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. 2020 May 8;11(5):1300–1314. doi: 10.1093/advances/nmaa050

TABLE 4.

Summary of studies of fish oil supplementation (FS) in athletes relating to cardiovascular performance, cognition and mood, and respiratory function1

Author Sport Athlete status Sex and sample size Mood and cognition Immune and inflammation Cardiovascular and respiratory Skeletal/muscle Biomarkers Physical performance Dosingperiod, wk Active treatment, mg/d ω-3 biomarker response to FS No effect for FS2
Raastad et al. (54) Soccer Professional-elite Male participants n = 28 ↓TGs 10 1600 EPA1004 DHA ↑Plasma EPA (175%), DHA (40%) O2max, running speed at anaerobic threshold, run time to exhaustion
Buckley et al. (55) Aussie Rules Professional-elite Male participants n = 25 ↓DBP, ↓sub-max exercise HR ↓TGs 5 360 EPA1560 DHA ↑RBC EPA (116%) DHA (100%), total n–3 (74%) Run time to exhaustion, O2/running economy
Hingley et al. (57) Runners and cyclists Well-trained, recreational Male participants n = 26 ↓Sub-max O2 during 5-min cycling time trial 8 140 EPA 560 DHA ↑OM3I: 4.5% to 6% Endurance performance (time-trial), Wingate, MVC
Peoples et al. (58) Cyclists Competitive Male participants n = 16 ↓Exercise HR, ↑cycling economy (↓sub-max O2) 8 800 EPA2400 DHA ↑RBC DHA (41.4%), total n–3 (24.3%)
Żebroswka et al. (32) Cyclists Competitive Male participants n = 13 O2max (+5%), FMD (%) ↑NO at rest, postexercise, ↑glucose and FFA at rest 3 1320 EPA880 DHA Not measured Endothelium independent vasodilatation, peak power, TGs, LDL and HDL cholesterol, total cholesterol, HR, SBP, DBP, glycerol, TAS, BM, PWV
Fontani et al. (33) Athletics Recreational Male and female participants n = 33 ↑Vigor, attention, ↓reaction time, anger, anxiety, depression ↓Homocysteine 5 1600 EPA800 DHA ↓AA/EPA
Fontani et al. (59) Karate Competitive Male and female participants n = 18 ↑POMS, ↓reaction time 3 4800 EPA2400 DHAPolicosanol Not measured
Guzmán et al. (60) Soccer Professional-elite Female participants n = 34 ↓Complex reaction time 4 3500 DHA Not measured
Black et al. (51) Rugby Professional-elite Male participants n = 20 ↓Fatigue, ↑sleep quality ↓Muscle soreness ↑Mean CMJpeak force 5 1102 EPA1102 DHAWhey PRO,CHO, Vitamin D ↑Plasma ω-3 fatty acids (240%)
Mickleborough et al. (34) Endurance sports Competitive Male and female participants n = 20 ↓Urinary LTE4 and ↓9α,11β-PGF2; ↓plasma LTB4, TNF-α, IL-1β Improved lung function (FEV1) 3 3200 EPA2200 DHA ↑Neutrophil EPA (1206%), but no change DHA
Tartibian et al. (61) Wrestling Recreational Male participants n = 40 ↑FEV1, ↑FVC, ↑VC, ↑MVV, ↑FEF25–75, ↑FIV1 12 180 EPA120 DHA Not measured FEV1% and FIV1%
Gravina et al. (53) Soccer Competitive Male and female participants n = 26 ↑Anaerobicendurance 4 4900 EPA1400 DHA ↑Blood ω-3 fatty acids (100%) Respiratory function (FEV1, FVC), MVC, 20-m sprints, vertical jump height, yo-yo level 1 test
1

AA, arachidonic acid; BM, body mass; CHO, carbohydrate; CMJ, counter movement jump; DBP, diastolic blood pressure; FEF, forced expiratory flow from 25% to 75%; FEV1, forced expiratory volume in 1 s; FFA, free fatty acid; FIV1, forced inspiratory volume in 1 s; FMD, flow mediated dilation; FS, fish oil supplementation; FVC, forced vital capacity; HR, heart rate; LT, leukotriene; MVC, maximal voluntary contraction; MVV, maximal voluntary ventilation; OM3I, ω-3 index; POMS, profile of mood states; PRO, protein; PWV, pulse wave velocity; SBP, systolic blood pressure; TAS, total antioxidant status; TG, triglyceride; VC, vital capacity; O2, oxygen uptake; O2max, maximal oxygen uptake; 9α,11β-PGF2, prostaglandin metabolite.

2

All nonsignificant findings for the effects of FS.