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Status unknownNCT03880149Updated Oct 1, 2020

The Effects of Omega-3 Status and Supplementation on Tendon Structure in Competitive Athletes

An interventional study of Omega-3 and Placebo in Tendon Injuries and Inflammation, sponsored by Meir Medical Center. Status unknown at 1 site in Israel. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-10-01.

Sponsored by Meir Medical Center · Not applicable, Interventional, and Other

The sponsor has not verified this record recently (last verified Sep 2020), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

The study will examine the association between omega-3 status and the effects of omega-3 supplementation on changes in tendon structure and recovery from tendon injuries and inflammatory markers in competitive athletes. Half of the participants will receive omega-3 in combination with vitamin E, while the other half will receive a placebo and vitamin E.

Read the detailed description

Sports injuries are common among athletes, while injury prevention received much clinical attention, there is no consensus among clinicians and researchers as to which injury-causing factors are dominant. It has been suggested that increased training load may be the leading cause of sports injuries, since tendons are sensitive to changes in load, making them vulnerable to injury. Inflammation is one of the reversible risk factors to sports injuries, and there are numerous methods which are used to treat inflammation. It has been recently suggested that inflammation reactions are affected by Omega-3 status and that omega-3 deficiency may increase the risk of sports and tendon injuries. The omega-3 fatty acid may act as a regulator of membrane structure and function, intracellular signaling pathways, transcription factor activity, and gene expression and reducing inflammation. Due to these functions, omega-3 may influence exercise-induced injuries/inflammation in athletes, thus, may influence their health and allowing training.

02

Conditions studied

  • Tendon Injuries
  • Inflammation

Keywords

  • Omega-3
  • Athletes
  • Sports injuries
  • Inflammatory markers
  • Isokinetic muscle force
03

In context

Inflammation

3,439 studies on the registry are indexed under Inflammation; 629 are open to participants now.

This study's planned enrollment of 140 is above the median of 50 across 2,437 interventional studies indexed under Inflammation.

Browse Inflammation studies →

Lead sponsor

Meir Medical Center is the lead sponsor of 389 studies on the registry; 34 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

Part one:

  • Training for at least 5 hours per week.
  • No complaints about lower extremities pains during the last 12 months.

Part two:

  • Training for at least 5 hours per week.
  • Diagnosed with patellar and Achilles tendinitis.

Exclusion criteria

Exclusion Criteria:

  • Underwent lower extremities surgeries.
  • Allergic to Fish products.
  • Athletes who use anti-inflammatory drugs and/or omega-3 supplements.
  • Pregnant and/or nursing mothers.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
140 participants (estimated)

Study arms

  • Experimental
    Omega-3 supplementation

    Omega-3 fatty supplementation and vitamin E. Each 1 g omega-3 capsule contain 600 mg omega-3 including 400 mg EPA + 200 mg DHA. Individual omega-3 dose will be determined according to the athlete's body mass, 1 g omega-3 / 15 kg body mass per day and vitamin E: 1 capsule of vitamin E (400 IU) for every five omega-3 capsules

    Dietary Supplement: Omega-3

  • Placebo comparator
    Placebo

    Medium-chain triglyceride (MCT) and vitamin E. Each MCT capsule contain 1 g, the dose will be 115 mg per kg body mass per day, and vitamin E: 1 capsule of vitamin E (400 IU) for every five MCT capsules

    Other: Placebo

Interventions

  • Dietary supplementOmega-3

    Each omega-3 capsule contains 600 mg, including 400 mg EPA + 200 mg Docosahexaenoic acid (DHA) and 400 IU of vitamin E for 5 omega-3 capsules. Omega-3 dosage: 1 g per 15 kg body mass

  • OtherPlacebo

    Medium-chain triglyceride (MCT) and vitamin E

06

What researchers measure

Primary outcomes

  1. Tendon Structure

    Changes in the echo pattern of patellar and Achilles tendons structure using Ultrasound Tissue Characterization (UTC). Distribution (%) of echo type 1-3.

    Time frame: 6 months

Secondary outcomes

  1. Inflammatory marker

    Serum interleukin 6 (IL-6) (pg/mL)

    Time frame: 3 months

  2. Muscle Strength

    Total work (Kjoule) (using Biodex isokinetic testing protocol)

    Time frame: 6 months

  3. Omega-3 status

    Distribution (%) of 26 identified fatty acids - measured in Blood

    Time frame: 6 months

  4. Cross sectional area of Achilles tendon

    measured using Ultrasound Tissue Characterization (UTC) (cm\^2)

    Time frame: 6 months

  5. Range of motion - knee

    using digital inclinometer for range of motion measurement (degrees)

    Time frame: 6 months

  6. Pain assessment

    pain severity using visual analog scale (VAS) - on a scale of 0 -10, 0 being no pain and 10 the worst pain ever

    Time frame: 6 months

  7. functional assessment

    VISA P questionnaire - scale 0-100

    Time frame: 3 months

  8. Pro-inflammatory cytokine.

    Serum interleukin 17 (IL-17) (pg/mL)

    Time frame: 3 months

  9. Marker for inflammation

    C Reactive Protein (CRP) (mg/L)

    Time frame: 3 months

07

Study locations

1 of 1 sites recruiting
  • Wingate institute
    Netanya, 4290200, Israel
    Recruiting
08

References and documents

Publications

  • Da Boit M, Hunter AM, Gray SR. Fit with good fat? The role of n-3 polyunsaturated fatty acids on exercise performance. Metabolism. 2017 Jan;66:45-54. doi: 10.1016/j.metabol.2016.10.007. Epub 2016 Oct 26. PubMed 27923448 ↗
  • Black KE, Witard OC, Baker D, Healey P, Lewis V, Tavares F, Christensen S, Pease T, Smith B. Adding omega-3 fatty acids to a protein-based supplement during pre-season training results in reduced muscle soreness and the better maintenance of explosive power in professional Rugby Union players. Eur J Sport Sci. 2018 Nov;18(10):1357-1367. doi: 10.1080/17461391.2018.1491626. Epub 2018 Jul 9. PubMed 29985775 ↗
  • Lewis EJ, Radonic PW, Wolever TM, Wells GD. 21 days of mammalian omega-3 fatty acid supplementation improves aspects of neuromuscular function and performance in male athletes compared to olive oil placebo. J Int Soc Sports Nutr. 2015 Jun 18;12:28. doi: 10.1186/s12970-015-0089-4. eCollection 2015. PubMed 26085822 ↗
  • von Schacky C, Kemper M, Haslbauer R, Halle M. Low Omega-3 Index in 106 German elite winter endurance athletes: a pilot study. Int J Sport Nutr Exerc Metab. 2014 Oct;24(5):559-64. doi: 10.1123/ijsnem.2014-0041. Epub 2014 Sep 8. PubMed 25203220 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 1, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03880149
Lead sponsor
Meir Medical Center
Collaborators
University of Haifa, Tel Hai College
Responsible party
Dan Nemet, MD (Professor of Pediatrics. Director, Child Health and Sports Center, Meir Medical Center) — Principal investigator
First posted
Mar 19, 2019
Start date
Feb 1, 2020
Primary completion
Jun 1, 2021 (estimated)
Completion
Jun 1, 2021 (estimated)
Last update
Oct 1, 2020

Study contacts

Dan Nemet, MD
Contact
Dan.Nemet@clalit.org.il
972-9-7471640
Michal Pantanowitz, PhD
Contact
michalmirochnik@gmail.com
972-9-7471596
Dan Nemet, MD
principal investigator · Meir Medical Center, Kfar-Saba, Israel
Gali Dar, PhD
study director · University of Haifa
Yitzhak Weinstein, PhD
study director · Tel Hai Academic College

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Sep 2020. You cannot join it, but the record below documents what was studied.

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