Fish oil
Encyclopedia
Fish oil is oil
derived from the tissues
of oily fish
. Fish oils contain the omega-3 fatty acid
s eicosapentaenoic acid
(EPA), and docosahexaenoic acid
(DHA), precursors of certain eicosanoids that are known to reduce inflammation
throughout the body, and are thought to have many health benefits.
Fish do not actually produce omega-3 fatty acids, but instead accumulate them by consuming either microalgae or prey fish that have accumulated omega-3 fatty acid
s, together high quantity of antioxidants as iodide
and selenium
, from microalgae, where these antioxidants are able to protect the fragile polyunsaturated lipids from peroxidantion
.
Fatty predatory fish like shark
s, sword fish, tilefish
, and albacore tuna may be high in omega-3 fatty acids, but due to their position at the top of the food chain
, these species can also accumulate toxic substances (see biomagnification
). For this reason, the U.S. Food and Drug Administration
recommends limiting consumption of certain (predatory) fish species (e.g. albacore tuna, shark
, king mackerel
, tilefish
and swordfish
) due to high levels of toxic contaminants such as mercury
, dioxin, PCBs
and chlordane
. Fish oil is used as a component in aquaculture
feed. More than 50 percent of the world's fish oil used in aquaculture feed
is fed to farmed salmon
.
The omega-3 fatty acids in fish oil are thought to be beneficial in treating hypertriglyceridemia
, and possibly beneficial in preventing heart disease. Fish oil and omega-3 fatty acids have been studied in a wide variety of other conditions, such as clinical depression
, anxiety
, cancer
, and macular degeneration
, although benefit in these conditions remains to be proven.
. The 2005 production estimate is about 570,000 tonnes in the five main exporting countries (Peru
, Denmark
, Chile
, Iceland
and Norway
), a 12% decline from the 650,000 tonnes produced in 2004.. Peru continues to be the main fish oil producer worldwide, with about one fourth of total fish oil production.
effects of n−3 fatty acids found in fish oil (particularly breast
, colon and prostate cancer
). Omega-3 fatty acids reduced prostate cancer
growth, slowed histopathological progression, and increased survival in genetically engineered mice. Among n-3 fatty acids (omega-3), neither long-chain nor short-chain forms were consistently associated with reduced breast cancer risk. High levels of docosahexaenoic acid, however, the most abundant n-3 polyunsaturated fatty acid (omega-3) in erythrocyte membranes, were associated with a reduced risk of breast cancer
. In a recent study of 35,000 middle-aged women published in the journal Cancer Epidemiology, those that took fish oil supplements were found to have a 32% lower risk of breast cancer, although the study authors stressed that the result was preliminary and that "we should not draw any conclusions about a causal relationship."
found fish oil supplementation did not demonstrate any preventative benefit to cardiac patients with ventricular arrhythmias.
The American Heart Association
recommends the consumption of 1g
of fish oil daily, preferably by eating fish, for patients with coronary heart disease
although pregnant and nursing women are advised to avoiding eating fish with high potential for mercury contaminants including mackerel, shark, or swordfish. Note that optimal dosage relates to body weight.
The US National Institutes of Health
lists three conditions for which fish oil and other omega-3 sources are most highly recommended: hypertriglyceridemia
, secondary cardiovascular disease
prevention and high blood pressure. It then lists 27 other conditions for which there is less evidence. It also lists possible safety concerns: "Intake of 3 grams per day or greater of omega-3 fatty acids may increase the risk of bleeding, although there is little evidence of significant bleeding risk at lower doses. Very large intakes of fish oil/omega-3 fatty acids may increase the risk of hemorrhagic (bleeding) stroke."
were significantly lower in the washed red blood cells of the suicide-attempt patients. A small American trial, published in 2009, suggests that E-EPA
, as monotherapy, might treat major depressive disorder, however the study achieved no statistical significance.
Studies were conducted on prisoners in England where the inmates were fed seafood which contains omega-3 fatty acids. The higher consumption of these fatty acids corresponded with a drop in the assault rates. Another Finnish study found that prisoners who were convicted of violence had lower levels of omega–3 fatty acids than prisoners convicted of nonviolent offenses. It was suggested that these kinds of fatty acids are responsible for the neuronal growth of the frontal cortex of the brain which, it is further alleged, is the seat of personal behavior.
A study from the Orygen Research Centre in Melbourne suggests that omega-3 fatty acids could also help delay or prevent the onset of schizophrenia
. The researchers enlisted 81 'high risk' young people aged 13 to 24 who had previously suffered brief hallucinations or delusions and gave half of them capsules of fish oil while the other half received fish-tasting dummy substitute. One year on, only three percent of those on fish oil had developed schizophrenia compared to 28 percent from those on the substitute. A study conducted at Sheffield University in England reported positive results with fish oil on patients suffering from schizophrenia. Dr. Malcolm Peet, Professor of Psychiatry at Sheffield University organized the study and followed the progress of the participants. Participants of the study were previously taking anti-psychotic prescription drugs but after some time were no longer effective on patients. After taking fish oil supplements, participants in the study experienced progress compared to others who were given a placebo.
However, the largest controlled study to date found no cognitive benefit after two years in the elderly.
in September 2005, Docosahexaenoic acid
, an omega-3 fatty acid often found in fish oil, may help protect the brain from cognitive problems associated with Alzheimer's disease
.
For example, an August 2003 double-blind placebo-controlled study published in the journal European Neuropsychopharmacology found that among 28 patients with major depressive disorder, "patients in the omega-3 PUFA group had a significantly decreased score on the 21-item Hamilton Rating Scale for Depression than those in the placebo group." Another study in the American Journal of Psychiatry reported that the addition of fish oil supplements to regular maintenance anti-depression therapy conferred "highly significant" benefits by the third week of the trial.
In contrast, a 2005 randomized double-blind placebo-controlled study conducted under the auspices of the New Zealand Institute for Crop & Food Research found "no evidence that fish oil improved mood when compared to the placebo oil, despite an increase in circulating ω-3 polyunsaturated fatty acids." Similarly, another scholarly study published in October 2007 reported that fish oil supplements conferred no additional benefits beyond those conferred by standard treatment.
have also shown beneficial
effects on psoriasis
. Though it has not been proven, some claim that fish oil also improves the tone of the skin and the condition of the blood vessels. More studies would have to be done to understand whether this is true.
intake during early infancy confers long-term benefits on specific aspects of neurodevelopment.
Docosahexaenoic acid supplementation has also been found to be essential for early visual development of the baby. However, the standard western diet is severely deficient in these critical nutrients. This omega-3 dietary deficiency, a nutrient found in fish oil, is compounded by the fact that pregnant women become depleted in omega-3s, since the fetus uses omega-3s for its nervous system development. Omega-3s are also used after birth if they are provided in breast milk.
In addition, provision of fish oil during pregnancy may reduce an infant’s sensitization to common food allergens and reduce the prevalence and severity of certain skin diseases in the first year of life. This effect may persist until adolescence with a reduction in prevalence and/or severity of eczema, hay fever and asthma.
Omega-3 fatty acid supplementation is also beneficial to the mother. It has been shown to prevent pre-term labor and delivery. It is recommended that women who are breastfeeding consume fish oil at least twice a week, although the American Heart Association
recommends pregnant and nursing women are to avoiding eating fish with high potential for mercury contaminants including mackerel, shark, or swordfish.
) of fish and many animals (such as seals and whales) contain omega-3, but also the active form of vitamin A
. At high levels, this form of the vitamin can be dangerous (Hypervitaminosis A
).
in the UK and the Food Safety Authority of Ireland reported PCB levels that exceeded the strict new European maximum limits in several fish oil brands,
which required temporary withdrawal of these brands. To address the growing concern over contaminated fish oil supplements, the International Fish Oil Standards program, a voluntary review process, was created at University of Guelph
.
Patented production purification processes do however exist in order to remove pollutants and dioxins from fish oil to levels far below the EU limits.
EU regulations have set a limit on the percentage of toxins that can be present in the oil for it to still be beneficial to the consumer. Recently, concerns in the UK and Ireland with regards to upholding the limits set have resulted in some major manufacturers taking their products off the market on a temporary basis.
A March 2010 lawsuit filed by a California environmental group claims that eight popular brands of fish oil supplements contained excessive levels of PCB
s, including CVS/pharmacy, Nature Made, Rite Aid
, GNC
, Solgar, Twinlab
, Now Health, Omega Protein
and Pharmavite.
It should be noted, however, that the majority of these products were either cod liver or shark liver oils. Because the liver is the major filtering and detoxifying organ, PCB content will be much higher in such products than in the more common fish oil produced from the processing of whole fish.
An analysis based on data from the Norwegian Women and Cancer Study (NOWAC) with regards to the dangers of persistent organic pollutants (POPs) in cod liver came to the conclusion that "in Norwegian women, fish liver consumption was not associated with an increased cancer risk in breast, uterus, or colon. In contrast, a decreased risk for total cancer was found."
Oil
An oil is any substance that is liquid at ambient temperatures and does not mix with water but may mix with other oils and organic solvents. This general definition includes vegetable oils, volatile essential oils, petrochemical oils, and synthetic oils....
derived from the tissues
Biological tissue
Tissue is a cellular organizational level intermediate between cells and a complete organism. A tissue is an ensemble of cells, not necessarily identical, but from the same origin, that together carry out a specific function. These are called tissues because of their identical functioning...
of oily fish
Oily fish
Oily fish have oil in their tissues and in the belly cavity around the gut. Their fillets contain up to 30 percent oil, although this figure varies both within and between species...
. Fish oils contain the omega-3 fatty acid
Omega-3 fatty acid
N−3 fatty acids are essential unsaturated fatty acids with a double bond starting after the third carbon atom from the end of the carbon chain....
s eicosapentaenoic acid
Eicosapentaenoic acid
Eicosapentaenoic acid is an omega-3 fatty acid. In physiological literature, it is given the name 20:5. It also has the trivial name timnodonic acid...
(EPA), and docosahexaenoic acid
Docosahexaenoic acid
Docosahexaenoic acid is an omega-3 fatty acid that is a primary structural component of the human brain and retina. In chemical structure, DHA is a carboxylic acid with a 22-carbon chain and six cis double bonds; the first double bond is located at the third carbon from the omega end...
(DHA), precursors of certain eicosanoids that are known to reduce inflammation
Inflammation
Inflammation is part of the complex biological response of vascular tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. Inflammation is a protective attempt by the organism to remove the injurious stimuli and to initiate the healing process...
throughout the body, and are thought to have many health benefits.
Fish do not actually produce omega-3 fatty acids, but instead accumulate them by consuming either microalgae or prey fish that have accumulated omega-3 fatty acid
Omega-3 fatty acid
N−3 fatty acids are essential unsaturated fatty acids with a double bond starting after the third carbon atom from the end of the carbon chain....
s, together high quantity of antioxidants as iodide
Iodide
An iodide ion is the ion I−. Compounds with iodine in formal oxidation state −1 are called iodides. This page is for the iodide ion and its salts. For information on organoiodides, see organohalides. In everyday life, iodide is most commonly encountered as a component of iodized salt,...
and selenium
Selenium
Selenium is a chemical element with atomic number 34, chemical symbol Se, and an atomic mass of 78.96. It is a nonmetal, whose properties are intermediate between those of adjacent chalcogen elements sulfur and tellurium...
, from microalgae, where these antioxidants are able to protect the fragile polyunsaturated lipids from peroxidantion
.
Fatty predatory fish like shark
Shark
Sharks are a type of fish with a full cartilaginous skeleton and a highly streamlined body. The earliest known sharks date from more than 420 million years ago....
s, sword fish, tilefish
Tilefish
Tilefishes, also known as blanquillo, are mostly small perciform marine fish comprising the family Malacanthidae.They are usually found in sandy areas, especially near coral reefs....
, and albacore tuna may be high in omega-3 fatty acids, but due to their position at the top of the food chain
Food chain
A food web depicts feeding connections in an ecological community. Ecologists can broadly lump all life forms into one of two categories called trophic levels: 1) the autotrophs, and 2) the heterotrophs...
, these species can also accumulate toxic substances (see biomagnification
Biomagnification
Biomagnification, also known as bioamplification or biological magnification, is the increase in concentration of a substance that occurs in a food chain as a consequence of:* Persistence...
). For this reason, the U.S. Food and Drug Administration
Food and Drug Administration
The Food and Drug Administration is an agency of the United States Department of Health and Human Services, one of the United States federal executive departments...
recommends limiting consumption of certain (predatory) fish species (e.g. albacore tuna, shark
Shark
Sharks are a type of fish with a full cartilaginous skeleton and a highly streamlined body. The earliest known sharks date from more than 420 million years ago....
, king mackerel
King mackerel
The king mackerel is a migratory species of mackerel of the western Atlantic Ocean and Gulf of Mexico. It is an important species to both the commercial and recreational fishing industries.-Description:...
, tilefish
Tilefish
Tilefishes, also known as blanquillo, are mostly small perciform marine fish comprising the family Malacanthidae.They are usually found in sandy areas, especially near coral reefs....
and swordfish
Swordfish
Swordfish , also known as broadbill in some countries, are large, highly migratory, predatory fish characterized by a long, flat bill. They are a popular sport fish of the billfish category, though elusive. Swordfish are elongated, round-bodied, and lose all teeth and scales by adulthood...
) due to high levels of toxic contaminants such as mercury
Mercury (element)
Mercury is a chemical element with the symbol Hg and atomic number 80. It is also known as quicksilver or hydrargyrum...
, dioxin, PCBs
Polychlorinated biphenyl
Polychlorinated biphenyls are a class of organic compounds with 2 to 10 chlorine atoms attached to biphenyl, which is a molecule composed of two benzene rings. The chemical formula for PCBs is C12H10-xClx...
and chlordane
Chlordane
Chlordane, or chlordan, is an organochlorine compound that was used as a pesticide. This white solid was sold in the U.S. until 1983 as an insecticide for crops like corn and citrus and on lawns and domestic gardens.-Production and uses:...
. Fish oil is used as a component in aquaculture
Aquaculture
Aquaculture, also known as aquafarming, is the farming of aquatic organisms such as fish, crustaceans, molluscs and aquatic plants. Aquaculture involves cultivating freshwater and saltwater populations under controlled conditions, and can be contrasted with commercial fishing, which is the...
feed. More than 50 percent of the world's fish oil used in aquaculture feed
Commercial fish feed
Manufactured feeds are an important part of modern commercial aquaculture, providing the balanced nutrition needed by farmed fish. The feeds, in the form of granules or pellets, provide the nutrition in a stable and concentrated form, enabling the fish to feed efficiently and grow to their full...
is fed to farmed salmon
Aquaculture of salmon
Salmon, along with carp, are the two most important fish groups in aquaculture. In 2007, the aquaculture of salmon and salmon trout was worth US$10.7 billion. The most commonly farmed salmon is the Atlantic salmon. Other commonly farmed fish groups include tilapia, catfish, sea bass, bream and...
.
The omega-3 fatty acids in fish oil are thought to be beneficial in treating hypertriglyceridemia
Hypertriglyceridemia
In medicine, hypertriglyceridemia denotes high blood levels of triglycerides, the most abundant fatty molecule in most organisms. It has been associated with atherosclerosis, even in the absence of hypercholesterolemia . It can also lead to pancreatitis in excessive concentrations In medicine,...
, and possibly beneficial in preventing heart disease. Fish oil and omega-3 fatty acids have been studied in a wide variety of other conditions, such as clinical depression
Clinical depression
Major depressive disorder is a mental disorder characterized by an all-encompassing low mood accompanied by low self-esteem, and by loss of interest or pleasure in normally enjoyable activities...
, anxiety
Anxiety
Anxiety is a psychological and physiological state characterized by somatic, emotional, cognitive, and behavioral components. The root meaning of the word anxiety is 'to vex or trouble'; in either presence or absence of psychological stress, anxiety can create feelings of fear, worry, uneasiness,...
, cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...
, and macular degeneration
Macular degeneration
Age-related macular degeneration is a medical condition which usually affects older adults and results in a loss of vision in the center of the visual field because of damage to the retina. It occurs in “dry” and “wet” forms. It is a major cause of blindness and visual impairment in older adults...
, although benefit in these conditions remains to be proven.
Production
In 2005, fish oil production declined in all main producing countries with the exception of IcelandIceland
Iceland , described as the Republic of Iceland, is a Nordic and European island country in the North Atlantic Ocean, on the Mid-Atlantic Ridge. Iceland also refers to the main island of the country, which contains almost all the population and almost all the land area. The country has a population...
. The 2005 production estimate is about 570,000 tonnes in the five main exporting countries (Peru
Peru
Peru , officially the Republic of Peru , is a country in western South America. It is bordered on the north by Ecuador and Colombia, on the east by Brazil, on the southeast by Bolivia, on the south by Chile, and on the west by the Pacific Ocean....
, Denmark
Denmark
Denmark is a Scandinavian country in Northern Europe. The countries of Denmark and Greenland, as well as the Faroe Islands, constitute the Kingdom of Denmark . It is the southernmost of the Nordic countries, southwest of Sweden and south of Norway, and bordered to the south by Germany. Denmark...
, Chile
Chile
Chile ,officially the Republic of Chile , is a country in South America occupying a long, narrow coastal strip between the Andes mountains to the east and the Pacific Ocean to the west. It borders Peru to the north, Bolivia to the northeast, Argentina to the east, and the Drake Passage in the far...
, Iceland
Iceland
Iceland , described as the Republic of Iceland, is a Nordic and European island country in the North Atlantic Ocean, on the Mid-Atlantic Ridge. Iceland also refers to the main island of the country, which contains almost all the population and almost all the land area. The country has a population...
and Norway
Norway
Norway , officially the Kingdom of Norway, is a Nordic unitary constitutional monarchy whose territory comprises the western portion of the Scandinavian Peninsula, Jan Mayen, and the Arctic archipelago of Svalbard and Bouvet Island. Norway has a total area of and a population of about 4.9 million...
), a 12% decline from the 650,000 tonnes produced in 2004.. Peru continues to be the main fish oil producer worldwide, with about one fourth of total fish oil production.
Common name | grams |
---|---|
Tuna Tuna Tuna is a salt water fish from the family Scombridae, mostly in the genus Thunnus. Tuna are fast swimmers, and some species are capable of speeds of . Unlike most fish, which have white flesh, the muscle tissue of tuna ranges from pink to dark red. The red coloration derives from myoglobin, an... |
0.21–1.1 |
Tuna Tuna Tuna is a salt water fish from the family Scombridae, mostly in the genus Thunnus. Tuna are fast swimmers, and some species are capable of speeds of . Unlike most fish, which have white flesh, the muscle tissue of tuna ranges from pink to dark red. The red coloration derives from myoglobin, an... (canned, light) |
0.17-0.24 |
Pollock Pollock Pollock is the common name used for either of the two species of marine fish in the Pollachius genus. Both P. pollachius and P. virens are commonly referred to as pollock. Other names for P... |
0.45 |
Salmon Salmon Salmon is the common name for several species of fish in the family Salmonidae. Several other fish in the same family are called trout; the difference is often said to be that salmon migrate and trout are resident, but this distinction does not strictly hold true... |
1.1–1.9 |
Cod Cod Cod is the common name for genus Gadus, belonging to the family Gadidae, and is also used in the common name for various other fishes. Cod is a popular food with a mild flavor, low fat content and a dense, flaky white flesh. Cod livers are processed to make cod liver oil, an important source of... |
0.15–0.24 |
Catfish Catfish Catfishes are a diverse group of ray-finned fish. Named for their prominent barbels, which resemble a cat's whiskers, catfish range in size and behavior from the heaviest and longest, the Mekong giant catfish from Southeast Asia and the second longest, the wels catfish of Eurasia, to detritivores... |
0.22–0.3 |
Flounder Flounder The flounder is an ocean-dwelling flatfish species that is found in coastal lagoons and estuaries of the Northern Atlantic and Pacific Oceans.-Taxonomy:There are a number of geographical and taxonomical species to which flounder belong.*Western Atlantic... |
0.48 |
Grouper Grouper Groupers are fish of any of a number of genera in the subfamily Epinephelinae of the family Serranidae, in the order Perciformes.Not all serranids are called groupers; the family also includes the sea basses. The common name grouper is usually given to fish in one of two large genera: Epinephelus... |
0.23 |
Halibut Halibut Halibut is a flatfish, genus Hippoglossus, from the family of the right-eye flounders . Other flatfish are also called halibut. The name is derived from haly and butt , for its popularity on Catholic holy days... |
0.60–1.12 |
Mahi mahi | 0.13 |
Orange roughy Orange roughy The orange roughy, red roughy, or deep sea perch, Hoplostethus atlanticus, is a relatively large deep-sea fish belonging to the slimehead family . The Marine Conservation Society has categorized orange roughy as vulnerable to exploitation... |
0.028 |
Red snapper Red snapper (fish) The red snapper, Lutjanus campechanus, is a fish found in the Gulf of Mexico and the southeastern Atlantic coast of the United States and, much less commonly, northward as far as Massachusetts. In Latin American Spanish it is known as huachinango or pargo... |
0.29 |
Shark Shark Sharks are a type of fish with a full cartilaginous skeleton and a highly streamlined body. The earliest known sharks date from more than 420 million years ago.... |
0.83 |
Swordfish Swordfish Swordfish , also known as broadbill in some countries, are large, highly migratory, predatory fish characterized by a long, flat bill. They are a popular sport fish of the billfish category, though elusive. Swordfish are elongated, round-bodied, and lose all teeth and scales by adulthood... |
0.97 |
Tilefish Tilefish Tilefishes, also known as blanquillo, are mostly small perciform marine fish comprising the family Malacanthidae.They are usually found in sandy areas, especially near coral reefs.... |
0.90 |
King mackerel King mackerel The king mackerel is a migratory species of mackerel of the western Atlantic Ocean and Gulf of Mexico. It is an important species to both the commercial and recreational fishing industries.-Description:... |
0.36 |
Benefits
Cancer
Several studies report possible anti-cancerCancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...
effects of n−3 fatty acids found in fish oil (particularly breast
Breast cancer
Breast cancer is cancer originating from breast tissue, most commonly from the inner lining of milk ducts or the lobules that supply the ducts with milk. Cancers originating from ducts are known as ductal carcinomas; those originating from lobules are known as lobular carcinomas...
, colon and prostate cancer
Prostate cancer
Prostate cancer is a form of cancer that develops in the prostate, a gland in the male reproductive system. Most prostate cancers are slow growing; however, there are cases of aggressive prostate cancers. The cancer cells may metastasize from the prostate to other parts of the body, particularly...
). Omega-3 fatty acids reduced prostate cancer
Prostate cancer
Prostate cancer is a form of cancer that develops in the prostate, a gland in the male reproductive system. Most prostate cancers are slow growing; however, there are cases of aggressive prostate cancers. The cancer cells may metastasize from the prostate to other parts of the body, particularly...
growth, slowed histopathological progression, and increased survival in genetically engineered mice. Among n-3 fatty acids (omega-3), neither long-chain nor short-chain forms were consistently associated with reduced breast cancer risk. High levels of docosahexaenoic acid, however, the most abundant n-3 polyunsaturated fatty acid (omega-3) in erythrocyte membranes, were associated with a reduced risk of breast cancer
Breast cancer
Breast cancer is cancer originating from breast tissue, most commonly from the inner lining of milk ducts or the lobules that supply the ducts with milk. Cancers originating from ducts are known as ductal carcinomas; those originating from lobules are known as lobular carcinomas...
. In a recent study of 35,000 middle-aged women published in the journal Cancer Epidemiology, those that took fish oil supplements were found to have a 32% lower risk of breast cancer, although the study authors stressed that the result was preliminary and that "we should not draw any conclusions about a causal relationship."
Cardiovascular
A 2008 meta-study by the Canadian Medical Association JournalCanadian Medical Association Journal
The Canadian Medical Association Journal is a general medical journal that is published biweekly by the Canadian Medical Association . It covers research and ideas aimed at improving health for people in Canada and globally. CMAJ publishes original clinical research, analyses and reviews, news,...
found fish oil supplementation did not demonstrate any preventative benefit to cardiac patients with ventricular arrhythmias.
The American Heart Association
American Heart Association
The American Heart Association is a non-profit organization in the United States that fosters appropriate cardiac care in an effort to reduce disability and deaths caused by cardiovascular disease and stroke. It is headquartered in Dallas, Texas...
recommends the consumption of 1g
Gram
The gram is a metric system unit of mass....
of fish oil daily, preferably by eating fish, for patients with coronary heart disease
Coronary heart disease
Coronary artery disease is the end result of the accumulation of atheromatous plaques within the walls of the coronary arteries that supply the myocardium with oxygen and nutrients. It is sometimes also called coronary heart disease...
although pregnant and nursing women are advised to avoiding eating fish with high potential for mercury contaminants including mackerel, shark, or swordfish. Note that optimal dosage relates to body weight.
The US National Institutes of Health
National Institutes of Health
The National Institutes of Health are an agency of the United States Department of Health and Human Services and are the primary agency of the United States government responsible for biomedical and health-related research. Its science and engineering counterpart is the National Science Foundation...
lists three conditions for which fish oil and other omega-3 sources are most highly recommended: hypertriglyceridemia
Hypertriglyceridemia
In medicine, hypertriglyceridemia denotes high blood levels of triglycerides, the most abundant fatty molecule in most organisms. It has been associated with atherosclerosis, even in the absence of hypercholesterolemia . It can also lead to pancreatitis in excessive concentrations In medicine,...
, secondary cardiovascular disease
Cardiovascular disease
Heart disease or cardiovascular disease are the class of diseases that involve the heart or blood vessels . While the term technically refers to any disease that affects the cardiovascular system , it is usually used to refer to those related to atherosclerosis...
prevention and high blood pressure. It then lists 27 other conditions for which there is less evidence. It also lists possible safety concerns: "Intake of 3 grams per day or greater of omega-3 fatty acids may increase the risk of bleeding, although there is little evidence of significant bleeding risk at lower doses. Very large intakes of fish oil/omega-3 fatty acids may increase the risk of hemorrhagic (bleeding) stroke."
Mental health
Studies published in 2004 and 2009 have suggested that the n-3 EPA may reduce the risk of depression and suicide. One such study took blood samples of 100 suicide-attempt patients and compared the blood samples to those of controls and found that levels of Eicosapentaenoic acidEicosapentaenoic acid
Eicosapentaenoic acid is an omega-3 fatty acid. In physiological literature, it is given the name 20:5. It also has the trivial name timnodonic acid...
were significantly lower in the washed red blood cells of the suicide-attempt patients. A small American trial, published in 2009, suggests that E-EPA
E-EPA
Ethyl eicosapentaenoic acid is a highly purified, vacuum distilled derivate of the omega-3 fatty acid eicosapentaenoic acid . In Japan E-EPA is often called EPA-E.Only EPA is considered to exihibit antipsychotic and antidepressive effects...
, as monotherapy, might treat major depressive disorder, however the study achieved no statistical significance.
Studies were conducted on prisoners in England where the inmates were fed seafood which contains omega-3 fatty acids. The higher consumption of these fatty acids corresponded with a drop in the assault rates. Another Finnish study found that prisoners who were convicted of violence had lower levels of omega–3 fatty acids than prisoners convicted of nonviolent offenses. It was suggested that these kinds of fatty acids are responsible for the neuronal growth of the frontal cortex of the brain which, it is further alleged, is the seat of personal behavior.
A study from the Orygen Research Centre in Melbourne suggests that omega-3 fatty acids could also help delay or prevent the onset of schizophrenia
Schizophrenia
Schizophrenia is a mental disorder characterized by a disintegration of thought processes and of emotional responsiveness. It most commonly manifests itself as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is accompanied by significant social...
. The researchers enlisted 81 'high risk' young people aged 13 to 24 who had previously suffered brief hallucinations or delusions and gave half of them capsules of fish oil while the other half received fish-tasting dummy substitute. One year on, only three percent of those on fish oil had developed schizophrenia compared to 28 percent from those on the substitute. A study conducted at Sheffield University in England reported positive results with fish oil on patients suffering from schizophrenia. Dr. Malcolm Peet, Professor of Psychiatry at Sheffield University organized the study and followed the progress of the participants. Participants of the study were previously taking anti-psychotic prescription drugs but after some time were no longer effective on patients. After taking fish oil supplements, participants in the study experienced progress compared to others who were given a placebo.
However, the largest controlled study to date found no cognitive benefit after two years in the elderly.
Alzheimer's disease
According to a study from Louisiana State UniversityLouisiana State University
Louisiana State University and Agricultural and Mechanical College, most often referred to as Louisiana State University, or LSU, is a public coeducational university located in Baton Rouge, Louisiana. The University was founded in 1853 in what is now known as Pineville, Louisiana, under the name...
in September 2005, Docosahexaenoic acid
Docosahexaenoic acid
Docosahexaenoic acid is an omega-3 fatty acid that is a primary structural component of the human brain and retina. In chemical structure, DHA is a carboxylic acid with a 22-carbon chain and six cis double bonds; the first double bond is located at the third carbon from the omega end...
, an omega-3 fatty acid often found in fish oil, may help protect the brain from cognitive problems associated with Alzheimer's disease
Alzheimer's disease
Alzheimer's disease also known in medical literature as Alzheimer disease is the most common form of dementia. There is no cure for the disease, which worsens as it progresses, and eventually leads to death...
.
Lupus
In the Northern Ireland study, lupus disease activity, especially in the skin and joints was significantly reduced in the patients who received the fish oil supplements, at both the 12-week and 24-week follow-up periods. No such reduction was seen in the lupus disease activity of the patients who got the placebo. There were also changes in the blood platelets of the patients who took the fish oil supplements, with an increase in proteins that are considered anti-inflammatory and a decrease in proteins that promote inflammation; these changes were not evident in the group that took placebo. The fish oil group showed an increase in FMD, which the researchers took as a sign that the omega-3 oils were helping the cells in the blood vessel walls to remain healthy.Parkinson's disease
A study examining whether omega-3 exerts neuroprotective action in Parkinson's disease found that it did, using an experimental model, exhibit a protective effect (much like it did for Alzheimer's disease). The scientists exposed mice to either a control or a high omega-3 diet from two to twelve months of age and then treated them with a neurotoxin commonly used as an experimental model for Parkinson's. The scientists found that high doses of omega-3 given to the experimental group completely prevented the neurotoxin-induced decrease of dopamine that ordinarily occurs. Since Parkinson's is a disease caused by disruption of the dopamine system, this protective effect exhibited could show promise for future research in the prevention of Parkinson's disease.Depression
Evidence regarding the efficacy of fish oil supplements as a treatment for depression is currently inconclusive. Whereas several methodologically rigorous studies have reported statistically significant positive effects in the treatment of depressed patients, other studies have found effects to be small or insignificant.For example, an August 2003 double-blind placebo-controlled study published in the journal European Neuropsychopharmacology found that among 28 patients with major depressive disorder, "patients in the omega-3 PUFA group had a significantly decreased score on the 21-item Hamilton Rating Scale for Depression than those in the placebo group." Another study in the American Journal of Psychiatry reported that the addition of fish oil supplements to regular maintenance anti-depression therapy conferred "highly significant" benefits by the third week of the trial.
In contrast, a 2005 randomized double-blind placebo-controlled study conducted under the auspices of the New Zealand Institute for Crop & Food Research found "no evidence that fish oil improved mood when compared to the placebo oil, despite an increase in circulating ω-3 polyunsaturated fatty acids." Similarly, another scholarly study published in October 2007 reported that fish oil supplements conferred no additional benefits beyond those conferred by standard treatment.
Psoriasis
Diets supplemented with cod liver oilCod liver oil
Cod liver oil is a nutritional supplement derived from liver of cod fish. It has high levels of the omega-3 fatty acids, EPA and DHA, and very high levels of vitamin A and vitamin D. It is widely taken to ease the symptoms of arthritis and for other health benefits...
have also shown beneficial
effects on psoriasis
Psoriasis
Psoriasis is an autoimmune disease that appears on the skin. It occurs when the immune system mistakes the skin cells as a pathogen, and sends out faulty signals that speed up the growth cycle of skin cells. Psoriasis is not contagious. However, psoriasis has been linked to an increased risk of...
. Though it has not been proven, some claim that fish oil also improves the tone of the skin and the condition of the blood vessels. More studies would have to be done to understand whether this is true.
Pregnancy
Omega-3 polyunsaturated fatty acids (commonly found in fish oil) protect against fetal brain injury and promotes fetal and infant brain health. Some studies reported better psycho motor development at 30 months of age in infants whose mothers received fish oil supplements for the first four months of lactation. In addition, five-year-old children whose mothers received modest algae based docosahexaenoic acid supplementation for the first 4 months of breastfeeding performed better on a test of sustained attention. This suggests that docosahexaenoic acidDocosahexaenoic acid
Docosahexaenoic acid is an omega-3 fatty acid that is a primary structural component of the human brain and retina. In chemical structure, DHA is a carboxylic acid with a 22-carbon chain and six cis double bonds; the first double bond is located at the third carbon from the omega end...
intake during early infancy confers long-term benefits on specific aspects of neurodevelopment.
Docosahexaenoic acid supplementation has also been found to be essential for early visual development of the baby. However, the standard western diet is severely deficient in these critical nutrients. This omega-3 dietary deficiency, a nutrient found in fish oil, is compounded by the fact that pregnant women become depleted in omega-3s, since the fetus uses omega-3s for its nervous system development. Omega-3s are also used after birth if they are provided in breast milk.
In addition, provision of fish oil during pregnancy may reduce an infant’s sensitization to common food allergens and reduce the prevalence and severity of certain skin diseases in the first year of life. This effect may persist until adolescence with a reduction in prevalence and/or severity of eczema, hay fever and asthma.
Omega-3 fatty acid supplementation is also beneficial to the mother. It has been shown to prevent pre-term labor and delivery. It is recommended that women who are breastfeeding consume fish oil at least twice a week, although the American Heart Association
American Heart Association
The American Heart Association is a non-profit organization in the United States that fosters appropriate cardiac care in an effort to reduce disability and deaths caused by cardiovascular disease and stroke. It is headquartered in Dallas, Texas...
recommends pregnant and nursing women are to avoiding eating fish with high potential for mercury contaminants including mackerel, shark, or swordfish.
Vitamins
The liver and liver products (such as cod liver oilCod liver oil
Cod liver oil is a nutritional supplement derived from liver of cod fish. It has high levels of the omega-3 fatty acids, EPA and DHA, and very high levels of vitamin A and vitamin D. It is widely taken to ease the symptoms of arthritis and for other health benefits...
) of fish and many animals (such as seals and whales) contain omega-3, but also the active form of vitamin A
Vitamin A
Vitamin A is a vitamin that is needed by the retina of the eye in the form of a specific metabolite, the light-absorbing molecule retinal, that is necessary for both low-light and color vision...
. At high levels, this form of the vitamin can be dangerous (Hypervitaminosis A
Hypervitaminosis A
Hypervitaminosis A refers to the effects of excessive vitamin A intake.-Presentation:Effects include* Birth defects* Liver problems* Reduced bone mineral density that may result in osteoporosis* Coarse bone growths...
).
Toxic pollutants
Fish oil supplements have sometimes come under scrutiny in recent years. In early 2006, government agencies such as the Food Standards AgencyFood Standards Agency
The Food Standards Agency is a non-ministerial government department of the Government of the United Kingdom. It is responsible for protecting public health in relation to food throughout the United Kingdom and is led by a board appointed to act in the public interest...
in the UK and the Food Safety Authority of Ireland reported PCB levels that exceeded the strict new European maximum limits in several fish oil brands,
which required temporary withdrawal of these brands. To address the growing concern over contaminated fish oil supplements, the International Fish Oil Standards program, a voluntary review process, was created at University of Guelph
University of Guelph
The University of Guelph, also known as U of G, is a comprehensive public research university in Guelph, Ontario, Canada. It was established in 1964 after the amalgamation of Ontario Agricultural College, the Macdonald Institute, and the Ontario Veterinary College...
.
Patented production purification processes do however exist in order to remove pollutants and dioxins from fish oil to levels far below the EU limits.
EU regulations have set a limit on the percentage of toxins that can be present in the oil for it to still be beneficial to the consumer. Recently, concerns in the UK and Ireland with regards to upholding the limits set have resulted in some major manufacturers taking their products off the market on a temporary basis.
A March 2010 lawsuit filed by a California environmental group claims that eight popular brands of fish oil supplements contained excessive levels of PCB
Polychlorinated biphenyl
Polychlorinated biphenyls are a class of organic compounds with 2 to 10 chlorine atoms attached to biphenyl, which is a molecule composed of two benzene rings. The chemical formula for PCBs is C12H10-xClx...
s, including CVS/pharmacy, Nature Made, Rite Aid
Rite Aid
Rite Aid is a drugstore chain in the United States and a Fortune 500 company headquartered in East Pennsboro Township, Pennsylvania, near Camp Hill. Rite Aid is the largest drugstore chain on the East Coast and the third largest drugstore chain in the U.S....
, GNC
General Nutrition Centers
General Nutrition Centers is a Pittsburgh, Pennsylvania-based American commercial enterprise focused on the retail sale of health and nutrition related products, including vitamins, supplements, minerals, herbs, sports nutrition, diet & energy products.-History:In 1935, David Shakarian opened a...
, Solgar, Twinlab
Twinlab
Twinlab Corporation is an American company which manufactures and markets vitamins, minerals, and bodybuilding supplements. It was originally founded by David and Jean Blechman in 1968 and run by them and their sons – Neil, Brian, Ross, Steve and Dean...
, Now Health, Omega Protein
Omega Protein
Omega Protein Corporation is the world's largest producer ofomega-3 fish oil and North America's largest manufacturer of protein-rich specialty fishmeal and organic fish solubles.-History:...
and Pharmavite.
It should be noted, however, that the majority of these products were either cod liver or shark liver oils. Because the liver is the major filtering and detoxifying organ, PCB content will be much higher in such products than in the more common fish oil produced from the processing of whole fish.
An analysis based on data from the Norwegian Women and Cancer Study (NOWAC) with regards to the dangers of persistent organic pollutants (POPs) in cod liver came to the conclusion that "in Norwegian women, fish liver consumption was not associated with an increased cancer risk in breast, uterus, or colon. In contrast, a decreased risk for total cancer was found."
External links
- EPA Fish Consumption Advisories
- International Fish Oil Standards — An organizationOrganizationAn organization is a social group which distributes tasks for a collective goal. The word itself is derived from the Greek word organon, itself derived from the better-known word ergon - as we know `organ` - and it means a compartment for a particular job.There are a variety of legal types of...
concerned with the quality of omega-3 products as it relates to the international standardInternational standardInternational standards are standards developed by international standards organizations. International standards are available for consideration and use, worldwide...
s established by the World Health OrganizationWorld Health OrganizationThe World Health Organization is a specialized agency of the United Nations that acts as a coordinating authority on international public health. Established on 7 April 1948, with headquarters in Geneva, Switzerland, the agency inherited the mandate and resources of its predecessor, the Health...
and the Council For Responsible Nutrition for purity and concentration. Two newsletters, both quarterly, reviewing recent publications in essential fatty acids. One is written for researchers, the second is for consumers. Industry sponsored, academic contributors.