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The Effects of Omega-3 Supplementation on Hypertriglyceridemia in Adults:

A Systematic Review
Timeframe
P: Adults between 40-70
RCT 1: 12 weeks
years old with high
RCT 2: 8 weeks
triglycerides
RCT 3: 12 weeks
I: 2-4 gm daily of oral
RCT 4: 8 weeks
omega-3 supplementation Average Age Interventions
# Participants
C: compared to a placebo RCT 1: 2gm daily omega-3 fatty acid
RCT 1: 49-50.3 y.o.
O: in serum triglyceride RCT 1: 162 vs. olive oil placebo
RCT 2: 60.4-63.6 y.o.
levels RCT 2: 120 RCT 2: 2 capsules BID re-esterified
RCT 3: 58-63 y.o. n-3 PUFA vs. 2 capsules BID 1000mg
T: over at least 8 weeks RCT 3: 215
RCT 4: 54 y.o. EE-PUFA vs. 2 capsules BID olive oil
RCT 4: 253
placebo
RCT 3: 4gm daily oral icosapent
Starting triglyceride levels: ethyl omega-3 vs. placebo
RCT 4: 1gm Omacor BID + low fat
150-2500 mg/dL diet vs. 2gm Omacor BID + low fat
diet vs. olive oil placebo + low fat
diet

Results Results
Significant decrease in triglycerides with omega-3 Decrease in LDL-C
14.2% 22% 21.4% 32.1%
Increase in omega-3 index
28% 21.5% 29.7%

A SYSTEMATIC REVIEW BY MONICA MOORE RD, LD UNIVERSITY OF NEW ENGLAND: APN 760
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2.Hedengran A, Szecsi P, Dyerberg J, Harris W, Stender S. n-3 PUFA esterified to glycerol or as ethyl esters reduce non-fasting plasma triacylglycerol in subjects with hypertriglyceridemia: A randomized trial. Lipids. 2015; 50(2): 165-175.
3.Mosca L, Ballantyne C, Bays H, et al. Usefulness of icosapent ethyl (eicosapentaenoic acid ethyl ester) in women to lower triglyceride levels (results from the MARINE and ANCHOR trials). Preventative Cardiology. 2017; 119(3): 397-403.
4.Su TC, Hwang JJ, Huang KC, et al. A randomized, double-blind, placebo-controlled clinical trial to assess the efficacy and safety of ethyl-ester omega-3 fatty acid in Taiwanese hypertriglyceridemia patients. J Atheroscler Thromb. 2017; 24(3):
275-289.

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