Review Article

Flaxseed Oil Supplementation Augments Antioxidant Capacity and Alleviates Oxidative Stress: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Table 3

Pooled estimates of flaxseed oil effects on antioxidant system function within different subgroups.

VariablesNo. of studiesWMD or SMD (95% CI) value (%)P heterogeneity

MDA
Total8−0.52 (−0.89, −0.15)0.00671.3<0.001
FL dosage (mg)
≤20004−0.84 (−1.11, −0.56)<0.00168.00.025
>20004−0.14 (−0.43, 0.14)0.3110.398

Sample size
≤264−0.53 (−0.83, −0.22)<0.00182.7<0.001
>264−0.48 (−0.74, −0.23)<0.00157.30.071

Intervention duration (week)
≤84−0.53 (−0.83, −0.22)<0.00182.7<0.001
>84−0.48 (−0.74, −0.23)<0.00157.30.071

Mean age (years)
≤484−0.43 (−0.71, −0.15)0.00284.6<0.001
>484−0.57 (−0.84, −0.29)<0.00132.60.217

Type of flaxseed
Flaxseed oil5−0.33 (−0.58, −0.08)0.01062.30.031
Omega-3 fatty acid from flaxseed oil3−0.78 (−1.10, −0.46)<0.00177.50.012

GSH
Total40.45 (−0.12, 1.01)0.12277.90.004
Mean age (years)
≤4811.19 (0.59, 1.79)<0.001
>4830.21 (−0.08, 0.51)0.15962.30.070

Type of flaxseed
Flaxseed oil10.34 (−0.17, 0.85)0.187
Omega-3 fatty acid from flaxseed oil30.43 (0.12, 0.74)0.00785.20.001

TAC
Total582.84 (19.80, 145.87)0.01092.7<0.001
Mean age (years)
≤482−0.02 (−0.03, −0.01)0.00366.00.086
>483143.4(101.22, 185.61)<0.00172.70.026

Type of flaxseed
Flaxseed oil2−0.02 (−0.03, −0.01)<0.00166.00.003
Omega-3 fatty acid from flaxseed oil346.88 (19.85, 73.92)0.02351.8<0.001

MDA: malondialdehyde; GSH: glutathione; TAC: total antioxidant capacity; SMD: standardized mean difference; WMD: weighted mean difference; CI: confidence interval.