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Table 2 Patient populations and study characteristics

From: The impact of omega-3 polyunsaturated fatty acid supplementation on the incidence of cardiovascular events and complications in peripheral arterial disease: a systematic review and meta-analysis

Study

Population

Intervention

 

Age (years)

BMI (kg/m2)

Diagnosis of PAD

Medication/therapy

Co-morbidities

Omega-3 PUFA (g/day)

Comparator (g/day)

Co-intervention

Duration

Gans 1990 [37]

66.1 ± 8.2

NR

Treadmill testing for IC classification; IC stable for ≥ 1 yr

Excluded patients on lipid-lowering or platelet-active drugs

None reported

EPA (1.8) + DHA (1.2)

Corn oil (3.0)

None

16 wk

Leng 1998 [34]

65.7 ± 7.1

26.7 ± 4.2

Edinburgh Claudication Questionnaire; IC stable for ≥ 6 mth; ABI < 0.9

Included patients taking aspirin

Excluded patients with critical ischemia, previous or impending surgery, unstable angina or MI, or severe concurrent illnesses

EPA (0.18-0.27)

Sunflower oil (2.0 – 3.0)

Gamma-linolenic acid

2 yr

Carrero 2005 [35]

64.0 ± 9.0

27.9 ± 3.9

Presence of IC; ABI < 0.7

Excluded patients eligible for vascular surgery; excluded patients taking statins

Excluded patients with history of cardiac events or with endocrine or metabolic disturbances. Included patients who were smokers, had T2D or hypertension

EPA (0.2) + DHA (0.13) + ALA (0.06)

Placebo (dairy product)

Vitamins B6 and E, folate, oleic acid

1 yr

Carrero 2006 [36]

65.5 ± 9.5

27.7 ± 3.4

Presence of IC; ABI < 0.7

Excluded patients eligible for vascular surgery; excluded patients taking statins

Excluded patients with history of cardiac events or with endocrine or metabolic disturbances. Included patients who were smokers, had T2D or hypertension

EPA (0.2) + DHA (0.13) + ALA (0.06)

Placebo (dairy product)

Vitamins B6 and E, folate, oleic acid

1 yr

Ishikawa 2010 [38]

65.2 ± 7.4

23.3 ± 2.8

Presence of IC; physical findings (e.g. ulcer) and ABI

All patients included were taking statins

Hyperlipidemia (total serum cholesterol)

EPA (1.8)

No treatment

Simvastatin or Pravastatin

up to 5 yr

  1. Data are presented as mean ± SD. ABI: ankle-brachial index; ALA: alpha-linolenic acid; BMI: body mass index; DHA: docosahexaenoic acid; EPA: eicosapentaenoic acid; IC: intermittent claudication; MI: myocardial infarction; T2D: type 2 diabetes.