The fact that people pop nutritional pills–regardless of what they are–concerns me. Not that I’m against supplements; they can be used for good reasons. But often, people take them without much research, without medical supervision, and without a real need.
There’s one thing I am against though; taking the easy way out of eating real good food. While fish oil supplements do work, eating fish can lower the rate of death from heart disease in men and women. Could there be something else in fish?
Here are my thoughts on omega-3’s.
Plant-based: alpha-linoleic acid (ALA), found in flaxseeds, canola, walnuts, sunflower oil, and safflower oil.
Marine based: docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA), found in fatty fish such as salmon, herring, sardines, tuna, trout, halibut, and anchovies.
Enough evidence supports EPA and DHA ’s role in reducing the risk of fatal and non-fatal coronary heart disease (CHD), which is the narrowing of the blood vessels that supply the heart. They also lower blood pressure and triglyceride level. Results appear from both taking supplements and eating fatty fish.
Fish oil supplements improve symptoms of rheumatoid arthritis, such as morning stiffness, pain, and joint tenderness.
A a recent report published in the Journal of Nutrition reviewed studies on DHA and EPA’s role in preventing cancer. It concluded that they have no effect.
The evidence on EPA and DHA is still not strong in regards to improved memory and cognition, dementia, macular degeneration, depression, asthma, and autoimmune diseases.
More than 3 grams of EPA and DHA a day can cause hemorrhagic stroke, a rupture in a brain artery, and uncontrolled bleeding, especially in patients taking blood-thinning medications.
People with diabetes might see increased blood sugar level with high doses of EPA and DHA.
And a high level of ALA in the blood was linked to increased risk of prostate cancer.
Flaxseed oil, containing ALA, is marketed as a good source of omega-3 fatty acids. However, our bodies can only use ALA after it is converted to EPA and DHA through a non-efficient (only 8% conversion) process.
For example, a common flaxseed oil capsule provides 1,000 mg of the oil and 550 mg ALA. This means, you will only get 44 mg EPA and DHA (8% of 550 mg)!
People are falsely assured their omega-3 needs are covered by such supplements
Misleading information is often present on supplement labels. “Double Strength” might only mean taking two pills instead of one. “1,000 mg of fish oil” is only 30% EPA and DHA. And while “Mercury-Free” is great, all major brands are also mercury free, according to Consumer Reports and ConsumerLab.com.
While no Dietary Reference Intake is established for EPA and DHA, the same report in the Journal of Nutrition recommended a daily intake of 250 to 500 mg.
The American Heart Association recommends:
- People without CHD eat 2 servings of fatty fish each week
- People with documented CHD take 1 gram of EPA and DHA a day
- People who need to lower their triglyceride level take 2 to 4 grams EPA and DHA a day
And supplements must be taken with close medical supervision. You know that’s not happening!
Yes, you can get enough EPA and DHA from food.
Two servings of salmon a week (3 ounces each) provide 2,180 to 3,650 mg EPA and DHA (depending on the source). That is 311 to 521 mg a day. Besides, many food products are now fortified with EPA and DHA.
There are tons of good fish recipes out there. Try my salmon with pomegranate avocado salsa recipe. And trout is one of the food trends of 2010.
Instead of rushing to a pharmacy to get an omega-3 pill, I suggest you make a trip to the grocery store. Anyone up for fish for dinner?