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Review

Omega-3 polyunsaturated fatty acids for cardiovascular diseases: present, past and future

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Pages 865-873 | Received 31 Mar 2017, Accepted 19 May 2017, Published online: 29 May 2017
 

ABSTRACT

Introduction: Large-scale epidemiological studies on Greenlandic, Canadian and Alaskan Eskimos have examined the health benefits of omega-3 fatty acids consumed as part of the diet, and found statistically significant relative reduction in cardiovascular risk in people consuming omega-3 fatty acids.

Areas covered: This article reviews studies on omega-3 fatty acids during the last 50 years, and identifies issues relevant to future studies on cardiovascular (CV) risk.

Expert commentary: Although a meta-analysis of large-scale prospective cohort studies and randomized studies reported that fish and fish oil consumption reduced coronary heart disease-related mortality and sudden cardiac death, omega-3 fatty acids have not yet been shown to be effective in secondary prevention trials on patients with multiple cardiovascular disease (CVD) risk factors. The ongoing long-term CV interventional outcome studies investigate high-dose, prescription-strength omega-3 fatty acids. The results are expected to clarify the potential role of omega-3 fatty acids in reducing CV risk. The anti-inflammatory properties of omega-3 fatty acids are also important. Future clinical trials should also focus on the role of these anti-inflammatory mediators in human arteriosclerotic diseases as well as inflammatory diseases.

Declaration of interest

I Tatsuno received lecture fees from Takeda Pharmaceutical Company Ltd. and received research grants from Takeda Pharmaceutical Company Ltd., Mochida Pharmaceutical Company and Eli Lilly Japan. The authors have no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed.

Additional information

Funding

This manuscript was supported by Takeda Pharmaceutical Company Ltd., Mochida Pharmaceutical Company and Eli Lilly Japan.

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