Are you getting enough omega-3 fatty acids?

By Laura Williamson, ľ¹ÏÖ±²¥ News

Shana Novak/DigitalVision via Getty Images
(Shana Novak/DigitalVision via Getty Images)

Lea en español

Omega-3 fatty acids play an important role in heart and brain health. They've been linked to a stronger immune system, reduced inflammation and lower blood pressure and triglycerides, reducing the risk for heart disease and cognitive decline.

But most people in the U.S. don't include enough omega-3s in their diets.

"Intakes in the U.S. are abysmally low," said Ann Skulas-Ray, an assistant professor in the School of Nutritional Sciences and Wellness at the University of Arizona in Tucson.

There are three main types of omega-3 fatty acids: alpha-linolenic acid, or ALA; docosahexaenoic acid, or DHA; and eicosapentaenoic acid, or EPA. The human body can convert small amounts of ALA into EPA and DHA, but the main way people increase levels is to consume foods and supplements that contain omega-3s. Yet survey data suggests U.S. adults typically consume very little EPA and DHA, with average intake about 0.1 gram per day.

U.S. health agencies offer no guidelines for how much EPA and DHA a person should include in their daily diet. However, there are recommendations for daily consumption of ALA, based on age and gender. The men consume 1.6 grams of ALA daily and 1.1 grams per day for women. Individuals who are pregnant or breastfeeding need more.

ALA is found in walnuts and some plant oils, such as flaxseed, soybean and canola. EPA and DHA are high in oysters and fatty fish such as salmon, sardines, mackerel, herring, lake trout and albacore tuna. The ľ¹ÏÖ±²¥ recommends eating two servings of fish, particularly fatty fish, per week to help reduce heart disease and stroke risk. Two servings equal 6 ounces cooked.

People should ideally get their nutrients from food. But dietary supplements, such as fish oil, are another way people can consume these healthy fats, especially if they don't eat fish. An said omega-3 fish oil supplements may slightly lower the risk of dying after heart failure or a recent heart attack, but they do not prevent heart disease.

The AHA that said taking 4 grams per day of prescription fish oil medication was a safe and effective way to lower triglycerides, the most common type of fat in the body, in people with elevated levels. The same advisory cautioned that because dietary supplements are neither reviewed nor approved for safety and effectiveness by the Food and Drug Administration, supplements containing omega-3 fatty acids are not indicated for such use.

And a published in the Journal of the ľ¹ÏÖ±²¥ found consuming 3 grams each day of EPA and DHA, in food or supplement form, may be the ideal dose to help lower blood pressure. About 4 to 5 ounces of Atlantic salmon provides 3 grams of omega-3 fatty acids. Fish oil supplement doses can vary but typically provide about 0.3 gram per pill.

A , published in June in JAHA, found taking more than 2 grams per day of DHA and EPA combined in supplement form may lower triglycerides and non-HDL cholesterol, but not LDL cholesterol. Non-HDL level is someone's total cholesterol minus their HDL, the "good" cholesterol that helps the body get rid of some of the harmful LDL.

"People with high levels of LDL cholesterol need to seek alternative medications, such as statins, to reduce the blood level of LDL cholesterol," said the study's senior author, Dr. Xinzhi Li, a pharmacy professor at Macau University of Science and Technology in China.

Omega-3 supplements may be especially beneficial for people who are overweight or have obesity, the new findings show.

Because U.S. adults typically don't get the recommended daily amount of omega-3 fatty acids, "any amount of supplement has the potential to help, even if it doesn't lower triglycerides," said Skulas-Ray, who was the lead author on the AHA's 2019 advisory.

"For the average person, taking dietary supplements is really correcting the nearly absent EPA and DHA in the American diet," she said. "Dietary supplements are a completely viable option for people who don't eat oily fish." People should first talk to a health care professional before starting a new supplement.

Low doses may be less likely to lower triglycerides, she said, "but they're still worth taking because people aren't getting enough. They help to support optimal immune function, wellness and aging. And that's really the goal."

Editor's note: This story was corrected on May 23, 2024. An earlier version of this story incorrectly stated that dietary supplements are unregulated. Dietary supplements are regulated by the Food and Drug Administration but are not reviewed or approved for safety and effectiveness.


ľ¹ÏÖ±²¥ News Stories

ľ¹ÏÖ±²¥ News covers heart disease, stroke and related health issues. Not all views expressed in ľ¹ÏÖ±²¥ News stories reflect the official position of the ľ¹ÏÖ±²¥. Statements, conclusions, accuracy and reliability of studies published in ľ¹ÏÖ±²¥ scientific journals or presented at ľ¹ÏÖ±²¥ scientific meetings are solely those of the study authors and do not necessarily reflect the ľ¹ÏÖ±²¥â€™s official guidance, policies or positions.

Copyright is owned or held by the ľ¹ÏÖ±²¥., and all rights are reserved. Permission is granted, at no cost and without need for further request, for individuals, media outlets, and non-commercial education and awareness efforts to link to, quote, excerpt from or reprint these stories in any medium as long as no text is altered and proper attribution is made to ľ¹ÏÖ±²¥ News.

Other uses, including educational products or services sold for profit, must comply with the ľ¹ÏÖ±²¥â€™s Copyright Permission Guidelines. See full terms of use. These stories may not be used to promote or endorse a commercial product or service.

HEALTH CARE DISCLAIMER: This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your health care provider for diagnosis and treatment, including your specific medical needs. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and experiencing a medical emergency, call 911 or call for emergency medical help immediately.