Fish Oil and Rheumatoid Arthritis

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Rheumatoid Arthritis
Scientific Review
Pharmacology
Dietary Sources
Adverse Effects
Conclusions
References

 

Daniel Kennedy, M.D.

Photo from- Yenra: Biotechnology

 

Food can have pro-inflammatory effects from irritants and immunoreactive substances that act in the gut.  Dietary modification can also provide anti-inflammatory properties.  The most supported evidence is by altering the balance of dietary polyunsaturated fatty acids (PUFA) in favor of -3 PUFA, which is found in high concentrations in fish oils.

Fish oils, also known as marine oils, are lipids found in fish, especially cold water fish.  Other marine life such as phytoplankton also contains high levels of fish oils. 

  • The biologically active component of these oils are the 20 carbon eicosapentaenoic acid (EPA; C20: 5n-3) and the 22 carbon docosahexaenoic acid (DHA; C22: 6n-3).  DHA is a vital component of the phospholipids of human cellular membranes, and both EPA and DHA are found naturally in the form of triacylglycerols (TAGs).

PUFA are essential macronutrients that are metabolized to mediators that regulate inflammation.  Diets rich in -6 tend to be proinflammatory, while diets rich in -3 PUFA are anti-inflammatory. 

  • Diets rich in -3 PUFA has been used with some success in the treatment of inflammatory diseases of joints, kidney, gut, and skin.  Long chain -3 PUFA found in fish and fish oil appears to posses more anti-inflammatory properties than shorter chain -3 PUFA found in vegetable oils and may be used in combination with prescription medications to help treat and prevent inflammatory diseases.

This website was designed to: 1) provide an overview of the pathophysiology of rheumatoid arthritis, 2) explore possible mechanisms of action that fish oil plays in therapy for this disease, 3) review several published journal articles on the subject, and 4) attempt to ascertain whether fish oil supplementation is a good adjunct for the medical treatment of rheumatoid arthritis.

Copyright 2005 Creighton University. This site is for informational purposes only and the practices herein are not endorsed by Creighton University Medical Center