Evidence supporting the use of: Fish (including shell)
For the health condition: Chronic Obstructive Pulmonary Disorder

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Synopsis

Source of validity: Scientific
Rating (out of 5): 3

Fish, particularly oily fish rich in omega-3 polyunsaturated fatty acids (PUFAs), has some scientific evidence supporting its use in the dietary management of Chronic Obstructive Pulmonary Disease (COPD). Several observational studies have found that higher dietary intake of fish and omega-3 PUFAs is associated with improved lung function, reduced inflammation, and a lower risk of COPD exacerbations. The anti-inflammatory properties of omega-3 fatty acids, such as EPA and DHA, are thought to modulate airway inflammation, which plays a key role in COPD pathogenesis. Meta-analyses and cohort studies suggest that regular fish consumption may have a modest protective effect against the development and progression of COPD, although the results are not entirely consistent and causality has not been definitively established. Shellfish, while also containing omega-3s, is less frequently studied in this context. Overall, fish is recommended as part of a healthy diet for individuals with COPD by several respiratory and nutritional guidelines, primarily due to its potential to reduce systemic inflammation and support overall lung health. However, fish or shellfish is not a substitute for standard COPD therapies, and the evidence is moderate rather than strong, warranting a rating of 3 out of 5.

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