Highlights
- •Omega-3/omega-6 highly unsaturated fatty acids (HUFA) are disease risk biomarkers.
- •Precursor dietary fats are not typically included in estimating n-3 and n-6 HUFAs.
- •Reliable HUFA biomarkers estimates require both dietary precursor fats and HUFAs.
Abstract
Proportions of omega-3 (n-3) and omega-6 (n-6) in 20- and 22-carbon highly unsaturated
fatty acids with 3 or more double bonds (HUFA) accumulated in tissue HUFA (e.g., the
%n-6 in HUFA) are biomarkers reflecting intakes of n-6 and n-3 fatty acids. An empirical
equation, referred to here as the Lands’ Equation, was developed previously to use
dietary intakes of n-6 and n-3 HUFA and their 18-carbon precursors to estimate the
%n-6 in HUFA of humans. From the PubMed database, we identified clinical trials reporting
(a) dietary intake of at least linoleic acid (18:2n-6) and alpha-linolenic acid (18:3n-3),
and (b) the amounts of at least arachidonic acid (20:4n-6), eicosapentaenoic acid
(20:5n-3), and docosahexaenoic acid (22:6n-3) in lipids of plasma, serum, or red blood
cell. Linear regression analyses comparing reported and predicted %n-6 in HUFA gave
a correlation coefficient of 0.73 (p<0.000000) for 34 studies with 92 subject groups. These results indicate that circulating
HUFA compositions can be reliably estimated from dietary intake data that not only
includes n-3 and n-6 HUFA consumption, but also includes consumption of 18 carbon
n-3 and n-6 precursor fatty acids.
Abbreviations:
AA (arachidonic acid), ALA (alpha-linolenic acid), DHA (docosahexaneoic acid), GLA (gamma-linolenic acid), en% (percent of energy), EPA (eicosapentaenoic acid), %EPA+DHA in RBC (percentage of EPA and DHA in total fatty acids of red blood cell), HUFA (highly unsaturated fatty acids), LA (linoleic acid), NR (not reported), n-3 (omega-3), n-6 (omega-6), %n-6 in HUFA (the percentage of omega-6 highly unsaturated fatty acids in total tissue HUFA), P-PL (plasma phospholipids), P-TL (plasma total lipids), PUFA (polyunsaturated fatty acids), RBC (red blood cell), RBC-PL (red blood cell phospholipids), S-PL (serum phospholipids), SDA (stearidonic acid), S-TL (serum total lipids)Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Prostaglandins, Leukotrienes and Essential Fatty AcidsAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Essential fatty acids—a review.Curr. Pharm. Biotechnol. 2006; 7: 467-482
- Eicosanoids in inflammation: biosynthesis, pharmacology, and therapeutic frontiers.Curr. Top. Med. Chem. 2007; 7: 311-340
- Enzymes and receptors of prostaglandin pathways with arachidonic acid-derived versus eicosapentaenoic acid-derived substrates and products.J. Biol. Chem. 2007; 282: 22254-22266
- Healthy intakes of n-3 and n-6 fatty acids: estimations considering worldwide diversity.Am. J. Clin. Nutr. 2006; 83: 1483S-1493S
- Measuring blood fatty acids as a surrogate indicator for coronary heart disease risk in population studies.World Rev. Nutr. Diet. 2009; 100: 22-34
- Eicosanoids and cancer.Nat. Rev. Cancer. 2010; 10: 181-193
- Polyunsaturated fatty acids, inflammation, and immunity.Lipids. 2001; 36: 1007-1024
- Essential fatty acids in health and chronic disease.Am. J. Clin. Nutr. 1999; 70: 560S-569S
- Cyclooxygenases, lipoxygenases, and epoxygenases in CNS: their role and involvement in neurological disorders.Brain Res. Rev. 2006; 52: 201-243
- The role of eicosanoids in the brain.Asia Pac. J. Clin. Nutr. 2008; 17: 220-228
- Balancing proportions of competing omega-3 and omega-6 highly unsaturated fatty acids (HUFA) in tissue lipids.Prost. Leuko. Ess. Fat. Acids. 2015; 99: 19-23
- Omega-3 PUFAs lower the propensity for arachidonic acid cascade overreactions.Biomed. Res. Int. 2015; 2015: 285135
- Maintenance of lower proportions of (n-6) eicosanoid precursors in phospholipids of human plasma in response to added dietary (n-3) fatty acids.Biochim. Biophys. Acta. 1992; 1180: 147-162
- The effect of dose level of essential fatty acids upon fatty acid composition of the rat liver.J. Lipid Res. 1963; 4: 151-159
- Effect of linolenic acid upon the metabolism of linoleic acid.J. Nutr. 1963; 81: 67-74
- A critique of paradoxes in current advice on dietary lipids.Prog. Lipid Res. 2008; 47: 77-106
- Quantitative effects of dietary polyunsaturated fats on the composition of fatty acids in rat tissues.Lipids. 1990; 5: 505-516
- Determination of the optimal ratio of linoleic acid to alpha-linolenic acid in infant formulas.J. Pediatr. 1992; 120: S151-S158
- Functional foods in primary prevention or nutraceuticals in secondary prevention?.Curr. Top. Nutraceutical Res. 2003; 1: 113-120
Equation with Revised Constants online: 〈http://efaeducation.org/relating-diets-to-hufa/〉.
- Effect of dietary alpha-linolenic acid and its ratio to linoleic acid on platelet and plasma fatty acids and thrombogenesis.Lipids. 1992; 28: 811-817
- Plant- and marine-derived n-3 polyunsaturated fatty acids have differential effects on fasting and postprandial blood lipid concentrations and on the susceptibility of ldl to oxidative modification in moderately hyperlipidemic subjects.Am. J. Clin. Nutr. 2003; 77: 783-795
- Low-dose arachidonic acid intake increases erythrocytes and plasma arachidonic acid in young women.Prostaglandins Leukot. Essent. Fat. Acids. 2010; 83: 83-88
- Effect of a low-fat diet on fatty acid composition in red cells, plasma, phospholipids, and cholesterol esters: investigation of a biomarker of total fat intake.Am. J. Clin. Nutr. 2006; 83: 227-236
- The consumption of food products from linseed-fed animals maintains erythrocyte omega-3 fatty acids in obese humans.Lipids. 2010; 45: 11-19
- Influence of an eicosapentaenoic and docosahexaenoic acid-enriched enteral nutrition fomula on plasma fatty acid composition and biomarkers of insulin resistance in the elderly.Clin. Nutr. 2010; 29: 31-37
- A diet containing rapeseed oil-based fats does not increase lipid peroxidation in humans when compared to a diet rich in saturated fatty acids.Eur. J. Clin. Nutr. 2001; 55: 922-993
- Dietary supplementation with eicosapentaenoic acid, but not with other long-chain n-3 or n-6 polyunsaturated fatty acids, decreases natural killer cell activity in healthy subjects aged >55 y.Am. J. Clin. Nutr. 2001; 73: 539-548
- Comparison of the effects of linseed oil and different doses of fish oil on mononuclear cell function in healthy human subjects.Br. J. Nutr. 2003; 89: 679-689
- Variations in daily intakes of myristic and alpha-linolenic acids in sn-2 position modify lipid profile and red blood cell membrane fluidity.Br. J. Nutr. 2006; 96: 283-289
- Comparison of low fat and low carbohydrate diets on circulating fatty acid composition and markers of inflammation.Lipids. 2007; 43: 65-77
- Alpha-linolenic acid in rapeseed oil partly compensates for the effect of fish restriction on plasma long chain n-3 fatty acids.Eur. J. Clin. Nutr. 1996; 50: 229-235
- Effects of walnut consumption on plasma fatty acids and lipoproteins in combined hyperlipidemia.Am. J. Clin. Nutr. 2001; 74: 72-79
- Consumption of an oil composed of medium chain triacylglycerols, phytosterols, and N-3 fatty acids improves cardiovascular risk profile in overweight women.Metabolism. 2003; 52: 771-777
- Conversion of alpha-linolenic acid in humans is influenced by the absolute amounts of alpha-linolenic acid and linoleic acid in the diet and not by the ratio.Am. J. Clin. Nutr. 2006; 84: 44-53
- An increase in dietary n-3 fatty acids decreases a marker of bone resorption in humans.Nutr. J. 2007; 6: 2
- Effect of dietary alpha-linolenic acid on thrombotic risk factors in vegetarian men.Am. J. Clin. Nutr. 1999; 69: 872-882
- Novel soybean oils with different fatty acid profiles alter cardiovascular disease risk factors in moderately hyperlipidemic subjects.Am. J. Clin. Nutr. 2006; 84: 497-504
- Total fat intake modifies plasma fatty acid composition in humans.J. Nutr. 2001; 131: 231-234
- Elevated plasma fibrinogen caused by inadequate alpha-linolenic acid intake can be reduced by replacing fat with canola-type rapeseen oil.Prostaglandins Leukot. Essent. Fat. Acids. 2010; 83: 45-54
- Small differences in the effects of stearic acid, oleic acid, and linoleic acid on the serum lipoprotein profile of humans.Am. J. Clin. Nutr. 2005; 82: 510-516
- Palm and partially hydrogenated soybean oils adversely alter lipoprotein profiles compared with soybean and canola oils in moderately hyperlipidemic subjects.Am. J. Clin. Nutr. 2006; 84: 54-62
- Plasma n-6 and n-3 polyunsaturated fatty acids as biomarkers of their dietary intakes: a cross-sectional study within a cohort of middle-aged French men and women.Eur. J. Clin. Nutr. 2008; 62: 1155-1161
- Polyunsaturated fatty acid concentrations in young men and women consuming their habitual diets.Br. J. Nutr. 2006; 96: 98-99
- Linoleic acid is associated with lower long-chain n-6 and n-3 fatty acids in red blood cell lipids in Canadian pregnant women.Am. J. Clin. Nutr. 2010; 91: 23-31
- Low docosahexaenoic acid in the diet and milk of women in New Mexico.J. Am. Diet. Assoc. 2008; 108: 1693-1699
- Single measurement of serum phospholipid fatty acid as a biomarker of specific fatty acid intake in middle-aged men.Eur. J. Clin. Nutr. 2001; 55: 643-650
- Erythrocyte membrane phospholipid fatty acids, desaturase activity, and dietary fatty acids in relation to risk of type 2 diabetes in European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study.Am. J. Clin. Nutr. 2011; 93: 127-143
- Discrepancies in dietary intakes and plasma concentrations of fatty acids according to age among Japanese female dietitians.Eur. J. Clin. Nutr. 2002; 56: 524-531
- Plasma concentrations of (n-3) highly unsaturated fatty acids are good biomarkers of relative dietary fatty acid intakes: a cross-sectional study.J. Nutr. 2003; 133: 3643-3650
- Correlation between serum phospholipid fatty acids and dietary intakes assessed a few years earlier.Nutr. Cancer. 2009; 61: 500-509
- Atherosclerosis and omega-3 fatty acids in the populations of a fishing village and a farming village in Japan.Atherosclerosis. 2000; 153: 469-481
- Erythrocyte membrane phospholipid composition as a biomarker of dietary fat.Ann. Nutr. Metab. 2006; 50: 95-102
Simple Calculator: 〈http://efaeducation.org/omega_foods_apps/dietary-balance/〉.
- The omega-3 index as a risk factor for coronary heart disease.Am. J. Clin. Nutr. 2008; 87: 1997S-2002S
- The percentage of n-3 highly unsaturated fatty acids in total HUFA as a biomarker for omega-3 fatty acid status in tissues.Lipids. 2008; 43: 45-53
- Dietary menhaden, seal, and corn oils differentially affect lipid and ex vivo eicosanoid and thiobarbituric acid-reactive substances generation in the guinea pig.Lipids. 1999; 34: 115-124
- Blood concentrations of individual long-chain n-3 fatty acids and risk of nonfatal myocardial infarction.Am. J. Clin. Nutr. 2008; 88: 216-223
- Direct microwave transesterification of fingertip prick blood samples for fatty acid determinations.Lipids. 2008; 43: 187-196
- Comparison of bloodstream fatty acid composition from African-American women at gestation, delivery, and postpartum.J. Lipid Res. 2005; 46: 516-525
- Benefit–risk assessment of fish oil in preventing cardiovascular disease.Drug Saf. 2016; 39: 787-799
Article info
Publication history
Published online: March 08, 2017
Accepted:
March 6,
2017
Received in revised form:
February 10,
2017
Received:
September 21,
2016
Identification
Copyright
Published by Elsevier Ltd.