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Fatty acids are natural components of fats and oils. Based on their chemical structure they can be differentiated into three groups: ‘saturated’, ‘mono-unsaturated’ and ‘poly-unsaturated’ fatty acids. Saturated fatty acids (fats) are mainly found in animal foods, such as (fatty) meat, lard, sausage, butter and cheese but even in palm kernel and coconut oil, which are used for frying. Most unsaturated fatty acids (fats) are of plant and fatty fish origin. Foods containing unsaturated fatty acids include avocado, nuts, vegetable oils (corn, soy, and algal-oil), herring, and salmon. Meat products contain both saturated and unsaturated fats.
Of particular interest are ‘polyunsaturated fatty acids’. Within the family of polyunsaturated fatty acids (PUFAs), there are two different groups: the ‘omega-3-fatty acids ‘and ‘omega-6-fatty acids’. Both are considered essential fatty acids because they cannot be synthesized by humans.
The parent fatty acid of the omega-3 series is alpha-linolenic acid (ALA). The omega-3 long-chain polyunsaturated fatty acids, eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), can be synthesized from ALA, although conversion rates are very low, especially for DHA. DHA status is not only influenced by diet but also by genetic variants, single nucleotide polymorphisms in the fatty acid desaturases.
The parent fatty acid of the omega-6 series is linoleic acid (LA). The omega-6 long-chain polyunsaturated fatty acid, arachidonic acid (AA), can be synthesized from LA.
Long chain polyunsaturated fatty acids (LC-PUFAs) possess a chain of 20 or more carbon molecules. The LC-PUFA of the omega-3 and omega-6 fatty acid families are considered as conditionally essential fatty acids if the endogenous production from the parent fatty acids is inefficient and insufficient to meet nutritional requirements.
It has been estimated that the ratio of omega-6 to omega-3 fatty acids in the typical Western diet is almost 10:1 due to increased use of vegetable oils rich in omega-6 fatty acids as well as reduced fish consumption. A large body of scientific research suggests that increasing the relative abundance of dietary omega-3 LC-PUFAs (EPA, DHA) have a number of health benefits. However, the intake of omega-3 LC-PUFA is low and largely below recommended dietary intake. A worldwide review of nutritional surveys showed that only 45 (representing only 18.9% of the world population) of 266 countries achieved a recommended intake of ≥ 250 mg/d.
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All individuals, regardless of age or health status, are encouraged to undergo blood testing and work with a physician who can make personalized recommendations based on their unique dietary needs. However, in the absence of testing, we have provided general daily recommendations, based on life stage and general health status. These recommendations are informed by: 1) extensive review of the omega-3 and human physiology literatures, 2) consideration of the many factors impeding omega-3 synthesis and absorption, 3) clinical evidence demonstrating that higher doses of omega-3s result in higher omega-3 levels, and 4) research indicating that doses as large as 5000 mg per day are safe for daily consumption by adults.
Importantly, these dosage recommendations should be combined with efforts to consume: 1) oily, wild-caught fish at least twice a week, and 2) a low intake of omega-6 fats (commonly found in vegetable oils, nuts, processed foods, etc.). This is because omega-6 fats compete with omega-3s for the enzymes needed to synthesize their fatty acid derivatives, and thus, excessive consumption of omega-6 fatty acids may effectively replace omega-3s within cell membranes.
- Healthy Children (ages 4-12): 2000 mg EPA+DHA per day
- Healthy Adolescents (ages 13-18): 2000-3000 mg EPA+DHA per day
- Healthy Adults (ages 18+): 3000-4000 mg EPA+DHA per day
As you likely noted, these intake recommendations are substantially higher than those provided by other health organizations, who generally recommend healthy adults take a minimum of 500 mg of EPA+DHA daily. It is important to recognize that these more modest intake recommendations are suggested minimums, rather than recommendations for optimal cellular health and functioning. Moreover, these modest intake recommendations are informed by research which has historically tended to err on the side of caution by using smaller doses, when we now have sufficient evidence that doses as large as 5000 mg per day are safe for daily consumption and more effective for raising the omega-3 index towards cardioprotective levels. *