Effects of Omega-3 fatty acid on major cardiovascular events and mortality in patients with coronary heart disease: A meta-analysis of randomized controlled trials
Abstract
Aim There is considerable discrepancy regarding the protective effects of Omega-3 polyunsaturated fatty acids (Omega-3 PUFAs) in patients with coronary heart disease (CHD) from the early-phase clinical randomized controlled trials (RCTs). We conducted a meta-analysis of RCTs to address this issue.Data synthesis Pubmed, the Cochrane Central Register of Controlled Trials, and EMBASE databases (∼ May 2013) were systematically searched. Odds ratios (OR) and associated 95% CI were retrieved by using random-effect model according to heterogeneity. A total of 14 RCTs involving 16,338 individuals in the Omega-3 PUFAs group and 16,318 in the control group were identified. Patients assigned to Omega-3 PUFAs did not demonstrate satisfactory improvements on major cardiovascular events (OR, 0.93; 95% CI, 0.86 to 1.01; P = 0.08; I(2) = 46%). By contrast, the reduced risks of death from cardiac causes, sudden cardiac death and death from all causes (OR, 0.88; 95% CI, 0.80 to 0.96; P = 0.003; I(2) = 0%; OR, 0.86; 95% CI, 0.76 to 0.98; P = 0.03; I(2) = 29%; and OR, 0.92; 95% CI, 0.85 to 0.99; P = 0.02; I(2) = 6%; respectively) were shown.Conclusions Supplement of Omega-3 PUFAs in patients with CHD is not associated with a protective effect on major cardiovascular events, while it does exert beneficial effects in reducing death from cardiac causes, sudden cardiac death and death from all causes. However, with currently available cardio-protective therapies, whether dietary supplementation with Omega-3 PUFAs should be still considered in patients with CHD is currently debated.
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Not all reviews support the presence of a beneficial role of n-3 LCPUFA in cardiovascular health.
“Despite these recommendations, not all reviews support the presence of a beneficial role of n-3 LCPUFA in cardiovascular health [495051].”
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 [49]
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- Authors
- Wen, Y. T., Dai, J. H., & Gao, Q.
- Affiliations
- Nanjing University (CN)
- Nanjing Drum Tower Hospital (CN)
- Corresponding author
- Gao, Q.
- Venue
- Nutrition, Metabolism and Cardiovascular Diseases
- Publisher
- Elsevier BV
- Published
- 2014-05
- Volume
- 24
- Issue
- 5
- Pages
- 470-475
- ISSN
- 0939-4753 (ISSN-L)
- OpenAlex
- W1981591363
- Cited by
- 98
- References
- 40
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 8 · 2020: 10 · 2019: 9 · 2018: 12 · 2017: 9 · 2016: 18 · 2015: 12 · 2014: 4
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nutrition Metabolism and Cardiovascular Diseases (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministry of Education of the People's Republic of China (20110091120031)
- Ministry of Science and Technology of the People's Republic of China (2009CB918704)
- National Natural Science Foundation of China (81030013, 81100386)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- omega-3 polyunsaturated fatty acids, coronary artery disease, cardiovascular events, mortality, sudden cardiac death, cardiovascular mortality, all-cause mortality, dietary supplementation, cardioprotection
- MeSH terms
- Coronary Disease, Humans, Fatty Acids, Omega-3, Randomized Controlled Trials as Topic, Databases, Factual, Death, Sudden, Cardiac, Dietary Supplements
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