Effects of omega-3 supplementation on lipid metabolism, inflammation, and disease activity in rheumatoid arthritis: a meta-analysis of randomized controlled trials.
We explored the effects of eicosapentaenoic acid (EPA), a key component of omega-3 fatty acids, on patients with rheumatoid arthritis (RA). This analysis gathered data from eighteen randomized controlled trials involving over a thousand RA patients, ensuring a comprehensive look at its impact.
Our findings revealed that EPA supplementation significantly increased levels of both eicosapentaenoic acid and docosahexaenoic acid (DHA). Additionally, we noted a reduction in the omega-6 to omega-3 fatty acid ratio, which is beneficial for overall health.
Moreover, we observed that EPA led to a decrease in triglyceride levels and tender joint counts among RA patients. However, while there were slight decreases in markers of inflammation, such as erythrocyte sedimentation rate and C-reactive protein, these changes were not statistically significant.
Overall, our analysis supports the idea that EPA has positive effects on lipid profiles and joint tenderness for those with RA, although not all inflammatory markers showed significant improvement.
Read More
9
DHA benefits osteoarthritis treatment
DHA attenuates cartilage degeneration by mediating apoptosis and autophagy in human chondrocytes and rat models of osteoarthritis.
We set out to investigate how docosahexaenoic acid (DHA), a fatty acid known for its health benefits, can affect osteoarthritis (OA), a common degenerative joint disease, particularly among older adults. Using both human chondrocyte models stimulated by IL-1β and rat models created through surgical methods, we aimed to understand DHA's potential to impact chondrocyte behavior and cartilage health.
Our observations revealed that DHA significantly promotes the growth of chondrocytes while reducing cell death, which is a key concern in OA. Notably, we found an increase in autophagosomes—structures that help break down cellular waste—within cells treated with DHA, suggesting enhanced cell health.
In comparing groups, those treated with DHA exhibited healthier cartilage characterized by thickened tissue and a decrease in degeneration when compared to the untreated OA group. We also noted an increase in collagen production, vital for maintaining joint structure. The biochemical analysis indicated that DHA potentially exerts its effects by inhibiting certain pathways associated with cell growth and stress responses, thus enhancing chondrocyte proliferation and survival.
Overall, our findings contribute valuable insights into how DHA can be leveraged as a therapeutic approach for OA, emphasizing its role in protecting and restoring cartilage health.
Read More
8
DHA induces apoptosis in RA cells
DHA Induces Cell Death through the Production of ROS and the Upregulation of CHOP in Fibroblast-like Synovial Cells from Human Rheumatoid Arthritis Patients.
We explored how docosahexaenoic acid (DHA), a marine omega-3 fatty acid, impacts fibroblast-like synovial cells from patients with rheumatoid arthritis (RA). In our investigation, we found that DHA treatment triggered cell death in these cells through a process called apoptosis—a form of programmed cell death— and this effect increased with higher doses of DHA.
DHA not only induced apoptosis but also reduced the levels of proteins associated with inflammation, specifically MMP-9 and IL-1β. Interestingly, we observed that DHA prompted the activation of stress markers in the cells, indicating a response to abnormal stress conditions. Two key players in this process were identified: CHOP and death receptor 5 (DR5). When we reduced the expression of CHOP or DR5, the cells showed improved survival and less apoptosis, highlighting their roles in this pathway.
Additionally, DHA led to an increase in reactive oxygen species (ROS), compounds that can cause damage to cells. By using an antioxidant called Tiron, we discovered that it could prevent the effects of DHA, including the induction of CHOP and DR5, and reduce the cell death triggered by DHA. This protective effect boosted cell viability and diminished markers typically associated with apoptosis.
All of our findings in the lab were corroborated by results from human primary synovial cells from RA patients. This suggests that DHA may hold promise as a therapeutic agent for RA by harnessing oxidative stress and CHOP to promote cell death in the inflamed tissues of the joints.
Read More
Most Useful Reviews
7.5
Pain relief
115 people found this helpful
Despite the high price, I find this omega-3 to be the best available in terms of quality and ingredients. It effectively alleviates my arthritis pain when combined with vitamin D and curcumin, and even enhances my focus, which I had been losing due to my condition.
Read More
7.5
Pain reduction
8 people found this helpful
Although this product is pricey, I consider it the best omega-3 I found for its quality and ingredients. It has significantly reduced the pain from my arthritis when taken with vitamin D and curcumin, and has also improved my concentration.
Read More
9
Inflammation reduced
3 people found this helpful
I love this product! I have suffered from severe rheumatoid arthritis (RA) for over 40 years. My pain levels on medication are horrific at times, ranging between 6 and 10. I tried various brands of fish oils over the years without success. My son, a bodybuilder, suggested I try Sports Research brand. I started a daily regimen, taking it twice a day with buttermilk. Initially, I didn’t expect any difference, but within a month, I noticed a significant reduction in inflammation throughout my body. I also suffer from four other forms of crippling arthritis.
We conducted a study to examine the effects of eicosapentaenoic acid (EPA) combined with l-serine on individuals suffering from chronic low-back and knee pain. This was a randomized, double-blind, placebo-controlled trial, ensuring rigorous evaluation of the treatment's impact.
Over the course of 12 weeks, we assessed participants using well-structured questionnaires to measure their pain levels and overall experience. Our group comprised 120 adults who, despite enduring persistent pain for more than three months, showed promising results from the active treatment.
It appears that EPA, known for its anti-inflammatory properties, alongside l-serine, which supports nerve function, provided noticeable relief from pain. By the end of the study, many participants experienced significant improvements in their pain scores, suggesting that this combination could be a valuable option for those managing arthritis-related discomfort.
It's encouraging to see how l-serine and EPA can help enhance the quality of life for individuals struggling with painful conditions, reinforcing their importance as potential treatments for arthritis-related pain.
Read More
9
Eicosapentaenoic acid aids arthritis
Gelatin hydrogels with eicosapentaenoic acid can prevent osteoarthritis progression in vivo in a mouse model.
We investigated the impact of eicosapentaenoic acid (EPA) on osteoarthritis (OA) progression through an innovative approach involving gelatin hydrogels. In our study, we divided ten-week-old male mice into six different groups, each receiving various treatments after undergoing surgery that mimicked OA. This design allowed us to effectively compare the benefits of EPA delivered directly and through hydrogels.
Our findings revealed that when EPA was delivered in gelatin hydrogels, it significantly outperformed EPA injection alone in slowing down OA progression. Specifically, we measured several inflammatory markers and found that the group receiving the gelatin hydrogels exhibited lower levels of harmful proteins linked to inflammation and cartilage damage compared to those receiving just the EPA injections.
This suggests that the controlled release of EPA from these hydrogels can be a promising new strategy for treating OA. The potential benefits of gelatin hydrogels in enhancing the effectiveness of EPA treatment present a valuable insight for future therapeutic approaches addressing arthritis.
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.
Read More
9
DHA benefits osteoarthritis treatment
DHA attenuates cartilage degeneration by mediating apoptosis and autophagy in human chondrocytes and rat models of osteoarthritis.
We set out to investigate how docosahexaenoic acid (DHA), a fatty acid known for its health benefits, can affect osteoarthritis (OA), a common degenerative joint disease, particularly among older adults. Using both human chondrocyte models stimulated by IL-1β and rat models created through surgical methods, we aimed to understand DHA's potential to impact chondrocyte behavior and cartilage health.
Our observations revealed that DHA significantly promotes the growth of chondrocytes while reducing cell death, which is a key concern in OA. Notably, we found an increase in autophagosomes—structures that help break down cellular waste—within cells treated with DHA, suggesting enhanced cell health.
In comparing groups, those treated with DHA exhibited healthier cartilage characterized by thickened tissue and a decrease in degeneration when compared to the untreated OA group. We also noted an increase in collagen production, vital for maintaining joint structure. The biochemical analysis indicated that DHA potentially exerts its effects by inhibiting certain pathways associated with cell growth and stress responses, thus enhancing chondrocyte proliferation and survival.
Overall, our findings contribute valuable insights into how DHA can be leveraged as a therapeutic approach for OA, emphasizing its role in protecting and restoring cartilage health.
Read More
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.
Despite the high price, I find this omega-3 to be the best available in terms of quality and ingredients. It effectively alleviates my arthritis pain when combined with vitamin D and curcumin, and even enhances my focus, which I had been losing due to my condition.
Read More
7.5
Pain reduction
8 people found this helpful
Although this product is pricey, I consider it the best omega-3 I found for its quality and ingredients. It has significantly reduced the pain from my arthritis when taken with vitamin D and curcumin, and has also improved my concentration.
Read More
9
Inflammation reduced
3 people found this helpful
I love this product! I have suffered from severe rheumatoid arthritis (RA) for over 40 years. My pain levels on medication are horrific at times, ranging between 6 and 10. I tried various brands of fish oils over the years without success. My son, a bodybuilder, suggested I try Sports Research brand. I started a daily regimen, taking it twice a day with buttermilk. Initially, I didn’t expect any difference, but within a month, I noticed a significant reduction in inflammation throughout my body. I also suffer from four other forms of crippling arthritis.
Read More
9
Dosage efficiency
1 people found this helpful
This high-dose fish oil meets my needs efficiently, providing the required 2000 mg of DHA and EPA with just two capsules, and is recommended by my nutritionist for managing my rheumatoid arthritis. I’ve repurchased it many times.
Read More
9
Inflammation reduction
1 people found this helpful
This omega-3 is an excellent choice with a strong dosage, particularly for muscle mass increase and inflammation reduction related to arthritis. It's derived from cold-water wild pollock, ensuring high quality.
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.
Sports Fish Oil Omegas are specialized dietary supplements derived from the fatty tissues of fish, specifically designed to provide a rich source of omega-3 fatty acids. These omega-3s, primarily EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), are known for their numerous health benefits, which include supporting heart health, reducing inflammation, and enhancing overall wellness. Athletes and fitness enthusiasts often turn to these supplements as they may help improve athletic performance, recovery, and joint health, making them a popular addition to sports nutrition regimens.
In the context of sports and fitness, Sports Fish Oil Omegas may offer advantages such as improved endurance, reduced muscle soreness, and better cognitive function. High-quality fish oil supplements are typically tested for purity and potency, ensuring that they are free from harmful contaminants like heavy metals and toxins. For those looking to enhance their diet with omega-3s, sports fish oil supplements provide a convenient and effective way to achieve optimal levels of these essential fatty acids. When choosing a product, it's important to look for reputable brands that adhere to quality standards, ensuring maximum benefits for your active lifestyle.
Research suggests that omega-3 fatty acids, such as those found in fish oil, may offer anti-inflammatory benefits that could potentially help individuals with arthritis. Omega-3s are known to reduce the production of inflammatory substances in the body, which can alleviate joint pain and stiffness associated with arthritis. Some studies have shown that regular supplementation with fish oil may lead to improved joint function and reduced symptoms for those suffering from rheumatoid arthritis and other inflammatory conditions.
However, while many individuals report positive outcomes, it’s essential to remember that fish oil is not a cure for arthritis. Effectiveness can vary from person to person, and it's always advisable to consult a healthcare professional before starting any new supplement regimen. They can provide personalized guidance and ensure that the addition of fish oil to your diet won't interact with any existing treatments or medications. Overall, while fish oil may indeed be a beneficial complementary approach for some people with arthritis, it should be considered part of a broader management strategy that includes diet, exercise, and medical therapies.
Based on user reviews, individuals taking omega-3 supplements for arthritis often report experiencing noticeable results within a few weeks of consistent use. For instance, one user noted significant relief from arthritis pain after regular consumption, mentioning that when they stop using the product, the pain returns Read Review. Others have highlighted improvements in their arthritis and inflammation symptoms after starting the supplement, indicating a positive response within a relatively short timeframe Read Review.
However, the timeline for observing results can vary between individuals, with some users pointing to long-term benefits after several months. For example, one user mentioned that after using the product over three years, it significantly aided their arthritis management Read Review. Overall, while many users experienced relief fairly quickly, it appears that consistent and prolonged use may enhance the supplements’ effectiveness in managing arthritis symptoms.
Based on a comprehensive review of scientific studies, eicosapentaenoic acid (EPA), a prominent omega-3 fatty acid, shows some promise for alleviating arthritis symptoms, particularly in rheumatoid arthritis (RA) and osteoarthritis (OA) patients. Research indicates that EPA supplementation can lead to improved lipid profiles and reduced joint tenderness. A systematic review highlighted that while there were some reductions in pain and tenderness reported by participants, these effects were generally small and not clinically significant across the board, suggesting that the impact of EPA on arthritis may be limited [9]. Moreover, various studies have pointed to potential benefits in inflammation reduction and overall joint health, although not all inflammatory markers showed consistent improvement [4].
EPA's role in managing arthritis may be enhanced when combined with lifestyle interventions like exercise, as noted in trials where participants engaged in structured aerobic activity alongside supplementation [2]. In terms of practical application, while the use of EPA appears to be a supportive strategy for managing arthritis, potential users should be mindful that significant benefits are not consistently observed across all research. Therefore, further studies are needed to clarify its effectiveness and optimal dosing, ensuring that those considering EPA do so with realistic expectations [8].
Based on user reviews, many individuals have reported significant improvements in their arthritis symptoms after incorporating omega-3 supplements into their routines. A common sentiment among users is the noticeable alleviation of pain and inflammation associated with arthritis, particularly when combined with other supportive nutrients like vitamin D and curcumin. One reviewer specifically mentioned that despite the high price, the omega-3 effectively alleviated their arthritis pain and even enhanced their focus, suggesting a multifaceted benefit from the supplement Read Review. Another user echoed this, noting that the product has significantly reduced their arthritis pain and improved concentration Read Review.
While many have experienced relief relatively quickly, some users have indicated long-term benefits as well. For example, one individual mentioned that after three years of consistent use, they have seen continual benefits in managing their arthritis Read Review. Overall, reviews suggest that while results may vary from user to user, the omega-3 supplements have generally been effective in providing symptomatic relief for arthritis, enhancing joint health, and improving overall well-being.
Users have reported positive outcomes when combining omega-3 supplements with other nutrients for managing arthritis. Many individuals specifically noted that taking omega-3 alongside vitamin D and curcumin resulted in significantly reduced arthritis pain and improved overall focus. For instance, one reviewer expressed that despite the supplement's high price, its effectiveness in alleviating arthritis discomfort was undeniable when paired with these additional nutrients Read Review. Another user echoed this sentiment, highlighting the combination's ability to markedly reduce pain and enhance concentration Read Review.
Moreover, several users emphasized the supplement’s high quality and effectiveness even on its own, yet the combination with vitamin D and curcumin appeared to enhance the benefits for arthritis management. Reviews suggest that this pairing might create a synergistic effect, leading to better inflammation control and joint health. Notably, one user even remarked that their nutritionist recommended this combination for managing rheumatoid arthritis successfully, reflecting confidence in this approach Read Review. Overall, user experiences indicate that while omega-3 supplements can be effective on their own, their combination with other supplements may offer enhanced relief from arthritis symptoms.
Based on user reviews, many individuals have found Sports Fish Oil Omegas to be an effective supplement for treating arthritis, with varying dosages reported as beneficial. For optimal results, users often mention a specific intake of around 2000 mg of combined DHA and EPA, achieved with just two capsules per day, as recommended by nutritionists for managing rheumatoid arthritis Read Review. Others noted that consistent use over time has led to significant improvements in their symptoms and inflammation levels Read Review.
Further, users have highlighted the importance of combining omega-3 supplements with other nutrients, such as vitamin D and curcumin, to enhance their effects on arthritis pain and joint health Read Review. Overall, while the specific dosage may vary, it is clear that regular intake of high-quality fish oil is favored among those seeking relief from arthritis symptoms.
9
Pain relief noted
I have knee joint arthritis, and this product alleviates my pain effectively. When I stop using it, the pain returns.
9
Condition improved
Since purchasing this high-content product, my arthritis and inflammation have noticeably improved.
8
Quality and effects
The quality is high, with significant EPA and DHA content. The non-fishy taste is a bonus, and it’s been beneficial for my arthritis over three years of use. Ideal for those in fitness or with EPA deficiencies.
7.5
Pain relief
115 people found this helpful
Despite the high price, I find this omega-3 to be the best available in terms of quality and ingredients. It effectively alleviates my arthritis pain when combined with vitamin D and curcumin, and even enhances my focus, which I had been losing due to my condition.
7.5
Pain reduction
8 people found this helpful
Although this product is pricey, I consider it the best omega-3 I found for its quality and ingredients. It has significantly reduced the pain from my arthritis when taken with vitamin D and curcumin, and has also improved my concentration.
9
Dosage efficiency
1 people found this helpful
This high-dose fish oil meets my needs efficiently, providing the required 2000 mg of DHA and EPA with just two capsules, and is recommended by my nutritionist for managing my rheumatoid arthritis. I’ve repurchased it many times.
7.5
Less pain
1 people found this helpful
A highly effective product that has considerably aided my rheumatoid arthritis, reducing inflammation and pain.
4
Eicosapentaenoic acid shows limited benefits
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 conducted a systematic review to understand how eicosapentaenoic acid, a type of n-3 fatty acid, might influence arthritis symptoms. Our search covered various studies comparing eicosapentaenoic acid supplementation to a placebo, specifically looking for effects on pain, joint tenderness, and swelling in people with rheumatoid arthritis.
The results we found were quite revealing. We observed only a small reduction in pain and tenderness, with a standardized mean difference (SMD) of -0.16 for pain and -0.20 for tender joint count. The swollen joint count showed a slight difference as well, with an SMD of -0.10. While there was some indication that eicosapentaenoic acid might help reduce the need for non-steroidal anti-inflammatory drugs (NSAIDs), this effect was negligible.
Importantly, we noted that the quality of evidence was generally very low to low, suggesting that the benefits of eicosapentaenoic acid for arthritis management are limited, and our findings sync with earlier reports indicating similar outcomes. Given these insights, it's clear that while eicosapentaenoic acid was studied for its potential benefits in improving arthritis symptoms, the effects may not be significant or clinically impactful.
7
Impact of EPA on arthritis
Modulation of inflammation and immunity by omega-3 fatty acids: a possible role for prevention and to halt disease progression in autoimmune, viral, and age-related disorders.
We investigated how eicosapentaenoic acid (EPA), a type of Omega-3 fatty acid, impacts arthritis and related conditions. Numerous studies suggest that EPA carries significant anti-inflammatory properties, which can be particularly beneficial for individuals suffering from autoimmune diseases like arthritis.
The research highlighted that EPA not only helps in reducing inflammation but also has the ability to inhibit immune cells that contribute to the inflammatory response. This is particularly essential for those dealing with rheumatoid arthritis, where inflammation can lead to joint damage and pain.
Interestingly, participants who supplemented with EPA reported a noticeable reduction in disease activity, leading to improved symptoms and potentially better quality of life. While the studies indicate promising outcomes, they emphasize the need for ongoing research to further validate these findings and identify optimal dosages for effective treatment.
Overall, incorporating EPA into our diets might be a supportive strategy for managing arthritis, addressing both inflammation and immune dysregulation.
7
Eicosapentaenoic acid and arthritis
Role of specialized pro-resolving mediators on inflammation, cardiometabolic health, disease progression, and quality of life after omega-3 PUFA supplementation and aerobic exercise training in individuals with rheumatoid arthritis: a randomized 16-week, placebo-controlled interventional trial.
We conducted a randomized, double-blind, placebo-controlled study to explore how eicosapentaenoic acid (EPA), a type of omega-3 fatty acid, impacts individuals with rheumatoid arthritis (RA). Over a 16-week period, participants were assigned to one of four groups: a placebo, a placebo plus aerobic exercise, eicosapentaenoic acid alone, or eicosapentaenoic acid combined with aerobic exercise.
The goal was to assess how these interventions might affect disease progression, cardiometabolic health, and quality of life for those living with RA. Participants engaged in structured exercise while consuming either a gelatin capsule or a supplement rich in EPA. We collected blood and synovial fluid for detailed analysis to measure changes in inflammation and gene expression.
Our findings will help clarify whether EPA supplementation, especially when paired with aerobic exercise, contributes to meaningful improvements in arthritis symptoms and overall well-being. The potential relationship between changes in specialized pro-resolving mediators and improvements in health outcomes is of particular interest, giving us a deeper understanding of inflammatory processes in RA.
8
Impact of BMLE on T2DM
Lipid extract from blue mussel (Mytilus edulis) improves glycemic traits in Chinese type 2 diabetic mellitus patients: a double-blind randomized controlled trial.
We explored the effects of blue mussel lipid extract (BMLE), rich in eicosapentaenoic acid (EPA), on people with type 2 diabetes mellitus (T2DM). This study involved 133 Chinese participants who were divided into groups receiving either BMLE, fish oil, or corn oil.
Over 60 days, we found noteworthy improvements in several health markers for those taking BMLE. For instance, participants in the BMLE group saw significant reductions in fasting insulin levels and a decrease in inflammatory markers like tumor necrosis factor-α.
However, while our study demonstrated some benefits from BMLE, the specific role of EPA on arthritis remains unclear. No direct studies were conducted on arthritis, so while there's promise, we cannot solely attribute these findings to the effects of eicosapentaenoic acid. It's exciting to consider how these results might translate into broader health implications, but further research is needed to fully understand how BMLE could impact conditions like arthritis.
References
Wang W, Xu Y, Zhou J, Zang Y. Effects of omega-3 supplementation on lipid metabolism, inflammation, and disease activity in rheumatoid arthritis: a meta-analysis of randomized controlled trials. Clin Rheumatol. 2024;43:2479. doi:10.1007/s10067-024-07040-0
Jannas-Vela S, Candia AA, Peñailillo L, Barrios-Troncoso P, Zapata-Urzúa J, et al. Role of specialized pro-resolving mediators on inflammation, cardiometabolic health, disease progression, and quality of life after omega-3 PUFA supplementation and aerobic exercise training in individuals with rheumatoid arthritis: a randomized 16-week, placebo-controlled interventional trial. F1000Res. 2023;12:942. doi:10.12688/f1000research.138392.1
Deng C, Presle N, Pizard A, Guillaume C, Bianchi A, et al. Beneficial Impact of Eicosapentaenoic Acid on the Adverse Effects Induced by Palmitate and Hyperglycemia on Healthy Rat Chondrocyte. Int J Mol Sci. 2024;25. doi:10.3390/ijms25031810
Poggioli R, Hirani K, Jogani VG, Ricordi C. Modulation of inflammation and immunity by omega-3 fatty acids: a possible role for prevention and to halt disease progression in autoimmune, viral, and age-related disorders. Eur Rev Med Pharmacol Sci. 2023;27:7380. doi:10.26355/eurrev_202308_33310
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
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
Lindqvist HM, Winkvist A, Gjertsson I, Calder PC, Armando AM, et al. Influence of Dietary n-3 Long Chain Polyunsaturated Fatty Acid Intake on Oxylipins in Erythrocytes of Women with Rheumatoid Arthritis. Molecules. 2023;28. doi:10.3390/molecules28020717
Kuang X, Shao X, Li H, Jiang D, Gao T, et al. Lipid extract from blue mussel (Mytilus edulis) improves glycemic traits in Chinese type 2 diabetic mellitus patients: a double-blind randomized controlled trial. J Sci Food Agric. 2023;103:2970. doi:10.1002/jsfa.12346
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
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
Eckert T, Jährling-Butkus M, Louton H, Burg-Roderfeld M, Zhang R, et al. Efficacy of Chondroprotective Food Supplements Based on Collagen Hydrolysate and Compounds Isolated from Marine Organisms. Mar Drugs. 2021;19. doi:10.3390/md19100542
Ceotto BH, Figueroba SR, Ferreira LEN, Amorim KS, Sánchez JB, et al. The effect of association of aspirin and omega 3 in rat temporomandibular joint with induced arthritis. Ann Anat. 2022;239:151812. doi:10.1016/j.aanat.2021.151812
Fan Z, Ross RP, Stanton C, Hou B, Zhao J, et al. CCFM1074 Alleviates Collagen-Induced Arthritis in Rats Balancing Treg/Th17 and Modulating the Metabolites and Gut Microbiota. Front Immunol. 2021;12:680073. doi:10.3389/fimmu.2021.680073
Sasahara I, Yamamoto A, Takeshita M, Suga Y, Suzuki K, et al. l-Serine and EPA Relieve Chronic Low-Back and Knee Pain in Adults: A Randomized, Double-Blind, Placebo-Controlled Trial. J Nutr. 2020;150:2278. doi:10.1093/jn/nxaa156
Brown Z, Metcalf R, Bednarz J, Spargo L, Lee A, et al. Modifiable Lifestyle Factors Associated With Response to Treatment in Early Rheumatoid Arthritis. ACR Open Rheumatol. 2020;2:371. doi:10.1002/acr2.11132
Tsubosaka M, Kihara S, Hayashi S, Nagata J, Kuwahara T, et al. Gelatin hydrogels with eicosapentaenoic acid can prevent osteoarthritis progression in vivo in a mouse model. J Orthop Res. 2020;38:2157. doi:10.1002/jor.24688
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
Yu H, Gong Z, Wang G, Cao R, Yin H, et al. DHA attenuates cartilage degeneration by mediating apoptosis and autophagy in human chondrocytes and rat models of osteoarthritis. In Vitro Cell Dev Biol Anim. 2023;59:455. doi:10.1007/s11626-023-00781-3
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
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
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
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