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We identified all English language studies that evaluated any potential source of omega-3 fatty acids in at least five human subjects, regardless of the study outcomes reported in the abstract. We excluded abstracts that included athletes only subjects who had a non-CVD-related condition (e.g., cancer, schizophrenia, or organ transplant), athletes letters, and abstracts. Upon review of full articles we excluded studies of children (under age 19 athletes years), studies of daily omega-3 fatty acid doses of more than 6 g per day, studies of less than 4 weeks duration, crossover studies with less than 4 weeks washout between treatments, and studies that did not report complete data on outcomes of interest. We also excluded studies that did not report either the specific dose of omega-3 fatty acids or the amount of fish consumed and studies that reported only associations between omega-3 fatty acid tissue levels and risk factors.
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