Role of omega-3 fatty acids in reducing proteinuria: A systematic review and meta-analysis.

IF 1.3 4区 医学 Q4 NUTRITION & DIETETICS Asia Pacific journal of clinical nutrition Pub Date : 2024-09-01 DOI:10.6133/apjcn.202409_33(3).0003
Liangyu Fei, Rizhen Huang, Zhong Li
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Abstract

Background and objectives: Proteinuria, a hallmark of renal and systemic disorders, is associated with adverse outcomes, especially in chronic kidney disease and cardiovascular disease. Omega-3 fatty acids have garnered attention for their cardiovascular benefits and potential therapeutic effects on proteinuria. This systematic review and meta-analysis aimed to evaluate the impact of omega-3 fatty acid supplementation on proteinuria levels across various kidney-related conditions.

Methods and study design: Studies published from 1989 to 2023 were systematically identified, including randomized controlled trials, cohort, case-control, and cross-sectional studies. Nine studies involving a total of 347 participants were included in the analysis.

Results: The meta-analysis revealed a neutral overall effect size of omega-3 fatty acid supplementation on proteinuria levels, assessed under both common and random effect models. Despite the lack of statistically significant evidence supporting the efficacy of omega-3 fatty acids in reducing proteinuria, the variability in interventions and patient populations suggests potential individual responses.

Conclusions: The find-ings highlight the heterogeneity in responses to omega-3 fatty acid supplementation and emphasize the need for cautious interpretation. While no definitive conclusion can be drawn, the results underscore the importance of targeted research focusing on specific subgroups or conditions that may benefit from omega-3 supplementation. These findings contribute to the evolving understanding of personalized kidney health strategies and pave the way for further exploration and optimization of omega-3 fatty acids' therapeutic applications.

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欧米伽-3 脂肪酸在减少蛋白尿方面的作用:系统回顾和荟萃分析。
背景和目的:蛋白尿是肾脏和全身性疾病的标志,与不良后果有关,尤其是在慢性肾病和心血管疾病中。欧米伽-3 脂肪酸因其对心血管的益处和对蛋白尿的潜在治疗作用而备受关注。本系统综述和荟萃分析旨在评估补充欧米伽-3脂肪酸对各种肾脏相关疾病的蛋白尿水平的影响:系统识别了 1989 年至 2023 年期间发表的研究,包括随机对照试验、队列、病例对照和横断面研究。9项研究共涉及347名参与者:荟萃分析显示,在共同效应和随机效应模型下评估,补充欧米加-3 脂肪酸对蛋白尿水平的总体效应大小为中性。尽管缺乏统计学意义上的证据支持欧米伽-3 脂肪酸对减少蛋白尿的疗效,但干预措施和患者人群的差异性表明可能存在个体反应:结论:研究结果凸显了欧米伽-3 脂肪酸补充剂反应的异质性,并强调了谨慎解释的必要性。虽然不能得出明确的结论,但这些结果强调了有针对性的研究的重要性,研究重点是可能从补充欧米伽-3中获益的特定亚群或病症。这些研究结果有助于加深人们对个性化肾脏健康策略的理解,并为进一步探索和优化欧米伽-3脂肪酸的治疗应用铺平了道路。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
58
审稿时长
6-12 weeks
期刊介绍: The aims of the Asia Pacific Journal of Clinical Nutrition (APJCN) are to publish high quality clinical nutrition relevant research findings which can build the capacity of clinical nutritionists in the region and enhance the practice of human nutrition and related disciplines for health promotion and disease prevention. APJCN will publish original research reports, reviews, short communications and case reports. News, book reviews and other items will also be included. The acceptance criteria for all papers are the quality and originality of the research and its significance to our readership. Except where otherwise stated, manuscripts are peer-reviewed by at least two anonymous reviewers and the Editor. The Editorial Board reserves the right to refuse any material for publication and advises that authors should retain copies of submitted manuscripts and correspondence as material cannot be returned. Final acceptance or rejection rests with the Editorial Board
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