PMID- 23607087 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211021 IS - 2213-4344 (Print) IS - 2213-4344 (Electronic) IS - 2213-4344 (Linking) VI - 1 IP - 2 DP - 2013 Apr TI - Role of Long-Chain Omega-3 Fatty Acids in Psychiatric Practice. PG - 41-49 AB - Nutrition plays a minor role in psychiatric practice which is currently dominated by a pharmacological treatment algorithm. An accumulating body of evidence has implicated deficits in the dietary essential long-chain omega-3 (LCn-3) fatty acids, eicosapenaenoic acid (EPA) and docosahexaenoic acid (DHA), in the pathophysiology of several major psychiatric disorders. LCn-3 fatty acids have an established long-term safety record in the general population, and existing evidence suggests that increasing LCn-3 fatty acid status may reduce the risk for cardiovascular disease morbidity and mortality. LCn-3 fatty acid supplementation has been shown to augment the therapeutic efficacy of antidepressant, mood-stabilizer, and second generation antipsychotic medications, and may additionally mitigate adverse cardiometabolic side-effects. Preliminary evidence also suggests that LCn-3 fatty acid supplementation may be efficacious as monotherapy for primary and early secondary prevention and for perinatal symptoms. The overall cost-benefit ratio endorses the incorporation of LCn-3 fatty acids into psychiatric treatment algorithms. The recent availability of laboratory facilities that specialize in determining blood LCn-3 fatty acid status and emerging evidence-based consensus guidelines regarding safe and efficacious LCn-3 fatty acid dose ranges provide the infrastructure necessary for implementation. This article outlines the rationale for incorporating LCn-3 fatty acid treatment into psychiatric practice. FAU - McNamara, Robert K AU - McNamara RK AD - Department of Psychiatry and Behavioral Neuroscience, Division of Bipolar Disorders Research, University of Cincinnati College of Medicine, Cincinnati, OH 45219-0516. FAU - Strawn, Jeffrey R AU - Strawn JR LA - eng GR - R01 AG034617/AG/NIA NIH HHS/United States GR - R01 DK097599/DK/NIDDK NIH HHS/United States GR - R34 MH083924/MH/NIMH NIH HHS/United States GR - UL1 TR000077/TR/NCATS NIH HHS/United States PT - Journal Article PL - Netherlands TA - PharmaNutrition JT - PharmaNutrition JID - 101602522 PMC - PMC3628733 MID - NIHMS438070 OTO - NOTNLM OT - ADHD OT - Anxiety OT - Bipolar disorder OT - Cardiovascular disease OT - Clinical staging OT - Docosahexaenoic acid (DHA) OT - Eicosapenaenoic acid (EPA) OT - Long-chain omega-3 fatty acids OT - Major depressive disorder OT - Primary prevention OT - Schizophrenia OT - Suicide EDAT- 2013/04/23 06:00 MHDA- 2013/04/23 06:01 PMCR- 2014/04/01 CRDT- 2013/04/23 06:00 PHST- 2013/04/23 06:00 [entrez] PHST- 2013/04/23 06:00 [pubmed] PHST- 2013/04/23 06:01 [medline] PHST- 2014/04/01 00:00 [pmc-release] AID - 10.1016/j.phanu.2012.10.004 [doi] PST - ppublish SO - PharmaNutrition. 2013 Apr;1(2):41-49. doi: 10.1016/j.phanu.2012.10.004.