Omega 3 fatty acids

 Essential fatty acids

There are two types of Essential fatty acids – Omega-6 and Omega-3 fatty acids. These are polyunsaturated fatty acids that cannot be synthesized by the body and must therefore be obtained from diet.

Omega-9 fatty acid ( Oleic acid ) is considered as non-essential fatty acid can be synthesized by man. Its source is Animal fat.

Omega-6 essential fatty acids are derived from vegetables sources such as primrose oil and corn oil. They are available in commonly used cooking oils such as sunflower oil and corn oil that contain linolenic acid and gamma-linolenic acid.

Omega-3 essential fatty acids is found in fish and some other oils. It includes alphalinolenic acid (ALA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA).

Omega-6 fatty acids offer a variety of potential therapeutic uses: –

  • In diabetics, omega -6 fatty acids supplementation lowers glycerated hemoglobin (HbA1) and helps to prevent complications such as neuropathy, cataract and retinopathy.
  • It may prevent heart diseases by lowering cholesterol, triglycerides and blood pressure.
  • It may be beneficial in dry-eye conditions.

Some examples of Omega Fatty Acids

Omega-3 FA Alpha Linolenic acid Soya, flaxseeds, fenugreek
Eicosapentaenoic acid (EPA) Marine foods
Docosahexaenoic acid (DHA) Marine source, Mother’s milk
Omega-6 FA Linoleic acid (LA) All vegetarian & non-vegetarian (except marine) foods
Gamma linolenic acid (GLA) Evening primrose oil, mother’s milk
Arachidonic acid (AA) Groundnut oil, eggs
Omega-9 FA Oleic acid Animal fat


Omega 3 fatty acids

 It was found that the secret of protection in the Eskimos against Heart disease, Diabetes and skin diseases lies in regular intake of marine Omega-3 fatty acids.

 Omega 3 — A Boon to Cardiac Patients !

Ornega-3 are polyunsaturated fatty acids found all most exclusively in fish. They have become a hot topic- because they can reduce chance of heart attack in patients with heart disease.

It is reported that Omega-3 are vital from childhood to adults.

The protective effects of Ornega-3 were discovered by observing Eskimos who eat large amount of these polyunsaturated fatty acids in their foods. The Eskimos almost never developed heart disease. Thus researchers looked for the link and found Omega-3 in oils. Omega-3 makes your cardiac patients risk- free due to presence of EPA & DHA.

EPA & DHA

The most common long chain Ornega-3 PUFA fatty acids are known as EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid)

Eicosapentaenoic Acid (EPA) is a member of the Omega-3 fatty acid family. EPA is required for the production of a special group of substances in the body called prostaglandins, which control blood clotting and other arterial functions.

EPA also provides a natural approach in lower blood cholesterol & triglycerides.

Thus, EPA is a direct source of an important substance called prostaglandin E3. Prostaglandin E is directly responsible for making blood platelets less sticky thus, leading to an easier flow of blood throughout our bodies. This means that EPA is intimately involved in bodily process that inhibits blood clots, particularly in the small capillaries of the heart. Due to the body’s inability to synthesize EPA & DHA, it has to depend on external source. In early infancy and old age the body is not capable of producing adequate amounts of EPA and is true of people suffering from cardiovascular disorders, diabetes. As this fatty acids offer nutritional as well as medical benefits, it is recommended that the intake should be on regular basis.

Effects of EPA

EPA is known to:

Lower lipids – decrease TG, increase HDL

Have an anti-thrombotic – decrease blood clotting effect.

Have an anti-arrhythmic effect.

Have an anti-inflammatory – via eicosanoids, weakens the effect of pro-inflammatory hormones

DHA (Docosabexaenoic Acid)

Of almost equal importance, but not as widely researched is Docosahexaenoic Acid (DHA). It comprises of a significant amount of the tissue, which makes up our brains as well as large part of retina of eye.

DHA plays a vital role during pregnancy and infant development, and also during old age.

Effects of DHA

DHA is known to:

Lower lipids – decreases TG, increases HDL

Have an anti-inflammatory

Facilitate the normal growth – incorporated into membrane, development and function of the lipids of brain, nerves and eyes.

Improve the clinical symptoms – corrects abnormalities of depression & schizophrenia.

Omega 3 — Boosts Brain Power ?

In a study of more than 1 000 people (average age 75); those with high blood levels of an Omega-3 called DHA were more than 40% less likely to develop dementia (including Alzheimer’s) over the next nine years than people with low DHA levels. One theory why: We know the brain latches onto DHA – its favorite fat – to help build membranes around nerve cells; possibly the more DHA, the easier it is to zap messages from cell to cell.

Omega 3 — For Pregnant & nursing mothers

DHA, an Omega-3 fatty acid is the predominant structural fatty acid in the brain & retina. It comprises approx. 40% of the polyunsaturated fatty acids in the brain & 60% in retina. The developing fetus & infant have particularly high requirement for DHA. They obtain at least half this requirement for brain development in the womb, with the rest coming from mother’s milk during nursing. If infants are not breast fed, they are usually fed infant formula. Unfortunately most formulas do not contain DHA. Instead they contain linolenic acid, the precursor of DHA. However the infants have limited ability to convert linolenic acid into DHA. Thus it may be said that DHA in the diet is essential for the developing nervous system of human infants.

Since, the human brain development takes place at the greatest rate during the last trimester of pregnancy DHA is transferred from mother to the fetus at a high rate during this period.

Maternal reserves of DHA are deficient in cases of closely spaces pregnancies or in case of twin or triplets in a pregnancy.

The cause of low DHA is because our bodies can convert other foods into DHA, but the process is inefficient. Thus pregnant or nursing mothers may not have adequate amount of DHA stored in their bodies to pass on adequate amounts to the developing fetus or breast feeding infants.

Research has suggested that increased long chain Omega-3 fatty acids intake during the pregnancy prolongs gestation, increases birth weight and reduces incidence of premature birth.

Omega-3 fatty acids, whatever their source, seem to offer various benefits, beyond reducing heart disease risk.

Like :

  • Weight loss. Australian researchers found in 1999 that eating tuna, salmon or other fish rich in omega-3 fatty acids once a day as part of a weight loss plan helped people lose weight.
  • Mental illness and depression. Patients with bipolar disorder – known also as manic-depression – who took fish oil capsules regularly displayed fewer symptoms. It is believed that omega-3 fatty acids help stabilize mood.
  • Crohn’s disease. Several studies show that taking fish oil capsules appears to reduce symptoms and aid in the remission of this often painful inflammation of the bowel that can also cause diarrhea and weight loss. Fish oil appears to also prevent relapse of the disease.
  • Rheumatoid arthritis. In the past 10 years, several studies have suggested that fish oil can help reduce or control inflammation of the joints. Studies have suggested that omega-3 fatty acids have helped patients reduce their need for anti-inflammatory drugs.
  • Cancer. Several studies have found that people who consume a lot of omega-3 fatty acids seem to have a decreased risk of some types of common cancers – notably breast, colon and possibly prostate.
  • Blood pressure. A study showed that combining a daily meal that includes fish with a weight reduction plan lowered the blood pressure and heart rate for overweight people suffering from high blood pressure.

Source of DHA & EPA

Source of DHA & EPA – Cold-water fish, such as mackerel, salmon, herring, sardines, black cod, anchovies, and albacore tuna, are rich sources of DHA and EPA. Similarly, cod liver oil contains large amounts of DHA and EPA.

Who is likely to be deficient? Premature infants who are not breast-fed are often DHA deficient.

A link has appeared between DHA deficiency and Alzheimer’s disease; however, no evidence at this time indicates that supplementation with DHA will help Alzheimer’s patients. Similarly, preliminary evidence shows that children with Attention Deficit Disorder (ADD) have low DHA levels; however, no evidence demonstrates that DHA supplementation improves ADD

Pyridoxine ~ Vitamin B6

Pyridoxine ~ Vitamin B6 

Pyridoxine assists in the balancing of sodium and potassium as well as promoting red blood cell production. It is linked to cardiovascular health by decreasing the formation of homocysteine. Pyridoxine may help balance hormonal changes in women and aid the immune system.

Lack of pyridoxine may cause anaemia, nerve damage, seizures, skin problems, and sores in the mouth.

It is required in the production of neurotransmitters such as dopamine, serotonin, norepinephrine, epinephrine.

Pyridoxine is given to patients taking Isoniazid (INH) to combat the toxic side effects of the drug. It is given 10–50 mg/day to patients on to prevent peripheral neuropathy and CNS effects that are associated with the use of INH.

Vitamin B6 is usually safe, at intakes up to 200 mg per day in adults. However, vitamin B6 can cause neurological disorders, such as loss of sensation in legs and imbalance, when taken in high doses (200 mg or more per day) over a long period of time.

Vitamin B6 toxicity can damage sensory nerves, leading to numbness in the hands and feet as well as difficulty in walking. Symptoms of a pyridoxine overdose may include poor coordination, staggering, numbness, decreased sensation to touch, temperature, and vibration, and tiredness.

Women in particular may suffer from pre-menstrual fluid retention, severe period pains, emotional PMS symptoms, premenstrual acne and nausea in early pregnancy. Mood swings, depression as well as loss of sexual drive is sometimes noted when there is lack of pyridoxine in the diet or in those on hormone replacement therapy or on birth control pills.

Minimum daily requirement in both Males & Females is 2 mg

People on medication for Parkinson’s disease should be careful about taking Vitamin B6 as it can inactivate levodopa.

People taking pyridoxine late at night sometimes experience very vivid dreams.

Pyridoxine should be taken together with the entire B group vitamins, and in supplementation the quantity of B6 should be nearly the same as B2. B2 is needed to activate the Pyridoxine.

Good sources to obtain pyridoxine from are brewer’s yeast, eggs, chicken, carrots, fish, liver, kidneys, peas, wheat germ, walnuts.

Homocystinuria

Good Cholesterol

Good Cholesterol


Ways to boost up HDL

Good Cholesterol is one of the many types of cholesterols we have circulating in our blood. It is known as high density lipoprotein cholesterol. It’s one of the blood fats measured in the lipid panel blood test doctors perform. And it’s the component that we want more of, because increasing HDL helps lower your risk of heart disease.

  • HDL cholesterol normally makes up 20%-30% of total blood cholesterol.
  • There’s some evidence that HDL helps protect against the accumulation of plaques (fatty deposits) in the arteries.
  • Research has given some indication that a 1% decrease in HDL cholesterol is linked to a 2%-3% increase in heart disease risk.
  • HDL cholesterol levels are thought to have a genetic factor in some people.
  • Women typically have higher HDL cholesterol levels than men. It is considered that levels of less than 40 mg/dL is low.

Some diet and lifestyle changes may help to increase “good” cholesterol levels.

Orange Juice. Drinking three cups of orange juice a day increases HDL levels by 21% over three weeks

Niacin. There is some evidence niacin (vitamin B3) helps increase HDL.

Blood Sugar. Food that increases your blood sugar tend to lower the HDL level.

Type of Fat in Diet. Replacing saturated fats with monounsaturated fats can not only help reduce levels of “bad” cholesterol, it may also increase levels of “good” cholesterol.

Soy. Soy protein, plus the isoflavones found in soy raised HDL levels, which could reduce coronary heart disease risk.

Alcohol in Moderation. Drinking moderate amounts of alcohol, especially with meals, appears to do two things to help reduce heart disease risk. it is said to increase HDL cholesterol levels, and enhances the movement of cholesterol deposits out of cells in the artery walls.

Aerobic exercise. At least 30 minutes on most days of the week is the exercise prescription that can help raise your HDL.

Losing weight. Being overweight or obese contributes to low HDL cholesterol levels. Thus loosing weight would help in increasing HDL.

The ancient herb red clover (Trifolium pratense), long used to ease estrogen-related menopausal symptoms, has now been found to significantly increase HDL (good) cholesterol levels in postmenopausal women.

Lipid Profile Values

Low Fat, Low Cholesterol Food

Low Fat, Low Cholesterol Food

Various food items can be grouped in relation to their fat and cholesterol content

Free Foods

*Juices like tomato, lime juice, clear soup, plain soda, diluted butter milk.
*Green leafy vegetables.
*Fresh green salads and other vegetables except roots and tubers.
*Fat free pickles.

Foods Permitted in limited quantities

*Refined oils- sunflower, sesame and soyabean oil are better than other oils.
*Mayonnaise and other sauces made in vegetable oils may be taken in limited amount.
*Egg white can be taken.
*Lean meat, chicken, fish in limited amount provided cooked without fat i.e. boiled, steamed, roasted or baked. Chicken and fish (50 gm) not more than 2 times a week and red meat not more than once in 15 days.
*Skimmed milk intake mot to exceed 500 ml in a day.
*Fruits like guava, orange, papaya, water-melon, apple – 100 gm / day.

Foods to be Avoided

*Fats like butter, ghee, vanaspati, coconut oil.
Fried food
*Puddings and cakes, pasties made in saturated fats or butter, ice creams.
*Ham, bacon, yolk of egg, red meat, organ meats, crab, shrimps.
*Pickle made in oil.
*Milk products like cheese, cream.
*Nuts like almonds, cashewnuts, pea-nuts.
*Canned,tinned, preserved and processed foods to be avoided.
*High calorie fruits like banana, mango, grapes.

Foods Recommended

*High fiber food items like green leafy vegetables and green salads should form essential part of daily menu.
*Inclusion of wheat flour with black channa flour or barley flour(4:1) is advisible.
*Whole grams and pulses are preferable to polished ones. Sprouted or raw form should be taken frequently.
*Wholewheat bread is preferable to refined flour bread.

Golden Rules

*No Feasts No Fasts
*Equal spacing of three major meals per day.
*Free Food items should be taken between meals ar when ever hungry.
*There is not hard and fast rule that can be followed. Every food item has to be judged in relation to the quantity of other food items being taken during the meals or being taken in a day.


Lipid Metabolism

Lipid Metabolism

Most of the dietary fat is absorbed into the blood in chylomicrons. Triglyceride is removed from the chylomicrons by lipoprotein lipase in the blood, fatty acids released are taken up by the adipose tissue (Fat storage tissue) and the chylomicron ramnants are removed by the liver.Triglyceride taken up by the liver is broken down to 2-carbon fragments which are used in many metabolic processes. Free fatty acids liberated by the adipose tissue is also taken up by the liver and used in simillar way.
In these processes lipid aggregates are formed containing triglycerides, phospholipids and cholesterol. These are combined with apoproteins to form Lipoproteins which are released into the blood.
These Lipoproteins are:
1. VLDL – Very Low Density Lipoproteins
2. IDL – Intermediate density Lipoproteins
3. LDL – Low Density Lipoproteins
4. HDL – High Density Lipoproteins

The density of the lipoproteins is determined by the relative protein and lipid content with high density lipoproteins containing high protein and less lipids.

The liver synthesises more cholesterol than any other organ. The cholesterol is incorporated into lipoproteins or converted to bile acids or excreted into bile. In biliary obstruction of any kind serum lipid concentration increases mainly due to formation of abnormal lipoprotein known as Lipoprotein X.

LIPID PROFILE

LIPID PROFILE VALUES