Effects of omega-3 fatty acids on cognitive performance: a meta-analysis
Abstract
Background Higher intake of omega-3 fatty acids (n-3 FAs) is associated with a reduced risk of Alzheimer's disease (AD) and milder forms of cognitive impairment (e.g. cognitive impairment no dementia [CIND]); however, findings from interventional trials are inconsistent. This meta-analysis examined the neuropsychological benefit of n-3 FAs in randomized double-blind placebo-controlled studies (RCTs) including healthy, CIND, or AD subjects.Methods Literature was searched using Medline, Embase, PsycInfo, Cochrane Library, Allied and Complementary Medicine Database (AMED), and Cumulative Index to Nursing and Allied Health Literature (CINAHL) up to September 2011. Treatment effects were summarized across cognitive subdomains, and effect sizes were estimated using Hedge's g and random effects modeling.Results Ten RCTs were combined quantitatively. There was no effect of n-3 FAs on composite memory (g = 0.04 [95% CI: -0.06-0.14], N = 934/812, p = 0.452). When examined by domain, no overall benefit for immediate recall (0.04 [-0.05-0.13], N = 934/812, p = 0.358) was detected; however, an effect in CIND subjects (0.16 [0.01-0.31], N = 349/327, p = 0.034) was found. A benefit for attention and processing speed was also detected in CIND (0.30 [0.02-0.57], N = 107/86, p = 0.035), but not healthy subjects. Benefits for delayed recall, recognition memory, or working memory and executive function were not observed. Treatment did not benefit AD patients as measured by the Mini-Mental State Examination (MMSE) or Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-cog). No differences in adverse events (AE), dropout, or dropout due to AE between groups were observed.Conclusions These results suggest an effect of n-3 FAs within specific cognitive domains in CIND, but not in healthy or AD subjects.
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For people with mild cognitive impairment, n-3 LCPUFA may improve certain aspects of cognitive function, including attention, processing speed, and immediate recall.
“However, for people with mild cognitive impairment, n-3 LCPUFA may improve certain aspects of cognitive function, including attention, processing speed, and immediate recall [89].”
From Role of n-3 long-chain polyunsaturated fatty acids in human nutrition and health: Review of recent studies and recommendations (2021) · cites this paper as [89]
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- Authors
- Mazereeuw, G., Lanctôt, K. L., Chau, S. A., Swardfager, W., & Herrmann, N.
- Affiliations
- Sunnybrook Health Science Centre (CA)
- Corresponding author
- Herrmann, Nathan
- Venue
- Neurobiology of Aging
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 33
- Issue
- 7
- Pages
- 1482.e17-1482.e29
- ISSN
- 0197-4580 (ISSN-L)
- OpenAlex
- W2044850402
- Cited by
- 253
- References
- 61
- Citations by year
- 2026: 6 · 2025: 14 · 2024: 8 · 2023: 13 · 2022: 16 · 2021: 27 · 2020: 23 · 2019: 14 · 2018: 14 · 2017: 30 · 2016: 17 · 2015: 19 · 2014: 26 · 2013: 22 · 2012: 3
- FWCI
- 2.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurobiology of Aging (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Psychological Association
- Alzheimer Society Research Program
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Keywords
- omega-3 fatty acids, cognitive performance, Alzheimer's disease, cognitive impairment without dementia, memory, attention and processing speed, dietary supplementation, neuropsychological outcomes
- MeSH terms
- Alzheimer Disease, Cognition Disorders, Humans, Mental Recall, Fatty Acids, Omega-3, Randomized Controlled Trials as Topic, Treatment Outcome
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