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Bahadori, B; Uitz, E; Thonhofer, R; Trummer, M; Pestemer-Lach, I; McCarty, M; Krejs, GJ.
omega-3 Fatty acids infusions as adjuvant therapy in rheumatoid arthritis.
J PARENT ENTER NUTR. 2010; 34(2): 151-155. Doi: 10.1177/0148607109342130
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Co-authors Med Uni Graz
Krejs Günter Josef
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Abstract:
Background: The present study investigated the efficacy and safety of parenteral omega-3 fatty acids (omega-3 FA) in patients with active rheumatoid arthritis (RA). Methods: We performed a double-blind, randomized, placebo-controlled study in 23 patients with moderate to severe RA. Patients received either 0.2 g of fish oil emulsion/kg (active) or 0.9% saline (placebo) infusion intravenously for 14 consecutive clays, followed by 20 weeks of 0.05 g of fish oil/kg (active) or paraffin wax (placebo) ingested orally as capsules. A decrease in swollen and tender joint counts was the primary efficacy measure. Results: At baseline, both swollen and tender joint counts were not significantly different between patients in the treatment and placebo groups. Twenty patients completed the infusion portion of the study, and 13 completed the oral portion. Swollen joint count was significantly lower in the omega-3 FA group compared with the placebo group after 1 week of infusion (P = .002) as well as after 2 weeks of infusion (P = .046). Tender joint count also tended to be lower in the omega-3 FA group, although this did not reach statistical significance. Both swollen and tender joint counts were significantly lower in the omega-3 FA group compared with the placebo group during and at the end of oral treatment. Conclusion: Our pilot study indicates that parenteral omega-3 FAs are well tolerated and improve clinical symptoms of RA. Subsequent oral administration of omega-3 FAs may prolong the beneficial effects of the infusion therapy These results warrant validation in larger multicenter studies. (JPEN J Parenter Enteral Mar 2010;34:151-155)
Find related publications in this database (using NLM MeSH Indexing)
Antirheumatic Agents - therapeutic use
Arthralgia - drug therapy Arthralgia - etiology
Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - drug therapy Arthritis, Rheumatoid - therapy
Dietary Fats - therapeutic use
Double-Blind Method -
Edema - drug therapy Edema - etiology
Emulsions -
Fatty Acids, Omega-3 - therapeutic use
Female -
Humans -
Infusions, Intravenous -
Joints - drug effects
Male -
Middle Aged -
Paraffin -
Parenteral Nutrition -
Treatment Outcome -

Find related publications in this database (Keywords)
omega-3 fatty acid
fatty acids
unsaturated
fish oil
rheumatoid arthritis
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