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Omega-3 Supplementation Modulates Whole-Blood EPA and DHA Without Improving Patient-Reported Outcomes in Youth with Migraine: A Quasi-Randomized Pilot Trial

Glover S, Sanders AE, Zamora D, Faurot KR, Shaikh SR, Divaris K, Werner K, Trau SP, Bain J, Xie J, Danze S, Singh S, Southern T, Iskander J, Sawicki CM

Nutrients · 0 citas

Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Gobierno
National Institute of Diabetes and Digestive and Kidney Diseases
Gobierno
NCATS NIH HHS
Gobierno
NIDDK NIH HHS
Subvenciones
National Institute of Diabetes and Digestive and Kidney Diseases (P30DK056350)

Según 3 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2026-09-11 · Nutrients · vol. 18 · número 18 · pág. 2983
Editorial
Multidisciplinary Digital Publishing Institute
Citado
0 citas · más que el 73% de estudios similares · 0.0× el promedio de su campo
Referencias
46 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Migraine and Headache Studies · Fatty Acid Research and Health · Pain Mechanisms and Treatments
Palabras clave
omega-3 polyunsaturated fatty acids, EPA, docosahexaenoic acid, migraine, pediatric migraine, children and adolescents, n-6/n-3 ratio, arachidonic acid, pain intensity, migraine disability, psychological distress, dietary supplementation, inflammation, pain interference
MeSH
humans, fatty acids, omega-3, docosahexaenoic acids, eicosapentaenoic acid, treatment outcome, pilot projects, double-blind method, dietary supplements, adolescent, child, female, male, migraine disorders, patient reported outcome measures

15 autores

  • Samantha Glover🇺🇸University of North Carolina at Chapel Hill
  • Anne E. Sanders🇺🇸University of North Carolina at Chapel Hill
  • Daisy Zamora🇺🇸University of North Carolina at Chapel Hill
  • Keturah R. Faurot🇺🇸University of North Carolina at Chapel Hill
  • Saame Raza Shaikh🇺🇸University of North Carolina at Chapel Hill
  • Kimon Divaris🇺🇸University of North Carolina at Chapel Hill
  • Klaus Werner🇺🇸Duke Medical Center
  • Steven P. Trau🇺🇸University of North Carolina at Chapel Hill
  • Jaclyn Bain🇺🇸University of North Carolina at Chapel Hill
  • Jialiu Xie🇺🇸University of North Carolina at Chapel Hill
  • Sydney Danze🇺🇸University of North Carolina at Chapel Hill
  • Sajan Singh🇺🇸University of North Carolina at Chapel Hill
  • Thomas Southern🇺🇸University of North Carolina at Chapel Hill
  • Joseph Iskander🇺🇸University of North Carolina at Chapel Hill
  • Caroline M. Sawicki🇺🇸 · autor de correspondenciaUniversity of North Carolina at Chapel Hill

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background/objectives

Omega-3 polyunsaturated fatty acids (PUFAs) influence lipid-mediated inflammatory pathways implicated in migraine, yet randomized trial data evaluating biologic effects of omega-3 supplementation in youth with migraine remain limited. This pilot quasi-randomized clinical trial aimed to determine whether 12 weeks of omega-3 PUFA supplementation produces measurable changes in whole-blood EPA and DHA levels in children and adolescents with migraine, and to characterize changes in patient-reported measures of pain, migraine-related disability, and psychological distress.

Methods

We conducted a parallel-group, quasi-randomized, double-blind, placebo-controlled trial in children and adolescents (ages 10-17) with migraine diagnosed per International Classification of Headache Disorders, 3rd edition criteria, recruited from pediatric neurology clinics at two academic medical centers. Of 57 participants allocated 1:1 to daily omega-3 PUFA supplementation (340 mg EPA + 510 mg DHA) or coconut oil placebo for 12 weeks, 44 completed the study and were analyzed. The primary outcome was change in whole-blood omega-3 PUFA index. Secondary outcomes included patient-reported measures of pain intensity, pain interference, migraine-related disability, and psychological distress. Exploratory outcomes included changes in omega-6/omega-3 and arachidonic acid/eicosapentaenoic acid (AA/EPA) ratios. Between-group differences were evaluated using ANCOVA adjusting for baseline values.

Results

Omega-3 supplementation significantly altered lipid biomarker profiles. Compared with placebo, the intervention group demonstrated greater increases in omega-3 PUFA index (adjusted mean difference 1.64; 95% CI 0.94-2.35; p p = 0.003) and AA/EPA ratio (-13.52; 95% CI -21.55 to -5.49; p = 0.002), consistent with the increase in whole-blood omega-3 levels. No significant between-group differences were observed in patient-reported outcomes.

Conclusions

Omega-3 PUFA supplementation significantly altered lipid biomarker profiles in youth with migraine over 12 weeks, supporting a measurable whole-blood EPA + DHA response in this proof-of-concept trial. Future larger-scale trials with longer duration are needed to evaluate clinical effects.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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