Omega-3 & Health

All EFSA-backed effects — evidence-based with study references

EPA and DHA demonstrably contribute to cardiovascular health, brain function and visual acuity. Here you will find all EFSA-approved health claims — clearly explained and supported by study references from PubMed and leading peer-reviewed journals.

Heart & Circulation

RCT New England Journal of Medicine, 2019

REDUCE-IT: cardiovascular outcomes with icosapent ethyl

In a double-blind, randomised trial with 8,179 patients over 4.9 years, 4 g/day of pure EPA showed a 25% reduction in primary cardiovascular endpoints (HR 0.75; 95% CI 0.68–0.83; P<0.001). Cardiovascular mortality fell from 5.2% to 4.3%.

Bhatt DL et al. — PMID 30415628
Meta-analysis Journal of the American Heart Association, 2019

Cardiovascular risk: 13 randomised trials analysed

A meta-analysis of 127,477 participants found that marine omega-3 supplementation significantly reduced the risk of myocardial infarction, coronary heart death and total CVD events. A dose-response relationship was observed: higher doses showed greater risk reduction.

Hu Y, Hu FB, Manson JE — PMID 31567003
Meta-analysis American Journal of Hypertension, 2014

Blood pressure reduction: analysis of 70 randomised trials

The meta-analysis of 70 RCTs showed a significant reduction in systolic blood pressure of −1.52 mmHg and diastolic of −0.99 mmHg. In patients with untreated hypertension effects were more pronounced: systolic −4.51 mmHg, diastolic −3.05 mmHg.

Miller PE, Van Elswyk M, Alexander DD — PMID 24610882
AHA Advisory Circulation (American Heart Association), 2019

AHA recommendation: triglyceride reduction with omega-3

The American Heart Association confirmed in its Science Advisory: at 4 g/day EPA+DHA, triglycerides were reduced by more than 30%. In hypertriglyceridaemia (200–499 mg/dL) the reduction was 20–30%.

Skulas-Ray AC et al. — PMID 31422671

Brain & Cognition

Meta-analysis Translational Psychiatry, 2019

Depression: 26 double-blind, placebo-controlled trials

A meta-analysis of 2,160 participants showed a significant overall effect on depressive symptoms (SMD = −0.28; P = 0.004). Particularly effective: pure EPA formulations (≤1 g/day) reached an effect size of −0.50 (P = 0.003). EPA-dominant formulations (≥60% EPA) showed an effect size of −1.03.

Liao Y et al. — PMID 31383846
Meta-analysis Neuropsychopharmacology, 2018

ADHD in children: symptoms and cognitive attention

Analysis of 7 RCTs with 534 young people with ADHD showed a significant improvement in ADHD symptom scores (g = 0.38; P<0.0001). Cognitive attention measures improved with an effect size of 1.09 (P = 0.001). Children with ADHD had significantly lower DHA and EPA levels.

Chang JPC, Su KP et al. — PMID 28741625
Meta-analysis Scientific Reports, 2025

Cognition: dose-response analysis

A systematic dose-response meta-analysis found that 2,000 mg/day omega-3 produced significant improvements in attention, processing speed, language, primary memory and global cognitive abilities. A non-linear dose-response relationship was identified.

Scientific Reports — PMID 40836005

Eyes

Meta-analysis Cornea, 2019

Dry eye: 17 randomised trials analysed

A meta-analysis of 3,363 patients showed omega-3 produced significant improvements versus placebo: symptoms (SDM = 0.968; P<0.001), tear film break-up time (SDM = 0.905; P<0.001), tear production in Schirmer test (SDM = 0.905; P<0.001) and reduced corneal fluorescein staining (SDM = 0.517; P = 0.032).

Giannaccare G et al. — PMID 30702470
Cohort study American Journal of Clinical Nutrition, 2009

AMD risk: AREDS study over 12 years

In a 12-year observation of 1,837 people with moderate to high AMD risk, the highest omega-3 intake showed a 30% lower risk of geographic atrophy (OR 0.65; P ≤ 0.02) and a 32% lower risk of neovascular AMD (OR 0.68; P ≤ 0.02).

SanGiovanni JP et al. (AREDS Report 30) — PMID 19812176
Meta-analysis Frontiers in Nutrition, 2024

AMD prevention: dietary omega-3 intake

A meta-analysis of observational studies showed: high intake of long-chain omega-3 fatty acids (DHA, EPA or DHA+EPA) was significantly associated with a reduced risk of age-related macular degeneration compared to the low-intake group.

Frontiers in Nutrition — DOI 10.3389/fnut.2024.1403987

Inflammation & Immune System

Umbrella meta-analysis International Immunopharmacology, 2022

Inflammatory markers: summary of 32 meta-analyses

An umbrella meta-analysis of 32 prior meta-analyses showed omega-3 significantly reduced all three main inflammatory markers: CRP (ES = −0.40; P<0.001), TNF-α (ES = −0.23; P = 0.002) and IL-6 (ES = −0.22; P = 0.010).

Gao H et al. — PMID 35914448
Meta-analysis Archives of Medical Research, 2012

Rheumatoid arthritis: 10 randomised trials

At a dose of ≥2.7 g/day for at least 3 months, significant reductions in joint pain, morning stiffness, number of painful joints and NSAID consumption were observed in RA patients (SMD −0.518; 95% CI −0.915 to −0.121; P = 0.011).

Lee YH, Bae SC, Song GG — PMID 22835600
Meta-analysis Frontiers in Medicine, 2025

Chronic pain: increasing efficacy over time

Omega-3 showed a moderate, statistically and clinically significant pain reduction: SMD = −0.55 (95% CI −0.76 to −0.34). Notable time course: after 1 month SMD = −0.27, after 6 months SMD = −0.83 — efficacy increased with duration of supplementation.

Frontiers in Medicine — DOI 10.3389/fmed.2025.1654661
Systematic review Nutrition, 2017

Arthritis pain: 18 RCTs with 1,143 patients

In 10 of 18 randomised trials, significant pain reduction in rheumatoid arthritis was observed. Doses of 3–6 g/day showed the greatest effect. The authors concluded that omega-3 plays a therapeutic role in RA-associated pain.

Abdulrazaq M, Innes JK, Calder PC — PMID 28606571

Skin, hair & sleep

Pregnancy & Fertility

Cochrane Review Cochrane Database of Systematic Reviews, 2018

Preterm birth prevention: Cochrane analysis of 70 RCTs

The most comprehensive analysis with 19,927 pregnant women from 70 randomised trials showed: preterm births <37 weeks were reduced by 11% (RR 0.89; high quality evidence). Very preterm births <34 weeks were reduced by 42% (RR 0.58; high quality evidence). Greater birth weight and longer pregnancies were also observed.

Middleton P et al. — PMID 30480773
Position Statement European Journal of Obstetrics & Gynecology, 2024

EBCOG recommendation: omega-3 in pregnancy

The European Board and College of Obstetrics and Gynaecology (EBCOG) issued an official recommendation for omega-3 supplementation in pregnancy — for the prevention of preterm and very preterm births.

Meta-analysis Meta-analysis prenatal DHA supplementation

Brain development: maternal DHA supplementation

A meta-analysis found that maternal DHA supplementation significantly improved cognitive development in preterm infants at 12–24 months, including motor and language development. Subgroup analysis: DHA ≥800 mg/day before week 20 showed the strongest effects.

Carlson SE et al. — Meta-analysis

Research evidence by health area

Summary of scientific evidence and studied dosages

Area Evidence strength Studied dose
Triglycerides Very strong 2–4 g/day EPA+DHA
Cardiovascular risk Strong 2–4 g/day (mainly EPA)
Blood pressure Strong ≥2 g/day EPA+DHA
Inflammatory markers (CRP, IL-6, TNF-α) Strong 1–3 g/day EPA+DHA
Depression (EPA-dominant) Moderate–Strong ≤1 g/day EPA (≥60% EPA fraction)
ADHD in children Moderate Higher EPA doses more effective
Dry eye Strong Higher doses, longer duration
AMD prevention Moderate Diet-based
Preterm birth prevention Very strong from 500 mg/day DHA+EPA
Rheumatoid arthritis Strong ≥2.7 g/day, min. 3 months

Medical disclaimer

The studies mentioned show results from scientific research. They do not replace medical advice. The dosages shown refer to the amounts studied in the trials — EFSA-approved health claims apply from the respective minimum doses indicated. Dietary supplements are not a substitute for a balanced diet.