PMID- 30264663 OWN - NLM STAT- MEDLINE DCOM- 20210330 LR - 20210330 IS - 1476-8305 (Electronic) IS - 1028-415X (Linking) VI - 23 IP - 7 DP - 2020 Jul TI - Omega-3 fatty acids and anxiety: A systematic review of the possible mechanisms at play. PG - 494-504 LID - 10.1080/1028415X.2018.1525092 [doi] AB - Introduction: Anxiety is prevalent, costly, and associated with significant adverse outcomes. The importance of nutrition is underestimated in the management of mental health disorders. In particular, omega-3 fatty acids (omega-3 FAs) are a critical component for healthy development and have been shown to reduce anxiety symptoms. Objective: This paper reviews the current state of the research to identify potential mechanisms underlying the relationship between omega-3 FAs and anxiety reduction. Method: Studies were identified using PubMed, PsycINFO, and CINAHL databases. Results: Of the 197 full-text studies screened, six met criteria for inclusion. Four mechanisms were identified based on primary outcomes reported by each study, Inflammatory Response, Brain-Derived Neurotrophic Factor (BDNF), Cortisol, and Cardiovascular Activity. Conclusion: Five key recommendations are provided to guide future research examining omega-3 FAs and anxiety. They include: (1) standardization of dosage and duration of omega-3 supplementation, (2) more rigorous measurement of variables, (3) effective blinding of participants, (4) designing experiments that test mediation, and (5) increasing sample diversity. FAU - Polokowski, Ashley R AU - Polokowski AR AUID- ORCID: 0000-0002-9246-005X AD - The Graduate Center, City University of New York, New York, NY, USA. AD - Brooklyn College, City University of New York, Brooklyn, NY, USA. FAU - Shakil, Haque AU - Shakil H AD - Brooklyn College, City University of New York, Brooklyn, NY, USA. FAU - Carmichael, Cheryl L AU - Carmichael CL AUID- ORCID: 0000-0002-4474-3485 AD - The Graduate Center, City University of New York, New York, NY, USA. AD - Brooklyn College, City University of New York, Brooklyn, NY, USA. FAU - Reigada, Laura C AU - Reigada LC AUID- ORCID: 0000-0003-3424-759X AD - The Graduate Center, City University of New York, New York, NY, USA. AD - Brooklyn College, City University of New York, Brooklyn, NY, USA. LA - eng PT - Journal Article PT - Systematic Review DEP - 20180928 PL - England TA - Nutr Neurosci JT - Nutritional neuroscience JID - 100892202 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Fatty Acids, Omega-3) RN - 7171WSG8A2 (BDNF protein, human) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Anxiety/complications/*diet therapy/*physiopathology MH - Brain-Derived Neurotrophic Factor/metabolism MH - Dietary Supplements MH - Fatty Acids, Omega-3/*administration & dosage MH - Humans MH - Hydrocortisone/metabolism MH - Inflammation/complications MH - Stress, Physiological OTO - NOTNLM OT - Anxiety OT - Brain-derived neurotrophic factor OT - Inflammation OT - Omega-3 fatty acids EDAT- 2018/09/29 06:00 MHDA- 2021/03/31 06:00 CRDT- 2018/09/29 06:00 PHST- 2018/09/29 06:00 [pubmed] PHST- 2021/03/31 06:00 [medline] PHST- 2018/09/29 06:00 [entrez] AID - 10.1080/1028415X.2018.1525092 [doi] PST - ppublish SO - Nutr Neurosci. 2020 Jul;23(7):494-504. doi: 10.1080/1028415X.2018.1525092. Epub 2018 Sep 28.