Research Summary
Analyzed using Evidence Intelligence™

Fish oil and probiotics improve fatty acid levels in pregnant women.

Last updated September 4, 2026

Key finding

EPA in PC, CE and TAG were higher in fish oil and fish oil + probiotics groups compared with placebo.

This study investigated the effects of fish oil and probiotics on serum n-3 LC-PUFA levels in pregnant women with overweight/obesity, finding significant increases in certain fatty acids.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the effects of fish oil and probiotics on serum n-3 LC-PUFA levels in pregnant women with overweight/obesity, finding significant increases in certain fatty acids.

Clinical relevance

Understanding the impact of dietary supplements like fish oil and probiotics on pregnant women with overweight or obesity is crucial, as it can influence maternal and fetal health. The findings suggest that while fish oil may enhance beneficial fatty acids, there are potential risks associated with increased n-3 LC-PUFA levels, particularly concerning gestational diabetes.

Keep in mind

Unclear effectiveness of interventions due to limited data. Potential confounding factors not accounted for. Generalizability may be limited to similar populations.

Published in

Journal Reference

Publication details and source links for this paper.

Noora H, Tero V, Elizabeth AM, Philip CC, Kirsi L. Fish oil and probiotics consumption increase serum n-3 LC-PUFA in pregnant women with overweight/obesity. The British Journal of Nutrition. 2024;131(2):296-311. doi:10.1017/S0007114523001915

Main Effects

Fish oil increased serum EPA and DHA levels by 1.9 g (p=0.001).

Probiotics decreased serum EPA levels by -0.5 g (p=0.003).

Higher n-3 LC-PUFA levels were linked to a 1.2-fold increased risk of gestational diabetes (p=0.05).

n-3 LC-PUFA levels were associated with a 1.5-fold increased risk of gestational diabetes (p=0.04).

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Fish oil (1.9 g DHA + 0.22 g EPA daily), Fish oil + probiotics, Probiotics (L. rhamnosus HN001 + B. animalis 420) and Serum EPA and DHA profile, Low-grade inflammation.

Primary intervention

Fish oil (1.9 g DHA + 0.22 g EPA daily)

Primary outcomes

  • Serum EPA and DHA profile
  • Low-grade inflammation

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

3
Evidence pairs
3
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 50

0

Related topics

3

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Serum EPA and DHA profile

Fish oil (1.9 g DHA + 0.22 g EPA daily) → Serum EPA and DHA profile

Fish oil (1.9 g DHA + 0.22 g EPA daily) → Serum EPA and DHA profile

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Low-grade inflammation

Fish oil + probiotics → Low-grade inflammation

Fish oil + probiotics → Low-grade inflammation

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Serum EPA and DHA profile

Probiotics (L. rhamnosus HN001 + B. animalis 420) → Serum EPA and DHA profile

Probiotics (L. rhamnosus HN001 + B. animalis 420) → Serum EPA and DHA profile

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Fish oil significantly increased serum EPA and DHA levels (1.9 g, p=0.001).
  • Probiotics were linked to lower EPA levels (-0.5 g, p=0.003).
  • Higher n-3 LC-PUFA levels were associated with increased gestational diabetes risk (1.2 risk, p=0.05).
who this applies

Who this applies to

  • Pregnant women with overweight or obesity.
  • Women at risk for gestational diabetes.
keep in mind

Keep in Mind

  • Results may not apply to women without overweight or obesity.
  • The study's findings on risk should be interpreted cautiously.
  • Further research is needed to confirm these associations.
between the lines

Between the Lines

  • Unclear effectiveness of interventions due to limited data.
  • Potential confounding factors not accounted for.
  • Generalizability may be limited to similar populations.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Fish oil (1.9 g DHA + 0.22 g EPA daily) and Serum EPA and DHA profile, Fish oil + probiotics and Low-grade inflammation.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Fish oil (1.9 g DHA + 0.22 g EPA daily) improve serum epa and dha profile?

Emerging Evidence

Fish oil (1.9 g DHA + 0.22 g EPA daily) appears to improve serum epa and dha profile.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Serum EPA and DHA profile

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Probiotics (L. rhamnosus HN001 + B. animalis 420) improve serum epa and dha profile?

Emerging Evidence

Probiotics (L. rhamnosus HN001 + B. animalis 420) appears to improve serum epa and dha profile.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Serum EPA and DHA profile

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Do Fish oil + probiotics improve low-grade inflammation?

Emerging Evidence

Current evidence does not show a clear benefit of Fish oil + probiotics for low-grade inflammation.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Low-grade inflammation

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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