The effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial

Objective This study was conducted to evaluate the effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of women with polycystic ovary syndrome (PCOS). Methods This randomized double-blind, placebo-controlled trial was conducted on 60 women with PCO...

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Main Authors: Mehrdad Amini, Fereshteh Bahmani, Fatemeh Foroozanfard, Zahra Vahedpoor, Amir Ghaderi, Mohsen Taghizadeh, Hassan Karbassizadeh, Zatollah Asemi
Format: Article
Language:English
Published: Taylor & Francis Group 2020-10-01
Series:Journal of Psychosomatic Obstetrics and Gynecology
Subjects:
Online Access:http://dx.doi.org/10.1080/0167482X.2018.1508282
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author Mehrdad Amini
Fereshteh Bahmani
Fatemeh Foroozanfard
Zahra Vahedpoor
Amir Ghaderi
Mohsen Taghizadeh
Hassan Karbassizadeh
Zatollah Asemi
author_facet Mehrdad Amini
Fereshteh Bahmani
Fatemeh Foroozanfard
Zahra Vahedpoor
Amir Ghaderi
Mohsen Taghizadeh
Hassan Karbassizadeh
Zatollah Asemi
author_sort Mehrdad Amini
collection DOAJ
description Objective This study was conducted to evaluate the effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of women with polycystic ovary syndrome (PCOS). Methods This randomized double-blind, placebo-controlled trial was conducted on 60 women with PCOS, aged 18–40 years old. Participants were randomly assigned into two groups to receive either 2 × 1000 mg/day fish oil omega-3 fatty acid (n = 30) or placebo (n = 30) after lunch for 12 weeks. Metabolic profiles were quantified at baseline and after the 12-week intervention. Results Compared with the placebo, omega-3 fatty acid intake led to a significant improvement in Beck Depression Inventory [β (difference in the mean outcomes measures between treatment groups after intervention) –1.05; 95% CI: –1.84, –0.26; p = .01], general health questionnaire (β –1.68; 95% CI: –3.12, –0.24; p = .02) and depression anxiety and stress scale (β –2.03; 95% CI: –3.60, –0.46; p = .01). Omega-3 fatty acid supplementation significantly decreased serum insulin levels (β –2.09 µIU/mL; 95% CI: –3.77, –0.41; p = .01), homeostasis model of assessment-insulin resistance (β –0.74; 95% CI: –1.13, –0.34; p < .001), total testosterone (β –0.23 ng/mL; 95% CI: –0.39, –0.06; p = .03) and hirsutism (β –0.75; 95% CI: –1.17, –0.33; p = .001), and significantly increased the quantitative insulin sensitivity check index (β 0.01; 95% CI: 0.003, 0.02; p = .008) compared with the placebo. Additionally, omega-3 fatty acid intake resulted in a significant decrease in high sensitivity C-reactive protein (β –1.46 mg/L; 95% CI: –2.16, –0.75; p < .001) and malondialdehyde (β –0.28 µmol/L; 95% CI: –0.52, –0.05; p = .03); also significant rises in plasma total glutathione (β 59.09 µmol/L; 95% CI: 7.07, 111.11; p = .02) was observed compared with the placebo. Omega-3 fatty acid supplementation did not change other metabolic parameters. Conclusion Overall, omega-3 fatty acid supplementation for 12 weeks to patients with PCOS had beneficial effects on mental health parameters, insulin metabolism, total testosterone, hirsutism and few inflammatory markers and oxidative stress.
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spelling doaj.art-2804e9d1f3ab42a6ab4b3003dea5042c2023-09-14T12:44:00ZengTaylor & Francis GroupJournal of Psychosomatic Obstetrics and Gynecology0167-482X1743-89422020-10-01001910.1080/0167482X.2018.15082821508282The effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trialMehrdad Amini0Fereshteh Bahmani1Fatemeh Foroozanfard2Zahra Vahedpoor3Amir Ghaderi4Mohsen Taghizadeh5Hassan Karbassizadeh6Zatollah Asemi7Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical SciencesResearch Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical SciencesDepartment of Gynecology and Obstetrics, School of Medicine, Kashan University of Medical SciencesDepartment of Gynecology and Obstetrics, School of Medicine, Kashan University of Medical SciencesDepartment of Addiction studies, School of Medical, Kashan University of Medical SciencesResearch Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical SciencesBarij Medicinal Plants Research CenterResearch Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical SciencesObjective This study was conducted to evaluate the effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of women with polycystic ovary syndrome (PCOS). Methods This randomized double-blind, placebo-controlled trial was conducted on 60 women with PCOS, aged 18–40 years old. Participants were randomly assigned into two groups to receive either 2 × 1000 mg/day fish oil omega-3 fatty acid (n = 30) or placebo (n = 30) after lunch for 12 weeks. Metabolic profiles were quantified at baseline and after the 12-week intervention. Results Compared with the placebo, omega-3 fatty acid intake led to a significant improvement in Beck Depression Inventory [β (difference in the mean outcomes measures between treatment groups after intervention) –1.05; 95% CI: –1.84, –0.26; p = .01], general health questionnaire (β –1.68; 95% CI: –3.12, –0.24; p = .02) and depression anxiety and stress scale (β –2.03; 95% CI: –3.60, –0.46; p = .01). Omega-3 fatty acid supplementation significantly decreased serum insulin levels (β –2.09 µIU/mL; 95% CI: –3.77, –0.41; p = .01), homeostasis model of assessment-insulin resistance (β –0.74; 95% CI: –1.13, –0.34; p < .001), total testosterone (β –0.23 ng/mL; 95% CI: –0.39, –0.06; p = .03) and hirsutism (β –0.75; 95% CI: –1.17, –0.33; p = .001), and significantly increased the quantitative insulin sensitivity check index (β 0.01; 95% CI: 0.003, 0.02; p = .008) compared with the placebo. Additionally, omega-3 fatty acid intake resulted in a significant decrease in high sensitivity C-reactive protein (β –1.46 mg/L; 95% CI: –2.16, –0.75; p < .001) and malondialdehyde (β –0.28 µmol/L; 95% CI: –0.52, –0.05; p = .03); also significant rises in plasma total glutathione (β 59.09 µmol/L; 95% CI: 7.07, 111.11; p = .02) was observed compared with the placebo. Omega-3 fatty acid supplementation did not change other metabolic parameters. Conclusion Overall, omega-3 fatty acid supplementation for 12 weeks to patients with PCOS had beneficial effects on mental health parameters, insulin metabolism, total testosterone, hirsutism and few inflammatory markers and oxidative stress.http://dx.doi.org/10.1080/0167482X.2018.1508282omega-3 fatty acid supplementationmental healthmetabolic statuspolycystic ovary syndrome
spellingShingle Mehrdad Amini
Fereshteh Bahmani
Fatemeh Foroozanfard
Zahra Vahedpoor
Amir Ghaderi
Mohsen Taghizadeh
Hassan Karbassizadeh
Zatollah Asemi
The effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial
Journal of Psychosomatic Obstetrics and Gynecology
omega-3 fatty acid supplementation
mental health
metabolic status
polycystic ovary syndrome
title The effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial
title_full The effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial
title_fullStr The effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial
title_full_unstemmed The effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial
title_short The effects of fish oil omega-3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome: a randomized, double-blind, placebo-controlled trial
title_sort effects of fish oil omega 3 fatty acid supplementation on mental health parameters and metabolic status of patients with polycystic ovary syndrome a randomized double blind placebo controlled trial
topic omega-3 fatty acid supplementation
mental health
metabolic status
polycystic ovary syndrome
url http://dx.doi.org/10.1080/0167482X.2018.1508282
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