cytokines and improved symptoms.
- A dietary supplement attenuates IL-6 and CRP after eccentric exercise in untrained males
PubMed ID: 14652498
Multicomponent supplement including DHA attenuated postâexercise ILâ6 and CRP rises â supports reduced inflammatory response.
- 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
nâ3 enriched goat cheese lowered CRP (â36%) in overweight/obese adults â direct inflammation biomarker improvement.
- Reduced effect on apoptosis of 4-hydroxyhexenal and oxidized LDL enriched with n-3 fatty acids from postmenopausal women
PubMed ID: 15808325
Fishâoil supplementation produced oxLDL that caused less apoptosis in cultured cells â suggests reduced proâinflammatory/oxidative LDL activity.
- The clinical effect of dietary supplementation with omega-3 fish oils and/or copper in systemic lupus erythematosus
PubMed ID: 15290734
SLE trial showed modest lowering of clinical disease activity (SLAMâR) with fish oil, consistent with reduced inflammatory activity.
- The effects of dietary supplementation with n-3 polyunsaturated fatty acids in patients with rheumatoid arthritis: a randomized, double blind trial
PubMed ID: 1459173
RA trial symptomatic improvements (morning stiffness/tenderness) likely reflecting antiâinflammatory effects.
- Addition of omega-3 fatty acid and coenzyme Q10 to statin therapy in patients with combined dyslipidemia
PubMed ID: 28541926
Omegaâ3 (with/without CoQ10) added to statin reduced hsCRP and ILâ6 vs statin aloneâsupports antiâinflammatory effects (confounded by coâtherapies).
- A randomized controlled trial of the effects of n-3 fatty acids on resolvins in chronic kidney disease
PubMed ID: 25908532
RCT showed robust increases in specialized proâresolving mediators (18âHEPE, 17âHDHA, RvD1) â strong mechanistic antiâinflammatory effect.
- Cod liver oil (n-3 fatty acids) as an non-steroidal anti-inflammatory drug sparing agent in rheumatoid arthritis
PubMed ID: 18362100
Codâliver oil allowed NSAID sparing in RAâclinical signal of reduced inflammatory symptoms despite no change in formal disease activity scores.
- Assessing the Metabolic Impact of Ground Chia Seed in Overweight and Obese Prepubescent Children: Results of a Double-Blind Randomized Clinical Trial
PubMed ID: 31928474
Chia seed (ALA) supplementation reduced fibrinogen and related inflammatory markers in obese childrenâevidence of reduced systemic inflammation.
- Anti-Inflammatory Diet and Probiotic Supplementation as Strategies to Modulate Immune Dysregulation in Autism Spectrum Disorder
PubMed ID: 40871692
Antiâinflammatory diet including omegaâ3 lowered IFNâÎł in children with ASDâdirect immunoâinflammatory modulation.
- 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 with symptom and pain reductions consistent with antiâinflammatory effects of highâdose omegaâ3.
- 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
EPA (±DHA) increased fibrous cap thickness in vulnerable plaques, consistent with reduced plaque inflammation.
- Concomitant Use of Rosuvastatin and Eicosapentaenoic Acid Significantly Prevents Native Coronary Atherosclerotic Progression in Patients With In-Stent Neoatherosclerosis
PubMed ID: 32759543
EPA + statin lowered plaque inflammation markers and 18âHEPE increased (antiâinflammatory metabolite).
- 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
Purified EPA produced plaque regression and compositional changes consistent with reduced vascular inflammation.
- 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
RCT in CKD: Ïâ3 robustly increased SPMs (resolvins) and lowered MPOâstrong biochemical antiâinflammatory evidence.
- Maternal fish oil supplementation in pregnancy modifies neonatal leukotriene production by cord-blood-derived neutrophils
PubMed ID: 17596121
Maternal fish oil reduced neonatal neutrophil inflammatory lipid mediators and correlated neonatal ILâ6 reductions.
- 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
TPN enriched with Ïâ3 shifted leukotrienes to lessâinflammatory LTB5 and reduced TNFâα postoperativelyâclear antiâinflammatory effect.
- Omega-3 carboxylic acids and fenofibrate differentially alter plasma lipid mediators in patients with non-alcoholic fatty liver disease
PubMed ID: 34618982
In NAFLD patients OMâ3CA increased EPA/DHAâderived proâresolving lipids and decreased several proinflammatory eicosanoidsâstrong mechanistic antiâinflammatory signal.
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PubMed ID: 22640930
Large RCT in overweight older adults showed omegaâ3 prevented increases and produced decreases in ILâ6 and TNFâα â direct antiâinflammatory evidence.
- Omega-3 nanoemulgel in prevention of radiation-induced oral mucositis and its associated effect on microbiome: a randomized clinical trial
PubMed ID: 37648997
Topical omegaâ3 nanoemulgel reduced radiationâinduced oral mucositis and painâevidence of local antiâinflammatory/ protective effect.
- An Oily Fish Diet Improves Subclinical Inflammation in People at High Cardiovascular Risk: A Randomized Controlled Study
PubMed ID: 34199645
Randomized oilyâfish (LCn3) diet modestly lowered hsâCRP and inflammatory cytokinesâdirect RCT evidence for antiâinflammatory effect.
- Omega-3 supplementation and stress reactivity of cellular aging biomarkers: an ancillary substudy of a randomized, controlled trial in midlife adults
PubMed ID: 33875799
Dose-dependent decreases in IL-6 and stress cortisol and preservation of telomerase activity indicate robust anti-inflammatory/stress-buffering effects.
- Ï-3 fatty acid alleviates virus-induced myocardial injury by regulating TLR4 and TLR3 expression
PubMed ID: 34298398
Modulated TLR3/TLR4 and lowered inflammatory factor secretion in virus-related myocardial injury (direct anti-inflammatory signals).
- Omega-3 fatty acid lipid emulsions are safe and effective in reducing endotoxemia and sepsis in acute-on-chronic liver failure: An open-label randomized controlled trial
PubMed ID: 33450081
IV omega-3 reduced endotoxin and systemic inflammation in ACLF patients (clinical-grade anti-inflammatory effect).
- Impact of cooked functional meat enriched with omega-3 fatty acids and rosemary extract on inflammatory and oxidative status; a randomised, double-blind, crossover study
PubMed ID: 25365012
Functional meat containing Ïâ3 + rosemary lowered PAIâ1, fibrinogen and oxidative markers in atârisk adults (combined intervention).
- Omega 3-rich Camelina sativa oil in the context of a weight loss program improves glucose homeostasis, inflammation and oxidative stress in patients with NAFLD: A randomised placebo-controlled clinical trial
PubMed ID: 34423525
Camelina (Ïâ3 rich) oil improved systemic inflammation/oxidative stress markers in NAFLD (RCT, small sample).
- Effects of fish oil supplementation on biomarkers of vascular endothelial function in middle-aged and older adults: a randomized controlled trial
PubMed ID: 41568898
Lowâdose fish oil decreased endothelial inflammatory markers (ICAMâ1, MCPâ1) in older adults â supports antiâinflammatory endothelial effects.
- Treatment of delirium in intensive care patients with sepsis using daily intravenous infusions with omega-3 fatty acids
PubMed ID: 40643182
IV omegaâ3 in septic ICU patients reduced delirium and resource use; clinical benefit plausibly mediated by immune/inflammatory modulation.
- 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
Resistanceâtraining trial reported marked reductions in CRP, ILâ6, TNF alongside antioxidant improvements â supports exerciseârelated antiâinflammatory effects.
- Inflammatory markers after supplementation with marine n-3 or plant n-6 PUFAs: A randomized double-blind crossover study
PubMed ID: 40058591
Crossover RCT in abdominal obesity showed consistent reductions in circulating inflammatory markers (TNF, RANTES, MIPâ1ÎČ) and adipose geneâexpression changes.
- 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+omegaâ3 lowered vascular adhesion molecules (markers of vascular inflammation) vs control.
- 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
Acute MI RCT: 30 days of omegaâ3 produced a significantly larger drop in hsâCRP vs placebo, supporting antiâinflammatory action.
- 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
Breastâcancer patients receiving chemo: omegaâ3 + vitamin D reduced hsCRP and TNFâα and improved QoL over 9 weeks (inflammation reduced).
- Biomarkers of oxidation, inflammation and intestinal permeability in persons with diabetes mellitus with parenteral nutrition: AÂ multicenter randomized trial
PubMed ID: 39672082
Multicenter PN lipid RCT in T2DM: nâ3 enriched emulsions produced rapid, consistent reductions in multiple proinflammatory cytokines vs comparators.
- Nutritional Support Reduces Circulating Cytokines in Patients with Heart Failure
PubMed ID: 38892570
HF patients: adding EPA/DHAâenriched supplement to Mediterranean diet lowered ILâ6 and IPâ10 vs diet alone (biomarker reduction).
- 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
Large randomized postoperative trial: parenteral nâ3 markedly lowered ILâ6 and other inflammatory markers and reduced complications/LOS.
- 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
ICU RCT in critically ill COVIDâ19: added omegaâ3 lowered CRP and ILâ6 and shortened ICU/hospital stay â strong antiâinflammatory signal with clinical impact.
- A 12-week randomized double-blind clinical trial of eicosapentaenoic acid intervention in episodic migraine
PubMed ID: 38499208
Highâdose EPA reduced monthly migraine days and severity; migraine improvement likely mediated in part by antiâinflammatory mechanisms.
- 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
nâ3 PUFA reduced EV counts and EVâdependent thrombin generation and enriched omegaâ3 content of EVs, consistent with antiâinflammatory/coagulation effects.
- 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
Duplicate entry: confirms lowered inflammatory markers and PBMC gene expression with added omegaâ3 in older adults doing exercise + highâprotein diet.
- 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
RCT in episodic migraine raised antiâinflammatory ILâ4 and lowered proâinflammatory IFNâÎł â clear cytokine shifts.
- 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
Children on leukemia therapy had reductions in inflammatory markers (ILâ6, TNFâα) alongside large TG reductions after omegaâ3.
- Effects of an Omega-3 Supplemented, High-Protein Diet in Combination with Vibration and Resistance Exercise on Muscle Power and Inflammation in Old Adults: A Pilot Randomized Controlled Trial
PubMed ID: 36296958
Added Ïâ3 with exercise/protein reduced ILâ6 and other inflammatory markers (and improved muscle power) in older adults (pilot RCT).
- 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 nutrition enriched with omega-3s reduced CRP/IL-6/TNF-α and postoperative complicationsâgood clinical inflammatory/immunologic evidence.
- Oral supplementation with omega-3 fatty acids and inflammation markers in patients with chronic kidney disease in hemodialysis
PubMed ID: 31935118
12-week RCT in hemodialysis patients showed significant decreases in CRP, IL-6 and TNF-뱉strong direct evidence of anti-inflammatory action.
- Omega 3 Supplementation Can Regulate Inflammatory States in Gas Station Workers: A Double-Blind Placebo-Controlled Clinical Trial
PubMed ID: 32176565
Doubleâblind trial in exposed workers showed marked decreases in proâinflammatory cytokines IFNâÎł and ILâ17.
- Omega-3 fatty acids ameliorate cognitive dysfunction in schizophrenia patients with metabolic syndrome
PubMed ID: 32304881
Schizophrenia trial: omegaâ3 lowered CRP alongside improved BDNF and memory, consistent with antiâinflammatory effect.
- 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 (fish oil + phytosterols) reduced TNFâα/TGFâÎČ and trended to lower liver fat and TAGs.
- Improvement of NRF2 gene expression and antioxidant status in patients with type 2 diabetes mellitus after supplementation with omega-3 polyunsaturated fatty acids: A double-blind randomised placebo-controlled clinical trial
PubMed ID: 32194222
nâ3 PUFA increased NRF2 expression and plasma antioxidant capacity in T2D, supporting antiâinflammatory/antioxidant effects.
- 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
Adjunctive Ïâ3 + aspirin with debridement lowered local ILâ6 and improved periodontal inflammation and HbA1c (coâintervention confounds).
- 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
Highâdose omegaâ3 reduced hsCRP and myocardial fibrosis in patients with low insulin resistance (subgroup benefit).
- 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 lowered hsCRP and other inflammatory markers in highârisk CKD subgroup with large EPA incorporation.
- 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 reduced hsCRP substantially in statinâtreated highârisk patients, indicating antiâinflammatory effects.
- The Effects of OMEGA-3 Fatty Acid Supplementation Upon Interleukin-12 and Interleukin-18 in Chronic Kidney Disease Patients
PubMed ID: 30803749
Highâdose Ïâ3 attenuated rise in ILâ18 in CKD patients, a specific antiâinflammatory signal.
- 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
Ïâ3 (with vitamin D) reduced CRP and TNFâα in colorectal cancer patientsâdirect antiâinflammatory biomarker improvements.
- Benefits of Fasting Abbreviation with Carbohydrates and Omega-3 Infusion During CABG: a Double-Blind Controlled Randomized Trial
PubMed ID: 30916121
Perioperative Ïâ3 reduced CRP and preserved ILâ10 levels, showing clear antiâinflammatory effects in surgical patients.
- Long-term vitamin D and high-dose n-3 fatty acids' supplementation improve markers of cardiometabolic risk in type 2 diabetic patients with CHD
PubMed ID: 31309919
Highâdose nâ3 + vitamin D lowered hsâCRP and improved carotid IMT in vitaminâDâdeficient T2DM with CHD.
- 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
Combined vitamin D + omegaâ3 during chemotherapy reduced TNFâα and ILâ1ÎČ â clear shortâterm antiâinflammatory signal.
- A comparison between the effects of flaxseed oil and fish oil supplementation on cardiovascular health in type 2 diabetic patients with coronary heart disease: A randomized, double-blinded, placebo-controlled trial
PubMed ID: 31190359
Trial in T2D+CHD showed decreased hsâCRP and other inflammatory/antioxidant changes.
- Effect of Omega-3 Fatty Acids on Chronic Periodontitis Patients in Postmenopausal Women: A Randomised Controlled Clinical Study
PubMed ID: 30175329
Adjunctive omegaâ3 with SRP reduced periodontal inflammation and increased antioxidant enzyme activity.
- Effects of omega-3 polyunsaturated fatty acids on fibrosis, endothelial function and myocardial performance, in ischemic heart failure patients
PubMed ID: 29752009
In ischemic HF, shortâterm omegaâ3 reduced hsCRP and fibrosis/inflammation biomarkers.
- Beneficial effects of probiotic combination with omega-3 fatty acids in NAFLD: a randomized clinical study
PubMed ID: 30221912
Probiotic + omegaâ3 RCT in T2DM with NAFLD markedly reduced inflammatory cytokines and liver fat index.
- Omega-3 decreases IL-6 levels in HIV and human herpesvirus-8 coinfected patients in Uganda
PubMed ID: 29381560
RCT in HIV/HHVâ8 coâinfected adults: omegaâ3 raised EPA/DHA and prevented ILâ6 rise (antiâinflammatory effect).
- The influences of vitamin D and omega-3 co-supplementation on clinical, metabolic and genetic parameters in women with polycystic ovary syndrome
PubMed ID: 29859385
Vitamin D + omegaâ3 RCT in PCOS reduced hsâCRP and oxidative stress markers (combined product).
- 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
Perioperative omegaâ3 reduced CRP at 24 h postâop in small randomized trial.
- Eicosapentaenoic Acid Reduces Fecal Levels of Calprotectin and Prevents Relapse in Patients With Ulcerative Colitis
PubMed ID: 29391271
Placeboâcontrolled RCT in UC: EPAâFFA markedly lowered fecal calprotectin and improved remission maintenance.
- 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
2 g/day EPA in headâandâneck cancer lowered inflammatory cytokines (ILâ6) and attenuated weight/leanâmass loss.
- Efficacy of a Mediterranean diet supplemented with fatty fish in ameliorating inflammation in paediatric asthma: a randomised controlled trial
PubMed ID: 30378203
Diet with two fattyâfish meals/week lowered airway inflammation (FeNO) in children with mild asthma.
- Effects of marine n-3 fatty acid supplementation in renal transplantation: A randomized controlled trial
PubMed ID: 30125457
Marine nâ3 lowered hsâCRP in renal transplant recipients (secondary outcomes).
- Effects of omega-3 fatty acids on metabolic syndrome in patients with schizophrenia: a 12-week randomized placebo-controlled trial
PubMed ID: 30519766
In schizophrenia with MetS, Ïâ3 reduced TNFâalpha alongside triglyceride improvements.
- 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
Fish oil plus calorie restriction produced larger ILâ6 decreases vs diet alone (supports antiâinflammatory effect).
- Statin dose reduction with complementary diet therapy: A pilot study of personalized medicine
PubMed ID: 29503145
Combined supplement reduced hsâCRP (inflammation) though attribution to Ïâ3 alone is uncertain.
- High-dose Ï-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
Highâdose Ïâ3 + vitamin D reduced hsâCRP and improved oxidativeâstress markers in MS patients with clinical benefit.
- 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 geneâexpression changes (âTNFâα, âPPARâÎł) indicate antiâinflammatory molecular effects in Parkinsonâs patients.
- Effects of Ï-3 supplementation on the nutritional status, immune, and inflammatory profiles of gastric cancer patients: A randomized controlled trial
PubMed ID: 30710885
30âday RCT showed ILâ6 reduction and preserved nutritional status with Ïâ3 in cancer outpatients.
- The effects of Ï-3 fish oil emulsion-based parenteral nutrition plus combination treatment for acute paraquat poisoning
PubMed ID: 30392424
Strong RCT evidence: fishâoil PN lowered TNFâα/other inflammatory markers and markedly reduced 90âday mortality.
- 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 fishâoil reduced CRP, ILâ8, ICAMâ1 and leukocytes and shortened ICU/hospital staysâstrong clinical antiâinflammatory effect.
- The effects of fish oil on gene expression in patients with polycystic ovary syndrome
PubMed ID: 29359480
PBMC gene expression showedâILâ1 and âILâ8 and âPPARâÎłâmolecular antiâinflammatory signatures in PCOS.
- 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
Doseâdependent CRP reductions and adiponectin increasesâclear antiâinflammatory/metabolic biomarker changes.
- Effects of Omega-3 Fatty Acids Against Chemotherapy-induced Mucositis: A Double-blind Randomized Clinical Trial
PubMed ID: 29324423
Omegaâ3 during chemotherapy reduced oral mucositis severity and pain, consistent with reduced local inflammation.
- Abnormal lipoprotein oxylipins in metabolic syndrome and partial correction by omega-3 fatty acids
PubMed ID: 29413356
4 g/day prescription Ïâ3 partially normalized proâinflammatory lipoprotein oxylipin profiles in metabolicâsyndrome patients (mechanistic antiâinflammatory change).
- Beneficial Effects of n-3 Fatty Acids on Cardiometabolic and Inflammatory Markers in Type 2 Diabetes Mellitus: A Clinical Trial
PubMed ID: 29017158
2.7 g/day nâ3PUFA lowered MCPâ1 in T2D (significant reduction)âdirect inflammatory biomarker improvement.
- 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
Psoriatic arthritis RCT: 3 g/day nâ3 decreased leukotriene B4 formation (clear biochemical antiâinflammatory shift) and increased LTB5.
- 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
Omegaâ3 + vitamin E in PCOS downregulated inflammatory genes (ILâ8, TNFâα) and improved mood scores (small RCT with coâintervention).
- Strain-specific probiotic (microbial cell preparation) and omega-3 fatty acid in modulating quality of life and inflammatory markers in colorectal cancer patients: a randomized controlled trial
PubMed ID: 28857425
Colorectal cancer patients receiving probiotics plus omegaâ3 showed lower ILâ6 versus placebo (inflammation marker improvement; combined intervention).
- 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
Omegaâ3 + vitamin E decreased hsâCRP and improved insulin resistance in fibrocystic breast disease (biomarker improvement; coâintervention caveat).
- The effects of omega-3 fatty acids and vitamin E co-supplementation on clinical and metabolic status in patients with Parkinson's disease: A randomized, double-blind, placebo-controlled trial
PubMed ID: 28342967
Omegaâ3 + vitamin E reduced hsâCRP in Parkinsonâs patientsâsupports antiâinflammatory action (confounded by vit E).
- Clinical and metabolic response to flaxseed oil omega-3 fatty acids supplementation in patients with diabetic foot ulcer: A randomized, double-blind, placebo-controlled trial
PubMed ID: 28716357
Flaxseed omegaâ3 lowered hsâCRP and improved oxidative markers in diabetic foot ulcer RCTârobust antiâinflammatory effects.
- 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 fishâoil supplementation in major burn patients significantly reduced severe sepsis and pyloric dysfunction and is consistent with antiâinflammatory/immunomodulatory effects.
- Dietary supplementation with omega-3 fatty acids and oleate enhances exercise training effects in patients with metabolic syndrome
PubMed ID: 27356240
Omegaâ3 + oleate produced a 32% CRP reduction in metabolic syndrome patients beyond exercise alone.
- Efficacy of Omega-3 in Treatment of Recurrent Aphthous Stomatitis: A Randomised, Double-blind, Placebo-controlled Study
PubMed ID: 27622219
Randomized trial in recurrent aphthous stomatitis: omegaâ3 reduced ulcer pain, size trend and reduced recurrence â consistent with local antiâinflammatory effects.
- 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
Preâop EPA reduced plasma CCL2 (MCPâ1) and CCL2 reduction associated with better clinical outcomesâstrong antiâinflammatory signal.
- Beneficial Effects of Omega-3 Supplement to the Enteral Feeding in Children With Mild to Moderate Sepsis
PubMed ID: 26704762
Enteral nâ3 in pediatric sepsis markedly lowered CRP/ILâ6 and improved clinical outcomes (strong antiâinflammatory signal).
- Omega-3 fatty acids, inflammatory status and biochemical markers of patients with systemic lupus erythematosus: a pilot study
PubMed ID: 29173690
12âweek omegaâ3 in lowâactivity SLE lowered CRP significantlyâdirect systemic inflammation reduction.
- 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 reduced coronary sinus inflammatory marker (pentraxinâ3) and altered plaque compositionâlocal antiâinflammatory signal.
- [Effects of omega-3 polyunsaturated fatty acids on postoperative inflammatory reaction and clinical efficacy]
PubMed ID: 26211765
Postoperative PN with nâ3 PUFAs produced clear reductions in CRP, ILâ1, ILâ6 and increased ILâ10; SIRS incidence fellâstrong antiâinflammatory signal.
- Icosapent Ethyl (Eicosapentaenoic Acid Ethyl Ester): Effects Upon High-Sensitivity C-Reactive Protein and Lipid Parameters in Patients With Metabolic Syndrome
PubMed ID: 25893544
Consistent, clinically meaningful hsCRP reductions with 4 g/day EPA across phaseâ3 trials indicate strong antiâinflammatory effect.
- Omega-3 fatty acid supplementation affects pregnancy outcomes in gestational diabetes: a randomized, double-blind, placebo-controlled trial
PubMed ID: 25747955
GDM trial showed significant reductions in hsâCRP and MDA (direct antiâinflammatory/oxidative effects).
- The Effect of Omega-3 Fatty Acids in Patients With Active Rheumatoid Arthritis Receiving DMARDs Therapy: Double-Blind Randomized Controlled Trial
PubMed ID: 26925896
RA trial showed reductions in ESR and clinical inflammation markers with omegaâ3 added to therapy.
- 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
Marked increases in EPA/DHAâderived proâresolving mediators and TG lowering in PAD patients â supports inflammation resolution pathways.
- 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
Highâdose fish oil in SLE lowered ESR and physician global disease activity â clear antiâinflammatory effect in autoimmune disease.
- Effects of omega-3 on metabolic markers in postmenopausal women with metabolic syndrome
PubMed ID: 25394692
In metabolicâsyndrome postmenopausal women, omegaâ3 reduced ILâ6 and improved metabolic/inflammatory markers vs diet alone.
- 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, omegaâ3 reduced hsâCRP and improved insulin resistance â direct antiâinflammatory biomarker change.
- 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 Ïâ3 reduced CRP and SOFA scores in septic ICU patientsâclinical inflammation marker improvement.
- Icosapent ethyl, a pure ethyl ester of eicosapentaenoic acid: effects on circulating markers of inflammation from the MARINE and ANCHOR studies
PubMed ID: 23325450
4 g/day pure EPA reduced OxâLDL, LpâPLA2 and hsCRP in randomized trials â robust antiâinflammatory / antiâoxidative biomarker effects.
- Omega-3 fatty acid therapy reduces triglycerides and interleukin-6 in hypertriglyeridemic HIV patients
PubMed ID: 23683266
3.6 g/day ethylâesters lowered ILâ6 and TNFâα in HIV patients â strong evidence of systemic antiâinflammatory effect.
- 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
Highâdose nâ3 PUFA lowered ILâ6 in severely obese adultsâRCT support for systemic inflammation reduction.
- 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 statinâtreated diabetics â clinical antiâinflammatory signal.
- Omega-3 fatty acids supplementation attenuates inflammatory markers after eccentric exercise in untrained men
PubMed ID: 21358504
Randomized trial (1.8 g/day) showed consistent reductions in TNFâα, PGE2 and ILâ6 after eccentric exercise â strong antiâinflammatory signal.
- Docosahexaenoic acid affects markers of inflammation and muscle damage after eccentric exercise
PubMed ID: 25029008
DHA reduced early ILâ6 (~32%) after eccentric exerciseâmoderate antiâinflammatory biomarker effect.
- Omega 3 fatty acids can reduce early doxorubicin-induced cardiotoxicity in children with acute lymphoblastic leukemia
PubMed ID: 34842343
Pediatric trial: Ïâ3 reduced oxidative stress and cardiac injury markers during chemoâantiâinflammatory/antioxidant protection.
- The synergistic effects of Ï-3 fatty acids and nano-curcumin supplementation on tumor necrosis factor (TNF)-α gene expression and serum level in migraine patients
PubMed ID: 28478481
Omegaâ3 + nanoâcurcumin reduced TNFâα expression/levels in migraineers â combination shows antiâinflammatory benefit (omegaâ3 contribution probable).
- A Novel Combination of Ï-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
Ωâ3 (with nanoâcurcumin) lowered ILâ6 and hsâCRP in migraine patients â significant systemic antiâinflammatory effects.
- The Combined Effects of Ï -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
Ωâ3 reduced circulating ICAMâ1 and (in combination) reduced migraine attacks â evidence of lowered vascular/inflammatory activation.
- The Neuromodulatory Effects of Ï-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
Ïâ3 plus nanoâcurcumin downregulated COXâ2 and iNOS mRNA and reduced serum levels with clinical migraine benefit â robust antiâinflammatory change (combination).
- Anti-Neuroinflammatory Properties of n-3 Fatty Acids and Nano- Curcumin on Migraine Patients from Cellular to Clinical Insight: A Randomized, Double-Blind and Placebo-Controlled Trial
PubMed ID: 32727335
Omegaâ3 + nanoâcurcumin reduced ILâ1ÎČ and migraine frequencyârobust antiâinflammatory signal in combination therapy.
- The omega-3 and Nano-curcumin effects on vascular cell adhesion molecule (VCAM) in episodic migraine patients: a randomized clinical trial
PubMed ID: 34301320
Omegaâ3 (and combo) lowered VCAM and reduced migraine frequency/severityâvascular/inflammatory marker improvements.
- The effect of curcumin and high-content eicosapentaenoic acid supplementations in type 2 diabetes mellitus patients: a double-blinded randomized clinical trial
PubMed ID: 38589346
EPA (± nanoâcurcumin) reduced hsâCRP and triglycerides in T2Dâstrong antiâinflammatory/metabolic effects.
- Dietary fish oil and olive oil supplementation in patients with rheumatoid arthritis. Clinical and immunologic effects
PubMed ID: 2363736
RA trial showed reductions in leukotriene B4 and ILâ1 productionâdirect antiâinflammatory effects.
- Dietary omega-3 fatty acid supplementation and naproxen treatment in patients with rheumatoid arthritis
PubMed ID: 1464864
RA symptom improvements suggest antiâinflammatory action of omegaâ3 in joint disease.
- 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 reduced NSAID use longâterm with unchanged disease activity â implies antiâinflammatory clinical benefit.
- Dietary supplementation with very long-chain n-3 fatty acids in man decreases expression of the interleukin-2 receptor (CD25) on mitogen-stimulated lymphocytes from patients with inflammatory skin diseases
PubMed ID: 8050452
Reduced Tâcell activation marker (CD25) and increased serum EPA/DHA â evidence of immunomodulation/antiâinflammatory effect.
- Supplementation with omega-3 polyunsaturated fatty acids in the management of dysmenorrhea in adolescents
PubMed ID: 8623866
Substantial reduction in menstrual symptom scores in adolescents â inflammatory symptom improvement.
- Effect of eicosapentaenoic acid and docosahexaenoic acid on oxidative stress and inflammatory markers in treated-hypertensive type 2 diabetic subjects
PubMed ID: 14583341
Hypertensive diabetics: EPA or DHA reduced urinary F2âisoprostanes ~19â20% (reduced oxidative/inflammatory stress marker).
- Effects of n-3 fatty acids on serum interleukin-6, tumour necrosis factor-alpha and soluble tumour necrosis factor receptor p55 in active rheumatoid arthritis
PubMed ID: 15458276
RA dietary trial: low nâ6 diet + fish oil lowered CRP and sTNFâR p55 and later reduced ILâ6/TNFâα in both groups.
- Gamma-tocopherol and docosahexaenoic acid decrease inflammation in dialysis patients
PubMed ID: 17720098
Hemodialysis patients given DHA+Îłâtocopherol had modest, significant reductions in ILâ6, WBC and neutrophilsâevidence of reduced systemic inflammation (combination product).
- n-3 Fatty acid supplementation and regular moderate exercise: differential effects of a combined intervention on neutrophil function
PubMed ID: 17391558
Fish oil reduced neutrophil superoxide production (~19.5%) and correlated with erythrocyte DHA â supports cellular antiâinflammatory action.
- A randomised interventional trial of omega-3-polyunsaturated fatty acids on endothelial function and disease activity in systemic lupus erythematosus
PubMed ID: 17875549
Large RCT in SLE showed substantial decreases in disease activity and oxidative/vascular inflammation markers with 3 g/day.
- 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 had lower CRP and ILâ6 after 12 weeks of LCnâ3, indicating systemic antiâinflammatory effects.
- Impact of foods enriched with n-3 long-chain polyunsaturated fatty acids on erythrocyte n-3 levels and cardiovascular risk factors
PubMed ID: 17349088
Increases in erythrocyte EPA+DHA correlated negatively with CRP and urinary TXB2 â association with lower inflammation markers.
- Combined treatment with renin-angiotensin system blockers and polyunsaturated fatty acids in proteinuric IgA nephropathy: a randomized controlled trial
PubMed ID: 18685141
PUFA added to standard therapy markedly reduced proteinuria in IgA nephropathy, consistent with antiâinflammatory/renal benefit.
- Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells
PubMed ID: 19515734
26âweek RCT showed broad downregulation of inflammatory and atherogenic PBMC gene sets with 1.8 g/d EPA+DHA (strong antiâinflammatory signal).
- Effect of glucosamine sulfate with or without omega-3 fatty acids in patients with osteoarthritis
PubMed ID: 19756416
OA trial showed greater highâthreshold pain responders when EPA/DHA added, plausibly reflecting antiâinflammatory effects.
- DHA supplementation decreases serum C-reactive protein and other markers of inflammation in hypertriglyceridemic men
PubMed ID: 19158225
Highâdose DHA RCT showed consistent, clinically relevant CRP and ILâ6 reductions.
- Fish oil supplementation lowers C-reactive protein levels independent of triglyceride reduction in patients with end-stage renal disease
PubMed ID: 19461006
6âmonth EPA/DHA in ESRD reduced CRP substantially versus placebo.
- 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
Metabolicâsyndrome RCT lowered hsâCRP and markers alongside weight/BP improvements.
- 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
Plaque mRNA and markers (MMPs, IL-6, ICAM1) were reduced and plaque inflammation inversely associated with EPA content.
- Effect of Clupeonella grimmi (anchovy/kilka) fish oil on dysmenorrhoea
PubMed ID: 20795425
Marked reduction in menstrual pain and analgesic use, consistent with antiâinflammatory/antinociceptive effects.
- Impact of a novel nutritional formula on asthma control and biomarkers of allergic airway inflammation in children
PubMed ID: 20545703
EPA/Gammaâlinolenic acid formula in asthmatic children reduced exhaled NO and improved airway responsiveness â reduced airway inflammation.
- Adjunctive treatment of chronic periodontitis with daily dietary supplementation with omega-3 Fatty acids and low-dose aspirin
PubMed ID: 20572767
Adjunctive fish oil + lowâdose aspirin improved periodontal clinical outcomes and lowered inflammatory biomarkers (RANKL, MMPâ8).
- Prenatal docosahexaenoic acid supplementation and infant morbidity: randomized controlled trial
PubMed ID: 21807696
Prenatal DHA reduced infant illness durations (respiratory) â consistent with immunomodulation/less inflammation in offspring.
- 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
IV fishâoil emulsion in infants produced large reductions in plasma TNFâα â strong antiâinflammatory signal.
- Oral administration of docosahexaenoic acid attenuates interleukin-1ÎČ response and clinical course of septic neonates
PubMed ID: 22079797
Oral DHA in septic neonates lowered ILâ1ÎČ and raised leukocyte DHAâdirect antiâinflammatory biomarker change with clinical improvement.
- 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
Reduction in Lp-PLA2 and ApoCIII (inflammatory/pro-atherogenic proteins) when omega-3 added to statin.
- DHA supplementation during pregnancy and lactation affects infants' cellular but not humoral immune response
PubMed ID: 21941411
Maternal DHA reduced IFNâÎł production and altered infant Tâcell subsets (modulation of inflammatory responses).
- Th1 and Th2 chemokines, vaccine-induced immunity, and allergic disease in infants after maternal Ï-3 fatty acid supplementation during pregnancy and lactation
PubMed ID: 21099447
Maternal Ïâ3 shifted infant chemokine balance toward Th1 and enhanced vaccine IgG in nonâallergic infants â evidence of immune/inflammatory modulation.
- Effect of n-3 fatty acids on patients with advanced lung cancer: a double-blind, placebo-controlled study
PubMed ID: 22114792
In advanced lung cancer patients omega-3 reduced CRP/IL-6 and oxidative stress markers versus placebo.
- 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
3 g/day omegaâ3 for eight weeks significantly reduced TNFâα and ILâ2 in type 2 diabetes patients.
- Platelet redox balance in diabetic patients with hypertension improved by n-3 fatty acids
PubMed ID: 23238663
Fish oil lowered platelet oxidative stress and 8âisoprostane in diabetic/hypertensive patients â reduces oxidative/inflammatory platelet markers.
- Effect of n-3 supplementation on hyperactivity, oxidative stress and inflammatory mediators in children with attention-deficit-hyperactivity disorder
PubMed ID: 24568073
RCT in children with ADHD: EPA/DHA reduced CRP and ILâ6 and increased antioxidant enzymes â clear antiâinflammatory signals.
- Omega-3 PUFA supplementation and the response to evoked endotoxemia in healthy volunteers
PubMed ID: 24190860
Highâdose EPA+DHA modestly blunted febrile response to endotoxin and trended to lower inflammatory biomarkers in an evoked inflammation model.
- Omega-3 fatty acids reduce adipose tissue macrophages in human subjects with insulin resistance
PubMed ID: 23328126
Tissue biopsy RCT demonstrated clear reductions in adipose macrophages and MCPâ1 and increases in capillariesâstrong local anti-inflammatory effects.
- Efficacy of fish oil on serum of TNF α , IL-1 ÎČ , and IL-6 oxidative stress markers in multiple sclerosis treated with interferon beta-1b
PubMed ID: 23861993
In MS patients, 4 g/day fish oil produced large, consistent reductions in TNFâα, ILâ1ÎČ and ILâ6ârobust systemic anti-inflammatory biomarker changes.
- Docosahexaenoic Acid and Periodontitis in Adults: A Randomized Controlled Trial
PubMed ID: 24970858
DHA (with aspirin) reduced periodontal pocket depth and local inflammatory markers, showing local antiâinflammatory benefit.
- Fish Oil (SMOFlipid) and olive oil lipid (Clinoleic) in very preterm neonates
PubMed ID: 24048161
Parenteral fishâoil lipid in very preterm infants reduced F2âisoprostanes (oxidative/inflammatory stress marker) and raised EPA.
- Effects of perioperative supplementation with omega-3 fatty acids on leukotriene Bâ and leukotriene Bâ
production by stimulated neutrophils in patients with colorectal cancer: a randomized, placebo-controlled intervention trial
PubMed ID: 25268838
Preop omegaâ3 robustly shifted neutrophil eicosanoids from proâinflammatory LTB4 toward LTB5 (strong biochemical antiâinflammatory effect).
- Omega-3 fatty acids inhibit the up-regulation of endothelial chemokines in maintenance hemodialysis patients
PubMed ID: 25204316
12âweek omegaâ3 in dialysis patients lowered stimulated endothelial chemokines (RANTES, MCPâ1) though systemic markers unchanged.
- The effect of omega-3 fatty acids on depressive symptoms and inflammatory markers in maintenance hemodialysis patients: a randomized, placebo-controlled clinical trial
PubMed ID: 24643636
Omegaâ3 in hemodialysis patients reduced depressive scores with associated reductions in CRP/favorable cytokine ratio.
- A prospective, randomized, controlled study of Ï-3 fish oil fat emulsion-based parenteral nutrition for patients following surgical resection of gastric tumors
PubMed ID: 24655407
Perioperative omegaâ3 prevented postâop rises in ILâ6/TNFα and greatly reduced infections â clear antiâinflammatory/immune benefit in surgical patients.
- 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
In horses with chronic airway inflammation, omegaâ3 plus lowâdust diet reduced airway neutrophils and respiratory symptoms â direct antiâinflammatory effect in airways.
- Increasing long-chain n-3PUFA consumption improves small peripheral artery function in patients at intermediate-high cardiovascular risk
PubMed ID: 24746829
Observational association of higher LCânâ3 with lower hsâCRP and improved vascular markers.
- Effects of oral eicosapentaenoic acid versus docosahexaenoic acid on human peripheral blood mononuclear cell gene expression
PubMed ID: 26074314
Randomized EPA/DHA dosing produced distinct downregulation of inflammatory transcription factors in PBMCs â strong mechanistic antiâinflammatory evidence.
- Dietary Omega-3 Fatty Acid Supplementation Reduces Inflammation in Obese Pregnant Women: A Randomized Double-Blind Controlled Clinical Trial
PubMed ID: 26340264
Randomized obese pregnancy trial: robust reductions in adipose/placental IL6/IL8/TNFα mRNA and lower CRPâstrong antiâinflammatory signal.
- 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; doseâdependent increases in RBC DPA with omegaâ3 intake support antiâinflammatory biology.
- Omega 3 (n-3) fatty acids down-regulate nuclear factor-kappa B (NF-ÎșB) gene and blood cell adhesion molecule expression in patients with homozygous sickle cell disease
PubMed ID: 25976467
Omegaâ3 supplementation in sickleâcell patients raised DHA/EPA and reduced inflammatory markers and NFâÎșB expression â direct clinical antiâinflammatory effects.
- 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 reduced ILâ18 and increased adiponectin versus EPA; clear antiâinflammatory biomarker effects.
- 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 proâinflammatory cell markers and was linked to fewer sepsis/organ dysfunctionsâdirect antiâinflammatory and clinical immune benefits.
- 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 malnutritionâinflammation score and increased total antioxidant capacity in hemodialysis patients â systemic antiâinflammatory/oxidative stress benefits.
- 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 lowered tear osmolarity and krill reduced tear ILâ17A â clear reduction in ocular inflammation.
- Effect of Oral Re-esterified Omega-3 Nutritional Supplementation on Dry Eyes
PubMed ID: 27442314
Reâesterified omegaâ3 reduced tear osmolarity, TBUT, OSDI and MMPâ9 positivity in dry eye â objective and symptomatic antiâinflammatory outcomes.
- Macrophage Activation in Pediatric Nonalcoholic Fatty Liver Disease (NAFLD) Correlates with Hepatic Progenitor Cell Response via Wnt3a Pathway
PubMed ID: 27310371
18 months DHA reduced NAFLD inflammation/steatosis and shifted macrophage phenotype toward antiâinflammatory.
- 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 omegaâ3 shifted maternal cytokines toward a less proâinflammatory profile â immunomodulatory effect during pregnancy.
- 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
6âmonth RCT in MCI lowered ILâ6/TNFâα and improved cognition; clear antiâinflammatory biomarker changes.
- 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 RCT in Duchenne showed marked decreases in ILâ1ÎČ and ILâ6 and near doubling of ILâ10.
- EPAâ+âDHA supplementation reduces PMN activation in microenvironment of chronic venous leg ulcers: A randomized, double-blind, controlled study
PubMed ID: 28758717
Reduced activated neutrophils and protease markers in wound fluid indicate clear local antiâinflammatory effects.
- Effects of fish oils on ex vivo B-cell responses of obese subjects upon BCR/TLR stimulation: a pilot study
PubMed ID: 29195133
Fish oil altered Bâcell cytokine secretion and lowered ex vivo IgM production; immuneâinflammatory modulation observed.
- 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
hsâCRP significantly decreased in men with coronary disease after 8 weeks of omegaâ3.
- 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
Robust increases in specialized proâresolving mediator precursors (doseâresponse) strongly support antiâinflammatory action.
- Supplementation with eicosapentaenoic acid and docosahexaenoic acid reduces high levels of circulating proinflammatory cytokines in aging adults: A randomized, controlled study
PubMed ID: 29735019
RCT in older adults: 2.5 g/day EPA+DHA produced sizable reductions in ILâ6, ILâ1ÎČ and TNFâα over 8 weeks.
- 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 downregulation of inflammatory gene expression (ILâ1, TNFâα) with EPA/DHA.
- Effect of prenatal EPA and DHA on maternal and umbilical cord blood cytokines
PubMed ID: 29940888
Prenatal EPAârich supplementation reduced several maternal proinflammatory cytokines (ILâ6, TNFα, ILâ15) in RCT analysis.
- Double-blind, randomized, multicenter phase 2 study of SC411 in children with sickle cell disease (SCOT trial)
PubMed ID: 30097463
DHA formulation reduced vascular/inflammatory biomarkers (sEâselectin, sVCAM) in sickle cell children â clinically relevant antiâinflammatory signals.
- Effects of DHA-enriched fish oil on gene expression levels of p53 and NF-ÎșB and PPAR-Îł activity in PBMCs of patients with T2DM: AÂ randomized, double-blind, clinical trial
PubMed ID: 31831363
Increased PPARâÎł activity in PBMCs (antiâinflammatory regulator) after DHA â mechanistic support for lowering inflammation.
- Omega-3 Polyunsaturated Fatty Acids EPA and DHA as an Adjunct to Non-Surgical Treatment of Periodontitis: A Randomized Clinical Trial
PubMed ID: 32867199
RCT showed adjunctive EPA/DHA improved clinical periodontal inflammation (reduced BOP, improved CAL) and favorable changes in salivary cytokines.
- Efficacy of omega 3 fatty acid as an adjunct in the management of chronic periodontitis: A randomized controlled trial
PubMed ID: 32436902
Omegaâ3 supplementation plus scaling/rootâplaning produced consistent reductions in probing depth and attachment (local antiâinflammatory effect).
- Inflammation (IL-1ÎČ) Modifies the Effect of Vitamin D and Omega-3 Long Chain Polyunsaturated Fatty Acids on Core Symptoms of Autism Spectrum Disorder-An Exploratory Pilot Study(âĄ)
PubMed ID: 32121236
Omegaâ3 (±vitamin D) benefitted ASD behavioral outcomes in the subgroup with elevated ILâ1ÎČâsuggests inflammationâlinked effects.
- Efficacy of Docosahexaenoic Acid for the Prevention of Necrotizing Enterocolitis in Preterm Infants: A Randomized Clinical Trial
PubMed ID: 33671220
Enteral DHA markedly reduced necrotizing enterocolitis in preterm infants â likely an antiâinflammatory/protective effect in gut.
- Omega-3 fatty acids ameliorate vascular inflammation: A rationale for their atheroprotective effects
PubMed ID: 33812168
Highâdose EPA reduced circulating and vascular inflammatory markers in humans and animal models â strong mechanistic RCT evidence.
- Short-Term Intake of Yellowstripe Scad versus Salmon Did Not Induce Similar Effects on Lipid Profile and Inflammatory Markers among Healthy Overweight Adults despite Their Comparable EPA+DHA Content
PubMed ID: 34684525
Salmon consumption lowered ILâ6 vs comparator â shortâterm antiâinflammatory signal.
- Dietary Supplementation with Transgenic Camelina sativa Oil Containing 20:5n-3 and 22:6n-3 or Fish Oil Induces Differential Changes in the Transcriptome of CD3(+) T Lymphocytes
PubMed ID: 34578993
Supplementation altered PBMC/Tâcell transcriptomes and immune pathways, showing direct immunomodulatory effects.
- Omega-3 polyunsaturated fatty acids supplementation improve clinical symptoms in patients with Covid-19: A randomised clinical trial
PubMed ID: 34516692
Small hospitalized COVIDâ19 RCT showed reduced CRP/ESR and symptom improvement with added EPA+DHA.
- Omega-3 Fatty Acids for Major Depressive Disorder With High Inflammation: A Randomized Dose-Finding Clinical Trial
PubMed ID: 36005883
EPA 4 g/day showed symptom improvement tied to reductions in inflammatory markers (hsâCRP correlation) in MDD with high inflammationâdirect antiâinflammatory signal.
- Ï-3 polyunsaturated fatty acid supplementation improves postabsorptive and prandial protein metabolism in patients with chronic obstructive pulmonary disease: a randomized clinical trial
PubMed ID: 35849009
EPA+DHA reduced postabsorptive protein breakdown and improved prandial anabolismâsuggests lowering of catabolic/inflammatory processes in COPD patients.
- Effects of omega-3 supplementation as an adjunct to non-surgical periodontal therapy on periodontal parameters in periodontitis patients: a randomized clinical trial
PubMed ID: 36414947
Omegaâ3 added to scaling/root planing significantly improved PD/CAL â clinically meaningful antiâinflammatory effects in periodontitis.
- 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
HighâDHA supplement lowered ILâ6 and MDA and raised total antioxidant capacity â clear antiâinflammatory/antioxidant biomarker changes.
- 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
Higherâdose EPA responders had larger rises in proâresolving lipid mediators and reductions in hsâCRP correlated with antidepressant response â inflammationâmodifying link.
- 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
Highâdose fish oil adjunct to periodontal therapy improved healing and reduced periopathogen counts â local antiâinflammatory/microbiologic benefit.
- Effect of Omega-3 Polyunsaturated Fatty Acid Supplementation on Clinical Outcome of Atopic Dermatitis in Children
PubMed ID: 39275147
Omegaâ3/GLA/vit D syrup reduced eczema severity and topical steroid use in children with atopic dermatitis â clinical antiâinflammatory skin benefit.
- 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
1 g/day marine omegaâ3 for 1 year lowered proâinflammatory eicosanoids and increased some proâresolving mediators in older adults (RCT substudy).
- 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 markedly raised proâresolving lipid mediator precursors (SPM precursors) â direct antiâinflammatory mechanism.
- Docosahexaenoic acid (DHA) supplementation attenuates changes in the concentration, phenotype, and response of immune peripheral blood cells in breast cancer patients undergoing neoadjuvant therapy. Secondary findings from the DHA-WIN trial
PubMed ID: 40405290
Highâdose DHA during chemo prevented rises in NLR and preserved HLAâDR+ monocytes (reduced proâinflammatory shift).
- 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
HighâÏâ3 diet lowered pain interference in migraine with mediation by blood EPA â consistent with reduced nociceptive/inflammatory pathways.
- 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
Doseâdependent increases in EPA/DHAâderived oxylipins and DNAm changes consistent with downregulated lipid/inflammatory pathways.
- Supplementation with omega-3 or omega-6 fatty acids attenuates platelet reactivity in postmenopausal women
PubMed ID: 35791734
Sustained reductions in platelet activation and secretion indicate lowered proâinflammatory platelet signalling.
- Effect of weight loss and lifestyle changes on vascular inflammatory markers in obese women: a randomized trial
PubMed ID: 12684358
2âyear Mediterraneanâstyle program (including improved nâ3 balance) lowered inflammatory markers (CRP) substantially.
- The influence of an anti-inflammatory diet on gingivitis. A randomized controlled trial
PubMed ID: 30941800
Antiâinflammatory diet rich in omegaâ3 reduced gingival index and inflammation in gingivitis patients (clinically relevant antiâinflammatory outcome).
- Resistance Training Alone or Combined With N-3 PUFA-Rich Diet in Older Women: Effects on Muscle Fiber Hypertrophy
PubMed ID: 30052800
nâ3 rich diet combined with resistance training produced local antiâinflammatory signaling changes in muscle.
- Anti-inflammatory Diet In Rheumatoid Arthritis (ADIRA)-a randomized, controlled crossover trial indicating effects on disease activity
PubMed ID: 32055820
Antiâinflammatory portfolio including nâ3 produced modest reductions in RA disease activity (inflammation reduction signal).
- Treatment of ulcerative colitis with fish oil supplementation: a prospective 12 month randomised controlled trial
PubMed ID: 1353742
Rectal mucosal EPA increased and leukotriene B4 synthesis was suppressed by 53%, with steroidâsparing in active UCâstrong antiâinflammatory signal.
- 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 a significant ILâ1ÎČ reduction accompanied by modest clinical improvement, supporting antiâinflammatory benefit.
- [Fish oils and rheumatoid arthritis. A randomized and double-blind study]
PubMed ID: 8066866
nâ3 supplementation lowered CRP and modestly improved inflammatory RA measures.
- 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 reduced ILâ1ÎČ and improved inflammatory symptoms in RA.
- The effect of n-3 fatty acids on neutrophil chemiluminescence
PubMed ID: 7624736
Marked reductions in neutrophil oxidative burst and increased platelet EPA â strong cellular antiâinflammatory evidence.
- Effect of an enteric-coated fish-oil preparation on relapses in Crohn's disease
PubMed ID: 8628335
Large doubleâblind RCT showed substantial reduction in Crohn's relapse â clear clinical antiâinflammatory effect in IBD.
- [The use of n-3 fatty acids in chronic juvenile arthritis]
PubMed ID: 9064671
Juvenile arthritis study showed CRP decrease with nâ3 supplementation.
- 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
Fish oil + vitamin E modulated immune markers (TNF, T-helper/T-suppressor ratio) in malnourished cancer patients.
- Effect of dietary intake of omega-3 and omega-6 fatty acids on severity of asthma in children
PubMed ID: 9551739
Asthmatic children had reduced TNF-α production and increased blood omega-3 despite no clinical symptom change.
- Combination therapy with low-dose etretinate and eicosapentaenoic acid for psoriasis vulgaris
PubMed ID: 9863281
EPA added to etretinate improved psoriasis fasterâconsistent with anti-inflammatory skin effects.
- 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 patients imply diminished inflammatory/atherogenic burden.
- Efficacy of fish oil concentrate in the treatment of rheumatoid arthritis
PubMed ID: 11036827
RA trial demonstrated clinical improvement consistent with anti-inflammatory effects and increased EPA incorporation.
- The effect of n-3 fatty acids on coronary atherosclerosis: results from SCIMO, an angiographic study, background and implications
PubMed ID: 11838000
Reduced PDGF and MCPâ1 mRNA expression and reported reduction in angiographic atherosclerosis â strong antiâinflammatory/antiâatherosclerotic signal.
- Dietary fish oil does not influence acute rejection rate and graft survival after renal transplantation: a randomized placebo-controlled study
PubMed ID: 11981081
Kidney transplant trial found a borderline/locus reduction in TNFâα expression during rejectionâsome antiâinflammatory biomarker evidence though no clinical benefit.
- 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
GLA+EPA emulsion significantly reduced stimulated leukotriene biosynthesis (direct reduction of proinflammatory pathway).
- 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
hsCRP was substantially reduced when omega-3 was added to simvastatinâmarker of systemic inflammation decrease.
- Effects of omega-3 polyunsaturated fatty acids on inflammatory markers in COPD
PubMed ID: 16354850
Two-year study in COPD showed reduced sputum/serum inflammatory mediators and symptomatic improvement.
- Effects of combined dietary supplementation on oxidative and inflammatory status in dyslipidemic subjects
PubMed ID: 16487912
Combination product with nâ3s decreased ILâ1ÎČ and TNFâα in dyslipidemic subjects â direct inflammatory marker reductions (combo uncertainty).
- 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
Omega-3 enteral feeding blunted increases in proinflammatory cytokines in Crohn's patients versus omega-6.
- Dietary intake of differently fed salmon; the influence on markers of human atherosclerosis
PubMed ID: 15638820
Eating salmon rich in marine nâ3 lowered ILâ6 and VCAMâ1âmarkers of systemic inflammation.
- 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 EPA/GLA/antioxidant diet in severe sepsis lowered 28-day mortality and improved ICU/ventilator-free daysâmajor clinical benefit likely from immuno/inflammation modulation.
- 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 diet improved lung mechanics and reduced ventilation time in acute lung injuryâconsistent with anti-inflammatory effects in lung.
- 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 omegaâ3 in severe pancreatitis reduced CRP and improved organâsupport measures.
- Impact of postoperative omega-3 fatty acid-supplemented parenteral nutrition on clinical outcomes and immunomodulations in colorectal cancer patients
PubMed ID: 18416476
Postâcolorectal surgery parenteral omegaâ3 lowered ILâ6 and improved immune cell ratios.
- Omega-3 fatty acids, vitamin C and Zn supplementation in asthmatic children: a randomized self-controlled study
PubMed ID: 19154523
Supplementation including omega-3 improved asthma control and airway inflammation in children (combined intervention).
- Anti-inflammatory and cardioprotective effects of n-3 polyunsaturated fatty acids and plant sterols in hyperlipidemic individuals
PubMed ID: 18977480
Randomized trial showed marked reductions in hs-CRP and TNF-α and increased adiponectin with omega-3 + plant sterols.
- Effect of n-3 polyunsaturated fatty acids on Barrett's epithelium in the human lower esophagus
PubMed ID: 18400718
EPA incorporation into Barrett's tissue reduced COXâ2 protein, a proâinflammatory enzyme.
- Fish oil supplementation improves endothelial function in normoglycemic offspring of patients with type 2 diabetes
PubMed ID: 19394939
Reduced TNFâα and other inflammatory markers with improved endothelial function.
- Regulation of omega-3 fish oil emulsion on the SIRS during the initial stage of severe acute pancreatitis
PubMed ID: 19224159
IV fish oil shortened SIRS duration and reduced TNFâα in severe pancreatitisâstrong antiâinflammatory effect.
- 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 lowered systemic CRP (marker of inflammation).
- Effects of long chain omega-3 fatty acids on metalloproteinases and their inhibitors in combined dyslipidemia patients
PubMed ID: 19397392
Lowered inflammatory and coagulation markers (hsCRP, PAIâ1) in dyslipidemic patients.
- Effects of unsaturated fat dietary supplements on blood lipids, and on markers of malnutrition and inflammation in hemodialysis patients
PubMed ID: 19541503
Supplementation in dialysis patients lowered CRP, indicating reduced systemic inflammation.
- 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
HF trial: significant decreases in TNF, ILâ6 and other inflammatory markers after 3 months of nâ3.
- 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, SAAâLDL and other inflammatory/metabolic markers in metabolicâsyndrome patients.
- 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 ILâ6.
- Effects of omega-3 polyunsaturated fatty-acid supplementation on redox status in chronic renal failure patients with dyslipidemia
PubMed ID: 20303788
Fish oil markedly reduced triglycerides and markers of lipid peroxidation while boosting antioxidant enzymesâantiâinflammatory/antioxidant effects.
- Antioxidant therapy reduces oxidative and inflammatory tissue damage in patients subjected to cardiac surgery with extracorporeal circulation
PubMed ID: 21138533
Perioperative omegaâ3 + vitamins C/E reduced hsâCRP and oxidative damage; combined intervention shows antiâinflammatory biomarker changes (omegaâ3 contribution plausible but not isolated).
- Omega-3 supplementation lowers inflammation and anxiety in medical students: a randomized controlled trial
PubMed ID: 21784145
12âweek RCT showed lowered stimulated ILâ6 and trend for TNFâα â direct reduction in inflammatory markers.
- 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 fishâoil enriched IV nutrition decreased ILâ6, TNFâα and NFâÎșB and improved bilirubin, consistent with reduced inflammatory responses.
- 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
Oral omegaâ3/omegaâ6 supplement reduced conjunctival HLAâDR (an ocular inflammatory biomarker) though symptoms did not significantly change.
- 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 ICU lowered TNFâα/ILâ6/ILâ1 and raised ILâ10 â clear antiâinflammatory signals in patients.
- The effect of n-3 polyunsaturated fatty acids on leukotriene Bâ and leukotriene Bâ
production from stimulated neutrophil granulocytes in patients with chronic kidney disease
PubMed ID: 21530211
Shift in neutrophil eicosanoids (LTB4â, LTB5â) in CKD indicates reduced proinflammatory mediator production.
- 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
Adjunctive omegaâ3 plus lowâdose aspirin improved periodontal clinical endpoints and lowered ILâ1ÎČ, reflecting antiâinflammatory effects (combination therapy).
- 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
Doseâdependent reductions in hsâILâ6 and platelet/monocyte activation markers indicate robust antiâinflammatory and proresolving effects.
- Oxidative stress in Rett syndrome: natural history, genotype, and variants
PubMed ID: 21888765
12âmonth Ïâ3 treatment in Rett syndrome lowered oxidativeâstress markers (F2âIsoPs) consistent with reduced inflammatory/oxidative burden.
- [Efficacy evaluation of an oral powder supplement enriched with eicosapentaenoic acid in cancer patients]
PubMed ID: 22411387
Small RCT in cancer patients found INFâÎł decreased (~34%), supporting antiâinflammatory action though sample small.
- Liver-protecting effects of omega-3 fish oil lipid emulsion in liver transplantation
PubMed ID: 23155344
Postâtransplant parenteral Ïâ3 reduced liver injury markers, consistent with antiâinflammatory/hepatoprotective effects.
- Effects of Ï-3 fish oil lipid emulsion combined with parenteral nutrition on patients undergoing liver transplantation
PubMed ID: 22421017
Ïâ3 PN after liver transplant lowered ALT and improved nutrition markersâcompatible with reduced inflammation/injury.
- 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 inflammatory mediators and NAFLD biomarkers in adultsâsupports reduced inflammation.
- Efficacy of poly-unsaturated fatty acid therapy on patients with nonalcoholic steatohepatitis
PubMed ID: 26078579
PUFA therapy in NASH decreased CRP and other inflammation markers alongside histologic improvements.
- Randomized study of the clinical effects of Ï-3 fatty acid-containing enteral nutrition support during neoadjuvant chemotherapy on chemotherapy-related toxicity in patients with esophageal cancer
PubMed ID: 27644137
Ïâ3âenriched enteral nutrition during chemotherapy reduced stomatitis and AST/ALT risesâreduced mucosal and hepatic inflammation in periâchemo setting.
- Effectiveness of Ï-3 Polyunsaturated Fatty Acids Based Lipid Emulsions for Treatment of Patients after Hepatectomy: A Prospective Clinical Trial
PubMed ID: 27322311
Postâhepatectomy Ïâ3 PN reduced WBC/CRP and postoperative complicationsâclear perioperative antiâinflammatory effect.
- 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 fishâoil lipid in very preterm infants reduced ILâ1ÎČ/ILâ6 and clinically lowered BPD incidenceâstrong antiâinflammatory signal.
- 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 diet reduced hsCRP, TNFâα and ILâ6 during weight lossâantiâinflammatory within a dietary program.
- The effects of fish oil plus vitamin D(3) intervention on non-alcoholic fatty liver disease: a randomized controlled trial
PubMed ID: 35067753
RCT in NAFLD showed reductions in TNF-α and IL-1ÎČ â clear anti-inflammatory biochemical effect.
- Targeted alteration of dietary n-3 and n-6 fatty acids for the treatment of chronic headaches: a randomized trial
PubMed ID: 23886520
Dietary increase in nâ3 reduced headache frequency and impact vs lowering nâ6 alone â clinical benefit likely via reduced inflammatory mediators.
- 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
Targeted increase in EPA/DHA with lower nâ6 reduced headache burden and psychological distress; clinical improvements linked to DHA increasesâconsistent with reduced inflammatory signalling.
- 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: adding EPA/DHA decreased plasma arachidonic acid and shifted endocannabinoid/ethanolamide balance toward DHAâderived species â plausible antiâinflammatory effect.
- A High Omega-3, Low Omega-6 Diet Reduces Headache Frequency and Intensity in Persistent Post-Traumatic Headache: A Randomized Trial
PubMed ID: 40600308
nâ3/enriched, nâ6 reduced diet lowered headache frequency/intensity and raised antiâpain DHA marker (17âHDHA) â antiâinflammatory signal.
- Dietary alpha-linolenic acid decreases C-reactive protein, serum amyloid A and interleukin-6 in dyslipidaemic patients
PubMed ID: 12818406
Randomized ALA (linseed) produced large, significant reductions in CRP, SAA and ILâ6.
- Comparison of the effects of linseed oil and different doses of fish oil on mononuclear cell function in healthy human subjects
PubMed ID: 12720588
Doseâresponse trial: higher fishâoil intakes reduced ILâ6 production by mononuclear cellsâdirect antiâinflammatory signal.
- 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+GLA formula reduced pulmonary inflammatory mediators (BALF ILâ8) and improved oxygenation in ARDS.
- Increased alpha-linolenic acid intake lowers C-reactive protein, but has no effect on markers of atherosclerosis
PubMed ID: 15220952
2-year higher dietary ALA modestly lowered CRP (systemic inflammation) though IMT unchanged.
- The effect of diet enriched with alpha-linolenic acid on soluble cellular adhesion molecules in dyslipidaemic patients
PubMed ID: 15135261
Linseed oil significantly decreased sVCAM-1 (inflammatory/endothelial activation marker).
- Plant-based diet, serum fatty acid profile, and free radicals in postmenopausal women: the diet and androgens (DIANA) randomized trial
PubMed ID: 16240844
Plant-based nâ3ârich diet raised DHA and lowered oxidative stress markers (inflammation- related).
- Influence of low-dose polyunsaturated fatty acids supplementation on the inflammatory response of healthy adults
PubMed ID: 17664057
Twoâweek PUFA blends changed plasma ALA/EPA and decreased proinflammatory eicosanoid (PGE1/LTB4) release ex vivo.
- Alpha-linolenic acid supplementation and resistance training in older adults
PubMed ID: 19234585
Flaxâderived ALA reduced ILâ6 by ~62% in older men undertaking resistance training â significant antiâinflammatory effect (sexâspecific).
- Randomized placebo-controlled intervention with n-3 LC-PUFA-supplemented yoghurt: effects on circulating eicosanoids and cardiovascular risk factors
PubMed ID: 23332800
nâ3 supplementation shifted eicosanoid profiles toward EPAâderived mediators and improved AA:EPA ratiosâmechanistic antiâinflammatory change.
- 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
Parenteral Ïâ3 lipid in infants raised EPA and reduced LTB4 and PCT postâop â antiâinflammatory signal.
- 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
Large cohort: higher longâterm nâ3 intake associated with lower odds of elevated CRP.
- 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
Ten weeks of EPA+DHA reduced inflammatory acne lesions and local IL-8 staining in a double-blind trialâclinically meaningful local anti-inflammatory effect.
- Effects of an energy-restricted diet rich in plant-derived α-linolenic acid on systemic inflammation and endothelial function in overweight-to-obese patients with metabolic syndrome traits
PubMed ID: 25180479
High-ALA diet decreased YKL-40 beyond weight-loss effectsâsupports an anti-inflammatory mechanism though overall changes were dominated by weight loss.
- Docosahexaenoic acid-enriched canola oil increases adiponectin concentrations: a randomized crossover controlled intervention trial
PubMed ID: 25240692
DHA-enriched canola oil increased adiponectin and decreased IL1B expression and hsCRP relative to other plant oilsâstrong RCT evidence of anti-inflammatory effects.
- Parenteral MCT/Ï-3 Polyunsaturated Fatty Acid-Enriched Intravenous Fat Emulsion Is Associated With Cytokine and Fatty Acid Profiles Consistent With Attenuated Inflammatory Response in Preterm Neonates: A Randomized, Double-Blind Clinical Trial
PubMed ID: 26378118
Ï-3âenriched IV emulsions in preterm neonates lowered IL-6/IL-8 versus soybean oilârobust cytokine reductions indicating anti-inflammatory action.
- Omega-3 polyunsaturated fatty acids in treating non-alcoholic steatohepatitis: A randomized, double-blind, placebo-controlled trial
PubMed ID: 26047766
NASH trial: omegaâ3 increased plasma ALA/EPA and TG reductions correlated with histologic stabilization (antiâinflammatory signal).
- Clinical Benefits of n-3 PUFA and ɀ-Linolenic Acid in Patients with Rheumatoid Arthritis
PubMed ID: 28346333
RA RCT: fish oil increased plasma nâ3 and reduced disease activity and pain (clinical antiâinflammatory effect).
- 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
Doseâdependent EPA/DPA increases and substantial rise in antiâinflammatory ILâ10 (LPSâstimulated).
- EPA+DHA, but not ALA, Improved Lipids and Inflammation Status in Hypercholesterolemic Adults: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 30900815
EPA+DHA supplementation reduced PBMC ILâ6 production, demonstrating an antiâinflammatory effect.
- The effects of n-3 fatty acids from flaxseed oil on genetic and metabolic profiles in patients with gestational diabetes mellitus: a randomised, double-blind, placebo-controlled trial
PubMed ID: 31902378
Flaxseed oil lowered hsCRP and other inflammation markers in gestational diabetes.
- Dietary Intake of n-3 PUFA-Enriched Hen Eggs Changes Inflammatory Markers' Concentration and Treg/Th17 Cells Distribution in Blood of Young Healthy Adults-A Randomised Study
PubMed ID: 34071714
Dietary nâ3 increased resolvins and decreased ILâ6 and proâinflammatory prostaglandin ratiosâdirect antiâinflammatory signals.
- The FADS1 rs174550 Genotype Modifies the n-3 and n-6 PUFA and Lipid Mediator Responses to a High Alpha-Linolenic Acid and High Linoleic Acid Diets
PubMed ID: 36367234
FADS1 genotype altered PUFA conversion and downstream oxylipins, showing mechanistic impact on inflammation pathways.
- A Walnut-Enriched Diet for 2 Years Changes the Serum Oxylipin Profile in Healthy Older Persons
PubMed ID: 38081585
Walnut intake raised ALA/EPA oxylipins and reduced several AAâderived oxylipins â biochemical shift toward lower proinflammatory mediators.
- Marine Ï-3 PUFA Supplementation Enhances FFAR4 Activation and Reduces Inflammatory Markers in PBMC of Subjects with Obesity: A Randomized Controlled Trial (EPICO)
PubMed ID: 41373925
Marine EPA/DHA supplementation decreased TNFâα, ILâ6, ILâ18 and increased ILâ10 in people with obesity â clear antiâinflammatory cytokine changes.
- Dietary supplementation with omega-3-polyunsaturated fatty acids decreases mononuclear cell proliferation and interleukin-1 beta content but not monokine secretion in healthy and insulin-dependent diabetic individuals
PubMed ID: 1656517
Omegaâ3 reduced PBMC proliferation and intracellular ILâ1ÎČ content â mechanistic immunomodulation consistent with lowered inflammation.
- Plasma lipid levels and platelet and neutrophil function in patients with vascular disease following fish oil and olive oil supplementation
PubMed ID: 1328817
Fish oil lowered neutrophil LTB4 generation and platelet aggregation â direct reductions in inflammatory/leukotriene pathways.
- Effects of different doses of fish oil on rectal cell proliferation in patients with sporadic colonic adenomas
PubMed ID: 7958682
Dose study in patients with colonic adenomas lowered rectal proliferative indices and shifted mucosal nâ3/nâ6 balanceâantiâinflammatory biomarker evidence.
- [Polyunsaturated omega-3 fatty acids in the treatment of experimental human gingivitis]
PubMed ID: 8720373
RCT showed reduced gingival inflammation and membrane EPA incorporationâdirect antiâinflammatory evidence.
- Effects of dietary fish oil and soy phosphatidylcholine on neutrophil fatty acid composition, superoxide release, and adhesion
PubMed ID: 9675609
Rapid neutrophil membrane fatty-acid changes (EPA/DHA increase, AA decrease) â relevant to lowering inflammatory potential.
- 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
Doubleâblind RCT showed clinically meaningful psoriasis improvement and changes in inflammatory eicosanoids.
- 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 stimulated leukotriene biosynthesis â direct reduction of inflammatory mediators.
- Impact of omega-3 fatty acid enriched TPN on leukotriene synthesis by leukocytes after major surgery
PubMed ID: 12553951
Postoperative randomized study: omegaâ3 TPN increased lessâpotent LTB5 vs LTB4 â biochemical shift to lower inflammatory eicosanoids.
- 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
Pediatric Crohn's RCT: lower relapse rate with enteric-coated omegaâ3 â clear clinical anti-inflammatory effect.
- Effects of short-term oral administration of dietary marine oils in patients with inflammatory bowel disease and joint pain: a pilot study comparing seal oil and cod liver oil
PubMed ID: 18374458
Short trial of marine oils lowered leukotriene B4 and reduced n-6:n-3 ratios with trends toward less joint pain (small study).
- The effects of omega-3 fatty acid supplementation in pregnancy on maternal eicosanoid, cytokine, and chemokine secretion
PubMed ID: 19390480
Pregnancy RCT showed increased EPA/DHA and reduced LPSâinduced PGE2 production ex vivo.
- Supplementation with fatty acids influences the airway nitric oxide and inflammatory markers in patients with cystic fibrosis
PubMed ID: 20639712
In cystic fibrosis patients, omegaâ3âfocused diet altered FA profile and reduced some inflammatory markers (ESR, ILâ8).
- Incorporation of n-3 PUFA and Îł-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
RCT in inflammatory arthritis demonstrating large biochemical incorporation and clinically meaningful reductions in disease activity and pain.
- ALOX5 gene variants affect eicosanoid production and response to fish oil supplementation
PubMed ID: 21296957
Fish oil raised EPA/DHA-derived eicosanoids and altered inflammatory metabolite profiles (genotype-dependent) â biochemical anti-inflammatory evidence.
- 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
HighâEPA supplementation shifted skin eicosanoid profiles toward less proâinflammatory mediators (robust tissue biochemical evidence).
- Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy
PubMed ID: 24589090
PGE2 decreased and EPA rose in immunonutrition arm â antiâinflammatory biochemical effect though product multiâcomponent.
- 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
No change in ILâ6/CRP and only borderline TNFâα decrease at high dose â modest antiâinflammatory signal in healthy adults.
- Generation and dietary modulation of anti-inflammatory electrophilic omega-3 fatty acid derivatives
PubMed ID: 24736647
Doseârelevant increases in neutrophil electrophilic Ïâ3 ketone derivatives (antiâinflammatory mediators).
- Stabilizing effect of combined eicosapentaenoic acid and statin therapy on coronary thin-cap fibroatheroma
PubMed ID: 24637411
EPA + statin lowered plaque lipid burden and inflammatory marker (PTX3) and macrophage accumulation.
- 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
Combined Ïâ3/leucine/probiotic product reduced CRP and improved function in sarcopenic older adultsâantiâinflammatory effect though multinutrient.
Brain health (192)
- 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
Symptom, mood and functioning improvements in firstâepisode schizophrenia indicate clinically meaningful central nervous system effects.
- Omega-3 fatty acid supplements in women at high risk of breast cancer have dose-dependent effects on breast adipose tissue fatty acid composition
PubMed ID: 20335550
Doseâdependent increases of EPA/DHA in serum and adipose demonstrate biochemical incorporationâmechanistic support for DHA availability to brain/neurons.
- 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
Antidepressant effect in elderly supports central nervous system benefit of Ïâ3 (DHA/EPA).
- A prospective, multicenter, randomized study of the efficacy of eicosapentaenoic acid for cerebral vasospasm: the EVAS study
PubMed ID: 23032083
EPA reduced vasospasm and infarction after SAH, directly protecting brain tissue from ischemic injury.
- The effect of souvenaid on functional brain network organisation in patients with mild Alzheimer's disease: a randomised controlled study
PubMed ID: 24475144
Multinutrient medical food including DHA/EPA preserved EEG network organisation in mild Alzheimer's over 24 weeks.
- The medical food Souvenaid affects brain phospholipid metabolism in mild Alzheimer's disease: results from a randomized controlled trial
PubMed ID: 28747210
Souvenaid (DHA/EPA + precursors) altered brain phospholipid MRS markers (PME/PDE) in mild ADâmechanistic brain effect.
- DHA, nutrient intake, and maternal characteristics as predictors of pregnancy outcomes in a randomised clinical trial of DHA supplementation
PubMed ID: 37806075
Large prenatal RCT: 1000 mg/d DHA increased maternal DHA status and reduced preterm birth â strong relevance for fetal brain development and later outcomes.
- Neuroprotective nutrients in pregnancy and infant brain function
PubMed ID: 40412614
Higher maternal DHA associated with multiple infant EEG/ERP markers of brain responsiveness â supportive observational/associative evidence for early brain development.
- Retinal development in very-low-birth-weight infants fed diets differing in omega-3 fatty acids
PubMed ID: 1386065
VLBW diets lacking LC nâ3 impaired rod photoreceptor function at term â shows developmental neural/retinal impact of nâ3 deficiency.
- 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 tracked dietary DHA in preterm infants and correlated with visual-evoked responses (neuro-visual indicator).
- Growth and development in term infants fed long-chain polyunsaturated fatty acids: a double-masked, randomized, parallel, prospective, multivariate study
PubMed ID: 11483802
Term infant AA+DHA formulas studied for growth and development; mixed but directly relevant to brain/visual development.
- Relationship between omega3 long-chain polyunsaturated fatty acid status during early infancy and neurodevelopmental status at 1 year of age
PubMed ID: 11972740
Infant groups with lower ALA/DHA had worse motor development at 1 year â strong developmental evidence.
- Fatty acid profiles, antioxidant status, and growth of preterm infants fed diets without or with long-chain polyunsaturated fatty acids. A randomized clinical trial
PubMed ID: 14569405
LCPâenriched formula raised plasma DHA in preterms to levels similar to breast milk â supports brain/retinal substrate supply.
- Maternal supplementation with very-long-chain n-3 fatty acids during pregnancy and lactation augments children's IQ at 4 years of age
PubMed ID: 12509593
Maternal cod liver oil supplementation led to ~4-point higher cognitive score in children at age 4 (randomized trial).
- Docosahexaenoic acid in red blood cells of term infants receiving two levels of long-chain polyunsaturated fatty acids
PubMed ID: 16540798
Infant formula with higher preformed DHA produced significantly higher infant RBC/plasma DHAâdirectly relevant to infant brain/visual development.
- Serum omega-3 fatty acids are associated with variation in mood, personality and behavior in hypercholesterolemic community volunteers
PubMed ID: 17383013
Higher EPA/DHA associated with lower depressive symptoms and better impulse control/personality traits (observational link to brain function).
- 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
Replacing corn oil with rapeseed oil in infant foods increased plasma nâ3 LCâPUFA during complementary feedingâdirect biomarker support pertinent to neurodevelopment.
- 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
Preterm infant trial showed doseâdependent increases in DHA status without blocking endogenous synthesisâsupports DHA availability for brain development.
- Telomere shortening in elderly individuals with mild cognitive impairment may be attenuated with Ï-3 fatty acid supplementation: a randomized controlled pilot study
PubMed ID: 24342530
In older adults with MCI, higher DHA correlated with less telomere shortening over 6 months â preliminary neuroprotective signal.
- Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial
PubMed ID: 26169870
Adding salmon to complementary infant foods robustly increased infant DHA and EPAâdirect and strong evidence for nutrients important to brain development.
- Modification of Docosahexaenoic Acid Composition of Milk from Nursing Women Who Received Alpha Linolenic Acid from Chia Oil during Gestation and Nursing
PubMed ID: 26247968
Maternal chia (ALA) raised milk ALA and transiently increased breast-milk DHA early in nursing and increased maternal erythrocyte EPAâsupports DHA supply to nursing infants.
- Predictors of treatment response in young people at ultra-high risk for psychosis who received long-chain omega-3 fatty acids
PubMed ID: 25585167
Reduced psychosis transition and improved functioning in UHR youth indicates neuroprotective/brainâhealth effects.
- 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
12âmonth RCT of perilla oil + nobiletin improved cognition and increased RBC DHA/ALA and serum BDNF vs perilla alone (combined product).
- 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
12âmonth RCT with phosphatidylserine + ALA improved several cognitive tests and raised serum nâ3 PUFAs in MCI patients (multiâingredient supplement).
- Serum Alpha-Linolenic Acid and Long-Term Multiple Sclerosis Activity and Progression
PubMed ID: 40674673
Higher serum ALA at MS onset associated with lower progression to definite MS and fewer relapses â relevant to CNS disease progression.
- A randomized placebo-controlled pilot trial of omega-3 fatty acids and alpha lipoic acid in Alzheimer's disease
PubMed ID: 24077434
Ïâ3 combined with αâlipoic acid slowed MMSE decline and preserved IADL in mildâmoderate Alzheimerâs over 12 months (pilot RCT signal).
- Cognitive response to fish oil, blueberry, and combined supplementation in older adults with subjective cognitive impairment
PubMed ID: 29458842
24 weeks of fish oil in older adults raised RBC EPA+DHA and reduced selfâreported cognitive problems (subjective cognitive benefit).
- 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
Termâinfant DHA formula produced earlier RBC/plasma DHA rises and transient improvement in visual acuityâsupporting neurodevelopment.
- 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
Adding DHA/AA to preterm formula raised infant plasma/RBC DHA to levels of breastfed infantsârelevant to neurodevelopmental substrate.
- Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants
PubMed ID: 9702915
Term infant DHA supplementation raised RBC DHA and improved objective visual acuity (neurovisual development).
- A randomized controlled trial of early dietary supply of long-chain polyunsaturated fatty acids and mental development in term infants
PubMed ID: 10755457
Randomized infant trial: early DHA (±AA) produced ~+7 points on Bayley MDI at 18 months â robust clinical cognitive benefit in early development.
- Impact of early dietary intake and blood lipid composition of long-chain polyunsaturated fatty acids on later visual development
PubMed ID: 11144440
Infant formula with DHA produced blood profiles like breast milk and improved visual development â supports neurodevelopmental/brain benefits.
- Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial
PubMed ID: 11483801
Large RCT in preterm infants: AA+DHA improved visual-evoked acuity and Bayley motor index â direct neurodevelopmental and sensory benefits.
- [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
Type of feeding markedly altered infant RBC DHA/AA by 60 days â strong biochemical support for brain LCPUFA supply.
- Randomized, double-blind trial of long-chain polyunsaturated fatty acid supplementation with fish oil and borage oil in preterm infants
PubMed ID: 15069395
Preterm infants: added LCPUFAs improved growth and mental development scores (Bayley) in subgroup â direct developmental/brain benefit.
- Growth and development of preterm infants fed infant formulas containing docosahexaenoic acid and arachidonic acid
PubMed ID: 15812447
Large RCT in preterm infants: DHA/ARA formula improved growth and Bayley developmental scores â strong brain development data.
- Visual maturation of term infants fed long-chain polyunsaturated fatty acid-supplemented or control formula for 12 mo
PubMed ID: 15817866
Term-infant trial with DHA+ARA improved visual acuity and markedly raised RBC DHA â supports early brain/visual development.
- Cognitive assessment of children at age 2(1/2) years after maternal fish oil supplementation in pregnancy: a randomised controlled trial
PubMed ID: 17185423
Highâdose maternal fish oil in pregnancy improved children's eyeâhand coordination at 2.5 years with cordâblood correlations.
- 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
Infant LCPUFA supported some cognitive measures comparable to breastfeeding.
- 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 had better recognition memory and problemâsolving.
- Three randomized controlled trials of early long-chain polyunsaturated Fatty Acid supplementation on means-end problem solving in 9-month-olds
PubMed ID: 19765006
Pooled RCTs: infant formula DHA+ARA improved problemâsolving at 9 months (direct cognitive benefit).
- 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
Schoolâage RCT showed improved verbal learning, memory and spelling with increased blood nâ3.
- 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
Randomized trial: DHA-supplemented formula improved visual development (VEP) at 12 months â evidence for early neuro/visual development.
- Attention among very low birth weight infants following early supplementation with docosahexaenoic and arachidonic acid
PubMed ID: 20624152
Very low birth-weight infants given DHA+AA showed better attention at 20 months â targeted neurodevelopmental benefit (attention).
- 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
Infants fed formula with DHA scored modestly higher on cognitive MDI at 18 months (RCT) â direct brain development effect.
- 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
Ïâ3 supplementation reduced inPLA2 and altered membrane PUFAs in youth at ultraâhigh psychosis risk â mechanistic and clinically relevant to brain health.
- Effects of fish oil supplementation on learning and behaviour of children from Australian Indigenous remote community schools: a randomised controlled trial
PubMed ID: 23756346
Large schoolâbased RCT in Indigenous children: ~750 mg DHA+EPA/day improved a nonâverbal cognitive score (DrawâAâPerson) over 20 weeks.
- DHA status is positively related to motor development in breastfed African and Dutch infants
PubMed ID: 23710566
Observational infant study linked higher RBC DHA at 3 months with better early motor pattern measures (developmental association).
- Effects of long-chain PUFA supplementation in infant formula on cognitive function in later childhood
PubMed ID: 23783296
Infant formula with DHA+ARA produced faster processing speed at age 6 (no IQ/attention change) â domainâspecific cognitive support.
- Effect of supplementation with long-chain Ï-3 polyunsaturated fatty acids on behavior and cognition in children with attention deficit/hyperactivity disorder (ADHD): a randomized placebo-controlled intervention trial
PubMed ID: 24958525
Children with ADHD showed improved working memory with EPA+DHA and biochemical incorporation â cognitive benefit in a clinical population.
- 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 raised maternal DHA at delivery â strong nutritional support for fetal brain development.
- Effects of different arachidonic acid supplementation on psychomotor development in very preterm infants; a randomized controlled trial
PubMed ID: 26424477
Higher AA:DHA in preterm formula improved psychomotor scores at 2 years in a randomized trial.
- Low Doses of Long-chain Polyunsaturated Fatty Acids Affect Cognitive Function in Elderly Japanese Men: A Randomized Controlled Trial
PubMed ID: 25891115
Lowâdose LCPUFA improved P300 latency (objective cognitive ERP) in older men after 4 weeks.
- 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
EPA rises associated with lower PTSD symptomsâneuromodulatory/brainâhealth relevance (correlational).
- Growth, metabolic markers, and cognition in 8-year old children born prematurely, follow-up of a randomized controlled trial with essential fatty acids
PubMed ID: 27502791
In veryâpreterm children, current DHA status associated with higher IQ at age 8 despite no direct longâterm RCT IQ effectâsupports DHA status relevance to cognitive outcome.
- Docosahexaenoic acid (DHA) and arachidonic acid (ARA) balance in developmental outcomes
PubMed ID: 28651697
Infant formula with DHA improved cognitive measures at moderate doses and altered RBC DHA/ARAâsupports developmental brain benefits when balanced.
- 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 brainâtargeted fatty acid supplementation increased newborn brain volumes on MRI (strong developmental signal).
- 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
Duplicate entry (same PMID) â strong longâterm neuroimaging evidence; kept for emphasis.
- Influence of Human Milk and Parenteral Lipid Emulsions on Serum Fatty Acid Profiles in Extremely Preterm Infants
PubMed ID: 29679529
Fishâoil parenteral lipids increased infant serum DHA/EPA in very preterm infantsârelevant to neurodevelopmental exposure.
- 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
APOEâstratified RCT substudy: APOE genotype modulated DHA incorporation and hippocampal atrophy â strong mechanistic/structural brain relevance.
- Effect of fish-oil supplementation on breastmilk long-chain polyunsaturated fatty acid concentration: a randomized controlled trial in rural Ethiopia
PubMed ID: 33159163
Maternal fishâoil raised DHA/EPA in breast milk substantially â supports infant brain DHA supply though clinical outcomes not shown here.
- 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 fattyâacid balance and homocysteine at birth linked to later child processing speed â prenatal FA markers associated with later cognitive processing.
- Longitudinal investigation of the relationship between omega-3 polyunsaturated fatty acids and neuropsychological functioning in recent-onset psychosis: A randomized clinical trial
PubMed ID: 33444934
Higher erythrocyte nâ3 correlated with better social cognition and fishâoil augmented social cognition in psychosis trial.
- Docosahexaenoic acid-rich algae oil supplementation on breast milk fatty acid profile of mothers who delivered prematurely: a randomized clinical trial
PubMed ID: 34728723
Maternal algaeâDHA substantially raised milk DHA (increasing infant DHA exposure relevant to brain development).
- 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 in very preterm infants improved linear growth to term equivalent â supportive of early developmental benefits (indirect brain relevance).
- Arachidonic and docosahexaenoic acid supplementation and brain maturation in preterm infants; a double blind RCT
PubMed ID: 38061271
RCT in very preterm infants: enteral ARA+DHA improved whiteâmatter microstructural maturation at termâequivalent age â robust neurodevelopmental biomarker.
- Effects of Long-Chain Polyunsaturated Fatty Acids in Combination with Lutein and Zeaxanthin on Episodic Memory in Healthy Older Adults
PubMed ID: 37447152
Combined RCTs found episodic memory improvements in older adults with baseline cognitive decline when given LCPUFAs + lutein/zeaxanthin â clinical cognitive benefit in atârisk subgroup.
- Polyunsaturated Fatty Acid Intake during Complementary Feeding and Neurodevelopmental Outcome in Very Low Birth Weight Infants
PubMed ID: 37513559
Prospective VLBW cohort: higher PUFA (DHA/AA) intake during first year associated with substantially better 12âmonth cognitive and motor scores.
- 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
12âmonth DHA (±MCT) RCT in MCI improved cognition and reduced Alzheimerârelated biomarkers â strong brain benefit.
- The LipiDiDiet trial: what does it add to the current evidence for Fortasyn Connect in early Alzheimer's disease?
PubMed ID: 31616139
Fortasyn Connect slowed clinical decline (CDRâSB) and reduced hippocampal atrophy in prodromal ADâstrong diseaseârelevant brainâprotective evidence.
- The effect of 12-wk Ï-3 fatty acid supplementation on in vivo thalamus glutathione concentration in patients "at risk" for major depression
PubMed ID: 26333890
Attenuation of thalamic GSH change related to mood suggests a neuroprotective/brainâhealth signal.
- Evaluation of Cognitive Performance following Fish-Oil and Curcumin Supplementation in Middle-Aged and Older Adults with Overweight or Obesity
PubMed ID: 33097947
In overweight older adults fish oil modestly improved cerebrovascular response during a processingâspeed task and improved processing speed in men â direct brain/cognitive benefit.
- Essential fatty acid status in neonates after fish-oil supplementation during late pregnancy
PubMed ID: 8541278
Maternal DHA supplementation raised neonatal DHA in umbilical tissues â directly supports brain/neuronal building blocks in newborns.
- Plasma fatty-acid composition and antioxidant capacity in low birth-weight infants fed formula enriched with n-6 and n-3 long-chain polyunsaturated fatty acids from purified phospholipids
PubMed ID: 11161546
Lowâbirthâweight infants fed LCP formula achieved plasma DHA toward humanâmilk levelsâsupports neonatal brain lipid status.
- 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
Term infants given LCP (DHA) had improved visual/stereoacuity and higher DHA â neonatal neural benefit.
- Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk
PubMed ID: 15333721
Infant RCT: DHAâenriched food raised RBC DHA +34% and improved visual development â developmental brain/visual benefit.
- 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 trial showed robust increases in maternal and cord DHA/EPA (biomarker support for fetal brain exposure) though no clinical pregnancy outcome differences.
- The effects of fish oil supplementation in pregnancy on breast milk fatty acid composition over the course of lactation: a randomized controlled trial
PubMed ID: 17957152
Maternal fish oil increased breast milk and infant DHA and correlated with some developmental scores â supports early brain DHA delivery and development.
- Omega-3 fatty acid supplementation in patients with recurrent self-harm. Single-centre double-blind randomised controlled trial
PubMed ID: 17267927
Mood and suicidality improvements are relevant to brain/mental health support in a clinical psychiatric population.
- Cognitive findings of an exploratory trial of docosahexaenoic acid and lutein supplementation in older women
PubMed ID: 18510807
DHA (± lutein) improved verbal fluency and some memory measures in older women (cognitive benefit).
- 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
Pregnancy supplementation (200 mg DHA) raised maternal/infant DHA â relevant to early brain development.
- Correlation between changes in blood fatty acid composition and visual sustained attention performance in children with inattention: effect of dietary n-3 fatty acids containing phospholipids
PubMed ID: 18469236
Children receiving EPA/DHA (especially phospholipid form) showed better sustained attention â supports cognitive/brain benefit.
- Neurodevelopmental outcomes of preterm infants fed high-dose docosahexaenoic acid: a randomized controlled trial
PubMed ID: 19141765
HighâDHA feeds in preterm infants improved 18âmonth cognitive scores in girls (sexâspecific neurodevelopment benefit).
- Beneficial effects of docosahexaenoic acid on cognition in age-related cognitive decline
PubMed ID: 20434961
24âweek DHA RCT in ageârelated cognitive decline improved episodic and recognition memory.
- 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 increased RBC DHA and altered cortical activation during attention tasks in boys.
- Enhanced increase of omega-3 index in response to long-term n-3 fatty acid supplementation from triacylglycerides versus ethyl esters
PubMed ID: 21063431
Reâesterified TAG form raised redâcell EPA+DHA index faster/higher â improved tissue delivery relevant to brain supply.
- Docosahexaenoic acid-rich fish oil modulates the cerebral hemodynamic response to cognitive tasks in healthy young adults
PubMed ID: 22020134
DHA increased prefrontal oxyhemoglobin during cognitive tasks (physiologic evidence for brain perfusion/activation).
- Docosahexaenoic acid for reading, cognition and behavior in children aged 7-9 years: a randomized, controlled trial (the DOLAB Study)
PubMed ID: 22970149
600 mg/day DHA for 16 weeks improved reading in poorer readers and reduced ADHDâtype behaviours (RCT evidence for cognitive/learning benefits in children).
- Docosahexaenoic acid-concentrated fish oil supplementation in subjects with mild cognitive impairment (MCI): a 12-month randomised, double-blind, placebo-controlled trial
PubMed ID: 22932777
12âmonth concentrated DHA improved multiple memory measures in older adults with MCI (randomized placeboâcontrolled trial).
- Effects of high-dose fish oil supplementation during early infancy on neurodevelopment and language: a randomised controlled trial
PubMed ID: 22348468
Highâdose infant fish oil increased infant DHA and produced modest gains in early communicative gestures (neurodevelopmental outcome).
- Omega-3 fatty acid augmentation of citalopram treatment for patients with major depressive disorder
PubMed ID: 22198441
Omegaâ3 augmentation improved depressive symptoms â relevant to brain/mentalâhealth support.
- 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
In children with ADHD, higher erythrocyte EPA+DHA correlated with better attention/behavior and spelling â biomarkerâlinked cognitive/brain benefits.
- Effects of docosahexaenoic acid supplementation during pregnancy on fetal heart rate and variability: a randomized clinical trial
PubMed ID: 23433688
Maternal DHA increased fetal heartârate variability and improved newborn motor/autonomic neurobehaviorâphysiologic brain development support.
- DHA supplementation improved both memory and reaction time in healthy young adults: a randomized controlled trial
PubMed ID: 23515006
Sixâmonth DHA RCT in young adults improved memory reaction times with sexâspecific cognitive benefitsâdirect cognitive/brain support evidence.
- 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
Small randomized study showed increased prefrontal activation and shorter P300 latency with krill/sardine oilâphysiologic evidence of improved brain function.
- 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
HighâDHA fish oil raised CSF DHA/EPA and greater CSF DHA increases correlated with favorable changes in tau biomarkers in mild AD.
- 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 8â12âyearâolds improved processing speed, attention and executive function after 3 months of omegaâ3 â direct cognitive benefits.
- Higher RBC EPA + DHA corresponds with larger total brain and hippocampal volumes: WHIMS-MRI study
PubMed ID: 24453077
Prospective cohort: higher RBC EPA+DHA associated with larger total brain and hippocampal volumes about 8 years later â strong observational support for brain preservation.
- Omega-3 fatty acid deficiency in infants before birth identified using a randomized trial of maternal DHA supplementation in pregnancy
PubMed ID: 24427279
Maternal 400 mg/d DHA raised maternal RBC DHA and influenced early infant language/visual outcomes (developmental/brain effect).
- 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
Openâlabel extension: PS enriched with DHA (100 mg/day) improved sustained attention and recognition memory in elderly with memory complaints (lowâquality evidence).
- Brain atrophy in cognitively impaired elderly: the importance of long-chain Ï-3 fatty acids and B vitamin status in a randomized controlled trial
PubMed ID: 25877495
High baseline combined EPA+DHA strongly potentiated Bâvitamin treatment effect to slow brain atrophy (~40% reduction) â compelling interaction for brainâhealth relevance.
- Reduced Symptoms of Inattention after Dietary Omega-3 Fatty Acid Supplementation in Boys with and without Attention Deficit/Hyperactivity Disorder
PubMed ID: 25790022
EPA+DHA margarine reduced parentârated attention problems in boys over 16 weeks and increased DHA statusârelevant to cognitive/brain support.
- Tolerability and safety of Souvenaid in patients with mild Alzheimer's disease: results of multi-center, 24-week, open-label extension study
PubMed ID: 25322923
Souvenaid (contains omegaâ3 among other nutrients) showed exploratory memory improvement in larger openâlabel exposure, supporting brainâtargeted formulation effects.
- Prenatal DHA supplementation and infant attention
PubMed ID: 27362506
Prenatal DHA supported maintained sustained visual attention in infants â developmental brain function evidence.
- Daily Enteral DHA Supplementation Alleviates Deficiency in Premature Infants
PubMed ID: 26846324
Enteral DHA in preterm infants raised blood DHA and improved growth trajectoryâsupports neonatal DHA repletion relevant to brain development.
- Effect of Docosahexaenoic Acid on a Biomarker of Head Trauma in American Football
PubMed ID: 26765633
Doseâdependent plasma DHA increases in college football players with likely attenuation of serum NFL (axonal injury marker) across a seasonâsupports neuroprotection.
- Prenatal supplementation with DHA improves attention at 5 y of age: a randomized controlled trial
PubMed ID: 27604770
Maternal prenatal DHA produced better sustained attention in children at age 5âsupport for developmental brain outcomes.
- Omega-3 Fatty Acid Status Enhances the Prevention of Cognitive Decline by B Vitamins in Mild Cognitive Impairment
PubMed ID: 26757190
Higher baseline omegaâ3 levels potentiated Bâvitamin cognitive benefits in older adults with MCI (interaction, supportive of omegaâ3 importance).
- Impact of Omega-3 Fatty Acid Supplementation on Memory Functions in Healthy Older Adults
PubMed ID: 26890759
26âweek supplementation in healthy older adults improved objectâlocation memory and raised blood omegaâ3 levels.
- 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 months of 2 g/day DHA in MCI raised serum DHA, improved cognition and slowed hippocampal atrophy â strong brainâsupport evidence.
- The n-3 Polyunsaturated Fatty Acids Supplementation Improved the Cognitive Function in the Chinese Elderly with Mild Cognitive Impairment: A Double-Blind Randomized Controlled Trial
PubMed ID: 28075381
6âmonth EPA+DHA RCT in elderly with MCI improved multiple cognitive domains and lowered proinflammatory markers.
- 24-month intervention with a specific multinutrient in people with prodromal Alzheimer's disease (LipiDiDiet): a randomised, double-blind, controlled trial
PubMed ID: 29097166
Fortasyn (multinutrient including DHA/EPA) RCT slowed clinical decline and hippocampal atrophy in prodromal Alzheimerâs (attribution limited).
- 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
Symptom and oxidativeâstress improvements in firstâepisode schizophrenia support neurological/brain health effects.
- DHA supplementation improves cognitive function via enhancing AÎČ-mediated autophagy in Chinese elderly with mild cognitive impairment: a randomised placebo-controlled trial
PubMed ID: 29142143
Large 24âmonth RCT: 2 g/day DHA improved cognitive scores and modulated AÎČ/autophagy biomarkers in MCI.
- 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
Large RCT in drugâresistant epilepsy showed ~40% seizure reductions with EPA or DHAâstrong evidence for neurological benefit.
- Compound-specific isotope analysis reveals no retroconversion of DHA to EPA but substantial conversion of EPA to DHA following supplementation: a randomized control trial
PubMed ID: 31204771
Isotopic evidence that EPA converts substantially to DHA in humansâimportant metabolic basis for brainâtargeted DHA formation from EPA supplementation.
- 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 improved infant visual attention (early brain function) though longâterm cognition confounded by SES.
- Homocysteine Status Modifies the Treatment Effect of Omega-3 Fatty Acids on Cognition in a Randomized Clinical Trial in Mild to Moderate Alzheimer's Disease: The OmegAD Study
PubMed ID: 30958356
Omega-3 improved some cognitive scores in Alzheimer's patients with good B-vitamin status (post-hoc subgroup benefit).
- Brain delivery of supplemental docosahexaenoic acid (DHA): A randomized placebo-controlled clinical trial
PubMed ID: 32690472
High-dose DHA increased CSF and plasma DHA/EPA in cognitively unimpaired adults, directly demonstrating brain delivery.
- Effect of folic acid combined with docosahexaenoic acid intervention on mild cognitive impairment in elderly: a randomized double-blind, placebo-controlled trial
PubMed ID: 32856190
DHA ± folic acid in MCI improved some cognitive test scores (combination strongest), but DHA-specific contribution uncertain.
- 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
Adjunct fish oil during recentâonset psychosis attenuated whiteâmatter deterioration on diffusion MRI â mechanistic protection of brain structure.
- 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
Multinutrient formula including omegaâ3 improved global cognition (ACEâR/MMSE) and functional measures in older adults with MCI â clinical cognitive benefit where omegaâ3 likely contributed.
- 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
Oilyâfish intake in 8â9âyearâolds raised blood nâ3 and modestly improved attention and cognitive flexibility.
- Omega-3 fatty acid, carotenoid and vitamin E supplementation improves working memory in older adults: A randomised clinical trial
PubMed ID: 34999335
24 months of combined DHA/EPA + carotenoids produced modest working memory improvements in older adults.
- Ï-3 Ethyl ester results in better cognitive function at 12 and 30 months than control in cognitively healthy subjects with coronary artery disease: a secondary analysis of a randomized clinical trial
PubMed ID: 33675344
Highâdose EPA+DHA over 30 months improved several cognitive domains in older adults with coronary disease.
- Supplementation with oil rich in eicosapentaenoic acid, but not in docosahexaenoic acid, improves global cognitive function in healthy, young adults: results from randomized controlled trials
PubMed ID: 34113957
EPAârich supplementation improved global cognitive accuracy, processing speed and memory accuracy in healthy young adults.
- Effects of Folic Acid Combined with DHA Supplementation on Cognitive Function and Amyloid-ÎČ-Related Biomarkers in Older Adults with Mild Cognitive Impairment by a Randomized, Double Blind, Placebo-Controlled Trial
PubMed ID: 33749643
Folic acid plus DHA improved select cognitive tests and reduced amyloidârelated blood markers in MCI patients.
- Maternal FADS2 single nucleotide polymorphism modified the impact of prenatal docosahexaenoic acid (DHA) supplementation on child neurodevelopment at 5 years: Follow-up of a randomized clinical trial
PubMed ID: 34543890
Prenatal DHA improved specific cognitive domains at age 5 in genotypeâdefined subgroup â RCT followâup with meaningful effect sizes in that subgroup.
- 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
fMRI connectivity changes tied to symptom improvements and increased erythrocyte EPA/DHA â mechanistic brainâhealth evidence.
- Emotion-Related Network Reorganization Following Fish Oil Supplementation in Depressed Bipolar Offspring: An fMRI Graph-Based Connectome Analysis
PubMed ID: 34139404
Changes in brain network efficiency with fish oil in depressed adolescents support neural network benefits relevant to brain health.
- 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 breathâholding spells in young children â a pediatric neurologic/behavioral improvement.
- Does antenatal supplementation with omega-3 affect child development and behavior during the first six months of life? A randomized double-blind placebo-controlled trial
PubMed ID: 36682094
Antenatal DHA produced some early infant developmental gains and fewer routineârelated behavior problems over first 6 months.
- Mediation Analysis to Untangle Opposing Associations of High-Dose Docosahexaenoic Acid With IQ and Bronchopulmonary Dysplasia in Children Born Preterm
PubMed ID: 37294565
Neonatal highâdose DHA in very preterm infants produced a modest IQ increase by age 5 â direct cognitive benefit.
- Docosahexaenoic Acid Supplementation for Neonatal Hyperbilirubinemia: A Double-Blind, Randomized Clinical Trial
PubMed ID: 38680033
Neonatal DHA reduced bilirubin, neuronal injury marker, and shortened phototherapy in newborns with severe jaundice â neuroprotective/brainâsparing neonatal evidence.
- 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
Oneâyear folic acid±DHA RCT in older adults with MCI showed modest but significant cognitive improvements with DHA+FA (n=280) and supportive biomarker changes.
- 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
Omegaâ3 reduced depressive relapse in older adultsâsupports brain/affective stability and resilience.
- Omega-3 polyunsaturated fatty acids supplementation improves memory in first-diagnosed, drug-naĂŻve patients with depression: Secondary analysis of data from a randomized controlled trial
PubMed ID: 38244783
Adjunct omegaâ3 produced a small improvement in immediate memory in depressed, drugânaĂŻve adults (cognitive benefit).
- Effects of Prenatal DHA Dose on Infant Visual Attention
PubMed ID: 40791013
Higher prenatal DHA improved infant visual habituation and maturation of attention markers â direct early brain development benefit.
- [Docosahexaenoic acid benefits on growth and body composition of septic neonates. Randomized trial]
PubMed ID: 40489675
Enteral DHA in neonates increased head circumference and growth markers â supportive of early brain development (infant outcome).
- Positive effects of folic acid supplementation on cognitive aging are dependent on Ï-3 fatty acid status: a post hoc analysis of the FACIT trial
PubMed ID: 33564824
Postâhoc of large RCT: folic acid slowed cognitive decline more in participants with lower baseline Ïâ3 â indicates Ïâ3 status modifies cognitive outcomes.
- Omega 3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial
PubMed ID: 10232294
Prolonged remission in bipolar disorder suggests neurologic/psychiatric benefits consistent with brain health support.
- Randomized, placebo-controlled study of ethyl-eicosapentaenoic acid as supplemental treatment in schizophrenia
PubMed ID: 12202284
EâEPA reduced schizophrenia symptom severity and dyskinesia as adjunctive therapyâevidence of CNS benefit in psychiatric illness.
- omega-3 Fatty acid treatment of women with borderline personality disorder: a double-blind, placebo-controlled pilot study
PubMed ID: 12505817
EthylâEPA produced neuropsychiatric symptom improvement (affective/behavioral domain relevant to brain health).
- 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
Maternal fish oil substantially increased breastâmilk DHA â supports infant brain DHA supply (biochemical evidence).
- 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 RBCâDHA and higher RBCâDHA correlated with better visual acuity â indirect functional brain/visual development signal.
- Omega-3 fatty acid treatment and T(2) whole brain relaxation times in bipolar disorder
PubMed ID: 15465995
MRI whole-brain relaxation time change after omega-3 suggests brain tissue/membrane effects (small study, uncertain clinical significance).
- The Oxford-Durham study: a randomized, controlled trial of dietary supplementation with fatty acids in children with developmental coordination disorder
PubMed ID: 15867048
Improvements in reading, spelling and behavior in children after fatty acid supplementation â cognitive/behavioral benefit signal.
- Ethyl-eicosapentaenoic acid in first-episode psychosis: a randomized, placebo-controlled trial
PubMed ID: 18162017
EâEPA accelerated clinical response in firstâepisode psychosisâdirect CNS/psychiatric outcome.
- Omega-3/omega-6 fatty acids for attention deficit hyperactivity disorder: a randomized placebo-controlled trial in children and adolescents
PubMed ID: 18448859
Children/adolescents with ADHD: a subgroup (esp. inattentive type) improved after months of omegaâ3/6.
- Depression in Parkinson's disease: a double-blind, randomized, placebo-controlled pilot study of omega-3 fatty-acid supplementation
PubMed ID: 18485485
Improved depression in Parkinson's patients may reflect central/brain effects of omega-3.
- 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
Pilot RCT in MCI reported cognitive benefits (ADAS-cog improvement in MCI subgroup) and RBC EPA correlated with better outcomes.
- Reduction in cerebral atrophy associated with ethyl-eicosapentaenoic acid treatment in patients with Huntington's disease
PubMed ID: 18831882
EthylâEPA associated with reduced regional brain atrophy in Huntington's diseaseâmorphologic neuroprotection signal.
- Long-chain omega-3 fatty acids for indicated prevention of psychotic disorders: a randomized, placebo-controlled trial
PubMed ID: 20124114
Omegaâ3 markedly reduced transition to psychosis and improved symptoms/functioning over 12 months (strong protective CNS effect).
- 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 with attached omegaâ3s improved immediate verbal memory in older adults with complaintsâdirect cognitive/brain benefit signal.
- Omega-3 supplementation lowers inflammation and anxiety in medical students: a randomized controlled trial
PubMed ID: 21784145
Reduced anxiety and lowered stimulated inflammatory cytokines in healthy students â supportive for brain/psychological health.
- 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
Large doubleâblind RCT of phosphatidylserine with attached omegaâ3 showed reduced ADHD symptomsâdirect behavioral/neurological benefit albeit combination product confounds isolate omegaâ3 effect.
- Untitled
PubMed ID: 23173831
Placeboâcontrolled crossover in older adults: 3 g/day Ïâ3 improved working memory and lowered BP/TG â direct cognitive benefit.
- Omega-3 fatty acids are protective against paclitaxel-induced peripheral neuropathy: a randomized double-blind placebo controlled trial
PubMed ID: 22894640
Oral omega-3 during paclitaxel chemotherapy substantially reduced peripheral neuropathy incidence and preserved nerve amplitudes â evidence of neuroprotective effect.
- Long-chain omega-3 fatty acids improve brain function and structure in older adults
PubMed ID: 23796946
26âweek randomized trial in healthy older adults showed improved executive function and white/gray matter integrity with highâdose fish oil.
- 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
Symptom and functioning improvements in atârisk youth indicate CNS/psychiatric benefit.
- Omega-3 supplementation and loneliness-related memory problems: secondary analyses of a randomized controlled trial
PubMed ID: 25264972
Higherâdose omegaâ3 slowed lonelinessârelated decline in verbal episodic memory over 4 months in an RCT subgroup â direct cognitive protection signal.
- Longer-term outcome in the prevention of psychotic disorders by the Vienna omega-3 study
PubMed ID: 26263244
Robust randomized trial showed substantial, sustained reduction in conversion to psychosis and longâterm symptomatic/functional benefits after a short omegaâ3 courseâstrong brain/mental health signal.
- 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 mildâmoderate Alzheimer's, higher plasma Ïâ3 after supplementation associated with less decline on ADASâcog (doseâresponse), supporting cognitive/brain benefit signal.
- Fatty fish intake and attention performance in 14-15Â year old adolescents: FINS-TEENS - a randomized controlled trial
PubMed ID: 28969711
Fattyâfish meals improved processing speed in adolescents vs meat or supplementsâcognitive performance benefit relevant to brain health.
- Randomized trial of omega-3 for autism spectrum disorders: Effect on cell membrane composition and behavior
PubMed ID: 28935269
Children/adolescents with autism: omegaâ3 raised erythrocyte nâ3 and showed withinâsubject improvements in social domains (behavioral signals but inconclusive).
- 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
nâ3PUFA treatment in firstâepisode schizophrenia correlated with biomarker and symptom improvementâsupports brainârelevant effects.
- Predictors of longer-term outcome in the Vienna omega-3 high-risk study
PubMed ID: 28823721
Blood EPA increases after Ïâ3 associated with lower longâterm transition to psychosisâsupports neuroprotective/brain health role.
- 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
EPAârich Ïâ3 improved parentârated executive function in youth with mood disordersâdirect cognitive/brain function benefit in an RCT context (secondary outcome).
- Effect of Omega-3 and -6 Supplementation on Language in Preterm Toddlers Exhibiting Autism Spectrum Disorder Symptoms
PubMed ID: 28748334
Increased DHA/EPA and improved communicative gestures in preterm toddlersâdirect developmental/brain outcome.
- Cognitive Changes with Omega-3 Polyunsaturated Fatty Acids in Non-Demented Older Adults with Low Omega-3 Index
PubMed ID: 29083439
Large RCT subgroup (low baseline omegaâ3) showed modest executive function preservation (COWAT) over 36 months.
- High-dose Ï-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 (EDSS) with Ïâ3+vitamin D, supporting CNS benefit.
- A potential role for adjunctive omega-3 polyunsaturated fatty acids for depression and anxiety symptoms in recent onset psychosis: Results from a 16âŻweek randomized placebo-controlled trial for participants concurrently treated with risperidone
PubMed ID: 30241990
Adjunct Ïâ3 improved global psychiatric symptoms (including affective domains) in recentâonset psychosisâneuropsychiatric benefit.
- An infant formula containing dairy lipids increased red blood cell membrane Omega 3 fatty acids in 4Â month-old healthy newborns: a randomized controlled trial
PubMed ID: 29433457
Infant formula with dairy lipids raised infant RBC DHA/DPA (biomarker linked to neurodevelopment/brain support).
- Effects of Long Chain Omega-3 Polyunsaturated Fatty Acids on Brain Function in Mildly Hypertensive Older Adults
PubMed ID: 30279397
DHAârich supplementation improved cerebrovascular responsiveness and neurovascular coupling (physiologic neuro benefit).
- 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
EPA+DHA increased plasma BDNF in firstâepisode schizophrenia with linkage to symptom improvementâa neurotrophic signal supportive of brain effects.
- Effect of Omega-3 Supplementation in Patients With Smell Dysfunction Following Endoscopic Sellar and Parasellar Tumor Resection: A Multicenter Prospective Randomized Controlled Trial
PubMed ID: 31950156
Multicenter RCT found omegaâ3 substantially reduced persistent olfactory loss after endonasal surgery â a meaningful neurologic recovery outcome.
- Omega-3 fatty acids ameliorate cognitive dysfunction in schizophrenia patients with metabolic syndrome
PubMed ID: 32304881
Schizophrenia patients with metabolic syndrome: omegaâ3 increased BDNF and improved delayed memoryâdirect CNS biomarker and cognition signal.
- Twelve Weeks of Additional Fish Intake Improves the Cognition of Cognitively Intact, Resource-Limited Elderly People: A Randomized Control Trial
PubMed ID: 35166302
12âweek foodâbased Ïâ3 intervention in lowâincome elderly raised RBC EPA/DPA and produced modest but significant cognitive test improvements (CASI).
- Omega-3 Supplementation for the Prevention of Cognitive Decline in Older Adults: Does It Depend on Homocysteine Levels?
PubMed ID: 35718871
MAPT secondary analysis: omegaâ3 or higher RBC nâ3 associated with modest cognitive benefits in older adults with low baseline homocysteineâbiomarkerâdependent cognitive support.
- 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
In bipolar patients omegaâ3 reduced depressive relapse/severity â supports mentalâhealth/brainâfunction benefits.
- Omega-3 Supplementation Reduces Schizotypal Personality in Children: A Randomized Controlled Trial
PubMed ID: 38300759
Child RCT: omegaâ3 supplementation reduced schizotypal personality traits with moderate effect sizes and some persistence, indicating neurodevelopmental/psychiatric benefit.
- 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
Anxiety symptom reductions in trial combining dietary change + omegaâ3 suggest CNS/brainârelated benefit, albeit multiâcomponent.
- Eicosapentaenoic acid versus placebo as adjunctive therapy in chronic migraine: A randomized controlled trial
PubMed ID: 39221580
Chronic migraine RCT: highâdose EPA reduced monthly migraine days and attack frequency â meaningful neurological benefit.
- N-3 PUFA supplementation alleviates anxiety symptoms by manipulating erythrocyte fatty acid levels in depression
PubMed ID: 38758363
Adjunctive supplementation in depressed patients produced biomarkerâlinked symptom improvements, supporting central nervous system/mentalâhealth effects.
- 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
Bipolar trial increased BDNF and reduced depression scores, indicating neurobiological benefits relevant to brain health.
- 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
Resistanceâtraining trial showed increased BDNF and neurotransmitters with omegaâ3, supporting neurotrophic/brain benefit signals.
- Treatment of delirium in intensive care patients with sepsis using daily intravenous infusions with omega-3 fatty acids
PubMed ID: 40643182
IV omegaâ3 reduced delirium days in septic ICU patients â clinically meaningful shortâterm brain function benefit.
- Effects of food supplementation on cognitive function, cerebral blood flow, and nutritional status in young children at risk of undernutrition: randomized controlled trial
PubMed ID: 32699176
Large randomized multinutrient (including ~426 mg DHA+EPA) improved working memory and cerebral blood flow in undernourished childrenâsupportive but not attributable solely to omegaâ3.
- The effect of omega-3 fatty acids supplementation on social and behavioral disorders of children with autism: a randomized clinical trial
PubMed ID: 33599431
Improved autism severity, stereotyped behaviours and social communication in children after 8 weeks suggests neurodevelopmental/brain effects (small RCT).
- The Effect of Omega-3 Fatty Acids on Thromboxane, Brain-Derived Neurotrophic Factor, Homocysteine, and Vitamin D in Depressive Children and Adolescents: Randomized Controlled Trial
PubMed ID: 33801688
Increased BDNF and symptom improvements in depressed youth indicate neurotrophic/brain-supporting action.
- Fish Oil Supplementation in Pregnancy and Neurodevelopment in Childhood-A Randomized Clinical Trial
PubMed ID: 33506965
Large maternal LCPUFA trial showed improved early language and behavior in childrenâstrong developmental brain-support evidence.
- The Effects of Specific Omega-3 and Omega-6 Polyunsaturated Fatty Acids and Antioxidant Vitamins on Gait and Functional Capacity Parameters in Patients with Relapsing-Remitting Multiple Sclerosis
PubMed ID: 34684661
24-month PUFA/antioxidant trial in MS improved gait and functional capacity, reflecting neurofunctional benefits (chronic CNS disease setting).
Immune support (130)
- Effectiveness of Ï-3 Polyunsaturated Fatty Acids Based Lipid Emulsions for Treatment of Patients after Hepatectomy: A Prospective Clinical Trial
PubMed ID: 27322311
Postâhepatectomy Ïâ3 PN reduced infections and complications alongside lower inflammatory markersâsuggests perioperative immune benefit.
- The muscle regeneration marker FOXP3 is associated with muscle injury in Duchenne muscular dystrophy
PubMed ID: 38388302
Randomized trial in Duchenne muscular dystrophy boys showed omegaâ3 LCPUFA reduced CD49d+ CD8+ Tâcells and altered FOXP3 associationsâdirect immunomodulatory evidence.
- Omega-3 nanoemulgel in prevention of radiation-induced oral mucositis and its associated effect on microbiome: a randomized clinical trial
PubMed ID: 37648997
Topical omegaâ3 altered oral microbiome and reduced mucositis severityâlocal mucosal immune/microbiome modulation consistent with protective immune effects.
- Ï-3 fatty acid alleviates virus-induced myocardial injury by regulating TLR4 and TLR3 expression
PubMed ID: 34298398
Omega-3 altered innate immune receptor expression (TLR3/TLR4) and lowered inflammatory factor secretion in virus-related myocardial injuryâdirect immunomodulatory evidence.
- Dietary and Plasma Polyunsaturated Fatty Acids Are Inversely Associated with Asthma and Atopy in Early Childhood
PubMed ID: 30145365
Higher earlyâchildhood PUFA (including omegaâ3) associated with lower odds of asthma/wheeze and allergic sensitizationâevidence of immune modulation in children.
- Treatment of delirium in intensive care patients with sepsis using daily intravenous infusions with omega-3 fatty acids
PubMed ID: 40643182
IV omegaâ3 in sepsis reduced delirium and shortened ICU/ventilation time â suggests clinically meaningful immunomodulatory effects in severe infection.
- 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
Longâterm VITAL followâup showed marine omegaâ3 supplementation modestly and persistently reduced incident autoimmune disease â meaningful immuneâmodulation benefit.
- Supplementation With Fish Oil in Pregnancy Reduces Gastroenteritis in Early Childhood
PubMed ID: 34927195
Maternal fish oil decreased gastroenteritis days/episodes in children, consistent with improved infection resilience.
- Atopic and non-atopic effects of fish oil supplementation during pregnancy
PubMed ID: 37696621
Maternal fish oil reduced early childhood infections and nonâatopic asthma incidence, indicating modulation of offspring immune outcomes.
- Effect of Postoperative Ï-3 Fatty Acid Immunonutritional Therapy on NK Cell Gene Methylation in Elderly Patients with Gastric Cancer
PubMed ID: 35467300
Postoperative Ïâ3 immunonutrition increased NK cell activity and altered TNFâα promoter methylationâevidence of immune enhancement.
- 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 omega-3 enriched nutrition increased immune cell markers (CD3+, CD4+) and reduced inflammatory cytokines and postoperative complicationsâstrong perioperative immune support evidence.
- Vitamin D and marine omega 3 fatty acid supplementation and incident autoimmune disease: VITAL randomized controlled trial
PubMed ID: 35082139
Large trial showed a modest reduction in incident autoimmune disease composite (significant when probable cases included), consistent with immune-modulating effects.
- Clinical and metabolic response to flaxseed oil omega-3 fatty acids supplementation in patients with diabetic foot ulcer: A randomized, double-blind, placebo-controlled trial
PubMed ID: 28716357
Flaxseed omegaâ3 improved wound healing and reduced inflammatory markers in diabetic foot ulcersâsupports improved local immune/healing response.
- Effect of omega 3 polyunsaturated fatty acids derived from fish oil in major burn patients: A prospective randomized controlled pilot trial
PubMed ID: 28153504
Fishâoil enriched enteral nutrition in burn patients reduced severe sepsis/septic shock incidence, indicating an immunomodulatory/clinical infection benefit.
- 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 and patients whose CCL2 fell had better surgical outcomesâimmune/inflammatory modulation linked to better recovery.
- Beneficial Effects of Omega-3 Supplement to the Enteral Feeding in Children With Mild to Moderate Sepsis
PubMed ID: 26704762
Enteral omegaâ3 in pediatric sepsis improved inflammatory markers, shortened PICU stay and lowered mortalityâstrong evidence of beneficial immunomodulation in sepsis.
- 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 with fishâoilâenriched emulsion reduced nosocomial infections and increased infectionâfree days (clear immune/clinical benefit).
- Effects of growing-up milk supplemented with prebiotics and LCPUFAs on infections in young children
PubMed ID: 24614142
Growingâup milk with prebiotics + nâ3 LCPUFA reduced infections in toddlers vs control (combined product limits attribution to nâ3 alone).
- Icosapent ethyl, a pure ethyl ester of eicosapentaenoic acid: effects on circulating markers of inflammation from the MARINE and ANCHOR studies
PubMed ID: 23325450
Highâdose EPA lowered inflammatory markers (hsCRP, LpâPLA2) â shows influence on systemic inflammatory/immune biomarkers.
- Omega-3 fatty acid therapy reduces triglycerides and interleukin-6 in hypertriglyeridemic HIV patients
PubMed ID: 23683266
Highâdose omegaâ3 decreased systemic ILâ6 and TNFâα in HIV patients â indicates immune modulation (reduction of proinflammatory cytokines).
- Randomized controlled trial of oral omega-3 PUFA in solar-simulated radiation-induced suppression of human cutaneous immune responses
PubMed ID: 23364005
EPA reduced UVâinduced skin immunosuppression (improved local cellâmediated immunity) â evidence of enhanced skin immune responsiveness.
- Fish oil-supplemented parenteral nutrition in patients following esophageal cancer surgery: effect on inflammation and immune function
PubMed ID: 23368915
Perioperative IV fishâoil reduced procalcitonin and improved CD4+/CD8+ ratiosâevidence of shortâterm immune modulation after surgery.
- Increased intake of oily fish in pregnancy: effects on neonatal immune responses and on clinical outcomes in infants at 6 mo
PubMed ID: 22218160
Pregnancy fish consumption altered neonatal immune cell cytokine responsesâsupports immune modulation in offspring.
- [The effects of Ï-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 decreased CRP, indicating enhanced/modified immune response.
- Untitled
PubMed ID: 23034965
Obese patients experienced lower adipose inflammatory gene expression and plasma ILâ6 after Ïâ3, consistent with modulating immune/inflammatory status.
- Untitled
PubMed ID: 22340541
Fishâoil enriched TPN in elderly postâop patients reduced ILâ6/TNFâα, infectious complications and shortened length of stay â strong clinical immune/antiâinfective signal.
- Untitled
PubMed ID: 22751375
Critically ill patients on fishâoil formula showed larger CRP reductions and less ulcer progression â supportive of immune/inflammatory benefit.
- 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
Fish oil + micronutrient enteral formula preserved immune adhesion markers and prevented pressureâulcer worsening in critically ill patients.
- Enteral nutrition with eicosapentaenoic acid, Îł-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
Early enteral EPA/GLA + antioxidants reduced progression to severe sepsis and shortened ICU stay â strong clinical immune/inflammatory benefit for this multiâcomponent formula.
- Comparison of the effects of different intravenous fat emulsions in patients with systemic inflammatory response syndrome and sepsis
PubMed ID: 22205554
Parenteral fish oil raised ILâ10 and lowered proinflammatory cytokines in sepsis/SIRS patients â immunomodulatory effects.
- Impact of postoperative omega-3 fatty acid-supplemented parenteral nutrition on clinical outcomes and immunomodulations in colorectal cancer patients
PubMed ID: 18416476
Postâcolorectal surgery IV omegaâ3 improved CD4+/CD8+ ratios and decreased ILâ6âimmune/inflammatory modulation.
- 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
Severe pancreatitis: omegaâ3 increased EPA, reduced CRP, and reduced organâsupport daysâimmune/inflammatory benefit.
- Fish oil supplementation modulates immune function in healthy infants
PubMed ID: 17374672
Infant fish oil raised erythrocyte nâ3 and increased L. paracaseiâinduced IFNâÎł, indicating altered/accelerated immune maturation.
- 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 parenteral fish oil shortened hospital stay and altered leukotriene profiles, consistent with beneficial modulation of host response to surgery.
- 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 diet enriched with EPA/GLA and antioxidants in severe sepsis markedly lowered 28-day mortality and increased ventilator/ICU-free daysâstrong clinical immunomodulatory effect in critical illness.
- The clinical value of parenteral immunonutrition in surgical patients
PubMed ID: 15906909
Postoperative parenteral nutrition containing omegaâ3 was associated with fewer infectious complications and faster rises in nutritional/immune markers (reduced infections = immune benefit).
- 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
nâ3âenriched enteral formula in HIV patients was associated with a statistically significant CD4 count increase â evidence of immune benefit in this setting.
- Effect of dietary intake of omega-3 and omega-6 fatty acids on severity of asthma in children
PubMed ID: 9551739
Pediatric asthma dietary n-3 increased blood omega-3 and reduced stimulated TNF-α production (biochemical immune modulation).
- 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
Fish-oil + vitamin E in cancer patients improved some immune parameters (T-helper/T-suppressor ratio, TNF) and associated with longer survival in malnourished subgroup.
- 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 IFNâÎł, TNFâα and certain oxylipins during chemo, indicating immune activation/modulation.
- Docosahexaenoic acid (DHA) supplementation attenuates changes in the concentration, phenotype, and response of immune peripheral blood cells in breast cancer patients undergoing neoadjuvant therapy. Secondary findings from the DHA-WIN trial
PubMed ID: 40405290
Highâdose DHA during neoadjuvant chemo preserved HLAâDR+ monocytes and prevented NLR rise; cytokine responses were also maintained (immuneâpreserving effect).
- Omega-3 polyunsaturated fatty acids supplementation improve clinical symptoms in patients with Covid-19: A randomised clinical trial
PubMed ID: 34516692
Small COVIDâ19 RCT reported reductions in inflammatory markers (CRP/ESR) and symptom improvements with EPA+DHA â immuneârelevant clinical signals.
- Dietary Supplementation with Transgenic Camelina sativa Oil Containing 20:5n-3 and 22:6n-3 or Fish Oil Induces Differential Changes in the Transcriptome of CD3(+) T Lymphocytes
PubMed ID: 34578993
Human supplementation raised EPA/DHA in immune cells and produced large, differential effects on Tâcell activation transcriptomes â direct immunomodulatory evidence.
- Higher-Dose DHA Supplementation Modulates Immune Responses in Pregnancy and Is Associated with Decreased Preterm Birth
PubMed ID: 34959801
Higherâdose prenatal DHA altered sRAGE/ILâ6 trajectories in ways that plausibly mediate reduced preterm birth â immune biomarker effects.
- Efficacy of Docosahexaenoic Acid for the Prevention of Necrotizing Enterocolitis in Preterm Infants: A Randomized Clinical Trial
PubMed ID: 33671220
Enteral DHA reduced NEC in preterm infants, an effect likely involving immune/resolution pathways.
- Effects of fish oils on ex vivo B-cell responses of obese subjects upon BCR/TLR stimulation: a pilot study
PubMed ID: 29195133
Fish oil altered Bâcell cytokine secretion and reduced ex vivo IgM â direct immuneâcell functional changes in humans.
- 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
Dramatic increases in antiâinflammatory ILâ10 and large drops in ILâ1ÎČ/ILâ6 in Duchenne trial indicate immune modulation/ resolution.
- The effects of EPA and DHA enriched fish oil on nutritional and immunological markers of treatment naĂŻve breast cancer patients: a randomized double-blind controlled trial
PubMed ID: 29061183
30âday EPA+DHA in newly diagnosed breast cancer patients preserved CD4+% and kept CRP stable vs increases in placebo (immune/inflammatory preservation).
- Fish Oil-Derived Fatty Acids in Pregnancy and Wheeze and Asthma in Offspring
PubMed ID: 28029926
Maternal fish oil reduced offspring LRTI and wheeze/asthma â indicates immune modulation and reduced respiratory infections.
- 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 DHA shifted inflammatory cell markers toward antiâinflammatory and was associated with fewer sepsis eventsâdirect immune/clinical infection benefit in neonates.
- The Effect of Krill Oil Supplementation on Exercise Performance and Markers of Immune Function
PubMed ID: 26407095
Krill oil increased NK cytotoxicity and PBMC ILâ2 after exercise, indicating enhancement of certain immune responses postâexercise.
- Omega 3 (n-3) fatty acids down-regulate nuclear factor-kappa B (NF-ÎșB) gene and blood cell adhesion molecule expression in patients with homozygous sickle cell disease
PubMed ID: 25976467
In sickleâcell patients, omegaâ3 raised DHA/EPA and lowered NFâÎșB expression and WBC count â clinical immunomodulatory effects.
- Effects of oral eicosapentaenoic acid versus docosahexaenoic acid on human peripheral blood mononuclear cell gene expression
PubMed ID: 26074314
EPA/DHA produced reproducible immune cell geneâexpression changes including downregulation of inflammatory transcription factors â immunomodulatory evidence.
- 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 randomized trial in ironâdeficient children: DHA/EPA reduced days ill at school and prevented ironârelated increases in respiratory illnessâclear clinical immune benefit.
- A prospective, randomized, controlled study of Ï-3 fish oil fat emulsion-based parenteral nutrition for patients following surgical resection of gastric tumors
PubMed ID: 24655407
Perioperative omegaâ3 in PN greatly reduced postoperative infectious complications (30%â3.8%) and blunted inflammatory rises â strong clinical immune/antiâinfective signal.
- Th1 and Th2 chemokines, vaccine-induced immunity, and allergic disease in infants after maternal Ï-3 fatty acid supplementation during pregnancy and lactation
PubMed ID: 21099447
Maternal Ïâ3 increased vaccineâspecific IgG titers in infants of nonâallergic mothersâdirect evidence of enhanced humoral vaccine response.
- DHA supplementation during pregnancy and lactation affects infants' cellular but not humoral immune response
PubMed ID: 21941411
DHA altered infant cellular immune markers (lower IFNâÎł, changed Tâcell subsets) indicating immune modulation (not uniformly 'boosting' but biologic effect).
- 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 fish-oil reduced IgE-associated allergy incidence in infants and higher maternal/infant DHA/EPA were linked to reduced allergic severity, indicating immune modulation.
- Fish oil supplementation improves neutrophil function during cancer chemotherapy
PubMed ID: 22160495
Low-dose fish oil during chemotherapy preserved neutrophil counts and function (phagocytosis, superoxide) versus controlâdirect immune benefit.
- Oral administration of docosahexaenoic acid attenuates interleukin-1ÎČ response and clinical course of septic neonates
PubMed ID: 22079797
DHA in septic neonates lowered proinflammatory ILâ1ÎČ and was associated with milder clinical courseâclinical immunologic benefit in infection context.
- 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
IV fish oil produced large TNFâα reductions in infants and correlated with clinical outcomes â immune/inflammatory modulation relevant to recovery.
- Prenatal docosahexaenoic acid supplementation and infant morbidity: randomized controlled trial
PubMed ID: 21807696
Prenatal DHA reduced infant illness incidence/duration and percent time ill early in life â indicates improved infant resistance/immune modulation.
- Adjunctive treatment of chronic periodontitis with daily dietary supplementation with omega-3 Fatty acids and low-dose aspirin
PubMed ID: 20572767
Adjunctive fish oil + lowâdose aspirin improved periodontal disease and lowered local inflammatory markers â suggests modulation of local immune/inflammatory response.
- Impact of a novel nutritional formula on asthma control and biomarkers of allergic airway inflammation in children
PubMed ID: 20545703
EPA/GLA formula in asthmatic children lowered FeNO and improved airway responsiveness â immunomodulatory effect in airway disease.
- Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy
PubMed ID: 19489765
Prenatal supplementation reduced IgEâassociated eczema and food allergy â immune modulation evidence.
- Fish-oil supplementation induces antiinflammatory gene expression profiles in human blood mononuclear cells
PubMed ID: 19515734
1.8 g/d EPA+DHA produced coherent downregulation of inflammatory and atherogenic gene pathways in PBMCs (modulation of immune gene expression).
- 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
Large 6âmonth randomized trial in schoolchildren found fewer and shorter mainly respiratory illnesses and lowered plasma TGFâÎČ1âstrong evidence of beneficial effects on infection susceptibility/disease course.
- Decreased cord blood IL-4, IL-13, and CCR4 and increased TGF-beta levels after fish oil supplementation of pregnant women
PubMed ID: 17980419
Prenatal fishâoil caused maternal/cord immune mRNA changes (lower Th2 cytokines, higher TGFâÎČ) indicating immunomodulation.
- 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 reduced disease activity and altered oxidative/vascular markers â shows immunomodulatory effects in autoimmune disease.
- n-3 Fatty acid supplementation and regular moderate exercise: differential effects of a combined intervention on neutrophil function
PubMed ID: 17391558
Omegaâ3 reduced neutrophil oxidative burst and, with exercise, helped preserve bactericidal activity â indicates immuneâmodulating (preserving) effects.
- The effect of omega-3 fatty acid supplementation on clinical and biochemical parameters of critically ill patients with COVID-19: a randomized clinical trial
PubMed ID: 33781275
ICU COVID randomized study found better 1âmonth survival and improved clinical/biochemical measures with omegaâ3 added to enteral feedsâsuggests improved host response in severe infection.
- 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
Ïâ3 increased neutrophil SPMs (resolvins) and decreased MPOâevidence of modulation toward resolution and reduced inflammatory oxidative activity.
- 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
TPN enriched with Ïâ3 shifted leukotriene production toward less inflammatory species and lowered systemic TNFâαâclear immune modulation.
- 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
Fishâoil enriched enteral nutrition reduced lung neutrophils and new organ failure in ARDS patients â immunomodulatory clinical benefit.
- Cow's milk-based beverage consumption in 1- to 4-year-olds and allergic manifestations: an RCT
PubMed ID: 26920136
Fortified milk with DHA and other immune actives reduced allergic episodes in children â indicates immune modulation though attribution to DHA alone is limited.
- Effect of Enteral Immunonutrition on Immune, Inflammatory Markers and Nutritional Status in Gastric Cancer Patients Undergoing Gastrectomy: A Randomized Double-Blinded Controlled Trial
PubMed ID: 30885012
Postoperative immunonutrition (contains Ïâ3) improved immune cell counts and lowered inflammation markers in gastrectomy patients.
- Efficacy of preoperative immunonutrition in locally advanced pancreatic cancer undergoing irreversible electroporation (IRE)
PubMed ID: 28162818
Preop immunonutrition (with Ïâ3s) before pancreatic IRE reduced complications and LOSâsupports improved perioperative resilience/immune outcomes (confounded).
- Is preoperative protein-rich nutrition effective on postoperative outcome in non-small cell lung cancer surgery? A prospective randomized study
PubMed ID: 26782276
Preoperative immuneânutrient (includes Ïâ3) reduced complications and albumin loss after NSCLC surgeryâclinical immune/recovery signal though multiânutrient.
- Immunonutrition suppresses acute inflammatory responses through modulation of resolvin E1 in patients undergoing major hepatobiliary resection
PubMed ID: 26965712
Preop EPAâcontaining immunonutrition raised resolvin E1, lowered ILâ6 and reduced postoperative infectionsâmechanistic and clinical immune benefit.
- Clinical and immunological impact of early postoperative enteral immunonutrition after total gastrectomy in gastric cancer patients: a prospective randomized study
PubMed ID: 23838912
Early postoperative immunonutrition lowered infections/leaks and shortened stayâconsistent immune support though formula included multiple agents.
- 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 feeding including Ïâ3s lowered complication rates after major head/neck cancer surgeryâclinical benefit though formula multiâcomponent.
- 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
Preoperative immunonutrition including Ïâ3s significantly reduced postoperative infectious complications and shortened SIRS durationâstrong clinical immune outcome.
- Influence of long chain polyunsaturated fatty acids and ornithine concentrations on complications after renal transplant
PubMed ID: 18816238
Observational link between higher RBC omegaâ3 and fewer kidneyâtransplant rejection events and less calcineurin toxicityâimmuneârelated association.
- Immunoenhanced enteral nutrition formulas in head and neck cancer surgery: a prospective, randomized clinical trial
PubMed ID: 18449445
Immuno-enhanced feeds including omega-3s were associated with fewer postoperative infections after head and neck surgery (small sample, multi-component).
- Effect of early postoperative enteral immunonutrition on wound healing in patients undergoing surgery for gastric cancer
PubMed ID: 15681102
Postoperative immunonutrition increased collagen deposition and markedly reduced wound-healing complications â implies improved host defense/wound response.
- Role of enteral immunonutrition in patients with gastric carcinoma undergoing major surgery
PubMed ID: 15851366
Immunonutrition containing omega-3s improved CD4 counts/ratios and reduced inflammatory cytokines in gastric cancer surgery patients.
- The influence of immunomodulatory diets on transplant success and complications
PubMed ID: 15729173
Renal transplant patients receiving arginine plus canola oil had fewer rejection episodes and less sepsis; canola provides omega-3/omega-9 â multi-factorial but immune outcomes improved.
- Nutritional approach in malnourished surgical patients: a prospective randomized study
PubMed ID: 11822956
Perioperative immunonutrition including omegaâ3 lowered postoperative complications and shortened hospital stay in malnourished surgical patientsâimmunomodulatory signal.
- Preoperative oral arginine and n-3 fatty acid supplementation improves the immunometabolic host response and outcome after colorectal resection for cancer
PubMed ID: 12464864
Preop arginine + nâ3 improved immune function and cut infection rates after colorectal surgery.
- A randomized controlled trial of preoperative oral supplementation with a specialized diet in patients with gastrointestinal cancer
PubMed ID: 12055582
Preoperative/perioperative immune formula (with nâ3) reduced postoperative infections and LOS.
- [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
Immuneâenhanced nutrition (including nâ3) improved immune markers and shortened hospital stay.
- Modulation of postoperative immune and inflammatory response by immune-enhancing enteral diet in gastrointestinal cancer patients
PubMed ID: 11819790
Enteral diet including omegaâ3 improved phagocytosis, respiratory burst and lowered CRP postâop.
- An immune-enhancing enteral diet reduces mortality rate and episodes of bacteremia in septic intensive care unit patients
PubMed ID: 10752808
Immuneâenhanced enteral diet including fish oil lowered mortality and infections in septic ICU patients.
- Artificial nutrition after pancreaticoduodenectomy
PubMed ID: 11075988
Faster immunometabolic recovery and reduced postoperative complication rates.
- Outcome and cost-effectiveness of perioperative enteral immunonutrition in patients undergoing elective upper gastrointestinal tract surgery: a prospective randomized study
PubMed ID: 10593328
Fewer early postoperative infections and documented plasma EPA/DHA increases with supplemented feed.
- Immunonutrition in gastric cancer surgical patients
PubMed ID: 9834924
Perioperative supplementation preserved neutrophil function and reduced ILâ6âimmune function preserved.
- Influence of arginine, omega-3 fatty acids and nucleotide-supplemented enteral support on systemic inflammatory response syndrome and multiple organ failure in patients after severe trauma
PubMed ID: 9530643
Fewer SIRS days, lower MOF scores and improved immune markers in trauma patients.
- Effect of route of delivery and formulation of postoperative nutritional support in patients undergoing major operations for malignant neoplasms
PubMed ID: 9366716
Improved immune recovery and shorter LOS in large randomized trial with immunonutrition.
- Effects of an immune-enhancing diet in critically injured patients
PubMed ID: 9191677
Faster normalization of some monocyte functions, but clinical outcomes were worse (higher ARDS); mixed evidence.
- Early postoperative enteral immunonutrition: clinical outcome and cost-comparison analysis in surgical patients
PubMed ID: 9295822
Late postoperative infectious events reduced in immunonutrition arm (multicenter RCT).
- Immune and nutritional effects of early enteral nutrition after major abdominal operations
PubMed ID: 8639722
Faster recovery of prealbumin/RBP and improved monocyte phagocytosis with milder infections.
- Clinical outcome and immunology of postoperative arginine, omega-3 fatty acids, and nucleotide-enriched enteral feeding: a randomized prospective comparison with standard enteral and low calorie/low fat i.v. solutions
PubMed ID: 8875537
More favorable immune cell profiles vs IV feeding, though small sample and mixed results.
- A randomized trial of isonitrogenous enteral diets after severe trauma. An immune-enhancing diet reduces septic complications
PubMed ID: 8857857
Severely injured patients on immuneâenhancing diet had far fewer major infections vs controls.
- Benefits of early postoperative enteral feeding in cancer patients
PubMed ID: 8924741
Cancer surgery patients had improved immune function (monocyte phagocytosis) and fewer/severe infections.
- Enteral nutrition during multimodality therapy in upper gastrointestinal cancer patients
PubMed ID: 7726669
Markedly lower infectious complications with increased omegaâ3 incorporation and lowered PGE2.
- 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
Sepsis subgroup experienced substantially fewer infections and improved fatty acid profiles.
- Enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids in patients after operation: immunologic, metabolic, and clinical outcome
PubMed ID: 1377838
Clear reductions in postoperative infectious/wound complications and improved nitrogen balanceâstrong immune/clinical signal.
- Differential effects of three enteral dietary regimens on selected outcome variables in burn patients
PubMed ID: 2112634
Burn patients had fewer wound infections on enriched formulaâclinical immune benefit though multiânutrient.
- 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 prevented PM2.5âinduced increases in proinflammatory lipid mediatorsâprotective immunoâinflammatory effect.
- 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
Higher EPA produced antiâinflammatory oxylipins and some SPMs in inflamed depressed patients â supports promotion of resolution pathways in immunity.
- Reduction of Arachidonate Is Associated With Increase in B-Cell Activation Marker in Infants: A Randomized Trial
PubMed ID: 27276431
Infant formula ARA levels affected lymphocyte ARA and Bâcell activation markers, demonstrating immunomodulatory effects of PUFA intake.
- 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 omegaâ3 increased milk EPA/DHA and was associated with reduced IgEârelated allergic disease in infants (immune modulation).
- The impact of an omega-3 fatty acid rich lipid emulsion on fatty acid profiles in critically ill septic patients
PubMed ID: 27637335
In septic critically ill patients parenteral fish oil shifted immuneârelevant lipid mediators and was associated with improved survival trends.
- Preoperative immunonutrition decreases postoperative complications by modulating prostaglandin E2 production and T-cell differentiation in patients undergoing pancreatoduodenectomy
PubMed ID: 24589090
Preoperative immunonutrition including Ïâ3s reduced postoperative infections and lowered PGE2 with increased EPA â clinical infection reduction though multiânutrient product.
- The impact of early nutrition on incidence of allergic manifestations and common respiratory illnesses in children
PubMed ID: 20227721
DHA/ARAâsupplemented infant formula reduced URIs, wheezing/asthma and allergy up to age 3âclinically meaningful immune/respiratory outcomes.
- Long-chain polyunsaturated fat supplementation in children with low docosahexaenoic acid intakes alters immune phenotypes compared with placebo
PubMed ID: 18493214
AA+DHA changed pediatric immune cell phenotypes and cytokine responses (mechanistic immune effects).
- Supplementation of omega-3 fatty acids in parenteral nutrition beneficially alters phospholipid fatty acid pattern
PubMed ID: 17202435
Parenteral omegaâ3 enriched emulsions incorporated EPA/DHA and trended to fewer postoperative infections.
- 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
Reduced relapse in Crohn's suggests clinically relevant immunomodulation in an immuneâmediated disease.
- Impact of omega-3 fatty acid enriched TPN on leukotriene synthesis by leukocytes after major surgery
PubMed ID: 12553951
Postoperative omegaâ3 TPN increased production of lessâactive LTB5 vs LTB4 â alters leukotriene profile (immune modulation rather than boosting).
- Marine Ï-3 PUFA Supplementation Enhances FFAR4 Activation and Reduces Inflammatory Markers in PBMC of Subjects with Obesity: A Randomized Controlled Trial (EPICO)
PubMed ID: 41373925
Marine nâ3 increased FFAR4 activation in immune cells and lowered proinflammatory cytokines while raising ILâ10 â immuneâmodulatory (antiâinflammatory) effects.
- Serum Alpha-Linolenic Acid and Long-Term Multiple Sclerosis Activity and Progression
PubMed ID: 40674673
Higher serum ALA at MS onset associated with fewer relapses and delayed progressionâconsistent with beneficial immune modulation in autoimmune disease.
- Dietary Intake of n-3 PUFA-Enriched Hen Eggs Changes Inflammatory Markers' Concentration and Treg/Th17 Cells Distribution in Blood of Young Healthy Adults-A Randomised Study
PubMed ID: 34071714
nâ3 egg diet shifted immune cells and increased proâresolution mediators (RvE1), indicating modulation of immune responses toward resolution.
- 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 reduced ILâ6 production by PBMCs â evidence of immuneâmodulatory (antiâinflammatory) action.
- Dietary Buglossoides Arvensis Oil Increases Circulating n-3 Polyunsaturated Fatty Acids in a Dose-Dependent Manner and Enhances Lipopolysaccharide-Stimulated Whole Blood Interleukin-10-A Randomized Placebo-Controlled Trial
PubMed ID: 28287415
Ahiflower (SDA) doseâresponse: increased EPA/DPA and substantially raised antiâinflammatory ILâ10 production from stimulated blood.
- Parenteral MCT/Ï-3 Polyunsaturated Fatty Acid-Enriched Intravenous Fat Emulsion Is Associated With Cytokine and Fatty Acid Profiles Consistent With Attenuated Inflammatory Response in Preterm Neonates: A Randomized, Double-Blind Clinical Trial
PubMed ID: 26378118
Ï-3 enriched IV emulsions reduced IL-6/IL-8 in preterm neonatesâdemonstrates immune/cytokine-modulating effects of Ï-3s in a clinical setting.
- Docosahexaenoic acid-enriched canola oil increases adiponectin concentrations: a randomized crossover controlled intervention trial
PubMed ID: 25240692
DHA-enriched oil lowered inflammatory gene expression (IL1B) and hsCRPâindicates immunomodulatory anti-inflammatory action.
- Immunomodulatory and therapeutic effects of Hot-nature diet and co-supplemented hemp seed, evening primrose oils intervention in multiple sclerosis patients
PubMed ID: 24050582
RRMS trial with hemp seed and evening primrose oils (sources of ALA) showed improved clinical scores and favorable cytokine changes over 6 monthsâevidence of immune modulation.
- 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 clusterârandomized trial in schoolchildren found fewer and shorter respiratory and GI illness episodes with higher nâ3 fortified foodsâdirect clinical immune benefit.
- 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
TPN study in malnourished colorectal cancer patients found Ïâ3âcontaining emulsions improved neutrophil phagocytosis â direct immune function benefit.
- 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
Fishâoil lipid in very preterm infants lowered ILâ1ÎČ/ILâ6 and reduced BPD incidenceâevidence of immune/inflammatory modulation with clinical benefit.
Eye health (84)
- Re-Esterified Triglyceride Ï-3 Fatty Acids in Dry Eye Disease With Meibomian Gland Dysfunction: A Randomized Clinical Trial
PubMed ID: 38753336
Reâesterified TG omegaâ3 produced modest objective improvements in tear stability (TBUT) and eyelid signs despite no symptom change.
- Dietary Nutrient Intake and Progression to Late Age-Related Macular Degeneration in the Age-Related Eye Disease Studies 1 and 2
PubMed ID: 32858063
Analyses of AREDS/AREDS2 show higher dietary DHA/EPA intake correlated with reduced progression to late AMD (associative evidence, stronger for geographic atrophy).
- Retinal development in very-low-birth-weight infants fed diets differing in omega-3 fatty acids
PubMed ID: 1386065
VLBW infants on nâ3âdeficient formula showed worse rod photoreceptor function at term â demonstrates importance of nâ3 for retinal development.
- Effect of long-chain n-3 fatty acid supplementation on visual acuity and growth of preterm infants with and without bronchopulmonary dysplasia
PubMed ID: 8615350
Marine longâchain nâ3 in preterm infants improved early visual acuity â direct evidence for early eye/visual benefit.
- Fatty acid profile of buccal cheek cell phospholipids as an index for dietary intake of docosahexaenoic acid in preterm infants
PubMed ID: 10443966
Cheek-cell DHA correlated with visual-evoked potential acuity and ERG in preterm infantsâdirect link to visual function.
- [Photodynamic therapy for age related macular degeneration with and without antioxidants]
PubMed ID: 12518724
Antioxidants + PUFAs accelerated retinal metabolic recovery after PDT (shortâterm objective effect).
- Fatty acid supply with complementary foods and LC-PUFA status in healthy infants: results of a randomised controlled trial
PubMed ID: 26169870
Infant feeding with salmon increased DHA/EPAâDHA is important for retinal development, so biomarker increases support eye-health relevance in infants.
- An Oral Polyphenol Formulation to Modulate the Ocular Surface Inflammatory Process and to Improve the Symptomatology Associated with Dry Eye Disease
PubMed ID: 35956412
12âweek oral formulation combining blueberry polyphenols + omegaâ3s significantly improved dryâeye symptoms, tear stability and ocular staining vs placebo â clear clinical eye benefit.
- 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
Termâinfant DHA formula produced transient improvement in grating visual acuity â direct eye/visual development endpoint.
- Influence of feeding artificial-formula milks containing docosahexaenoic and arachidonic acids on the postnatal long-chain polyunsaturated fatty acid status of healthy preterm infants
PubMed ID: 8958000
Preterm infant formula with DHA increased infant plasma/RBC DHA to breastfed levelsâimportant for retinal development.
- Visual acuity and the essentiality of docosahexaenoic acid and arachidonic acid in the diet of term infants
PubMed ID: 9702915
Supplemented infant formula raised RBC DHA to breastâfed levels and improved VEP visual acuity at multiple ages.
- Impact of early dietary intake and blood lipid composition of long-chain polyunsaturated fatty acids on later visual development
PubMed ID: 11144440
Infant formula enriched with DHA improved visual development up to 1 year and normalized blood DHA to breastfed levels.
- Growth and development in preterm infants fed long-chain polyunsaturated fatty acids: a prospective, randomized controlled trial
PubMed ID: 11483801
Preterm infant formula with AA+DHA improved visual-evoked acuity (objective VEP measure) â direct eye development benefit.
- Visual function in breast-fed term infants weaned to formula with or without long-chain polyunsaturates at 4 to 6 months: a randomized clinical trial
PubMed ID: 12838196
Randomized infant formula trial: DHA+ARA increased RBCâDHA and improved visual evoked potential acuity at 1 year â direct eye/visual development benefit.
- Visual maturation of term infants fed long-chain polyunsaturated fatty acid-supplemented or control formula for 12 mo
PubMed ID: 15817866
Term infants fed DHA+ARA had improved visual acuity and much higher RBC DHA â strong support for infant visual development.
- Visual acuity and cognitive outcomes at 4 years of age in a double-blind, randomized trial of long-chain polyunsaturated fatty acid-supplemented infant formula
PubMed ID: 17240089
Infant LCPUFA supported visual acuity comparable to breastâfed children at age 4.
- Soy-based infant formula supplemented with DHA and ARA supports growth and increases circulating levels of these fatty acids in infants
PubMed ID: 17912568
DHA+ARA formula raised infant DHA/ARA levels; supports retinal substrate but clinical visual outcome not primary.
- Higher dose of docosahexaenoic acid in the neonatal period improves visual acuity of preterm infants: results of a randomized controlled trial
PubMed ID: 18842793
Preterm infants fed higher DHA achieved better visual acuity by 4 months (functional outcome).
- The DIAMOND (DHA Intake And Measurement Of Neural Development) Study: a double-masked, randomized controlled clinical trial of the maturation of infant visual acuity as a function of the dietary level of docosahexaenoic acid
PubMed ID: 20130095
Large RCT: DHA-supplemented infant formula improved visual-evoked potential acuity at 12 months (clear clinical eye development benefit).
- Liquid human milk fortifier significantly improves docosahexaenoic and arachidonic acid status in preterm infants
PubMed ID: 24863250
Preterm infants receiving liquid humanâmilk fortifier with DHA+ARA had improved infant plasma DHA/ARA â supports retinal/visual development nutritionally.
- A dose response randomised controlled trial of docosahexaenoic acid (DHA) in preterm infants
PubMed ID: 25997653
Enteral DHA in very preterm infants raised blood DHA doseâdependentlyârelevant to retinal DHA supply in preterms.
- What is the relationship between gestational age and docosahexaenoic acid (DHA) and arachidonic acid (ARA) levels?
PubMed ID: 26205427
Demonstrated that preterm infants have much lower DHA/ARA concentrations â supports need for DHA/ARA for eye development.
- Protective effects of dietary supplementation with natural Ï-3 polyunsaturated fatty acids on the visual acuity of school-age children with lower IQ or attention-deficit hyperactivity disorder
PubMed ID: 26015389
Randomized trial: children consuming omegaâ3ârich eggs had greater improvement in visual acuity and higher RBC DHAâdirect eyeâhealth benefit.
- Docosahexaenoic acid (DHA) and arachidonic acid (ARA) balance in developmental outcomes
PubMed ID: 28651697
Large infant formula trial showed improved visual acuity with DHA supplementationâstrong pediatric eyeâdevelopment evidence.
- Association of Retinopathy of Prematurity With Low Levels of Arachidonic Acid: A Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 29423508
Low postnatal arachidonic acid strongly predicted retinopathy of prematurity; AA/DHA balance is implicated in ROP risk.
- Effect of fish-oil supplementation on breastmilk long-chain polyunsaturated fatty acid concentration: a randomized controlled trial in rural Ethiopia
PubMed ID: 33159163
Maternal fishâoil substantially increased breastâmilk DHA/EPA â supports neonatal/infant retinal DHA supply though direct eye outcomes not reported.
- Effect of Enteral Lipid Supplement on Severe Retinopathy of Prematurity: A Randomized Clinical Trial
PubMed ID: 33523106
Large multicenter RCT in extremely preterm infants: enteral AA+DHA halved sightâthreatening ROP â very strong eyeâhealth clinical evidence.
- Randomized Controlled Trial of Early Docosahexaenoic Acid and Arachidonic Acid Enteral Supplementation in Very Low Birth Weight Infants
PubMed ID: 33358843
Highâdose enteral DHA+ARA in VLBW infants rapidly raised blood DHA and ARA â relevant to retinal LCPUFA supply and eye development.
- 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
RCT in preterm infants: enteral AA+DHA reduced severe retinopathy of prematurity by ~50% (strong ocular benefit).
- Platelet characteristics in extremely preterm infants after fatty acid supplementation: a randomized controlled trial
PubMed ID: 39702768
Enteral AA+DHA in extremely preterm infants halved severe ROP incidence (statistically significant) with platelet and protein changes â strong, clinically relevant eye benefit.
- Efficacy of topical microemulsion of fatty acids of the Ï-3 series on the sub-epithelial corneal nerves regeneration after epithelium-off corneal collagen cross-linking for keratoconus
PubMed ID: 31571089
Topical Ïâ3 after corneal crossâlinking accelerated corneal nerve fiber regrowth and improved ocular symptoms in RCT â direct eye benefit.
- 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
Term infants fed LCP (DHA) after 6 weeks showed consistent, clinically meaningful improvements in visual acuity and stereoacuity.
- Further evaluation of docosahexaenoic acid in patients with retinitis pigmentosa receiving vitamin A treatment: subgroup analyses
PubMed ID: 15364709
In retinitis pigmentosa patients starting vitamin A, adding DHA slowed retinal-function decline for the first two years â clinical eye benefit in a subgroup.
- Maturation of visual acuity is accelerated in breast-fed term infants fed baby food containing DHA-enriched egg yolk
PubMed ID: 15333721
Infant RCT: DHA in baby food raised RBC DHA +34% and improved visual acuity by â1.5 lines at 12 months â strong eye development evidence.
- A docosahexaenoic acid-functional food during pregnancy benefits infant visual acuity at four but not six months of age
PubMed ID: 17393217
Maternal DHA supplementation improved infant visual acuity at 4 months (statistically significant result).
- The influence of supplemental lutein and docosahexaenoic acid on serum, lipoproteins, and macular pigmentation
PubMed ID: 18469279
DHA (± lutein) supplementation raised serum DHA and produced modest, locationâspecific increases in macular pigment optical densityâdirect ocular biomarker benefit.
- Supplementation with 200 mg/day docosahexaenoic acid from mid-pregnancy through lactation improves the docosahexaenoic acid status of mothers with a habitually low fish intake and of their infants
PubMed ID: 18446020
Maternal 200 mg/day DHA raised breastâmilk and infant RBC DHA â relevant to visual/retinal development.
- Essential n-3 fatty acids in pregnant women and early visual acuity maturation in term infants
PubMed ID: 18326591
Maternal DHA modestly increased odds of better early infant visual acuity â direct evidence for infant eye development.
- Dietary Ï-3 fatty acid and fish intake and incident age-related macular degeneration in women
PubMed ID: 21402976
Large prospective cohort: higher DHA/EPA and weekly fish intake strongly associated with ~35â45% lower incident visionâthreatening AMD (strong observational evidence).
- Pilot, prospective, randomized, double-masked, placebo-controlled clinical trial of an omega-3 supplement for dry eye
PubMed ID: 21045648
Pilot RCT: daily omegaâ3 reduced dryâeye symptoms and increased tear production (symptomatic and objective ocular surface benefit).
- Ï-3 intake and visual acuity in patients with retinitis pigmentosa receiving vitamin A
PubMed ID: 22332205
Higher dietary longâchain Ïâ3 intake associated with substantially slower central visual acuity and field loss in retinitis pigmentosa patients â strong diseaseâspecific support.
- Effects of lutein and docosahexaenoic Acid supplementation on macular pigment optical density in a randomized controlled trial
PubMed ID: 23434908
Lutein+DHA for 1 year increased macular pigment density in early AMD patients â good biomarker/retinal antioxidant signal though no VA change at 1 year.
- Macular xanthophylls and Ï-3 long-chain polyunsaturated fatty acids in age-related macular degeneration: a randomized trial
PubMed ID: 23519529
Randomized trial of lutein/zeaxanthin plus Ïâ3s increased macular pigment optical density and plasma xanthophylls over 12 monthsâdirect eyeâhealth benefit.
- Short-term consumption of oral omega-3 and dry eye syndrome
PubMed ID: 23642375
Doubleâblind RCT found 1 month of EPA+DHA improved tear breakâup time, symptoms and tear production in dry eyeârobust shortâterm benefit.
- Fish-oil fat emulsion supplementation reduces the risk of retinopathy in very low birth weight infants: a prospective, randomized study
PubMed ID: 23963690
IV fishâoil lipid emulsion in veryâlowâbirthâweight infants markedly reduced severe ROP requiring treatment â strong neonatal retinal benefit.
- Circulating omega-3 Fatty acids and neovascular age-related macular degeneration
PubMed ID: 24557349
Observational data: higher circulating EPA and RBC EPA+DHA strongly associated with much lower odds of neovascular (wet) AMD.
- 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
Adjunct omegaâ3 supplementation in wet AMD patients receiving antiâVEGF was associated with lower vitreous VEGFâA â promising local ocular biomarker change.
- Docosahexaenoic Acid Slows Visual Field Progression in X-Linked Retinitis Pigmentosa: Ancillary Outcomes of the DHAX Trial
PubMed ID: 26469750
4âyear RCT: highâdose DHA slowed loss of visual field sensitivity in Xâlinked retinitis pigmentosa (clinically meaningful effect).
- 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
3âyear DHA trial did not change overall AMD progression but markedly reduced new CNV in CFH nonârisk genotype subgroup (genotypeâdependent benefit).
- Oral omega-3 fatty acids treatment in computer vision syndrome related dry eye
PubMed ID: 25697893
Large multicentre doubleâblind RCT: oral omegaâ3 capsules reduced dryâeye symptoms and improved tear stability and objective signsâstrong evidence for ocular surface benefit.
- 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: highâdose omegaâ3 improved dryâeye symptoms and tear stability (TBUT) over 45 days.
- A Randomized, Double-Masked, Placebo-Controlled Clinical Trial of Two Forms of Omega-3 Supplements for Treating Dry Eye Disease
PubMed ID: 27817918
Krill and fish oil lowered tear osmolarity and krill reduced ILâ17A and symptoms at 90 days â strong ocular inflammation and symptom improvements.
- Effect of Oral Re-esterified Omega-3 Nutritional Supplementation on Dry Eyes
PubMed ID: 27442314
12âweek RCT of reâesterified omegaâ3 improved tear osmolarity, TBUT, symptoms and lowered MMPâ9 positivity â robust dryâeye benefit.
- 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
Addition of DHAârich supplement to ranibizumab reduced macular thickness in diabetic macular edema over 2 years â meaningful retinal structural benefit.
- Enteral Docosahexaenoic Acid and Retinopathy of Prematurity: A Randomized Clinical Trial
PubMed ID: 30614004
Enteral DHA in very low birth weight preterm infants significantly reduced stageâ3 (severe) retinopathy of prematurity â strong eyeâprotective outcome.
- 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 reduced early preterm birth and improved infant visual attention in infancy (visual outcome).
- 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 retinal DHA markers vs lutein alone â direct supportive evidence for retinal health.
- 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
3âmonth EPA/DHA/GLA RCT markedly reduced dryâeye symptoms in highly symptomatic patients and raised Omegaâ3 Indexâstrong ocular symptomatic benefit.
- Omega-3 fatty acids supplements for dry eye - Are they effective or ineffective?
PubMed ID: 37026312
Large multicenter RCT in VDT users: fishâoil raised RBC omegaâ3 index and improved dryâeye symptoms, tear breakup time and Schirmer tear productionârobust eyeâhealth evidence.
- Investigating the Neuroprotective Effect of Oral Omega-3 Fatty Acid Supplementation in Type 1 Diabetes (nPROOFS1): A Randomized Placebo-Controlled Trial
PubMed ID: 33952620
In type 1 diabetes, fishâoil increased corneal nerve fiber length and Omegaâ3 Indexâclear structural ocular nerve benefit.
- Effect of dietary omega-3 fatty acids on retinal function of very-low-birth-weight neonates
PubMed ID: 2255573
In preterm infants, marine nâ3 in formula increased blood LCPUFA and improved rod ERG threshold (night vision measure)âdirect retinal/visual benefit.
- 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 breastâmilk DHA with maternal fish oil â increases infant DHA supply relevant to visual/retinal development.
- 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 RBCâDHA and higher infant DHA correlated with better visual acuity â functional eye development association.
- Relation between dietary n-3 and n-6 fatty acids and clinically diagnosed dry eye syndrome in women
PubMed ID: 16210721
Large observational cohort found higher dietary nâ3 intake associated with ~17% lower clinically diagnosed dry eye risk â robust population association.
- 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
Oral nâ3/nâ6 supplement reduced conjunctival HLAâDR (an inflammatory marker) in dry eye patients, indicating biomarker improvement though symptoms were unchanged.
- [Efficacy assessment of NutrilarmÂź, 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 RCT: combined nâ3/nâ6 supplement modestly improved tearâbreakup time and ocular fatigue in moderate dry eye.
- Effects of a nutraceutical formulation based on the combination of antioxidants and Ï-3 essential fatty acids in the expression of inflammation and immune response mediators in tears from patients with dry eye disorders
PubMed ID: 23430672
Small trial combining antioxidants and omegaâ3 showed lower tear inflammatory mediators and symptomatic improvement in dryâeye patients.
- 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
Doubleâmasked RCT (GLA + omegaâ3) in dryâeye patients improved symptoms, corneal surface and reduced conjunctival immune activationâclinical ocular benefit.
- 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
Multicomponent AMD supplement including omegaâ3 increased macular pigment and modestly improved VA over 12 monthsâeye benefit but not attributable solely to omegaâ3.
- A randomized, double-masked study to evaluate the effect of omega-3 fatty acids supplementation in meibomian gland dysfunction
PubMed ID: 24039409
Combined nutraceutical including Ïâ3 improved TBUT and eyelid inflammation in MGDâclinical eye symptom improvement but product contained multiple actives.
- 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
Placeboâcontrolled study in meibomian gland dysfunction found oral Ïâ3 improved contrast sensitivity, tear stability and meibum qualityâclear ocular surface/eye benefit.
- Oral omega-3 fatty acid treatment for dry eye in contact lens wearers
PubMed ID: 25719253
Large RCT: 6 months oral omegaâ3 meaningfully improved dryâeye symptoms and TBUT in contact lens wearersâstrong direct eye benefit.
- Dietary Marine Ï-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 showed meeting â„500 mg/day LCâÏ3 was associated with ~48% lower risk of sightâthreatening diabetic retinopathy.
- A Randomized Controlled Trial of Omega 3 Fatty Acids in Rosacea Patients with Dry Eye Symptoms
PubMed ID: 27050028
6âmonth RCT in rosacea patients demonstrated significant symptomatic and objective improvement in dryâeye measures with omegaâ3.
- 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 of balanced oral omegaâ3/6 (with topical cyclosporine) reduced contactâlens dry eye symptoms and inflammatory cytokinesâsolid eye support though multiâintervention.
- Oral Omega-3 Fatty Acid Supplementation for Laser In Situ Keratomileusis-Associated Dry Eye
PubMed ID: 28060063
Placeboâcontrolled LASIK trial showed significant increases in tear secretion and reduced conjunctival stainingâdirect ocular benefit.
- An infant formula containing dairy lipids increased red blood cell membrane Omega 3 fatty acids in 4Â month-old healthy newborns: a randomized controlled trial
PubMed ID: 29433457
Infant formula increased RBC DHA/DPAâDHA is key for retinal/eye development, supporting eyeâhealth biomarker.
- The Efficacy of Omega-3 Supplement on Prevention of Retinopathy of Prematurity in Premature Infants: A Randomized Double-blinded Controlled trial
PubMed ID: 29852863
Large doubleâblind RCT in very preterm infants: daily omegaâ3 reduced incidence and severity of retinopathy of prematurity.
- 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
Adjunct nutraceutical (including Ïâ3) reduced central retinal thickness and reduced intravitreal aflibercept injection needâdirect retinal benefit signal.
- Effects of the re-esterified triglyceride (rTG) form of omega-3 supplements on dry eye following cataract surgery
PubMed ID: 32917627
Reâesterified TG Ïâ3 after cataract surgery reduced dryâeye symptoms, corneal staining and MMPâ9 (ocular surface inflammation) in RCT.
- Efficacy of omega-3 fatty acids and punctal plugs in the prevention of isotretinoin-associated ocular surface disease
PubMed ID: 32722939
Randomized study in isotretinoin patients found punctal plugs ± omega-3 preserved tear-film metrics and ocular surface measures; combined interventions limit isolated omega-3 attribution but support ocular benefit.
- 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
Multicenter randomized trial: reâesterified TG omegaâ3 improved tear stability, corneal staining and dryâeye symptoms after cataract surgery â strong direct ocular benefit.
- A double-blind, placebo-controlled study on the effects of lutein and zeaxanthin on neural processing speed and efficiency
PubMed ID: 25251377
Intervention increased macular pigment (MPOD) and modestly improved visual processing speed; arm included ~190 mg nâ3 â supportive but primarily lutein-driven.
- Serum Levels of Plasmalogens and Fatty Acid Metabolites Associate with Retinal Microangiopathy in Participants from the Finnish Diabetes Prevention Study
PubMed ID: 34960007
Observational study: lower circulating LC nâ3 (EPA/DPA/DHA) associated with more early diabetic retinal microaneurysmsâassociative evidence linking nâ3 levels to retinal health.
Mood balance (86)
- Omega-3 supplementation improves depressive symptoms, cognitive function and niacin skin flushing response in adolescent depression: A randomized controlled clinical trial
PubMed ID: 38190276
Adjunctive omegaâ3 plus paroxetine produced significantly greater reductions in depressive symptoms in adolescents vs SSRI alone (open trial).
- 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 for 3 months lowered stress, anxiety and depression scores in adults with psychological distress (small RCT).
- 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
Doubleâblind RCT in bipolar men: 2 g/day omegaâ3 raised BDNF and produced large reductions in depression scores versus placebo.
- Effects of Omega-3 PUFAs on lipid profiles and antioxidant response in depressed adolescents: A metabolomic and lipidomic study
PubMed ID: 40158256
Openâlabel RCT in depressed adolescents: 2.7 g/day omegaâ3 improved depressive symptoms substantially vs antidepressant alone with biomarker changes.
- N-3 PUFA supplementation alleviates anxiety symptoms by manipulating erythrocyte fatty acid levels in depression
PubMed ID: 38758363
Adjunctive nâ3 in depressed patients increased erythrocyte EPA/index and correlated with reduced anxiety symptoms â biomarkerâlinked symptomatic benefit.
- 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
Combined omegaâ3 + vitamin D during chemotherapy improved QoL and multiple symptom domains (fatigue, pain), representing improved patientâreported mood/qualityâofâlife.
- 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
Pilot program combining dietary counselling + omegaâ3 produced large reductions in anxiety symptoms in women with GAD, though multiâcomponent intervention limits attribution to omegaâ3 alone.
- 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
Omegaâ3 reduced depressive symptoms in overweight/sedentary adults but only in subgroup with frequent hostile social stress â conditional antidepressant effect.
- 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 RCT in bipolar disorder found 6 months of omegaâ3 reduced depressive relapse and symptom severity versus placebo â clinically relevant mood benefit.
- Effect of Omega-3 fatty acid supplementation on sexual function of pregnant women: a double blind randomized controlled trial
PubMed ID: 35854106
Daily Ïâ3 in pregnant women reduced gestational anxiety and improved sexualâfunction domainsâsupports mood/anxiety benefit during pregnancy.
- 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
Significant reductions in depression scores in breastâcancer survivors consuming a high Ïâ3 meal planâdirect mood benefit.
- Supplementation With Carotenoids, Omega-3 Fatty Acids, and Vitamin E Has a Positive Effect on the Symptoms and Progression of Alzheimer's Disease
PubMed ID: 36093704
Combined fish-oil/carotenoid/vitamin E supplement improved memory and mood measures in mildâmoderate AD patients (but multi-nutrient formula).
- Moody kids years later: Long-term outcomes of youth from the Omega-3 and therapy (OATS) studies
PubMed ID: 33285389
Longâterm followâup of combined omegaâ3/therapy: those continuing omegaâ3 had lower depressive scores (associative).
- 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
EPA/DHA increased plasma BDNF and greater BDNF change correlated with less depressive symptoms in firstâepisode schizophreniaâsupportive for mood effects.
- A potential role for adjunctive omega-3 polyunsaturated fatty acids for depression and anxiety symptoms in recent onset psychosis: Results from a 16âŻweek randomized placebo-controlled trial for participants concurrently treated with risperidone
PubMed ID: 30241990
Adjunctive Ïâ3 in recentâonset psychosis produced clinically meaningful reductions in depression/anxiety symptoms.
- 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
Adjunct Ïâ3 + sertraline produced greater reductions in depression severity and anxiety than placebo.
- 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
nâ3PUFA increased PBMC telomerase and telomerase rise correlated with symptom improvement in firstâepisode schizophreniaâsupportive of mood/symptom benefit.
- 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
Omegaâ3 + vitamin E in women with PCOS produced significant improvements in depression, anxiety and stress scores (small RCT with coâintervention).
- Effect of Omega-3 Fatty Acids on Depressive Symptoms in HIV-Positive Individuals: A Randomized, Placebo-Controlled Clinical Trial
PubMed ID: 27323793
RCT in people with HIV showed significant improvement in depressive symptoms with omegaâ3 over 8 weeks.
- 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 RCT in 8â16âyrâolds: Ïâ3 drink produced substantial, sustained reductions in parentâreported behavior problems (clinically meaningful).
- 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
1.2 g/day Ïâ3 improved psychiatric symptoms and functioning in ultraâhighârisk youthârelevant to mood/psychiatric outcomes.
- Evaluation of the effect of omega-3 fatty acids in the treatment of premenstrual syndrome: "a pilot trial"
PubMed ID: 23642943
2 g/day Ïâ3 reduced depressive and anxiety PMS symptoms in randomized pilotâclinically meaningful mood improvements.
- Effects of n-3 polyunsaturated fatty acids on depressive symptoms, anxiety and emotional state in patients with acute myocardial infarction
PubMed ID: 23563024
One month of omegaâ3 added to care after recent MI modestly reduced depressive and state anxiety scores â randomized evidence for shortâterm mood improvement.
- Untitled
PubMed ID: 22575036
Omegaâ3 phosphatidylserine reduced perceived stress and normalized cortisol response in highâchronicâstress men â credible mood/stress benefit in a subgroup.
- 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
Randomized trial in elderly depressed women: 2.5 g/d Ïâ3 reduced depressive scores and improved QoL.
- Omega-3 supplementation lowers inflammation and anxiety in medical students: a randomized controlled trial
PubMed ID: 21784145
Anxiety scores decreased ~20% in medical students after 12 weeks of nâ3 â direct mood/anxiety benefit in an RCT.
- A double-blind, randomized controlled trial of ethyl-eicosapentaenoate for major depressive disorder
PubMed ID: 19709502
Pilot RCT: 1 g/day EPA raised EPA levels and produced greater reductions in HAMâD vs placebo.
- Comparison of therapeutic effects of omega-3 fatty acid eicosapentaenoic acid and fluoxetine, separately and in combination, in major depressive disorder
PubMed ID: 18247193
Randomized trial: EPA had antidepressant efficacy similar to fluoxetine and augmented effect when combined.
- Depression in Parkinson's disease: a double-blind, randomized, placebo-controlled pilot study of omega-3 fatty-acid supplementation
PubMed ID: 18485485
Small RCT in Parkinson's patients found significant improvements on clinician-rated depression measures with fish oil.
- 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 improved on 3.4 g/day omegaâ3 (lower HAMâD, higher response rate).
- Ethyl-eicosapentaenoic acid in first-episode psychosis: a randomized, placebo-controlled trial
PubMed ID: 18162017
EâEPA added to antipsychotics sped early symptomatic improvement in firstâepisode psychosis (shortâterm mood/symptom benefit).
- Efficacy of ethyl-eicosapentaenoic acid in bipolar depression: randomised double-blind placebo-controlled study
PubMed ID: 16388069
Double-blind adjunctive ethyl-EPA (1â2 g/day) significantly improved bipolar-depression ratings vs placebo (robust RCT evidence).
- omega-3 Fatty acid treatment of women with borderline personality disorder: a double-blind, placebo-controlled pilot study
PubMed ID: 12505817
EthylâEPA reduced aggression and depressive symptoms in women with borderline personality disorder (clinically meaningful mood improvement).
- Evaluation of the effects of Neptune Krill Oil on the management of premenstrual syndrome and dysmenorrhea
PubMed ID: 12777162
Krill oil reduced PMS emotional symptoms more than fish oil, indicating an emotional/mood benefit signal.
- 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
Doseâranging RCT showed clear antidepressant signal with 1 g/day ethylâEPA (clinically meaningful responder increase vs placebo).
- Omega 3 fatty acids in bipolar disorder: a preliminary double-blind, placebo-controlled trial
PubMed ID: 10232294
Small double-blind trial in bipolar patients significantly prolonged remissionâdirect clinical mood benefit.
- 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
Yearâlong RCT in older adults in remission showed substantial reduction in depressive relapse risk (HR ~0.30) with nâ3.
- The Efficacy of Omega-3 Fatty Acids as the Monotherapy for Depression: A Randomized, Double-Blind, Placebo-Controlled Pilot Study
PubMed ID: 39519521
12âweek RCT of highâdose omegaâ3 monotherapy significantly reduced clinicianârated depression scores versus placebo (small trial).
- 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
Doseâfinding RCT: higherâdose EPA produced clinical antidepressant responses correlated with increases in EPAâderived proâresolving mediators (nâ61, responder signal).
- Omega-3 polyunsaturated fatty acids (n-3 PUFAs), somatic and fatigue symptoms in cardiovascular diseases comorbid major depressive disorder (MDD): A randomized controlled trial
PubMed ID: 37301235
In heart disease patients with depression, omegaâ3s reduced fatigue and somatic complaints and increased blood EPA â moodârelated symptom improvement.
- 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
Omegaâ3â6â9 reduced internalizing/anxious behaviors and improved interpersonal skills in preterm toddlersâclinically meaningful mood/behavior improvements in this population.
- Omega-3 Fatty Acids for Major Depressive Disorder With High Inflammation: A Randomized Dose-Finding Clinical Trial
PubMed ID: 36005883
EPA 4 g/day showed a mediumâsized signal for depressive response in MDD with high inflammation and symptomâinflammation correlationsâpromising mood benefit.
- Emotion-Related Network Reorganization Following Fish Oil Supplementation in Depressed Bipolar Offspring: An fMRI Graph-Based Connectome Analysis
PubMed ID: 34139404
Fish oil increased emotionânetwork efficiency and omegaâ3 status in highârisk depressed youth, with mechanistic neural changes though clinical improvement occurred in both groups.
- 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
In depressed adolescents, fish oil raised erythrocyte EPA/DHA and changed corticolimbic connectivity correlated with symptom improvement (small RCT).
- Omega-3 fatty-acids modulate symptoms of depressive disorder, serum levels of omega-3 fatty acids and omega-6/omega-3 ratio in children. A randomized, double-blind and controlled trial
PubMed ID: 32179212
Randomized trial in children with depressive disorders: adjunctive omegaâ3 reduced depression scores and markedly lowered omegaâ6/omegaâ3 ratio â direct mood benefit.
- Plasma estradiol levels and antidepressant effects of omega-3 fatty acids in pregnant women
PubMed ID: 30776476
Prenatal EPA/DHA increases associated with reductions in antenatal depressive symptoms in RCT secondary analysis.
- 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 associated with lower insulin/homocysteine and correlations to mood in the study â moderate mechanistic/associative support.
- A double-blind dose-finding pilot study of docosahexaenoic acid (DHA) for major depressive disorder
PubMed ID: 18539007
Pilot RCT found antidepressant effects at lower DHA dose in some patients â suggestive but needs replication.
- The effect of fish oil on physical aggression in schoolchildren--a randomized, double-blind, placebo-controlled trial
PubMed ID: 15741051
3âmonth foodâbased fish oil trial slowed worsening of physical aggression and reduced impulsivity in girls â behavioral/moodârelated benefit.
- Omega-3 fatty acids in the prevention of interferon-alpha-induced depression: results from a randomized, controlled trial
PubMed ID: 24602409
EPA markedly reduced incidence and delayed onset of IFNâαâinduced depression vs placebo (randomized trial).
- Effects of omega-3 fatty acids on depression and quality of life in maintenance hemodialysis patients
PubMed ID: 24987942
Small RCT in dialysis patients showed significant decreases in BDI and improvements in HRQoL â direct clinical evidence of mood benefit in this population.
- The effect of omega-3 fatty acids on depressive symptoms and inflammatory markers in maintenance hemodialysis patients: a randomized, placebo-controlled clinical trial
PubMed ID: 24643636
Omegaâ3 reduced depressive symptom scores in hemodialysis patients in a randomized trial (small sample).
- 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
26âweek addâon RCT in firstâepisode schizophrenia showed significant reductions in overall symptoms and depressive symptoms with concentrated fish oil.
- 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 was superior to placebo for depressed patients with elevated inflammatory markers (clinically meaningful subgroup effect).
- 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
DHAâenriched meals in very elderly residents tended to reduce apathy and ease caregiver burdenâdirect mood/apathy signal (modest and borderline statistical strength).
- Omega-3 supplementation effects on body weight and depression among dieter women with co-morbidity of depression and obesity compared with the placebo: A randomized clinical trial
PubMed ID: 29779816
12âweek RCT in overweight women with depression showed modest but statistically significant reductions in depressive symptoms with omegaâ3.
- 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
Omegaâ3 supplementation reduced irritability in children with autism in a large RCT â clinically relevant mood/behavior improvement.
- 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 moodâdisorder study: 2 g/day raised EPA/DHA markedly with associations between biochemical increases and some clinical outcomes.
- Predictors of treatment response in young people at ultra-high risk for psychosis who received long-chain omega-3 fatty acids
PubMed ID: 25585167
UHR youth RCT: fishâoil Ïâ3 reduced transition to psychosis and improved global functioning (clinical mentalâhealth benefit).
- Changes in erythrocyte membrane fatty acids during a clinical trial of eicosapentaenoic acid (EPA) supplementation in schizophrenia
PubMed ID: 19826937
EPA supplementation raised RBC nâ3s that correlated with symptom improvement in schizophreniaâmoderate evidence for mood/psychiatric symptom benefit (associative/correlative).
- Omega-3 fatty acid supplementation in patients with recurrent self-harm. Single-centre double-blind randomised controlled trial
PubMed ID: 17267927
Small RCT in persons with repeated selfâharm showed significant reductions in depression and suicidality after 12 weeks of EPA+DHA.
- The effect of 12-wk Ï-3 fatty acid supplementation on in vivo thalamus glutathione concentration in patients "at risk" for major depression
PubMed ID: 26333890
In older adults at risk for depression, Ïâ3 attenuated a brain oxidativeâstress change that correlated with worsening moodâplausible mood benefit.
- Seafood Consumption, Omega-3 Fatty Acids Intake, and Life-Time Prevalence of Depression in the PREDIMED-Plus Trial
PubMed ID: 30567286
Large observational sample found moderate LCâomegaâ3 intake associated with lower depression prevalence (nonâlinear) â supportive epidemiologic evidence.
- EPA and DHA as markers of nutraceutical treatment response in major depressive disorder
PubMed ID: 31555976
Rises in redâcell EPA/DHA associated with larger symptom improvements in a nutraceutical depression trial â biomarkerâclinical correlation suggesting mood benefit.
- 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 risk for bipolar disorder, fish oil improved clinician global ratings despite no change on the primary depression scaleâmoderate mood signal.
- Clinical Efficacy and Biological Regulations of Ï-3 PUFA-Derived Endocannabinoids in Major Depressive Disorder
PubMed ID: 31269506
EPAâcontaining regimens produced higher remission rates in MDD and increased an EPAâderived endocannabinoid (EPEA) linked to outcomes.
- Long-chain Polyunsaturated Fatty Acid Supplementation Improves Mood in Elderly Japanese Men
PubMed ID: 28626140
Elderly men had a modest but significant increase in POMS vigor after 4 weeks of DHA/EPA/ARAâdirect moodâscale improvement.
- 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 associated with fewer women scoring high on postpartum depression scales.
- The effects of concurrent alpha-linolenic acid, L-carnitine supplementation on clinical symptoms, mental health, and quality of life in women with migraine: a randomized, triple-blind, placebo-controlled trial
PubMed ID: 40082970
ALA+Lâcarnitine supplementation in women with migraine improved mood and depression/anxiety scores alongside clinical benefits.
- 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 RBC EPA+DHA linked to higher psychotropic use; rising omegaâ3 associated with lower psychotropic use.
- Two double-blind placebo-controlled pilot studies of eicosapentaenoic acid in the treatment of schizophrenia
PubMed ID: 11356585
Placebo-controlled pilot trials showed EPA reduced schizophrenia symptom scores vs DHA/placebo â psychiatric symptom improvement (mood/affect relevance).
- 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 symptoms in a schizophrenia subgroup and correlated with lipid changes â clinical psychiatric benefit.
- Effect of omega-3 and vitamin D co-supplementation on psychological distress in reproductive-aged women with pre-diabetes and hypovitaminosis D: A randomized controlled trial
PubMed ID: 34473420
Vitamin D + omega-3 trial produced significant reductions in depression and anxiety scores in prediabetic women (combination confounds attribution but clinical signal present).
- 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
Randomized 8âweek trial in elderly depressed women showed significant depressiveâsymptom improvement.
- The efficacy of omega-3 supplementation for major depression: a randomized controlled trial
PubMed ID: 20584525
Omega-3 produced a clear, clinically relevant benefit for depressive symptoms in the prespecified subgroup without comorbid anxiety.
- 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
EPA or DHA supplements modestly reduced depressive symptoms in older adults with MCI (RCT showing symptom improvement).
- Eicosapentaenoic acid versus docosahexaenoic acid in mild-to-moderate depression: a randomized, double-blind, placebo-controlled trial
PubMed ID: 22910528
Randomized trial: EPA (1 g/day) adjunct produced clear clinical antidepressant responses vs DHA/placebo (strong RCT evidence).
- Oral nutritional supplements containing n-3 polyunsaturated fatty acids affect quality of life and functional status in lung cancer patients during multimodality treatment: an RCT
PubMed ID: 22234041
nâ3 enriched oral nutrition improved patientâreported global health and physical function during chemoradiotherapy (QoL proxy for mood/wellâbeing).
- Omega-3 fatty acid augmentation of citalopram treatment for patients with major depressive disorder
PubMed ID: 22198441
Omegaâ3 added to citalopram produced significantly greater depression improvement and higher remission rates â strong mood benefit (augmentation RCT).
- Serum omega-3 fatty acids are associated with variation in mood, personality and behavior in hypercholesterolemic community volunteers
PubMed ID: 17383013
Crossâsectional: higher EPA/DHA associated with fewer depressive symptoms and better personality/impulsivity measures (associational evidence).
- 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
A 12âweek diet higher in EPA+DHA and lower LA reduced dayâtoâday mood variability in bipolar disorder (randomized).
- 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 EPA/DHA (with lower nâ6) reduced psychological distress and improved mentalâcomponent QoL in chronic headache patientsâclinically relevant mood improvements linked to DHA.
- 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
Doubleâblind RCT in elderly showed modest but significant improvement in depression scores with lowâdose Ïâ3.
- Anti-stress effects of DHA
PubMed ID: 11237197
DHA supplementation blunted examârelated increases in hostility and lowered norepinephrine under stressâmoderate mood/stress benefit.
- The Effect of Omega-3 Fatty Acids on Thromboxane, Brain-Derived Neurotrophic Factor, Homocysteine, and Vitamin D in Depressive Children and Adolescents: Randomized Controlled Trial
PubMed ID: 33801688
Pediatric RCT in depressed youth showed biomarker (BDNF) increases and earlier-reported symptom improvement relative to controlâmoderate-strong mood evidence.
- Depressive symptoms in chronic hepatitis C are associated with plasma apolipoprotein E deficiency
PubMed ID: 24615429
Pilot RCT in chronic hepatitis C found a small but significant improvement in anxiety with highâdose nâ3 PUFA.
Weight management (76)
- Fish oil supplementation improves neutrophil function during cancer chemotherapy
PubMed ID: 22160495
During chemotherapy fish oil helped preserve/gain weight vs control (prevented weight loss), relevant to weight management in catabolic states.
- 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
1 g/day fish oil in metabolic syndrome lowered body weight and improved metabolic markers.
- Effects of seafood consumption and weight loss on fasting leptin and ghrelin concentrations in overweight and obese European young adults
PubMed ID: 19142567
Weightâloss RCT with salmon or EPA/DHA showed modest hormone changes; weightâloss was primary driver.
- Beneficial effects of long-chain n-3 fatty acids included in an energy-restricted diet on insulin resistance in overweight and obese European young adults
PubMed ID: 18491071
Fish oil predicted reductions in fasting insulin and HOMAâIR during calorie restrictionâsupports metabolic aspects of weight management.
- 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 had improved insulin AUC (in higher inflammation subgroup) and reduced TG/CRP/ILâ6âmetabolic improvements relevant to weight management.
- 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
Omegaâ3 added to lifestyle in obese teens improved triglycerides, insulin resistance and biomarkers related to metabolic health.
- 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 attenuated weight and lean mass loss in headâandâneck cancer patients over six weeks.
- Effects of Ï-3 supplementation on the nutritional status, immune, and inflammatory profiles of gastric cancer patients: A randomized controlled trial
PubMed ID: 30710885
Ïâ3 formula in gastric cancer outpatients led to small weight gain and preserved nutritional status (beneficial in cachexia context).
- Assessment of the efficacy of omega-3 fatty acids on metabolic and inflammatory parameters in patients with schizophrenia taking clozapine and sodium valproate
PubMed ID: 29329042
Schizophrenia patients on clozapine/valproate had modest reductions in waist circumference with omegaâ3âdirect anthropometric benefit.
- Effect of n-3 Polyunsaturated Fatty Acid Supplementation on Metabolic and Inflammatory Biomarkers in Type 2 Diabetes Mellitus Patients
PubMed ID: 28587203
24âweek lowâdose omegaâ3 in T2D improved waist circumference, glycemia and some lipidsâsupports metabolic/weight management.
- 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
Randomized obese adult trial (1 g/day) reduced caloric intake ~339 kcal and increased satiety over 4 weeksâmeaningful effect on energy intake.
- 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
Lowâdose omegaâ3 stabilized weight in cachectic pancreatic cancer patients (clinically meaningful in cachexia context; small study).
- Effect of Omega-3 PUFAs Supplementation with Lifestyle Modification on Anthropometric Indices and Vo2 max in Overweight Women
PubMed ID: 27179166
Overweight women receiving omegaâ3 plus exercise/diet advice achieved greater weight and fat loss and waist reductions than controls (multiâcomponent intervention).
- 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
Oneâmonth RCT in overweight children with metabolic syndrome improved lipids and fasting glucoseâmeaningful metabolic benefit supportive of weight management.
- Insulin resistance determines a differential response to changes in dietary fat modification on metabolic syndrome risk factors: the LIPGENE study
PubMed ID: 26561628
Dietary trial including added nâ3 produced subgroupâdependent improvements in HOMAâIR and metabolic markersâsupportive though effects contextâdependent.
- n-3 polyunsaturated fatty acid supplementation reduces insulin resistance in hepatitis C virus infected patients: a randomised controlled trial
PubMed ID: 26216648
Highâdose fish oil in insulinâresistant HCV patients reduced HOMAâIR, insulin and HbA1câstrong metabolic improvement relevant to weight/insulin sensitivity.
- Metabolic response to omega-3 fatty acid supplementation in patients with diabetic nephropathy: A randomized, double-blind, placebo-controlled trial
PubMed ID: 26611718
12âweek flaxseed oil randomized trial in diabeticânephropathy patients improved insulin measures and lowered TGâmeaningful metabolic effects relevant to weight/metabolic health.
- 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 oral supplement in cancer patients increased lean mass and intake (nutritional/weightâsupport effect).
- Effects of supplementation with omega-3 on insulin sensitivity and non-esterified free fatty acid (NEFA) in type 2 diabetic patients
PubMed ID: 24936727
T2DM trial lowered NEFA and improved insulin sensitivity (metabolic improvements supportive of weight control).
- [Effect of Omega 3 fatty acids on body female obese composition]
PubMed ID: 25362822
Obese premenopausal women on diet/exercise lost more weight, BMI and fat mass with 1â2 g Ïâ3ârandomized supportive evidence (with concomitant lifestyle change).
- Omega-3 polyunsaturated fatty acids increase plasma adiponectin to leptin ratio in stable coronary artery disease
PubMed ID: 23584593
In coronary patients, 1 g/day raised adiponectin and lowered leptin, improving adipokine balanceâfavorable metabolic marker for weight/insulin sensitivity.
- Omega-3 polyunsaturated fatty acids reduce insulin resistance and triglycerides in obese children and adolescents
PubMed ID: 23438101
Obese insulinâresistant youth showed reduced HOMAâIR, triglycerides and modest BMI reduction with 1.8 g/dayâsupportive for weight/metabolic benefit.
- 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
In obese adults on a veryâlowâenergy diet, prior and concurrent fishâoil modestly enhanced shortâterm weight and BMI loss in women (genderâspecific effect).
- Eicosapentaenoic acid improves insulin sensitivity and blood sugar in overweight type 2 diabetes mellitus patients: a double-blind randomised clinical trial
PubMed ID: 23900468
2 g/day EPA for 3 months in overweight T2DM improved glycemic indices (FPG, HbA1c, HOMAâIR)âsupports metabolic improvements relevant to weight management.
- Untitled
PubMed ID: 23034965
Obese nonâdiabetic patients had reduced adipose inflammation and lower TGs after ~3.36 g/day EPA+DHA â favorable metabolic effects.
- Untitled
PubMed ID: 22313793
Fish oil raised adiponectin and NO in women with metabolic syndrome and produced modest BP changes â metabolic benefit.
- A low-fat high-carbohydrate diet supplemented with long-chain n-3 PUFA reduces the risk of the metabolic syndrome
PubMed ID: 21839455
Supplementing 1.24 g/day longâchain nâ3 on a lowâfat, highâcarb diet reduced metabolicâsyndrome prevalence and enlarged waistârelevant to weight/central adiposity.
- Supplementation of n3 long-chain polyunsaturated fatty acid synergistically decreases insulin resistance with weight loss of obese prepubertal and pubertal children
PubMed ID: 22136960
In overweight insulinâresistant children, 1 month of nâ3 LCPUFA reduced HOMAâIR â15% and improved adipokines â direct metabolic benefit.
- The use of a protein and energy dense eicosapentaenoic acid containing supplement for malignancy-related weight loss in children
PubMed ID: 19090549
EPAâcontaining, calorieâ/proteinârich supplement during chemotherapy led to less weight loss and higher remission rates vs controls (context: cancer care).
- A diet rich in long chain omega-3 fatty acids modulates satiety in overweight and obese volunteers during weight loss
PubMed ID: 18602429
Higher longâchain nâ3 intake modestly increased postprandial fullness during weight lossâsupports appetite regulation and weight management.
- 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
Adding long-chain n-3 to a weight-loss program gave extra TG reductions and raised adiponectin beyond weight-loss effects (beneficial adjunct effect).
- 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 meal added to weight-loss produced larger TG reductions and better insulin responsesâsupports weight-management adjunct benefit.
- Effects of dietary fish and weight reduction on ambulatory blood pressure in overweight hypertensives
PubMed ID: 9774368
Fish intake combined with weight loss had additive metabolic benefits in overweight hypertensives.
- [Comparison of a commercially available, formula-based nutritional therapy enriched with oats fiber with a non-formula isocaloric therapy to treat non-alcoholic fatty liver disease (NAFLD) - a randomized, controlled intervention trial]
PubMed ID: 30304749
Formula diet with oats + omegaâ3 led to greater BMI reduction vs control in obese NAFLD patients (multiâcomponent but weight benefit observed).
- Effect of weight loss and lifestyle changes on vascular inflammatory markers in obese women: a randomized trial
PubMed ID: 12684358
Twoâyear Mediterraneanâstyle lifestyle program (including improved nâ3 balance) produced meaningful weight loss (BMI decrease) and adiponectin increase.
- 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
Fishâoil supplementation improved insulin sensitivity (fasting insulin, HOMAâIR) â supports metabolic control relevant to weight management.
- Growth patterns in infants born to women with pregestational overweight/obesity supplemented with docosahexaenoic acid during pregnancy
PubMed ID: 38922906
Higher prenatal DHA limited infant weight gain/adiposity indicators in offspring of mothers with overweight/obesity (direct effect on early weight trajectory).
- 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
Overweight/obese adults on calorie restriction: omegaâ3 produced greater reduction in abdominal fat versus diet aloneâdirect evidence for bodyâcomposition benefit.
- Change in Blood and Benign Breast Biomarkers in Women Undergoing a Weight-Loss Intervention Randomized to High-Dose Ï-3 Fatty Acids versus Placebo
PubMed ID: 34244155
Highâdose EPA+DHA during a behavioral weightâloss program increased adiponectin and breastâtissue adiponectin especially with >10% weight loss â favorable metabolic changes that support weight management.
- 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
Microalgae EPA reduced VLDL/total cholesterol and produced a small weight loss (~â0.9 kg) over 12 weeks.
- DHA-enriched fish oil reduces insulin resistance in overweight and obese adults
PubMed ID: 32563863
DHAâenriched fish oil reduced fasting insulin and HOMAâIR in overweight/obese adults â improved insulin sensitivity supportive of weight/metabolic management.
- Effect of the omega-3 fatty acid plus vitamin E supplementation on subjective global assessment score, glucose metabolism, and lipid concentrations in chronic hemodialysis patients
PubMed ID: 26518514
Omegaâ3 + vitamin E improved insulin resistance (HOMAâIR) and nutritional status in dialysis patientsâsupportive for metabolic aspects of weight management.
- Associations between school meal-induced dietary changes and metabolic syndrome markers in 8-11-year-old Danish children
PubMed ID: 27084093
Higher wholeâblood DHA linked to better insulin sensitivity and lower triglycerides in children â relevant to metabolic weight regulation.
- Possible effect of DHA intake on body weight reduction and lipid metabolism in obese children
PubMed ID: 22101886
In obese children undergoing diet/exercise, adding DHA was associated with slightly greater short-term weight loss and larger cholesterol drops.
- Effect of n-3 fatty acids on patients with advanced lung cancer: a double-blind, placebo-controlled study
PubMed ID: 22114792
In advanced lung cancer patients omega-3 supplementation was associated with weight gain versus placebo, a clinically meaningful outcome in that context.
- 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
nâ3 enriched oral nutrition in stage III NSCLC patients helped maintain body weight and lean mass during treatment â direct weight/leanâmass benefit.
- 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 markedly decreased liver fat and visceral/epicardial fat in childrenâmeaningful reductions in central adiposity.
- Fish Oil Supplements Lower Serum Lipids and Glucose in Correlation with a Reduction in Plasma Fibroblast Growth Factor 21 and Prostaglandin E2 in Nonalcoholic Fatty Liver Disease Associated with Hyperlipidemia: A Randomized Clinical Trial
PubMed ID: 26226139
Fish oil improved triglycerides and fasting glucose in adults with NAFLD/hyperlipidemiaâbeneficial metabolic effects related to weight control.
- Long-Term Treatment with n-3 Polyunsaturated Fatty Acids as a Monotherapy in Children with Nonalcoholic Fatty Liver Disease
PubMed ID: 26316434
12âmonth nâ3 PUFA plus diet/exercise improved insulin resistance and lipids and reduced ultrasound steatosisâsupports metabolic aspects of weight management.
- Effect of Weight Reduction Diets Containing Fish, Walnut or Fish plus Walnut on Cardiovascular Risk Factors in Overweight and Obese Women
PubMed ID: 31679359
During weight loss, adding fish and walnuts produced larger improvements in BP, glucose, lipids and inflammation versus singleâfood dietsâsupports healthier weight management outcomes.
- 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 improved triglycerides and glycemia (HbA1c) and HOMAâIRâmetabolic improvements relevant to weight management.
- 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 (Ïâ3ârich) in NAFLD trial produced significant reductions in weight, BMI and waist circumference versus placebo (small RCT).
- Effects of a rapeseed oil-enriched hypoenergetic diet with a high content of α-linolenic acid on body weight and cardiovascular risk profile in patients with the metabolic syndrome
PubMed ID: 22894911
6âmonth highâALA rapeseed diet produced greater weight loss and triglyceride and diastolic BP reductions versus olive oilâdirect weightâmanagement evidence.
- Consumption of alpha-Linolenic Acid-enriched Diacylglycerol Reduces Visceral Fat Area in Overweight and Obese Subjects: a Randomized, Double-blind Controlled, Parallel-group Designed Trial
PubMed ID: 27321122
12âweek RCT: daily ALAâDAG reduced visceral fat and slightly lowered weight/waist versus normal oil (clinical weightâmanagement benefit).
- Diacylglycerol Enhances the Effects of Alpha-Linolenic Acid Against Visceral Fat: A Double-Blind Randomized Controlled Trial
PubMed ID: 28851088
12âweek doubleâblind RCT: ALAâDAG reduced visceral fat, BMI and triglycerides vs ALAâTAG (consistent weightârelated effects).
- Untargeted metabolomic on urine samples after α-lipoic acid and/or eicosapentaenoic acid supplementation in healthy overweight/obese women
PubMed ID: 29743087
αâLipoic acid groups had greater BMI and fatâmass loss in RCT with metabolomic corroboration â supports weightâmanagement adjunctive effects (EPA interplay present in study set).
- Docosahexaenoic acid and arachidonic acid enhance growth with no adverse effects in preterm infants fed formula
PubMed ID: 12032520
Preterm infants fed DHA+ARA gained weight faster (+4.0 g/d) â relevant to healthy weight gain in that population.
- Randomized, double-blind trial of long-chain polyunsaturated fatty acid supplementation with fish oil and borage oil in preterm infants
PubMed ID: 15069395
Preterm infants fed LCPUFA formulas had greater weight and length gain â relevant to growth/weight in infants, not adult weight loss.
- Effects of DHA-enriched fish oil on monocyte/macrophage activation marker sCD163, asymmetric dimethyl arginine, and insulin resistance in type 2 diabetic patients
PubMed ID: 27578110
DHAâenriched fish oil lowered waist circumference and triglycerides in T2DM â modest metabolic/anthropometric effects.
- Calanus Oil and Lifestyle Interventions Improve Glucose Homeostasis in Obese Subjects with Insulin Resistance
PubMed ID: 40278260
Calanus oil modestly improved HOMA/insulin in obese subjects with mild insulin resistance, especially with lifestyle change.
- Benefits of Krill Oil Supplementation During Alternate-Day Fasting in Adults With Overweight and Obesity: A Randomized Trial
PubMed ID: 40671417
In a weightâloss program krill oil preserved lean mass and attenuated strength loss while reducing inflammationâbeneficial for healthy weight management and composition.
- Long-term effects of increased dietary polyunsaturated fat from walnuts on metabolic parameters in type II diabetes
PubMed ID: 19352378
Sustained walnut intake produced earlier reductions in fasting insulin in a yearâlong trialâmetabolic effect tied to dietary ALA/PUFAs.
- Randomised phase III clinical trial of 5 different arms of treatment on 332 patients with cancer cachexia
PubMed ID: 20496538
Combined cancer cachexia treatment including EPA led to gains in lean mass; relevant to weight/lean-mass management though omega-3 effect not isolated.
- A combination of (Ï-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
Multi-ingredient yoghurt with low-dose omega-3 reduced free fatty acids and triglycerides and increased expression of fat-burning genesâsupports fat metabolism.
- 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
12âweek EPA+DHA altered adipose tissue gene programs (Wnt/ECM/remodelling) in normal and obese adultsâmechanistic support for influence on adipose biology and weight regulation.
- Effect of a conjugated linoleic acid and omega-3 fatty acid mixture on body composition and adiponectin
PubMed ID: 18356842
CLA plus nâ3 in younger obese men increased lean mass and prevented abdominal fat gainâdirect evidence of favorable bodyâcomposition effect in a subgroup.
- Type 2 diabetes preventive effects with a 12-months sardine-enriched diet in elderly population with prediabetes: An interventional, randomized and controlled trial
PubMed ID: 33932804
One-year sardine-enriched diet in prediabetics improved diabetes risk classification, lowered TG and HOMA-IRâfavourable for weight/metabolic control (multifactorial intervention).
- Beneficial Effects of a Specially Designed Home Meal Replacement on Cardiometabolic Parameters in Individuals with Obesity: Preliminary Results of a Randomized Controlled Clinical Trial
PubMed ID: 34202690
Lowering dietary Ï6:Ï3 ratio in a 4-week meal-replacement trial reduced BMI/weight and metabolic-syndrome prevalenceâshort-term but meaningful metabolic improvement.
- 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 type 2 diabetes, fishâoil improved triglycerides, HDL and insulinâsensitivity markers, plus metabolomic/gut shifts favoring metabolic health relevant to weight management.
- Marine Oil from C. finmarchicus Enhances Glucose Homeostasis and Liver Insulin Resistance in Obese Prediabetic Individuals
PubMed ID: 35057577
Calanus oil improved fasting insulin, HOMAâIR and hepatic insulin resistance in obese prediabetic subjectsâsupports metabolic/weightârelated improvements.
- 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 containing omega-3 plus pre/probiotic components improved HOMAâIR, postprandial TG and reduced pulse pressure in abdominally obese womenâstrong metabolic benefits relevant to weight management.
- Four Weeks of Preoperative Omega-3 Fatty Acids Reduce Liver Volume: a Randomised Controlled Trial
PubMed ID: 30888593
Ïâ3 reduced visceral fat area and liver volume preâbariatric surgeryâfavourable bodyâcomposition effects relevant to weight management.
- The utility of nutritional supportive care with an eicosapentaenoic acid (EPA)-enriched nutrition agent during pre-operative chemoradiotherapy for pancreatic cancer: Prospective randomized control study
PubMed ID: 31451252
EPAâenriched nutrition preserved skeletal muscle and psoas area in pancreatic cancer patients who had adequate intakeâsupports preservation of lean mass/weight.
- Efficacy of Ï-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 women with cervical cancer Ïâ3 helped maintain body weight and preserved muscle quality during chemotherapy.
- Long-term vitamin D and high-dose n-3 fatty acids' supplementation improve markers of cardiometabolic risk in type 2 diabetic patients with CHD
PubMed ID: 31309919
nâ3 + vitamin D improved fasting glucose, insulin and HOMAâIR in T2DM with CHD â relevant metabolic benefits.
- 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
Omegaâ3 (1000 mg EPA+400 mg DHA) improved fasting glucose, HOMAâIR and (with plant sterols) lipids in preâdiabetes â strong metabolic support for weight/insulin control.
Liver support (60)
- Effects of n-3 polyunsaturated fatty acids in subjects with nonalcoholic fatty liver disease
PubMed ID: 18054848
Randomized trial: omegaâ3 improved ALT, triglycerides, TNFâα and ultrasound steatosis over 6 monthsâclear hepatic benefit.
- Effects of n-3 polyunsaturated fatty acids from seal oils on nonalcoholic fatty liver disease associated with hyperlipidemia
PubMed ID: 19009658
Larger RCT: sealâoil nâ3 lowered ALT/triglycerides and improved ultrasoundâdefined fatty liver vs placebo (24 weeks).
- 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 (250â500 mg/day) reduced liver steatosis severity, improved insulin sensitivity and triglycerides in children with NAFLD.
- Docosahexaenoic acid for the treatment of fatty liver: randomised controlled trial in children
PubMed ID: 23220074
DHA 250â500 mg/day lowered liver fat, triglycerides and ALT vs placebo in pediatric NAFLD over 24 months.
- Liver-protecting effects of omega-3 fish oil lipid emulsion in liver transplantation
PubMed ID: 23155344
Adding Ïâ3 to postâtransplant PN reduced ALT and shortened hospital stayâclinically meaningful hepatoprotection.
- Four-week parenteral nutrition using a third generation lipid emulsion (SMOFlipid)--a double-blind, randomised, multicentre study in adults
PubMed ID: 22796064
Short PN trial with fish oil increased EPA/DHA and modestly lowered liver enzymes versus soybean oil (biochemical hepatoprotective signal).
- Effects of Ï-3 fish oil lipid emulsion combined with parenteral nutrition on patients undergoing liver transplantation
PubMed ID: 22421017
Ïâ3 supplemented PN after liver transplant reduced ALT and improved nutrition indices and shortened hospitalization.
- A double-blind, placebo-controlled randomized trial to evaluate the efficacy of docosahexaenoic acid supplementation on hepatic fat and associated cardiovascular risk factors in overweight children with nonalcoholic fatty liver disease
PubMed ID: 26026214
DHA produced large MRIâquantified reductions in hepatic fat and VAT/EAT and improved insulin and triglycerides in children with NAFLDâstrong liverâsupport evidence.
- 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
3 months fish oil (4 g/day) improved ALT/GGT, triglycerides and NAFLD biomarkers in adults with NAFLD and hyperlipidemia.
- Omega-3 Fatty acids therapy in children with nonalcoholic Fatty liver disease: a randomized controlled trial
PubMed ID: 25771388
In children with NAFLD omegaâ3 failed the primary ALT endpoint but lowered AST and GGT and raised adiponectinâsome hepatic benefit.
- Efficacy of poly-unsaturated fatty acid therapy on patients with nonalcoholic steatohepatitis
PubMed ID: 26078579
Six months PUFA therapy improved liver enzymes, lipids, inflammation markers and liver histology in NASH patients.
- Long-Term Treatment with n-3 Polyunsaturated Fatty Acids as a Monotherapy in Children with Nonalcoholic Fatty Liver Disease
PubMed ID: 26316434
Twelve months of nâ3 PUFA improved HOMAâIR, ALT/AST and ultrasound steatosis in childrenârobust clinical liver benefit.
- Randomized study of the clinical effects of Ï-3 fatty acid-containing enteral nutrition support during neoadjuvant chemotherapy on chemotherapy-related toxicity in patients with esophageal cancer
PubMed ID: 27644137
Ïâ3âenriched enteral nutrition during neoadjuvant chemo lowered AST/ALT increasesâperiâtreatment liver protection (small trial).
- Effectiveness of Ï-3 Polyunsaturated Fatty Acids Based Lipid Emulsions for Treatment of Patients after Hepatectomy: A Prospective Clinical Trial
PubMed ID: 27322311
Postâhepatectomy Ïâ3 PN reduced ALT/AST/total bilirubin and complicationsâimproved postoperative liver recovery.
- Efficacy of docosahexaenoic acid-choline-vitamin E in paediatric NASH: a randomized controlled clinical trial
PubMed ID: 28511023
Combination (DHA+choline+vitE) plus lifestyle produced marked reductions in steatosis and ALT in pediatric NASHâbenefit plausible but not DHAâonly.
- Effects of dapagliflozin and n-3 carboxylic acids on non-alcoholic fatty liver disease in people with type 2 diabetes: a double-blind randomised placebo-controlled study
PubMed ID: 29971527
OMâ3CA reduced liver PDFF (liver fat) in T2D with NAFLD though did not consistently lower injury biomarkers by itself.
- 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
Small RCT in NAFLD where Camelina (omegaâ3ârich) reduced ALT and improved lipids and anthropometrics â supports liver benefit (diet confounder).
- The effects of fish oil plus vitamin D(3) intervention on non-alcoholic fatty liver disease: a randomized controlled trial
PubMed ID: 35067753
Well-powered RCT in NAFLD showing reductions in ALT, triglycerides and inflammatory markers â direct evidence for liver biochemical benefit.
- Omega-3 polyunsaturated fatty acids in treating non-alcoholic steatohepatitis: A randomized, double-blind, placebo-controlled trial
PubMed ID: 26047766
Biopsyâproven NASH: omegaâ3 raised blood nâ3s, lowered TGs, and plasma PUFA increases associated with histologic improvement/stabilization.
- Use of a Micronutrient Cocktail to Improve Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) in Adults with Obesity: A Randomized, Double-Blinded Pilot Clinical Trial
PubMed ID: 39202647
Randomized pilot trial with micronutrient cocktail including omegaâ3s reduced CAP (steatosis) and liver stiffness in adults with MASLD.
- Omega-3 fatty acids improve liver and pancreas function in postoperative cancer patients
PubMed ID: 15239141
Randomized postoperative TPN trial: fishâoil supplementation markedly lowered AST/ALT and bilirubin and improved recovery â direct liverâfunction benefit.
- Parenteral fish-oil-based lipid emulsion improves fatty acid profiles and lipids in parenteral nutrition-dependent children
PubMed ID: 21775562
In PN-dependent children replacing soybean oil with fish-oil lipid markedly lowered total/direct bilirubin (resolution of cholestasis) â strong liver benefit.
- Omega-3 free fatty acids for the treatment of severe hypertriglyceridemia: the EpanoVa fOr Lowering Very high triglyceridEs (EVOLVE) trial
PubMed ID: 24528690
Marked TG and nonâHDL reductions in severe hypertriglyceridemia â plausibly reduces hepatic TG burden (indirect liver benefit).
- Efficacy of a unique omega-3 formulation on the correction of nutritional deficiency and its effects on cardiovascular disease risk factors in a randomized controlled VASCAZEN(Âź) REVEAL Trial
PubMed ID: 25185754
Large TG reductions and improved omegaâ3 index in hypertriglyceridemic subjects â potential indirect benefit for fatty liver.
- 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
Lifestyle intervention lowered AA/EPA ratio in NAFLD patients (marker of improved PUFA balance relevant to fattyâliver biology).
- Omega-3 carboxylic acids and fenofibrate differentially alter plasma lipid mediators in patients with non-alcoholic fatty liver disease
PubMed ID: 34618982
OMâ3CA shifted plasma lipid mediators toward antiâinflammatory/proâresolving species in NAFLDâmechanistically supportive of liver benefit.
- The I148M variant of PNPLA3 reduces the response to docosahexaenoic acid in children with non-alcoholic fatty liver disease
PubMed ID: 24074360
Randomized trial in children with NAFLD: DHA roughly halved risk of worsening steatosis â clear clinical liver benefit.
- Addition of omega-3 fatty acid and coenzyme Q10 to statin therapy in patients with combined dyslipidemia
PubMed ID: 28541926
Omegaâ3 added to statin (±CoQ10) reduced hepatic enzymes vs statin aloneâsuggests liver enzyme improvement though attribution to omegaâ3 alone is confounded.
- Docosahexanoic Acid Plus Vitamin D Treatment Improves Features of NAFLD in Children with Serum Vitamin D Deficiency: Results from a Single Centre Trial
PubMed ID: 27977757
Children with biopsyâproven NAFLD given DHA+vitamin D had marked NAS and TG improvements, suggesting liver benefit though attribution to DHA alone is uncertain.
- Ï-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
RDBPC trial in children/adolescents on methotrexate: Ïâ3 reduced liver injury markers and improved antioxidant statusâdirect liver protection.
- 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 PUFA nutrition produced clear incorporation of EPA/DHA into liver tissue (substantive hepatic uptake), supporting hepatic tissue enrichment.
- Inclusion of fish or fish oil in weight-loss diets for young adults: effects on blood lipids
PubMed ID: 18490931
Calorieârestricted diets with oily fish/fish oil produced greater triglyceride reductionsârelevant to hepatic lipid handling and TAG lowering.
- Influence of an eicosapentaenoic and docosahexaenoic acid-enriched enteral nutrition formula on plasma fatty acid composition and biomarkers of insulin resistance in the elderly
PubMed ID: 19573960
Enteral nâ3 enriched formula in elderly lowered plasma TAG and raised EPA/DHA (direct triglycerideâlowering effect).
- 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
Large added TG reduction on top of statin â beneficial for hepatic TG burden and fattyâliver risk.
- Fish-oil fat emulsion supplementation reduces the risk of retinopathy in very low birth weight infants: a prospective, randomized study
PubMed ID: 23963690
Veryâlowâbirthâweight infants receiving fishâoil IV emulsion had dramatically less cholestasis â strong neonatal liverâsupport signal.
- Effects of purified eicosapentaenoic and docosahexaenoic acids in nonalcoholic fatty liver disease: results from the Welcome* study
PubMed ID: 25043514
In NAFLD patients, higher erythrocyte DHA (from DHA+EPA) was independently associated with reductions in liver fat by MRS.
- The effect of plant sterols and different low doses of omega-3 fatty acids from fish oil on lipoprotein subclasses
PubMed ID: 26019023
Addition of EPA+DHA reduced triglyceride/cholesterol in large VLDL particlesâmechanistically relevant to hepatic VLDL production and liver fat.
- Improvement in non-alcoholic fatty liver disease severity is associated with a reduction in carotid intima-media thickness progression
PubMed ID: 26748347
Highâdose EPA+DHA modestly reduced liver fat and DHA enrichment associated with decreased liver fat â direct liverârelated findings.
- Effects of eicosapentaenoic acid and docosahexaenoic acid on cardiovascular disease risk factors: a randomized clinical trial
PubMed ID: 27733252
DHA lowered postâmeal triglycerides substantially, which is relevant to hepatic lipid handling and NAFLD risk.
- Macrophage Activation in Pediatric Nonalcoholic Fatty Liver Disease (NAFLD) Correlates with Hepatic Progenitor Cell Response via Wnt3a Pathway
PubMed ID: 27310371
Direct NAFLD trial: 18 months DHA reduced liver inflammation and steatosis and improved histologic NAS.
- 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: fishâoilâcontaining parenteral lipid emulsion significantly reduced parenteralânutritionâassociated cholestasis vs olive/soy emulsion.
- Evaluation of a High Concentrate Omega-3 for Correcting the Omega-3 Fatty Acid Nutritional Deficiency in Non-Alcoholic Fatty Liver Disease (CONDIN)
PubMed ID: 30127297
Highâconcentrate EPA+DHA markedly raised omegaâ3 index, lowered triglycerides and produced a large placeboâcorrected liverâfat reduction in the high FLI subgroup â strong targeted liver benefit.
- 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
Microalgae EPA reduced VLDL and modestly lowered weightâfavorable for liver metabolic load.
- 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/day EPA+DHA reduced hepatic de novo lipogenesis, intrahepatic TAG (~â19%) and plasma TAG (~â18%)âdirect liverâfat benefit.
- Effectiveness of a Novel Ï-3 Krill Oil Agent in Patients With Severe Hypertriglyceridemia: A Randomized Clinical Trial
PubMed ID: 34989797
Marked triglyceride lowering in severe hypertriglyceridemia likely benefits hepatic lipid handling and steatosis risk (TGâmediated liver benefit).
- Lipid extract from blue mussel (Mytilus edulis) improves glycemic traits in Chinese type 2 diabetic mellitus patients: a double-blind randomized controlled trial
PubMed ID: 36409163
Blueâmussel lipid extract (contains nâ3s) lowered fasting insulin, HOMAâIR and TGs in T2D patientsâmetabolic changes relevant to fatty liver risk (indirect, complex product).
- 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
Large TG and VLDL reductions on top of statin therapy imply beneficial hepatic lipid effects (improved lipid export/clearance).
- [Comparison of a commercially available, formula-based nutritional therapy enriched with oats fiber with a non-formula isocaloric therapy to treat non-alcoholic fatty liver disease (NAFLD) - a randomized, controlled intervention trial]
PubMed ID: 30304749
Formula diet containing longâchain omegaâ3 produced greater reductions in liver fat proxy (hepatorenal index) in NAFLD patients versus control.
- 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 IV fishâoil group had decreases in total bilirubin over time versus increases in control and reductions in inflammatory mediators, indicating shortâterm liver benefit.
- Comparison of the effects of different intravenous fat emulsions in patients with systemic inflammatory response syndrome and sepsis
PubMed ID: 22205554
Fish oil parenteral emulsions in sepsis patients were associated with less hepatic steatosis vs standard emulsions.
- Effects of n-3 fish oil on metabolic and histological parameters in NASH: a double-blind, randomized, placebo-controlled trial
PubMed ID: 25195547
Oneâyear 3 g/day reduced hepatic fat and altered RBC lipids in NASH patientsâdirect liverâfat benefit.
- Effect of omega-3 on hepatic regeneration in adult living donors undergoing hepatic resections for liver transplantation: A randomized controlled trial
PubMed ID: 26518479
Perioperative IV Ïâ3 increased liver regrowth and HGF in living liver donors (direct human liver regeneration benefit).
- 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, omegaâ3 enriched IV nutrition reduced postoperative complications and shortened hospital stay (direct liverâsurgery context).
- Beneficial effects of probiotic combination with omega-3 fatty acids in NAFLD: a randomized clinical study
PubMed ID: 30221912
Probiotic + omegaâ3 RCT in NAFLD patients reduced Fatty Liver Index and improved lipids and inflammation.
- Four Weeks of Preoperative Omega-3 Fatty Acids Reduce Liver Volume: a Randomised Controlled Trial
PubMed ID: 30888593
4 weeks of Ïâ3 reduced total liver volume and visceral fat preâbariatric surgeryâdirect effect on liver size/visceral adiposity.
- 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 (EPA+DHA + phytosterols) produced favorable trends in liver fat, fibrosis marker (TGFâÎČ) and lipids.
- Effect of Omega-3 Polyunsaturated Fatty Acids on Lipid Metabolism in Patients With Metabolic Syndrome and NAFLD
PubMed ID: 35147302
12-month high-dose n-3PUFA in NAFLD lowered GGT significantly and increased likelihood of liver-fat reduction, showing direct liver benefit.
- Gallstone Dissolution Effects of Combination Therapy with n-3 Polyunsaturated Fatty Acids and Ursodeoxycholic Acid: A Randomized, Prospective, Preliminary Clinical Trial
PubMed ID: 38712398
Small RCT: adding nâ3 PUFA to UDCA increased gallstone/sludge response rate vs UDCA alone â biliary/liverârelated clinical effect.
- Omega 3-rich Camelina sativa oil in the context of a weight loss program improves glucose homeostasis, inflammation and oxidative stress in patients with NAFLD: A randomised placebo-controlled clinical trial
PubMed ID: 34423525
Camelina (Ïâ3 rich) oil RCT in NAFLD improved insulin resistance and multiple inflammatory/oxidative stress markersâdirect liverâdisease relevance.
- Omega-3 fatty acid lipid emulsions are safe and effective in reducing endotoxemia and sepsis in acute-on-chronic liver failure: An open-label randomized controlled trial
PubMed ID: 33450081
IV omega-3 in acute-on-chronic liver failure reduced endotoxin and was associated with less sepsis and lower systemic inflammationâdirect liver/patient support signal.
Blood pressure (57)
- Omega-3 fatty acids improve blood pressure control and preserve renal function in hypertensive heart transplant recipients
PubMed ID: 11207085
Omegaâ3 prevented systolic BP rise and vascular resistance increase over 1 year in hypertensive transplant patients â strong BP effect.
- Effect of Weight Reduction Diets Containing Fish, Walnut or Fish plus Walnut on Cardiovascular Risk Factors in Overweight and Obese Women
PubMed ID: 31679359
Fish+walnut diet during weight loss reduced systolic blood pressure (~5 mmHg)âdirect BP benefit.
- Fish oil amplifies the effect of propranolol in mild essential hypertension
PubMed ID: 2147175
Randomized trial showed fish oil reduced BP and augmented propranolol effects â direct BP-lowering evidence.
- Effects of dietary oleic, linoleic and alpha-linolenic acids on blood pressure, serum lipids, lipoproteins and the formation of eicosanoid precursors in patients with mild essential hypertension
PubMed ID: 1972963
Twoâweek linseed (ALA) feeding lowered stress systolic BP in hypertensive men â supports BPâlowering potential of nâ3/ALA diets.
- 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
Dietary EPA+DHA lowered systolic BP by ~5.1 mmHg in mildly hypercholesterolemic men â direct BP benefit evidence.
- The effect of flax seed cultivars with differing content of alpha-linolenic acid and lignans on responses to mental stress
PubMed ID: 14684754
Different flaxseed strains reduced stressâinduced BP and cortisol in postmenopausal women â strong acute BP/stress effect.
- Dietary supplementation with flaxseed oil lowers blood pressure in dyslipidaemic patients
PubMed ID: 17268413
12âweek flaxseed oil (8 g ALA/day) significantly lowered systolic and diastolic BP vs safflower oil in dyslipidaemic men â strong trial evidence.
- Effects of a rapeseed oil-enriched hypoenergetic diet with a high content of α-linolenic acid on body weight and cardiovascular risk profile in patients with the metabolic syndrome
PubMed ID: 22894911
Rapeseed (highâALA) diet produced larger diastolic BP reductions over 6 months versus oliveâoil diet.
- Potent antihypertensive action of dietary flaxseed in hypertensive patients
PubMed ID: 24126178
Large randomized doubleâblind trial: 30 g/day flaxseed for 6 months produced substantial systolic (~â10 mm Hg overall, â15 mm Hg in hypertensives) and diastolic reductions â strong BP evidence.
- Effects of brown and golden flaxseed on the lipid profile, glycemia, inflammatory biomarkers, blood pressure and body composition in overweight adolescents
PubMed ID: 25441591
Flaxseed in overweight adolescents lowered diastolic BPâsupportive but adherence and magnitude limitations.
- Lowering Effects of n-3 Fatty Acid Supplements on Blood Pressure by Reducing Plasma Angiotensin II in Inner Mongolia Hypertensive Patients: A Double-Blind Randomized Controlled Trial
PubMed ID: 30511840
2 g/day fish oil modestly reduced systolic BP (~4.5 mmHg) in hypertensive Chinese patientsâclinically relevant modest BP lowering.
- Omega-3 polyunsaturated fatty acids-enriched hen eggs consumption enhances microvascular reactivity in young healthy individuals
PubMed ID: 29633621
Omegaâ3 enriched eggs lowered blood pressure in healthy adults over 3 weeksâdirect BP benefit.
- The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans
PubMed ID: 12145002
EPA/DHA increased arterial compliance and tended to decrease pulse/vascular resistance â suggests potential blood pressure benefits.
- 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
Changes in lipoprotein EPA/DHA correlated with modest improvements in mean arterial and pulse pressure in insulinâresistant adults.
- n-3 fatty acids reduce plasma 20-hydroxyeicosatetraenoic acid and blood pressure in patients with chronic kidney disease
PubMed ID: 26103129
nâ3 supplementation lowered oxidative lipids and these changes statistically predicted systolic and diastolic BP reductions in CKD patientsâdirect BP relevance.
- A combined effect of Cavacurcumin, Eicosapentaenoic acid (Omega-3s), Astaxanthin and Gamma -linoleic acid (Omega-6) (CEAG) in healthy volunteers- a randomized, double-blind, placebo-controlled study
PubMed ID: 31987113
Combination supplement including EPA lowered SBP by ~4.7 mmHg at 4 weeks (meaningful change though multiple ingredients coâadministered).
- Effect of seabuckthorn seed oil in reducing cardiovascular risk factors: A longitudinal controlled trial on hypertensive subjects
PubMed ID: 27522605
Seabuckthorn seed oil (contains nâ3) for 30 days associated with BP normalization in hypertensivesâshort, multiâingredient trial but notable BP change.
- Effect of chia seeds or concentrated fish oil on cardiometabolic risk markers in subjects with hypertriglyceridaemia: a parallel clinical trial
PubMed ID: 39360590
In hypertriglyceridaemic subjects, chia (ALA) reduced diastolic BP; fish oil also reduced triglyceridesâsome evidence of BP benefit from ALA source (and mixed nâ3 effects).
- 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
Omegaâ3 significantly lowered 24âh ambulatory systolic and diastolic BP (~â3.3/â2.9 mmHg) in CKD patientsârobust BP effect.
- Effect of eicosapentaenoic and docosahexaenoic acids on blood pressure in hypertension. A population-based intervention trial from the TromsĂž study
PubMed ID: 2137901
Controlled trial in mild hypertension showed modest but significant systolic/diastolic BP reductions with EPA/DHA.
- The effects of low doses of n-3 fatty acid supplementation on blood pressure in hypertensive subjects. A randomized controlled trial
PubMed ID: 1828336
Randomized crossover: lowâdose fish oil modestly lowered systolic (~4.1 mmHg combined) and diastolic BP in mild hypertensionâdirect BP benefit.
- Effects of a fish oil supplement on blood pressure and serum lipids in patients treated for coronary artery disease
PubMed ID: 1617510
In coronary patients fish oil attenuated increases in systolic blood pressure versus control (significant difference).
- Effects of n-3 polyunsaturated fatty acids on glucose homeostasis and blood pressure in essential hypertension. A randomized, controlled trial
PubMed ID: 7486485
Randomized controlled trial: systolic BP reduced by ~3.8 mmHg vs control â clear modest BPâlowering effect.
- Improvement of serum lipids and blood pressure during intervention with n-3 fatty acids was not associated with changes in insulin levels in subjects with combined hyperlipidaemia
PubMed ID: 7891046
Concentrated EPA/DHA lowered systolic and diastolic BP in hyperlipidaemic subjects â supports BP benefit.
- Effect of medium-term supplementation with a moderate dose of n-3 polyunsaturated fatty acids on blood pressure in mild hypertensive patients
PubMed ID: 9733153
4 g/day EPA+DHA reduced systolic/diastolic BP ~5â6 mmHg in mildly hypertensive men â clinically meaningful BP lowering.
- Docosahexaenoic acid but not eicosapentaenoic acid lowers ambulatory blood pressure and heart rate in humans
PubMed ID: 10454450
Purified DHA reduced 24-hour and daytime blood pressure (~3â6 mm Hg systolic/diastolic) and lowered heart rate â strong BP evidence.
- Low-dose docosahexaenoic acid lowers diastolic blood pressure in middle-aged men and women
PubMed ID: 17374663
~0.7 g/day DHA lowered diastolic BP by ~3.3 mmHg in middleâaged adults â clear BPâlowering effect.
- Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications
PubMed ID: 18665413
Lean fish four times/week modestly lowered systolic and diastolic BP in CHD patients (direct BP benefit).
- 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
Metabolicâsyndrome RCT reported significant systolic BP decreases with fishâoil treatment.
- Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction
PubMed ID: 19487105
Fish or fish oil during weight loss produced clinically meaningful SBP/DBP reductions (~4 mmHg).
- Preliminary evidence that acute long-chain omega-3 supplementation reduces cardiovascular reactivity to mental stress: a randomized and placebo controlled trial
PubMed ID: 21967854
Threeâweek RCT reduced MAP reactivity to mental stressâevidence for improved BP reactivity regulation.
- The effects of supplemental fish oil on blood pressure and morning cortisol in normotensive adults: a pilot study
PubMed ID: 23104856
Pilot RCT showed clinically meaningful reductions in systolic and pulse pressure over 6 weeks in healthy adults.
- Interaction between a CSK gene variant and fish oil intake influences blood pressure in healthy adults
PubMed ID: 24401815
1.8 g/d EPA+DHA reduced SBP/DBP in a genotypic subgroup (significant genotypeĂtreatment interaction).
- 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
Dietaryâlevel EPA+DHA lowered systolic BP by ~5 mm Hg in adults with isolated systolic hypertension (clinically meaningful).
- 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 ~4â5 mmHg lower SBP/DBP at 4â6 years in children who became overweight/obese â clinically meaningful subgroup effect.
- Docosahexaenoic acid reduces resting blood pressure but increases muscle sympathetic outflow compared with eicosapentaenoic acid in healthy men and women
PubMed ID: 30735073
DHA (~3 g/d) lowered resting systolic and diastolic BP more than EPA in healthy adults â direct BPâlowering effect.
- 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
Dual omegaâ3 enriched foods lowered mean 24âh diastolic BP by â3.1 mmHg and reduced heart rateâdirect BP effect.
- Effects of DHA-Rich n-3 Fatty Acid Supplementation and/or Resistance Training on Body Composition and Cardiometabolic Biomarkers in Overweight and Obese Post-Menopausal Women
PubMed ID: 34371972
1650 mg DHA/day lowered diastolic blood pressure versus placebo in overweight/obese postmenopausal women.
- [Comparison of a commercially available, formula-based nutritional therapy enriched with oats fiber with a non-formula isocaloric therapy to treat non-alcoholic fatty liver disease (NAFLD) - a randomized, controlled intervention trial]
PubMed ID: 30304749
Formula diet containing longâchain omegaâ3 produced clinically meaningful reductions in systolic (~â14 mmHg) and diastolic (~â10 mmHg) BP in NAFLD patients.
- Reduction of blood pressure and plasma triglycerides by omega-3 fatty acids in treated hypertensives
PubMed ID: 7852747
Doubleâblind crossover: systolic BP â3.1 mmHg and diastolic â1.8 mmHg vs corn oil; modest but meaningful adjunct BP lowering.
- Delayed omega-3 fatty acid supplements in renal transplantation. A double-blind, placebo-controlled study
PubMed ID: 7871564
Lateâstart omegaâ3 modestly lowered diastolic BP (~9â10 mmHg) in kidney transplant patients â clinically relevant BP change.
- Effects of dietary fish and weight reduction on ambulatory blood pressure in overweight hypertensives
PubMed ID: 9774368
Daily fish meals lowered awake systolic and diastolic ambulatory blood pressure significantly â direct BP benefit.
- 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 nâ3 lowered mean arterial pressure in healthy men in an 8âweek intervention â direct BP improvement evidence.
- Trans, and n-3 polyunsaturated fatty acids and vascular function-a yin yang situation?
PubMed ID: 16713391
4 g/day n-3 lowered mean arterial blood pressure in healthy men (direct BP-lowering signal).
- Comparison of seal oil to tuna oil on plasma lipid levels and blood pressure in hypertriglyceridaemic subjects
PubMed ID: 19727884
Both fish oil and seal oil reduced systolic blood pressure (~5â8 mmHg) in hypertriglyceridemic subjects.
- The metabolic effects of omega-3 plant sterol esters in mixed hyperlipidemic subjects
PubMed ID: 20617456
Omegaâ3 plant sterol esters modestly reduced diastolic blood pressure (~5.9 mmHg), a meaningful BP signal in this trial.
- A low-fat high-carbohydrate diet supplemented with long-chain n-3 PUFA reduces the risk of the metabolic syndrome
PubMed ID: 21839455
Study reported a significant reduction in hypertension prevalence with 1.24 g/day nâ3 on a LFHCC dietâdirect BPârelated benefit.
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PubMed ID: 22313793
90âday fishâoil intervention increased adiponectin/NO and was associated with modest diastolic and some systolic BP decreases.
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PubMed ID: 23173831
Systolic BP decreased by ~7 mmHg after 5 weeks of Ïâ3 in healthy older adults â clear BPâlowering signal.
- Effects of omega-3 on metabolic markers in postmenopausal women with metabolic syndrome
PubMed ID: 25394692
In postmenopausal women with metabolic syndrome, adding omegaâ3 to diet reduced systolic and diastolic blood pressure significantly vs diet alone.
- 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 dietary trial with ~1.5 g/day EPA+DHA produced ~7 mmHg systolic BP reductionâstrong evidence for BP lowering.
- 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
Oneâmonth nâ3 in overweight children reduced blood pressure (shortâterm RCT evidence).
- Targeted medical nutrition for cachexia in chronic obstructive pulmonary disease: a randomized, controlled trial
PubMed ID: 28891198
Multiâingredient nutrition drink with highâdose omegaâ3 lowered systolic BP by ~12.7 mmHg vs comparator in cachectic COPD patients (product contained other active nutrients).
- 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
Study reported a clinically meaningful decrease in pulse pressure (~4.7 mmHg) in women consuming seafood sticks with omega-3âsupports modest BP benefit.
- 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
nâ3 PUFA reduced EVâdependent thrombin metrics and lowered systolic BP modestly in a crossover RCT â some BPâlowering evidence.
- Comparison of the effects of flaxseed oil and sunflower seed oil consumption on serum glucose, lipid profile, blood pressure, and lipid peroxidation in patients with metabolic syndrome
PubMed ID: 29229363
Flaxseed oil lowered systolic (~â14 mmHg mean change) and diastolic BP vs control in metabolicâsyndrome patientsâclinically meaningful BP reductions.
- Blood pressure lowering in elderly subjects: a double-blind crossover study of omega-3 and omega-6 fatty acids
PubMed ID: 1989427
Randomized doubleâblind crossover in hypertensive elderly showed clinically meaningful decreases in DBP (standing) and triglycerides with fish oil.
Focus & concentration (46)
- Prenatal supplementation with DHA improves attention at 5 y of age: a randomized controlled trial
PubMed ID: 27604770
Prenatal DHA improved sustained attention at age 5âdirect evidence for improved focus in offspring after maternal supplementation.
- Cognitive and Mood Effects of a Nutrient Enriched Breakfast Bar in Healthy Adults: A Randomised, Double-Blind, Placebo-Controlled, Parallel Groups Study
PubMed ID: 29215606
Acute and sustained improvements in attention and alertness were observed after an ALAâcontaining nutrient bar, but multiâingredient confounding lowers attribution to omegaâ3 alone.
- The effect of fish oil on physical aggression in schoolchildren--a randomized, double-blind, placebo-controlled trial
PubMed ID: 15741051
Fishâoil supplementation reduced impulsivity and some behavioral measures in girls â supports attention/focus improvements in that subgroup.
- 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 problemâsolving improvements imply early attentional/executive benefits.
- 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
Improvements in learning/attentionârelevant tests in schoolâage children after supplementation.
- 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 measures at 20 months â direct evidence for better focus in that group.
- Effect of supplementation with long-chain Ï-3 polyunsaturated fatty acids on behavior and cognition in children with attention deficit/hyperactivity disorder (ADHD): a randomized placebo-controlled intervention trial
PubMed ID: 24958525
In children with ADHD, EPA+DHA raised RBC omegaâ3s and improved working memory â working memory relates closely to focus.
- 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 is an objective measure of cognitive processing/attention, supporting better focus.
- Reduced inattention and hyperactivity and improved cognition after marine oil extract (PCSO-524Âź) 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
Marineâoil extract improved working memory and reduced ADHD symptoms in certain subgroupsârelevant to attention/focus improvement.
- Long-chain polyunsaturated fatty acid supplementation in the first year of life affects brain function, structure, and metabolism at age nine years
PubMed ID: 30311214
Longâterm LCPUFA supplementation resulted in stronger dorsal attention network connectivity and greater ACC activation during inhibitionâsupports attention/focus mechanisms.
- 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 FA balance and folateâhomocysteine at birth associated with child processing speed years later â supports attention/processing outcomes linked to prenatal FA status.
- Arachidonic and docosahexaenoic acid supplementation and brain maturation in preterm infants; a double blind RCT
PubMed ID: 38061271
Whiteâmatter maturation with ARA+DHA in preterms supports neurocircuit integrity underlying attention/focus.
- Effects of Long-Chain Polyunsaturated Fatty Acids in Combination with Lutein and Zeaxanthin on Episodic Memory in Healthy Older Adults
PubMed ID: 37447152
Memory improvements in older adults with baseline decline suggest cognitive domain gains that can include attention/focus in atârisk groups.
- 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 (±MCT) improved global cognition in MCI; improvements can translate to better attentional focus.
- Fatty acids in ADHD: plasma profiles in a placebo-controlled study of Omega 3/6 fatty acids in children and adolescents
PubMed ID: 22753087
Omegaâ3/6 supplementation increased nâ3 and EPA and these biochemical shifts were linked to symptomatic responders in ADHD childrenâdirectly relevant to focus.
- 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 showed improved sustained attention (TOVA) with EPA/DHA, especially phospholipid form.
- 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
Duplicate emphasis: strong direct evidence for attentional/processing improvements in boys.
- Docosahexaenoic acid for reading, cognition and behavior in children aged 7-9 years: a randomized, controlled trial (the DOLAB Study)
PubMed ID: 22970149
600 mg/day DHA over 16 weeks improved reading in poorest readers and reduced parentârated ADHDâtype behaviours (RCT evidence relevant to attention/ focus).
- Effect of n-3 supplementation on hyperactivity, oxidative stress and inflammatory mediators in children with attention-deficit-hyperactivity disorder
PubMed ID: 24568073
RCT in ADHD showed improved parentârated hyperactivity and reduced inflammatory markers â behavioral attention benefits reported.
- Increased Erythrocyte Eicosapentaenoic Acid and Docosahexaenoic Acid Are Associated With Improved Attention and Behavior in Children With ADHD in a Randomized Controlled Three-Way Crossover Trial
PubMed ID: 24214970
Higher erythrocyte EPA+DHA correlated with better attention and behavior in children with ADHD â biomarkerâlinked focus improvements.
- 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 prefrontal activation and krill oil shortened P300 latencyâphysiologic evidence of improved attention/processing speed.
- 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
Malnourished children experienced improvements in attention and executive function after 3 months of omegaâ3 â direct evidence for better focus.
- Reduced Symptoms of Inattention after Dietary Omega-3 Fatty Acid Supplementation in Boys with and without Attention Deficit/Hyperactivity Disorder
PubMed ID: 25790022
Randomized trial in boys showed modest but statistically significant reductions in parentârated inattention and increased DHA statusâdirect evidence for improved focus.
- Prenatal DHA supplementation and infant attention
PubMed ID: 27362506
Prenatal DHA supported maintained sustained attention across 4â9 months â direct evidence for improved focus in infancy.
- 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
RCT in elderly with MCI showed improvements in working memory and perceptual speed.
- DHA supplementation improves cognitive function via enhancing AÎČ-mediated autophagy in Chinese elderly with mild cognitive impairment: a randomised placebo-controlled trial
PubMed ID: 29142143
24âmonth DHA trial improved subtests like digit span and information (attention/working memory components).
- 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
Multinutrient including omegaâ3 improved global cognition and functional performance in MCI â implies better attention/processing as part of global gains.
- 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
In children, increased erythrocyte nâ3 improved attention errors and cognitive flexibilityâdirect focus benefit.
- Supplementation with oil rich in eicosapentaenoic acid, but not in docosahexaenoic acid, improves global cognitive function in healthy, young adults: results from randomized controlled trials
PubMed ID: 34113957
EPA improved processing speed and overall cognitive accuracy in young adultsâsupports attentional performance.
- Maternal FADS2 single nucleotide polymorphism modified the impact of prenatal docosahexaenoic acid (DHA) supplementation on child neurodevelopment at 5 years: Follow-up of a randomized clinical trial
PubMed ID: 34543890
Prenatal DHA improved quantitative cognition and memory in a genotype subgroup â potential downstream benefit for attention/focus.
- Omega-3/omega-6 fatty acids for attention deficit hyperactivity disorder: a randomized placebo-controlled trial in children and adolescents
PubMed ID: 18448859
ADHD trial: a meaningful subgroup (inattentive subtype) improved after months of supplementation.
- EPA supplementation improves teacher-rated behaviour and oppositional symptoms in children with ADHD
PubMed ID: 20491709
Randomized 0.5 g/d EPA improved teacherârated attention measures in children with ADHD.
- 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
PSâomegaâ3 formulation reduced ADHD symptoms including inattentive/restless indicesâdirect evidence for improved focus/attention (combination product caveat).
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PubMed ID: 23173831
Improved working memory in older adults may translate to better attentional/workingâmemoryârelated focus.
- Evaluation of the effect of omega-3 fatty acids in the treatment of premenstrual syndrome: "a pilot trial"
PubMed ID: 23642943
Concentration problems improved in PMS subjects with 2 g/day Ïâ3âclinically observed cognitive/attention benefit.
- 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 reduced externalizing/internalizing behaviors (likely to include attentional/behavioral control improvements).
- 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
Schoolâmeal omegaâ3 increase associated with modest improvements in reading performance (attention/learningârelevant), supportive of improved focus in children.
- 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
3âmonth RCT in children improved reading speed and decoding times, especially in those with attention problems (functional attention benefit).
- Association between Blood Omega-3 Index and Cognition in Typically Developing Dutch Adolescents
PubMed ID: 26729157
Crossâsectional study in adolescents found higher blood omegaâ3 status associated with better processing speed and attention.
- Efficacy and Safety of Omega-3/6 Fatty Acids, Methylphenidate, and a Combined Treatment in Children With ADHD
PubMed ID: 24464327
Omegaâ3/6 oil improved ADHD total symptoms and hyperactivityâimpulsivity in childrenâdirect evidence for attention/focus benefits.
- Fatty fish intake and attention performance in 14-15Â year old adolescents: FINS-TEENS - a randomized controlled trial
PubMed ID: 28969711
Fattyâfish meals improved processing speed (attention/executive domain) in adolescentsâsupports focus/cognitive processing.
- Psychoeducational Psychotherapy and Omega-3 Supplementation Improve Co-Occurring Behavioral Problems in Youth with Depression: Results from a Pilot RCT
PubMed ID: 27604240
Omegaâ3 monotherapy improved inattention in depressed youth (RCT signal for attentional benefits).
- 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
Highâdose EPA modestly improved focused attention measures in children with ADHD (CPT variability), a direct focus benefit.
- Efficacy of Omega-3 and Korean Red Ginseng in Children with Subthreshold ADHD: A Double-Blind, Randomized, Placebo-Controlled Trial
PubMed ID: 32847461
Combined Ïâ3 + Korean red ginseng RCT in children with subthreshold ADHD improved parentârated ADHD and attention scales (attention/focus signal).
- 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: 34656505
8-week omega-3 in children with ADHD produced modest reductions in impulsiveness, a domain related to attention/control and focus.
- Efficacy of Omega-3/Omega-6 Fatty Acids in Preschool Children at Risk of ADHD: A Randomized Placebo-Controlled Trial
PubMed ID: 31680604
Randomized preschool trial showed moderate improvements in parentâ and teacherârated ADHD symptoms with omegaâ3/6 supplementationâdirectly supports improved attention/focus.
Memory (40)
- The effect of souvenaid on functional brain network organisation in patients with mild Alzheimer's disease: a randomised controlled study
PubMed ID: 24475144
Multinutrient including DHA/EPA preserved EEG metrics and the trial reported memory improvement in mild Alzheimer's.
- 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 combined with folic acid produced modest fullâscale cognitive gains in older adults with MCI â supports memory improvement potential.
- Impact of Omega-3 Fatty Acid Supplementation on Memory Functions in Healthy Older Adults
PubMed ID: 26890759
26âweek RCT in older adults improved objectâlocation memory â a specific memory benefit with biological uptake.
- Telomere shortening in elderly individuals with mild cognitive impairment may be attenuated with Ï-3 fatty acid supplementation: a randomized controlled pilot study
PubMed ID: 24342530
In MCI patients, higher DHA associated with less telomere shortening â preliminary neuroprotective indication potentially relevant to memory preservation.
- 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
Perilla+nobiletin improved a cognitive index and increased RBC DHA/DPA/ALA and BDNF over 12 months (combined product).
- 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
12âmonth RCT (PS + ALA + coânutrients) modestly improved shortâterm memory and other cognitive scores in MCI patients.
- A randomized placebo-controlled pilot trial of omega-3 fatty acids and alpha lipoic acid in Alzheimer's disease
PubMed ID: 24077434
Ïâ3+αâlipoic acid slowed MMSE decline and preserved IADL in Alzheimerâs pilot â supports preservation of cognitive domains including memory.
- Improved cognitive development among preterm infants attributable to early supplementation of human milk with docosahexaenoic acid and arachidonic acid
PubMed ID: 18519483
Recognition memory improved in very preterm infants receiving DHA+ARA.
- 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
Verbal learning and memory improved in children after fishâflour supplementation.
- Effect of supplementation with long-chain Ï-3 polyunsaturated fatty acids on behavior and cognition in children with attention deficit/hyperactivity disorder (ADHD): a randomized placebo-controlled intervention trial
PubMed ID: 24958525
Working memory improved in ADHD children after EPA+DHA â direct memory domain benefit.
- Reduced inattention and hyperactivity and improved cognition after marine oil extract (PCSO-524Âź) 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
Working memory / picture recognition accuracy improved in randomized trialâdirect cognitive memory benefit in children.
- Effects of Long-Chain Polyunsaturated Fatty Acids in Combination with Lutein and Zeaxanthin on Episodic Memory in Healthy Older Adults
PubMed ID: 37447152
Combined RCTs: LCPUFA+lutein/zeaxanthin improved episodic memory in participants with baseline cognitive decline â direct clinical memory benefit in an atârisk subgroup.
- 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 (±MCT) RCT in MCI produced cognitive improvements and reductions in Alzheimer biomarkers relevant to memory.
- The LipiDiDiet trial: what does it add to the current evidence for Fortasyn Connect in early Alzheimer's disease?
PubMed ID: 31616139
While the primary memory composite was neutral, Fortasyn slowed clinical decline and preserved hippocampal volumeâsupportive for memory preservation.
- Cognitive findings of an exploratory trial of docosahexaenoic acid and lutein supplementation in older women
PubMed ID: 18510807
DHA (± lutein) associated with improvements in word fluency and some memory tasks in older women.
- Beneficial effects of docosahexaenoic acid on cognition in age-related cognitive decline
PubMed ID: 20434961
DHA RCT in older adults improved visuospatial episodic and verbal recognition memory (statistically significant).
- Docosahexaenoic acid-concentrated fish oil supplementation in subjects with mild cognitive impairment (MCI): a 12-month randomised, double-blind, placebo-controlled trial
PubMed ID: 22932777
12âmonth concentrated DHA fish oil produced statistically significant improvements in multiple memory domains in older adults with MCI.
- Transfer of omega-3 fatty acids across the blood-brain barrier after dietary supplementation with a docosahexaenoic acid-rich omega-3 fatty acid preparation in patients with Alzheimer's disease: the OmegAD study
PubMed ID: 24410954
CSF DHA increases correlated with favorable tau biomarker changes in mild ADârelevant to memory/AD pathology.
- Maternal FADS2 single nucleotide polymorphism modified the impact of prenatal docosahexaenoic acid (DHA) supplementation on child neurodevelopment at 5 years: Follow-up of a randomized clinical trial
PubMed ID: 34543890
Prenatal DHA produced ~0.6 SD improvements in child memory scores at age 5 in a maternal FADS2 genotype subgroup.
- Omega-3 polyunsaturated fatty acids supplementation improves memory in first-diagnosed, drug-naĂŻve patients with depression: Secondary analysis of data from a randomized controlled trial
PubMed ID: 38244783
Small RCT secondary analysis showed improved immediate memory with omegaâ3 adjunctive therapy.
- Effects of Prenatal DHA Dose on Infant Visual Attention
PubMed ID: 40791013
Prenatal DHA improved infant visual habituation/learning (early cognitive/memoryârelated measure).
- 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
ADAS-cog improvement in mild cognitive impairment subgroup suggests memory benefit potential.
- 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
Randomized trial showed modest but significant improvement in immediate verbal memory with phosphatidylserine carrying omegaâ3s in older adults with complaints.
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PubMed ID: 23173831
Crossover trial demonstrated improved working memory after 3 g/day EPA+DHA in healthy older adults.
- Long-chain omega-3 fatty acids improve brain function and structure in older adults
PubMed ID: 23796946
26âweek RCT showed improvements in executive function and brain structural measures in older adultsâsupports memory/processing benefits.
- Omega-3 supplementation and loneliness-related memory problems: secondary analyses of a randomized controlled trial
PubMed ID: 25264972
Doseâdependent attenuation of lonelinessârelated verbal episodic memory decline (immediate and longâdelay free recall) â direct memory benefit in an RCT subgroup.
- 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
Higher plasma Ïâ3 after supplementation in mildâmoderate AD was associated with less cognitive decline on ADASâcog, implying preserved memory/cognition.
- Omega-3 fatty acids ameliorate cognitive dysfunction in schizophrenia patients with metabolic syndrome
PubMed ID: 32304881
Omegaâ3 increased BDNF and improved delayed memory factor in schizophrenia patients (direct memory measure improvement).
- Twelve Weeks of Additional Fish Intake Improves the Cognition of Cognitively Intact, Resource-Limited Elderly People: A Randomized Control Trial
PubMed ID: 35166302
Modest, statistically significant improvement in global cognition in elderly following increased oilyâfish/Ïâ3 intakeâsupports memory benefit.
- Higher RBC EPA + DHA corresponds with larger total brain and hippocampal volumes: WHIMS-MRI study
PubMed ID: 24453077
Higher EPA+DHA associated with larger hippocampal volumes in older women â hippocampal preservation is plausibly linked to memory support.
- Brain atrophy in cognitively impaired elderly: the importance of long-chain Ï-3 fatty acids and B vitamin status in a randomized controlled trial
PubMed ID: 25877495
Baseline higher EPA+DHA strongly enhanced Bâvitamin effect in slowing brain atrophy â supports preservation of memoryârelated brain tissue.
- Effects of Folic Acid Combined with DHA Supplementation on Cognitive Function and Amyloid-ÎČ-Related Biomarkers in Older Adults with Mild Cognitive Impairment by a Randomized, Double Blind, Placebo-Controlled Trial
PubMed ID: 33749643
Folic acid + DHA improved digit span and arithmetic in MCIâevidence of shortâterm memory/working memory gain.
- Supplementation with oil rich in eicosapentaenoic acid, but not in docosahexaenoic acid, improves global cognitive function in healthy, young adults: results from randomized controlled trials
PubMed ID: 34113957
EPAârich oil produced meaningful improvements in memory accuracy in healthy young adults.
- Omega-3 fatty acid, carotenoid and vitamin E supplementation improves working memory in older adults: A randomised clinical trial
PubMed ID: 34999335
Combined DHA/EPA + carotenoids improved working memory modestly after 24 months in older adults.
- 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
Older adults with MCI receiving highâdose omegaâ3/omegaâ6 plus antioxidants showed improvements in global cognition (ACEâR/MMSE) and reduced fatigue â supports memory/cognition improvement where omegaâ3 likely contributed.
- Homocysteine Status Modifies the Treatment Effect of Omega-3 Fatty Acids on Cognition in a Randomized Clinical Trial in Mild to Moderate Alzheimer's Disease: The OmegAD Study
PubMed ID: 30958356
Omega-3 improved some cognitive scores in Alzheimer's patients with good B-vitamin status (post-hoc subgroup), including memory-related measures.
- DHA supplementation improves cognitive function via enhancing AÎČ-mediated autophagy in Chinese elderly with mild cognitive impairment: a randomised placebo-controlled trial
PubMed ID: 29142143
DHA 2 g/day for 24 months improved global/verbal IQ and memoryârelevant subtests in MCI.
- 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
Significant improvements across global and subdomain cognitive scores including working memory in MCI RCT.
- Tolerability and safety of Souvenaid in patients with mild Alzheimer's disease: results of multi-center, 24-week, open-label extension study
PubMed ID: 25322923
Souvenaid intake was associated with improved memory zâscores in exploratory analysesâsupportive but uncontrolled evidence.
- Effects of DHA Supplementation on Hippocampal Volume and Cognitive Function in Older Adults with Mild Cognitive Impairment: A 12-Month Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 27716665
12âmonth DHA improved several cognitive tests and slowed hippocampal atrophy in MCI â substantial memoryârelated evidence.
Exercise recovery (41)
- Krill-Oil-Dependent Increases in HS-Omega-3 Index, Plasma Choline and Antioxidant Capacity in Well-Conditioned Power Training Athletes
PubMed ID: 34959789
Krill oil in powerâtraining athletes raised RBC omegaâ3 index, improved plasma choline recovery after exercise, and attenuated antioxidant depletionâpilot RCT evidence for recovery benefits.
- Differential effects of three enteral dietary regimens on selected outcome variables in burn patients
PubMed ID: 2112634
Burn patients on enriched formula had shorter hospital stays and fewer wound infections.
- Enteral nutrition with supplemental arginine, RNA, and omega-3 fatty acids in patients after operation: immunologic, metabolic, and clinical outcome
PubMed ID: 1377838
Postoperative patients on enriched diet had shorter hospital stay and improved nitrogen balance â faster clinical recovery surrogate.
- 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
Septic subgroup had fewer infections and much shorter LOSârepresents faster recovery in critically ill patients.
- Enteral nutrition during multimodality therapy in upper gastrointestinal cancer patients
PubMed ID: 7726669
Markedly lower postoperative infections and shorter LOS after supplementationâevidence of faster recovery.
- A randomized trial of isonitrogenous enteral diets after severe trauma. An immune-enhancing diet reduces septic complications
PubMed ID: 8857857
Fewer major infections and lower hospital resource use indicate faster overall recovery.
- Early postoperative enteral immunonutrition: clinical outcome and cost-comparison analysis in surgical patients
PubMed ID: 9295822
Fewer late postoperative complications and lower costs with the supplemented diet â improved recovery metrics.
- Effect of route of delivery and formulation of postoperative nutritional support in patients undergoing major operations for malignant neoplasms
PubMed ID: 9366716
Improved immune recovery and shorter hospital stay compared with other feeding methods.
- A prospective, randomized, double-blind, controlled clinical trial of enteral immunonutrition in the critically ill. Guy's Hospital Intensive Care Group
PubMed ID: 9671364
In the earlyâfeeding subgroup, supplementation shortened ventilation time and hospital LOSâfaster recovery clinical signal.
- Complications of pancreatic surgery and the role of perioperative nutrition
PubMed ID: 10449977
After pancreatic surgery, immunonutrition reduced complications, sepsis severity and shortened LOS.
- Artificial nutrition after pancreaticoduodenectomy
PubMed ID: 11075988
Faster immune recovery, fewer complications and shorter LOS after pancreatic surgery.
- Nutritional approach in malnourished surgical patients: a prospective randomized study
PubMed ID: 11822956
Perioperative immunonutrition including omegaâ3 reduced postoperative complications and shortened hospital stay in malnourished surgical patientsâfaster clinical recovery signal.
- 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
Combined Ïâ3/leucine/probiotic improved strength, mobility and lowered CRP in sarcopenic older adultsâfunctional recovery benefit though multinutrient.
- A Five-Ingredient Nutritional Supplement and Home-Based Resistance Exercise Improve Lean Mass and Strength in Free-Living Elderly
PubMed ID: 32785021
Older men doing home resistance exercise who took a multiâingredient drink containing fish oil gained more lean mass and strength vs placeboâsupports exercise performance/recovery though multiâingredient confounds attribution to omegaâ3 alone.
- Omega-3 fatty acids supplementation attenuates inflammatory markers after eccentric exercise in untrained men
PubMed ID: 21358504
1.8 g/day nâ3 reduced inflammatory markers after eccentric exercise â supports faster molecular recovery postâexercise.
- Docosahexaenoic acid affects markers of inflammation and muscle damage after eccentric exercise
PubMed ID: 25029008
2 g/day DHA reduced early ILâ6 and CK after eccentric exerciseâbiomarker evidence for faster recovery.
- 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
In infants after openâheart surgery IV fish oil lowered TNFâα and associated with better clinical markers/shorter stay â suggests faster clinical recovery in that setting.
- 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
21âday seal oil increased muscle activation and reduced sprint fatigue in trained men â functional exercise recovery signal.
- The Effect of Krill Oil Supplementation on Exercise Performance and Markers of Immune Function
PubMed ID: 26407095
Krill oil supplementation increased omegaâ3 index and enhanced NK cytotoxicity and PBMC ILâ2 after exerciseâsupports improved immune recovery after exertion.
- Re-esterified DHA improves ventilatory threshold 2 in competitive amateur cyclists
PubMed ID: 33087145
Reâesterified DHA improved submaximal cycling power and affected oxygen use in amateur cyclists over 30 days â direct performance/recovery benefit signal.
- Ï-3 polyunsaturated fatty acid supplementation improves postabsorptive and prandial protein metabolism in patients with chronic obstructive pulmonary disease: a randomized clinical trial
PubMed ID: 35849009
EPA+DHA reduced wholeâbody protein breakdown, increased prandial anabolism and increased extremity lean mass in COPDâbiologic effects consistent with faster muscular recovery/rebuilding.
- 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
Sixâmonth fishâoil trial in older adults increased muscle mass/strength and improved performance â may aid recovery and resilience to exercise.
- Long-Chain Omega-3 Fatty Acid Supplementation and Exercise-Induced Muscle Damage: EPA or DHA?
PubMed ID: 38051142
In healthy men EPA or DHA improved some exercise recovery measures (function/soreness) vs placebo in a small RCT.
- Resistance Training Alone or Combined With N-3 PUFA-Rich Diet in Older Women: Effects on Muscle Fiber Hypertrophy
PubMed ID: 30052800
nâ3 rich diet combined with resistance training produced a 23% increase in fast type IIA muscle fiber size and local anabolic/antiâinflammatory signalingâsupports recovery/strength adaptation.
- Effects of omega-3 polyunsaturated fatty acids on inflammatory markers in COPD
PubMed ID: 16354850
COPD patients improved 6-min walk distance and dyspnea after long-term supplementationârelevant to exercise tolerance/recovery.
- 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
Parenteral fish oil after major abdominal surgery shortened hospital stay by ~21%âevidence for faster clinical recovery in a surgical setting.
- Regulation of omega-3 fish oil emulsion on the SIRS during the initial stage of severe acute pancreatitis
PubMed ID: 19224159
IV fish oil shortened SIRS and sped fluid balance recovery in severe pancreatitisâclinical recovery benefit.
- 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 nutrition preserved lean mass and reduced cytokine responsesâsupports faster recovery from physiological stress.
- Untitled
PubMed ID: 22340541
Postoperative elderly patients on fishâoil TPN had fewer infections and shorter hospital stays â supports faster clinical recovery.
- Untitled
PubMed ID: 22218156
Older women receiving 2 g/day fish oil plus strength training gained greater muscle strength and functional improvements vs training alone.
- Fish oil-derived n-3 PUFA therapy increases muscle mass and function in healthy older adults
PubMed ID: 25994567
Six months of nâ3 PUFA increased thigh muscle mass and strength in older adults â could support better recovery/adaptation to exercise.
- 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
In older adults doing resistance training, fishâoil improved strength gains and muscle quality in womenâsupports improved training response/recovery.
- Lower limb explosive strength capacity in elderly women: effects of resistance training and healthy diet
PubMed ID: 28473614
Resistance training combined with an nâ3ârich diet yielded substantially larger gains in power and rate of force development vs training alone â supports improved functional recovery/performance.
- Impact of Varying Dosages of Fish Oil on Recovery and Soreness Following Eccentric Exercise
PubMed ID: 32727162
Doseâresponse RCT showed 6 g/day fish oil reduced soreness and sped recovery of power versus lower doses/placebo.
- Effects of an Omega-3 Supplemented, High-Protein Diet in Combination with Vibration and Resistance Exercise on Muscle Power and Inflammation in Old Adults: A Pilot Randomized Controlled Trial
PubMed ID: 36296958
Added Ïâ3 with exercise/protein increased muscle power and lowered inflammation in older adultsâmay aid recovery/performance.
- 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
Resistanceâtrained men: omegaâ3 plus training increased strength/power and reduced inflammation/oxidative stress â supports faster recovery/adaptive response.
- Synergistic Effects of Probiotic and Omega-3 Supplementation with Ultra-Short Race Pace Training on Sprint Swimming Performance
PubMed ID: 40732922
Competitive sprint swimmers receiving probiotics+omegaâ3 plus raceâpace training had larger sprint/power gains than training alone â multiâingredient but supportive.
- 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
Elite swimmers improved upperâbody strength/power with combined probiotic+omegaâ3 during raceâpace training â suggests performance/recovery benefit.
- Treatment of delirium in intensive care patients with sepsis using daily intravenous infusions with omega-3 fatty acids
PubMed ID: 40643182
In septic ICU patients, IV omegaâ3 reduced ICU length of stay, ventilation days and delirium â notable recovery/resource use benefits.
- The effect of krill oil supplementation on skeletal muscle function and size in older adults: A randomised controlled trial
PubMed ID: 35504165
Sixâmonth krill oil increased muscle strength and thickness in older adults (meaningful functional gains relevant to recovery and resilience).
- Nutritional Status Predicts Fatty Acid Uptake from Fish and Soybean Oil Supplements for Treatment of Cancer-Related Fatigue: Results from a Phase II Nationwide Study
PubMed ID: 35011059
In fatigued breast-cancer survivors, greater omega-3 uptake correlated with clinically meaningful reductions in physical fatigue and improved vigor (recovery/energy relevance).
Joint comfort (36)
- 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 RCT: 2.6 g/day omega-3 improved RA symptoms and allowed reduction of other meds.
- 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 large, clinically meaningful reductions in tender joints and morning stiffness in RA patients.
- [The use of n-3 fatty acids in chronic juvenile arthritis]
PubMed ID: 9064671
Juvenile chronic arthritis study showed CRP reduction with nâ3, supporting reduced joint inflammation/symptoms.
- Efficacy of fish oil concentrate in the treatment of rheumatoid arthritis
PubMed ID: 11036827
RA trial on low n-6 diet + fish oil produced statistically significant clinical improvement in disease activity.
- Supplementation of fish oil and olive oil in patients with rheumatoid arthritis
PubMed ID: 15723739
Randomized trial in RA patients showed reduced joint pain and morning stiffness with fish oil (clinically relevant improvements).
- The effect of n-3 polyunsaturated fatty acids on leukotriene Bâ and leukotriene Bâ
production from stimulated neutrophil granulocytes in patients with chronic kidney disease
PubMed ID: 21530211
Shift from proâinflammatory LTB4âLTB5 in CKD indicates antiâinflammatory mechanism potentially relevant to joint pain.
- The Effect of Omega-3 Fatty Acids in Patients With Active Rheumatoid Arthritis Receiving DMARDs Therapy: Double-Blind Randomized Controlled Trial
PubMed ID: 26925896
Randomized RA trial showed large, clinically meaningful reductions in joint pain, swelling, morning stiffness and analgesic use with omegaâ3.
- Omega-3 fatty acid use for obese breast cancer patients with aromatase inhibitor-related arthralgia (SWOG S0927)
PubMed ID: 30159789
RCT in obese breast cancer patients showed meaningful reductions in arthralgia/pain vs placebo over 24 weeks.
- l-Serine and EPA Relieve Chronic Low-Back and Knee Pain in Adults: A Randomized, Double-Blind, Placebo-Controlled Trial
PubMed ID: 32520991
Lâserine + EPA RCT showed clinically meaningful reductions in lowâback and knee pain, but EPA contribution is confounded by combination.
- 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
Reduced pain reported in breastâcancer survivors (general pain reduction), plausibly relevant to joint comfort though not jointâspecific.
- [Fish oils and rheumatoid arthritis. A randomized and double-blind study]
PubMed ID: 8066866
Active RA: nâ3 supplementation gave modest improvements in stiffness, tender joints and CRP.
- Decreased interleukin-1 beta levels in plasma from rheumatoid arthritis patients after dietary supplementation with n-3 polyunsaturated fatty acids
PubMed ID: 1458789
Randomized trial in rheumatoid arthritis showed reduced ILâ1ÎČ and modest clinical articular improvement, supporting joint symptom benefit.
- Anti-inflammatory Diet In Rheumatoid Arthritis (ADIRA)-a randomized, controlled crossover trial indicating effects on disease activity
PubMed ID: 32055820
Antiâinflammatory portfolio diet including nâ3 produced modest withinâperiod reductions in RA disease activity (clinical joint benefit signal).
- 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
Randomized trial showed preserved physical function, increased exercise and far fewer knee/hip replacements â direct joint outcome.
- 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 reduced IL-18 and increased adiponectin (anti-inflammatory biomarker changes) that plausibly relate to joint symptom improvement.
- Perna canaliculus lipid complex PCSO-524âą demonstrated pain relief for osteoarthritis patients benchmarked against fish oil, a randomized trial, without placebo control
PubMed ID: 23739042
PCSOâ524 (mussel) produced marked pain/function improvement vs fish oil in OA patients (small study) â direct joint symptom benefit.
- Serum levels of interleukin-18 are reduced by diet and n-3 fatty acid intervention in elderly high-risk men
PubMed ID: 19595382
3âyear trial lowered ILâ18 modestly â consistent with some antiâinflammatory action.
- Fish oil supplementation lowers C-reactive protein levels independent of triglyceride reduction in patients with end-stage renal disease
PubMed ID: 19461006
6âmonth EPA/DHA RCT in ESRD reduced CRP â supports antiâinflammatory effects relevant to joints.
- DHA supplementation decreases serum C-reactive protein and other markers of inflammation in hypertriglyceridemic men
PubMed ID: 19158225
Highâdose DHA RCT lowered CRP/ILâ6 and neutrophils â mechanistic evidence for reduced joint inflammation/pain.
- Effect of glucosamine sulfate with or without omega-3 fatty acids in patients with osteoarthritis
PubMed ID: 19756416
RCT in osteoarthritis showed adding EPA/DHA to glucosamine increased highâresponder pain reductions (clinical joint pain benefit).
- 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
Randomized trial in RA showing large reduction in NSAID requirement with preserved disease control â strong joint pain/comfort signal.
- The effect of flaxseed with or without anti-inflammatory diet in patients with rheumatoid arthritis, a randomized controlled trial
PubMed ID: 34837524
Flaxseed (plant omegaâ3) improved pain and DAS28 in RA over 12 weeksâdirect joint symptom benefit.
- 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
8âweek RCT of an omegaâ3 product improved knee pain/function (WOMAC/VAS) â direct, clinically meaningful effect.
- Krill oil improved osteoarthritic knee pain in adults with mild to moderate knee osteoarthritis: a 6-month multicenter, randomized, double-blind, placebo-controlled trial
PubMed ID: 35880828
Large RCT: krill oil (omegaâ3) increased omegaâ3 index and produced modest but significant improvements in knee pain/function in OA patients.
- Docosahexaenoic acid in the treatment of rheumatoid arthritis: AÂ double-blind, placebo-controlled, randomized cross-over study with microalgae vs. sunflower oil
PubMed ID: 28302406
RA patients given DHA had a ~29% reduction in tender+swollen joint count and favorable shifts in lipid mediatorsâdirect clinical improvement in joint symptoms.
- Incorporation of n-3 PUFA and Îł-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 RCT in chronic inflammatory arthritis reduced DAS28 and pain â direct clinical benefit for joints.
- [Polyunsaturated omega-3 fatty acids in the treatment of experimental human gingivitis]
PubMed ID: 8720373
Small RCT showed EPA incorporation and significant reduction in gingival inflammationâsupports local antiâinflammatory action relevant to joint comfort.
- Effects of fish oil on plasma fibrinolysis in patients with mild rheumatoid arthritis
PubMed ID: 7774110
Study in rheumatoid arthritis showed reduced fibrinogen/tâPA (inflammatory/coagulation markers) suggesting potential symptomatic/antiâinflammatory benefit though clinical symptom data limited.
- Dietary Intake of n-3 PUFA-Enriched Hen Eggs Changes Inflammatory Markers' Concentration and Treg/Th17 Cells Distribution in Blood of Young Healthy Adults-A Randomised Study
PubMed ID: 34071714
Increased proâresolution lipid mediators (resolvins) and reduced ILâ6 suggest antiâinflammatory effects that can relieve joint discomfort.
- Clinical Benefits of n-3 PUFA and ɀ-Linolenic Acid in Patients with Rheumatoid Arthritis
PubMed ID: 28346333
Randomized RA trial: fish oil reduced DAS28 and pain, directly improving joint symptoms.
- Dietary alpha-linolenic acid decreases C-reactive protein, serum amyloid A and interleukin-6 in dyslipidaemic patients
PubMed ID: 12818406
Significant reductions in CRP, SAA and ILâ6 with ALA â plausible mechanism for reduced joint inflammation/pain.
- Dietary omega-3 fatty acid supplementation and naproxen treatment in patients with rheumatoid arthritis
PubMed ID: 1464864
Randomized trial in RA showed reduced morning stiffness and improved global assessments with omegaâ3.
- Dietary fish oil and olive oil supplementation in patients with rheumatoid arthritis. Clinical and immunologic effects
PubMed ID: 2363736
RA RCT: higher-dose fish oil reduced swollen joints and inflammatory mediatorsâdirect clinical joint benefit.
- High-dose Omega-3 Alters Serum Magnesium and Calcium Levels and Affects Fibromyalgia Symptoms: A Randomized, Double-blind, Placebo-Control Study
PubMed ID: 39377412
Randomized trial in fibromyalgia showed reduced pain/symptoms with highâdose omegaâ3.
- The effects of dietary supplementation with n-3 polyunsaturated fatty acids in patients with rheumatoid arthritis: a randomized, double blind trial
PubMed ID: 1459173
RCT in RA showed improved morning stiffness and joint tenderness with nâ3 PUFA (direct symptomatic benefit).
- Cod liver oil (n-3 fatty acids) as an non-steroidal anti-inflammatory drug sparing agent in rheumatoid arthritis
PubMed ID: 18362100
Codâliver oil in RA allowed large NSAID reductionâclinically meaningful symptom relief consistent with improved joint comfort.
Skin health (26)
- Combination therapy with low-dose etretinate and eicosapentaenoic acid for psoriasis vulgaris
PubMed ID: 9863281
EPA added to etretinate sped psoriasis improvementâdirect clinical skin benefit.
- Prenatal Fish Oil Supplementation, Maternal COX1 Genotype, and Childhood Atopic Dermatitis: A Secondary Analysis of a Randomized Clinical Trial
PubMed ID: 39196551
Prenatal fishâoil reduced a TXA2 marker and lowered childhood eczema risk in children of mothers with certain COX1 genotypes â clinically relevant skin outcome (genotypeâdependent).
- Pruritus-reducing effects of omega-3 fatty acids in hemodialysis patients: A cross-over randomized clinical trial
PubMed ID: 35112475
3 g/day omegaâ3 reduced itch severity in hemodialysis patients, a clinically meaningful skin/itch symptom improvement.
- Clinical and metabolic response to flaxseed oil omega-3 fatty acids supplementation in patients with diabetic foot ulcer: A randomized, double-blind, placebo-controlled trial
PubMed ID: 28716357
Flaxseedâderived omegaâ3 improved wound healing and reduced inflammation in diabetic foot ulcersâdirect skin healing benefit.
- Randomized controlled trial of oral omega-3 PUFA in solar-simulated radiation-induced suppression of human cutaneous immune responses
PubMed ID: 23364005
EPAârich nâ3 raised RBC EPA and lessened UVâinduced suppression of skin cellâmediated immunityâbiologic skin benefit evidence.
- 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
Randomized trial in obese psoriasis patients on an energyârestricted, nâ3 enriched diet produced large improvements in PASI scoresâclinically meaningful skin benefit though confounded by calorie restriction.
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PubMed ID: 22751375
Critically ill patients on fishâoil enriched formula had less pressureâulcer worsening and lower CRP â relevant to skin/ulcer outcomes.
- 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
Highâdose EPA reduced UVâinduced erythemal sensitivity, skin p53 expression and systemic DNA damage markersâstrong biomarker evidence for skin protection.
- Maternal fish oil supplementation in pregnancy reduces interleukin-13 levels in cord blood of infants at high risk of atopy
PubMed ID: 12680858
Maternal fishâoil significantly reduced cord blood ILâ13 and showed a large reduction in atopic dermatitis severity odds (skin allergy outcome).
- 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 fishâoil tended to lower some infant allergy/atopic dermatitis severity outcomes (skinârelated clinical signal).
- 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 randomized, doubleâblind pilot studies of krill oil (1â2 g/day) showed doseâdependent reductions in TEWL and improved hydration and elasticity correlated with higher omegaâ3 status.
- The effect of fish oil rich in cetoleic acid on the omega-3 index and skin quality
PubMed ID: 38788345
Cetoleicârich fish oil trials reported raised omegaâ3 index and reduced skin erythema (antiâinflammatory skin effect) in small pilots.
- Effect of Omega-3 Polyunsaturated Fatty Acid Supplementation on Clinical Outcome of Atopic Dermatitis in Children
PubMed ID: 39275147
Omegaâ3/GLA/vitamin D syrup reduced eczema severity (SCORAD), topical steroid use, itch and improved sleep/quality of life in children (RCT).
- Docosahexaenoic Acid Effect on Prenatal Exposure to Arsenic and Atopic Dermatitis in Mexican Preschoolers
PubMed ID: 36074245
Prenatal DHA supplementation appeared to lessen arsenicârelated increased risk of atopic dermatitis in offspringâdirect skinâhealth benefit in this context.
- Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy
PubMed ID: 19489765
Prenatal supplementation reduced infant food allergy and IgEâassociated eczema in highârisk infants.
- Docosahexaenoic acid (DHA) supplementation in atopic eczema: a randomized, double-blind, controlled trial
PubMed ID: 18241260
DHA reduced eczema severity (SCORAD) and modified immune markersâstrongest direct skin benefit in the set.
- 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
Patients with inflammatory skin disease had reduced CD25 and increased EPA/DHA after supplementation â supports skin immunomodulation.
- 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
EPA/GLA/antioxidant enteral diet reduced new pressure ulcers in critically ill patientsâclinically relevant skin outcome where omegaâ3 likely contributed.
- 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
Acellular fish skin grafts (fish product) roughly doubled healing rates of chronic diabetic foot ulcers â strong skinâhealing evidence (topical fish tissue product rather than oral nâ3).
- 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 omegaâ3 raised milk EPA/DHA and was associated with fewer IgEârelated allergic outcomes (eczema/allergic disease) in infants.
- 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
HighâEPA supplementation markedly shifted dermal and RBC eicosanoid ratios toward less proâinflammatory species â strong mechanistic skin evidence.
- 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 omegaâ3 produced greater improvements in psoriasis severity and changed eicosanoid profiles â strong dermatologic anti-inflammatory effect.
- Effects of diacylglycerol-enriched alpha-linolenic acid oil on skin properties in mild skin discomfort: a randomized, double-blind, placebo-controlled study
PubMed ID: 41495414
8âweek ALAâDAG RCT increased skin hydration, reduced itch and blunted miteâspecific IgE vs placebo â direct, clinically relevant skin benefits.
- 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
Oral ALA supplementation improved skin hydration (trend/secondary endpoint) in middleâaged women â topical/systemic skin benefit evidence.
- 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
Randomized double-blind trial: 10 weeks of EPA+DHA reduced inflammatory and non-inflammatory acne lesions and lowered IL-8 stainingâdirect clinical skin benefit.
- Omega-3 nanoemulgel in prevention of radiation-induced oral mucositis and its associated effect on microbiome: a randomized clinical trial
PubMed ID: 37648997
Topical omegaâ3 reduced radiationâinduced oral mucositis/pain and changed microbiomeâbenefit to mucosal tissues and local inflammation (related to skin/mucosa health).
Sleep quality (13)
- Fatigue reduction diet in breast cancer survivors: a pilot randomized clinical trial
PubMed ID: 27913933
Diet emphasizing omegaâ3s improved sleep scores in fatigued breastâcancer survivors with correlation to increased blood EPAâsuggestive benefit (multicomponent diet).
- Maternal consumption of a DHA-containing functional food benefits infant sleep patterning: an early neurodevelopmental measure
PubMed ID: 22269042
Maternal DHA enrichment led to fewer newborn sleep arousals in the first 48 hours (randomized dietary intervention).
- Fish consumption, sleep, daily functioning, and heart rate variability
PubMed ID: 24812543
Eating fatty fish thrice weekly improved sleepârelated outcomes and daily functioning in a randomized meal trial.
- Effect of omega-3 and vitamin D co-supplementation on psychological distress in reproductive-aged women with pre-diabetes and hypovitaminosis D: A randomized controlled trial
PubMed ID: 34473420
Triple-blind RCT of vitamin D + omega-3 in prediabetic women showed significant improvement in sleep quality (PSQI); combination trial but clear sleep benefit in intervention arm.
- Differential Effects of DHA- and EPA-Rich Oils on Sleep in Healthy Young Adults: A Randomized Controlled Trial
PubMed ID: 33467135
DHAârich supplementation shortened sleep latency and modestly increased sleep efficiency on objective measures.
- Effect of Docosahexaenoic Acid and Eicosapentaenoic Acid Supplementation on Sleep Quality in Healthy Subjects: A Randomized, Double-Blinded, Placebo-Controlled Trial
PubMed ID: 36235788
12âweek DHA/EPA RCT improved objective sleep efficiency and reduced frequent dreaming in middleâaged/older adults with poor sleepâdirect clinical sleep benefit.
- Marine n-3 polyunsaturated fatty acids slow sleep impairment progression by regulating central circadian rhythms in type 2 diabetes
PubMed ID: 40347940
RCT + observational data in T2D patients showed improved sleep quality (PSQI) and increased leukocyte circadian gene expression after fishâoil.
- Effects of ethyl-eicosapentaenoic acid omega-3 fatty acid supplementation on hot flashes and quality of life among middle-aged women: a double-blind, placebo-controlled, randomized clinical trial
PubMed ID: 19034052
EPA reduced hotâflash frequency; fewer hot flashes can improve sleep quality in menopausal women.
- 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
Oneâyear lowâdose omegaâ3 increased several sleepâtime HRV parameters â physiological signals during sleep suggest modest benefit.
- 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
12âweek RCT adjunct to sertraline reported greater improvements in sleep disturbances with Ïâ3 vs placebo.
- 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 hemodialysis patients showed sleep scores improved when omega-3 was added to cetirizine, though co-medication limits attribution.
- 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 fishâbased, high Ïâ3 meal plan reduced sleep problems in breastâcancer survivors in a feasibility RCT.
- Fatty acids and sleep in UK children: subjective and pilot objective sleep results from the DOLAB study--a randomized controlled trial
PubMed ID: 24605819
Large RCT in schoolchildren with actigraphy subsample: DHA increased objective sleep time (~58 min) and reduced night wakings.
Bone health (5)
- Early Postnatal Changes of Bone Turnover Biomarkers in Very Low-Birth-Weight Neonates-The Effect of Two Parenteral Lipid Emulsions with Different Polyunsaturated Fatty Acid Content: A Randomized Double-Blind Study
PubMed ID: 30864279
VLBW neonates receiving nâ3 PUFAâenriched parenteral lipid had biomarker changes consistent with attenuated early bone lossâbiologic bone benefit signal in neonates.
- Improvement of bone formation biomarkers after 1-year consumption with milk fortified with eicosapentaenoic acid, docosahexaenoic acid, oleic acid, and selected vitamins
PubMed ID: 20579524
Fortified milk with EPA/DHA raised plasma nâ3 and increased osteocalcin and OPG â bone formation biomarkers improved though coânutrients confound attribution.
- Calcium, gamma-linolenic acid and eicosapentaenoic acid supplementation in senile osteoporosis
PubMed ID: 9932142
GLA+EPA with calcium preserved/increased spine and hip BMD over 18â36 months in elderly womenâbone benefit though combined therapy.
- 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 fish oil decreased bone resorption markers in some postmenopausal breast cancer survivors on aromatase inhibitors (pilot RCT).
- Perilla seed oil improves bone health by inhibiting bone resorption in healthy Japanese adults: A 12-month, randomized, double-blind, placebo-controlled trial
PubMed ID: 36637040
Oneâyear randomized doubleâblind perilla (ALA) trial improved calcaneal ultrasound bone metric (%YAM) and reduced bone resorption marker TRACPâ5b â direct boneâhealth benefit.
Hair & Nails (2)
- Efficacy of omega-3 in the treatment of polycystic ovary syndrome
PubMed ID: 23550861
Nonâobese PCOS cohort reported decreased hirsutism (FerrimanâGallwey score) after 6 months of omegaâ3âclinical signal for hair/androgen effects.
- Effect of a nutritional supplement on hair loss in women
PubMed ID: 25573272
6âmonth supplement containing omegaâ3/6 plus antioxidants was associated with improved hair density and less shedding â multiâingredient trial implicates omegaâ3 as a contributor.
Similar by evidence
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Products with Omega-3 Fatty Acids
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Being studied right now
Recruiting clinical trials registered on ClinicalTrials.gov. A trial in progress has no result yet â this is what the field is asking, not what it found.