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Home > Health Information > E-Newsletters > Men's Health 

Fine-Tune Your Dietary Fatty Acids

Whether you have been counting carbs, calories, or fat grams, you can help your body by paying attention to what are known as fatty acids - specifically, omega-3 and omega-6 fatty acids.

Picture of a man sitting by a computerThese essential chemicals cannot be manufactured by the human body, so they must be obtained from dietary sources or supplements.

The primary food source for omega-3 fatty acids is certain types of fish - Atlantic salmon and other fatty, cold-water fish, including herring, sardines, Atlantic halibut, bluefish, tuna, and Atlantic mackerel. The American Heart Association recommends that people eat tuna or salmon at least twice a week.

Finding the Balance Important

Generally speaking, people ingest far more omega-6 acids than omega-3 acids. That is because the sources for omega-6 acids taste better: cereals, eggs, poultry, most vegetable oils, whole-grain breads, baked goods, and margarine.

Omega-6, or linolenic acid, may produce the inflammatory acids known as prostaglandins that promote cancer, according to new research.

Dr. Ann Kulze, a primary care physician in Charleston, S.C., says that omega-3 and omega-6 fatty acids are vital components of a healthy diet.

"These fats are designed to work together," she notes. "Too much of one and not enough of the other is dangerous to your health. That's why it's extremely important to achieve a balance between the two, both to promote optimum weight loss and general health status."

According to the American Cancer Society, omega-3 acids and omega-6 acids work well because they counterbalance each other as important nutrients involved in many human biological processes.

"Americans currently eat an overabundance of omega-6 fats relative to omega-3 fats, which is unfortunate," Dr. Kulze explains. "Generally, omega-3s oppose the effects of omega-6 and are anti-inflammatory, anti-blood clotting, and anti-cellular growth.

Like a seesaw moving up and down, the two constantly work at achieving equilibrium, but when diets are deficient in omega-3s, a healthy balance is impossible to achieve."

Dr. Kulze says our Stone Age ancestors had diets with an equal ratio of the two acids, while current research suggests that most Americans consume 14 to 25 times more inflammation-promoting omega-6 fats than anti-inflammatory omega-3s.

Reducing this ratio has several benefits, Dr. Kulze adds, including cancer prevention, weight loss, improved cardiovascular health, and diabetes and arthritis control.

Shawn Talbott, a nutrition expert at the University of Utah, strongly agrees.

"In my experience, almost everyone can benefit from eating more omega-3s," he says. "The best source is three or four weekly servings of fatty fish."

But this is not a prescription for wellness that many Americans find easy to swallow.

"The problem with the dietary route to increasing omega-3s is that many people just don't seem able to do it," Talbott says, calling most Americans' response to fatty fish the "yuck factor."

"Too many Americans just don't like the taste of the oily, fatty fish - such as mackerel, tuna, sardines, or wild salmon - that are rich in omega-3s," he says. "Others eat the wrong fish - for example, fish sticks or other white fish - which has a negligible impact on their omega-3 level and may actually raise their omega-6 levels.

Even those who are trying diligently to increase their omega-3 intake tend to grossly overestimate how much they are consuming in their diets."

Supplements Fill the Gap

So what is the answer? Talbott and Dr. Kulze agrees that fish oil oral supplements have an important role in restoring the desired 3-to-6 balance. "Supplements fill the gap," Talbott says. "I recommend fish oil supplements almost as often as I recommend a multivitamin."

Dr. Kulze says she also recommends supplements to her patients. "Philosophically, I believe people should try to get as many of their nutrients as possible from real food," she explains.

"Natural food is better absorbed and used than supplements," she says. "But, as a practical matter, I have to admit that most people don't have success with that recommendation. In fact, I don't even have complete success with it myself."

Although pointing to canola oil, wheat germ, walnuts, and other foods as other good sources for omega-3s, Dr. Kulze said supplementing dietary fatty acids with high-quality fish oil in adequate amounts makes a lot of sense and accomplishes the goal. You should consult your physician or a good nutritionist to make sure you're buying the right supplement, she adds.

Always consult your physician for more information.

AHA Recommendation - Omega-3 Fatty Acids

According to the American Heart Association (AHA), omega-3 fatty acids benefit the hearts of healthy people, and those at high risk of, or who have, cardiovascular disease.

AHA recommends eating fish (particularly fatty fish) at least two times a week. Fish is a good source of protein and does not have the high saturated fat that fatty meat products do.

Fatty fish like mackerel, lake trout, herring, sardines, albacore tuna, and salmon are high in two kinds of omega-3 fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).

AHA  also recommends eating tofu and other forms of soybeans, canola, walnut, and flaxseed, and their oils. These contain alpha-linolenic acid (LNA), which can become omega-3 fatty acid in the body.

The extent of this modification is modest and controversial, however. More studies are needed to show a cause-and-effect relationship between alpha-linolenic acid and heart disease.

The AHA states that the following table is a good guide to use for consuming omega-3 fatty acids:

Patients without documented coronary heart disease (CHD)
Eat a variety of (preferably fatty) 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 about 1 gram of EPA+DHA per day, preferably from fatty fish.  EPA+DHA supplements could be considered in consultation with the physician. 

Patients who need to lower triglycerides 
Consume 2 grams to 4 grams of EPA+DHA per day provided as capsules under a physician’s care. 

Patients taking more than 3 grams of omega-3 fatty acids from supplements should do so only under a physician’s care, states the AHA. High intakes could cause excessive bleeding in some people.

Always consult your physician for more information.

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Sisters of Mercy Health System