Supplementation of Omega 3 during Pregnancy and the Risk of Preterm Birth: A Systematic Review and Meta-Analysis

Serra, Ramon; Penailillo, Reyna; Monteiro, Lara J.; Mönckeberg, Max; Peña, Macarena; Moyano, Lia; Brunner, Camila; Vega, Georgina Mahesh Choolani 3 4, Sebastián E Illanes 2; Choolani, Mahesh; Illanes, Sebastián E.

Keywords: meta-analysis, preterm birth, omega 3 supplementation

Abstract

Preterm birth (PTB) is a major cause of neonatal death and long-term consequences for the newborn. This review aims to update the evidence about the potential benefit of pharmacological supplementation with omega 3 fatty acids during pregnancy on the incidence of PTB. The Medline, Embase, Cochrane Library and Central databases were searched until 28 June 2020 for RCTs in which omega 3 supplementation was used versus placebo to reduce PTB risk. Data from 37 trials were analyzed. We found an 11% reduction in PTB risk (RR(risk ratios), 0.89; 95% CI (confidence intervals), 0.82 to 0.97) in trials using omega 3 supplements versus placebo. Regarding early PTB (ePTB), there was a 27% reduction in the risk of ePTB (RR, 0.73; 95% CI, 0.58 to 0.92). However, after sensitivity analyses, there were no significant differences in PTB and ePTB risk (PTB RR, 0.92; 95% CI, 0.83 to 1.01, ePTB RR, 0.82; 95% CI, 0.61 to 1.09). We conclude that omega 3 supplementation during pregnancy does not reduce the risk of PTB and ePTB. More studies are required to determine the effect of omega 3 supplementations during pregnancy and the risk of detrimental fetal outcomes.

Más información

Título de la Revista: NUTRIENTS
Volumen: 13
Editorial: MDPI
Fecha de publicación: 2021
Idioma: ingles
URL: https://www.mdpi.com/2072-6643/13/5/1704
DOI:

doi.org/10.3390/nu13051704