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Omega 3 Fatty Acids are good for the Heart
Omega 3 Fatty Acids
Description
Omega-3 fatty acids are one of two groups of fatty acids--the
omega-3s and the omega-6s--that are vital to human life. They
are called essential fatty acids (EFAs), which the body
cannot make but absolutely needs for normal growth and development.
These fats must be supplied by diet. People living in industrialized
western countries eat up to 30 times more omega-6 than omega-3
fatty acids, resulting in a relative deficiency of omega-3 fats.
Omega-6 metabolic products (inflammatory prostaglandins, thromboxanes,
and leukotrienes) are formed in excessive amounts causing allergic
and inflammatory disorders and make the body more prone to heart
attacks, strokes, and cancer. Eating diets rich
in omega-3 acids or taking fish oil supplements can restore
the balance between the two fatty acids and can possibly reverse
these disease processes.
General use
Heart disease and stroke
Omega-3 fatty acids are good for the heart. The omega-3 oils
increase the concentrations of good cholesterol (high
density lipoproteins, HDL) while decreasing the concentrations
of bad cholesterol (triglycerides). In addition, eating omega-3-rich
food will result in a moderate decrease in total cholesterol
level. In a clinical study of 38 women, flaxseed flour,
which contains high amount of omega-3 fatty acids, decreased
total cholesterol level by 6.9% and LDL cholesterol by 14.7%.
In addition, lipoprotein(a), which is associated with heart
attacks in older women, decreased by almost 10%. Thus, omega-3
fatty acids is a natural alternative to estrogen in prevention
of heart attacks in postmenopausal women.
Furthermore, omega-3 oils also protect the heart by preventing
blood clots or keeping other fats from injuring the arterial
walls. They not only relax arteries but also help to decrease
constriction of arteries and thickening of blood.
Hundreds of studies have shown that diets rich in omega-3 fatty
acids decrease risk of heart attacks, strokes, and abnormal
heart rhythms. Eskimos, who eat a lot of cold-water fish, have
low rates of heart attacks and strokes, possibly because they
have thinner blood, high HDL to LDL cholesterol ratio, and less
build up of fatty deposits (plaques) in the arteries. Two clinical
trials have shown that regular consumption of fish or fish-oil
supplements can prevent sudden deaths due to abnormal heart
rhythms. In the Diet and Reinfarction Trial (DART) of 2,033
men who previously suffered a heart attack, men who ate
two to three servings of fatty fish a week had their risk of
sudden cardiac death lowered by 29% compared to those who had
a low fat or high fiber diet. In the Physician's Health Study
of 20,551 doctors, a 52% reduction in risk of heart attacks
were observed in those who ate at least one fish meal per week
compared with those who ate fish once a month or less.
Mild
hypertension
Several studies have shown that eating 200 g of fatty fish or
taking six to 10 capsules of fish oil daily will lower blood
pressure (BP). Therefore, omega-3 can benefit patients with
borderline high blood pressure. Omega-3 oils also effectively
prevent hypertension in cardiac patients after transplantation.
Supplement for newborns and
babies
Omega-3 fatty acids are essential for normal development of
vision and brain function, especially in newborns and children.
Very low birth weight pre-term infants often have poor vision
and motor skills, possibly because they receive less than one-third
of the amount of omega-3 fatty acids outside the mother's womb
that they would have received as a fetus. Human breast milk
contains the appropriate amount of omega-3 and -6 fats is best
for all babies. If mother's milk is unavailable, then formulas
with soybean oil that provide higher amounts of omega-3 fatty
acids are more beneficial than those made from cow milk for
infants. Even full-term babies benefit from the addition of
essential fatty acids to cow-milk formulas. Studies have shown
that babies given formulas supplemented with EFAs have better
vision and score higher in skills and problem-solving tests,
compared to babies on formulas that do not contain additional
EFAs.
Rheumatoid arthritis
Because omega-3 fatty acids inhibit the action of inflammatory
prostaglandins and leukotrienes, they can help control arthritis
symptoms. Significant reduction in the number of tender joints
and morning stiffness, as well as an increase in grip strength,
have been observed in patients taking fish oil capsules. Studies
have shown that patients taking fish oil supplements for rheumatoid
arthritis require fewer pain medications; some are
able to discontinue their nonsteroidal anti-inflammatory treatment.
Despite the beneficial effects of omega-3 fats, regular antirheumatic
drugs and nonsteroidal anti-inflammatory medications are most
likely still required to control this chronic condition.
Inflammatory bowel disease
High-dose fish-oil supplements have shown to decrease abdominal
cramping, diarrhea, and pain associated with Crohn's
disease . In one study of 96 patients, patients who received
4.5 g of omega-3 fatty acids (15 fish oil capsules) required
significantly less steroids to control symptoms. In another
study of 78 Crohn's disease patients, 59% of patients who received
nine fish oil capsules (2.7g of omega-3 fatty acids) daily did
not have any disease flare-ups for at least one year compared
to 26% recurrence rate in patients who were not given fish oil.
Omega-3 fatty acids are also effective in preventing reappearance
of Crohn's disease after surgery to remove sections of diseased
bowel. In a clinical trial involving 50 patients, patients who
received 2.7 grams of omega-3 fats as fish oil cut their rate
of disease reappearance in half compared to patients receiving
placebo. However, the effectiveness of omega-3 oils varies depending
on the type of omega-3 oils being used, length of use, and the
patient's diet.
Asthma
Taking high dose omega-3 fatty acids can reduce inflammation
of the airways and reduce asthma attacks. According to
Donald Rudin, the author of the book titled Omega-3 Oils, allergic
disorders such as asthma, may be triggered by too much omega-6
and too little omega-3 fats in our body. Excessive amounts of
omega-6 prostaglandins cause the body to produce antibodies
that cause allergic reactions. Flaxseed or fish oil supplements
can keep the omega-6 fats in check and decrease the inflammatory
reactions associated with asthma.
Berger's disease (Immunoglobulin
A nephropathy)
Omega-3 fats may be effective in treating this autoimmune disease
in which kidney function fails over time with few treatment
options available. In a large, randomized study of 150 patients,
those who received 3 g of omega-3 fatty acids daily for two
years had significantly less reduction in renal function than
those treated with placebo. Therefore, omega-3 fatty acids appear
to have protective effects and may stabilize renal function
in these patients.
Raynaud's disease
There have been few studies evaluating the effects of omega-3
fatty acids in treating Raynaud's disease; however, it appears
that fish oil supplements may alleviate some blood clotting
disorders.
Mental disorders
According to some studies, many common mental disorders, such
as depression, bipolar (manic-depression), attention-deficit
hyperactive disorder (ADHD), anxiety, or schizophrenia,
may be triggered by deficiencies of omega-3 fatty acids and/or
B vitamins. The rates of depression are low in countries that
eat a lot of fish, while the rate of depression steadily rises
in the United States as Americans eat increasingly more processed
food and less fresh fish and vegetables containing omega-3 fats.
In one study, 53% of bipolar patients on placebo (olive oil)
became ill again within four months, while none of the patients
who were given 9.6 g daily of omega-3 fatty acids (as fish oil)
did. Supplements containing omega-3 fats have also reportedly
been effective in children with ADHD precipitated by essential
fatty acid deficiencies. Furthermore, a 25% decrease in schizophrenic
symptoms were observed in patients receiving eicosapentanoic
acid (EPA), one of the omega-3 fatty acids contained in fish
oil.
Acquired Immunodeficiency
syndrome (AIDS)
In a small study of 20 AIDS patients, those who received
fish oil supplement at dosage of 10 g of omega-3 fatty acids
per day for 30 days gained more weight (2.4 kg) and significantly
lowered their concentrations of tumor necrosis factor, which
is believed to cause wasting in AIDS patients, compared to those
who did not.
Cancer prevention
Omega-3 fatty acids inhibit tumor growth when injected into
animals. Flaxseed oil, which is a plant source of omega-3 fatty
acids, has been shown to prevent cancer of the breast, colon
and prostate. The Mediterranean diet, which is heart
healthy, also can decrease risk of getting cancer. The results
of a five-year study of 605 men showed that the risk of getting
cancer was decreased by two-thirds in persons on the Mediterranean
diet as compared to those in the American Heart Association's
low fat and high fiber diet. Omega-3 fats, it seems, strengthen
the immune systems and inhibit the inflammation and blood circulation
of the tumors.
Preparations
Omega-3 fatty acids can be found naturally in the oil of cold-water
fish, such as mackerel, salmon, sardines, anchovies, and tuna,
or as extracted oils from plants, such as flaxseed, canola (rapeseed),
or soybean. As of year 2000, the U.S. Food and Nutrition
Board has not issued the recommended daily allowance (RDA) for
omega-3 fatty acids. However, according to Health Canada and
the British Nutrition Task Force, one needs approximately 0.5%
of total daily calories in the form of omega-3 fats. The best
way to achieve this dietary requirement is by eating fatty fish
two or three times a week and/or eating vegetables and oils
containing omega-3 fatty acids. If fish oil supplement is preferred,
then one to two capsules a day is sufficient. Each 1 g fish
oil capsule normally contains 180 mg of eicosapentanoic acid
(EPA) and 120 mg of docosahexaenoic acid (DHA). Vitamin E
is often contained in fish oil supplements to prevent spoilage
and vitamin-E deficiency, which may occur with high dose fish-oil
consumption. Patients should take supplements containing omega-3
fatty acids only under professional supervision to prevent overdosage,
adverse reactions, or interactions with other medications. For
treatment of diseases, flaxseed oil should be the first choice
because it is the richest source of omega-3 fatty acids, relatively
safe, and inexpensive.
Precautions
The safest and most effective way to get omega-3 fatty acids
is through diets of at least three fish meals a week. Fish-oil
or flaxseed supplements should be taken only under physician's
supervision.
Although fish oils can be helpful in relieving arthritic symptoms,
patients may still need anti-inflammatory medications to adequately
control the disease.
Taking any medication during pregnancy is not recommended.
Women who are pregnant or breastfeeding should talk to doctors
before taking fish-oil supplements or any other medications.
Because of its blood thinning activity, those who are on aspirins,
nonsteroidal anti-inflammatory drugs (NSAIDS), warfarin, or
other anti-clotting medications must consult a physician before
using the supplements.
Side
effects
Consuming excessive amount of fish-oil capsules can result in
excessive bleeding, gastrointestinal distress, anemia,
or strokes.
Interactions
Because of its blood-thinning activity, fish oil supplements
may interact with aspirins, nonsteroidal anti-inflammatory drugs
(NSAIDS), warfarin, or other anti-clotting medications to cause
excessive bleeding.
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This health article is made available by Dr. Joseph Barry,
MD a Hypertension Management Specialist. Preventive Med
Associates office at 5415 West Genesee St, Camillus, NY
13031. Dr. Joseph Barry, MD is easily accessible from
Syracuse, Warners, Marcellus, Liverpool, Elbridge, Memphis,
Nedrow, Baldwinsville, Jordan, and Mottville.
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