Ácidos grasos omega-3 en la prevención y tratamiento de la aterosclerosis

Autores/as

DOI:

https://doi.org/10.29057/icsa.v14i28.16301

Palabras clave:

Fuentes de omega-3, aterosclerosis, EPA, DHA, ALA, placa aterosclerótica

Resumen

La aterosclerosis es una condición de carácter inflamatorio crónica, se manifiesta por la acumulación de lípidos como el colesterol LDL dentro de la pared arterial, desarrollando una placa ateroesclerótica lo que conlleva al aumento de algún riesgo de evento cardiovascular, entre los factores que influyen en su desarrollo se encuentra la disfunción endotelial, el estrés oxidativo y una dieta inadecuada. Diversos estudios han demostrado que los ácidos grasos omega-3, especialmente el EPA y DHA, encontrados en pescados grasos y aceites marinos, tienden a ejercer efectos cardioprotectores mediante diferentes mecanismos como antiinflamatorios y antitrombóticos, mejorando la función endotelial por lo que al incorporar estos ácidos grasos en la membrana celular permite la producción de mediadores lipídicos que contribuyen a la resolución de la inflamación. Hasta el momento la evidencia científica respalda el uso de los omega-3 como parte de una estrategia eficaz para prevenir y ralentizar el desarrollo de la aterosclerosis con el propósito de reducir el riesgo cardiovascular.

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[1] Durgesh Nandini, R., Devi, N., Gupta, J., & Singh, N. (2024). Review article on: Atherosclerosis. Journal of Xidian University, 18(3), 1035–1059.

https://doi.org/10.37896/jxu18.3/074

[2] Madaudo, C., Coppola, G., Parlati, A. L. M., & Corrado, E. (2024). Discovering inflammation in atherosclerosis: Insights from pathogenic pathways to clinical practice. International Journal of Molecular Sciences, 5(11), 6016. https://doi.org/10.3390/ijms25116016

[3] Jebari-Benslaiman, S., Galicia-García, U., Larrea-Sebal, A., Olaetxea, J. R., Alloza, I., Vandenbroeck, K., Benito-Vicente, A., & Martín, C. (2022). Pathophysiology of atherosclerosis. International Journal of Molecular Sciences, 3(6), 3346. https://doi.org/10.3390/ijms23063346

[4] World Health Organization. (2023). Cardiovascular diseases (CVDs). https://www.who.int/health-topics/cardiovascular-diseases

[5] Organización Panamericana de la Salud. (2021). La carga de las enfermedades cardiovasculares en la Región de las Américas, 2000–2019. Portal de Datos de NMH https://www.paho.org/es/enlace/carga-enfermedades-cardiovasculares

[6] Diab, A., Dastmalchi, L. N., Gulati, M., & Michos, E. D. (2023). A heart‑healthy diet for cardiovascular disease prevention: Where are we now? Vascular Health and Risk Management, 19, 37–253. https://doi.org/10.2147/VHRM.S379874

[7] Martínez-González, M. Á., & Hernández Hernández, A. (2024). Efecto de la dieta mediterránea en la prevención cardiovascular. Revista Española de Cardiología (English Edition), 77(7), 574–582. https://doi.org/10.1016/j.rec.2024.01.006

[8] Patted, P. G., Masareddy, R. S., Patil, A. S., Kanabargi, R. R., & Bhat, C. T. (2024). Omega-3 fatty acids: A comprehensive scientific review of their sources, functions and health benefits. Future Journal of Pharmaceutical Sciences, 10, Art. 94. https://doi.org/10.1186/s43094-024-00667-5

[9] Belardo, D., Michos, E. D., Blankstein, R., Blumenthal, R. S., Ferdinand, K. C., Hall, K., Klatt, K., Natarajan, P., Ostfeld, R. J., Reddy, K., Rodriguez, R., Sriram, U., Tobias, D. K., & Gulati, M. (2022). Practical, evidence-based approaches to nutritional modifications to reduce atherosclerotic cardiovascular disease: An American Society for Preventive Cardiology clinical practice statement. American Journal of Preventive Cardiology, 10, Article 100323. https://doi.org/10.1016/j.ajpc.2022.100323

[10] Rai, V. (2024). High-fat diet, epigenetics, and atherosclerosis: A narrative review. Nutrients, 17(1), 127. https://doi.org/10.3390/nu17010127

[11] Pedro-Botet, J., Climent, E., & Benaiges, D. (2024). LDL cholesterol: The causal role in atherosclerosis. Clínica e Investigación en Arteriosclerosis. https://doi.org/10.1016/j.arteri.2024.02.002

[12] Alradwan, I., AL Fayez, N., Alomary, M. N., Alshehri, A. A., Aodah, A. H., Almughem, F. A., Alsulami, K. A., Aldossary, A. M., Alawad, A. O., Tawfik, Y. M. K., & Tawfik, E. A. (2024). Emerging trends and innovations in the treatment and diagnosis of atherosclerosis and cardiovascular disease: A comprehensive review towards healthier aging. Pharmaceutics, 16(8), 1037. https://doi.org/10.3390/pharmaceutics16081037

[13] Ajoolabady, A., Pratico, D., Lin, L., Mantzoros, C. S., Bahijri, S., Tuomilehto, J., & Ren, J. (2024). Inflammation in atherosclerosis: Pathophysiology and mechanisms. Cell Death & Disease, 15, Article 817. https://doi.org/10.1038/s41419-024-07166-8

[14] Zhang, C., Xie, Y., Zhou, J., Zhang, C., Xiang, Q., Zhong, Y., Xiao, J., Feng, J., Liao, B., Chen, X., & Deng, L. (2025). Effects of omega‐3 fatty acids intake on lipid metabolism and plaque volume in patients with coronary heart disease: A systematic review and dose–response meta‐analysis of randomized clinical trials. Food Science & Nutrition, 13(6), e70372. https://doi.org/10.1002/fsn3.70372

[15] Djuricic, I., & Calder, P. C. (2024). Omega-3 (n-3) fatty acid–statin interaction: Evidence for a novel therapeutic strategy for atherosclerotic cardiovascular disease. Nutrients, 16(7), 962. https://doi.org/10.3390/nu16070962

[16] Stewart, J. (2020). Primary prevention of cardiovascular disease: Updated review of European and American guidelines. European Journal of Preventive Cardiology, 7(8), 741–750. https://doi.org/10.1177/2048004020949326

[17] Reyes-Soffer, G. (2021). Triglyceride-rich lipoproteins and atherosclerotic cardiovascular disease risk: Current status and treatments. Current Opinion in Endocrinology, Diabetes and Obesity, 28(2), 85–89. https://doi.org/10.1097/MED.0000000000000619

[18] Ferrari, R., Censi, S., & Cimaglia, P. (2020). El viaje de los ácidos grasos omega 3 en la medicina cardiovascular. European Heart Journal Supplements, 2(Suppl J), J49–J53. https://doi.org/10.1093/eurheartj/suaa118

[19] Riccardi, G., Giosuè, A., Calabrese, I., & Vaccaro, O. (2022). Dietary recommendations for prevention of atherosclerosis. Cardiovascular Research, 118(5), 1188–1204. https://doi.org/10.1093/cvr/cvab173

[20] Bhatt, D. L., Steg, P. G., Miller, M., Brinton, E. A., Jacobson, T. A., Ketchum, S. B., Doyle, R. T., Juliano, R. A., Jiao, L., Granowitz, C., Tardif, J. C., & Ballantyne, C. M.; REDUCE-IT Investigators. (2019). Cardiovascular risk reduction with icosapent ethyl for hypertriglyceridemia. The New England Journal of Medicine, 380(1), 11–22. https://doi.org/10.1056/NEJMoa1812792

[21] Li, M., Li, Z., & Fan, Y. (2025). Omega-3 fatty acids: multi-target mechanisms and therapeutic applications in neurodevelopmental disorders and epilepsy. Frontiers in Nutrition, 12, 1598588. https://doi.org/10.3389/fnut.2025.1598588

[22] Yan, H., Zhang, S., Yang, L., Jiang, M., Xin, Y., Liao, X., Li, Y., & Lu, J. (2024). The antitumor effects of α-linolenic acid. Journal of Personalized Medicine, 14(3), 60. https://doi.org/10.3390/jpm14030260

[23] Takic, M., Pokimica, B., Petrovic-Oggiano, G., & Popovic, T. (2022). Efectos del tratamiento dietético con ácido α-linolénico y la eficiencia de su conversión a ácidos eicosapentaenoico y docosahexaenoico en la obesidad y enfermedades relacionadas. Molecules, 7(14), 4471. https://doi.org/10.3390/molecules27144471

[24] Fu, Y., Wang, Y., Gao, H., Li, D., Jiang, R., Ge, L., Tong, C., & Xu, K. (2021). Associations among dietary omega-3 polyunsaturated fatty acids, the gut microbiota, and intestinal immunity. Mediators of Inflammation, 021, 8879227. https://doi.org/10.1155/2021/8879227

[25] Yapışlar, H., Çolak, İ., & Yılmaz, S. (2024). El ácido docosahexaenoico (DHA) alivia la inflamación y el daño inducidos por la colitis experimental. European Journal of Nutrition, 63(7), 801–2813. https://doi.org/10.1007/s00394-024-03468-x

[26] Hu, R., Xu, J., Hua, Y., Li, Y., & Li, J. (2024). Could early life DHA supplementation benefit neurodevelopment? A systematic review and meta-analysis. Frontiers in Neurology, 15, 1295788. https://doi.org/10.3389/fneur.2024.1295788

[27] 26 Hull, M. A., Ow, P. L., Ruddock, S., Brend, T., Smith, A. F., Marshall, H., Song, M., Chan, A. T., Garrett, W. S., Yilmaz, Ö., Drew, D. A., Collinson, F., Cockbain, A. J., Jones, R., Loadman, P. M., Hall, P. S., Moriarty, C., Cairns, D. A., & Toogood, G. J. (2023). Randomised, placebo-controlled, phase 3 trial of the effect of the omega-3 polyunsaturated fatty acid eicosapentaenoic acid (EPA) on colorectal cancer recurrence and survival after surgery for resectable liver metastases: EPA for Metastasis Trial (EMT2) study protocol. BMJ Open, 13(11), e077427. https://doi.org/10.1136/bmjopen-2023-077427

[28] 27 Zhao, Y., Wang, L., & Li, J. (2021). Eicosapentaenoic acid (EPA) exhibits antioxidant activity via modulation of the Nrf2/ARE signaling pathway. Food and Chemical Toxicology, 153, 112228. https://doi.org/10.1016/j.fct.2021.112228

[29] 28 Bishehkolaei, M., & Pathak, Y. (2024). Influence of omega n-6/n-3 ratio on cardiovascular disease and nutritional interventions. Healthcare Nutrition Management, 37, 200275. https://doi.org/10.1016/j.hnm.2024.200275

[30] 29 World Health Organization. (2018). Healthy diet. https://www.who.int/news-room/fact-sheets/detail/healthy-diet

[31] 30 U.S. Department of Agriculture, Agricultural Research Service. (2019). FoodData Central. https://fdc.nal.usda.gov

[32] 31 Sekikawa, A., Cui, C., Sugiyama, D., Fabio, A., Harris, W. S., & Zhang, X. (2019). Effect of high-dose marine omega-3 fatty acids on atherosclerosis: A systematic review and meta-analysis of randomized clinical trials. Nutrients, 11(11), 599. https://doi.org/10.3390/nu11112599

[33] 32 Krupa, K. N., Fritz, K., & Parmar, M. (2024, febrero 8). Omega-3 fatty acids. En StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK564314/

[34] 33 Zhao, Y., & Li, J. (2022). ω-3 fatty acids in atherosclerotic cardiovascular disease (Review). World Journal of Clinical Cases, 10(24), 8924–8937. https://doi.org/10.12998/wjcc.v10.i24.8924

[35] 34 Sherratt, S. C. R., Libby, P., Bhatt, D. L., & Mason, R. P. (2022). A biological rationale for the disparate effects of omega-3 fatty acids on cardiovascular disease outcomes. Prostaglandins, Leukotrienes and Essential Fatty Acids, 182, 102450. https://doi.org/10.1016/j.plefa.2022.102450

[36] 35 Feuchtner, G., Langer, C., Barbieri, F., Beyer, C., Dichtl, W., Friedrich, G., Schgoer, W., Widmann, G., & Plank, F. (2021). The effect of omega-3 fatty acids on coronary atherosclerosis quantified by coronary computed tomography angiography. Clinical Nutrition, 40(3), 1123–1129. https://doi.org/10.1016/j.clnu.2020.07.016

[37] 36 Ajoolabady, A., Pratico, D., Lin, L., Mantzoros, C. S., Bahijri, S.,Tuomilehto, J.,& Ren, J. (2024). Inflammation in atherosclerosis: Pathophysiology and mechanisms. Cell Death & Disease, 15(11), 817. https://doi.org/10.1038/s41419-024-07166-8

[38] 37- Yang, Y., Deng, W., Wang, Y., Li, T., Chen, Y., Long, C., Wen, Q., & Wu, Y. (2022). The effect of omega-3 fatty acids and its combination with statins on lipid profile in patients with hypertriglyceridemia: A systematic review and meta-analysis of randomized controlled trials. Frontiers in Nutrition, 9, 1039056. https://doi.org/10.3389/fnut.2022.1039056

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Publicado

2026-06-05

Cómo citar

Avila cruz, M. patricia, Hernández Ceruelos, A., Alanís García, E., & Fernández Cortés , T. L. (2026). Ácidos grasos omega-3 en la prevención y tratamiento de la aterosclerosis. Educación Y Salud Boletín Científico Instituto De Ciencias De La Salud Universidad Autónoma Del Estado De Hidalgo, 14(28), 112–122. https://doi.org/10.29057/icsa.v14i28.16301