Systematic review2019Open access

Oxidative Stress and Non-Alcoholic Fatty Liver Disease: Effects of Omega-3 Fatty Acid Supplementation

Yang J, Fernández-Galilea M, Martínez-Fernández L, González-Muniesa P, Pérez-Chávez A, Martínez JA, Martínez JA, Moreno-Aliaga MJ

Nutrients · 219 citations

How it was studied

Design
Systematic review (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
“Juan de la Cierva” Grant. Ministry of Sciences, Innovation and Universities
Government
CIBER Physiopathology of Obesity and Nutrition (CIBERobn), Carlos III Health Research Institute
Government
"Juan de la Cierva" Grant. Ministry of Sciences, Innovation and Universities
Government
Ministry of Economy, Industry and Competitiveness (MINECO-FEDER). Government of Spain.
Government
Department of Health of the Navarra Government

Based on 5 listed funder(s).

Publication

Published
2019-04-18 · Nutrients · vol. 11 · issue 4 · p. 872
Publisher
Multidisciplinary Digital Publishing Institute
Cited
299 citations · more than 100% of similar papers · 19.6× the field average
Impact
Top 10% most cited in its field
References
231 works
Access
Open access (journal) · CC-BY
Research areas
Liver Disease Diagnosis and Treatment · Diet, Metabolism, and Disease · Liver Disease and Transplantation
Keywords
Fatty liver, Lipotoxicity, Eicosapentaenoic acid, Oxidative stress, Polyunsaturated fatty acid, Steatohepatitis, Medicine, Internal medicine, Cirrhosis, Docosahexaenoic acid, Fatty acid, Endocrinology, Disease, Biology, Biochemistry, Insulin resistance, Obesity
MeSH
humans, fatty acids, omega-3, oxidative stress, aging, non-alcoholic fatty liver disease

7 authors

From ES

  • Jinchunzi YangUniversidad de Navarra
  • Marta Fernández‐GalileaNavarre Institute of Health Research; Universidad de Navarra
  • Leyre Martínez‐FernándezUniversidad de Navarra
  • Pedro González‐MuniesaInstituto de Salud Carlos III; Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition; Navarre Institute of Health Research; Universidad de Navarra
  • Adriana Pérez-ChávezUniversidad de Navarra
  • J. Alfredo MartínézInstituto de Salud Carlos III; Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition; Navarre Institute of Health Research; Universidad de Navarra

Abstract

Aging is a complex phenomenon characterized by the progressive loss of tissue and organ function. The oxidative-stress theory of aging postulates that age-associated functional losses are due to the accumulation of ROS-induced damage. Liver function impairment and non-alcoholic fatty liver disease (NAFLD) are common among the elderly. NAFLD can progress to non-alcoholic steatohepatitis (NASH) and evolve to hepatic cirrhosis or hepatic carcinoma. Oxidative stress, lipotoxicity, and inflammation play a key role in the progression of NAFLD. A growing body of evidence supports the therapeutic potential of omega-3 polyunsaturated fatty acids (n-3 PUFA), mainly docosahaexenoic (DHA) and eicosapentaenoic acid (EPA), on metabolic diseases based on their antioxidant and anti-inflammatory properties. Here, we performed a systematic review of clinical trials analyzing the efficacy of n-3 PUFA on both systemic oxidative stress and on NAFLD/NASH features in adults. As a matter of fact, it remains controversial whether n-3 PUFA are effective to counteract oxidative stress. On the other hand, data suggest that n-3 PUFA supplementation may be effective in the early stages of NAFLD, but not in patients with more severe NAFLD or NASH. Future perspectives and relevant aspects that should be considered when planning new randomized controlled trials are also discussed.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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