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The Effect of Omega-3 Supplementation on Heart Failure Outcome: A Meta-Analysis of Randomized Clinical Trial
Bambang Dwiputra1, Ade Meidian Ambari1, Dwita Rian Desandri1
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia - Harapan Kita National Cardiovascular Center, DKI Jakarta, Indonesia.
Insights
Omega-3 supplementation does not significantly reduce cardiovascular mortality or heart failure hospitalizations. This meta-analysis found no beneficial effect for omega-3s in heart failure patients.
Area of Science:
- Cardiology
- Nutritional Science
- Clinical Trials
Background:
- Omega-3 fatty acid supplementation's impact on cardiovascular disease is well-researched.
- Evidence regarding its efficacy in heart failure (HF) patients remains inconclusive.
Purpose of the Study:
- To conduct a meta-analysis assessing the effects of omega-3 supplementation on cardiovascular mortality and HF hospitalizations.
- To clarify the role of omega-3s in managing patients with heart failure.
Main Methods:
- A comprehensive literature search was performed across MEDLINE, Embase, and Cochrane databases.
- Included clinical trials and preprints underwent critical appraisal.
- Data from 5 selected studies were pooled for meta-analysis.
Main Results:
- Omega-3 supplementation showed no significant association with reduced cardiovascular mortality (OR, 0.94; 95% CI, 0.84-1.05; p=0.16).
- No significant reduction in heart failure hospitalizations was observed (OR, 0.94; 95% CI, 0.88-1.02; p=0.13).
Conclusions:
- This systematic review and meta-analysis indicates that omega-3 supplementation offers no discernible benefit for patients diagnosed with heart failure.
- Current evidence does not support the use of omega-3s to improve outcomes in heart failure management.
Abstract:
The effect of omega-3 supplementation on cardiovascular (CV) disease has been widely studied in several large clinical trials. However, the evidence of the effect of omega-3 supplementation in patients with heart failure (HF) remains controversial. This meta-analysis investigated the effects of omega-3 supplementation on patients with HF. We conducted a literature search on MEDLINE, Embase, and Cochrane databases for clinical trials and preprints of relevant articles. Following a literature search and critical appraisal, 5 studies were included in the meta-analysis. The pooling of the result of the studies shows that there were no significant association between omega-3 supplementation and CV mortality (odds ratio [OR], 0.94; 95% confidence interval [CI], 0.84-1.05, p=0.16) nor hospitalization due to HF (OR, 0.94; 95% CI, 0.88-1.02; p=0.13). Our systematic review and meta-analysis showed that omega-3 supplementation has no beneficial effect in patients with HF.
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