Evidence map›Paper›PMID 34183020›Full record

Observational studyJournal of the International Society of Sports Nutrition2021

Regular consumption of cod liver oil is associated with reduced basal and exercise-induced C-reactive protein levels; a prospective observational trial : A NEEDED (The North Sea Race Endurance Exercise Study) 2014 sub-study.

Mette Wærstad Hansen, Stein Ørn, Christine B Erevik, Magnus Friestad Bjørkavoll-Bergseth, Øyvind Skadberg, Tor H Melberg, Kristin M Aakre, Øyunn Kleiven

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in Journal of the International Society of Sports Nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02166216 (The North Sea Race Endurance Exercise Study), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 44% 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.

NCT02166216 active not recruitingnot on this map

The North Sea Race Endurance Exercise Study

TypeobservationalSponsorHelse Stavanger HFRan2013 to 2034Enrolled1,200ConditionsHealthy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
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

8 authors at 2 institutions in 1 country.

Mette Wærstad HansenCardiology Department, Stavanger University Hospital, PO 8400, 4068, Stavanger, Norway.
Stein ØrnCardiology Department, Stavanger University Hospital, PO 8400, 4068, Stavanger, Norway.
Christine B ErevikCardiology Department, Stavanger University Hospital, PO 8400, 4068, Stavanger, Norway.
Magnus Friestad Bjørkavoll-BergsethCardiology Department, Stavanger University Hospital, PO 8400, 4068, Stavanger, Norway.
Øyvind SkadbergDepartment of Biochemistry, Stavanger University Hospital, Stavanger, Norway.
Tor H MelbergCardiology Department, Stavanger University Hospital, PO 8400, 4068, Stavanger, Norway.
Kristin M AakreDepartment of Clinical Science, University of Bergen, Bergen, Norway.
Øyunn KleivenCardiology Department, Stavanger University Hospital, PO 8400, 4068, Stavanger, Norway. oyunn.kleiven@gmail.com.ORCID http://orcid.org/0000-0002-3316-1295
Stavanger University Hospital · NOHaukeland University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDietary supplement use among recreational athletes is common, with the intention of reducing inflammation and improving recovery. We aimed to describe the relationship between omega-3 fatty acid supplement use and inflammation induced by strenuous exercise.

methodsC-reactive protein (CRP) concentrations were measured in 1002 healthy recreational athletes before and 24 h after a 91-km bicycle race. The use of omega-3 fatty acid supplements was reported in 856 out of 1002 recreational athletes, and the association between supplement use and the exercise-induced CRP response was assessed.

resultsTwo hundred seventy-four subjects reported regular use of omega-3 fatty acid supplements. One hundred seventy-three of these used cod liver oil (CLO). Regular users of omega-3 fatty acid supplements had significantly lower basal and exercise-induced CRP levels as compared to non-users (n = 348, p < 0.001). Compared to non-users, regular users had a 27% (95% confidence interval (CI): 14-40) reduction in Ln CRP response (unadjusted model, p < 0.001) and 16% (95% CI: 5-28, p = 0.006) reduction after adjusting for age, sex, race duration, body mass index, delta creatine kinase, MET hours per week, resting heart rate and higher education. CLO was the primary driver of this response with a 34% (95% CI: 19-49) reduction (unadjusted model, p < 0.001) compared to non-users. Corresponding numbers in the adjusted model were 24% (95% CI: 11-38, p < 0.001).

conclusionBasal CRP levels were reduced, and the exercise-induced CRP response was attenuated in healthy recreational cyclists who used omega-3 fatty acid supplements regularly. This effect was only present in regular users of CLO.

trial registrationNCT02166216 , registered June 18, 2014 - Retrospectively registered.

Indexed as

AdultBicyclingCod Liver OilConfidence IntervalsC-Reactive ProteinCreatine KinaseExerciseFatty Acids, Omega-3FemaleHeart RateHumansMaleMiddle AgedProspective StudiesVitaminsCod Liver OilC-Reactive ProteinCreatine KinaseFatty Acids, Omega-3VitaminsAthletesCod liver oilExercise-induced inflammationOmega-3Supplement use

Identifiers

PMID34183020
PMCPMC8240263
OpenAlexW3176837439

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.