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A systematic review of the effects of increasing arachidonic acid intake on PUFA status, metabolism and health-related outcomes in humans

British Journal of Nutrition
Q1
May 2019
Citations: 35
Influential: 1
Systematic Reviews / Meta-Analyses
80

What this study found

Increasing ARA intake reliably raised ARA content in blood compartments, and the response appeared dose-dependent with possible saturation at higher intakes. Across adults, there were few marked health benefits from increasing ARA from typical levels to higher doses, and most studies reported no adverse effects on blood lipids, platelet aggregation, immune and inflammatory markers, or urinary ARA metabolites up to about 1000-1500 mg/day. Some studies suggested possible cognitive or muscle-function effects in older adults, but these findings need confirmation. Overall, the evidence was…

Study & population
This was a systematic review of randomized controlled trials in humans evaluating higher ARA intake.
Intervention
Arachidonic acid (ARA) was tested as foods or supplements across randomized human trials, with active regimens ranging from 40 mg/day to 2 g/day.
Key limitation
The included trials were small and heterogeneous in dose, duration, population, and outcome assessment, and many had unclear risk of bias.
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Original abstract

Abstract We conducted a systematic review of randomised controlled trials (RCT) of increased intake of arachidonic acid (ARA) on fatty acid status and health outcomes in humans. We identified twenty-two articles from fourteen RCT. Most studies were conducted in adults. These used between 80 and 2000 mg ARA per d and were of 1–12 weeks duration. Supplementation with ARA doses as low as 80 mg/d increased the content of ARA in different blood fractions. Overall there seem to be few marked benefits for adults of increasing ARA intake from the typical usual intake of 100–200 mg/d to as much as 1000 mg/d; the few studies using higher doses (1500 or 2000 mg/d) also report little benefit. However, there may be an impact of ARA on cognitive and muscle function which could be particularly relevant in the ageing population. The studies reviewed here suggest no adverse effects in adults of increased ARA intake up to at least 1000–1500 mg/d on blood lipids, platelet aggregation and blood clotting, immune function, inflammation or urinary excretion of ARA metabolites. However, in many areas there are insufficient studies to make firm conclusions, and higher intakes of ARA are deserving of further study. Based on the RCT reviewed, there are not enough data to make any recommendations for specific health effects of ARA intake.

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