Evidence map›Paper›PMID 35672866›Full record

ArticleBMC rheumatology2022

Effect of omega-three supplementation on serum urate and gout flares in people with gout; a pilot randomized trial.

Lisa K Stamp, Rebecca Grainger, Christopher Frampton, Jill Drake, Catherine L Hill

Open access · goldAbstract read
In one paragraph

Article in BMC rheumatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

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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

5 authors at 2 institutions in 2 countries.

Lisa K StampDepartment of Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand. Lisa.Stamp@cdhb.health.nz.ORCID http://orcid.org/0000-0003-0138-2912
Rebecca GraingerUniversity of Otago, Wellington, Wellington, New Zealand.
Christopher FramptonDepartment of Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand.
Jill DrakeDepartment of Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch, 8140, New Zealand.
Catherine L HillUniversity of Adelaide, Adelaide, South, Australia.
University of Otago · NZQueen Elizabeth Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the effect of omega-three supplementation with fish oil on serum urate, weight and body mass index (BMI) in people with gout.

methodsA pilot 6-month, randomized, open-label clinical trial was undertaken in people with gout with serum urate ≥ 0.36 mmol/l. Forty participants were randomized to receive 6.2 g omega-3 fish oil daily or no fish oil for 24 weeks. Blood was obtained monthly for serum urate and red cell EPA (20:5n-3) DHA (22:6n-3) were measured using a blood spot collection system.

resultsThere was no statistically significant difference in the mean (SEM) decrease in serum urate between baseline and week 24 between randomized groups: fish oil - 0.021 (0.02) mmol/l versus control - 0.006 (0.02) mmol/l. There was no significant difference in change in weight or BMI between baseline and week 24 between randomized groups. There was a statistically significant correlation between red cell omega-three concentrations and the total number of flares per participant between week 12 and week 24; total omega-three r =  - 0.75 (p ≤ 0.001), EPA r =  - 0.75 (p ≤ 0.001) and DHA r = -0.76 (p ≤ 0.001). In the omega-three fish oil group four participants reported gastrointestinal adverse effects definitely or probably related to the omega-three supplementation.

conclusionsThe lack of untoward effect of omega three fish oil supplementation on serum urate and BMI together with the relationship between higher omega-three concentrations and lower gout flares supports the development of further adequately powered clinical trials to determine the role of omega-three supplements as prophylaxis against gout flares in people starting urate lowering therapy. Clinical trial registration ACTRN12617000539336p Registered 13/04/2017.

Indexed as

Clinical trialGoutOmega-three supplementationSerum urate

Identifiers

PMID35672866
PMCPMC9175343
OpenAlexW4281755979

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Registered trials

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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.