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Cholesterol and blood fats

Omega-3 fatty acids (EPA/DHA)and LDL cholesterol

All three sources here measured higher LDL cholesterol.

How sure anyone can be

Moderate certainty, level 3 of 4

Further research may change this.

The most certain of the three findings here; each record carries its own.

The numbers reported

One source’s range, drawn against its own line of no difference and scaled to its own numbers.

0.0060.13 mmol/L0.253

This range stays on one side of the no-difference line.

Bar the confidence interval — the range the true effect is likely to sit inNotch the number the source reportedLine where there would be no difference at all

Three sources, newest first

What we read is the published abstract, not the full paper, so a blank below may still be printed in the paper itself. A person went through the criteria and recorded which brought the rating down. Their reasons are not on record here.

  • Systematic review, 2020 · 1,137 participants

    Moderate certainty, level 3 of 4

    Effects of eicosapentaenoic acid and docosahexaenoic acid versus α-linolenic acid supplementation on cardiometabolic risk factors: a meta-analysis of randomized controlled trials.

    Chen H, Deng G, Zhou Q, Chu X, Su M, Wei Y, et al. Effects of eicosapentaenoic acid and docosahexaenoic acid versus alpha-linolenic acid supplementation on cardiometabolic risk factors: a meta-analysis of randomized controlled trials. Food Funct. 2020;11(3):1919-1932. doi:10.1039/c9fo03052b. PMID:32175534.

    Number reported
    0.13 mmol/L
    Which way it went
    Higher
    Likely range
    0.006 to 0.253
    Source’s own words
    mmol/L LDL-C weighted mean difference versus ALA
    Who was studied
    Adult
    Compared with
    alpha linolenic acid
    Amount taken
    Not in the abstract
    For how long
    Not in the abstract
    Disagreement between studies
    Not in the abstract
    Kind of record
    Systematic review and meta-analysis
    How this rating was reachedstarts at High, one step down: imprecision
    1. Starts at High
    2. Imprecision brought it down to ModerateThe reason for this step is not on record here.
    3. Ends at ModerateOne step down.
    Not written down for this rating
    risk of bias, indirectness and inconsistency

    Imprecision stops at the first check that applies; others may apply too.

    Signed & machine-rechecked — a person signed the exact source records, and the software re-derived this rating from them and got the same answer.

    Read the abstract on PubMed

  • Randomised trial, 2016

    Moderate certainty, level 3 of 4

    Effects of eicosapentaenoic acid and docosahexaenoic acid on cardiovascular disease risk factors: a randomized clinical trial.

    Asztalos IB, Gleason JA, Sever S, Gedik R, Asztalos BF, Horvath KV, et al. Effects of eicosapentaenoic acid and docosahexaenoic acid on cardiovascular disease risk factors: a randomized clinical trial. Metabolism. 2016;65(11):1636-1645. doi:10.1016/j.metabol.2016.07.010. PMID:27733252.

    Number reported
    17.1 mg/dL
    Which way it went
    Higher
    Likely range
    Not in the abstract
    Source’s own words
    mg/dL LDL-C increase with DHA versus placebo
    Who was studied
    Adult
    Compared with
    olive oil placebo
    Amount taken
    Not in the abstract
    For how long
    Not in the abstract
    Disagreement between studies
    Not in the abstract
    Kind of record
    Randomised controlled trial
    How this rating was reachedstarts at High, one step down: imprecision
    1. Starts at High
    2. Imprecision brought it down to ModerateThe reason for this step is not on record here.
    3. Ends at ModerateOne step down.
    Not written down for this rating
    risk of bias, indirectness and inconsistency

    Imprecision stops at the first check that applies; others may apply too.

    Signed & machine-rechecked — a person signed the exact source records, and the software re-derived this rating from them and got the same answer.

    Read the abstract on PubMed

  • Systematic review, 2006

    Moderate certainty, level 3 of 4

    Effects of omega-3 fatty acids on serum markers of cardiovascular disease risk: a systematic review.

    Balk EM, Lichtenstein AH, Chung M, Kupelnick B, Chew P, Lau J. Effects of omega-3 fatty acids on serum markers of cardiovascular disease risk: a systematic review. Atherosclerosis. 2006;189(1):19-30. doi:10.1016/j.atherosclerosis.2006.02.012. PMID:16530201.

    Number reported
    6 mg/dL
    Which way it went
    Higher
    Likely range
    Not in the abstract
    Source’s own words
    mg/dL LDL-C net change
    Who was studied
    Adult
    Compared with
    control oils or usual diet
    Amount taken
    Not in the abstract
    For how long
    Not in the abstract
    Disagreement between studies
    Not in the abstract
    Kind of record
    Systematic review and meta-analysis
    How this rating was reachedstarts at High, one step down: imprecision
    1. Starts at High
    2. Imprecision brought it down to ModerateThe reason for this step is not on record here.
    3. Ends at ModerateOne step down.
    Not written down for this rating
    risk of bias, indirectness and inconsistency

    Imprecision stops at the first check that applies; others may apply too.

    Signed & machine-rechecked — a person signed the exact source records, and the software re-derived this rating from them and got the same answer.

    Read the abstract on PubMed

What is still missing from these readings

  • Two give no likely range, so how precise those numbers are is unknown.
  • Two do not say how many people took part.
  • Amount taken — Not in the abstract.
  • For how long — Not in the abstract.

Something nobody wrote down is never a zero and never a guess.

Still to read for Omega-3 fatty acids (EPA/DHA)

Seven of the 19 things on our list for Omega-3 fatty acids (EPA/DHA) have no reading here yet:

  • Alanine aminotransferase (ALT)
  • Cognitive performance
  • Gestational length
  • HDL cholesterol
  • Heart rate variability (RMSSD)
  • High-sensitivity CRP
  • Resting heart rate

Still to read means nobody here has got to it, not that it was tried and did nothing or that no research exists. A pairing on no list is not a gap: we never set out to read it.

Read next

This is a library, not advice. No recommendation, no dose, no diagnosis, no ranking. We never ask about your symptoms, and nothing here is tailored to you.