Effects of omega-3 supplementation on lipid metabolism, inflammation, and disease activity in rheumatoid arthritis: a meta-analysis of randomized controlled trials.
We analyzed various trials to see how omega-3 fish oil affects rheumatoid arthritis (RA). Our research included 18 randomized controlled studies with 1,018 RA patients. The results showed omega-3 supplementation significantly increased beneficial omega-3 fatty acids, like EPA and DHA, and reduced triglycerides and tender joint count.
However, it didn't lead to significant changes in some inflammation markers and overall disease activity. While there are positive outcomes regarding certain symptoms, we found no remarkable evidence for its effectiveness in reducing inflammation levels.
Read More
9
DHA shows promise for osteoarthritis
DHA attenuates cartilage degeneration by mediating apoptosis and autophagy in human chondrocytes and rat models of osteoarthritis.
We investigated how docosahexaenoic acid (DHA) impacts osteoarthritis (OA), which is a common joint disease in older adults. Using both human and rat models, we found that DHA can enhance chondrocyte (cartilage cells) growth while reducing cell death.
Moreover, DHA treatment thickened cartilage and lowered degeneration compared to untreated OA models. Additionally, it improved the overall health of chondrocytes by promoting autophagy, which helps recycle damaged cellular components. Our findings suggest that DHA could be a promising therapy for OA treatment.
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8
Dietary influences on RA risk
Dietary factors and rheumatoid arthritis: new perspectives from a Mendelian randomisation analysis.
We conducted a study to understand how various dietary factors, including oily fish, affect rheumatoid arthritis (RA). Through advanced genetic analysis, we found that higher consumption of certain foods, particularly oily fish, appears to lower the risk of developing RA. This suggests that incorporating more oily fish and cereal into our diets could be beneficial for those at risk or living with RA. However, other dietary factors did not show significant links to RA risk.
Read More
Most Useful Reviews
9
Reduces inflammation
105 people found this helpful
Phenomenal product! Omega-3s are renowned for enhancing heart health and lowering triglycerides. Studies indicate they may aid conditions like rheumatoid arthritis. Since starting DEVA algae pills over a year ago, I notice when I forget to take them; I feel stiffer and achier. It's as though my joints are not lubricated, akin to a car engine needing oil. This product, free from GMOs and suitable for vegans, stands out due to its microalgae source, devoid of ocean contaminants. I encourage those taking fish oil to consider where the fish source their Omega-3s: from algae!
Read More
7.5
Reduced arthritis symptoms
4 people found this helpful
DEVA vegan omega 3 is an excellent product. As a sceptic not easily influenced by placebo effects, I find it has alleviated some arthritis symptoms in my fingers and knees, which is pleasing. The price is fantastic, and I’m also impressed with iHerb's service.
Read More
7.5
Aids arthritis coping
2 people found this helpful
This product seems to be making a difference, helping me manage arthritis in my lower back and neck. It's also improving my skin.
We investigated how docosahexaenoic acid (DHA) impacts osteoarthritis (OA), which is a common joint disease in older adults. Using both human and rat models, we found that DHA can enhance chondrocyte (cartilage cells) growth while reducing cell death.
Moreover, DHA treatment thickened cartilage and lowered degeneration compared to untreated OA models. Additionally, it improved the overall health of chondrocytes by promoting autophagy, which helps recycle damaged cellular components. Our findings suggest that DHA could be a promising therapy for OA treatment.
Read More
9
Docosahexaenoic acid reduces arthritis
Lipid mediators obtained from docosahexaenoic acid by soybean lipoxygenase attenuate RANKL-induced osteoclast differentiation and rheumatoid arthritis.
We examined the effects of lipid mediators derived from docosahexaenoic acid (DHA) on arthritis, particularly focusing on rheumatoid arthritis (RA). The study utilized a model involving mice with collagen antibody-induced arthritis (CAIA) and RAW264.7 cells to investigate the role of these mediators in reducing inflammation and joint damage.
The lipid mediators were produced by soybean lipoxygenase from DHA and included substances known for their anti-inflammatory properties. We found that these mediators significantly reduced symptoms in CAIA mice, evidenced by decreased paw swelling and reduced progression of arthritis. In the cellular studies, these mediators inhibited the formation of bone-resorbing cells called osteoclasts, while also downregulating key inflammatory markers.
Following treatment, there were notable improvements in serum cytokine levels, with a decrease in pro-inflammatory cytokines like TNF-α and IL-6, and an increase in the anti-inflammatory cytokine IL-10. Additionally, joint inflammation and damage were reduced, hinting at a complex relationship involving various signaling pathways.
These findings indicate that lipid mediators derived from DHA may offer a promising approach to alleviating symptoms of RA, though the precise individual contributions of DHA alone are difficult to isolate due to the presence of other components in the intervention.
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9
DHA's ambiguous role in arthritis
Very low calorie ketogenic diet and common rheumatic disorders: A case report.
We observed a fascinating case involving a 22-year-old woman with juvenile idiopathic arthritis who was put on a very low calorie ketogenic diet (VLCKD). This diet included high-biological-value protein preparations that featured docosahexaenoic acid (DHA), an omega-3 fatty acid known for its potential health benefits.
The woman saw improvements in her overall weight and health after four months on this diet, including a noticeable reduction in joint pain and headaches. Laboratory tests indicated that her inflammatory markers returned to normal levels, suggesting that the dietary changes—including DHA—might have played a positive role in her experience.
However, it’s essential to note that while DHA is included in the treatment regimen, the isolated effect of DHA on her arthritis symptoms is challenging to determine definitively. This case highlights the potential benefits of dietary interventions for inflammatory conditions but also points to the need for further research to isolate the effects of specific dietary components like DHA.
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8
Omega-3 fatty acids alter chondrocytes
Polyunsaturated fatty acids suppress PIEZO ion channel mechanotransduction in articular chondrocytes.
We explored whether omega-3 fatty acids could help slow down osteoarthritis (OA) by changing how chondrocytes, the cells in our cartilage, respond to mechanical forces.
Our findings indicated that omega-3s significantly reduced chondrocyte sensitivity to compression and certain chemical signals linked to OA progression.
Interestingly, we also discovered that another type of fatty acid, omega-6, may actually make chondrocyte membranes more prone to damage.
This research showcases the importance of specific fatty acids in managing joint health and offers new ideas for nutritional strategies to combat OA.
Read More
8
Dietary influences on RA risk
Dietary factors and rheumatoid arthritis: new perspectives from a Mendelian randomisation analysis.
We conducted a study to understand how various dietary factors, including oily fish, affect rheumatoid arthritis (RA). Through advanced genetic analysis, we found that higher consumption of certain foods, particularly oily fish, appears to lower the risk of developing RA. This suggests that incorporating more oily fish and cereal into our diets could be beneficial for those at risk or living with RA. However, other dietary factors did not show significant links to RA risk.
Phenomenal product! Omega-3s are renowned for enhancing heart health and lowering triglycerides. Studies indicate they may aid conditions like rheumatoid arthritis. Since starting DEVA algae pills over a year ago, I notice when I forget to take them; I feel stiffer and achier. It's as though my joints are not lubricated, akin to a car engine needing oil. This product, free from GMOs and suitable for vegans, stands out due to its microalgae source, devoid of ocean contaminants. I encourage those taking fish oil to consider where the fish source their Omega-3s: from algae!
Read More
7.5
Reduced arthritis symptoms
4 people found this helpful
DEVA vegan omega 3 is an excellent product. As a sceptic not easily influenced by placebo effects, I find it has alleviated some arthritis symptoms in my fingers and knees, which is pleasing. The price is fantastic, and I’m also impressed with iHerb's service.
Read More
7.5
Aids arthritis coping
2 people found this helpful
This product seems to be making a difference, helping me manage arthritis in my lower back and neck. It's also improving my skin.
Read More
Frequently Asked Questions
Arthritis is a general term that refers to inflammation of the joints, which can lead to pain, stiffness, and swelling. It encompasses over 100 different types, with osteoarthritis and rheumatoid arthritis being the most common. Osteoarthritis, often associated with aging, occurs when the cartilage that cushions the joints wears down over time. In contrast, rheumatoid arthritis is an autoimmune disorder where the body's immune system mistakenly attacks the joints, leading to chronic inflammation and potential disability if left untreated.
Symptoms of arthritis can vary widely depending on the type but typically include joint pain, swelling, reduced range of motion, and sometimes fatigue. Diagnosis usually involves a combination of physical exams, imaging tests, and blood tests. While there is currently no cure for arthritis, various treatments ranging from lifestyle modifications, physical therapy, and medications can help manage symptoms and improve quality of life. For those affected, seeking early diagnosis and intervention is crucial for slowing disease progression and preserving joint function.
Omega-3 fish oil is a nutritional supplement derived from the fatty tissues of fish, particularly fatty fish like salmon, mackerel, and sardines. It is rich in omega-3 fatty acids, which are essential fats that the body cannot produce on its own. The most significant types of omega-3s found in fish oil are eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), both of which are known for their numerous health benefits. These include reducing inflammation, supporting heart health, and promoting brain function.
Incorporating omega-3 fish oil into your diet can be beneficial if you don’t consume enough fish regularly. Many health experts recommend oily fish as a part of a balanced diet due to their high omega-3 content. For those who find it difficult to include fish in their meals, fish oil supplements can offer a convenient alternative, providing the same essential fatty acids in concentrated form. However, it’s essential to choose high-quality supplements that are third-party tested for purity and potency to avoid contaminants such as heavy metals or other toxins that can impact health.
Omega-3 fish oil is often touted for its anti-inflammatory properties, which may offer some benefits for individuals suffering from arthritis. Research indicates that omega-3 fatty acids can help reduce joint pain and stiffness, particularly in inflammatory types of arthritis, such as rheumatoid arthritis. These beneficial effects are thought to stem from the ability of omega-3s to inhibit the production of inflammatory compounds in the body. Some studies suggest that regular supplementation with fish oil could lead to a decrease in the need for nonsteroidal anti-inflammatory drugs (NSAIDs) in arthritis patients, providing an alternative or complementary approach to traditional treatments.
However, it's essential to note that while omega-3 fish oil can provide symptom relief for certain individuals, it is not a cure for arthritis. The effectiveness can vary based on individual health conditions, the type of arthritis, and the amount of fish oil consumed. Before starting any supplement regimen, including omega-3 fish oil, it's wise to consult with a healthcare professional. They can provide personalized advice based on your specific health needs and help determine whether fish oil could be a beneficial addition to your arthritis management plan.
Based on user reviews, many individuals report experiencing positive effects from the supplement after a relatively short period. For instance, one user noted that the DEVA vegan omega 3 has alleviated some arthritis symptoms in their fingers and knees, indicating noticeable benefits. However, specific timelines for these results can vary among users. While some may begin to feel improvements in their condition fairly quickly, such as within a few weeks, others might take longer to experience the full benefits of the product Read Review.
Additionally, another reviewer mentioned that they noticed a difference in managing arthritis in their lower back and neck, reinforcing the idea that results can manifest at different rates for different people Read Review. Overall, while some users may see improvements soon after starting the supplement, it's essential to consider individual responses and possibly consult a healthcare professional for tailored advice.
Research indicates that omega-3 fatty acids, particularly docosahexaenoic acid (DHA), show promise in managing arthritis symptoms, especially osteoarthritis (OA) and rheumatoid arthritis (RA). Numerous studies have reported that omega-3 fatty acid intake correlates with improved joint health and inflammation reduction. For instance, one study demonstrated that omega-3 fatty acids significantly reduced chondrocyte sensitivity related to OA progression, contributing to potential joint health management strategies [1]. Up to 66.7% of patients with RA utilizing Janus kinase inhibitors reported reduced pain correlated with increased DHA levels, indicating a possible role for omega-3 in pain management [25].
However, despite these promising findings, it's important to note that while omega-3 supplementation shows potential benefits, evidence remains nuanced. Some trials have highlighted slight improvements in joint tenderness and reductions in omega-6 fatty acids detrimental to joint health [14]. Other studies indicate that while omega-3 can enhance the levels of beneficial fatty acids in the body, the overall impact on inflammation levels and disease activity in RA patients appears limited [18]. Thus, while omega-3 supplements, particularly DHA, may offer some benefits for arthritis management, further investigation is needed to clarify their efficacy in diverse patient populations and to understand the underlying mechanisms [13].
Users report a range of improvements in their symptoms after taking the DEVA vegan omega 3 supplement. For instance, one user mentioned experiencing relief from arthritis symptoms specifically in their fingers and knees, indicating significant benefits that dispelled their initial skepticism about placebo effects Read Review. This suggests that some individuals may find genuine relief from common joint issues after incorporating this supplement into their routine.
Another review highlights that the product has positively impacted their ability to manage arthritis pain in areas such as the lower back and neck, while also noting improvements in skin condition Read Review. These anecdotal experiences illustrate a potentially broad range of benefits, with some users observing noticeable changes in their health, though it's important to keep in mind that individual results will vary. As always, consulting a healthcare professional before starting any new supplement is advisable.
When it comes to using Omega-3 fish oil for treating arthritis, research indicates that specific doses can lead to notable benefits. A comprehensive analysis of multiple studies involving rheumatoid arthritis patients reveals that omega-3 supplementation, particularly with essential fatty acids like EPA and DHA, is beneficial. However, the evidence suggests that while these supplements can enhance levels of omega-3 fatty acids and reduce symptoms such as tender joint count and pain perception, the overall effect on inflammation markers and disease activity remains somewhat limited [3].
Specific studies indicate that higher intake of DHA could correlate with a reduction in pain and inflammation related to arthritis symptoms. One study indicated that increased DHA levels were associated with lower pain levels in rheumatoid arthritis patients, suggesting a role for Omega-3 in management strategies [25]. While establishing a precise "optimal dose" remains challenging, integrating Omega-3 fatty acids into one's diet through oily fish or supplements may serve as an effective adjunct to conventional arthritis treatments. A common recommendation is to aim for at least 1,000 mg of combined EPA and DHA daily, derived from high-quality fish oil supplements or dietary sources, to harness these benefits efficiently.
7.5
Reduced arthritis symptoms
4 people found this helpful
DEVA vegan omega 3 is an excellent product. As a sceptic not easily influenced by placebo effects, I find it has alleviated some arthritis symptoms in my fingers and knees, which is pleasing. The price is fantastic, and I’m also impressed with iHerb's service.
7.5
Aids arthritis coping
2 people found this helpful
This product seems to be making a difference, helping me manage arthritis in my lower back and neck. It's also improving my skin.
8
Omega-3 fatty acids alter chondrocytes
Polyunsaturated fatty acids suppress PIEZO ion channel mechanotransduction in articular chondrocytes.
We explored whether omega-3 fatty acids could help slow down osteoarthritis (OA) by changing how chondrocytes, the cells in our cartilage, respond to mechanical forces.
Our findings indicated that omega-3s significantly reduced chondrocyte sensitivity to compression and certain chemical signals linked to OA progression.
Interestingly, we also discovered that another type of fatty acid, omega-6, may actually make chondrocyte membranes more prone to damage.
This research showcases the importance of specific fatty acids in managing joint health and offers new ideas for nutritional strategies to combat OA.
8
DHA's Pain Reduction in RA
Increased Levels of Omega-3 Fatty Acids and DHA Are Linked to Pain Reduction in Rheumatoid Arthritis Patients Treated with Janus Kinase Inhibitors.
We explored how docosahexaenoic acid (DHA), a type of omega-3 fatty acid, affects pain levels in patients with rheumatoid arthritis (RA) receiving Janus kinase inhibitors (JAKi). By examining changes in lipid metabolites in these patients, we found promising links between increased DHA levels and pain reduction.
Our study involved measuring serum levels of lipid metabolites before treatment and after 24 weeks of JAKi therapy. Notably, we saw significant increases in omega-3 fatty acids and DHA among JAKi-treated patients compared to those receiving tocilizumab, another treatment for RA.
Importantly, 66.7% of patients on JAKi reported acceptable pain levels after the treatment, with a greater reduction in pain than those on tocilizumab. We observed a strong association between decreases in pain and increases in DHA, which hints that DHA might play an important role in managing pain for RA patients who are treated with JAK inhibitors.
4
Omega-3 has limited arthritis impact
Efficacy of n-3 fatty acid supplementation on rheumatoid arthritis' disease activity indicators: a systematic review and meta-analysis of randomized placebo-controlled trials.
We investigated the effects of omega-3 fatty acid supplements on rheumatoid arthritis using data from 23 randomized placebo-controlled trials. Our analysis showed only a small effect in reducing pain, joint tenderness, and swelling.
We observed that while there was a slight reduction in NSAID use, the overall benefit seemed limited. The findings also indicated very low to low quality evidence, suggesting that previous claims of significant benefits could be overstated due to issues with study design.
4
DHA's complex role in arthritis
Modelling the role of enzymatic pathways in the metabolism of docosahexaenoic acid by monocytes and its association with osteoarthritic pain.
We explored how docosahexaenoic acid (DHA), a vital fatty acid, influences arthritis pain, particularly in osteoarthritis (OA). In our study, we analyzed the metabolic pathways of DHA in monocytes, which are crucial in managing inflammation and pain. Our research involved measuring various biomarkers from 30 OA participants, including their pain levels and the presence of specific oxylipins, such as 17-HDHA.
Our findings indicated a complex relationship between DHA metabolism and the inflammatory response in OA. Specifically, we observed that the levels of metabolites like 17-HDHA could influence pain perception in patients. Interestingly, while we noted some patterns that suggested DHA's potential benefits in reducing inflammation, the results did not show a consistent clinical benefit across all participants.
More importantly, we identified that certain gene expressions in metabolic pathways could regulate the production of beneficial compounds that help resolve inflammation. Therefore, while DHA may play a role in managing arthritis pain, individual variability and other influencing factors must be considered to understand its full impact.
This study underscores the need for more research to fully elucidate how DHA interacts with molecular pathways and contributes to pain management in arthritis, highlighting the importance of personalized approaches in treatment.
8
DHA shows promise for OA
Malat1 attenuated the rescuing effects of docosahexaenoic acid on osteoarthritis treatment via repressing its chondroprotective and chondrogenesis activities.
We explored how docosahexaenoic acid (DHA), a type of omega-3 fatty acid, could help in treating osteoarthritis (OA). Our research showed that DHA has strong anti-inflammatory and cartilage-protecting effects on OA cells and improves joint health in mice.
However, we found that a molecule called Malat1 dampens these beneficial effects. Despite this, DHA still showed promise as a potential treatment for OA patients with increased Malat1 levels, particularly in supporting cartilage regeneration.
8
Omega-3 benefits joint health in RA
Effects of omega-3 supplementation on lipid metabolism, inflammation, and disease activity in rheumatoid arthritis: a meta-analysis of randomized controlled trials.
We analyzed various trials to see how omega-3 fish oil affects rheumatoid arthritis (RA). Our research included 18 randomized controlled studies with 1,018 RA patients. The results showed omega-3 supplementation significantly increased beneficial omega-3 fatty acids, like EPA and DHA, and reduced triglycerides and tender joint count.
However, it didn't lead to significant changes in some inflammation markers and overall disease activity. While there are positive outcomes regarding certain symptoms, we found no remarkable evidence for its effectiveness in reducing inflammation levels.
References
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Léger T, Brun A, Lanchais K, Rigaudière JP, Briat A, et al. Docosahexaenoic acid and etanercept could reduce functional and metabolic alterations during collagen-induced arthritis in rats without any synergistic effect. Life Sci. 2023;327:121826. doi:10.1016/j.lfs.2023.121826
Marchand NE, Choi MY, Oakes EG, Cook NR, Stevens E, et al. Over-the-counter fish oil supplementation and pro-resolving and pro-inflammatory lipid mediators in rheumatoid arthritis. Prostaglandins Leukot Essent Fatty Acids. 2023;190:102542. doi:10.1016/j.plefa.2023.102542
Feng L, Yang Z, Li Y, Hou N, Yang B, et al. Malat1 attenuated the rescuing effects of docosahexaenoic acid on osteoarthritis treatment via repressing its chondroprotective and chondrogenesis activities. Biomed Pharmacother. 2022;154:113608. doi:10.1016/j.biopha.2022.113608
Gkiouras K, Grammatikopoulou MG, Myrogiannis I, Papamitsou T, Rigopoulou EI, et al. Efficacy of n-3 fatty acid supplementation on rheumatoid arthritis' disease activity indicators: a systematic review and meta-analysis of randomized placebo-controlled trials. Crit Rev Food Sci Nutr. 2024;64:16. doi:10.1080/10408398.2022.2104210
Sigaux J, Bellicha A, Buscail C, Julia C, Flipo RM, et al. Serum Fatty Acid Profiles Are Associated with Disease Activity in Early Rheumatoid Arthritis: Results from the ESPOIR Cohort. Nutrients. 2022;14. doi:10.3390/nu14142947
Stonehouse W, Benassi-Evans B, Bednarz J, Vincent AD, Hall S, et al. Krill oil improved osteoarthritic knee pain in adults with mild to moderate knee osteoarthritis: a 6-month multicenter, randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2022;116:672. doi:10.1093/ajcn/nqac125
Gowler PRW, Arendt-Tranholm A, Turnbull J, Jha RR, Onion D, et al. Monocyte eukaryotic initiation factor 2 signaling differentiates 17-hydroxy-docosahexaenoic acid levels and pain. iScience. 2025;28:111862. doi:10.1016/j.isci.2025.111862
Franks SJ, Gowler PRW, Dunster JL, Turnbull J, Gohir SA, et al. Modelling the role of enzymatic pathways in the metabolism of docosahexaenoic acid by monocytes and its association with osteoarthritic pain. Math Biosci. 2024;374:109228. doi:10.1016/j.mbs.2024.109228
Su Y, Han Y, Choi HS, Lee GY, Cho HW, et al. Lipid mediators obtained from docosahexaenoic acid by soybean lipoxygenase attenuate RANKL-induced osteoclast differentiation and rheumatoid arthritis. Biomed Pharmacother. 2024;171:116153. doi:10.1016/j.biopha.2024.116153
Wadell AT, Bärebring L, Hulander E, Gjertsson I, Landberg R, et al. Dietary biomarkers and food records indicate compliance to study diets in the ADIRA (Anti-inflammatory Diet In Rheumatoid Arthritis) trial. Front Nutr. 2023;10:1209787. doi:10.3389/fnut.2023.1209787
Rondanelli M, Patelli Z, Gasparri C, Mansueto F, Ferraris C, et al. Very low calorie ketogenic diet and common rheumatic disorders: A case report. World J Clin Cases. 2023;11:1985. doi:10.12998/wjcc.v11.i9.1985
Jeong M, Shin JI, Cho J, Jeon YJ, Kim JH, et al. DHA Induces Cell Death through the Production of ROS and the Upregulation of CHOP in Fibroblast-like Synovial Cells from Human Rheumatoid Arthritis Patients. Int J Mol Sci. 2023;24. doi:10.3390/ijms24021734
Xie R, Zhang Y. Association between 19 dietary fatty acids intake and rheumatoid arthritis: Results of a nationwide survey. Prostaglandins Leukot Essent Fatty Acids. 2023;188:102530. doi:10.1016/j.plefa.2022.102530
Oppedisano F, Bulotta RM, Maiuolo J, Gliozzi M, Musolino V, et al. The Role of Nutraceuticals in Osteoarthritis Prevention and Treatment: Focus on n-3 PUFAs. Oxid Med Cell Longev. 2021;2021:4878562. doi:10.1155/2021/4878562
Chang CK, Chen PK, Chen CC, Chang SH, Chen CH, et al. Increased Levels of Omega-3 Fatty Acids and DHA Are Linked to Pain Reduction in Rheumatoid Arthritis Patients Treated with Janus Kinase Inhibitors. Nutrients. 2021;13. doi:10.3390/nu13093050
Christmann U, Hancock CL, Poole CM, Emery AL, Poovey JR, et al. Dynamics of DHA and EPA supplementation: incorporation into equine plasma, synovial fluid, and surfactant glycerophosphocholines. Metabolomics. 2021;17:41. doi:10.1007/s11306-021-01792-5