Clinical Rheumatology

, Volume 31, Issue 2, pp 363–366

Omega-3 fatty acids in juvenile idiopathic arthritis: effect on cytokines (IL-1 and TNF-α), disease activity and response criteria

  • Tamer Gheita
  • Sahar Kamel
  • Neveen Helmy
  • Nabila El-Laithy
  • Amira Monir
Brief Report

DOI: 10.1007/s10067-011-1848-5

Cite this article as:
Gheita, T., Kamel, S., Helmy, N. et al. Clin Rheumatol (2012) 31: 363. doi:10.1007/s10067-011-1848-5

Abstract

This study aims to demonstrate the effect of omega-3 fatty acids (ω-3 FAs) supplements on the clinical manifestations, laboratory investigations, disease activity, functional capacity, response criteria as well as interleukin-1 (IL-1) and tumor necrosis factor-α (TNF-α) levels in juvenile idiopathic arthritis (JIA) patients. Twenty-seven JIA patients were included in this study. Dietary supplements of ω-3 FAs 2 g/day were given for 12 weeks. Juvenile arthritis disease activity score in 27 joints (JADAS-27) and pediatric American College of Rheumatology (ACR) response criteria were determined. Childhood Health Assessment Questionnaire (CHAQ) was used to measure the functional status. Assessment of serum IL-1 and TNF-α level was performed using enzyme-linked immunosorbent assay. The mean age of the patients was 12.78 ± 3.26 years, the disease duration was 5.93 ± 3.06 years, and the age at disease onset was 6.78 ± 3.26 years. The TNF-α and IL-1 were significantly higher in the JIA patients compared to the control. There was a significant improvement of active joint count, number of swollen joints, JADAS-27, CHAQ, TNF-α, and IL-1 levels. The pediatric ACR response criteria improved in 92.59% of the patients. The daily requirements of nonsteroidal anti-inflammatory drugs (NSAIDs) obviously decreased. ω-3 FAs supplements reduce the inflammatory response and improve the clinical manifestation in JIA patient. The daily intake of NSAID dose decreased thus reducing the risk of related side effects. Our results support the use of omega-3 fatty acids as an add-on therapy to conventional treatment of JIA.

Keywords

Disease activityIL-1Juvenile idiopathic arthritisOmega-3 fatty acidsTNF-α

Copyright information

© Clinical Rheumatology 2011

Authors and Affiliations

  • Tamer Gheita
    • 1
  • Sahar Kamel
    • 1
  • Neveen Helmy
    • 3
  • Nabila El-Laithy
    • 2
  • Amira Monir
    • 3
  1. 1.Rheumatology Department, Faculty of MedicineCairo UniversityGizaEgypt
  2. 2.Chemical Pathology DepartmentNational Research CentreGizaEgypt
  3. 3.Child Health DepartmentNational Research CentreGizaEgypt