Background: The beneficial effects of omega-3 polyunsaturated fatty acids (PUFAs) and tocopherols remain controversial. This study was conducted to examine the plasma levels of different analogues of omega-3 PUFAs and tocopherols, and to evaluate their relationships with aging-related diseases. Methods: 136 consecutive men with the median age of 70 (ranging from 50 to 97) years old were recruited. Plasma eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), α-, γ-, and δ-tocopherol were measured by liquid chromatography mass spectrometry. Results: Plasma omega-3 PUFAs were positively correlated with α- and γ-tocopherol (p<0.01), while the relationships between omega-3 PUFAs and δ-tocopherol were not significant (p>0.05). Increasing age was the most profound risk factor for coronary artery disease (CAD), carotid atherosclerosis (CAS), hypertension and these comorbidities (p<0.01). Age had positive associations with certain atherosclerotic parameters, including carotid intima-media thickness (p=0.046), carotid artery plague area (p<0.001) and brachial-ankle pulse wave velocity (p<0.001). In these observed isoforms, only γ-tocopherol had a mild inverse correlation with age (p=0.002). High plasma α-tocopherol concentration served as a potential protective factor for CAD (odds ratio [OR] 0.65; 95% CI 0.48-0.89; p=0.006), and was inversely associated with maximum systolic internal carotid artery (ICA) velocity (p=0.011). Plasma DHA concentration was negatively associated with carotid artery plague area (p=0.028) and ICA velocity (p=0.006), while its correlations with atherosclerosis diseases, including CAD and CAS, were not significant (p>0.05). Conclusions: Age is positively correlated with atherosclerosis, hypertension and comorbidities. Alpha-tocopherol may be a protective factor for atherosclerosis, while the correlations between omega-3 PUFAs and atherosclerosis were not significant.