Fish Oil Can Have Beneficial Effects in Rheumatoid Arthritis
There is consistent evidence from double blind, placebo-controlled clinical trials that dietary n-3 fats, supplied as fish oil, can have beneficial effects in rheumatoid arthritis. Sixty-eight patients with rheumatoid arthritis on an 8-month anti-inflammatory diet supplemented with fish oil led to a significant reduction in the numbers of tender (28%) and swollen (34%) joints.
Rheumatoid arthritis is associated with increased risk for cardiovascular risk. Fish oil has been to shown to reduce cardiovascular risk in patients with rheumatoid arthritis.
Not only has n-3 essential fatty acid supplementation been shown to help reduce the daily nonsteroidal anti-inflammatory drug (NSAID) requirement of rheumatoid arthritis patients, but also some rheumatoid arthritis patients who take fish oil are able to discontinue NSAIDs without experiencing a disease flare.
A 9-month double-blind placebo-controlled randomized study of ninety-seven rheumatoid arthritis patients resulted in 39% of the n-3 essential fatty acid group reducing their daily NSAID requirement as opposed to 10% from the placebo group.
Rheumatoid arthritis patients using fish oil supplements show a more pronounced improvement when used in combination with olive oil.
A number of mechanisms through which n-3 fats may reduce inflammation have been identified. Controlled trials indicate that dietary supplementation with n-3 fatty acids provides modest symptomatic benefit in patients with rheumatoid arthritis. Dietary n-3 supplementation is practical and can be easily achieved with encapsulated or, less expensively, bottled fish oil.
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References:
1. Adam O, Beringer C, Kless T, Lemmen C, Adam A, Wiseman M, Adam P, Klimmek R, Forth W. Anti-inflammatory effects of a low arachidonic acid diet and fish oil in patients with rheumatoid arthritis. Rheumatol Int. 2003 Jan;23(1):27-36. PMID: 12548439.
2. Cleland LG, Caughey GE, James MJ, Proudman SM. Reduction of cardiovascular risk factors with longterm fish oil treatment in early rheumatoid arthritis. J Rheumatol. 2006 Oct;33(10):1973-9. PMID: 16881100.
3. Stamp LK, James MJ, Cleland LG. Diet and rheumatoid arthritis: a review of the literature. Semin Arthritis Rheum. 2005 Oct;35(2):77-94. PMID: 16194694.
4. Galarraga B, Ho M, Youssef HM, Hill A, McMahon H, Hall C, Ogston S, Nuki G, Belch JJ. Cod liver oil (n-3 fatty acids) as an non-steroidal anti-inflammatory drug sparing agent in rheumatoid arthritis. Rheumatology (Oxford). 2008 May;47(5):665-9. PMID: 18362100.
5. Kremer JM, Lawrence DA, Petrillo GF, Litts LL, Mullaly PM, Rynes RI, Stocker RP, Parhami N, Greenstein NS, Fuchs BR, et al. Effects of high-dose fish oil on rheumatoid arthritis after stopping nonsteroidal antiinflammatory drugs. Clinical and immune correlates. Arthritis Rheum. 1995 Aug;38(8):1107-14. PMID: 7639807.
6. Berbert AA, Kondo CR, Almendra CL, Matsuo T, Dichi I. Supplementation of fish oil and olive oil in patients with rheumatoid arthritis. Nutrition. 2005 Feb;21(2):131-6. PMID: 15723739.
7. James MJ, Cleland LG. Dietary n-3 fatty acids and therapy for rheumatoid arthritis. Semin Arthritis Rheum. 1997 Oct;27(2):85-97. PMID: 9355207.
8. Image by Braegel
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