The DOI matches its Crossref record; 273 of the 273 references it cites were found in a registry or an index.
Very long-chain n -3 fatty acids and human health: fact, fiction and the future
Open accessAbstract
EPA and DHA appear to be the most important n -3 fatty acids, but roles for n -3 docosapentaenoic acid are now also emerging. Intakes of EPA and DHA are usually low, typically below those recommended. Increased intakes result in higher concentrations of EPA and DHA in blood lipids, cells and tissues. Increased content of EPA and DHA modifies the structure of cell membranes and the function of membrane proteins. EPA and DHA modulate the production of lipid mediators and through effects on cell signalling can alter the patterns of gene expression. Through these mechanisms, EPA and DHA alter cell and tissue responsiveness in a way that often results in more optimal conditions for growth, development and maintenance of health. DHA has vital roles in brain and eye development and function. EPA and DHA have a wide range of physiological roles, which are linked to certain health or clinical benefits, particularly related to CVD, cancer, inflammation and neurocognitive function. The benefits of EPA and DHA are evident throughout the life course. Future research will include better identification of the determinants of variation of responses to increased intake of EPA and DHA; more in-depth dose–response studies of the effects of EPA and DHA; clearer identification of the specific roles of EPA, docosapentaenoic acid and DHA; testing strategies to enhance delivery of n -3 fatty acids to the bloodstream; and exploration of sustainable alternatives to fish-derived very long-chain n -3 fatty acids.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“The main contributors to the growing worldwide incidence of low omega-3 status are a low intake of fish and high intake of vegetable oils that are high in linoleic acid, which displaces omega-3 fatty acids in cell membrane phospholipids140,141”
From Chronic inflammation in the etiology of disease across the life span (2019) · cites this paper as [141]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Items 201–273 of 273
SKINNER, E. R., Watt, C., BESSON, J. A. O., & Best, P. V. (1993) · Brain · doi:10.1093/brain/116.3.717 · Cited by 137
Milte, C. M., Parletta, N., Buckley, J. D., Coates, A. M., Young, R. M., & Howe, P. R. C. (2012) · Nutrition · doi:10.1016/j.nut.2011.12.009 · Cited by 135
Is there a role for fatty acids in early life programming of the immune system?
Calder, P. C., Kremmyda, L.-S., Vlachava, M., Noakes, P. S., & Miles, E. A. (2010) · Proceedings of The Nutrition Society · doi:10.1017/s0029665110001552 · Cited by 133
Self-citationHoen, W. P., Lijmer, J. G., Durán, M., Wanders, R. J. A., van Beveren, N. J. M., & de Haan, L. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.09.041 · Cited by 132
Temporal changes in human skeletal muscle and blood lipid composition with fish oil supplementation
McGlory, C., Galloway, S. D. R., Hamilton, D. L., McClintock, C., Breen, L., Dick, J. R., Bell, J. G., & Tipton, K. D. (2014) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2014.03.001 · Cited by 130
Cerchietti, L. C. A., Navigante, A. H., & Castro, M. A. (2007) · Nutrition and Cancer · doi:10.1080/01635580701365068 · Cited by 129
Role of polyunsaturated fatty acids in the management of Egyptian children with autism
Meguid, N. A., Atta, H. M., Gouda, A. S., & Khalil, R. O. (2008) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2008.05.013 · Cited by 128
Klemens, C., Berman, D. R., & Mozurkewich, E. (2011) · BJOG An International Journal of Obstetrics & Gynaecology · doi:10.1111/j.1471-0528.2010.02846.x · Cited by 126
AbuMweis, S., Jew, S., Tayyem, R., & Agraib, L. (2018) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12493 · Cited by 122
Hillier, K., Jewell, R., Dorrell, L., & Smith, C. S. (1991) · Gut · doi:10.1136/gut.32.10.1151 · Cited by 120
Omega-3 fatty acids, lipid rafts, and T cell signaling
Hou, T. Y., McMurray, D. N., & Chapkin, R. S. (2015) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2015.03.091 · Cited by 119
Sczaniecka, A., Brasky, T. M., Lampe, J. W., Patterson, R. E., & White, E. (2012) · Nutrition and Cancer · doi:10.1080/01635581.2012.718033 · Cited by 118
Pawełczyk, T., Grancow-Grabka, M., Kotlicka‐Antczak, M., Trafalska, E., & Pawełczyk, A. M. (2015) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2015.11.013 · Cited by 117
Polyunsaturated Fatty Acid Pattern in Liver and Erythrocyte Phospholipids from Obese Patients
Elizondo, A., Julia Araya, A., Rodrigo, R., Poníachik, J., Csendes, A., Maluenda, F., Díaz, J. C., Signorini, C., Sgherri, C., Comporti, M., et al. (2007) · Obesity · doi:10.1038/oby.2007.518 · Cited by 117
Polyunsaturated fatty acids and gene expression
Lapillonne, A., Clarke, S. D., & Heird, W. C. (2004) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/00075197-200403000-00008 · Cited by 116
Senftleber, N., Nielsen, S., Andersen, J., Bliddal, H., Tarp, S., Lauritzen, L., Furst, D., Suarez-Almazor, M., Lyddiatt, A., & Christensen, R. (2017) · Nutrients · doi:10.3390/nu9010042 · Cited by 114 · cited 1×
“Recent systematic reviews and meta-analyses have highlighted the benefits of EPA+DHA on arthritic pain((160,161)).”
BackgroundNoakes, P. S., Vlachava, M., Kremmyda, L.-S., Diaper, N. D., Miles, E. A., Erlewyn‐Lajeunesse, M., Williams, A. P., Godfrey, K. M., & Calder, P. C. (2012) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.022954 · Cited by 113
Self-citationThe Nutritional Significance of Lipid Rafts
Yaqoob, P. (2009) · Annual Review of Nutrition · doi:10.1146/annurev-nutr-080508-141205 · Cited by 111
Yui, K., Koshiba, M., Nakamura, S., & Kobayashi, Y. (2012) · Journal of Clinical Psychopharmacology · doi:10.1097/jcp.0b013e3182485791 · Cited by 111
Bos, D. J., Oranje, B., Veerhoek, E. S., Van Diepen, R. M., Weusten, J. M., Demmelmair, H., Koletzko, B., de Sain-van der Velden, M. G., Eilander, A., Hoeksma, M., et al. (2015) · Neuropsychopharmacology · doi:10.1038/npp.2015.73 · Cited by 110
Bolton-Smith, C., Woodward, M., & Tavendale, R. (1997) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600455 · Cited by 107
Long chain fatty acids and gene expression in inflammation and immunity
Calder, P. C. (2013) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0b013e3283620616 · Cited by 106
Self-citationClinical trials of fatty acid treatment in ADHD, dyslexia, dyspraxia and the autistic spectrum
Richardson, A. J. (2004) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2003.12.020 · Cited by 104
Omega-3 fatty acids in cancer, the protectors of good and the killers of evil?
Gleissman, H., Johnsen, J. I., & Kogner, P. (2010) · Experimental Cell Research · doi:10.1016/j.yexcr.2010.02.039 · Cited by 104
EPA supplementation improves teacher‐rated behaviour and oppositional symptoms in children with ADHD
Gustafsson, P. A., Thornberg, U. B., Duchén, K., Landgren, M., Malmberg, K., Pelling, H., Strandvik, B., & Karlsson, T. (2010) · Acta Paediatrica · doi:10.1111/j.1651-2227.2010.01871.x · Cited by 100
Marine omega-3 fatty acids and coronary heart disease
Calder, P. C., & Yaqoob, P. (2012) · Current Opinion in Cardiology · doi:10.1097/hco.0b013e328353febd · Cited by 99
Self-citationWen, Y. T., Dai, J. H., & Gao, Q. (2014) · Nutrition, Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2013.12.004 · Cited by 98
Fish oil supplementation in early infancy modulates developing infant immune responses
D’Vaz, N., Meldrum, S. J., Dunstan, J. A., Lee‐Pullen, T. F., Metcalfe, J. R., Holt, B. J., Serralha, M., Tulić, M. K., Mori, T. A., & Prescott, S. L. (2012) · Clinical & Experimental Allergy · doi:10.1111/j.1365-2222.2012.04031.x · Cited by 96
Yano, K., MacLean, C. J., REED, D. M., Shimizu, Y., Sasaki, H., Kodama, K., Kato, H., & Kagan, A. (1988) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114824 · Cited by 95
Ethyl-EPA in Alzheimer's disease—a pilot study
Boston, P. F., Bennett, A., Horrobin, D. F., & Bennett, C. N. (2004) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2004.07.001 · Cited by 94
Dietary Docosahexaenoic Acid Supplementation in Children With Autism
Voigt, R. G., Mellon, M. W., Katusic, S. K., Weaver, A. L., Matern, D., Mellon, B., Jensen, C. L., & Barbaresi, W. J. (2013) · Journal of Pediatric Gastroenterology and Nutrition · doi:10.1097/mpg.0000000000000260 · Cited by 94
Rudin, D. O. (1981) · PubMed · Cited by 92
Modifying the lipid content and composition of plant seeds: engineering the production of LC-PUFA
Ruiz‐López, N., Usher, S. L., Sayanova, O. V., Napier, J. A., & Haslam, R. P. (2014) · Applied Microbiology and Biotechnology · doi:10.1007/s00253-014-6217-2 · Cited by 92
Bélanger, S. A., Vanasse, M., Spahis, S., Sylvestre, M., Lippé, S., L’Heureux, F., Ghadirian, P., Vanasse, C., & Levy, E. H. (2009) · Paediatrics & Child Health · doi:10.1093/pch/14.2.89 · Cited by 91
Walker, C. G., Jebb, S. A., & Calder, P. C. (2013) · Nutrition · doi:10.1016/j.nut.2012.06.003 · Cited by 91
Effect of ω-3 polyunsaturated fatty acids on arthritic pain: A systematic review
Abdulrazaq, M., Innes, J. K., & Calder, P. C. (2016) · Nutrition · doi:10.1016/j.nut.2016.12.003 · Cited by 87
Self-citationFatty Acids and Immune Function: Relevance to Inflammatory Bowel Diseases
Calder, P. C. (2009) · International Reviews of Immunology · doi:10.3109/08830180903197480 · Cited by 86
Self-citationDietary Fat in Breast Cancer Survival
Makarem, N., Chandran, U., Bandera, E. V., & Parekh, N. (2013) · Annual Review of Nutrition · doi:10.1146/annurev-nutr-112912-095300 · Cited by 85
Politi, P., Cena, H., Comelli, M., Marrone, G., Allegri, C., Emanuele, E., & Nemi, S. U. D. (2008) · Archives of Medical Research · doi:10.1016/j.arcmed.2008.06.005 · Cited by 81
Faber, J., Berkhout, M., Vos, A. P., Sijben, J., Calder, P. C., Garssen, J., & van Helvoort, A. (2011) · Journal of Nutrition · doi:10.3945/jn.110.132985 · Cited by 80
Self-citationLipid Rafts—Composition, Characterization, and Controversies
Calder, P. C., & Yaqoob, P. (2007) · Journal of Nutrition · doi:10.1093/jn/137.3.545 · Cited by 80
Self-citationHamazaki, T., Thienprasert, A., Kheovichai, K., Samuhaseneetoo, S., Nagasawa, T., & Watanabe, S. (2002) · Nutritional Neuroscience · doi:10.1080/10284150290007119 · Cited by 79
Weed, H. G., Ferguson, M. L., Gaff, R. L., Hustead, D. S., Nelson, J. L., & Voss, A. C. (2010) · Head & Neck · doi:10.1002/hed.21580 · Cited by 79
n-3 polyunsaturated fatty acids
Murphy, R. A., Mourtzakis, M., & Mazurak, V. C. (2012) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/mco.0b013e328351c32f · Cited by 78
Weylandt, K. H. (2015) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2015.11.002 · Cited by 75
Miles, E. A., Noakes, P. S., Kremmyda, L.-S., Vlachava, M., Diaper, N. D., Rosenlund, G., Urwin, H. J., Yaqoob, P., Rossary, A., Farges, M., et al. (2011) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.110.001636 · Cited by 75
Self-citationXin, W., Wei, W., & Li, X.-Y. (2013) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.112.049833 · Cited by 74
Cooper, R. E., Tye, C., Kuntsi, J., Vassos, E., & Asherson, P. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.09.053 · Cited by 73
Dietary n-3 long chain polyunsaturated fatty acids in allergy prevention and asthma treatment
Willemsen, L. E. M. (2016) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2016.03.062 · Cited by 71
Perera, H., Jeewandara, K. C., Seneviratne, S., & Guruge, C. (2012) · Journal of Child Neurology · doi:10.1177/0883073811435243 · Cited by 69
Raz, R., Carasso, R. L., & Yehuda, S. (2009) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2008.070 · Cited by 67
Crowe, F. L., Appleby, P. N., Travis, R. C., Barnett, M. J., Brasky, T. M., Bueno-de-Mesquita, H. B., Chajès, V., Chavarro, J. E., Chirlaque, M., English, D. R., et al. (2014) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/dju240 · Cited by 64
Effects of four doses of n-3 fatty acids given to hyperlipidemic patients for six months.
Harris, W. S., Windsor, S. L., & Dujovne, C. A. (1991) · Journal of the American College of Nutrition · doi:10.1080/07315724.1991.10718148 · Cited by 61
Horvath, A., Łukasik, J., & Szajewska, H. (2017) · Journal of Nutrition · doi:10.3945/jn.116.242354 · Cited by 61
ω-3 Fatty acids for major depressive disorder in adults: an abridged Cochrane review
Appleton, K. M., Sallis, H., Perry, R. E., Ness, A., & Churchill, R. C. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-010172 · Cited by 60
Zhang, X., Hou, W.-S., Li, M., & Tang, Z. (2015) · Aging Clinical and Experimental Research · doi:10.1007/s40520-015-0381-9 · Cited by 60
Dietary Intake and Food Sources of EPA, DPA and DHA in Australian Children
Rahmawaty, S., Charlton, K. E., Lyons‐Wall, P., & Meyer, B. J. (2013) · Lipids · doi:10.1007/s11745-013-3812-4 · Cited by 56
Frensham, L. J., Bryan, J., & Parletta, N. (2012) · Nutrition Reviews · doi:10.1111/j.1753-4887.2012.00516.x · Cited by 53
Omega-3 (n-3) fatty acids, cardiovascular disease and stability of atherosclerotic plaques.
Calder, P. C., & Yaqoob, P. (2010) · PubMed · Cited by 48
Self-citationDocosahexaenoic Acid and Visual Functioning in Preterm Infants: A Review
Molloy, C. S., Doyle, L. W., Makrides, M., & Anderson, P. J. (2012) · Neuropsychology Review · doi:10.1007/s11065-012-9216-z · Cited by 45
Omega-3 fatty acids and cardiovascular disease
von Schacky, C. (2004) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/00075197-200403000-00005 · Cited by 43
The Modulation of Ionic Currents in Excitable Tissues by n-3 Polyunsaturated Fatty Acids
Leaf, A., & Xiao, Y. (2001) · The Journal of Membrane Biology · doi:10.1007/s00232-001-0095-0 · Cited by 42
Calder, P. C. (2017) · Nutrition Bulletin · doi:10.1111/nbu.12261 · Cited by 41
Self-citationPharmacokinetics of omega-3-fatty acids during ingestion of fish oil preparations
Marsen, T. A., Pollok, M., Oette, K., & Baldamus, C. A. (1992) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/0952-3278(92)90069-u · Cited by 38
Sheppard, K. W., Boone, K. M., Gracious, B., Klebanoff, M. A., Rogers, L. K., Rausch, J. R., Bartlett, C. W., Coury, D. L., & Keim, S. A. (2017) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-017-3249-3 · Cited by 37
Do Omega-3/6 Fatty Acids Have a Therapeutic Role in Children and Young People with ADHD?
Derbyshire, E. J. (2017) · Journal of Lipids · doi:10.1155/2017/6285218 · Cited by 36
Yang, B., Wang, F., Ren, X., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0110574 · Cited by 34
Sørensen, L. S., Rasmussen, H. H., Aardestrup, I. V., Thorlacius‐Ussing, O., Lindorff‐Larsen, K., Schmidt, E. B., & Calder, P. C. (2013) · Journal of Parenteral and Enteral Nutrition · doi:10.1177/0148607113491782 · Cited by 32
Self-citationGuarcello, M., Riso, S., Buosi, R., et al. (2007) · Nutritional Therapy & Metabolism · Cited by 27
New evidence that omega-3 fatty acids have a role in primary prevention of coronary heart disease
Calder, P. C. (2017) · Journal of Public Health and Emergency · doi:10.21037/jphe.2017.03.03 · Cited by 26
Self-citationSala‐Vila, A., Folkes, J., & Calder, P. C. (2009) · Clinical Nutrition · doi:10.1016/j.clnu.2009.11.004 · Cited by 26
Self-citationRaatz, S. K., Johnson, L. K., & Bukowski, M. R. (2015) · Lipids · doi:10.1007/s11745-015-4100-2 · Cited by 21
Editorial: Fat chance to enhance B cell function
Calder, P. C. (2013) · Journal of Leukocyte Biology · doi:10.1189/jlb.1212646 · Cited by 8
Self-citation
Research works printed but not linked: 2
- 1999, N-3 Fatty Acids and Health
- 2004, Advice on Fish Consumption: Benefits and Risks
Cited by
Sorted by citations
Chronic inflammation in the etiology of disease across the life span
Furman, D., Campisi, J., Verdin, E., Carrera-Bastos, P., Targ, S., Franceschi, C., Ferrucci, L., Gilroy, D. W., Fasano, A., Miller, G. W., et al. (2019) · Nature Medicine · doi:10.1038/s41591-019-0675-0 · Cited by 4,915
Tocher, D., Betancor, M., Sprague, M., Olsen, R., & Napier, J. (2019) · Nutrients · doi:10.3390/nu11010089 · Cited by 615
Fatty Acids of Microalgae: Diversity and Applications
Maltsev, Y., & Maltseva, K. (2021) · Reviews in Environmental Science and Bio/Technology · doi:10.1007/s11157-021-09571-3 · Cited by 226
Algae: Critical Sources of Very Long-Chain Polyunsaturated Fatty Acids
Harwood, J. (2019) · Biomolecules · doi:10.3390/biom9110708 · Cited by 171
Bazan, N. G. (2018) · Molecular Aspects of Medicine · doi:10.1016/j.mam.2018.09.003 · Cited by 148
Metadata
- Authors
- Calder, P. C.
- Affiliations
- Southampton General Hospital (GB)
- Corresponding author
- Calder, P. C.
- ORCID
- Calder, P. C.
- Venue
- Proceedings of the Nutrition Society
- Publisher
- Cambridge University Press (CUP)
- Published
- 2017-10-17
- Volume
- 77
- Issue
- 1
- Pages
- 52-72
- ISSN
- 0029-6651 (ISSN-L)
- 1475-2719
- OpenAlex
- W2766185642
- Cited by
- 419
- References
- 273
- Citations by year
- 2026: 48 · 2025: 52 · 2024: 45 · 2023: 56 · 2022: 56 · 2021: 63 · 2020: 47 · 2019: 38 · 2018: 14
- FWCI
- 22.51
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Proceedings of The Nutrition Society (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Life Sciences › Agricultural and Biological Sciences › Aquatic Science › Aquaculture Nutrition and Growth
- Physical Sciences › Chemistry › Organic Chemistry › Edible Oils Quality and Analysis
- Keywords
- eicosapentaenoic acid, docosahexaenoic acid, docosapentaenoic acid, dietary intake, blood lipid concentration, cell membrane structure, lipid mediators, gene expression, brain development, eye development, cardiovascular disease, cancer, inflammation, neurocognitive function, dose-response relationship, sustainable alternatives
- MeSH terms
- Cell Membrane, Dietary Fats, Docosahexaenoic Acids, Eating, Fatty Acids, Unsaturated, Humans, Membrane Proteins, Eicosapentaenoic Acid, Gene Expression, Lipid Metabolism
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review