Review Article

Effects of Some Common Food Constituents on Cardiovascular Disease

Table 3

Intervention studies of the association of omega-3 poly-unsaturated fatty acids consumption with the risk of cardiovascular disease.

AuthorsType of studySubjectsInterventionsFindings

GISSI Prevenzione investigators  [119, 120]Multicenter, randomized, controlled, open-label, parallel11,323 patients surviving recent (≤3 months) MI with followup of 3.5 yearsSupplements of n-3 PUFA (1 g/d), vitamin E (300 mg/d), both, or noneEarly protection of n-3 PUFA on all- cause mortality especially sudden cardiac death; over 3.5 years, supplementation with n-3 PUFA was associated with lower risk of death, nonfatal MI, and stroke.
Svensson et al. [121]Randomized, double-blind, placebo-controlled206 patients with CVD and treated with stable chronic hemodialysis with followup of 2 yearsSupplements of n-3 PUFA (1.7 g/d), or control (olive oil)Consumption of n-3 PUFA reduced the incidence of MI but had no effect on all- cause mortality or total cardiovascular event
Tavazzi [122]Multicenter, randomized double-blind, placebo-controlled6,975 patients aged ≥18 with chronic heart failure with followup for a median of 3.9 yearsn-3 PUFA 1 g/d or placeboConsumption of n-3 PUFA was associated with reduced all- cause mortality, hospital admissions for CVD
Yokoyama [123]Randomized, controlled, open-label, blinded endpoint18,645 patients with a total cholesterol of ≥6.5 mmol/L with followup of 5 yearsDaily consumption of 1800 mg of EPA with statin or statin onlyDaily consumption of EPA with statin reduced unstable angina and nonfatal coronary events.

CVD: cardiovascular disease; EPA: eicosapentaenoic acid; GISSI: Gruppo Italiano per lo Studio della Sopravvivenza nell’Infarto Miocardico; MI: myocardial infraction; n-3 PUFA: omega (n)-3 polyunsaturated fatty acids.