ArticleFrontiers in nutrition2025
The NMR-measured omega-6/omega-3 fatty acid ratio improves cardiovascular risk prediction.
Article in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- The controversial role of linoleic acid in cardiometabolic health: from molecular pathways to human studies.Frontiers in nutrition · 2025Review
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8 authors.
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Abstract
Background: Improving 10-year cardiovascular risk prediction beyond the established SCORE2 algorithm is a clinical need. The plasma omega-6/omega-3 (O6:O3) polyunsaturated fatty acid (PUFA) ratio, a marker of inflammatory balance, is a promising biomarker for enhancing risk stratification. We aimed to evaluate if adding the O6:O3 ratio to the SCORE2 model improves the prediction of major adverse cardiovascular events (MACE). Methods: We conducted a prospective cohort study of 183,230 UK Biobank participants (aged 50-69 years, free of baseline cardiovascular disease or diabetes). The plasma O6:O3 ratio was measured by nuclear magnetic resonance (NMR) spectroscopy. We compared the predictive performance of the SCORE2 model with and without the O6:O3 ratio in an independent validation cohort ( Results: In the validation set, adding the O6:O3 ratio to SCORE2 significantly increased the C-index from 0.742 (95% CI: 0.738-0.746) to 0.747 (95% CI: 0.743-0.751) ( Conclusion: Incorporating the plasma O6:O3 PUFA ratio provides a modest but statistically significant improvement in 10-year MACE risk prediction with the SCORE2 algorithm. As a modifiable biomarker, the O6:O3 ratio holds potential to refine risk stratification and guide personalized nutritional interventions.
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