Omega-3 - The Fats We Love To Love

Omega-3s get a lot of notoriety - and for good reason! Not only is one of them essential for good health, but we don’t get enough of them in our diets. 

Omega-3s are a kind of fat. Fats are not just a storable source of 9 calories per gram. Different fats are used by our bodies for different essential functions. They’re part of the membranes that surround each cell, and are especially important in the brain and nerves. They can mediate the effect of our immune cells as well as influence the production of neurotransmitters and hormones. Omega-3s are anti-inflammatory, and have health benefits for the heart, brain, and our mental health. 

In fact, it’s thought that the reduced intake of omega-3s over the last few generations is one of the reasons for the increase in many of the chronic diseases we see today.

Let’s look at what exactly omega-3s are, why they’re so good for our health, and how to get enough of these lovable fats.

What are omega-3s?

There are several types of fats (a.k.a. fatty acids). They’re broken down into two main categories: saturated and unsaturated. Unsaturated fatty acids are further broken down into monounsaturated (MUFAs) and polyunsaturated (PUFAs). 

The main types of PUFAs are omega-3s and omega-6s. We don’t hear much about omega-6s because we tend to get too much of these in our diet already. Omega-6s are found in meat, poultry, and many common seed oils like corn and sunflower. So, the focus has been to educate people to swap out some of those omega-6s to get more omega-3s like our ancestors did.

Three of the omega-3 fatty acids are particularly important for health. They are:

• Alpha-linolenic acid (ALA) - essential fatty acid
• Eicosapentaenoic acid (EPA) - biologically active fatty acid
• Docosahexaenoic acid (DHA) - biologically active fatty acid

ALA is essential - literally essential for health, just like essential vitamins and minerals. This is because the body can’t create it from other nutrients. It is this omega-3 that the body needs in order to create the biologically active EPA and DHA. In fact, research shows that the primary role of ALA is to be the building block for EPA and DHA.

What I mean by “biologically active” is that EPA and DHA are the forms of omega-3s that provide the health benefits. They’re the ones that are active in the body.

ALA is the plant-based omega-3 and is found in many seeds like flax, hemp, and chia. It’s also found in walnuts, and oils from olives, canola, and soy. 

EPA and DHA, on the other hand, are commonly found in seafood, especially oily fish. Luckily, plant-based people can get these nutrients from the same place as the fish - algae (seaweed, nori, spirulina, and chlorella).

FUN FACT: Fish have the biologically active forms of omega-3s because they eat the algae and store extra EPA and DHA in their fat.

Despite all of this biochemistry, the real question is how do they work in the body and what are these health benefits?

The health benefits of omega-3s

There is a lot of research about the health benefits of omega-3 fatty acids. Things like anti-inflammation, heart and brain health, as well as better moods. 

Omega-3s and anti-inflammation

There are many inflammatory diseases like allergies, asthma, arthritis, and autoimmune diseases. There are also many other diseases that may not be inflammatory per se, but have a substantial inflammatory component. These include diabetes, obesity, cancer, heart disease, depression, and neurodegenerative diseases such as Alzheimer’s. 

Many of these conditions are becoming more common. Reasons include allergens, infections, environmental and dietary toxins, and even stress. As mentioned earlier, one of these reasons is our inflammatory diets.

Yes! What you eat can increase or decrease the amount of inflammation in your body.

An inflammatory diet contains a much higher intake of omega-6s compared with omega-3s. In fact, the higher the intake of certain omega-6s, the higher the production of certain inflammatory molecules.

Many animal and some clinical studies have found reduced inflammation when omega-3 supplements were taken.

How do omega-3s reduce inflammation? 

Two ways. First, they are used to create anti-inflammatory molecules themselves. Second, they can inhibit some of the mechanisms that cause inflammation in the first place. 

Omega-3s are used to produce certain anti-inflammatory molecules (e.g. prostaglandins, resolvins, etc.) that combat inflammation.

They also reduce the production of enzymes that create inflammatory molecules, and can even reduce the expression of certain inflammatory genes.

Omega-3s become incorporated into the membranes of immune cells and affect their inflammatory response.

Some animal studies even show that omega-3s can reduce inflammation by helping to reduce obesity!

Omega-3s and the brain

If you take away the water weight, your brain is about 60% fat. DHA is the main fatty acid in the brain’s grey matter, while EPA makes up about 1% of the total brain fatty acids.

DHA is the most important PUFA in the central nervous system. It’s the most abundant component of the membranes of nerve cells and plays important roles in both structure and function. DHA helps nerve cells insulate their electrical signals, stabilize their membranes, and reduce inflammation.

It’s important to ensure enough omega-3s for optimal brain health, as well as baby’s brain development during pregnancy and beyond.

The last trimester of pregnancy sees the greatest need for DHA for the baby. This is when the brain and eyes are maturing. More DHA is transported to the infant during this last trimester compared to the first two.

Children born preterm are more vulnerable to deficiency, and studies show they have lower levels of omega-3s in their blood compared to infants born at full term. 

Preterm infants given a formula that includes omega-3s show a small improvement in neurodevelopmental outcomes compared to preterm infants given formula without omega-3s. This does not seem to affect full term infants.

DHA is found in breast milk. If mothers reduce the amount of omega-3s they eat, there is a reduction in the amount of omega-3s in their breast milk.

Recent studies found positive effects in cognition (ability to think) and brain connectivity in young children who had higher DHA intake during infancy.

On the other side of the spectrum, in terms of neurodegeneration, age is the greatest risk factor for Alzheimer’s disease (AD). There’s been a lot of research on the effects of omega-3s and AD. People with higher omega-3 intakes have a lower risk of AD; and people with AD tend to have lower levels of DHA in their blood.

Because of DHA’s effect on certain brain cells (glial cells), it was thought that supplementing with DHA may help with AD. This was tried in animal models and was shown to boost an enzyme that helps to clear the detrimental Aβ plaques that are common in AD. Also, animals given an omega-6 enriched diet had higher levels of plasma Aβ as well as more mood issues. 

A recent review of several high-quality clinical studies looked at the use of omega-3 supplements to try to help with mild to moderate AD. After combining the results of those trials, researchers found that after six months, there was no consistent benefit in quality of life, cognition (ability to think), or mental health. One study showed a small improvement in activities of daily living amongst those who had the omega-3 supplements.

A more recent larger study showed that omega-3 supplements may have a small benefit if taken early in the development of AD, but other studies don’t show the same benefit.

More research is needed to understand the role omega-3s have for people with AD.

FUN FACT: One symptom of deficiency of the essential omega-3 (ALA) is visual dysfunction. This is because of how important DHA is, not only for the brain, but also for the retina of the eye.

Omega-3s and mental health

People who regularly eat and/or have higher blood levels of omega-3s are less likely to feel depressed or anxious.

One randomized double-blind study looked at depressed undergraduate students. They found a significant reduction in symptoms in those who took omega-3 supplements, compared to those who took placebo.

Studies have also shown a mild to moderate benefit in symptoms for those taking omega-3s versus placebos. Some of those studies also showed a comparable result to certain antidepressant medications. These studies also concluded that the evidence was not very strong yet, and more research with higher-quality studies is needed.

In terms of aggression, a recently published double-blind randomized study tested whether omega-3 supplements could help reduce aggression. They gave one group a supplement with EPA and DHA, and another got a placebo. The participants taking the omega-3s found that after 6-weeks they felt that their aggressiveness significantly decreased.

The links between mental health and inflammation are many. For one, certain medications that cause inflammation can induce mental health symptoms. At the same time, some antidepressant medications are anti-inflammatory. In fact, taking omega-3s along with antidepressant medications has an improved effect over antidepressant medications alone.

The role of omega-3s in mental health are not just due to their anti-inflammatory abilities. There is also evidence that omega-3 deficiency can lead to impaired function of the neurotransmitters serotonin and dopamine, and these can result in some mental health issues.

There is also the connection with stress hormones. People who feel depressed tend to have higher levels of the stress hormone cortisol in their blood. The omega-3 EPA may reduce the production and release of stress hormones. 

Omega-3s and heart health

Omega-3s started getting famous for heart health because of research dating back to the 1970s. At that time, researchers found that Greenland Inuit, despite eating a lot of fat, had a lower rate of heart disease and fewer risk factors too. So, they thought that it wasn’t the amount of fat eaten that was unhealthy for the heart, but rather the type of fat eaten.

Other studies show that higher levels of EPA and DHA in your blood are associated with lower  risk factors for heart issues.

Many more studies showed that omega-3 oil helped to improve blood lipids and cholesterol, reduced blood pressure, improved heart rate and rhythm, “thinned” the blood, had beneficial effects on blood vessels, and stabilized atherosclerotic plaques.

Lately, there seems to be a growing body of evidence that the improved heart health effects of omega-3s may be smaller than we originally thought. Some researchers think these conflicting results may be due to the fact that fewer people smoke now, and also that the standard of care for people with heart disease has been improving over the decades. 

The bottom line when it comes to omega-3s and heart health is there is evidence that omega-3 supplements lower some risk factors of heart disease - the evidence is just not as overwhelmingly strong as we first thought. Plus, since these supplements tend to be quite safe, many expert medical associations still recommend them for heart health.

NOTE: Talk to your health care professional before starting any supplement regimen, especially if you have a medical condition or are taking medications.

How to get enough omega-3s from food

In order to get the health benefits you have to regularly eat enough foods that are high in omega-3s.  

It’s thought that our ancestral diets included approximately equal amounts of omega-3s and omega-6s. Now, our intake of omega-6s is up to 20x higher than our intake of omega-3s. This is why there is such an emphasis on getting enough omega-3s.

When it comes to plant-based sources of omega-3s, flax is the winner! Up to half of flax’s total fatty acids are the essential omega-3 ALA. Walnuts, soy, and canola (not my fave option) are less concentrated sources of ALA, with about 10% of their fatty acids as ALA. Some foods are even fortified with omega-3 oils. Some baked goods, pastas, dressings, and spreads may contain added flax, or algal oils.

Some other wonderful food sources of Omega-3 fats are:

• Algae
• Spirulina
• Walnuts
• Flax seeds
• Pumpkin seed
• Chia seeds
• Hemp seeds
• Avocado
• Olives
• Macadamia nuts
• Hazelnuts
• Pecans
• Almonds

For those of us who don’t eat fish, supplements are a great option. There are some excellent vegan Omega-3 supplements on the market today. My preferred brand is Juice Plus+. I’ve been taking them since 2016, and you can order them here (affiliate link).

It’s recommended that most adults get at least 0.5-1.6 g per day of combined EPA and DHA, preferably from food. In terms of ALA, 1.5-3 g per day is beneficial, and that can be from plant-based foods or supplements.

Conclusion

Omega-3 fatty acids are essential for good health! 

Some of the health benefits include reduced inflammation and pain of rheumatoid arthritis; improved brain function and mental health; and reduced risk of heart disease. 

Flax is the best plant-based source of the essential omega-3, ALA. The two biologically active omega-3s, EPA and DHA, are from algae. It’s always recommended to get your nutrients from food as much as possible. So get you your fatty nuts, seeds, and oils in.

If you consider supplementing, make sure to follow the directions on the label and keep them refrigerated. If you have any medical conditions or are taking medications, make sure to speak with your health care professional.