Evidence map›Paper›PMID 35526074›Full record

SynthesisArthritis research & therapy2022

Impact of type and dose of oral polyunsaturated fatty acid supplementation on disease activity in inflammatory rheumatic diseases: a systematic literature review and meta-analysis.

Johanna Sigaux, Sylvain Mathieu, Yann Nguyen, Pauline Sanchez, Jean-Guillaume Letarouilly, Martin Soubrier, Sébastien Czernichow, René-Marc Flipo, Jérémie Sellam, Claire Daïen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Arthritis research & therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Guideline
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  13. Lipid Metabolism: An Emerging Player in Sjögren's Syndrome.Clinical reviews in allergy & immunology · 2025
    Review
  14. Review
  15. [Procedures of complementary medicine in rheumatology].Zeitschrift fur Rheumatologie · 2024
    Review
  16. Article
  17. Article
  18. Article
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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

10 authors at 6 institutions in 1 country.

Johanna Sigaux *Department of Rheumatology, Hôpital Avicenne, APHP, INSERM U1125, Université Sorbonne Paris Nord, 125 rue de Stalingrad, 93000, Bobigny, France. johanna.sigaux@aphp.fr.ORCID 0000-0002-6371-740X
Sylvain Mathieu *Department of Rheumatology, CHU Gabriel-Montpied, Clermont-Ferrand, France.
Yann NguyenDepartment of Internal Medicine, Hôpital Beaujon, APHP Nord, Université de Paris, Clichy, France.
Pauline SanchezDepartment of Rheumatology, CHU de Montpellier, University of Montpellier, PhyMedExp, INSERM, CNRS UMR, Montpellier, France.
Jean-Guillaume LetarouillyDepartment of Rheumatology, CHU Lille, Université de Lille, Lille, France.
Martin SoubrierDepartment of Rheumatology, CHU Gabriel-Montpied, Clermont-Ferrand, France.
Sébastien CzernichowDepartment of Nutrition, Specialized Obesity Center, Hôpital Européen Georges Pompidou, Université de Paris, APHP, Paris, France.
René-Marc FlipoDepartment of Rheumatology, CHU Lille, Université de Lille, Lille, France.
Jérémie SellamDMU 3ID, Hôpital Saint Antoine, APHP, CRSA Inserm UMRS_938, Sorbonne Université, Paris, France.
Claire DaïenDepartment of Rheumatology, CHU de Montpellier, University of Montpellier, PhyMedExp, INSERM, CNRS UMR, Montpellier, France.
Centre Hospitalier Universitaire de Clermont-Ferrand · FRCentre National de la Recherche Scientifique · FRInserm · FRUniversité de Lille · FRHôpital Beaujon · FRSorbonne Paris Cité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolyunsaturated fatty acid (PUFA) supplementation has been reported to improve disease activity in inflammatory rheumatic diseases (IRDs). However, data are often conflicting and studies insufficiently large to draw conclusions. This systematic literature review and meta-analysis aimed to better estimate the effect of oral supplementation with omega (n)-3 and n-6 PUFA on IRD activity in terms of duration, dose, type, and source.

methodsThe literature was searched in PubMed, EMBASE, and Cochrane Library databases up to October 2020. Studies were reviewed in accordance with PRISMA guidelines. The effect of PUFA supplementation on disease activity was expressed as the standardized mean difference (95% CI). Metaregression and subgroup analyses involved type of IRD, Jadad score, PUFA source (animal or vegetable), and doses.

resultsWe obtained 42 references; 30 randomized controlled studies were included comparing the effects of PUFA versus control on disease activity (710 IRD patients receiving PUFA supplementation and 710 controls, most with rheumatoid arthritis). We found a significant improvement in pain, swollen and tender joint count, Disease Activity Score in 28 joints, and Health Assessment Questionnaire score in IRD patients receiving PUFA supplementation as compared with controls, with a significant decrease in erythrocyte sedimentation rate but not C-reactive protein level. Although meta-regression revealed no difference by IRD type or source or dose of PUFA supplementation, subgroup analysis revealed more parameters significantly improved with animal- than vegetable-derived PUFAs and 3- to 6-month supplementation. Most studies examined high-dose supplementation (>2 g/day).

conclusionPUFA consumption, especially omega-3 from animal source >2 g/day, may improve IRD activity and might be an adjuvant therapy in rheumatoid arthritis.

trial registrationThe protocol was registered at PROSPERO ( CRD42021253685 ).

Indexed as

Arthritis, RheumatoidFatty Acids, Omega-3Rheumatic DiseasesAnimalsDietary SupplementsFatty Acids, UnsaturatedHumansFatty Acids, Omega-3Fatty Acids, UnsaturatedInflammatory rheumatic diseasesMeta-analysisOmega-3Omega-6Polyunsaturated fatty acidsRheumatoid arthritisSystematic literature review

Identifiers

PMID35526074
PMCPMC9077862
OpenAlexW4229030662

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.