Friday, February 15, 2013

Supplements (25)


FACTS
In the 1970s, scientists noticed an interesting phenomenon: although Eskimos consumed large amounts of fat daily, they had an exceptionally low rate of heart disease and cancer. But unlike others who also ate lots of fat – notably from meat and dairy products – the predominant fat in the Eskimo diet was in the form of omega-3 fatty acids. Omega-3 is found primarily in marine plant life called phytoplankton, which is eaten by fatty fish, a mainstay of the Eskimo diet. Omega-3 contains two polyunsaturated fats: docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA).

On land, omega-3 is found in some plant food including flaxseed (linseed), walnut, soybean and canola, and their oils. These contain alpha-linolenic acid (LNA), which is converted to omega-3 fatty acid in the body.

Clinical trials have shown that omega-3 fatty acid supplementation can reduce the risk of heart disease.


CLAIMED BENEFITS
  • Reduces risk of heart attacks
  • Reduces triglycerides
  • Mildly reduces blood pressure
  • Decreases risk of arrhythmias, which can lead to sudden death
  • Prevents clots (anti-thrombotic effects)
  • Stroke

RIGHT AMOUNT
A dietary approach to increase omega-3 fatty acid is preferable. However supplements may be useful for those with heart disease or those who don’t have enough omega-3 in their diet (1-2 capsules of 1000mg daily with meals).

TABLE. Summary of Recommendations for Omega-3 Fatty Acid Intake
Population


Recommendation


Patients without documented CHD
Eat a variety of (preferably oily) fish at least twice a week. Include oils and foods rich in {alpha}-linolenic acid (flaxseed, canola, and soybean oils; flaxseed and walnuts).
Patients with documented CHD
Consume {approx}1 g of EPA+DHA per day, preferably from oily fish. EPA+DHA supplements could be considered in consultation with the physician.
Patients needing to lower triglycerides
Two to four grams of EPA+DHA per day provided as capsules under a physician’s care
Source: American Heart Association Scientific Statement