Do omega-3 fatty acids increase risk of atrial fibrillation?

被引:7
作者
Bork, Christian S. [1 ]
Myhre, Peder L. [2 ,3 ]
Schmidt, Erik B. [4 ,5 ]
机构
[1] Aalborg Univ Hosp, Dept Cardiol, Aalborg, Denmark
[2] Univ Oslo, Inst Clin Med, KG Jebsen Ctr Cardiac Biomarkers, Oslo, Norway
[3] Akershus Univ Hosp, Dept Cardiol, Div Med, Lorenskog, Norway
[4] Aalborg Univ, Dept Clin Med, Aalborg, Denmark
[5] Forskningenshus Hus, Soendre Skovvej 15, DK-9000 Aalborg, Denmark
关键词
atrial fibrillation; marine omega-3 fatty acid supplements; omega-3 fatty acids; FATTY-ACIDS; FISH-OIL; SUPPLEMENTATION; DISEASE;
D O I
10.1097/MCO.0000000000000907
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of the reviewTo summarize the findings from recent observational follow-up studies and randomized trials of plant- and marine omega-3 fatty acids on the risk of atrial fibrillation (AF).Recent findingsRecent randomized cardiovascular outcome trials have indicated that supplements with marine omega-3 fatty acids may be associated with a higher risk of AF, and a meta-analysis has suggested that marine omega-3 fatty acid supplements were associated with a 25% higher relative risk of AF. Also, a recent large observational study reported a modest higher risk of AF in habitual users of marine omega-3 fatty acid supplements. However, recent observational biomarker studies of circulating and adipose tissue content of marine omega-3 fatty acids have in contrast reported a lower risk of AF. Very limited knowledge exists on the role of plant-derived omega-3 fatty acids and AF.Marine omega-3 fatty acid supplements may increase the risk of AF, whereas biomarkers reflecting consumption of marine omega-3 fatty acids have been linked to a lower risk of AF. Clinicians should inform patients that marine omega-3 fatty acid supplement may increase AF risk, and this should be taking into account when discussing pros and cons of taking supplements with marine omega-3 fatty acids.
引用
收藏
页码:78 / 82
页数:5
相关论文
共 18 条
[1]   Effect of Marine Omega-3 Fatty Acid and Vitamin D Supplementation on Incident Atrial Fibrillation: A Randomized Clinical Trial [J].
Albert, Christine M. ;
Cook, Nancy R. ;
Pester, Julie ;
Moorthy, M. Vinayaga ;
Ridge, Claire ;
Danik, Jacqueline S. ;
Gencer, Baris ;
Siddiqi, Hasan K. ;
Ng, Chee ;
Gibson, Heike ;
Mora, Samia ;
Buring, Julie E. ;
Manson, JoAnn E. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2021, 325 (11) :1061-1073
[2]   Plant n-3 PUFA intake may lower the risk of atherosclerotic cardiovascular disease only among subjects with a low intake of marine n-3 PUFAs [J].
Bork, Christian S. ;
Lundbye-Christensen, Soren ;
Veno, Stine K. ;
Lasota, Anne N. ;
Schmidt, Erik B. ;
Overvad, Kim .
EUROPEAN JOURNAL OF NUTRITION, 2022, 61 (01) :557-559
[3]   Global, regional, and national prevalence, incidence, mortality, and risk factors for atrial fibrillation, 1990-2017: results from the Global Burden of Disease Study 2017 [J].
Dai, Haijiang ;
Zhang, Quanyu ;
Abu Much, Arsalan ;
Maor, Elad ;
Segev, Amit ;
Beinart, Roy ;
Adawi, Salim ;
Lu, Yao ;
Bragazzi, Nicola Luigi ;
Wu, Jianhong .
EUROPEAN HEART JOURNAL-QUALITY OF CARE AND CLINICAL OUTCOMES, 2021, 7 (06) :574-582
[4]   Beneficial Outcomes of Omega-6 and Omega-3 Polyunsaturated Fatty Acids on Human Health: An Update for 2021 [J].
Djuricic, Ivana ;
Calder, Philip C. .
NUTRIENTS, 2021, 13 (07)
[5]   Fishing for Links Between Omega-3 Fatty Acids and Atrial Fibrillation [J].
Fatkin, Diane ;
Cox, Charles D. ;
Martinac, Boris .
CIRCULATION, 2022, 145 (14) :1037-1039
[6]   Effect of Long-Term Marine-3 Fatty Acids Supplementation on the Risk of Atrial Fibrillation in Randomized Controlled Trials of Cardiovascular Outcomes: A Systematic Review and Meta-Analysis [J].
Gencer, Baris ;
Djousse, Luc ;
Al-Ramady, Omar T. ;
Cook, Nancy R. ;
Manson, JoAnn E. ;
Albert, Christine M. .
CIRCULATION, 2021, 144 (25) :1981-1990
[7]   Effects of n-3 Fatty Acid Supplements in Elderly Patients After Myocardial Infarction A Randomized, Controlled Trial [J].
Kalstad, Are Annesonn ;
Myhre, Peder Langeland ;
Laake, Kristian ;
Tveit, Sjur Hansen ;
Schmidt, Erik Berg ;
Smith, Paal ;
Nilsen, Dennis Winston Trygve ;
Tveit, Arnljot ;
Fagerland, Morten Wang ;
Solheim, Svein ;
Seljeflot, Ingebjorg ;
Arnesen, Harald .
CIRCULATION, 2021, 143 (06) :528-539
[8]   Association Between Omega-3 Fatty Acid Levels and Risk for Incident Major Bleeding Events and Atrial Fibrillation: MESA [J].
Kapoor, Karan ;
Alfaddagh, Abdulhamied ;
Al Rifai, Mahmoud ;
Bhatt, Deepak L. ;
Budoff, Matthew J. ;
Nasir, Khurram ;
Miller, Michael ;
Welty, Francine K. ;
McEvoy, J. William ;
Dardari, Zeina ;
Shapiro, Michael D. ;
Blumenthal, Roger S. ;
Tsai, Michael Y. ;
Blaha, Michael J. .
JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2021, 10 (11)
[9]   2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS) [J].
Mach, Francois ;
Baigent, Colin ;
Catapano, Alberico L. ;
Koskinas, Konstantinos C. ;
Casula, Manuela ;
Badimon, Lina ;
Chapman, M. John ;
De Backer, Guy G. ;
Delgado, Victoria ;
Ference, Brian A. ;
Graham, Ian M. ;
Halliday, Alison ;
Landmesser, Ulf ;
Mihaylova, Borislava ;
Pedersen, Terje R. ;
Riccardi, Gabriele ;
Richter, Dimitrios J. ;
Sabatine, Marc S. ;
Taskinen, Marja-Riitta ;
Tokgozoglu, Lale ;
Wiklund, Olov ;
Mueller, Christian ;
Drexel, Heinz ;
Aboyans, Victor ;
Corsini, Alberto ;
Doehner, Wolfram ;
Farnier, Michel ;
Gigante, Bruna ;
Kayikcioglu, Meral ;
Krstacic, Goran ;
Lambrinou, Ekaterini ;
Lewis, Basil S. ;
Masip, Josep ;
Moulin, Philippe ;
Petersen, Steffen ;
Petronio, Anna Sonia ;
Piepoli, Massimo Francesco ;
Pinto, Xavier ;
Raber, Lorenz ;
Ray, Kausik K. ;
Reiner, Zeljko ;
Riesen, Walter F. ;
Roffi, Marco ;
Schmid, Jean-Paul ;
Shlyakhto, Evgeny ;
Simpson, Iain A. ;
Stroes, Erik ;
Sudano, Isabella ;
Tselepis, Alexandros D. ;
Viigimaa, Margus .
EUROPEAN HEART JOURNAL, 2020, 41 (01) :111-188
[10]   Fish Oil and Postoperative Atrial Fibrillation The Omega-3 Fatty Acids for Prevention of Post-operative Atrial Fibrillation (OPERA) Randomized Trial [J].
Mozaffarian, Dariush ;
Marchioli, Roberto ;
Macchia, Alejandro ;
Silletta, Maria G. ;
Ferrazzi, Paolo ;
Gardner, Timothy J. ;
Latini, Roberto ;
Libby, Peter ;
Lombardi, Federico ;
O'Gara, Patrick T. ;
Page, Richard L. ;
Tavazzi, Luigi ;
Tognoni, Gianni .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 308 (19) :2001-2011