Alpha-linolenic acid (omega-3): benefits, dosage, contraindications
Other name(s)
Omega-3
Scientific name(s)
ALA
Family or group:
Fatty Acids
Indications
Rating methodology
EFSA approval.
Child development ✪✪✪✪✪
EFSA estimates that ALA is necessary for normal growth and development in children when the daily intake is 2 g of alpha-linolenic acid (ALA) associated with a daily dose of 10 g of linoleic acid (omega-6).
Posologie
Synergies
Lipid balance ✪✪✪✪✪
EFSA estimates that ALA contributes to maintaining normal blood cholesterol levels for a daily dose of 2 g of alpha-linolenic acid.
Posologie
Atherosclerosis ✪✪✪✪✪
Epidemiological research suggests that high dietary intakes of linolenic acid reduce calcified atherosclerotic plaque in the coronary arteries. For every gram of linolenic acid consumed, the risk of coronary artery calcification decreases by 62%.
Posologie
Effect of flaxseed oil supplementation on anthropometric and metabolic indices in patients with coronary artery disease: A double-blinded randomized controlled trial
Dietary linolenic acid is inversely associated with calcified atherosclerotic plaque in the coronary arteries: the National Heart, Lung, and Blood Institute Family Heart Study.
A comparison between the effects of flaxseed oil and fish oil supplementation on cardiovascular health in type 2 diabetic patients with coronary heart disease: A randomized, double-blinded, placebo-controlled trial
Influence of dietary supplementation with long-chain n-3 or n-6 polyunsaturated fatty acids on blood inflammatory cell populations and functions and on plasma soluble adhesion molecules in healthy adults
Cardiovascular diseases ✪✪✪✪✪
An increase in dietary intake of alpha-linolenic acid from 1 to 1.2 g per day reduces the risk of coronary insufficiency by 20% in people without a history of cardiovascular diseases and by 20% or even more in people with existing cardiovascular disease. A meta-analysis showed that ALA supplementation slightly reduces the risk of death and arrhythmia following myocardial infarction.
Posologie
Dietary intake of alpha-linolenic acid and risk of fatal ischemic heart disease among women
b1-Linolenic acid and risk of cardiovascular disease: a systematic review and meta-analysis.
EFSA- Register of nutrition and health claims
Beyond Fish Oil Supplementation: The Effects of Alternative Plant Sources of Omega-3 Polyunsaturated Fatty Acids upon Lipid Indexes and Cardiometabolic Biomarkers-An Overview
The cardiovascular effects of flaxseed and its omega-3 fatty acid, alpha-linolenic acid
Mediterranean alpha-linolenic acid-rich diet in secondary prevention of coronary heart disease
Vegetarian diet ✪✪✪✪✪
Exclusively vegan diets need careful examination due to the risk of omega-3 polyunsaturated fatty acid deficiency. Besides lower overall and saturated fat consumption, another characteristic of exclusively vegan diets is a higher proportional intake of n6 polyunsaturated fatty acids, compared to omnivorous and vegetarian diets. For these reasons, recommendations for vegan diets including appropriate amounts of ALA, necessarily combined with a balanced n3/n6 ratio, are crucial for long-term health maintenance.
Posologie
Properties
Essential
Dietary sources of ALA are necessary during pregnancy and breastfeeding, not only due to their rich nutritional composition, but also to avoid complex mixes of plant-based supplements which might endanger the health of the mother and child. Plant sources of omega-3 polyunsaturated fatty acids may be considered an option for pregnant women who cannot tolerate fatty fish. The quantity and profile of omega-3 polyunsaturated fatty acids ingested by the breastfeeding mother are crucial for the infant's health, as the mother's diet directly influences the fatty acid profile of breast milk. Exclusively vegan diets must be carefully examined due to the risk of omega-3 polyunsaturated fatty acid deficiency.
Usages associés
Cardiovascular
Myocardial infarction is a complex process initiated by endothelial injury to the coronary artery, lipid accumulation in the vascular wall, inflammatory reactions causing plaque rupture, and subsequent thrombus formation. Fatty acids have varying effects on these biological processes. However, alpha-linolenic acid does not seem to have the same physiological effects as EPA and DHA. Indeed, ALA lowers plasma triglycerides and slightly increases HDL- and LDL-cholesterol. Furthermore, the relationship between ALA consumption and the occurrence of coronary events is less well established, unlike EPA and DHA, which reduce the risk of ischemic heart disease and sudden death. The effects of EPA and DHA seem to be similar to those of alpha-linolenic acid regarding hemostatic factors such as thromboxane production, bleeding time, and other factors.
Usages associés
Anticancer
Alpha-linolenic acid seems to play a role in breast cancer prevention. There is evidence that women with higher levels of alpha-linolenic acid in breast adipose tissue have a lower risk of breast cancer. Researchers believe that a high intake of alpha-linolenic acid may have a protective effect against cancer.
Anti-inflammatory
ALA decreases the production of arachidonic acid and reduces the biosynthesis of inflammatory eicosanoids, but not to the extent of EPA and DHA. Cytokines, another important group of inflammatory mediators that are generated in response to inflammatory eicosanoids, are influenced by changes in omega-3/omega-6 ratios in cell membranes. A number of studies have confirmed that high-dose consumption of flaxseed oil, which is rich in ALA, reduces endothelial inflammation and decreases levels of inflammatory markers, including C-reactive protein and interleukin (IL)-6, as well as some adhesion markers.
Safety dosage
Adult from 12 years: 2 g
Within a balanced diet, alpha-linolenic acid is generally present in food in sufficient quantities.
Pregnant women: 1.4 g
High intakes of ALA by pregnant or breastfeeding women should be under medical supervision.
Breastfeeding women: 1.3 g
High intakes of ALA by pregnant or breastfeeding women should be under medical supervision.
Infant up to 12 months: 1 g
Children from 1 to 12 years: 0.7 g - 1.6 g
Interactions
Médicaments
Antiplatelet agents/Anticoagulant: weak interaction
People taking anticoagulant medications should limit their consumption of oils rich in alpha-linolenic acid, due to a possible effect of ALA on coagulation.
Precautions
Prostate cancer: avoid
Some research suggests that a high dietary intake of alpha-linolenic acid may increase the risk of advanced prostate cancer. Patients with prostate cancer or at high risk of prostate cancer should avoid alpha-linolenic acid supplementation.