Alpha-linolenic acid (omega-3): benefits, dosage, contraindications

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Alpha-linolenic acid (ALA) is an essential omega-3 fatty acid. It is crucial for normal growth and the physiological functions of many tissues, but cannot be synthesized by humans or animals. From ALA, the body synthesizes other omega 3 fatty acids, notably eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). The latter is also considered essential and must be provided through diet. It belongs to the omega-3 family found in vegetable oils such as flaxseed oil, grape seed oil, or walnut oil. Alpha-linolenic acid is present in smaller quantities in green leafy vegetables and chocolate. It is also a component of human breast milk. Alpha-linolenic acid (ALA), particularly its derivative DHA, is involved in specific functions in brain and nervous system development, hence sufficient intake is necessary for pregnant women, lactating women, and children. Alpha-linolenic acid (ALA) is recognized for its cardiovascular benefits. It plays an important role in positively influencing several key factors of heart health: it helps regulate platelet aggregation, reduces inflammation, and aids in managing triglyceride levels in the blood.
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Other name(s) 

Omega-3

Scientific name(s)

ALA

Family or group: 

Fatty Acids


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Child development
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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

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posologie2 g

populationChildren


Synergies


Lipid balance
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EFSA estimates that ALA contributes to maintaining normal blood cholesterol levels for a daily dose of 2 g of alpha-linolenic acid.

Posologie

posologieOral administration

posologie2 g


Vegetarian diet
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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

posologieOral administration

posologie2 g


Properties


Essential

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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

Child development, Vegetarian diet

Cardiovascular

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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

Cardiovascular diseases, Atherosclerosis, Lipid balance

Anticancer

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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

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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.