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Fatty acid

Docosahexaenoic Acid

Docosahexaenoic acid (DHA) is a long-chain omega-3 fatty acid found in fatty fish and algae. It is especially concentrated in the brain and retina.

Also listed as DHA, DHA (Docosahexaenoic Acid)

Does DHA improve memory?

A 2015 review found a small benefit for episodic memory, the recall of events, in adults with mild memory complaints, but not a clear benefit across all participants. Working and semantic memory did not improve relative to controls. Studies used DHA alone or with EPA; the review had omega-3 industry funding. 1

MemoryMixed

The signal was limited to particular memory measures and groups, not general cognitive improvement. 1

Can it slow Alzheimer disease?

In 402 adults with mild to moderate Alzheimer disease, 2 g of algal DHA daily for 18 months did not slow cognitive or functional decline compared with placebo. This treatment trial does not answer whether lifelong dietary intake affects disease risk. 2

MemoryNot supported

DHA did not slow decline in this Alzheimer trial; that is not a trial of everyday brain fog. 2

What does pregnancy research show?

A Cochrane review of 70 trials found fewer births before 37 weeks with added long-chain omega-3s: 11.9% versus 13.4%. Pregnancies beyond 42 weeks probably increased. The interventions included different omega-3 foods and supplements, so the pooled result is not an isolated-DHA estimate. 3

Prenatal SupportSupported

Added long-chain omega-3 intake reduced preterm birth in the review; product and pregnancy context still matter. 3

Does DHA lower cholesterol?

A review of six studies using more than 2 g/day of highly purified EPA or DHA found lower triglycerides with both. DHA also raised LDL cholesterol. Lower triglycerides therefore should not be described as an across-the-board cholesterol improvement. 4

Cholesterol balanceMixed

DHA lowered triglycerides but could raise LDL cholesterol. 4

Does its role in the eye translate into prevention?

DHA is concentrated in the retina, but a trial of combined EPA and DHA in healthy people did not prevent dry eye over 5.3 years. 5

What is outside this review?

This page does not evaluate DHA for inflammation, attention disorders or low energy; eye findings here concern dry eye prevention only.

Effects by health goal

Open an effect to see the studies behind its rating. Bars show the size of the effect; the letter grades the evidence.

Cognition4 effects

Brain FogCognitionModerateB3 studies
Focus And AttentionCognitionSmallB2 studies
MemoryCognitionSmallB3 studies
Mental EnergyCognitionSmallC2 studies

All studies

19 publications are linked to Docosahexaenoic Acid, newest first.

The differential effects of eicosapentaenoic acid and docosahexaenoic acid on cardiovascular risk factors: an updated systematic review of randomized controlled trials2024Docosahexaenoic Acid and Pregnancy: A Systematic Review and Meta-Analysis of the Association with Improved Maternal and Fetal Health.2024The impact of docosahexaenoic acid on maternal mental health: scoping review.2023Effects of dietary eicosapentaenoic acid and docosahexaenoic acid supplementation on metabolic syndrome: A systematic review and meta-analysis of data from 33 randomized controlled trials.2021Antioxidant Activity and Neuroprotective Role of Docosahexaenoic Acid (DHA) Supplementation in Eye Diseases That Can Lead to Blindness: A Narrative Review2021Health benefits of docosahexaenoic acid and its bioavailability: A review2021Higher dose docosahexaenoic acid supplementation during pregnancy and early preterm birth: A randomised, double-blind, adaptive-design superiority trial2021Omega Fatty Acids and Inflammatory Bowel Diseases: An Overview2019Effect of Prenatal Docosahexaenoic Acid Supplementation on Blood Pressure in Children With Overweight Condition or Obesity2019The Differential Effects of Eicosapentaenoic Acid and Docosahexaenoic Acid on Cardiometabolic Risk Factors: A Systematic Review2018The pleiotropic effects of omega-3 docosahexaenoic acid on the hallmarks of Alzheimer's disease.2016Beneficial effects of dietary docosahexaenoic acid intervention on cognitive function and mental health of the oldest elderly in Japanese care facilities and nursing homes2016Docosahexaenoic Acid and Adult Memory: A Systematic Review and Meta-Analysis2015Docosahexaenoic Acid Affects Markers of Inflammation and Muscle Damage After Eccentric Exercise2014The effects of 90-day supplementation with the Omega-3 essential fatty acid docosahexaenoic acid (DHA) on cognitive function and visual acuity in a healthy aging population2012Docosahexaenoic acid-concentrated fish oil supplementation in subjects with mild cognitive impairment (MCI): a 12-month randomised, double-blind, placebo-controlled trial2012Docosahexaenoic acid supplementation increases prefrontal cortex activation during sustained attention in healthy boys: a placebo-controlled, dose-ranging, functional magnetic resonance imaging study.2010Dietary docosahexaenoic and eicosapentaenoic acid: emerging mediators of inflammation.2009Maternal DHA and the development of attention in infancy and toddlerhood.2004

Sources

  1. Omega-3 Fatty Acids: Consumer Fact Sheet NIH Office of Dietary Supplements