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Omega-3 fatty acids for intermittent claudication.

T Sommerfield1, W R Hiatt

  • 1Lothian NHS Board, 148 Pleasance, Edinburgh, UK, EH8 9RS.

The Cochrane Database of Systematic Reviews
|July 22, 2004
PubMed
Summary

Omega-3 fatty acids show potential benefits for intermittent claudication by improving triglyceride levels and blood pressure. However, current evidence does not support improved walking distance or clinical outcomes, necessitating further research.

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Area of Science:

  • Cardiovascular Health
  • Nutritional Science
  • Peripheral Vascular Diseases

Background:

  • Omega-3 fatty acids are recognized for their efficacy in managing coronary artery disease.
  • Similarities in pathogenesis suggest potential benefits for peripheral arterial disease, including intermittent claudication.

Purpose of the Study:

  • To evaluate the impact of omega-3 fatty acid supplementation on individuals experiencing intermittent claudication.

Main Methods:

  • Systematic review of randomized controlled trials comparing omega-3 fatty acids with placebo.
  • Searches included major databases (Cochrane), pharmaceutical literature, and nutritional organizations.
  • Data extraction and quality assessment performed by two independent reviewers.

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Main Results:

  • Four studies with 203 participants were analyzed; overall study quality was good.
  • Omega-3 supplementation reduced triglyceride levels and diastolic blood pressure but increased total and LDL cholesterol.
  • No significant improvements were observed in pain-free walking distance, maximal walking distance, or ankle brachial pressure index.

Conclusions:

  • Omega-3 fatty acids demonstrate favorable biochemical and hemodynamic effects in intermittent claudication patients.
  • Current evidence does not confirm improved clinical outcomes or walking distances.
  • Further research is required to ascertain short- and long-term effects on clinically relevant outcomes.