Evidence supporting the use of: DHA (docosahexaenoic acid)
For the health condition: Rheumatoid Arthritis

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Synopsis

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

DHA and Rheumatoid Arthritis: Scientific Evidence

DHA (docosahexaenoic acid) is an omega-3 fatty acid found primarily in fish oils and is well-known for its anti-inflammatory properties. The use of omega-3 fatty acids, including DHA, in the management of rheumatoid arthritis (RA) is primarily based on scientific research rather than traditional medicine.

Several randomized controlled trials and meta-analyses have investigated the impact of omega-3 supplementation—often combining DHA and EPA (eicosapentaenoic acid)—on symptoms of RA. These studies generally demonstrate modest but clinically meaningful reductions in joint pain, morning stiffness, and the need for nonsteroidal anti-inflammatory drugs (NSAIDs) among RA patients supplementing with omega-3s. The anti-inflammatory effects are thought to arise from the ability of DHA and EPA to compete with arachidonic acid for incorporation into cell membranes and for enzymatic conversion to inflammatory mediators, resulting in a shift toward less inflammatory eicosanoids and increased production of specialized pro-resolving mediators.

While most studies use fish oil supplements containing both DHA and EPA, some evidence suggests that DHA may independently contribute to the anti-inflammatory benefits. However, the majority of the clinical evidence is for combinations rather than DHA alone, and effect sizes are moderate.

Current rheumatology guidelines recognize omega-3 fatty acids as a possible adjunct to standard therapy in RA, but they are not considered a replacement for disease-modifying antirheumatic drugs (DMARDs). Thus, while there is scientific support for the use of DHA (usually with EPA) in RA, the evidence is rated as moderate (3/5) due to variability in study quality and effect size.

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adrenal cortex
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algal oil
alpha-linolenic acid (ALA)
alpha-lipoic acid
alpha-pinene
alpinia galangal
amber
amentoflavone
AMP-activated protein kinase (AMPK)
ampelopsin
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apigenin
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ashwagandha
astaxanthin
astragalin
baicalein
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barbasco
bee venom
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bogbean
borage oil
Boswellia
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bovine cartilage / glycosaminoglycan
C-phycocyanin
cannabidiol
carnosic acid
celery
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Chinese fleeceflower
Chinese pond turtle
chuchuhuasi
clematis
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cod liver oil
coenzyme Q10 (CoQ10)
cortisol
curcumin
cyanidin
d-alpha tocopherol
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diallyl disulfide (DADS)
Dihomo-gamma-linolenic acid
docosahexaenoic Acid
dong quai root
DPA (docosapentaenoic acid)
eicosapentaenoic acid
Eicosatetraenoic acid
EPA (eicosapentaenoic acid)
evening primrose oil
evening primrose oil
fat liver oil
fisetin
fish protein
flavanols
flavones
Flemingia philippinensis
frankincense
fructoborate
Fumaria parviflora
gamma linolenic acid (GLA)
gamma tocopherol
genistein
Gentiana macrophylla
ginger
ginkgetin
green-lipped mussel
guelder rose
Gypenoside
Harpagoside
Hellebore
horse gram
hydroxytyrosol
Hyperoside
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Kaempferol
krill oil
luteolin
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mangiferin
Marine fat
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Myricetin
Myristoleate
Nobiletin
omega-3 fatty acids
Osthole
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Phaeophyceae
phospholipids
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polyunsaturated fat
proteoglycans
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