Arrhythmias & electrophysiology

Omega-3 Fatty Acid Biomarkers and Incident Atrial Fibrillation

J Am Coll CardiolPublished Pooled analysis of prospective cohort studies

Authors' conclusion

In vivo levels of omega-3 fatty acids including EPA, DPA, DHA, and EPA+DHA were not associated with increased risk of incident AF.

Study context

Population
Participants of prospective cohorts with baseline blood or adipose tissue omega-3 fatty acid levels
Participants
54,799 participants · 17 cohorts
Comparison
Higher vs lower blood or adipose tissue omega-3 fatty acid levels
Outcome
Incident AF
Follow-up
Median 13.3 years
Methodological detailsparticipant-level meta-analysis, global consortium of 17 prospective cohorts, prespecified analytical plan, harmonized definitions, inverse-variance weighted meta-analysis
  • Participant-level meta-analysis
  • Global consortium of 17 prospective cohorts
  • Prespecified analytical plan
  • Harmonized definitions
  • Inverse-variance weighted meta-analysis

Pooled result

As reported in the abstract

median 13.3 years
Estimate (95% CI)
EPA
HR per interquintile range 1.00(0.95–1.05)
DPAhigher levels
HR 0.89(0.83–0.95)
DHAhigher levels
HR 0.90(0.85–0.96)
EPA+DHAhigher levels
HR 0.93(0.87–0.99)
Incident AF cases
7,720

Original publication

Omega-3 Fatty Acid Biomarkers and Incident Atrial Fibrillation. J Am Coll Cardiol. Published 25 July 2023. doi:10.1016/j.jacc.2023.05.024

Summarised from the published abstract; every number is checked against it

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