Evidence map›Paper›PMID 32488249›Full record

SynthesisAdvances in nutrition (Bethesda, Md.)2020

Consumption of Fish and ω-3 Fatty Acids and Cancer Risk: An Umbrella Review of Meta-Analyses of Observational Studies.

Keum Hwa Lee, Hyo Jin Seong, Gaeun Kim, Gwang Hun Jeong, Jong Yeob Kim, Hyunbong Park, Eunyoung Jung, Andreas Kronbichler, Michael Eisenhut, Brendon Stubbs and 24 more

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Advances in nutrition (Bethesda, Md.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 8 pooled it
5.9field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 8 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
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  9. High Omega-3, Low Omega-6 Diet With Fish Oil for Men With Prostate Cancer on Active Surveillance: The CAPFISH-3 Randomized Clinical Trial.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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  16. The research progress and potential applications ofThe British journal of nutrition · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 11 countries.

Keum Hwa LeeDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
Hyo Jin SeongYonsei University College of Medicine, Seoul, Republic of Korea.
Gaeun KimKeimyung University College of Nursing, Daegu, Republic of Korea.
Gwang Hun JeongCollege of Medicine, Gyeongsang National University, Jinju, Republic of Korea.
Jong Yeob KimYonsei University College of Medicine, Seoul, Republic of Korea.
Hyunbong ParkYonsei University Graduate School, Department of Nursing, Seoul, Republic of Korea.
Eunyoung JungYonsei University Graduate School, Department of Nursing, Seoul, Republic of Korea.
Andreas KronbichlerDepartment of Internal Medicine IV (Nephrology and Hypertension), Medical University Innsbruck, Innsbruck, Austria.
Michael EisenhutDepartment of Pediatrics, Luton & Dunstable University Hospital NHS Foundation Trust, Luton, United Kingdom.
Brendon StubbsInstitute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.
Marco SolmiDepartment of Neuroscience, University of Padova, Padova, Italy.
Ai KoyanagiParc Sanitari Sant Joan de Déu/CIBERSAM, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
Sung Hwi HongYonsei University College of Medicine, Seoul, Republic of Korea.
Elena DragiotiPain and Rehabilitation Centre, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Leandro Fórnias Machado de RezendeUniversidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Medicina Preventiva, São Paulo, São Paulo, Brazil.
Louis JacobParc Sanitari Sant Joan de Déu/CIBERSAM, Universitat de Barcelona, Fundació Sant Joan de Déu, Sant Boi de Llobregat, Barcelona, Spain.
NaNa KeumDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Hans J van der VlietDepartment of Medical Oncology, Amsterdam UMC, Cancer Center Amsterdam, VU University, Amsterdam, The Netherlands.
Eunyoung ChoDepartment of Dermatology, The Warren Alpert Medical School, Brown University, Providence, RI, USA.
Nicola VeroneseNational Research Council, Neuroscience Institute, Aging Branch, Padova, Italy.
Giuseppe GrossoDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Shuji OginoCancer Immunology and Cancer Epidemiology Programs, Dana-Farber Harvard Cancer Center, Boston, MA, USA.
Mingyang SongDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Joaquim RaduaInstitut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain.
Sun Jae JungDepartment of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA, USA.
Trevor ThompsonDepartment of Psychology, University of Greenwich, London, United Kingdom.
Sarah E JacksonDepartment of Behavioral Science and Health, University College London, London, United Kingdom.
Lee SmithThe Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Chelmsford, United Kingdom.
Lin YangDepartment of Cancer Epidemiology and Cancer Prevention, Alberta Health Services, Calgary, Canada.
Hans OhSchool of Social Work, University of Southern California, CA, USA.
Eun Kyoung ChoiMo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul, Republic of Korea.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea.
Edward L GiovannucciDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Gabriele GamerithInternal Medicine V, Department of Hematology and Oncology, Medical University Innsbruck, Innsbruck, Austria.
Yonsei University · KRHarvard University · USBrigham and Women's Hospital · USInnsbruck Medical University · ATKing's College London · GBAlberta Health Services · CAAnglia Ruskin University · GBBroad Institute · USCancer Center Amsterdam · NLGyeongsang National University · KRInstitució Catalana de Recerca i Estudis Avançats · ESKeimyung University · KRLinköping University · SELuton and Dunstable University Hospital NHS Foundation Trust · GBNeuroscience Institute · ITUniversidade Federal de São Paulo · BRUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversity College London · GBUniversity of Catania · ITUniversity of Greenwich · GB

Funding

Long Term Multidisciplinary Study of Cancer in Women: The Nurses Health StudyUM1CA186107 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER, STAMPFER, MEIR · 2014 to 2023
$22.3M
Accelerating Transdisciplinary Epidemiology of Colorectal CancerR35CA197735 · NCI · DANA-FARBER CANCER INST · PI OGINO, SHUJI · 2015 to 2021
$6.0M
Marine Omega-3 Polyunsaturated Fatty Acid, Gut Microbiome, and Colorectal Cancer PreventionR00CA215314 · NCI · HARVARD SCHOOL OF PUBLIC HEALTH · PI SONG, MINGYANG · 2018 to 2020
$679k
Department of Health ICA-CL-2017-03-001NCI NIH HHS R00 CA215314NCI NIH HHS R35 CA197735NCI NIH HHS UM1 CA186107
6 · The paper itself

Abstract

Multiple studies have suggested that ω-3 fatty acid intake may have a protective effect on cancer risk; however, its true association with cancer risk remains controversial. We performed an umbrella review of meta-analyses to summarize and evaluate the evidence for the association between ω-3 fatty acid intake and cancer outcomes. We searched PubMed, Embase, and the Cochrane Database of Systematic Reviews from inception to December 1, 2018. We included meta-analyses of observational studies that examined associations between intake of fish or ω-3 fatty acid and cancer risk (gastrointestinal, liver, breast, gynecologic, prostate, brain, lung, and skin) and determined the level of evidence of associations. In addition, we appraised the quality of the evidence of significant meta-analyses by using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. We initially screened 598 articles, and 15 articles, including 57 meta-analyses, were eligible. Among 57 meta-analyses, 15 reported statistically significant results. We found that 12 meta-analyses showed weak evidence of an association between ω-3 fatty acid intake and risk of the following types of cancer: liver cancer (n = 4 of 6), breast cancer (n = 3 of 14), prostate cancer (n = 3 of 11), and brain tumor (n = 2 of 2). In the other 3 meta-analyses, studies of endometrial cancer and skin cancer, there were no assessable data for determining the evidence levels. No meta-analysis showed convincing, highly suggestive, or suggestive evidence of an association. In the sensitivity analysis of meta-analyses by study design, we found weak associations between ω-3 fatty acid intake and breast cancer risk in cohort studies, but no statistically significant association in case-control studies. However, the opposite results were found in case of brain tumor risk. Although ω-3 fatty acids have been studied in several meta-analyses with regard to a wide range of cancer outcomes, only weak associations were identified in some cancer types, with several limitations. Considering the nonsignificant or weak evidence level, clinicians and researchers should cautiously interpret reported associations between ω-3 fatty acid consumption and cancer risks.

Indexed as

Fatty Acids, Omega-3NeoplasmsAnimalsCase-Control StudiesCohort StudiesFemaleFishesHumansMaleMeta-Analysis as TopicObservational Studies as TopicRiskFatty Acids, Omega-3cancerfishmeta-analysisumbrella reviewω-3 fatty acid

Identifiers

PMID32488249
PMCPMC7490175
OpenAlexW3030380615

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.