Key messages from scientific research that's ready to be acted on
Got It, Hide thisHallahan B, Ryan T, Hibbeln JR, et al. Efficacy of omega-3 highly unsaturated fatty acids in the treatment of depression. Br J Psychiatry. 2016;209:192-201.
In people who have major depressive disorder or bipolar disorder, do omega-3 fatty acids improve symptoms? In people without a diagnosed depressive disorder, do omega-3 fatty acids prevent depression symptoms?
Depression is a common mood disorder that affects how you feel, think, and behave. It may be mild or more severe and persistent (major depression). Symptoms include feeling sad, losing interest in things you like to do, having trouble thinking or concentrating, or feeling anxious or restless. Bipolar disorder causes extreme mood swings from emotional highs (mania or hypomania) to lows (depression).
Depression is more than just being sad and may get worse if not treated. There are many treatments for depression including drugs, psychotherapies, and other treatments (e.g., exercise, acupuncture, supplements).
Fish oil and certain plant and nut oils provide omega-3 fatty acids through food. Fish oil contains two omega-3 fatty acids called docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA).
The researchers did a systematic review, searching for studies published up to July 2014. They found 35 randomized controlled trials with 11,038 people.
The key features of the trials were:
The researchers grouped studies by DHA and EPA omega-3 fatty acids, and by people with diagnosis of a depressive disorder and those without depressive disorders.
Outcomes were depression symptoms.
DHA omega-3 fatty acids did not improve depression symptoms.
EPA omega-3 fatty acids improved depression symptoms in people with diagnosed disorders.
EPA omega-3 fatty acids did not prevent depression symptoms in people who did not have a diagnosed disorder.
In people with diagnosed depressive disorders, eicosapentaenoic acid (EPA) omega-3 fatty acids improve depression symptoms more than placebo. Omega-3 fatty acids do not prevent depression in people who have not been diagnosed with a depressive disorder.
Type of omega-3 fatty acid | Diagnosis | Number of trials (number of people) | Effect on depression symptoms |
Docosahexaenoic acid (DHA) | With or without depressive disorder | 12 trials (3381 people) | No difference in effect |
Eicosapentaenoic acid (EPA) | With or without depressive disorder | 26 trials (6292 people) | EPA improved symptom scores more than placebo |
Eicosapentaenoic acid (EPA) | Depressive disorder | 19 trials (5038 people) | EPA improved symptom scores more than placebo |
Eicosapentaenoic acid (EPA) | No depressive disorder | 7 trials (969 people) | No difference in effect |