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How Too Much Omega-6 and Not Enough Omega-3 Is Making Us Sick

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In the last article we discussed the problems humans have converting omega-3 (n-3) fats from plant sources, such as flax seeds and walnuts, to the longer chain derivatives EPA and DHA. Since EPA and DHA (especially DHA) are responsible for the benefits omega-3 fats provide, and since EPA and DHA are only available in significant amounts in seafood, it follows that we should be consuming seafood on a regular basis.

But how much is enough? What does the research literature tell us about the levels of EPA and DHA needed to prevent disease and ensure proper physiological function?

I’m going to answer this question in detail in the next article. But before I do that, I need to make a crucial point: the question of how much omega-3 to eat depends in large part on how much omega-6 we eat.

Over the course of human evolution there has been a dramatic change in the ratio of omega-6 and omega-3 fats consumed in the diet. This change, perhaps more than any other dietary factor, has contributed to the epidemic of modern disease.

The historical ratio of omega-6 to omega-3

Throughout 4-5 million years of hominid evolution, diets were abundant in seafood and other sources of omega-3 long chain fatty acids (EPA & DHA), but relatively low in omega-6 seed oils.

Anthropological research suggests that our hunter-gatherer ancestors consumed omega-6 and omega-3 fats in a ratio of roughly 1:1. It also indicates that both ancient and modern hunter-gatherers were free of the modern inflammatory diseases, like heart disease, cancer, and diabetes, that are the primary causes of death and morbidity today.

At the onset of the industrial revolution (about 140 years ago), there was a marked shift in the ratio of n-6 to n-3 fatty acids in the diet. Consumption of n-6 fats increased at the expense of n-3 fats. This change was due to both the advent of the modern vegetable oil industry and the increased use of cereal grains as feed for domestic livestock (which in turn altered the fatty acid profile of meat that humans consumed).

The following chart lists the omega-6 and omega-3 content of various vegetable oils and foods:

efa content of oils

Vegetable oil consumption rose dramatically between the beginning and end of the 20th century, and this had an entirely predictable effect on the ratio of omega-6 to omega-3 fats in the American diet. Between 1935 and 1939, the ratio of n-6 to n-3 fatty acids was reported to be 8.4:1. From 1935 to 1985, this ratio increased to 10.3:1 (a 23% increase). Other calculations put the ratio as high as 12.4:1 in 1985. Today, estimates of the ratio range from an average of 10:1 to 20:1, with a ratio as high as 25:1 in some individuals.

In fact, Americans now get almost 20% of their calories from a single food source – soybean oil – with almost 9% of all calories from the omega-6 fat linoleic acid (LA) alone! (PDF)

This reveals that our average intake of n-6 fatty acids is between 10 and 25 times higher than evolutionary norms. The consequences of this dramatic shift cannot be overestimated.

Omega-6 competes with omega-3, and vice versa

As you may recall from the last article, n-6 and n-3 fatty acids compete for the same conversion enzymes. This means that the quantity of n-6 in the diet directly affects the conversion of n-3 ALA, found in plant foods, to long-chain n-3 EPA and DHA, which protect us from disease.

Several studies have shown that the biological availability and activity of n-6 fatty acids are inversely related to the concentration of of n-3 fatty acids in tissue. Studies have also shown that greater composition of EPA & DHA in membranes reduces the availability of AA for eicosanoid production. This is illustrated on the following graph, from a 1992 paper by Dr. William Landis:

percentage of n-6 and n-3 in tissue associated with

The graph shows the predicted concentration of n-6 in the tissue based on dietary intake of n-3. In the U.S. the average person’s tissue concentration of highly unsaturated n-6 fat is 75%.

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Since we get close to 10% of our calories from n-6, our tissue contains about as much n-6 as it possibly could. This creates a very inflammatory environment and goes a long way towards explaining why 4 in 10 people who die in the U.S. each year die of heart disease.

(Note: the ratio of omega-6 to omega-3 matters, but so does the total amount of each.)

In plain english, what this means is that the more omega-3 fat you eat, the less omega-6 will be available to the tissues to produce inflammation. Omega-6 is pro-inflammatory, while omega-3 is neutral. A diet with a lot of omega-6 and not much omega-3 will increase inflammation. A diet of a lot of omega-3 and not much omega-6 will reduce inflammation.

Big Pharma is well aware of the effect of n-6 on inflammation. In fact, the way over-the-counter and prescription NSAIDs (ibuprofen, aspirin, Celebres, etc.) work is by reducing the formation of inflammatory compounds derived from n-6 fatty acids. (The same effect could be achieved by simply limiting dietary intake of n-6, as we will discuss below, but of course the drug companies don’t want you to know that. Less profit for them.)

As we discussed in the previous article, conversion of the short-chain n-3 alpha-linolenic acid (ALA), found in plant foods like flax and walnut, to DHA is extremely poor in most people. Part of the reason for that is that diets high in n-6 LA inhibit conversion of ALA to DHA. For example, one study demonstrated that an increase of LA consumption from 15g/d to 30g/d decreases ALA to DHA conversion by 40%.

Death by vegetable oil

So what are the consequences to human health of an n-6:n-3 ratio that is up to 25 times higher than it should be?

The short answer is that elevated n-6 intakes are associated with an increase in all inflammatory diseases – which is to say virtually all diseases. The list includes (but isn’t limited to):

  • cardiovascular disease
  • type 2 diabetes
  • obesity
  • metabolic syndrome
  • irritable bowel syndrome & inflammatory bowel disease
  • macular degeneration
  • rheumatoid arthritis
  • asthma
  • cancer
  • psychiatric disorders
  • autoimmune diseases

The relationship between intake n-6 fats and cardiovascular mortality is particularly striking. The following chart, from an article entitled Eicosanoids and Ischemic Heart Disease by Stephan Guyenet, clearly illustrates the correlation between a rising intake of n-6 and increased mortality from heart disease:

landis graph of hufa and mortality

As you can see, the USA is right up there at the top with the highest intake of n-6 fat and the greatest risk of death from heart disease.

On the other hand, several clinical studies have shown that decreasing the n-6:n-3 ratio protects against chronic, degenerative diseases. One study showed that replacing corn oil with olive oil and canola oil to reach an n-6:n-3 ratio of 4:1 led to a 70% decrease in total mortality. That is no small difference.

Joseph Hibbeln, a researcher at the National Institute of Health (NIH) who has published several papers on n-3 and n-6 intakes, didn’t mince words when he commented on the rising intake of n-6 in a recent paper:

The increases in world LA consumption over the past century may be considered a very large uncontrolled experiment that may have contributed to increased societal burdens of aggression, depression and cardiovascular mortality.

And those are just the conditions we have the strongest evidence for. It’s likely that the increase in n-6 consumption has played an equally significant role in the rise of nearly every inflammatory disease. Since it is now known that inflammation is involved in nearly all diseases, including obesity and metabolic syndrome, it’s hard to overstate the negative effects of too much omega-6 fat.

In the next article, we’ll discuss three different methods for determining healthy intakes of n-3 that take background intake of n-6 into account.

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424 Comments

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  1. Re Krill Oil…

    Someone posted that Krill oil is more powerful (or words to the effect) than fish oil..On the NEPT site there was (is) a study posted. A study reported in an “alternative medicine” journal. Though I am an MD. I am not a journal snob and try to keep reasoning and thought above rank or credential..Unfortunately, even though the data present would seem to indicate Krill Oil was vastly superior to fish oil in its abilities to lower trigs, maintain and lower LDL-C (bad cholesterol)..the data was not creditable…

    How can I say that???…Well there is a formula in blood lipid measurements that accurately describes the correct ratios of Trigs, and the various cholesterol fractions in the blood..It is called the Friedewald Equation, and it has been tested, and in one paper over 29,000 lab tests confirmed its accuracy. The disturbing thing about the reported Krill paper was the reported results did not line up with the Friedewald equation…(remember Krill oil is acting on the lipid panels, and even if effects were different from fish oil, the lipid contents still must conform to the ratios, and totals)…Furthermore all the aberrant results always erred on the side that made Krill oil look better than fish oil..The conclusion is the results were fudged.

    Krill oil is phosphorylated and the company claims this gives increased benefits and higher GI absorption levels, similar claim is made in some of the fish oils..These claims to not really check out..So if you are spending extra to get Krill Oil, you are just paying more for your EPA and DHA…

    A side note to Chis…DHA is really not as important as EPA in the control of chronic inflammation..it is true DHA can make some weak resolvins, but DHA is larger and specifically different enough in molecular structure from both AA and EPA that it is not very involved in the day to day control of chronic inflammation..DHA’s role is mainly structural in the brain and other cell membranes..

    • I read on another site — notably one that sells high-EPA fish oil — that we need much less DHA in relation to EPA because the half life of DHA is something like 2 years — so it stays in the brain, and perhaps builds up to higher levels — compared to EPA, which they say has a short half life of something like several days.

      Does anyone know if this is true?

  2. Response to Tom and Chris…

    First Tom… Sorry pal, but there is very good scientific evidence that supports the fact EPA one of fish oils two principal components does act to decrease chronic inflammation, working within the cited eicosanoid system to 1) decrease the rate of conversion of ALA ( the principal n-6) to Arachidonic Acid (AA) (the principal pro inflammatory eicosanoid) and 2) to competitively inhibit the pro inflammatory actions of AA on the COX and LOX cell and nuclear membrane receptors..

    The important thing about the “fish oil” skeptics, is they do not take into account the fact that EPA’s effects are dose related, and the dose depends on the amount of n-6s and AA. The crucial concept is the AA/EPA ratio…Dietary supplement fish oil tabs on average contain about 175mg of EPA/gm ..The estimated amount of EPA require to reach a 4/1, AA/EPA ratio is estimated at between 4-5 gm EPA daily…So a person taking a gm of “fish oil” a day is simply no where near the required dosage…

    Studies, JELIS and GISSI both showed reduced cardiovascular disease events for patients on higher doses of EPA vs placebo…More importantly chronic .degenerative disease incidences line up very well with the AA/EPA ratio within the populations..Check out atherosclerosis in the Japanese population…

    A little knowledge can get you int a lot of trouble…Most of the fish oil critics are bad scientists..

    • Read on an Ad sent to my inbox promoting Krillfishoil 5X, that fish oil needs to be extracted via CO2 to be effective. Is this so?

      • Sorry I really messed up on the name of the supplement, it’s called, Omegakrill 5X. Claims that DHA is the most effective and claims to have lots relative to EPA. Somewhere I read or heard that EPA is a precursor of DHA and is turned into it. Is this so? If so it seems like it would all end up as DHA.

  3. Great site, very informative thank you. Have you done any research on hemp oil? I recently added a small amount of it to my and my toddler’s diets, mixing a bit into foods and as a vegetable dressing (using it cold). I have read that it is a good source of “balanced” omegas ~ balanced omega 3, 6, etc. Now that I’ve read about your warnings on omega 6 I’m confused now as to whether or not we should be including this in our diets. We don’t consume much of any other source of omega 6, only a little olive oil here and there and whatever omega 6 might be in sesame tahini which we love and eat semi-regualrly (should we cut back on this too?!). Any info on hemp oil would be appreciated! Also I have been supplementing my toddler’s diet with 1/2 tsp (550 total omegas 255 of which is DHA) per day of Nordic Natural’s Children’s DHA from Arctic cod liver oil, any idea if this is a good source of DHA for my child?

    • Hello Christine, I’m not sure whether you’ve been following all the posts on this thread, but in response to your query about the safety of hemp seed oil, Dr Jeff Matheson says that plant based omega 3 and omega 6 from raw unprocessed plant oils (though not borage, which has poor availability) are excellent sources for the body. Better than fish oil, according to his posts. He recently posted that Hemp seed oil is good, in response to one of my queries.

  4. I notice that you didn’t mention the ratios of omega 6-omega 3’s that olive oil has in it. Can you answer that one?

  5. hi
    read with interest the above article where is the next article

    Also i would like to get a omega 6 / omega 3 ratio test i stay in Scotland any ideas where the nearest place I can get this test is
    thanks

  6. I just want to make sure everyone reads and understands what has happened to our meat supply,since they started to feed corn and soy to the animals. This results in a change in the linoleic acid content of

    the animal fat,which along with veggie oil consumption results in the same type of change in

    human fat. This is not natural to humans,and might be a major cause of our disease.
    Make sure to look at the human fat data.

    Old Mike

    This is data from mice experimental fat diets.

    http://blog.cholesterol-and-health.com/2011/11/this-just-in-infamous-lard-based-high.html

    to the right click on lard.

    http://www.researchdiets.com/opensource-diets/purified-ingredients

    here is some data comparing the old USDA data base to new lard

    http://www.westonaprice.org/blogs/cmasterjohn/2011/11/25/good-lard-bad-lard-what-do-you-get-when-you-cross-a-pig-and-a-coconut/

    this is a real eye opener,Linoleic acid content USA body fat read down to see the graph

    http://perfecthealthdiet.com/2012/02/the-trouble-with-pork-part-2/

    1943 data

    http://www.jbc.org/content/151/2/427.full.pdf

    1960

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1205373/pdf/biochemj01003-0098.pdf

    some historical points

    http://www.dietheartpublishing.com/diet-heart-timeline

  7. http://jama.jamanetwork.com/article.aspx?articleid=1357266

    Association Between Omega-3 Fatty Acid Supplementation and Risk of Major Cardiovascular Disease Events
    A Systematic Review and Meta-analysis

    Conclusion
    Overall, omega-3 PUFA supplementation was not associated with a lower risk of all-cause mortality, cardiac death, sudden death, myocardial infarction, or stroke based on relative and absolute measures of association.

    http://www.dhaomega3.org/Cardiovascular-Health/DHAEPA-Institute-Comments-on-Recent-Review-Omega-3-Supplementation-and-Cardiovascular-Events

    DHA/EPA INSTITUTE COMMENTS ON RECENT REVIEW: OMEGA-3 SUPPLEMENTATION AND CARDIOVASCULAR EVENTS

    http://www.wholefoodsmagazine.com/columns/vitamin-connection/amid-continuing-reports-fish-oils-effectiveness-flawed-studies-add-confu

    http://www.drkarafitzgerald.com/omega-3-benefits

    FOR THE TWELVE DAYS OF CHRISTMAS MY TRUE LOVE CHALLENGED THE CONCLUSION OF THE 2012 JAMA META-ANALYSIS, WHICH IMPLIED THAT OMEGA 3 FISH OIL WAS BASICALLY USELESS

    Question to Chris – I wonder if “paleo people” worried about omega-3/omega-6 balance or had easy access to omega-3 food sources in northern continental climates?

    • The study did not take into consideration numerous other factors that play a role in illness. For instance, how high was n-6 in their diets? Did it greatly overwhelm n-3 intake? What about exercise? What about blood glucose levels resulting from simple carb intake? etc. There is a big picture here, and taking a few fish oil caps while changing nothing else will of course have little to no effect.

  8. I’ve study Peskins work and he is right,period. Stephan Guyenet made comments about Peskin WITHOUT READING HIS BOOKS OR HIS WORK. I dare cris or Stephan to email Peskin with there OPINION and he will respond with a real answer. I emailed him about both of your comments and he buried you. I think people are afraid of him because no one will debate him. You guys called him out on his work and should back it up with a debate. I’m sure you’ll lose and realize that he is smarter than all of you.

  9. Is it true that omeg-3 helps in reducing forgetfulness. This is my greatest weakness and i wish to know how to resolve it.
    Caroline

    • “(which extraction has an extremely bad impact on sea life & kills a lot of fish for a tiny bit of oil).”

      The extraction of oil from fish has absolutely no bad impact on the biomass of fish. Nearly all commercially available fish oil is extracted from the waste of commercially caught fish. For example when salmon are caught and processed in a cannery. The waste is sent to a local rendering plant where it is turned into fishmeal and fish oil. The fish oil is even used in the boilers 12 to provide heat for processing.

  10. Hello
    Your article doesn’t talk about hemp seed or hemp oil which has a very good ratio omega 3-6-9. As a vegan I don’t consume fish or fish oil (which extraction has an extremely bad impact on sea life & kills a lot of fish for a tiny bit of oil).

    Hereby a very interesting article on excellent (plant-based/ non aggressive) sources of Omega 3:
    http://www.hippocratesinst.org/2012-09/the-1-2-3s-of-omega-3s

    Kind regards,

  11. it is important to note that variations in LA
    intake in the diets of adult humans do not substantially
    affect tissue AA levels; indeed, only about 0.2% dietary
    LA is actually converted to AA (13). Clearly, there is an
    inflammatory component to CHD, but the role of eicosanoids
    per se is not clear, especially when one considers
    that AA (and LA itself) can be converted into a variety of
    anti-inflammatory (eg, epoxyeicosatrienoic acid [14] and
    lipoxin A [15]) as well as pro-inflammatory mediators.
    The balance among all of these metabolites, not to mention
    scores if not hundreds of others, needs to be considered
    before labeling a dietary component as “pro-inflammatory.”
    The n-3 index is indeed a marker of risk for fatal CHD;
    however, it is not the only factor determining risk. Even
    though higher LA diets do slightly lower n-3 index, there
    still are independent cardioprotective actions of LA itself
    (eg, lowering serum cholesterol and possibly improving
    endothelial function and insulin resistance) that could
    more than offset a theoretical reduction in n-3 levels. One
    cannot consider only one CHD risk factor in isolation and ignore the others

    • According to Nutrition Data butter would be about 63% saturated, 26% monounsaturated, 3,5% polyunsaturated. Of the polyunsaturated fat about 90% would be Omega 6

  12. Chris
    Love your article. Found your knowledge to be far beyond your contemporaries. But, I would like to bring you up to speed on a small group of us trying to change the lipids profile in beef cattle with very great success. Our cattle are fed a diet rich in ground flax and the results have been terrific . If you would like to see more info on what we are doing you can see more at http://www.borntenderbeef.com .
    Thanks, keep writing. great stuff

  13. For those of you confused about good fats and bad fats read Barry Groves brilliant book “Trick and Treat” wherein he methodically lays out the research clearly demonstrating the health value of saturated fat. Basically our bodies lay down mono and saturated fat as an energy store store for times of starvation. In other words given a choice our bodies prefer saturated fat. He also goes on to highlight how polyunsaturated fats particularly omega 6’s are still used to suppress the immune system in transplant operations post surgery !! A carefully kept secret apparently. Page 95 of his book.
    Lots of other good stuff in the book from salt to sunshine.
    Happy Xmas to you all.

  14. Impressive about all the views from people. I thought this site was so interesting that I sent it on to a few friends. I heard that if you are going to take supplements, then it is better to just take the omega 3. Now I know why.

  15. Dear Chris,

    A great post as always. Just a short comment regarding “This is illustrated on the following graph, from a 1992 paper by Dr. William Landis”. I believe his name is William Lands. You can just delete this comment later. IT does not add to the discussion.

    My best,
    Patrick

  16. Chris,

    I eat a good amount of olive oil (3/4 cup 5 days a week) mixed with cider vinegar as a salad dressing. What oil would you suggest I use instead of olive oil?

    • Eric, Macadamia Oil would be a much better monounsaturated fat to use instead of olive oil. Macadamia has very low polyunsaturated fat content. Olive Oil gives a lot of Omega6 when eaten in large amounts.

  17. Interesting. Do you know the concentration (in mg) of omega-3’s per gram of grain-fed cattle? grass fed cattle? chicken? Any tips on finding this info would be much appreciated!

    • Leah
      I’d like to take a shot at that question. My tests on strictly grain fed cattle have not yielded much Omega-3 fatty acids. Generally 25 to 40 mg per 4 ounce serving would cover the majority of the cattle we tested for our baselines. When we started feeding our cattle ground flax seed and let them run on grass and away from the dry lot environment, that number soared to 230 mg/ 4 ounce serving. But, our PUFA and MUFA numbers also went up .
      Don Mayse
      Show Me Farms