Table 1 Characteristics of trials included in the dose-response meta-analysis of omega-3 supplementation on cognitive function.

From: A systematic review and dose response meta analysis of Omega 3 supplementation on cognitive function

Author, year

Location

Design

Participants, n

Health condition

Age (year)

Intervention

Duration (week)

Cognitive tools

Cognitive domains

Treatment

Control group

Michio Hashimoto et al.,2021

Japan

RA/parallel

M/F: 75 Int: 42, Con: 33

Healthy

Int: 71, Con: 71

7.0 ml/d Perilla seed oil (ɷ-3 PUFA rich oil)

7.0 ml/d Canola oil

48

MMSE

FAB

HDS-R

Global

Chizuru Konagai et al., 2013

Japan

RA/DB/parallel

M: 45 Int: 15, Con: 15

M: 45 Int:15

Con: 15

Healthy

Int: 67.0 ± 3.3

Con: 67.3 ± 3.4

1000 mg/d Krill oil (ɷ-3 PUFA rich oil) (285 mg ɷ-3)

1000 mg/d Sardine oil (742 mg ɷ-3)

1000 mg MCT

12

P300 latency

Perceptual speed

Isabella C. Arellanes et al., 2020

USA

RA/DB/parallel

M/F: 33 Int:18 Con: 15

Healthy

Int: 68.5 Con: 69

4000 mg/d soft-gel capsules (2152 mg DHA)

4000 mg/d corn/soy oil

24

MoCA

Craft

CVLT

TMT A&B

Global

Memory

Attention

Executive function

E.L. BOESPFLUG et al., 2015

USA

RA/DB/parallel

M/F: 21 Int: 11 Con: 10

subjective memory impairment

Int: 70.1 ± 6.12 Con: 66.4 ± 3.75

Fish oil capsule (2.4 g/d EPA + DHA)

Corn oil, 4 capsules/d

24

n-back task

Memory

Klára Daďová et al., 2022

Czech Republic

RA/DB/parallel

F: 52 Int: 27 Con: 25

Healthy

Int: 70.8 ± 3.6 Con: 71.2 ± 4.00

5 capsules/d of Calanus oil (230 mg/d EPA + DHA)

sunflower oil, 5 capsules/d

16

POBAV

Memory

Sandrine Andrieu et al., 2017

France

RA/parallel

M/F: 1525 Int: 374 Con: 390

Int: 381 Con: 380

memory complaints

Int: 75.4 ± 4.4 Con: 75.0 ± 4.1 Int: 75.6 ± 4.7 Con: 75.1 ± 4.3

multidomain intervention (cognitive stimulation, physical activity, and nutrition) + fish oil (1024 mg/d PUFA)

fish oil (1024 mg/d PUFA)

multidomain intervention + flavored paraffin oil, 2 capsules/d

flavored paraffin oil, 2 capsules/d

144

MMSE

Free and Cued Selective Reminding Test

memory functioning

TMT A&B

Verbal fluency

DSST

Global

Memory

Attention

Executive function

Perceptual speed

Language

Wei Tang et al., 2020

China

RA/DB/parallel

M/F: 80 Int: 40 Con: 40

schizophrenia

Int: 28.0 ± 3.10 Con: 28.75 ± 4.7

2400 mg fish oil as 2 soft-gels (1440 mg/d PUFA)

100 mg/d Vitamin E dissolved in glycerin and corn oil

12

RBANS

Global

Joaquin Baleztena et al., 2018

Spain

RA/DB/parallel

M/F: 78 Int: 44 Con:34

score between 1 to 3 on the Global Deterioration Scale (GDS)

Int: 85.8 ± 4.9 Con: 87.8 ± 6.5

3 capsule/d of the multinutrient supplement: DHA 250 mg, EPA 40 mg, vitamin E 5 mg, phosphatidylserine 15 mg, tryptophan

95 mg, vitamin B 12 5 µg, folate 250 µg and ginkgo biloba 60 mg. (1050 mg/d PUFA)

3 gelatin capsule/d

48

GDS

SPMSQ

MEC

Verbal fluency

Global

Language

Heike A. Bischoff-Ferrari et al., 2020

Switzerland

RA/DB/parallel

M/F: 2157 Int: 1073 Con: 1084

MMSE score of at least 24

Int: 74.7 ± 4.3 Con: 75.2 ± 4.6

2 gel capsules of omega-3s (1 g/d EPA + DHA)

2 gel capsules of placebo

144

MoCA

Global

Yacong Bo et al., 2017

China

RA/DB/parallel

M/F: 86 Int: 44 Con: 42

mild cognitive impairment

Int: 71.75 ± 5.68 Con: 70.45 ± 6.82

1 g soft gelatine capsules every nine days (1200 mg/d EPA + DHA)

Olive oil as placebo (each capsules contains 550 mg of oleic acid)

24

BCATs

Global

O.T. CARMICHAEL et al., 2018

USA

RA/DB/crossover

M/F: 10 Int: 5 Con: 5

Healthy

67.3 ± 2.01

a liquid emulsification containing fish oil, panax ginseng phospholipid complex, and green tea catechin phospholipid (1584 mg/d omega3)

Corn oil in water emulsion

4

MMSE

Stroop

Digit symbol

Immediate recall

Delayed recall

Global

Executive function

Perceptual speed

Memory

Chih-Chiang Chiu et al., 2008

Taiwan

RA/DB/parallel

M/F: 35 Int: 20 Con: 15

AD and mild cognitive impairment

Int: 74 Con: 76.5

3 capsules of omega3 PUFAs twice a day (1800 mg/d EPA + DHA)

3 capsules of olive oil esters twice a day

24

MMSE

ADAS-cog

Global

Alan D Dangour et al., 2010

UK

RA/DB/parallel

M/F: 867 Int: 434 Con:433

Healthy

Int: 74.7 ± 2.5 Con: 74.6 ± 2.7

2 soft-gel capsules/d (700 mg/d EPA + DHA)

2 soft-gel capsules of olive oil/d

96

Reaction time

Letter search

Symbol letter modality

spatial memory

story recall

Digit span F&B

Verbal fluency

Perceptual speed

Memory

Language

Vanessa Danthiir et al.,2018

Australia

RA/DB/parallel

M/F: 391 Int: 195 Con: 196

Healthy

Int: 73.1 ± 5.4 Con: 73.1 ± 5.7

Fish oil, 4 capsules/d (2320 mg/d EPA + DHA)

4 capsules/d containing 990 mg of low polyphenol olive oil and 10 mg of fish oil

72

MMSE

Global

Paul Fairbairn et al., 2020

UK

RA/SB/parallel

F: 51 Int: 13 Con:12 Int: 14 Con:12

Healthy

Int: 69 ± 4 Con: 67 ± 4 Int: 68 ± 5 Con: 67 ± 4

4 capsules/d of multi nutrient supplement (1160 mg/d EPA + DHA)

MS + exercise

4 capsules/d of an isocaloric oil with a small amount of fish oil

placebo + exercise

24

spatial memory

verbal memory

Executive function

Interference control (Stroop)

Memory

Executive function

Yvonne Freund-Levi et al., 2006

Sweden

RA/DB/parallel

M/F: 174 Int: 89 Con: 85

AD

Int: 72.6 ± 9.0 Con: 72.9 ± 8.6

four 1-g capsules daily (2320 mg/d EPA + DHA)

four 1-g capsules of corn oil daily

24

MMSE

ADAS-cog

CDR

Global

Johanna M. Geleijnse et al., 2012

Netherlands

RA/DB/parallel

M/F: 1265 Int: 627 Con: 638

Healthy

Int: 69.2 ± 5.4 Con: 68.9 ± 5.4

20 g of trial margarines contain fish oil (400 mg/d EPA + DHA)

20 g of trial margarines placebo

160

MMSE

Global

Grace E. Giles et al., 2015

USA

RA/DB/parallel

M/F: 72 Int: 36 Con: 36

Healthy

Int: 20.80 ± 2.38 Con: 20.49 ± 1.70

Fish oil, 7 capsules/d (2800 mg/d EPA + DHA)

Olive oil, 7 capsules/d

5

STICSA

Global

James C Jackson et al., 2018

USA

RA/DB/parallel

M/F: 320 Int: 159 Con: 161

Healthy

Int: 62 Con: 61

1-g n–3 PUFA capsules (840 mg/d DHA + EPA)

Olive oil, 1 g/d capsules

4

MMSE

RBANS

TMT A&B

Global

Attention

Executive function

Michael J Patan et al., 2021

UK

RA/DB/parallel

M/F: 310 Int:105 Con: 101 Int: 104 Con: 101

Healthy

Int: 35.15 ± 8.01 Con: 36.63 ± 7.33

Int: 35.14 ± 7.88 Con: 36.63 ± 7.33

3 capsules/d of 1 g fish oil (900 mg/d DHA & 270 mg/d EPA)

3 capsules/d of 1 g fish oil (900 mg/d EPA & 360 mg/d DHA)

Olive oil, 1000 mg/each capsule

26

Global accuracy

Global speed

Word Recognition (RT)

Accuracy of memory

Global

Memory

Philippa A. Jackson et al., 2011

UK

RA/DB/parallel

M/F: 140 Int: 46 Con: 48 Int: 46 Con: 48

Healthy

Int: 21.96 Con: 21.94 Int: 22.74 Con: 21.94

1 g fish oil, 2 capsules/d (450 mg/d DHA + 90 mg/d EPA)

1 g fish oil, 2 capsules/d (300 mg/d EPA + 200 mg/d DHA)

Olive oil, 1 g/d

12

Stroop

RT (simple, choice)

Verbal fluency

Working memory

Word & picture recognition

Corsi Blocks Span

Word recall

N-Back Task

Executive function

Perceptual speed

Language

Memory

Elizabeth J. Johnson et al., 2008

USA

RA/DB/parallel

F: 24 Int: 14 Con: 10

Healthy

Int: 68.5 Con: 68.0

Fish oil capsules (800 mg/d DHA)

Placebo capsules

16

Stroop

Verbal fluency

Pattern recognition test

Digit span forward & backward

Memory recall tests

Executive function

Language

Visuospatial functions

Memory

Jae H. Kang et al., 2022

USA

RA/DB/parallel

M/F: 3424 Int: 1699 Con: 1725

Healthy

Int: 71.9 ± 5.6 Con: 71.8 ± 5.3

1 g/d fish oil capsules (840 mg/d EPA + DHA) + 2000 IU/d vit D3

Olive oil capsules

48

MMSE

Global composite score

TICS

Executive function/attention composite score

Verbal composite score

Global

Executive function

Memory

Justin E. Karr et al., 2012

Canada

RA/DB/parallel

M/F: 41 Int: 20 Con: 21

Healthy

Int: 19.90 ± 1.83 Con: 20.43 ± 1.63

2 capsules/d of fish oil (1200 mg/d n-3 PUFA)

2 capsules/d of coconut oil

4

TMT A&B

Stroop word & color

RAVLT

Executive function

Attention

Memory

Nadine Kulzow et al., 2016

Germany

RA/DB/parallel

M/F: 44 Int: 22 Con: 22

Healthy

Int: 63 ± 6 Con: 61 ± 6

4 × 1000 mg fish oil capsules/d (2200 mg/d n-3 PUFA)

4 × 1015 mg sunflower oil capsules/d

26

Learning (accuracy)

Cued recall

Memory

Julia C Kuszewski et al., 2020

Australia

RA/DB/parallel

M/F: 64 Int:32 Con: 32

Healthy

Int: 65.8 ± 1.4 Con: 65.8 ± 1.4

4 capsules/d of fish oil (2400 mg/d EPA + DHA)

Placebo capsules (mix of corn and olive oil with 20 mg fish oil)

16

Fluid cognition

Overall cognitive performance

Cognitive flexibility

Processing speed

Language

Episodic memory

Working memory

Verbal memory

Global

Executive function

Perceptual speed

Language

Memory

Regina L. Leckie et al., 2019

USA

RA/DB/parallel

M/F: 271 Int: 134 Con: 137

Healthy

Int: 43.1 ± 7.5 Con: 42.4 ± 7

2 × 1000 mg fish oil capsules/d (1400 mg/d EPA + DHA)

2 × 1000 mg soybean oil capsules

18

Fluid intelligence

Executive function

Psychomotor speed

Learning/memory

Global

Executive function

Perceptual speed

Memory

Lai Kuan Lee et al., 2012

Malaysia

RA/DB/parallel

M/F: 35 Int: 17 Con:18

mild cognitive impairment

Int: 66.4 ± 5.1 Con: 63.5 ± 3

3 × 1 g soft gelatine capsules (1750 mg EPA + DHA)

3 × 1 g soft gelatine capsules of corn oil

48

MMSE

GDS

Clock test

Digit symbol

Matrix reasoning

VR 1 and 2

RAVLT

Digit span

Block design

Global

Executive function

Perceptual speed

Language

Memory

Visuospatial functions

Mengyue Li et al., 2020

China

RA/DB/parallel

M/F: 120 Int: 60 Con: 60

mild cognitive impairment

Int: 71.55 ± 6.62 Con: 70.38 ± 6.73

2 DHA capsules (800 mg/d DHA) and 1 placebo tablet (corn starch/day

2 placebo capsules (soybean oil) and 1 placebo tablet (corn starch)/d

24

Full scale IQ

Arithmetic

Information

Digit span

Block design

Picture arrangement

Picture completion

Global

Executive function

Perceptual speed

Memory

Visuospatial functions

Mohammad Jafar Mahmoudi et al., 2014

Iran

RA/DB/parallel

M/F: 199 Int: 100 Con: 99

mild to moderate cognitive impairment

Int: 74.13 ± 9.96 Con: 75.17 ± 8.70

1 capsule/d of Cod liver oil (300 mg/d EPA + DHA)

1 capsule/d MCTs (coconut oil + glycerol)

26

MMSE

AMT

Global

Mathieu Maltais et al., 2022

Canada

RA/DB/parallel

M/F: 193 Int: 96 Con: 97

Healthy

Int: 49.4 ± 16.4 Con: 50.5 ± 16.6

Fish oil, 4 × 1 g capsules/d (2500 mg/d n-3 PUFA)

4 capsules/d of high–oleic acid soybean/corn oil (50/50)

24

TMT B

Working memory

Delayed Cued Recall score

Cued letter

Executive function

Memory

Visuospatial functions

Bernadette P. Marriott et al., 2021

USA

RA/DB/parallel

M/F: 555 Int: 276 Con: 279

Healthy

Int: 23.4 ± 2.8 Con: 23.4 ± 2.8

Krill oil, 8 capsules/d (2300 mg/d n-3 PUFA)

Macadamia nut oil, 8 capsules/d

20

Stroop

Four choice reaction time

Digit symbol

Grammatical reasoning

Spatial working memory

Executive function

Perceptual speed

Language

Memory

Robert K. McNamara et al., 2017

USA

RA/DB/parallel

M/F: 37 Int: 17 Con: 20

subjective cognitive impairment

Int: 69 ± 5.2 Con: 67 ± 4.9

Fish oil, 4 capsules/d (2400 mg/d EPA + DHA)

Corn oil, 4 capsules/d

24

DEX

TMT A&B

Phonological access

Semantic access

HVLT

Global

Attention

Executive function

Language

Memory

Alexia Mengelberg et al., 2022

New Zealand

RA/DB/parallel

M/F: 60 Int: 30 Con: 30

mild cognitive impairment

Int: 72.33 ± 6.16 Con: 73.40 ± 6.96

3 capsules/d (1842 mg/d DHA + EPA) + 1.15 mg vit E/capsules

3 capsules/d (1857 mg/d linoleic acid) + 1.15 mg vit E/capsules

48

RBANS

TMT B

COAST (Stroop)

Coin Rotation Task

Digit span

Global

Executive function

Perceptual speed

Memory

C. Moran et al., 2018

Ireland

RA/DB/parallel

M/F: 37 Int: 20 Con: 17

Healthy

Int: 75.45 ± 3.56 Con: 74.76 ± 3.80

liquid nutrient support, 200 ml/d (3000 mg/d PUFA + 10mcg vit D + 150 mg resveratrol + 8 g whey protein)

200 ml/d juice

24

TMT A&B

Stroop color-word

Subjective Awareness

TUG real and imagined

Category

Phoneme

AVLT

Digit span

MI accuracy

Executive function

Attention

Perceptual speed

Language

Memory

Visuospatial functions

Matthew P. Pase et al., 2015

Australia

RA/DB/parallel

M/F: 78 Int: 41 Con: 37

Healthy

Int: 59.51 ± 5.89 Con: 59.19 ± 5.96

6 fish oil capsules/d (960 mg/d EPA + DHA)

6 placebo capsules/d (sunola oil)

16

Reaction time

Cognitive processing speed

Short term memory

Visual memory

Perceptual speed

Memory

Michelle A. Phillips et al., 2015

UK

RA/DB/parallel

M/F: 76 Int: 37 Con: 39

cognitive impairment and AD

Int: 71.1 ± 8.6 Con: 71.1 ± 9.5

2 capsules/d (1225 mg/d EPA + DHA)

2 capsules/d, olive oil

16

MMSE

Clock test

Verbal reasoning

Verbal memory

Visual memory

Word finding test

Global

Executive function

Language

Memory

Rebecca Power et al., 2021

Ireland

RA/DB/parallel

M/F: 50 Int: 28 Con: 22

Healthy

Int: 69.03 ± 4.41 Con: 69.77 ± 3.74

2 capsules/d containing 1 g fish oil, 22 mg xanthophyll carotenoids and 15 mg vitamin E (520 mg/d EPA + DHA)

Sunflower oil, 2 capsules/d

96

RBANS language

Spatial working memory

RBANS immediate

Language

Memory

Joseph F. Quinn et al., 2010

USA

RA/DB/parallel

M/F: 295 Int: 171 Con: 124

AD

Int: 76 ± 9.3 Con: 76 ± 7.8

2 × 1 g DHA capsules/d (2000 mg/d DHA)

Corn or soy oil, 2 capsules/d

72

ADAS-cog

CDR

ADCS-ADL

NPI

Global

Peter J. Rogers et al., 2007

UK

RA/DB/parallel

M/F: 190 Int: 96 Con: 94

Healthy

Int: 38 ± 13.5 Con: 38.2 ± 13.7

3 capsules/d (1480 mg EPA + DHA, 870 mg olive oil, 7·5 mg mixed tocopherols and 12 mg orange oil daily)

3 capsules/d (2360 mg olive oil, 7·5 mg mixed tocopherols and 12 mg orange oil daily)

12

Visual probe task

Reaction time

Digit symbol

Impulsivity

N-back test

Lexical decision

Attention

Perceptual speed

Memory

Language

Natalie Sinn et al., 2011

Australia

RA/DB/parallel

M/F: 40 Int: 16 Con: 11 Int: 13 Con: 11

mild cognitive impairment

Int: 74.22 ± 7 Con: 73 ± 3.96 Int: 74.88 ± 5.06 Con: 73 ± 3.96

4 capsules/d of DHA (1950 mg/d DHA + EPA)

4 capsules/d of EPA (1830 mg/d EPA + DHA)

4 capsules/d of safflower oil (2200 mg/d LA)

24

Letter fluency

Language

Pinelopi S. Stavrinou et al., 2020

Cyprus

RA/DB/parallel

M/F: 36 Int: 18 Con: 18

mild cognitive impairment

Int: 77.4 ± 9.2 Con: 81.2 ± 5.3

20 mL/d cocktail formula (4950 mg/d n-3 + 4950 mg/d n-6 + 0.6 mg/d vit A + 782 mg/d vit E + citrus-aroma)

20 mL/d of placebo, pure virgin olive oil

24

MMSE

ACE-R

TMT A&B

Stroop color-word

Symbol cancellation

Global

Executive function

Attention

Perceptual speed

Welma Stonehouse et al., 2013

New Zealand

RA/DB/parallel

M/F: 176 Int: 85 Con: 91

Healthy

Int: 33.4 ± 7.76 Con: 33.2 ± 7.90

3 × 750 mg capsules/d (1330 mg/d DHA + EPA)

3 capsules/d, sunflower oil

24

Attention

Processing speed

Episodic memory

Working memory

Attention

Perceptual speed

Memory

HisanoriTokuda et al., 2020

Japan

RA/parallel

M/F: 48 Int: 21 Con: 27

Healthy

Int: 67.1 ± 1.1 Con: 67.8 ± 0.8

6 capsules/d of LCPUFA (400 mg/d DHA + EPA)

6 capsules/d of purified olive oil

24

TMT A&B

Stroop color-word

KWCST CA

Verbal memory

Visual memory

Digit span

Verbal fluency

Attention

Executive function

Memory

Language

Hisanori Tokuda et al., 2015

Japan

RA/DB/parallel

M: 69 Int: 30 Con: 39

Healthy

Int: 59.8 Con: 59.5

6 soft-gel capsules/d of LCPUFA (1033 mg/d PUFA)

6 soft-gel capsules of purified olive oil

4

P300 Latency

Perceptual speed

O. van de Rest et al., 2008

Netherlands

RA/DB/parallel

M/F: 299 Int: 96 Con: 103 Int: 100 Con: 103

Healthy

Int: 69.9 ± 3.4 Con: 70.1 ± 3.7 Int: 69.5 ± 3.2 Con: 70.1 ± 3.7

High dose fish oil capsules (1800 mg/d DHA + EPA)

Low dose fish oil capsules (400 mg/d DHA + EPA)

Placebo capsules (oleic acid)

26

TMT A&B

Stroop color-word

Word fluency

Word learning

Digit span forward and backward

Attention

Executive function

Memory

A. Veronica Witte et al., 2013

Germany

RA/DB/parallel

M/F: 65 Int: 32 Con: 33

Healthy

Int: 65 ± 6.3 Con: 62.9 ± 6.8

4 fish oil capsules/d (2200 mg/d LCPUFA + 15 mg/d vit E)

4 sunflower oil capsules/d

26

Executive function

Executive function

Fumihiko Yasuno et al., 2012

Japan

CT/parallel

M/F: 663 Int: 41 Con: 622

Healthy

Int: 72.7 ± 4.8 Con: 73 ± 5.4

Capsules of purified fish oil + lycopene, and Ginkgo biloba leaf dry extracts daily (493 mg/d DHA + EPA)

No supplement

144

Composite score

Attention

Language ability

Reasoning

Memory

Global

Attention

Language

Memory

Karin Yurko-Mauro et al., 2010

USA

RA/DB/parallel

M/F: 485 Int: 242 Con: 243

age-related cognitive decline

Int: 70 ± 9.3

Con: 70 ± 8.7

3 soft-gel capsules of algal triglyceride oil (900 mg/d DHA)

3 soft-gel capsules of corn and soy oil

24

MMSE

SOC

PAL

PRM

Spatial working memory

Recognition verbal memory

Global

Executive function

Memory

Yan-Ping Zhang et al., 2017

China

RA/DB/parallel

M/F: 240 Int: 120 Con: 120

mild cognitive impairment

Int: 73.71 ± 2.24 Con: 73.58 ± 2.65

2 g/d algal-derived DHA capsules (2000 mg/d DHA)

Corn oil capsules

96

Full scale IQ

Verbal IQ

Performance IQ

Arithmetic

Digit symbol

Information

Comprehension

Similarities

Vocabulary

Digit span

Block design

Picture arrangement

Picture completion

Object assembly

Global

Executive function

Perceptual speed

Language

Memory

Visuospatial functions

Yan-Ping Zhang et al., 2016

China

RA/DB/parallel

M/F: 240 Int: 120 Con:120

mild cognitive impairment

Int: 74.49 ± 2.65 Con: 74.57 ± 3.31

algal-derived DHA, 2 g/d capsules (2000 mg/d DHA)

Corn oil capsules

48

Full scale IQ

Arithmetic

Digit symbol

Information

Comprehension

Similarities

Vocabulary

Digit span

Block design

Picture arrangement

Picture completion

Object assembly

Global

Executive function

Perceptual speed

Language

Memory

Visuospatial functions

Avin Tofiq et al., 2021

Sweden

RA/DB/parallel

M/F: 33 Int: 18 Con: 15

AD

Int: 72 ± 8 Con: 68 ± 7

4 × 1 g capsules/d (2300 mg/d n-3 PUFA)

4 × 1 g capsules/d, corn oil

24

MMSE

Global

Ruihua Dong et al., 2022

China

RA/DB/parallel

M/F: 68 Int: 35 Con: 33

Neurocognitive impairment

Int: 54.6 ± 9.7 Con: 55.3 ± 9.3

algal oil DHA capsules (3150 mg/d DHA)

Soy oil capsules

24

MMSE

GDS

Global

Chuntida Kamalashiran et al., 2018

Thailand

RA/DB/parallel

M/F: 182 Int: 94 Con: 88

Mild to Moderate Dementia

Int: 76.9 Con: 75

500 mg of perilla oil, 6 capsules/d (1700 mg/d n-3 PUFA)

500 mg of olive oil, 6 capsules/d

24

TMSE

MoCA

Global

Havva Banu Salman et al., 2022

Turkey

RA/parallel

M/F: 40 Int: 20 Con: 20

Healthy

Int: 41.8 ± 8.8 Con: 43.4 ± 8.4

1020 mg/d omega-3 PUFA + weight loss diet

No supplement + weight loss diet

12

MoCA

Global

Pan-Yen Lin et al., 2021

Taiwan

RA/DB/parallel

M/F: 163 Int: 123 Con: 40

AD and mild cognitive impairment

Int (EPA): 77.80 ± 8.49 Int (DHA): 78.95 ± 7.89 Int(EPA + DHA): 76.73 ± 9.15 Con: 78.10 ± 8.59

4 × 0.5 g capsules/d (EPA group: 1600 mg/d, DHA group: 700 mg/d, EPA + DHA group: 1150 mg/d)

4 × 0.5 g capsules/d, soybean oil

96

MMSE

GDS

ADAS-cog

Global

Bjørn Lundbergh et al., 2022

Denmark

RA/DB/crossover

M/F: 22 Int: 11 Con: 11

ASD (autism)

Int: 28 ± 7 Con: 28 ± 7

5.2 g/d n-3 PUFA from fish oil, 4 capsules/d (4000 mg EPA + DHA)

2·8 g/d of linoleic acid from the Safflower oil, 4 capsules/d

8

Corsi Blocks tests

Stroop color-word

Relative Stroop effect

d2 test

Memory

Attention

Toshiaki Sueyasu et al., 2023

Japan

RA/DB/parallel

(trial 1) M/F: 71 Int: 35 Con: 36

(trial 2) M/F: 180 Int: 92 Con: 88

memory complaints but no dementia

(trail 1) Int: 65.7 Con: 65

(trial 2) Int: 65.1 Con: 65.1

6 soft-gel capsules containing LCPUFAs + lutein and zeaxanthin (400 mg/d EPA + DHA)

6 soft-gel capsules containing safflower and olive oil

12

Composite memory

Verbal memory

Visual memory

Memory

  1. Int, Intervention; Con, Control.