Our proprietary “Star-Rating” system was developed to help you easily understand the amount of scientific support behind each supplement in relation to a specific health condition. While there is no way to predict whether a vitamin, mineral, or herb will successfully treat or prevent associated health conditions, our unique ratings tell you how well these supplements are understood by the medical community, and whether studies have found them to be effective for other people.
For over a decade, our team has combed through thousands of research articles published in reputable journals. To help you make educated decisions, and to better understand controversial or confusing supplements, our medical experts have digested the science into these three easy-to-follow ratings. We hope this provides you with a helpful resource to make informed decisions towards your health and well-being.
3 Stars Reliable and relatively consistent scientific data showing a substantial health benefit.
2 Stars Contradictory, insufficient, or preliminary studies suggesting a health benefit or minimal health benefit.
1 Star For an herb, supported by traditional use but minimal or no scientific evidence. For a supplement, little scientific support.
| Used for | Why |
|---|---|
|
3 Stars
Atherosclerosis
Follow label instructions
|
Though the effect has not been studied with supplements, an analysis of several controlled trials found that replacing saturated fats in the diet with omega-6 fats reduces the risk of coronary heart disease.
A diet high in omega-6 fatty acids, found in certain vegetable oils such as corn, safflower, grapeseed, and sunflower oil, and in other foods such as nuts and seeds, appears to protect against atherosclerosis. Higher dietary intake or high body levels of omega-6 fatty acids has been associated with reduced coronary heart disease risk in numerous preliminary studies,2 and an analysis of several controlled trials found that replacing saturated fats in the diet with omega-6 fats reduces the risk of coronary heart disease by an average of 24%.3
|
Arachidonic acid is an omega-6 fatty acid found in animal fats that the body uses to make inflammatory substances. In a controlled study,8 people with rheumatoid arthritis were instructed to reduce their arachidonic acid intake to less than 90 mg per day by eating minimal amounts of meat, no egg yolks, and only low-fat milk products. Compared with a group following a typical Western diet, the low arachidonic acid diet led to a 14% reduction in the number of tender and swollen joints. A second part of this study also found that the anti-inflammatory benefits of fish oil were significantly better when combined with the low arachidonic acid diet.
Linoleic acid competes with alpha-linolenic acid, an omega-3 fatty acid, for enzymes that convert simple polyunsaturated fatty acids into more complex ones. Since complex omega-3 fatty acids such as EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) are associated with heart disease prevention, reduced inflammation, and other health benefits, some authorities have argued that the high amounts of linoleic acid in the typical Western diet are detrimental to health because they can reduce the body’s production of EPA and DHA.9 While most controlled research suggests that dietary linoleic acid has some influence on the production of EPA in the body,10 , 11 , 12 conversion of alpha-linolenic acid into more complex omega-3 fatty acids is limited for other reasons,13 , 14 , 15 so that achieving adequate levels of EPA and DHA depends mostly on consuming oily fish and fish oils, which are good sources of these complex omega-3 fatty acids.16 Furthermore, higher dietary intake or high body levels of omega-6 fatty acids, most of which is linoleic acid, has been associated with reduced coronary heart disease risk in numerous preliminary studies, and with no effect on other diseases such as stroke or cancer.17
A diet high in polyunsaturated fats such as the omega-6 fatty acids increases vitamin E requirements. Based on available evidence, at least 0.6 mg (0.9 IU) of vitamin E is needed for every gram of polyunsaturated fat consumed.18
One of the omega-6 fatty acids, arachidonic acid, can be used by the body to make substances that are inflammatory, increase blood clotting, or constrict blood vessels.19 , 20 A controlled study showed that a low arachidonic acid diet provided some relief to people with rheumatoid arthritis, an inflammatory disease.21 However, studies of the effect of arachidonic acid on heart disease risk factors have found either no effect or a beneficial effect of higher arachidonic acid intake.22 More research is needed to determine the effects of arachidonic acid on different diseases.
Since arachidonic acid can be made from other omega-6 fatty acids, some authorities have theorized that reducing the consumption of all omega-6 fatty acids might help prevent or relieve inflammatory diseases and other conditions, such as heart disease, that are associated with certain arachidonic acid byproducts.23 , 24 However, production of arachidonic acid from other omega-6 fatty acids appears to be quite limited.25 Also, gamma-linolenic acid is an omega-6 fatty acid that the body can use to make anti-inflammatory substances.26 , 27 Finally, preliminary studies have found that blood measures of inflammation are actually lower in people with higher omega-6 intake,28 , 29 and preliminary and controlled studies suggest that high omega-6 intake prevents cardiovascular disease.30 Overall, there appears to be benefit, not risk, in consuming omega-6 fatty acids other than arachidonic acid.
1. Jones PJ, Kubow K. Lipids, sterols, and their metabolites. In Shils ME, Shike, M, Ross AC, et al, eds. Modern Nutrition in Health and Disease, 10th edition. Philadelphia: Lippincott Williams & Wilkins, 2005:110-114.
2. Harris WS, Mozaffarian D, Rimm E, et al. Omega-6 fatty acids and risk for cardiovascular disease: a science advisory from the American Heart Association Nutrition Subcommittee of the Council on Nutrition, Physical Activity, and Metabolism; Council on Cardiovascular Nursing; and Council on Epidemiology and Prevention. Circulation 2009;119:902-7 [review].
3. Gordon DJ. Lowering cholesterol and total mortality. In: Rifkin BM, ed. Lowering cholesterol in high-risk individuals and populations. New York, NY: Marcel Dekker, Inc; 1995:33– 48.
4. Adam O, Beringer C, Kless T, et al. Anti-inflammatory effects of a low arachidonic acid diet and fish oil in patients with rheumatoid arthritis. Rheumatol Int 2003;23:27-36.
5. Food and Nutrition Board, Institute of Medicine. Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein and Amino Acids. Washington, DC: National Academies Press; 2005:464.
6. Department of Health and Human Services and the USDA. Dietary guidelines for Americans: The report of the Dietary Guidelines Advisory Committee on Dietary Guidelines for Americans, 2005. www.health.gov/dietaryguidelines/dga2005/report/default.htm. Accessed February 16, 2010.
7. National Heart, Lung, and Blood Institute. Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Available at: www.nhlbi.nih.gov/guidelines/cholesterol/index.htm. Accessed February 16, 2010.
8. Adam O, Beringer C, Kless T, et al. Anti-inflammatory effects of a low arachidonic acid diet and fish oil in patients with rheumatoid arthritis. Rheumatol Int 2003;23:27-36.
9. Simopoulos AP. The importance of the omega-6/omega-3 fatty acid ratio in cardiovascular disease and other chronic diseases. Exp Biol Med (Maywood) 2008;233:674–88 [review].
10. Burdge GC, Calder PC. Conversion of alpha-linolenic acid to longer-chain polyunsaturated fatty acids in human adults. Reprod Nutr Dev 2005;45:581-97 [review].
11. Liou YA, King DJ, Zibrik D, Innis SM. Decreasing linoleic acid with constant alpha-linolenic acid in dietary fats increases (n-3) eicosapentaenoic acid in plasma phospholipids in healthy men. J Nutr 2007;137:945-52.
12. Friesen RW, Innis SM. Linoleic acid is associated with lower long-chain n-6 and n-3 fatty acids in red blood cell lipids of Canadian pregnant women. Am J Clin Nutr 2010;91:23-31.
13. Brenna JT. Efficiency of conversion of alpha-linolenic acid to long chain n-3 fatty acids in man. Curr Opin Clin Nutr Metab Care 2002;5:127-32 [review].
14. Goyens PL, Spilker ME, Zock PL, et al. Compartmental modeling to quantify alpha-linolenic acid conversion after longer term intake of multiple tracer boluses. J Lipid Res 2005;46:1474-83.
15. Hussein N, Ah-Sing E, Wilkinson P, et al. Long-chain conversion of [13C] linoleic acid and alpha-linolenic acid in response to marked changes in their dietary intake in men. J Lipid Res 2005;46:269-80.
16. Burdge GC, Calder PC. Conversion of alpha-linolenic acid to longer-chain polyunsaturated fatty acids in human adults. Reprod Nutr Dev 2005;45:581-97 [review].
17. Harris WS, Mozaffarian D, Rimm E, et al. Omega-6 fatty acids and risk for cardiovascular disease: a science advisory from the American Heart Association Nutrition Subcommittee of the Council on Nutrition, Physical Activity, and Metabolism; Council on Cardiovascular Nursing; and Council on Epidemiology and Prevention. Circulation 2009;119:902-7 [review].
18. Valk EE, Hornstra G. Relationship between vitamin E requirement and polyunsaturated fatty acid intake in man: a review. Int J Vitam Nutr Res 2000;70:31-42.
19. Calder PC. Dietary modification of inflammation with lipids. Proc Nutr Soc 2002;61:345-58 [review].
20. Praticò D, Dogné JM. Vascular biology of eicosanoids and atherogenesis. Expert Rev Cardiovasc Ther 2009;7:1079-89 [review].
21. Adam O, Beringer C, Kless T, et al. Anti-inflammatory effects of a low arachidonic acid diet and fish oil in patients with rheumatoid arthritis. Rheumatol Int 2003;23:27-36.
22. Harris WS, Mozaffarian D, Rimm E, et al. Omega-6 fatty acids and risk for cardiovascular disease: a science advisory from the American Heart Association Nutrition Subcommittee of the Council on Nutrition, Physical Activity, and Metabolism; Council on Cardiovascular Nursing; and Council on Epidemiology and Prevention. Circulation 2009;119:902-7 [review].
23. Simopoulos AP. The importance of the omega-6/omega-3 fatty acid ratio in cardiovascular disease and other chronic diseases. Exp Biol Med (Maywood) 2008;233:674–88 [review].
24. Hamazaki T, Okuyama H. The Japan Society for Lipid Nutrition recommends to reduce the intake of linoleic acid: a review and critique of the scientific evidence. World Rev Nutr Diet 2003;92:109–32 [review].
25. Plourde M, Cunnane SC. Extremely limited synthesis of long chain polyunsaturates in adults: implications for their dietary essentiality and use as supplements. Appl Physiol Nutr Metab 2007;32:619-34 [review].
26. Kapoor R, Huang YS. Gamma linolenic acid: an antiinflammatory omega-6 fatty acid. Curr Pharm Biotechnol 2006;7:531-4 [review].
27. Harbige LS. Fatty acids, the immune response, and autoimmunity: a question of n-6 essentiality and the balance between n-6 and n-3. Lipids 2003;38:323-41 [review].
28. Pischon T, Hankinson SE, Hotamisligil GS, et al. Habitual dietary intake of n-3 and n-6 fatty acids in relation to inflammatory markers among US men and women. Circulation 2003;108:155-60.
29. Ferrucci L, Cherubini A, Bandinelli S, et al. Relationship of plasma polyunsaturated fatty acids to circulating inflammatory markers. J Clin Endocrinol Metab 2006;91:439-46.
30. Harris WS, Mozaffarian D, Rimm E, et al. Omega-6 fatty acids and risk for cardiovascular disease: a science advisory from the American Heart Association Nutrition Subcommittee of the Council on Nutrition, Physical Activity, and Metabolism; Council on Cardiovascular Nursing; and Council on Epidemiology and Prevention. Circulation 2009;119:902-7 [review].
Next Section:
How It WorksPrevious Section:
UsesNext Section:
InteractionsPrevious Section:
How It WorksNext Section:
Side EffectsPrevious Section:
InteractionsNext Section:
Related InformationPrevious Section:
Side EffectsNext Section:
ReferencesPrevious Section:
Related InformationNext Section:
Previous Section:
ReferencesLast Review: 11-07-2012
Copyright © 2012 Aisle7. All rights reserved. Aisle7.com
Learn more about Aisle7, the company.
The information presented in Aisle7 is for informational purposes only. It is based on scientific studies (human, animal, or in vitro), clinical experience, or traditional usage as cited in each article. The results reported may not necessarily occur in all individuals. For many of the conditions discussed, treatment with prescription or over the counter medication is also available. Consult your doctor, practitioner, and/or pharmacist for any health problem and before using any supplements or before making any changes in prescribed medications. Information expires June 2013.
This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.