Evidence map›Paper›PMID 16210721›Full record

Trial reportThe American journal of clinical nutrition2005

Relation between dietary n-3 and n-6 fatty acids and clinically diagnosed dry eye syndrome in women.

Biljana Miljanović, Komal A Trivedi, M Reza Dana, Jeffery P Gilbard, Julie E Buring, Debra A Schaumberg

Registry-linked trialAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01213342 (Omega-3 Fatty Acid Supplementation and Dry Eye), which is not on this map. Cited by 89 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 5 pooled it
12.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01213342 naterminatednot on this mapstarted 2010, after this paper: background citation

Omega-3 Fatty Acid Supplementation and Dry Eye

TypeinterventionalSponsorOhio State UniversityRan2010 to 2011Enrolled35ConditionsKeratoconjunctivitis SiccaArmsOmega-3 Fatty Acid, Soybean Soft Gels
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 5 syntheses or guidelines pooled it, 312 citations in OpenAlex.

  1. Pooled it
  2. Omega-3 and omega-6 polyunsaturated fatty acids for dry eye disease.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Pooled it
  4. Systemic treatment for blepharokeratoconjunctivitis in children.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Omega-3 essential fatty acids therapy for dry eye syndrome: a meta-analysis of randomized controlled studies.Medical science monitor : international medical journal of experimental and clinical research · 2014
    Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Impact of dry eye syndrome on vision-related quality of life.American journal of ophthalmology · 2007
    Trial
  15. Observational
  16. Pregnancy and Dry Eye Syndrome: A Review for Clinical Practice.International journal of molecular sciences · 2025
    Review
  17. Article
  18. Observational
  19. Lipid Metabolism: An Emerging Player in Sjögren's Syndrome.Clinical reviews in allergy & immunology · 2025
    Review
  20. Review

29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Biljana MiljanovićDivision of Preventive Medicine, Brigham and Women's Hospital, Boston, MA 02215, USA.
Komal A Trivedi
M Reza Dana
Jeffery P Gilbard
Julie E Buring
Debra A Schaumberg
Brigham and Women's Hospital · US

Funding

Women's Health Study: Continued Follow-upR01CA047988 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 1991 to 2014
$28.2M
TRIAL OF VITAMIN E, BETA-CAROTENE &ASPRIN IN WOMENR01HL043851 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E · 1991 to 2000
$1.6M
NCI NIH HHS CA47988NCI NIH HHS R01 CA047988NHLBI NIH HHS HL43851NHLBI NIH HHS R01 HL043851
6 · The paper itself

Abstract

backgroundDry eye syndrome (DES) is a prevalent condition, but information on risk or protective factors is lacking.

objectiveWe aimed to determine the association between the dietary intake and ratio of n-3 and n-6 fatty acids (FAs) and DES occurrence.

designOf the 39876 female health professionals in the Women's Health Study (WHS), 32470 women aged 45-84 y who provided information on diet and DES were cross-sectionally studied. We assessed FA intakes by using a validated food-frequency questionnaire and assessed DES by using self-reports of clinically diagnosed cases. Of the sample, 1546 (4.7%) subjects reported DES. We used logistic regression models to estimate the odds ratios (ORs) and 95% CIs to describe the relation of FA intake with DES.

resultsAfter adjustment for demographic factors, hormone therapy, and total fat intake, the OR for the highest versus the lowest quintile of n-3 FAs was 0.83 (95% CI: 0.70, 0.98; P for trend = 0.05). A higher ratio of n-6 to n-3 FA consumption was associated with a significantly increased risk of DES (OR: 2.51; 95% CI: 1.13, 5.58) for >15:1 versus <4:1 (P for trend = 0.01). In addition, tuna consumption [1 serving was 113 g (4 oz)] was inversely associated with DES (OR: 0.81; 95% CI: 0.66, 0.99 for 2-4 servings/wk; OR: 0.32; 95% CI: 0.13, 0.79 for 5-6 servings/wk versus < or =1 serving/wk; P for trend = 0.005).

conclusionsThese results suggest that a higher dietary intake of n-3 FAs is associated with a decreased incidence of DES in women. These findings are consistent with anecdotal clinical observations and postulated biological mechanisms.

Indexed as

AgedAged, 80 and overConfidence IntervalsCross-Sectional StudiesDietary Fats, UnsaturatedDouble-Blind MethodDry Eye SyndromesFatty Acids, Omega-3Fatty Acids, Omega-6FemaleHumansLogistic ModelsMiddle AgedOdds RatioRisk FactorsSurveys and QuestionnairesDietary Fats, UnsaturatedFatty Acids, Omega-3Fatty Acids, Omega-6

Identifiers

PMID16210721
PMCPMC1360504
OpenAlexW2167601697

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.