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Efficacy of ω-3 supplementation in patients with psoriasis: a meta-analysis of randomized controlled trials.
Clin Rheumatol. 2019 Apr; 38(4):977-988.CR

Abstract

Several studies have been conducted with the aim of investigating the effect of Omega(ω)-3 on different psoriasis indices including Psoriasis Area and Severity Index (PASI) score, erythema, scaling, itching, area involved, and infiltration. Nevertheless, a pooled analysis of trials that evaluated these variables has not been conducted. Therefore, the aim of this meta-analysis was to assess the efficacy of ω-3 fatty acids in treating patients with psoriasis. We searched through different electronic, references of retrieved articles, and previous related reviews databases up to November 2018. Both combined and stratified analyzes were conducted. A fixed-effects or random effects model was used to assess the mean effect sizes. An eventual 10 studies involving 560 participants were considered as eligible for inclusion in the present meta-analysis. The meta-analysis indicated a significant reduction in PASI score by - 1.58 (95% confidence interval (CI), - 2.24, - 0.92; P < 0.001) in favor of ω-3 polyunsaturated fatty acid (PUFA) group. The random effects model showed a statistically significant beneficial effect of ω-3 PUFA supplementation on reducing erythema by - 1.66 unit and reducing scaling (weighted mean difference (WMD), - 0.69; 95% CI, - 1.26, - 0.13; P = 0.02). Significant improvements in erythema, itching, and scale were observed in the trials which used the higher dosage of ω-3 supplementation. The results of current meta-analysis study support the use of ω-3 PUFA supplementation for the improvement of the evaluated parameters in psoriatic patients. However, well-controlled and randomized studies are needed to confirm the veracity of non-significant and/or equivocal findings.

Authors+Show Affiliations

Faculty of Health and Life Sciences, Coventry University, Coventry, UK.Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran.Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran.Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran. sjafarnejad@alumnus.tums.ac.ir.

Pub Type(s)

Journal Article
Meta-Analysis
Review

Language

eng

PubMed ID

30778861

Citation

Clark, Cain C T., et al. "Efficacy of Ω-3 Supplementation in Patients With Psoriasis: a Meta-analysis of Randomized Controlled Trials." Clinical Rheumatology, vol. 38, no. 4, 2019, pp. 977-988.
Clark CCT, Taghizadeh M, Nahavandi M, et al. Efficacy of ω-3 supplementation in patients with psoriasis: a meta-analysis of randomized controlled trials. Clin Rheumatol. 2019;38(4):977-988.
Clark, C. C. T., Taghizadeh, M., Nahavandi, M., & Jafarnejad, S. (2019). Efficacy of ω-3 supplementation in patients with psoriasis: a meta-analysis of randomized controlled trials. Clinical Rheumatology, 38(4), 977-988. https://doi.org/10.1007/s10067-019-04456-x
Clark CCT, et al. Efficacy of Ω-3 Supplementation in Patients With Psoriasis: a Meta-analysis of Randomized Controlled Trials. Clin Rheumatol. 2019;38(4):977-988. PubMed PMID: 30778861.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of ω-3 supplementation in patients with psoriasis: a meta-analysis of randomized controlled trials. AU - Clark,Cain C T, AU - Taghizadeh,Mohsen, AU - Nahavandi,Mina, AU - Jafarnejad,Sadegh, Y1 - 2019/02/18/ PY - 2019/1/5/received PY - 2019/1/25/accepted PY - 2019/1/5/revised PY - 2019/2/20/pubmed PY - 2019/7/13/medline PY - 2019/2/20/entrez KW - Meta-analysis KW - PUFA KW - Polyunsaturated fatty acids KW - Psoriasis SP - 977 EP - 988 JF - Clinical rheumatology JO - Clin Rheumatol VL - 38 IS - 4 N2 - Several studies have been conducted with the aim of investigating the effect of Omega(ω)-3 on different psoriasis indices including Psoriasis Area and Severity Index (PASI) score, erythema, scaling, itching, area involved, and infiltration. Nevertheless, a pooled analysis of trials that evaluated these variables has not been conducted. Therefore, the aim of this meta-analysis was to assess the efficacy of ω-3 fatty acids in treating patients with psoriasis. We searched through different electronic, references of retrieved articles, and previous related reviews databases up to November 2018. Both combined and stratified analyzes were conducted. A fixed-effects or random effects model was used to assess the mean effect sizes. An eventual 10 studies involving 560 participants were considered as eligible for inclusion in the present meta-analysis. The meta-analysis indicated a significant reduction in PASI score by - 1.58 (95% confidence interval (CI), - 2.24, - 0.92; P < 0.001) in favor of ω-3 polyunsaturated fatty acid (PUFA) group. The random effects model showed a statistically significant beneficial effect of ω-3 PUFA supplementation on reducing erythema by - 1.66 unit and reducing scaling (weighted mean difference (WMD), - 0.69; 95% CI, - 1.26, - 0.13; P = 0.02). Significant improvements in erythema, itching, and scale were observed in the trials which used the higher dosage of ω-3 supplementation. The results of current meta-analysis study support the use of ω-3 PUFA supplementation for the improvement of the evaluated parameters in psoriatic patients. However, well-controlled and randomized studies are needed to confirm the veracity of non-significant and/or equivocal findings. SN - 1434-9949 UR - https://www.unboundmedicine.com/medline/citation/30778861/full_citation DB - PRIME DP - Unbound Medicine ER -