A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Effect of Omega-3 Dosage on Cardiovascular Outcomes : An Updated Meta-Analysis and Meta-Regression of Interventional Trials (2021)

Bernasconi, A. A., Wiest, M. M., Lavie, C. J., Milani, R. V., & Laukkanen, J. A. (2021). Effect of Omega-3 Dosage on Cardiovascular Outcomes : An Updated Meta-Analysis and Meta-Regression of Interventional Trials. Mayo Clinic Proceedings, 96(2), 304-313. https://doi.org/10.1016/j.mayocp.2020.08.034

JYU-tekijät tai -toimittajat

Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Bernasconi, Aldo A.; Wiest, Michelle M.; Lavie, Carl J.; Milani, Richard V.; Laukkanen, Jari A.

Lehti tai sarja: Mayo Clinic Proceedings

ISSN: 0025-6196

eISSN: 1942-5546

Julkaisuvuosi: 2021

Volyymi: 96

Lehden numero: 2

Artikkelin sivunumerot: 304-313

Kustantaja: Elsevier

Julkaisumaa: Yhdysvallat (USA)

Julkaisun kieli: englanti

DOI: https://doi.org/10.1016/j.mayocp.2020.08.034

Linkki tutkimusaineistoon: https://ars.els-cdn.com/content/image/1-s2.0-S002561962030985X-mmc1.pdf

Julkaisun avoin saatavuus: Avoimesti saatavilla

Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/71911


Objectives:To quantify the effect of eicosapentaenoic (EPA) and docosahexaenoic (DHA) acids oncardiovascular disease (CVD) prevention and the effect of dosage.
Methods:This study is designed as a random effects meta-analysis and meta-regression of ran-domized control trials with EPA/DHA supplementation. This is an update and expanded analysis ofa previously published meta-analysis which covers all randomized control trials with EPA/DHAinterventions and cardiovascular outcomes published before August 2019. The outcomes includedare myocardial infarction (MI), coronary heart disease (CHD) events, CVDevents (a composite ofMI, angina, stroke, heart failure, peripheral arterial disease, sudden death, and non-scheduledcardiovascular surgical interventions), CHD mortality and fatal MI. The strength of evidence wasassessed using the Grading of Recommendations Assessment, Development, and Evaluationframework.
Results:A total of 40 studies with a combined 135,267 participants were included. Supplementationwas associated with reduced risk of MI (relative risk [RR], 0.87; 95% CI, 0.80 to 0.96), high certaintynumber needed to treat (NNT) of 272; CHD events (RR, 0.90; 95% CI, 0.84 to 0.97), high certaintyNNT of 192; fatal MI (RR, 0.65; 95% CI, 0.46 to 0.91]), moderate certainty NNT¼128; and CHDmortality (RR, 0.91; 95% CI, 0.85 to 0.98), low certainty NNT¼431, but not CVD events (RR, 0.95;95% CI, 0.90 to 1.00). The effect is dose dependent for CVD events and MI.
Conclusion:Cardiovascular disease remains the leading cause of death worldwide. Supplementationwith EPA and DHA is an effective lifestyle strategy for CVD prevention, and the protective effectprobably increases with dosage.

YSO-asiasanat: omegarasvahapot; terveysvaikutukset; sydän- ja verisuonitaudit; meta-analyysi

Vapaat asiasanat: omega-3 dosage; cardiovascular outcomes

Liittyvät organisaatiot

OKM-raportointi: Kyllä

Raportointivuosi: 2021

JUFO-taso: 2

Viimeisin päivitys 2022-20-09 klo 14:36