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Fish in fashion

Alternative medicine has its trends, just like everything else. We know something’s “arrived” when we see it on The Today Show or 60 Minutes. But just as quickly as it lands on the scene, it’s trumped by the next great thing.

Nutritionally minded doctors have been recommending the omega-3 fatty acids in fish oils for a long time. In recent years, it’s become a mantra of sorts; even mainstream “authorities” have gotten into the act, advising people to increase fish intake and even recommending fish oil supplementation. So it’s not something you see a lot of coverage on any more. Yet, two recently published studies prove the benefits are broader and longer-term than we thought previously.

In the past, most studies done on fish oil focused mostly on men, and examined its long-term protective effects. Now, scientists reveal new information showing fish oil is good for both sexes, can help protect you even if you’ve already had a heart attack, and suggests that supplements can start having an effect in as little as four months.
Fish oil cuts risk of heart attack death in HALF – in just months

The first of the two studies, published in the Journal of the American Medical Association, examined the effects of omega-3 fatty acids on women’s heart health. As I said above, nearly all of the previous omega-3 research has been done on men, and recent findings show that women’s and men’s hearts are not the same (I’ll refrain from all the obvious jokes). But by analyzing data from the more than 120,000 women in the Nurses’ Health Study cohort, researchers demonstrated that the fish oil benefit is applicable to both sexes.

Over 16 years of follow-up, women in the highest group of omega-3 intake had about half the risk of developing coronary heart disease as did women in the group with the lowest intake. Overall, the relative risks of developing heart disease, dying from a cardiac event, or suffering a non-fatal heart attack all decreased steadily as fish consumption and omega-3 fatty acid intake increased. And this association remained strong even after adjustment for other risk factors and predictors.

The second study, published in the journal Circulation, tested the effects of fish oil and vitamin E on people who had suffered a heart attack in the last three months. The 11,323 men and women were randomly divided into four groups: one group received one gram of fish oil each day, one received 300 mg of vitamin E each day, the third group took both fish oil and vitamin E, and the fourth took a placebo. This cohort was particularly vulnerable to sudden cardiac death because of their recent heart attacks. But after just four months, the fish oil group already demonstrated a significant reduction in risk. In fact, participants who took fish oil had about half the incidence of sudden death compared to participants in the other groups.
Low dose supplement may even help correct irregular heart beat

Scientists attribute fish oil’s heart-healthy effects to several different mechanisms. Studies have suggested that omega-3 fatty acids can lower triglyceride levels, reduce platelet aggregation or clumping, and improve functioning of the cells that line the heart and blood vessels. But the Circulation report provides evidence to support yet another mechanism – regulation of the heart beat. Technically, it’s called an “anti-arrhythmic effect,” meaning that it reduces the occurrence of irregular heartbeats. Scientists think fish oil may help regulate the heart beat by reducing the production of thromboxane A2, a substance that promotes clotting and blood vessel constriction, and by various effects on many of the body’s enzymes and receptors.

You can increase your consumption of omega-3 fatty acids by increasing your fish intake; dark meat fish like mackerel, salmon, sardines, bluefish, and swordfish are the most concentrated sources, with an average of 1.51 grams of omega-3s per serving. Most other fish, including canned tuna, provide about .45 grams per serving, while shrimp, lobster and scallops contain about .32 grams per serving. But the Circulation study also shows that you can use fish oil supplements to get benefits as well – and it doesn’t take mega-doses to do it. The one gram per day used in the study is a relatively low dose, and it showed an effect in a highly vulnerable population – in just a few months. You can find omega-3 supplements in just about any health food store or vitamin supplier.

Fish oil may not be the latest fashion, but the message from these studies is clear: There’s even more evidence that the omega-3 fatty acids found in fish oil can help keep your heart healthy and strong — whether you’re male or female, looking to prevent the first signs of heart disease or treating an existing condition.

To Your Good Health,

Jenny Thompson
Health Sciences Institute

Sources:
JAMA 2002;287:1815-1821
Circulation 2002;105:1897-1903

Copyright 1997-2002 by Institute of Health Sciences, L.L.C.

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