Search Results (60)

Background: Structured lipids, composed of re-esterified triacylglycerols containing eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and medium-chain fatty acids, may influence metabolism and endurance performance. This trial aimed to evaluate the effects of eight weeks of structured lipid supplementation on substrate utilization, erythrocyte fatty acid content, and endurance performance in healthy untrained men. Methods: In a double-blind, placebo-controlled, randomized design, 36 participants (18 per group) received either structured lipids or placebo supplementation for eight weeks. Pre- and post-supplementation assessments included maximal oxygen uptake, time to exhaustion, substrate oxidation during exercise at 65% VO_2max, and erythrocyte membrane fatty acid content. Non-parametric statistical methods were used to analyze within- and between-group differences. Results: After supplementation, the structured lipids group showed statistically significant within-group changes in substrate utilization, including lower respiratory exchange ratio and higher percentage fat oxidation, total fat oxidation, and mean fat oxidation rate. Statistically significant increases were also observed in erythrocyte EPA + DHA content and time to exhaustion. Compared with the placebo group, the structured lipids group showed statistically significant post-intervention differences in substrate oxidation, erythrocyte EPA + DHA levels, and time to exhaustion. Conclusions: Eight weeks of structured lipid supplementation increased erythrocyte membrane EPA and DHA and enhanced fat oxidation during moderate-intensity exercise in untrained men. Although endurance performance improved, the change was within natural variability and showed substantial interindividual differences. Further rigorously controlled studies are needed to determine whether these metabolic adaptations yield meaningful functional benefits. Full article

Sea urchins (Echinoidea) are marine echinoderms commonly consumed as seafood in East Asia. To date, various metabolic components of sea urchins have been analyzed, and their health benefits for humans have also been attracting attention. Lipids are the major biomolecules present in sea urchins. However, the comprehensive lipid profiling of sea urchins is limited. In this study, we aimed to perform the comprehensive lipid profiling of six types of sea urchins using liquid chromatography–mass spectrometry (LC/MS). The application of untargeted lipidomics led to the identification of 281 lipid molecular species in six varieties of fresh sea urchin gonads. Each lipid metabolite was identified based on its retention time and MS/MS fragmentation pattern. The results of the analysis showed the highest abundance of lipid percentage in Kitamurasakiuni (14.3%), followed by Hokuyobafununi (12.4%). In all the analyzed sea urchins, glycerolipids such as triacylglycerols were found to be the most abundant lipid components. Multivariate analysis revealed that Murasakiuni showed a different lipid profile from the other types. Interestingly, the polyunsaturated fatty acid to saturated fatty acid ratios and health-related nutritional indices factors were found to be higher in Hokuyobafununi compared to other varieties. The ω-3 fatty acids, such as docosapentaenoic acid (FA 22:6) and eicosapentaenoic acid (FA 20:5), were also abundant in Hokuyobafununi. Lipids such as ether and N-acyl-type lysophosphatidylethanolamines were detected for the first time in sea urchins. This study highlights the nutritional significance of sea urchins and their potential use in the development of functional foods. Full article

Metabolic dysfunction-associated steatotic liver disease (MASLD) has been consistently linked to increased risk of cardiovascular disease (CVD). HDL lipoproteins may serve as a possible link in this association through their hepatic synthesis and atheroprotective properties. Serum samples were collected from 51 MASLD patients (diagnosed by abdominal ultrasound), 40 with coronary artery disease, and 50 healthy controls. HDL lipid profiles were investigated by proton nuclear magnetic resonance (¹H NMR) spectroscopy. Patients with MASLD exhibit an increased percentage of lysophosphatidylcholine and sphingolipid content, mainly due to increased ceramides, and a reduced percentage of phosphatidylcholine, phosphatidylethanolamine, and phosphatidylinositol compared to controls. The % content of total and individual polyunsaturated fatty acids including linoleic, docosahexaenoic, eicosapentaenoic, and arachidonic acid was found to be reduced in patients with MASLD, while saturated fatty acid content was increased compared to the control group. These alterations in fatty acid composition were observed also in CAD patients compared to controls but were more pronounced in CAD patients. Compared to CAD patients, those with MASLD showed an increased content of sphingolipids, ceramides, and glycerolipids and a reduced content of phosphatidylinositol. Changes observed in the lipid composition of HDL lipoproteins in MASLD patients may impair the protective properties of HDL particles, contributing to increased CVD risk. Full article

Schizochytrium-derived omega-3 polyunsaturated fatty acids (e.g., docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA)) are proven to be health-beneficial bioactive substances that have been widely applied in the pharmaceutical, nutraceutical, and food industries. In this work, the newly isolated Schizochytrium sp. FJ-1 strain was selected to investigate the effects of salinity on the growth performance, lipid production, DHA yield, and positional distribution of triacylglycerols (TAGs). In addition, Schizochytrium sp. 20888 was used as a control strain. The obtained results showed that Schizochytrium sp. FJ-1 could grow with a low biomass in the absence of sea salt; however, Schizochytrium sp. 20888 did not grow in the medium without sea salt. Moreover, Schizochytrium sp. FJ-1 achieved the highest biomass in 10‰ salinity, whilst Schizochytrium sp. 20888 attained the greatest biomass in 40‰ salinity. In terms of the total lipid content and TAG fraction percentage, Schizochytrium sp. FJ-1 grown in 5–20‰ salinity had high total lipid contents (57.04–60.02%), with TAGs accounting for over 90% of the lipid fraction. The highest DHA contents for total lipids (41.38%) and TAGs (40.18%) were obtained when Schizochytrium sp. FJ-1 was grown under 10‰ salinity conditions. Additionally, under the same culture condition, EPA contents of lipids and TAGs were significantly higher for Schizochytrium sp. FJ-1 compared with Schizochytrium sp. 20888. Furthermore, nuclear magnetic resonance analysis found that the salinity level had a distinct impact on the positional distribution of DHA in TAGs in these two Schizochytrium strains. Schizochytrium sp. FJ-1 grown under 40‰ salinity conditions produced TAGs with the greatest percentage of sn-2 DHA (81.24%). The percentages were higher than those found for the other groups of this microalga and Schizochytrium sp. 20888. Taken together, Schizochytrium sp. FJ-1 could be a potential candidate to produce highly valued DHA lipids or TAG bioproducts by regulating salinity. Full article

Background/Objectives: Neuroinflammation, a hallmark of Alzheimer’s disease (AD), is characterized by elevated levels of inflammatory signaling molecules, including cytokines and eicosanoids, as well as increased microglial reactivity, and is augmented by gut microbiota dysbiosis via the gut–brain axis. We conducted a pilot experiment to elucidate the anti-inflammatory effects of dietary omega-3 polyunsaturated fatty acid (ω-3 PUFA) eicosapentaenoic acid (EPA) on the gut microbiota and neuroinflammation. Methods: Female APP/PS1 mice (TG) and non-transgenic littermates (WT), 13–14 months old, were fed a diet supplemented with 0.3% EPA or control chow for 3 weeks. The gut microbiota composition, hippocampal and plasma eicosanoids levels, platelet activation, and microglial phagocytosis, as well as the brain and retinal genes and protein expression, were analyzed. Results: EPA supplementation decreased the percentage of Bacteroidetes and increased bacteria of the phylum Firmicutes in APP/PS1 and WT mice. Inflammatory lipid mediators were elevated in the hippocampus of the TG mice, accompanied by a reduction in the endocannabinoid docosahexaenoyl ethanolamide (DHEA). Dietary EPA did not affect hippocampal lipid mediators, but reduced the levels of arachidonic-derived 5-HETE and N-arachidonoylethanolamine (AEA) in WT plasma. Moreover, EPA supplementation decreased major histocompatibility complex class II (MHCII) gene expression in the retina in both genotypes, and MHCII+ cells in the hippocampus of TG mice. Conclusions: This pilot study showed that short-term EPA supplementation shaped the gut microbiota by increasing butyrate-producing bacteria of the Firmicutes phylum and decreasing Gram-negative LPS-producing bacteria of the Bacteroidetes phylum, and downregulated the inflammatory microglial marker MHCII in two distinct regions of the central nervous system (CNS). Further investigation is needed to determine whether EPA-mediated effects on the microbiome and microglial MHCII have beneficial long-term effects on AD pathology and cognition. Full article

The inclusion of linseed in cattle diets can improve the fatty acid (FA) profile of meat, but the effects of supplementation at different ages have been insufficiently studied. Hence, this study examined the effects of linseed supplementation and slaughter age on beef cattle carcass and meat quality, FA profile, and lipid oxidation. Eighty Simmental bulls (initial age 221 ± 9 days) were evenly allocated the experimental treatments, consisting of a control diet and a linseed-enriched diet (around 1% whole linseed) fed to the bulls until slaughter at 13 or 17 months of age, in a 2 × 2 factorial design. After slaughter, carcass traits, meat quality, FA profile, and oxidative stability (TBARS test) of the longissimus thoracis muscle were determined. Linseed feeding increased the dressing percentage (p < 0.01) at both slaughter ages but had limited effects on overall carcass and meat quality. The intramuscular fat of linseed-fed bulls contained less saturated FA (p < 0.01) and more beneficial n-3 PUFAs, such as eicosapentaenoic (p < 0.05) and α-linolenic acid (p < 0.001), especially in younger bulls. Although the atherogenic index and n-6/n-3 ratio improved, they remained above the recommended values. Lipid oxidation was higher in linseed-fed (p < 0.05) and younger bulls (p < 0.001). These results suggest that linseed supplementation can improve the beef’s FA composition, but higher levels, especially in older animals, and antioxidant strategies may be required to optimise meat stability and nutritional value. Full article

Animal feeding has a great impact on the management of beef farms, also affecting the nutritional properties of the meat. Therefore, in this study, the following two forage-to-concentrate ratios were tested on twenty farmed Podolian young bulls: high forage-to-concentrate (HF:C) ratio of 65:35 vs. low forage-to-concentrate (LF:C) ratio of 45:55. The fatty acid profile, bioactive compounds, α-tocopherol content, and oxidative stability were evaluated on Longissimus thoracis muscle vacuum-packaged and aged at 2 °C for 11 and 18 days, respectively. Feeding the highest forage-to-concentrate ratio improved the fatty acid profile by decreasing the saturated fatty acids (p < 0.01) and increasing the monounsaturated (p < 0.05) and n-3 polyunsaturated fatty acids (p < 0.001). In particular, the percentages of linolenic acid (C18:3n-3), eicosapentaenoic acid (EPA-C20:5n-3), DPA (C22:5n-3), and docosahexaenoic acid (DHA-C22:6n3) were significantly higher (p < 0.01) in the HF:C group than the LF:C group. The highest forage-to-concentrate ratio also increased the contents of bioactive compounds, such as creatine (p < 0.001), carnosine (p < 0.01), and anserine (p < 0.05). This study suggests that a diet composed of 65% forage may be a feasible strategy to enrich meat with healthy bioactive compounds. Full article

Fatty acids (FAs) are the major structural component of erythrocyte membranes. Diet and physical exercise directly influence their incorporation and function. Endurance runners engage in high volumes of weekly aerobic training, alternating between low-intensity and high-intensity sessions. The aim of the study was to assess and compare the erythrocyte FA profile in a group of high-level male endurance runners (EG) with a control group of non-athlete subjects (CG). This observational study was conducted on 85 subjects, 63 high-level male endurance runners (23 ± 3 years; height: 1.76 ± 0.05) and 22 subjects who did not engage in regular physical exercise (21 ± 0.5 years; height: 1.68 ± 0.39). Runners had at least five years of training experience, and all of them were participants in national and international tournaments. FAs determination was performed using gas chromatography. Higher percentages of Palmitic Acid (PA), Stearic Acid (SA), Oleic Acid (OA), Calendic Acid (CA), Eicosapentaenoic Acid (EPA) and Docosapentaenoic Acid (DPA), and lower percentages of Docosahexaenoic Acid (DHA) were found in the EG compared to the CG. High-level endurance runners exhibit altered erythrocyte FA profiles with low percentages of omega-3 index (ω-3 index) and DHA, which may affect erythrocyte membrane function as well as their performance. Full article

Hypertriglyceridemia and diabetes mellitus type 2 are among the most important metabolic diseases globally. Diet plays a vital role in the development and progression of both clinical pictures. For the 10-week randomized, controlled, intervention study, 67 subjects with elevated plasma triglyceride (TG) concentrations (≥1.7 mmol/L) and 69 subjects with elevated fasting glucose concentrations (≥5.6 < 7.0 mmol/L) were recruited. The intervention groups received specially developed, individualized menu plans and regular counseling sessions to lower (A) TG or (B) fasting glucose and glycated hemoglobin A1c as well as other cardiovascular and diabetic risk factors. The hypertriglyceridemia intervention group was further supplemented with fish oil (3.5 g/d eicosapentaenoic acid + docosahexaenoic acid). The two control groups maintained a typical Western diet. Blood samples were taken every 2 weeks, and anthropometric data were collected. A follow-up examination was conducted after another 10 weeks. In both intervention groups, there were comparable significant reductions in blood lipids, glucose metabolism, and anthropometric parameters. These results were, with a few exceptions, significantly more pronounced in the intervention groups than in the corresponding control groups (comparison of percentage change from baseline). In particular, body weight was reduced by 7.4% (6.4 kg) and 7.5% (5.9 kg), low-density lipoprotein cholesterol concentrations by 19.8% (0.8 mmol/L) and 13.0% (0.5 mmol/L), TG concentrations by 18.2% (0.3 mmol/L) and 13.0% (0.2 mmol/L), and homeostatic model assessment for insulin resistance by 31.8% (1.1) and 26.4% (0.9) (p < 0.05) in the hypertriglyceridemia and prediabetes intervention groups, respectively. Some of these changes were maintained until follow-up. In patients with elevated TG or fasting glucose, implementing individualized menu plans in combination with regular counseling sessions over 10 weeks led to a significant improvement in cardiovascular and diabetic risk factors. Full article

Background: The fatty acid profiles in cellular membranes can be influenced by many endogenic and external factors, including diet. They are also associated with numerous metabolic and health conditions, including cardiovascular diseases and inflammation. Objective: This study provides a comparative analysis of the fatty acid profiles in subjects on vegetarian and omnivorous diets. Methods: The study enrolled 152 apparently healthy subjects, comprising 78 omnivores and 74 individuals who had followed a vegetarian diet for a minimum of 2 years, including 61 vegans and 13 lacto-ovo vegetarians. The subjects in the omnivore and vegetarian groups were matched by gender, age, and body mass index (BMI). The composition of the fatty acids in their erythrocyte membranes was determined using gas–liquid chromatography and presented as a percentage of total fatty acids. Results: The study revealed statistically significant differences in the fatty acid profiles: vegetarians had higher levels of oleic acid (OA, 18:1 n-9) (p < 0.001) and linoleic acid (LA, 18:2 n-6) (p < 0.001), while at the same time having lower levels of gamma-linolenic acid (GLA, 18:3 n-6) (p < 0.05), eicosapentaenoic acid (EPA, 22:5 n-3) (p < 0.001), docosapentaenoic acid (DPA, 22:5 n-3) (p < 0.001), docosahexaenoic acid (DHA, 22:6 n-3) (p < 0.001), and total omega-3 polyunsaturated fatty acid (PUFA) (p < 0.001) and a lower omega-3 index (p < 0.001). Additionally, they had lower omega-3 to omega-6 PUFA (p < 0.001); EPA/arachidonic acid (ARA, 20:4 n-6) (p < 0.001); and DHA/ARA ratios (p < 0.001). The activity of delta-6 desaturases (D6D), estimated as the GLA/LA ratio, was higher in the omnivores (p < 0.005), while the activity of elongase 2 (ELOV2), estimated as the DPA/EPA ratio, was higher in the vegetarians (p < 0.005). Most of the differences presented in both vegans and vegetarians, except for GLA and D6D, where differences were observed only in vegans compared to omnivores. Discussion: This study highlights the distinct fatty acid profiles associated with vegan, lacto-ovo vegetarian, and omnivorous diets, suggesting their differential impact on inflammation, disease protection, and overall health. Understanding the implications of the fatty acid profiles within these dietary patterns can be used for personalized nutritional recommendations and supplementation for individuals adhering to specific dietary lifestyles. Full article

We propose a novel method for assessing metabolic flexibility (MF) through indirect calorimetry. A total of twenty healthy volunteers (10 females; 10 males) aged 45–65 were categorized into a Low-Intensity activity group (LI, 0–1 session of 1 h per week) and a High-Intensity activity group (HI, 5–6 sessions of 2 h per week). Volunteers underwent a stepwise exercise test on a cycle ergometer, connected to a calorimeter, to examine respiratory gas exchange to evaluate peak fatty acid Oxidation (PFO) and peak carbohydrate oxidation (PCO). Circulating peroxisome proliferator-activated receptor α (PPARα) biomarkers, docosahexaenoic acid/eicosapentaenoic acid (DHA/EPA) ratio and N-oleoylethanolamine (OEA), and the endocannabinoid- 2-arachidonoylglycerol (2-AG), were evaluated. We developed two MF parameters: the MF index (MFI), calculated by the product of PFO normalized per kg of fat-free mass (FFM) and the percentage of VO_2max at PFO, and the peak energy substrates’ oxidation (PESO), computed by summing the kilocalories from the PFO and PCO, normalized per kg FFM. The MFI and PESO were significantly different between the HI and LI groups, showing strong correlations with the circulating bioactive substances. Higher DHA/EPA ratio (p ≤ 0.05) and OEA (p ≤ 0.01), but lower 2-AG levels (p ≤ 0.01) were found in the HI group. These new parameters successfully established a functional link between MF and the balance of PPARα/endocannabinoid systems. Full article

With the current consumer interest in health and wellbeing, the market growth potential for long-chain polyunsaturated fatty acid (PUFA) supplements is greater than ever before. Fish oil (anchovy, mackerel, herring, sardines, tuna, salmon, cod, krill, etc.) is a concentrated source of beneficial PUFA for dietary supplements, with eicosapentaenoic (EPA) and docosahexaenoic (DHA) acid attracting the most attention due to their capacity to boost human heart and brain health and strengthen the immune system. This study aimed to assess the profile and intake of PUFA from fish oil food supplements. The fatty acid profiles of 42 fish oil supplements collected from the markets of the Republic of Serbia and the Republic of Srpska were obtained using GC-FID analysis. The intake of PUFA in the adult population was assessed by taking into account labeled daily doses of supplements and recommendation for an EPA+DHA daily intake of 250 mg. The mean (range) percentage contributions of EPA and DHA in total fish oil fatty acids were 24.6 ± 11.3% (5.5–57.6%) and 21.4 ± 14.9% (3.3–72.3%), respectively. The maximum EPA concentration was determined in a supplement acquired in a sport supplements store, while in the case of DHA, a supplement with a “premium” label took the leading position. On the other hand, the lowest levels were recorded in fish pearls and a supplement containing a mixture of fish, flax, and borage oils, the only one containing alpha-linolenic acid (ALA). The means and ranges of EPA+DHA intake corresponding to the minimum and maximum labeled doses were 202.1 ± 120.3% (1.1–577.6%) and 263.2 ± 147.3% (1.1–749.7%) of the daily recommended amount, respectively. Such intakes do not raise safety concerns for the general population. While the health benefits associated with PUFA intake are potent, the concerns over sustainability and risk of oceanic pollution cannot be neglected, especially in relation to potential contamination with methylmercury, one of the main reasons why great care is recommended for pregnant and lactating women (recommended additional DHA intake 100–200 mg/day) regarding the consumption of fish and fish products. Full article

Background and objectives: Although testicular cancer is considered the paradigm of highly curable malignancy, treatment-induced adverse effects and potential impairment of gonadal function may cause non-negligible long-term health repercussions, including metabolic disturbances and cardiovascular sequelae. This observational, cross-sectional study recruited a sample of testicular germ cell tumor survivors (TGCTSs) attending routine follow-up care, with the aim to investigate the relationship between the Omega-3 Index, a promising cardiometabolic risk-assessment biomarker, and complete blood cell (CBC) count-derived systemic inflammation indexes. Methods: Erythrocyte membrane fatty acid (FA) profiling was performed by gas chromatography with flame ionization detection. The Omega-3 index (OI3) was computed by summarizing eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) expressed as a percentage of total FAs. Inflammatory indexes, including NLR (neutrophil-to-lymphocyte ratio), SII (systemic immune-inflammation index (platelet count × NLR)), SIRI (systemic inflammatory response index (monocyte count × NLR)), and AISI (aggregate index of systemic inflammation (monocyte count × SII)) were determined using routinely obtained hematological parameters. Results: In the analyzed cohort (n = 92, age $\bar{\mathrm{x}}$ = 35.89 ± 8.67 years), the mean value of O3I was 4.41 ± 0.92%, where 53.26% of men were allocated the high-risk group (O3I < 4%) and the rest were in the moderate cardiovascular hazard category (4% ≤ O3I < 8%). The O3I correlated inversely with the NLR, SII, and AISI (r = −0.234, −0.241, and −0.249, respectively, all p < 0.01). A negative association was determined between the total content of polyunsaturated fatty acids and SIRI (r = −0.221, p < 0.05). The NLR and AISI were statistically significantly lower in the subgroup of patients with O3I ≥ 4% (p < 0.05). Discussion: Blood cell count-based inflammatory indexes may contribute to a more efficient risk stratification of TGCTS in relation to cardiometabolic disorders. Further large-scale research and long-term intervention trials are warranted to investigate the clinical significance of an increased intake of anti-inflammatory long-chain omega-3 polyunsaturated FA via dietary sources and/or supplementation in modulating the inflammatory process and reducing the morbidity burden in this patient population. Full article

Cold plasma (CP) is a non-thermal preservation technology that has been successfully used to decontaminate and extend the shelf life of aquatic products. However, the preservation effect of CP treatment is determined by several factors, including voltage, time, and gas compositions. Therefore, this study aimed to investigate the effects of gas composition (GasA: 10% O₂, 50% N₂, 40% CO₂; GasB: air; GasC: 30% O₂, 30% N₂, 40% CO₂) on the lipid oxidation of tilapia fillets treated after CP treatment. Changes in the lipid oxidation values, the percentages of fatty acids, and sensory scores were studied during 8 d of refrigerator storage. The results showed that the CP treatment significantly increased all the primary and secondary lipid oxidation values measured in this study, as well as the percentages of saturated fatty acids, but decreased the percentages of unsaturated fatty acids, especially polyunsaturated fatty acids. The lipid oxidation values were significantly increased in the GasC-CP group. After 8 d, clearly increased percentages of saturated fatty acids, a low level of major polyunsaturated fatty acids (especially linoleic (C18:2n-6)), and a decrease in the percentages of eicosapentaenoic acid (C20:5n-3) and docosahexaenoic acid (C22:6n-3) were found in GasC-CP; that is, the serious oxidation of lipids was found in the high O₂ concentration group. In addition, the sensory score was also lower than that of the hypoxia CP group. Therefore, high O₂ concentrations can enhance lipid oxidation and the changes in the fatty acid concentration. Controlling the O₂ concentration is reasonable to limit the degree to which lipids are oxidized in tilapia after the in-package CP treatment. Full article

To explore the efficacy of omega-3 fatty acids (FAs) on patients suffering from dry eye disease (DED), a complex inflammatory condition, we reviewed data from PubMed, Embase, ClinicalTrials.gov, Web of Science, and Cochrane CENTRAL in the past 10 years (2013 to 2023). These sources provided randomized clinical trials (RCTs) that examined the efficacy of omega-3 FAs on DED patients with accessible pre- and post-intervention data, excluding trials with overlapping participants, without omega-3 supplementation, or those lacking placebo control or quantitative assessments. Two independent reviewers extracted data related to dry eye symptom scores, tear break-up time (TBUT), Schirmer’s tests, osmolarity, and corneal fluorescein staining (CFS), and the results were analyzed by Comprehensive Meta-Analysis software version 4. We incorporated 19 related RCTs assessed by the Cochrane Risk of Bias tool, encompassing 4246 DED patients with various etiologies. Patients given omega-3 treatment demonstrated more significant improvements in dry eye symptoms (Hedges’ g = −1.047; p < 0.001), TBUT [standardized mean difference (SMD) = −0.939; p < 0.001], scores from the Schirmer test (SMD = −0.372; p < 0.001), CFS (SMD = −0.299; p = 0.037), and osmolarity (SMD = −0.721; p < 0.001) compared to those on a placebo regimen. In the meta-regression analysis of DED symptoms, the daily dose of omega-3 (coefficient = −0.0005, p = 0.002), duration of omega-3 intake (coefficient = −0.1399, p = 0.021), and percentage of eicosapentaenoic acid (EPA) (coefficient = −0.0154, p < 0.001) exhibited a significant positive correlation with a reduction in dry eye symptom scores. Apart from CFS, similar trends were noted in TBUT, Schirmer tests, and osmolarity scores. Based on the evidence, omega-3 FAs effectively reduce DED symptoms, especially in high doses, for a long duration, and with increased EPA levels. However, given the heterogeneity in study results and diverse patient characteristics, caution is needed in generalizing these findings. In conclusion, omega-3 FA supplementation is still recommended for DED management in clinical settings. Full article