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Omega-3 Fatty Acids

Overview
Omega-3 is an essential fatty acid that is deficient in the diets of many Americans. In the late 1970s, scientists learned that the native Inuits in Greenland, who consumed a diet very high in omega-3 fatty acids, had surprisingly low rates of heart attacks. Since that time, more than 4,500 studies have been conducted in an attempt to understand the beneficial roles that the omega-3 fatty acids play in human metabolism and health.

Structurally, omega-3 contains 3 double bonds, which makes it a polyunsaturated fatty acid. This also makes omega-3 very susceptible to becoming rancid. Food processors remove it from food products in order to lengthen shelf life. Marine plants such as plankton are the primary source of omega-3 fatty acids in the food chain. Fish and other aquatic animals that feed on plankton, incorporate the omega-3 fatty acids into their tissues. The richest land source of omega-3 is the oil that is commercially expelled from flaxseeds. Alpha-linolenic acid gets converted in the body into longer-chain omega-3 fatty acids such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Thus, the term omega-3 also refers to a family of omega-3 fatty acids, which includes alpha-linolenic acid, EPA, and DHA.

In England, the Task Force of the British Nutrition Foundation suggests a daily intake of omega-3 ranging from 0.5 to 2.5 percent of energy requirements. This corresponds to 1 to 6 grams daily for men and from 1 to 5 grams daily for women.(1)

Dosage Info
Dosage Range
Alpha linolenic acid (omega-3): 1-2 tablespoonsful daily.

Fish oils (EPA and DHA): 500-2,000mg daily.

Most Common Dosage
Alpha linolenic acid (omega-3): 1 tablespoonful daily.

Fish oils (EPA and DHA): 1.2 grams of EPA and DHA or 3-4 grams of fish oil.

Dosage Forms
Alpha linolenic acid (omega-3): oil in gelatin capsules and in oil such as flaxseed oil; EPA and DHA: fish oils in gelatin capsules.
Adult RDI
None established
Adult ODA
1 tablespoon
RDA
  • General RDA: None Established
Interactions and Depletions
Active Forms
Alpha-linolenic acid, eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA).
Absorption
Digestion and absorption of fats, including omega-3 fatty acids, takes place in the small intestine.
Toxicities & Precautions
General
Omega-3 is a highly unsaturated fatty acid susceptible to oxidative damage in the body. Thus, people consuming omega-3 should take adequate amounts of antioxidant nutrients, especially vitamin E, vitamin C, and selenium.(2),(3)

When omega-3 is purchased as a liquid, such as flaxseed oil, it needs to be refrigerated to prevent it from becoming rancid.

Care should be taken to minimize exposure of omega-3 fatty acids to heat, light, and oxygen.

If an omega-3 fatty acids becomes rancid, it develops a bitter taste and should be discarded.

Functions in the Body
Alpha linolenic acid is one of the primary structural components in cell walls and cellular membranes throughout the body. DHA is the most abundant long chain fatty acid in cells within the brain.
Aids in reducing platelet stickiness and acts as a mild blood thinner.
Precursor for an important group of chemicals called the series 3 prostaglandins, which regulate things like inflammation, blood pressure, hormone production, and the activity of the immune and central nervous systems.
Longer chain omega-3 fatty acids are important in the development of the brain and the retina of the eyes in early growth.
It has been suggested that omega-3 fatty acids may modulate eicosanoid biosynthesis and influence gene expression in ways that influence bone modeling and bone cell differentiation.(4)
Clinical Applications

In a study including more than 200,000 subjects, researchers were able to establish that the highest intake of omega-3 fatty acid actually reduced the risk of developing ulcerative colitis by 77 percent.(5)

Children with verbal apraxia (neurologically based motor planning speech disorder common in autism spectrum disorders) were treated with vitamin E and omega-3. All of the families involved reported significant improvements in many areas including speech, imitation, coordination, eye contact, behavior, sensory issues and development of pain sensation. Supplementation with vitamin E and omega-3 could be beneficial to children with autism and verbal apraxia.(6)

Researchers found that EPA plus DHA had a protective effect against heart failure in specific groups such as diabetics and women.(7)

A study found that a diet rich in omega-3 obtained by eating linseed-fed animals may be effective in weight management and was also effective in maintaining EPA and DHA levels without fish consumption.(8)

Cardiovascular health may be supported by omega-3 fatty acids in lowering blood pressure, relaxing blood vessels and lowering cholesterol levels.(9),(10),(11) Researchers found that dietary intake of omega-3 lowered levels of inflammation and endothelial activation, which might explain in part the effect of these fatty acids in preventing cardiovascular disease.(12),(13) A study performed in Italy reported that patients supplementing their diets with omega-3 fatty acids had a lower death rate from heart conditions than patients who did not supplement their diets.(14) Evidence from a study showed that marine omega-3 protected against telomere deterioration which could reduce the risk of coronary heart failure.(15)
Supplementation with 3 to 5 grams daily of omega-3 fatty acids can result in a 30% to 50% reduction in elevated serum triglycerides.(16)
Abnormalities in fatty acid metabolism found in people with problems such as psoriasis and eczema and therapy with omega-3 fatty acids is frequently beneficial.(17),(18)
Individuals with allergic conditions have been found to have a defect in the enzyme responsible for synthesizing the longer chain omega-3 fatty acids.(19)
Dietary alpha-linolenic acid reported to lower cholesterol levels in the blood and in liver tissues.(20)
Supplementation with the longer-chain omega-3 fatty acids provides a slight lowering of blood pressure. Reductions range between 3 and 10 mm Hg for both systolic and diastolic pressures.(21),(22)
Studies have found that subjects with ADHD had significantly lower concentrations of omega-3 fatty acids.(23),(24)
Supplementation with omega-3 may prevent and alleviate symptoms of asthma.(25),(26),(27),(28)
Dietary intake of omega-3 may play a role in the prevention and healing process of several types of cancers.(29),(30),(31),(32) A study involving postoperative cancer patients were supplemented with omega-3 and experienced improved liver and pancreas function, which might have contributed to faster recovery of the patients.(33)
People with omega-3 deficiency in the United States as well as other countries may be vulnerable to depression.(34),(35) Since omega-3s have few side effects and are also beneficial to cardiovascular health, women experiencing psychological distress and depressive symptoms commonly observed during menopausal transition should consider taking a supplement containing omega-3 fatty acids.(36) Pregnant women who consumed more fish (omega-3 fatty acids) had fewer depressive symptoms in comparison to pregnant women who consumed less fish.(37)
Several studies indicate that omega-3 may reduce the symptoms of rheumatoid arthritis.(38),(39)
It has been reported that higher dietary intake of omega-3 fatty acids and fish reduces the risk of developing age-related macular degeneration.(40),(41),(42)
Symptoms and Causes of Deficiency
Since omega-3 is the precursor for the series 3 prostaglandins, a deficiency of these fatty acids can result in a wide variety of problems related to organ, endocrine, and immune function. Deficiency is primarily due to a lack of dietary intake and the fact that omega-3 has been almost totally removed from most processed foods.
Dietary Sources
Flaxseed, chia, rapeseed, soybeans, alfalfa, and walnuts contain omega-3 fatty acids. Cold water fish and wild game also are sources of omega-3 fatty acids. In most cases, people are not able to consume adequate alpha-linolenic acid from dietary sources, and nutritional supplementation is recommended.
References
  1. Unsaturated Fatty Acids: Nutritional and Physiological Significance. The Report of the British Nutrition Foundation’s Task Force. London: Chapman and Hall; 1992.
  2. View Abstract:  Holm T, et al. Omega-3 fatty acids enhance tumor necrosis factor-alpha levels in heart transplant recipients. Transplantation. Aug2001;72(4):706-11.
  3. View Abstract:  Yam D, Peled A, Shinitzky M. Suppression of tumor growth and metastasis by dietary fish oil combined with vitamins E and C and cisplatin. Cancer Chemother Pharmacol. 2001;47(1):34-40.
  4. View Abstract:  Watkins BA, Li Y, Lippman HE, et al. Omega-3 polyunsaturated fatty acids and skeletal health. Exp Biol Med (Maywood). Jun2001;226(6):485-97.
  5. View Abstract:  Hart AR. Linoleic Acid, a Dietary N-6 Polyunsaturated Fatty Acid, and the Aetiology of Ulcerative Colitis - A European Prospective Cohort Study. GUT. Jul2009
  6. View Abstract:  Morris CR, et al. Syndrome of allergy, apraxia, and malabsorption: characterization of a neurodevelopmental phenotype that responds to omega 3 and vitamin E supplementation. Altern Ther Health Med. Aug2009;15(4):34-43
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  8. View Abstract:  Legrand P, et al. The consumption of food products from linseed-fed animals maintains erythrocyte omega-3 fatty acids in obese humans. Lipids. 2010;45(1):11-19
  9. View Abstract:  Knapp HR, et al. The Antihypertensive Effects of Fish Oil. A Controlled Study of Polyunsaturated Fatty Acid Supplements in Essential Hypertension. N Engl J Med. Apr1989;320(16):1037-43.
  10. View Abstract:  Harris WS, Park Y, Isley WL. Cardiovascular disease and long-chain omega-3 fatty acids. Curr Opin Lipidol. 2003 Feb;14(1):9-14.
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  12. View Abstract:  Lopez-Garcia E, Schulze MB, Manson JE, et al. Consumption of (n-3) fatty acids is related to plasma biomarkers of inflammation and endothelial activation in women. J Nutr. Jul2004;134(7):1806-11.
  13. View Abstract:  Weaver KL, et al. Effect of Dietary Fatty Acids on Inflammatory Gene Expression in Healthy Humans. J Biol Chem. 2009;284(23):15400-7
  14. View Abstract:  O'Keefe JH, Harris WS. From Inuit to implementation: omega-3 fatty acids come of age. Mayo Clin Proc. Jun2000;75(6):607-14.
  15. View Abstract:  Farzaneh-Far R, et al. Association of marine omega-3 fatty acid levels with telomeric aging in patients with coronary heart disease. JAMA. Jan2010;303(3):250-7
  16. View Abstract:  O’Keefe JH, Harris WS. From Inuit to implementation: omega-3 fatty acids come of age. Mayo Clin Proc. Jun2000;75(6):607-14.
  17. View Abstract:  Koch C, et al. Docosahexaenoic acid (DHA) supplementation in atopic eczema: a randomized, double-blind, controlled trial. Br J Dermatol. Apr2008;158(4):786-92
  18. View Abstract:  Furuhjelm C, et al. Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy. Acta Paediatr. Jun2009
  19. View Abstract:  Galland L. Increased Requirements for Essential Fatty Acids in Atopic Individuals: A Review with Clinical Descriptions. J Am Coll Nutr. 1986;5(2):213-28.
  20. View Abstract:  Garg ML, et al. Alpha-linolenic Acid and Metabolism of Cholesterol and Long-chain Fatty Acids. Nutrition. Jun1992;8(3):208-10.
  21. View Abstract:  Knapp HR, et al. The Antihypertensive Effects of Fish Oil. A Controlled Study of Polyunsaturated Fatty Acid Supplements in Essential Hypertension. N Engl J Med. Apr1989;320(16):1037-43.
  22. View Abstract:  Ramel A, et al. Moderate consumption of fatty fish reduces diastolic blood pressure in overweight and obese European young adults during energy restriction. Nutrition. 2010;26(2):168-74
  23. View Abstract:  Stevens L, Zentall SS, Deck JL. Essential fatty acid metabolism in boys with attention-deficit hyperactivity disorder. Am J Clin Nutr. 1995;62:761-768.
  24. View Abstract:  Colter AL, et al. Fatty acid status and behavioural symptoms of Attention Deficit Hyperactivity Disorder in adolescents: A case-control study. Nutr J. Feb2008;7(1):8.
  25. View Abstract:  Masuev KA. The Effect of Polyunsaturated Fatty Acids of the Omega-3 Class on the Late Phase of the Allergic Reaction in Bronchial Asthma Patients. Ter Arkh. 1997;69(3):31-33.
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  27. View Abstract:  Burns JS, et al. Low dietary nutrient intakes and respiratory health in adolescents. Chest. Jul2007;132(1):238-45
  28. View Abstract:  Biltagi MA, et al. Omega-3 fatty acids, vitamin C and Zn supplementation in asthmatic children: a randomized self-controlled study. Acta Paediatr. Apr2009;98(4):737-42
  29. View Abstract:  Bagga D, et al. Dietary Modulation of Omega-3/Omega-6 Polyunsaturated Fatty Acid Ratios in Patients with Breast Cancer. J Natl Cancer Inst. Aug1997;89(15):1123-31.
  30. View Abstract:  Pandalai PK, et al. The Effects of Omega-3 and Omega-6 Fatty Acids on in Vitro Prostate Cancer Growth. Anticancer Res. Apr1996;16(2):815-20.
  31. View Abstract:  Anti M, et al. Effect of Omega-3 Fatty Acids on Rectal Mucosal Cell Proliferation in Subjects at Risk for Colon Cancer. Gastroenterology. Sep1992;103(3):883-91.
  32. View Abstract:  Leitzmann MF, Stampfer MJ, Michaud DS, et al. Dietary intake of n-3 and n-6 fatty acids and the risk of prostate cancer. Am J Clin Nutr. Jul2004;80(1):204-16.
  33. View Abstract:  Heller AR, Rossel T, Gottschlich B, et al. Omega-3 fatty acids improve liver and pancreas function in postoperative cancer patients. Int J Cancer. Sep2004;111(4):611-6.
  34. View Abstract:  Hibbeln JR, et al. Dietary polyunsaturated fatty acids and depression: when cholesterol does not satisfy. Am j Clin Nutr. Jul1995;62(1):1-9.
  35. View Abstract:  Tiemeier H, van Tuijl HR, Hofman A, Kiliaan AJ, Breteler MM. Plasma fatty acid composition and depression are associated in the elderly: the Rotterdam Study. Am J Clin Nutr. Jul2003;78(1):40-6.
  36. View Abstract:  Lucas M, et al. Ethyl-eicosapentaenoic acid for the treatment of psychological distress and depressive symptoms in middle-aged women: a double-blind, placebo-controlled, randomized clinical trial. Am J Clin Nutr. Feb2009;89(2):641-51
  37. View Abstract:  Golding J, et al. High Levels of Depressive Symptoms in Pregnancy With Low Omega-3 Fatty Acid Intake From Fish. Epidemiology. Jul2009;20(4):598-603
  38. View Abstract:  Geusens P, et al. Long-term Effect of Omega-3 Fatty Acid Supplementation in Active Rheumatoid Arthritis. A 12-month, Double-blind, Controlled Study. Arthritis Rheum. Jun1994;37(6):824-29.
  39. View Abstract:  Cleland LG, Proudman SM, Hall C, et al. A biomarker of n-3 compliance in patients taking fish oil for rheumatoid arthritis. Lipids. Apr2003;38(4):419-24.
  40. View Abstract:  Seddon JM, Rosner B, Sperduto RD, et al. Dietary fat and risk for advanced age-related macular degeneration. Arch Ophthalmol. Aug2001;119(8):1191-9.
  41. View Abstract:  Chong EW, et al. Dietary omega-3 fatty acid and fish intake in the primary prevention of age-related macular degeneration: a systematic review and meta-analysis. Arch Ophthalmol. Jun2008;126(6):826-33
  42. View Abstract:  Augood C, et al. Oily fish consumption, dietary docosahexaenoic acid and eicosapentaenoic acid intakes, and associations with neovascular age-related macular degeneration. Am J Clin Nutr. Aug2008;88(2):398-406