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Table 2 Studies examining the effects of interventions involving omega-3 polyunsaturated fatty acids on outcomes in haemodialysis patients

From: Associations of fish oil and vitamin B and E supplementation with cardiovascular outcomes and mortality in people receiving haemodialysis: a review

Study and location

Participants

Design

Intervention

Outcomes

Svensson 2006 [5]. Denmark

N = 206 (65 % male); Intervention: n = 103 (66 ± 11 year); Placebo: n = 103 (68 ± 12 years)

3-month RCT with 24-month follow-up

1700 mg/day n-3 PUFA (45 % EPA, 37.5 % DHA)

Cardiac event and/or all-cause mortality: HR 1.04 (95 % CI 0.72–1.48). MI: HR 0.30 (95 % CI 0.10–0.92)

Svensson 2008 [17]. Denmark

N = 206 (65 % male); Intervention: n = 103 (66 ± 11 year); Placebo: n = 103 (68 ± 12 years)

3-month RCT with 24-month follow-up

1700 mg/day n-3 PUFA (45 % EPA, 37.5 % DHA)

↓ TG in non-fasting patients only

Perunicic-Pekovic 2007 [18]. Eastern Europe

N = 42 (55 % male, 55 ± 8 years)

8-week intervention trial

2400 mg/day n-3 PUFA (60 % EPA, 40 % DHA)

↓ IL-6, TNFα; ↑ albumin, Hb, HDL cholesterol

Saifullah 2007 [20]. USA

N = 23 (78 % male, 83 % black); Intervention: n = 15 (58 ± 12 years); Placebo: n = 8 (57 ± 14 years)

12-week pilot RCT

1300 mg/day n-3 PUFA; (52 % EPA, 26 % DHA)

↓ RBC membrane saturated fat content, plasma n-3/n-6 ratio, CRP; ↑ RBC membrane PUFA content

Vernaglione 2008 [21]. Italy

N = 24 (65 % male, 65 ± 18 years)

4-month intervention trial

2000 mg/day n-3 PUFA; (45 % EPA, 12.5 % DHA)

↓ systolic and diastolic blood pressure; no change: all laboratory parameters

Zabel 2010 [38]. Australia

N = 28 (50 % male, 61 ± 17 years)

12-week intervention trial

3000 mg/day n-3 PUFA; (67 % EPA, 17 % DHA)

↓ white cell count, peptide YY; ↑ vascular cell adhesion molecules

Gharekhani 2014 [19]. Iran

N = 45 (56 % male); Intervention: n = 25 (57 ± 13 years); Placebo: n = 20 (57 ± 15 years)

4-month RCT

1800 mg/day n-3 PUFA; (60 % EPA, 40 % DHA)

↓ mean serum TIBC; ↑ IL-10/IL-6 ratio; no change: Hb, serum iron, TNFα, CRP

Sorensen 2015 [22]. Denmark

N = 161 (65 % male); Intervention: n = 81 (66 ± 11 year); Placebo: n = 80 (68 ± 11 year)

3-month RCT

1700 mg/day n-e PUFA; (45 % EPA, 37.5 % DHA)

↓ TG; ↑ HDL cholesterol; no change: total cholesterol

  1. Abbreviations: CI Confidence interval, CRP C-reactive protein, DHA Docosahexaenoic acid, EPA Eicosapentaenoic acid, Hb Haemoglobin content, HDL High density lipoprotein, HR Hazard ratio, IL-6 Interleukin-6, IL-10 Interleukin-10, MI Myocardial infarction, PUFA Polyunsaturated fatty acid, RBC Red blood cell, RCT Randomised controlled trial, TG Triglyceride, TIBC Total iron binding capacity, TNFα Tumour necrosis factor-α