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What all the scientists do agree on is the need to consume more omega-3s. Americans don't come close to getting their omega-3 requirement. But we used to.
"Early humans ate plenty of high-omega-3 foods, wild greens, seafood, lean animals that grazed on high-omega-3 grasses, such as purslane, and our bodies evolved a need for it," says Artemis Simopoulos, president of the Center for Genetics, Nutrition and Health and author of "The Omega Diet" (Harper Collins, 1999).
Today, the highest concentration of omega-3s is found in fish. The two most potent omega-3 fatty acids are known as DHA and EPA and are usually found in oily fishes, such as mackerel, salmon and tuna. These fatty acids end up in every single cell membrane in the human body. They act as a cell lubricant, improve flexibility and communication among cells.
Omega-3s are also found in plant sources, especially flaxseed oil, canola oil, walnuts and some vegetables. These fatty acids, while valuable, are not as beneficial as the more potent omega-3s found in fish.
But for those who are concerned about the discovery of mercury and other contaminants in seafood, plant sources are important to consider. These omega-3s occur as ALA, a type of fatty acid that must be converted in the body to the more usable forms of DHA and EPA.
Omega-6s are found in safflower, soybean and corn oil, which are in many processed foods. Because of Americans' increased intake of processed and fast foods over the past 50 years, omega-6s have largely replaced omega-3s in the modern diet.
Though grass-fed animal meat, available in some stores and farmers markets, contains at least two times more omega-3s than grain-fed animal meat, it doesn't come close to the levels you can find in fish. Animal scientists are working on improving the omega-3 fatty acid content of beef, chicken and other meats by feeding the animals flax and other high-omega-3 foods, but these products are a long way from being sold in your grocery store.
You can now buy omega-3-enhanced eggs from chickens that are fed algae, flax and/or fish. The reported amount of omega-3s contained in each egg, however, varies according to brand. These amounts of omega-3s are still considerably lower than levels found in fish.
Omega-3 supplements can be effective, though it is possible to take too much. For example, by reducing inflammation, omega-3s also may reduce the immune response. There is also a slight increased risk for hemorrhagic stroke or excessive bleeding. Large doses should be taken only under a doctor's supervision.
How much fish do you need to consume? Most of the studies on omega-3s found a positive benefit with 500 to 1,000 milligrams per day. In response, the American Heart Association now recommends all adults eat a variety of fish, particularly oily fish, at least twice weekly (three-ounce portions), which would provide an average of 500 milligrams per day. For patients with coronary artery disease, the AHA recommends 1,000 milligrams daily -- but never above 3,000 milligrams.
As usual, balance is paramount.