Effects of omega-3 on depression: A systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v15i3.50696

Keywords:

Fatty acids, Omega 3, Depression.

Abstract

Objective: to evaluate the effects of omega-3 and find a consensus in the literature on dose/effectiveness. Methods: systematic review, with searches in databases and virtual libraries: Google Scholar, LILACS, MEDLINE/PubMed, Web of Science, and SciElo, using the terms "omega-3," "stress," and "oxidative stress." Conducted between January and March 2024. Studies that answered the guiding question "Does omega-3 improve depression?" were included. The Inclusion criteria were case-control studies in humans conducted in the last 5 years. Results: omega-3 improves depression and its symptoms. It was observed that the doses of EPA and DHA varied among the studies, but beneficial effects were observed even with low doses. Most studies used standardized questionnaires to measure the degree of depression and specific biomarkers for inflammation. Conclusion: omega-3 supplementation may be beneficial for the prevention and treatment of juvenile, senile, pre- and postpartum depression, closely relating it to inflammation. Future studies should focus on standardizing EPA and DHA dosages and consider the effects of supplement combinations. Omega-3 supplementation should be considered a necessary intervention to reduce the symptoms and occurrence of depression.

References

Borsini, A., Nicolaou, A., Camacho-Muñoz, D., Kendall, A. C., Di Benedetto, M. G., Giacobbe, J., Su, K.-P., & Pariante, C. M. (2021). Omega-3 polyunsaturated fatty acids protect against inflammation through production of LOX and CYP450 lipid mediators: relevance for major depression and for human hippocampal neurogenesis. Molecular Psychiatry, 26 (11), 6773-6788. https://doi.org/10.1038/s41380-021-01160-8

Carnegie, R., Araya, R., Ben-Shlomo, Y., Hemani, G., & Lewis, G. (2022). Omega-3 fatty acids and major depression: a mendelian randomization study. Translational Psychiatry, 14 (1), 222. https://doi.org/10.1038/s41398-024-02932-w

Chae, M., & Park, K. (2021). Association between dietary omega-3 fatty acid intake and depression in postmenopausal women. Nutrition Research and Practice, 15 (4), 468-478. https://doi.org/10.4162/nrp.2021.15.4.468

Chukaew, P., Leow, A., Saengsawang, W., & Rasenick, M. M. (2021). Potential depression and antidepressant-response biomarkers in human lymphoblast cell lines from treatment-responsive and treatment-resistant subjects: roles of ssris and omega-3 polyunsaturated fatty acids. Molecular Psychiatry, 26 (6), 2402-2414. https://doi.org/10.1038/s41380-020-0724-6

Ciesielski, T. H., & Williams, S. M. (2020). Low omega-3 intake is associated with high rates of depression and preterm birth on the country level. Scientific Reports, 10 (1), 19749. https://doi.org/10.1038/s41598-020-76552-x

Costello, L. A., Hartman, T. J., Wactawski-Wende, J., & O’Brien, K. O. (2024). Pre-pregnancy overweight or obesity moderates the association between prenatal maternal depression and infant cord blood omega-3 levels. BMC Pregnancy and Childbirth, 24 (1), 535. https://doi.org/10.1186/s12884-024-06732-4

Crossetti, M. G. O. (2012). Revisão integrativa de pesquisa na enfermagem: o rigor científico que lhe é exigido. Revista Gaúcha de Enfermagem, 33(2), 8–9. https://doi.org/10.1590/S1983-14472012000200001

Dyerberg, J., Madsen, P., Møller, J. M., Aardestrup, I., & Schmidt, E. B. (2010). Bioavailability of marine n-3 fatty acid formulations. Prostaglandins, Leukotrienes and Essential Fatty Acids, 83 (3), 137-141. https://doi.org/10.1016/j.plefa.2010.06.007

Gao, J., Liu, R., Wang, Y., Li, J., Zhao, Z., Zhang, Y., & Wang, X. (2024). Association between serum omega-3 pufas levels and cognitive impairment in never medically treated first-episode patients with geriatric depression: a cross-sectional Study. Journal of Affective Disorders, 346, 1-6. https://doi.org/10.1016/j.jad.2023.10.153

Li, S., Zhang, Y., Wang, Y., Liu, X., Zhao, J., & Wang, X. (2024). Omega-3 supplementation improves depressive symptoms, cognitive function and niacin skin flushing response in adolescent depression: a randomized controlled clinical trial. Journal of Affective Disorders, 345, 394-403. https://doi.org/10.1016/j.jad.2023.10.151

Lin, C., Su, K.-P., Huang, S.-Y., Chen, Y.-C., & Chang, J. P.-C. (2024). Cognitive protection and brain entropy changes from omega-3 polyunsaturated fatty acids supplement in late-life depression: a 52-week randomized controlled trial. Journal of Affective Disorders, 351, 15-23. https://doi.org/10.1016/j.jad.2024.01.205

Mac Giollabhui, N., Ellman, L. M., Coe, C. L., Byrne, M. L., Abramson, L. Y., & Alloy, L. B. (2023). Individuals with depression exhibiting a pro-inflammatory phenotype receiving omega-3 polyunsaturated fatty acids experience improved motivation-related cognitive function: preliminary results from a randomized controlled trial. Brain, Behavior & Immunity – Health, 32, 100666. https://doi.org/10.1016/j.bbih.2023.100666

Mac Giollabhui, N., Ellman, L. M., Coe, C. L., Byrne, M. L., Abramson, L. Y., & Alloy, L. B. (2024). Dysregulated inflammatory physiology and cognitive impairment in individuals with depression exhibiting a pro-inflammatory phenotype and receiving omega-3 polyunsaturated fatty acids. Psychoneuroendocrinology, 160, 106713. https://doi.org/10.1016/j.psyneuen.2023.106713

Madison, A. A., Kiecolt-Glaser, J. K., Malarkey, W. B., & Belury, M. A. (2023). Omega-3 fatty acids reduce depressive symptoms only among the socially stressed: a corollary of the social signal transduction theory of depression. Health Psychology, 42 (7), 448-459. https://doi.org/10.1037/hea0001301

Mehdi, S., Hassan, A., Ahmad, R., & Mahmood, T. (2023). Omega-3 fatty acids supplementation in the treatment of depression: an observational study. Journal of Personalized Medicine, 13 (2), 224. https://doi.org/10.3390/jpm13020224

Murphy, R. A., Devarshi, P. P., Ekimura, S., Marshall, K., & Mitmesser, S. H. (2021). Serum long chain omega-3 fatty acids and depression among adults in the united states: an analysis of NHANES 2011-2012. Journal of Affective Disorders Reports, 4, 100089. https://doi.org/10.1016/j.jadr.2021.100089

Nagayasu, Y., Suzuki, S., Yamashita, H., Kubota, T., & Takeda, S. (2021). Possible prevention of post-partum depression by intake of omega-3 polyunsaturated fatty acids and its relationship with interleukin 6. Journal of Obstetrics and Gynaecology Research, 47 (4), 1371-1379. https://doi.org/10.1111/jog.14592

National Institute of Mental Health. (2021). Depression: Overview. NIH. https://www.nimh.nih.gov/health/topics/depression

Okereke, O. I., Cook, N. R., Albert, C. M., Van Denburgh, M., Buring, J. E., & Manson, J. E. (2021). Effect of long-term supplementation with marine omega-3 fatty acids vs placebo on risk of depression or clinically relevant depressive symptoms and on change in mood scores: a randomized clinical trial. JAMA, 326 (23), 2385-2394. https://doi.org/10.1001/jama.2021.21187

Oravcova, H., Katrencikova, B., Garaiova, I., Durackova, Z., Trebaticka, J., & Jezova, D. (2022). Stress hormones cortisol and aldosterone, and selected markers of oxidative stress in response to long-term supplementation with omega-3 fatty acids in adolescent children with depression. Antioxidants, 11 (8), 1546. https://doi.org/10.3390/antiox11081546

Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). Metodologia da pesquisa científica. Editora da UFSM. https://repositorio.ufsm.br/handle/1/15824

Risemberg, R. I. C., Silva, A. C. P., Souza, M. L., & Andrade, J. S. (2026). A importância da metodologia científica no desenvolvimento de artigos científicos. E-Acadêmica, 7(1), e0171675. https://eacademica.org/eacademica/article/view/675

Sikka, P., Behl, T., Kumar, A., Sehgal, A., Singh, S., & Bungau, S. (2021). Exploring the therapeutic potential of omega-3 fatty acids in depression. Environmental Science and Pollution Research International, 28 (32), 43021-43034. https://doi.org/10.1007/s11356-021-14884-5

Snyder, H. (2019). Literature review as a research methodology: An overview and guidelines. Journal of Business Research, 104, 333–339. https://doi.org/10.1016/j.jbusres.2019.07.039

Suneson, K., Lindqvist, D., Andiné, P., & Erhardt, S. (2024). Omega-3 fatty acids for inflamed depression: a match/mismatch study. Brain, Behavior and Immunity, 118, 192-201. https://doi.org/10.1016/j.bbi.2024.02.029

Thesing, C. S., Bot, M., Milaneschi, Y., Giltay, E. J., Penninx, B. W. J. H., & Kamphuis, M. H. (2020). Supplementation-induced increase in circulating omega-3 serum levels is not associated with a reduction in depressive symptoms: results from the moodfood depression prevention trial. Depression and Anxiety, 37 (11), 1079-1088. https://doi.org/10.1002/da.23092

van der Wurff, I. S. M., Meyer, B. J., de Groot, R. H. M., & Jolles, J. (2020). Exploring the association between whole blood omega-3 index, dha, epa, dpa, aa and n-6 dpa, and depression and self-esteem in adolescents of lower general secondary education. European Journal of Nutrition, 59 (2), 843-854. https://doi.org/10.1007/s00394-019-02175-2

World Health Organization. (2020). Depressive disorder (depression). WHO. https://www.who.int/news-room/fact-sheets/detail/depression

Wu, S.-K., Chen, W.-J., Chang, J. P.-C., Guu, T.-W., Hsin, M.-C., Huang, C.-K., Mischoulon, D., Capuron, L., & Su, K.-P. (2023). Personalized medicine of omega-3 fatty acids in depression treatment in obese and metabolically dysregulated patients. Journal of Personalized Medicine, 13(6), 1003. https://doi.org/10.3390/jpm13061003

Xue, Y., Zhang, Y., Liu, X., Yang, C., Wang, Y., & Zhao, J. (2024). Omega-3 polyunsaturated fatty acids supplementation improves memory in first-diagnosed, drug-naïve patients with depression: secondary analysis of a randomized controlled trial. Journal of Affective Disorders, 350, 403-410. https://doi.org/10.1016/j.jad.2024.01.149

Published

2026-03-05

Issue

Section

Health Sciences

How to Cite

Effects of omega-3 on depression: A systematic review. Research, Society and Development, [S. l.], v. 15, n. 3, p. e1215350696, 2026. DOI: 10.33448/rsd-v15i3.50696. Disponível em: https://rsdjournal.org/rsd/article/view/50696. Acesso em: 24 mar. 2026.