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Omega-6 vs. Omega-3: Who Cares?
by Mike Roussell, PhD ? 1/25/2013
Maximal Leg Development

You've heard the scary truth. The omega-6 to omega-3 ratio in the typical North American diet is so heavily skewed towards omega-6 (10:1 or even 20:1) that many of us are just dead men (and women) walking.

Too much omega-6 versus omega-3 leads to catastrophic levels of systemic inflammation that lights your joints on fire and makes you fat, and all but ensures you receive an early visit from the Grim Reaper in the form of heart disease.

It's a good old-fashioned bedtime scary story. But that's all it is ? a story.

The Most Famous Nutritional Bedtime Story

Similar to how Robert Southey published "Goldie Locks and the Three Bears" as a means of helping parents teach their children about respecting peoples' privacy and property, the omega-6/omega-3 ratio has been used as a means of scaring people away from cakes, cookies, pies, and other highly-processed gut expanding products.

While I agree many people need to step away from the dessert table, there are lots of valid reasons to do so that actually impact human physiology.

Omega-6 Fats and Inflammation

In a previous article I covered the biochemical basis of how omega-6 fats such as linoleic acid and arachidonic are converted into pro-inflammatory compounds. You should read that article first and then come back. Don't worry, I'll wait.

As noted in the article, eating more omega-6 fats can actually be anti-inflammatory ? especially if we're talking about gamma-linolenic acid (GLA). That's big hiccup number one for the omega-6/omega-3 ratio fear mongering ? omega-6 fats aren't automatically pro-inflammatory.

Biochemistry Textbooks Versus Your Body
Maximal Leg Development

The next area that we need to look at concerning the omega-6/omega-3 ratio is the disconnect between textbooks and your body. Biochemistry textbooks paint the picture that the conversion of omega-3 and omega-6 fatty acids is very simple and straightforward. Well, I'm here to tell you that it isn't.

Real life biochemistry is messy, regulated, controlled, inhibited, and compartmentalized.

In other words, when you eat a handful of walnuts, the linoleic acid in them doesn't automatically transport to the body's "inflammation factory" and get turned into a highly inflammatory, physique destroying prostaglandin ? it doesn't work that way.

For linoleic acid to be used for inflammatory purposes it needs to be converted to arachidonic acid. However, what may surprise you is that linoleic acid, even when eaten in high amounts like Americans typically do, isn't converted to arachidonic acid. In reality, most of the linoleic acid (the major omega-6 fat in the diet) you eat doesn't even travel to your body's inflammatory pathways.

A lengthy 2011 review published in Nutrition & Metabolism entitled "Increasing dietary linoleic acid does not increase tissue arachidonic acid content in adults consuming Western-type diets: a systematic review", concluded that there's "no evidence to suggest that changes in dietary linoleic will modify tissue arachidonic acid content in an adult population consuming a Western-type diet." A Western diet is a good model in this situation as it's high in linoleic acid.

Dietary Advice Relevant to You

As T Nation regulars, most mainstream dieting advice just isn't relevant to you. You're not going to eat "3 squares a day" loaded with grains and devoid of protein. You avoid mayonnaise and food loaded with corn, safflower, and soybean oil. Data about the null effects of a high linoleic acid diet doesn't impress you, as you don't eat that stuff anyway. You eat a carb controlled diet heavy on eggs, vegetables, and a variety of yummy animals.

In your case, the pseudo negative effects of linoleic acid aren't an issue. Arachidonic acid, on the other hand, potentially is. With arachidonic acid, no conversion to another fatty acid is required ? it just needs to be inserted into your cell membranes and it's ready to use.

The good news is your body may have you covered. Research from the University of Connecticut published in a 2010 issue of Lipids showed that there was an increase in membrane arachidonic acid levels with a low carbohydrate diet that included higher levels of arachidonic acid, but that this enrichment in membrane arachidonic acid levels didn't lead to increases in pro-inflammatory arachidonic acid metabolites.

The authors suggested that based on the findings of this study and other studies that low carbohydrate diets can actually preserve arachidonic acid membrane levels.

Get on the Fatty Acid Offensive
Maximal Leg Development

So if modulating your omega-6 fats through your diet to reduce inflammation (unless we're talking about GLA) is a waste of your time, what can we do instead?

Number one is to go on the offensive with fish oil. Increases in dietary EPA and DHA lead to increases in EPA and DHA levels in your membranes. Dr. Bill Harris refers to the percentage of fatty acids in your red blood cells that are EPA and DHA as the Omega-3 Index. It's a robust marker of health and it shows the direct changes of increased EPA and DHA intakes on biochemically areas relevant to inflammation.

Think of it this way: your cell membranes are full of with omega-3 and omega-6 fats. When it comes time to create eicosanoids (pro- or anti-inflammatory molecules), a fatty acid will get clipped from the cell membrane and then get converted.

So the more omega-3 fats that you can pack into your membrane, the greater the probability that an omega-3 fat will be picked and clipped, which leads to the formation of anti-inflammatory (or at worst inflammatory neutral) compounds. This is why the absolute amount of omega-3s in your cell membranes is what really matters.

That's right. The all-important ratio of omega-6s to omega-3s in your diet doesn't translate to your cellular membranes, the very place where the inflammatory weaponry is forged. And eating a diet relatively high in linoleic acid doesn't lead to changes in arachidonic acid levels, at least not in ones that translate into increased inflammation.

What matters is the total amount of long chain omega-3 fats (EPA and DHA) in your diet. Focus on this for a good 15 seconds each day when you take your Flameout? and you'll be all set.

The Bottom Line

Stop wasting your time tabulating the ratio of two subclasses of fatty acids that don't really matter in the grand scheme of things. You're not an average American ? you're a T-man ? and except for walnuts and the occasional teaspoon of toasted sesame seed oil in a stir fry, you wouldn't even look twice at any of the top 25 sources of omega-6 fats in the typical diet or the foods that they're found in.

And even if you did eat a ton of walnuts and did daily shots of sesame seed oil, dietary linoleic acid does not readily find its way down the biochemical conversion pathways to be turned into pro-inflammatory compounds.
 
Biomed Pharmacother. 2002 Oct;56(8):365-79.
The importance of the ratio of omega-6/omega-3 essential fatty acids.
Simopoulos AP.
Source

The Center for Genetics, Nutrition and Health, Washington, DC 20009, USA. [email protected]
Abstract

Several sources of information suggest that human beings evolved on a diet with a ratio of omega-6 to omega-3 essential fatty acids (EFA) of approximately 1 whereas in Western diets the ratio is 15/1-16.7/1. Western diets are deficient in omega-3 fatty acids, and have excessive amounts of omega-6 fatty acids compared with the diet on which human beings evolved and their genetic patterns were established. Excessive amounts of omega-6 polyunsaturated fatty acids (PUFA) and a very high omega-6/omega-3 ratio, as is found in today's Western diets, promote the pathogenesis of many diseases, including cardiovascular disease, cancer, and inflammatory and autoimmune diseases, whereas increased levels of omega-3 PUFA (a low omega-6/omega-3 ratio) exert suppressive effects. In the secondary prevention of cardiovascular disease, a ratio of 4/1 was associated with a 70% decrease in total mortality. A ratio of 2.5/1 reduced rectal cell proliferation in patients with colorectal cancer, whereas a ratio of 4/1 with the same amount of omega-3 PUFA had no effect. The lower omega-6/omega-3 ratio in women with breast cancer was associated with decreased risk. A ratio of 2-3/1 suppressed inflammation in patients with rheumatoid arthritis, and a ratio of 5/1 had a beneficial effect on patients with asthma, whereas a ratio of 10/1 had adverse consequences. These studies indicate that the optimal ratio may vary with the disease under consideration. This is consistent with the fact that chronic diseases are multigenic and multifactorial. Therefore, it is quite possible that the therapeutic dose of omega-3 fatty acids will depend on the degree of severity of disease resulting from the genetic predisposition. A lower ratio of omega-6/omega-3 fatty acids is more desirable in reducing the risk of many of the chronic diseases of high prevalence in Western societies, as well as in the developing countries, that are being exported to the rest of the world.

PMID:
12442909
[PubMed - indexed for MEDLINE]
 
I agree with some parts, but disagree with the main focus of his article. Many, many studies show that the omegas, 3,6,and 9 need to be in the proper ratios to be beneficial when used over a long period of time.

Fish oil is the gold standard reducing joint inflammation. Flax oil is good as well, but your body can only convert a small amount of omega 6 from flax to the beneficial omega 3. Fish oil already has tons of omega 3.

Hemp oil is also excellent. It contains all 3 omegas- 3,6,9, making it a complete fat. In addition hemp oil also contains smaller amounts of 3 other unsturated fats in GLA, oleic acid and stearidonic acid. This EFA combination is not only unique in the vegetable kingdom, but indispensable for cell growth, circulation, immune function, healthy skin, and the prevention of degenerative diseases. Continuous use of flax oil has caused concern about an imbalance of EFA in the body. Hemp oil can be used without worries.
 
While I was in NYC I used to watch Dr Oz and it appears that taking omega 3/6/9 isn't that important for your health after all. He didn't say that it's a waste of money but there seems to be no proof that it really has the health benefits that we read about for the last few years.
 
Omega 6 needs to convert to Omega 3, but in most people they can only convert about 15% Omega 6 to Omega 3. If your going to supplement best IMO to supplement with fish oil or my favorite Krill oil.
 
Omega 6 needs to convert to Omega 3, but in most people they can only convert about 15% Omega 6 to Omega 3. If your going to supplement best IMO to supplement with fish oil or my favorite Krill oil.

That's what I'm taking -- krill oil.
 
While I was in NYC I used to watch Dr Oz and it appears that taking omega 3/6/9 isn't that important for your health after all. He didn't say that it's a waste of money but there seems to be no proof that it really has the health benefits that we read about for the last few years.
I've been using Flax and Fish Oil supps for years. The omega 3/6/9 complex is incredibly potent for general skin and organ function and most all joint inflamation. Below is a re-post I made to a gal suffering from severe knee pain.


Try taking 5-6 tbsn flax oil each day. Calorie dense, but will relieve joint inflammation in elbows, knees and rotator cuff faster than anything else. But the best glucosamine capsule on the market is Beverly joint care. Joint Care contains Glucosamine, Chondroitin, and MSM, as well as Vit C & E, manganese, boron, and evening primrose oil, which is now being praised as a wonder supp for sore joints. These come in big gel caps, and seem to work far better on rotator cuff and elbow soreness than any other glusamine supp I've tried. I take 8-10 capsules a day when my rotator cuffs act up. 3 capsules contain 1000mg Glucosamine sulfate.

I have found flax oil even more important than glucosamine for sore joints and tendons. Ever since Lakeville Thor convinced me to try 5 tbs per day, my elbows and rotator cuffs have been pain-free. Works like magic, and effects are noticeable soon after you start taking it. Plus, there are a multitude of nutritional benefits to be found in flax oil. I now take 4 Joint Care a day and 2-3 tbs flax as a maintenance dose. Fish oil is even more potent due to the EPA, but is far more expensive.

Below is a post from Andrew Thorssen at BB.com. He is an abnormally strong young powerlifter and often rails against the norm...but he's usually right.
lakevillethor said:
Look,

I am going to cut through the bullshit here. Literally EVERY SINGLE PERSON THAT I HAVE TOLD TO TAKE FLAX OIL AT 5 TABLESPOONS DAILY HAS COMPLTELY GOTTEN RID OF THEIR JOINT PAIN (this is about 25 people)!!! In addition, to again reiterate my point, for the last week I intentionally did not take any flaxseed oil at my normal dose of 5-7 tablespoons daily. Guess what? I could hardly squat yesterday because my joints hurt so bad. I also lost 4 pounds. I bet within a week they will be feeling great again due to the lubricating oil.

Two of the success stories will follow:

My mother in law (well, basically) has fibromyalgia and diabetes. Her joint pain has gone down significantly since she started taking flaxseed oil (3 tablespoons for her).

Also, my buddy George who I lift with when I am in MN hasn't been able to squat for 5 years (he's 41) - he is 5'10'', 265. I would say he's around 13% bf - a freakshow no doubt. ANyway, since he started taking flaxseed oil at my doses, he is squating again.

Seriously people, I am not lying about this. Try it if you have joint pain.
-AT

Below is a quote from a chiropractor on Animal's Board.
maximus said:
flax seed oil has lignans.

lignans inhibit prostaglandin synthesis before the COX 2, LOX can create E2, thromboxane, and other meanies .

Lignans are a nice safe anti inflammatory.

Glucosamine sulfate like i stated elsewhere seems to work well for 60% of the users on a dose of 1500mg per day.

I dont encourage anyone to take less than this however, and sometimes more is better.

chondroitin is a chain of glucosamine molecules. MSM is essentially DMSO, manganese is critical for ligament and disc rebuilding. (i take 50mg every so often)

Ideally someone could whip out a batch of glucosamine sulftate/ pentosan injectable and you could simply inject it twice per month.

that would be wonderfull.

powerlifters of all people need to understand that your body is much like the front end of a car.

when the front end is misaligned the tires ( your joints) break down much faster than a normal.

flax oil or not, if you are misaligned the joint will destroy itself much faster. its mechanics.
 

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