Lupus & antiphospholipid syndrome

Systemic Lupus Erythematosus and the Ratio of Omega-3 to Omega-6 Fatty Acids Consumption among Women in the Adventist Health Study-2

LupusPublished Cross-sectional study

Authors' conclusion

We observed a significant positive association between the ratio of omega-3 to omega-6 fatty acids consumption and prevalence of SLE.

Study context

Population
Women in the Adventist Health Study-2 cohort
Participants
42,398 women
Exposure
Systemic Lupus Erythematosus (SLE) vs non-cases; quartiles of omega-3 to omega-6 ratio
Outcome
Association of omega-3 and omega-6 fatty acids consumption, and their ratio, with self-reported doctor told SLE diagnosis
Methodological detailsunconditional logistic regression
  • Unconditional logistic regression

Main finding

As reported in the abstract

  • Positive significant trend (p trend = 0.005)
  • SLE reported higher intakes of total omega-3, about the same omega-6, and higher omega-3 to omega-6 ratios vs non-cases

Observational data: associations, not effects.

Further findings

Initiation of fish oil around time of SLE diagnosis (among those reporting fish oil intake)
87%

Baseline omega-3 and fish oil intake in incident SLE cases (6-year follow-up, 64 cases)

No different than among non-cases

Factors associated with SLE

SLE more likely in Black vs White women, ever vs never smokers, overweight vs normal/underweight, and age 50-59 vs 30-49 years

Original publication

Systemic Lupus Erythematosus and the Ratio of Omega-3 to Omega-6 Fatty Acids Consumption among Women in the Adventist Health Study-2. Lupus. Published 5 November 2023. doi:10.1177/09612033231213145

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