PMID- 37226250 OWN - NLM STAT- MEDLINE DCOM- 20230526 LR - 20230527 IS - 1749-799X (Electronic) IS - 1749-799X (Linking) VI - 18 IP - 1 DP - 2023 May 24 TI - Effect of omega-3 polyunsaturated fatty acids supplementation for patients with osteoarthritis: a meta-analysis. PG - 381 LID - 10.1186/s13018-023-03855-w [doi] LID - 381 AB - BACKGROUND: Omega-3 polyunsaturated fatty acids (n-3 PUFAs) confers anti-inflammatory efficacy, which has been suggested to be effective for patients with osteoarthritis (OA). However, previous studies evaluating the influence of n-3 PUFAs supplementation in patients with OA showed inconsistent results. We performed a systematic review and meta-analysis to comprehensively evaluate the influence of n-3 PUFAs on symptom and joint function of patients with OA. METHODS: Relevant randomized controlled trials (RCTs) were obtained by searching PubMed, Embase, and Cochrane Library databases. A random-effects model was employed to combine the results. RESULTS: Nine RCTs with 2070 patients with OA contributed to the meta-analysis. Pooled results showed that n-3 PUFAs supplementation could significantly relieve the arthritis pain as compared to placebo (standardized mean difference [SMD]: - 0.29, 95% confidence interval [CI] - 0.47 to - 0.11, p = 0.002, I(2) = 60%). Besides, supplementation with n-3 PUFAs was also associated with improved joint function (SMD: - 0.21, 95% CI - 0.34 to - 0.07, p = 0.002, I(2) = 27%). Subgroup analysis showed consistent results of studies with arthritis pain and joint function evaluated by the Western Ontario-McMaster University Osteoarthritis Index and other scales (p for subgroup difference = 0.33 and 0.34, respectively). No severe treatment-related adverse events (AEs) were observed in the included patients, and the incidence of overall AEs was similar between groups (odds ratio: 0.97, 95% CI 0.64-1.45, p = 0.86, I(2) = 0%). CONCLUSIONS: Supplementation of n-3 PUFAs is effective to relieve pain and improve joint function in patients with OA. CI - (c) 2023. The Author(s). FAU - Deng, Wen AU - Deng W AD - Medical Affairs Office, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Yi, Zhiqian AU - Yi Z AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Yin, Enzhi AU - Yin E AD - Department of Traumatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jie Fang Avenue 1095, Wuhan, 430030, China. FAU - Lu, Rui AU - Lu R AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - You, Hongbo AU - You H AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. FAU - Yuan, Xuefeng AU - Yuan X AD - Department of Traumatology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jie Fang Avenue 1095, Wuhan, 430030, China. yxf@tjh.tjmu.edu.cn. LA - eng GR - NO.ZRMS2021000624/Natural Science Foundation of Hubei Province/ PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20230524 PL - England TA - J Orthop Surg Res JT - Journal of orthopaedic surgery and research JID - 101265112 RN - 0 (Fatty Acids, Unsaturated) SB - IM MH - Humans MH - Databases, Factual MH - *Osteoarthritis/drug therapy MH - Pain MH - Fatty Acids, Unsaturated MH - Dietary Supplements PMC - PMC10210278 OTO - NOTNLM OT - Arthritis pain OT - Joint function OT - Meta-analysis OT - Omega-3 polyunsaturated fatty acids OT - Osteoarthritis COIS- The authors declare that they have no competing interests. EDAT- 2023/05/25 01:07 MHDA- 2023/05/26 06:42 PMCR- 2023/05/24 CRDT- 2023/05/24 23:53 PHST- 2023/03/21 00:00 [received] PHST- 2023/05/13 00:00 [accepted] PHST- 2023/05/26 06:42 [medline] PHST- 2023/05/25 01:07 [pubmed] PHST- 2023/05/24 23:53 [entrez] PHST- 2023/05/24 00:00 [pmc-release] AID - 10.1186/s13018-023-03855-w [pii] AID - 3855 [pii] AID - 10.1186/s13018-023-03855-w [doi] PST - epublish SO - J Orthop Surg Res. 2023 May 24;18(1):381. doi: 10.1186/s13018-023-03855-w.