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Table 1 The characteristics of included studies

From: Effects of n-3 polyunsaturated fatty acid on metabolic status in women with polycystic ovary syndrome: a meta-analysis of randomized controlled trials

Study

Country

Study design

Diagnostic criteria

Sample size

Diet type

Study duration (weeks)

Outcomes

Intervention group

Control group

Intervention group

Control group

Amini 2018 [20]

Iran

Randomized, double blinded

Rotterdam criteria

27

27

Fish oil n-3 PUFA supplements 2000 mg/d (Marine derived)

Paraffin oil (placebo) 100 mg/d

12

BW,BMI,hs-CRP,QUICK,FPG, FINS, HOMA-IR, TG, TC, LDL-C, HDL-C,VLDL-C

Cussons 2009 [32]

Australia

Randomized, double blinded

Rotterdam criteria

12

13

Fish oil n-3 PUFA 4000 mg/d (Marine derived)

olive oil (placebo) 4000 mg/d

8

BMI,hs-CRP,FPG, FINS, HOMA-IR, TG, TC, LDL-C, HDL-C

Ebrahimi 2017 [30]

Iran

Randomized, double blinded

Rotterdam criteria

34

34

Flaxseed oil n-3 PUFA 1000 mg/d (Plant origins) + vitamin E 400 IU/d

Placebo

12

BW,BMI,QUICK,FPG, FINS, HOMA-IR

Jamilian 2018 [33]

Iran

Randomized, double blinded

Rotterdam criteria

30

30

Fish oil n-3 PUFA 2000 mg/d (Marine derived) + vitamin E 50,000 IU/2 weeks

Placebo

12

BMI, BW, hs-CRP

Khani 2017 [19]

Iran

Randomized, double blinded

NIH criteria

43

44

n-3 PUFA supplements 2000 mg/d (360 mg EPA and 240 mg DHA) (Marine derived)

Olive oil (placebo) 2000 mg/d

24

BMI,WC,FPG, TG, TC, LDL-C, HDL-C

Mejia-Montilla 2018 [26]

Venezuela

Randomized, double blinded

Specialists Consensus

97

98

n-3 PUFA supplements 1000 mg/d (180 mg EPA and 120 mg DHA)

Paraffin oil (placebo) 1000 mg/d

12

BMI,FINS, HOMA-IR, TG, TC, LDL-C, HDL-C,Adiponectin

Mirmasoumi 2018 [21]

Iran

Randomized, double blinded

Rotterdam criteria

30

30

Flaxseed oil

n-3 PUFA 2000 mg/d (Plant origins)

Paraffin oil (placebo) 500 mg/d

12

BW,BMI,hs-CRP,QUICK,FPG, FINS, HOMA-IR, TG, TC, LDL-C, HDL-C,VLDL-C

Mohammadi 2012 [31]

Iran

Randomized, double blinded

Rotterdam criteria

30

31

n-3 PUFA supplements 4000 mg/d (720 mg

EPA and 480 mg DHA) (Marine derived)

Paraffin oil (placebo) 500 mg/d

8

BW,BMI,WC,hs-CRP,FPG, FINS, HOMA-IR, TG, TC, LDL-C, HDL-C,Adiponectin

Nadjarzadeh 2015 [34]

Iran

Randomized, double blinded

Rotterdam criteria

39

39

n-3 PUFA supplements 1000 mg/d (180 mg EPA and 120 mg DHA)

Paraffin oil (placebo) 1000 mg/d

12

BMI,WC,Adiponectin

Rahmani 2017 [29]

Iran

Randomized, double blinded

Rotterdam criteria

34

34

Flaxseed oil

n-3 PUFA 1000 mg/d (Plant origins) + Vitamin E 400 IU/d

Placebo

12

BW,BMI,TG, TC, LDL-C, HDL-C,VLDL-C

Talari 2018 [35]

Iran

Randomized, double blinded

Rotterdam criteria

30

30

Flaxseed oil

n-3 PUFA 1000 mg/d (Plant origins) + Vitamin E 400 IU/d

Placebo

12

hs-CRP

  1. Abbreviations: BW body weight, BMI body mass index, DHA docosahexaenoic acid, EPA eicosapentaenoic acid, FPG fasting plasma glucose, FINS fasting insulin, HDL-C high-density lipoprotein cholesterol, HOMA-IR homeostatic model of assessment for insulin resistance, hs-CRP high sensitivity C-reactive protein, LDL-C low-density lipoprotein cholesterol, n-3 PUFA n-3 polyunsaturated fatty acid, QUICK quantitative insulin sensitivity check index, TC total cholesterol, TG triglycerides, VLDL-C very low density lipoprotein-cholesterol