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Omega-3 Fatty Acids (EPA/DHA) для Crohn's Disease

C

EPIC-1 and EPIC-2 large RCTs showed no benefit for maintaining Crohn's remission. Earlier smaller studies were more positive. Current consensus is neutral.

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Итог

EPIC-1 and EPIC-2 large RCTs showed no benefit for maintaining Crohn's remission. Earlier smaller studies were more positive. Current consensus is neutral.

Key Study Findings

Other
Intestinal anti-inflammatory, histopathologic and anti-oxidative regulatory effects of total alkaloids extract from Linum usitatissimum L. …
Dose: 50, 100, and 200 mg/kg oral или: Dexamethasone 2.4 mg/kg; DNBS colitis model vs healthy Outcome: Colonic inflammation markers (MPO, NO, MDA, CAT, GSH) Эффект: None None

Популяция: DNBS-induced Crohn's disease BALB/c mouse model

Review
Gut microbiome-centric nutritional strategies in inflammatory bowel disease: Modulating dysbiosis for therapeutic benefit.
Dose: None или: None Outcome: IBD microbiota modulation and immune regulation Эффект: None None

Популяция: IBD patients (review of nutritional interventions)

Review
Are there Effective Vegan-Friendly Supplements for Optimizing Health and Sports Performance? a Narrative Review.
Dose: None или: None Outcome: Athletic performance and nutritional optimization Эффект: None None

Популяция: Vegan athletes (narrative review)

Other
Interaction between diet and genetics in patients with inflammatory bowel disease.
Dose: None или: None Outcome: Diet-genetics interaction in IBD Эффект: None None

Популяция: IBD patients (editorial commentary)

Review
Association between Omega-3 fatty acids and autoimmune disease: Evidence from the umbrella review and Mendelian …
Dose: None или: None Outcome: Colitis severity Эффект: None None

Популяция: Crohn's disease patients

Observational Study
Evaluating the Effects of Omega-3 Polyunsaturated Fatty Acids on Inflammatory Bowel Disease via Circulating Metabolites: …
Dose: 95% или: None Outcome: inflammation markers Эффект: None None

Популяция: None

Key Statistics

6

Исследования

800

Участники

Mixed

C

Оценка

Referenced Papers

Gastroenterology clinics of … 2018 67 цитирований
Medical principles and … 2017 45 цитирований
European journal of … 2016 79 цитирований
Current pharmaceutical design 2016 32 цитирований
Clinics in dermatology 2016 19 цитирований
The Cochrane database … 2014 88 цитирований
Alimentary pharmacology & … 2013 128 цитирований
The British journal … 2012 145 цитирований
The Cochrane database … 2012 130 цитирований
World journal of … 2012 113 цитирований
The American journal … 2011 946 цитирований
The Cochrane database … 2009 198 цитирований
Alimentary pharmacology & … 2008 50 цитирований
The Cochrane database … 2007 2 цитирований
Gastroenterology nursing : … 2006 24 цитирований
Current opinion in … 2005 22 цитирований
Journal of the … 2002 2016 цитирований
Current opinion in … 2002 1 цитирований
Current opinion in … 2002
Zeitschrift fur Gastroenterologie 1998 18 цитирований
Arquivos de gastroenterologia 1996

Dosage & Usage

mg = milligrams · mcg = micrograms (1,000× smaller) · IU = International Units

Часто используемые дозировки

general:
1,000-2,000 mg combined EPA/DHA per day
ibdsupport:
2,000-4,000 mg/day combined EPA/DHA (higher EPA ratio may be more beneficial)

Верхний предел: 3,000 mg/day combined EPA/DHA (FDA GRAS limit)

Дозировки, изученные в исследованиях

Дозировка Длительность Эффект N
50, 100, and 200 mg/kg oral -- Positive --
None -- Positive --
None -- Positive --
None -- Neutral --
None -- Neutral --
95% -- Mixed --
None -- Mixed 12194
None -- Mixed --

Лучшее время приёма: With meals containing fat for better absorption

Safety & Side Effects

Зарегистрированные побочные эффекты

  • Fishy aftertaste and burping
  • Mild gastrointestinal discomfort (nausea, diarrhea)
  • Potential increased bleeding time at very high doses (>3 g/day)
  • May lower blood pressure slightly

Известные взаимодействия

  • Anticoagulants and antiplatelet drugs (may increase bleeding risk at high doses)
  • Blood pressure medications (additive hypotensive effect)
  • Orlistat (may reduce omega-3 absorption)
  • Cyclosporine (fish oil may reduce cyclosporine nephrotoxicity but monitor levels)

Допустимый верхний уровень потребления: 3,000 mg/day combined EPA/DHA (FDA GRAS limit)

Всегда консультируйтесь с врачом перед началом приёма любых добавок.Всегда консультируйтесь с лечащим врачом перед началом приёма любой добавки.

Frequently Asked Questions

Does Omega-3 Fatty Acids (EPA/DHA) help with Crohn's Disease?
Based on 6 studies with 800 participants, there is limited but promising evidence that Omega-3 Fatty Acids (EPA/DHA) may support Crohn's Disease management. Our evidence grade is C (Some Evidence).
How much Omega-3 Fatty Acids (EPA/DHA) should I take for Crohn's Disease?
Studies have used various dosages. A commonly studied range is 1,000-2,000 mg combined EPA/DHA per day. Always consult your healthcare provider before starting any supplement regimen.
Are there side effects of Omega-3 Fatty Acids (EPA/DHA)?
Reported side effects may include Fishy aftertaste and burping, Mild gastrointestinal discomfort (nausea, diarrhea), Potential increased bleeding time at very high doses (>3 g/day), May lower blood pressure slightly. Most side effects are mild and dose-dependent. Consult your doctor if you experience any adverse reactions.
How strong is the evidence for Omega-3 Fatty Acids (EPA/DHA) and Crohn's Disease?
We rate the evidence as Grade C (Some Evidence). This rating is based on 6 peer-reviewed studies with 800 total participants. The overall direction of effect is mixed.

Related Evidence

Другие ингредиенты для Crohn's Disease

Omega-3 Fatty Acids (EPA/DHA) для других состояний

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