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Impact of Omega-3 Fatty Acids on Cognitive Outcomes in Children With Autism Spectrum Disorder: A Systematic Review

Bushra Sumra, Cyril Kocherry, Hina Shamim, Kiran Jhakri, Moath Al-Shudifat, Lubna Mohammed

Cureus, 2025

6 citations

Abstract

Autism spectrum disorder (ASD) is defined as a complex neurodevelopmental disorder that is characterized by a set of deficits not limited to social communication, which is restricted and repetitive behaviors. The prevalence of autism has been seen to be consistently increasing globally. Autism is multifactorial in its etiology, and it involves several physiological systems, including the central nervous system and the gut-brain axis. Omega-3 fatty acids are essential for neural development and functionality, particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). They both play a crucial role in not only reducing the neuroinflammation associated with autism but also supporting cognitive processing as well. Given the low levels of omega-3 noted in ASD individuals, this systematic review aims to assess the influence of omega-3 supplementation on cognitive outcomes in children with ASD. The systematic review was done following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, where different databases were assessed across PubMed, Science Direct, Cochrane Library, Google Scholar, and Scopus. MeSH terms used included keywords "Omega-3", "EPA", "DHA" AND "Autism Spectrum Disorder" OR "ASD". Articles published between 2007 and 2023 that focused on ages 2 to 18 years were screened, and cognitive outcomes relevant to omega-3 supplementation were included. Studies with inadequate access to full text excluded non-human trials…

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