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Associations between Omega-3 Fatty Acid Supplementation and Anti-Inflammatory Effects in Patients with Digestive System Cancer: A Meta-Analysis

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Pages 1098-1114 | Received 10 Jun 2019, Accepted 15 Sep 2019, Published online: 01 Oct 2019
 

Abstract

Purpose: Patients with digestive system cancer frequently over-express inflammatory cytokines after surgical operations or chemotherapy. Omega-3 fatty acids are key nutrients with numerous beneficial anti-inflammatory effects in cancer patients. The anti-inflammatory effect of supplementation with omega-3 fatty acids in patients with digestive system cancer requires further validation.

Methods: The meta-analysis includes studies that compared the variations in inflammatory marker (interleukin-6, tumor necrosis factor-alpha, and C-reactive protein (IL-6, TNF-α, and CRP)) concentrations between patients with digestive system cancer who were supplemented with omega-3 fatty acids versus controls who were not supplemented with omega-3 fatty acids.

Results: Our findings indicated that the variations in the IL-6 and CRP concentrations in patients with digestive system cancer did not differ between the supplementation groups and the controls. Statistically significant differences in the variations in the TNF-α concentrations were observed between the supplementation groups and the controls. However, there were no significant differences in the variations in the TNF-α concentrations according to the subgroup analysis.

Conclusions: Omega-3 fatty acids may have an inhibitory effect on postoperative TNF-α elevation in patients with digestive system tumors, but additional supporting data require a large clinical trial.

Additional information

Funding

This work was supported by the National Natural Science Foundation of China (No. 81773412).

Notes on contributors

Shoumeng Yan

BL, WC, and SY designed the study; SY, ML, DY performed the study; SY, ML, and YP analyzed the data and drafted the manuscript; SY, CW, and HZ participated amending the manuscript. All authors approved the final version of the manuscript.

Meng Li

BL, WC, and SY designed the study; SY, ML, DY performed the study; SY, ML, and YP analyzed the data and drafted the manuscript; SY, CW, and HZ participated amending the manuscript. All authors approved the final version of the manuscript.

Di Yang

BL, WC, and SY designed the study; SY, ML, DY performed the study; SY, ML, and YP analyzed the data and drafted the manuscript; SY, CW, and HZ participated amending the manuscript. All authors approved the final version of the manuscript.

Yingan Pan

BL, WC, and SY designed the study; SY, ML, DY performed the study; SY, ML, and YP analyzed the data and drafted the manuscript; SY, CW, and HZ participated amending the manuscript. All authors approved the final version of the manuscript.

Changcong Wang

BL, WC, and SY designed the study; SY, ML, DY performed the study; SY, ML, and YP analyzed the data and drafted the manuscript; SY, CW, and HZ participated amending the manuscript. All authors approved the final version of the manuscript.

Hantong Zhao

BL, WC, and SY designed the study; SY, ML, DY performed the study; SY, ML, and YP analyzed the data and drafted the manuscript; SY, CW, and HZ participated amending the manuscript. All authors approved the final version of the manuscript.

Bo Li

BL, WC, and SY designed the study; SY, ML, DY performed the study; SY, ML, and YP analyzed the data and drafted the manuscript; SY, CW, and HZ participated amending the manuscript. All authors approved the final version of the manuscript.

Weiwei Cui

BL, WC, and SY designed the study; SY, ML, DY performed the study; SY, ML, and YP analyzed the data and drafted the manuscript; SY, CW, and HZ participated amending the manuscript. All authors approved the final version of the manuscript.

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