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. 2020 Jun 6;19(2):1685–1699. doi: 10.1007/s40200-020-00558-5

Table 1.

Characteristics of included studies

Authors (Ref) Publication year Sample size (control/
intervention)
Country/population Intervention (name and daily dose) Duration Age (y)
(control vs. intervention)
Presented data
Barden et al. [17] 2006 43/40 Australia/ Pregnant women with allergic disease

4 g/d fish oil (56% DHA

 + 27.7% EPA)

≈ 16 weeks

(20 wk until delivery)

32.4 ± 3.27, 31.0 ± 3.7 TC, LDL-C, HDL-C
Helland et al. [24] 2006 154/160 Norway/ Pregnant women 10 ml/d cod liver oil (1183 mg DHA + 803 mg EPA)

17 weeks

(18 wk until 35)

19–35 TG, TC, HDL-C, TC/HDL-C
Franke et al. [18] 2010 59/57 Germany/ Pregnant women Modified fish oil in form of milk-based supplements (500 mg DHA + 150 mg EPA)

≈ 20 weeks

(20 wk until delivery)

31.4 ± 4.7, 30.8 ± 4.8 TG, TC, MDA
Haghiac et al. [15] 2015 24/25 USA/ Overweight or obese pregnant women 2 g/d fish oil (800 mg DHA + 1200 mg EPA) 25 weeks (before 16 wk until delivery) 27 ± 5 FPG, insulin, CRP, IL-6, IL-8
Samimi et al. [25] 2015 28/28 Iran/ Pregnant women with GDM 1 g/d fish oil (120 mg DHA + 180 mg EPA)

6 weeks

(24–28 wk until 6 wk later)

30.3 ± 5.5, 29.8 ± 5

FPG, insulin, HOMA-IR,

TG, TC, LDL-C, HDL-C, TC/HDL-C

Faraji et al. [26] 2016 47/45 Iran/ Pregnant women with GDM 1 g/d fish oil (120 mg DHA + 180 mg EPA)

≈ 20 weeks

(21 wk until delivery)

27.3 ± 4.2, 25.6 ± 4.7 TG, TC, LDL-C, HDL-C
Jamilian et al. [16] 2016 27/27 Iran/ Pregnant women with GDM 1 g/d fish oil (120 mg DHA + 180 mg EPA)

6 weeks

(24–28 wk until 6 wk later)

30.0 ± 5.5, 30.1 ± 5.3 CRP, MDA
Jamilian et al. [27] 2017 35/35 Iran/ Pregnant women with GDM 2 g/d fish oil (240 mg DHA + 360 mg EPA)

6 weeks

(24–28 wk until 6 wk later)

30.7 ± 4.1, 30.7 ± 3.5 FPG, insulin, HOMA-IR, TG, TC, LDL-C, HDL-C, TC/HDL-C
Razavi et al. [28] 2017 30/30 Iran/ Pregnant women with GDM 2 g/d fish oil (240 mg DHA + 360 mg EPA)

6 weeks

(24–28 wk until 6 wk later)

29.2 ± 3.4, 29.7 ± 3.6 CRP, MDA
Jamilian et al. [29] 2018 20/20 Iran/ Pregnant women with GDM 2 g/d fish oil (240 mg DHA + 360 mg EPA)

6 weeks

(24–28 wk until 6 wk later)

30.8 ± 2.4, 30.5 ± 3.8

FPG, insulin, HOMA-IR

TG, TC, LDL-C, HDL-C

CRP

Kajarabille et al. [30] 2018 46/44 Spain/ Pregnant women Fish oil enriched dairy drink (320 mg DHA + 72 mg EPA)

≈ 12 weeks

(28 wk until delivery)

29.9 ± 4.7, 30.5 ± 4.8 Insulin, IL-6
Mozurkewich et al. (a) [31] 2018 20/37 New Mexico/ Pregnant women at risk for depression

EPA-rich fish oil

(1060 mg EPA + 274 mg DHA)

minimum: 14 weeks (between 12–20 wk and 34–36 wk) 18–40 IL-6, IL-8
Mozurkewich et al. (b) [31] 2018 20/36 New Mexico/ Pregnant women at risk for depression

DHA-rich fish oil

(900 mg DHA + 180 mg EPA)

minimum: 14 weeks (between 12–20 wk and 34–36 wk) 18–40 IL-6, IL-8
Vahedi et al. [32] 2018 75/75 Iran/ Pregnant women

1 g fish oil

(120 mg DHA + 180 mg EPA)

20 weeks

(6–10 wk until 26–30)

26.9 ± 4.5, 25.9 ± 4.8 FPG
Pellonpera et al. [33] 2019 91/90 Finland/ Overweight and obese pregnant women Fish oil containing 2.4 g W3 (1900 mg DHA + 220 mg EPA)

≈ 21 weeks

(14 wk until 35)

30.4 ± 4.1, 30.4 ± 4.8 FPG, insulin, HOMA-IR

HOMA IR, homeostasis model assessment of insulin resistance; TG, triglyceride; TC, total cholesterol; HDL-C, HDL cholesterol; LDL-C, LDL cholesterol; CRP, C-Reactive Protein; NO, nitric oxide; TAC, total antioxidant capacity; GSH, glutathione; MDA, malondialdehyde; TNF-a, tumor necrosis factor α; IL, interleukin