51. The cardiovascular benefits of indiscriminate supplementation of omega-3 fatty acids; meta-analysis and decision-making approach.
- Author
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Leshno, M., Goldbourt, U., Pinchuk, I., and Lichtenberg, D.
- Subjects
META-analysis ,DIETARY supplements ,OMEGA-3 fatty acids ,STATINS (Cardiovascular agents) ,PREVENTION of heart diseases ,CARDIOVASCULAR disease prevention ,PHYSIOLOGICAL adaptation ,COMPARATIVE studies ,DECISION making ,RESEARCH methodology ,MEDICAL cooperation ,PROBABILITY theory ,RESEARCH ,EVALUATION research ,QUALITY-adjusted life years - Abstract
Aim: The meta-analysis was conducted to estimate of the cardiovascular benefits of indiscriminate supplementation of omega-3 capsules. The results, expressed in terms of quality adjusted life years (QALY) intuitively understood by the general public, can be the basis for the (personal) decision on whether to take omega-3 supplements.Methods: The results of meta-analysis of eight double-blind, placebo-controlled clinical trials are expressed in terms of QALY, using the Markov model and Monte Carlo simulations.Results: Omega-3 supplementation results in a 8% decrease of the risk of cardiac death, unless the patients are treated by statins. Results indicate that omega-3 supplementation may prolong QALY by about a month. Old people gain less, whereas DM-2 patients and people with history of CV events gain more.Discussion: Our analysis yielded an algorithm for estimating benefit from omega-3 supplementation, based on the age and the individual risk of CV events of the patient. [ABSTRACT FROM AUTHOR]- Published
- 2018
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