OMEGA 3 - WHAT ARE THE BENEFITS?

 


Good Fat

Fat. Despite the bad rep it gets for adding inches to our waistline and bringing along a myriad of health problems, our body still requires fat as a source of energy, to absorb nutrients as well as to protect our vital organs.

The key difference is the type of fat we’re consuming. All the negative health consequences that fat has been blamed for are partly due to consumption of “bad” fats, such as trans fats and saturated fats, which are commonly found in deep fried foods, processed foods and confectionary.

In contrast, “good” fats such as unsaturated fatty acids and Omega-3 fatty acids, have the opposite effect.

With so many types of fats to learn about, Omega-3 fatty acids probably need no further introduction, so let’s start off with a better understanding of omega-3s!

What are Omega-3s?

Omega-3s are a form of unsaturated fatty acid which can be broken down into different types, mainly: Alpha-Linolenic Acid (ALA), Eicosapentaenoic Acid (EPA), and Docosahexaenoic Acid (DHA).

The main difference between these types of Omega-3? ALA is found mainly in plant oils such as flaxseed, soybean and canola oils, while EPA and DHA are found in fish, algae and seafood. 

While the human body can convert some ALA into EPA and then DHA, the small amounts produced calls for recommendations to obtain EPA and DHA directly from foods.


Benefits of Omega-3

- Heart Health

Omega-3 fatty acids protect the heart against diseases by:

1.     Lowering triglyceride levels in the blood.

2.     Lowering blood pressure in patients.

3.     Preventing harmful blood clots from forming, thus reducing risk of stroke and heart attack.

4.     Preventing plaque formation which harden the arteries and restrict blood flow. 

- Eye Health

DHA is a major structural component of the retina of the eyes. Getting enough omega-3 reduces risk of macular degeneration, a condition which can cause permanent eye damage and blindness.

- Brain Health

Omega-3s are vital for brain health throughout the lifespan – whether during birth or at old age. Omega-3s ensure proper growth and development in infants. Furthermore, sufficient omega-3 intake during pregnancy is linked to reduced risk of development delay, higher intelligence and fewer behavioral problems in the child.

At the same time, studies have found that higher omega-3 intake decreases age-related mental decline and reduces risk of Alzheimer’s disease among the elderly.

- Anti-inflammatory

Long term inflammation in the body negatively impacts the tissues and organs, and may play a role in the onset of illnesses such as cancer, heart disease and asthma. Consistent studies have shown that Omega-3s reduce the production of substances that are linked to inflammation in the body.

 

How much Omega-3 do I need daily?

Our Omega-3 requirements vary considerably depending on our age, sex, lifestyle and health status, with higher intake required for people with underlying health condition.

The National Institute of Health currently recommends 1.6g of ALA for males and 1.1g for females while there are currently no specific recommendations for EPA and DHA. However, the American Heart Association recommends an intake of combined EPA and DHA at 1.0g daily for patients with cardiovascular disease.   

Hence, to ensure optimal intake of Omega-3 fatty acids, it is important to consume a balanced diet that includes a variety of fatty fish such as mackerel, herring, sardine and salmon for EPA and DHA, as well as plant-based omega-3 sources including flaxseed, walnuts, sacha inchi and their oils for ALA.

Handy tips to ensure adequate omega-3 intake from foods:

·       Aim for a serving of fatty fish (mackerel, seabass, sardines) at least twice a week.

·       Snack on plant based sources such as seaweed, edamame, walnuts.

·       Incorporate 2 tablespoons of omega-3 rich oils such as flaxseed oil or sacha inchi oil to salads or as part of your daily morning drink.

However, Omega-3s aren’t the only important “good fats”.  Keep reading to learn more.

 

Nutritionist Zuanne
Anna Hoo Clinic



Source

1.     Calder, P. C. (2010). Omega-3 fatty acids and inflammatory processes. Nutrients2(3), 355-374.

2.     Kris-Etherton, P. M., Harris, W. S., & Appel, L. J. (2003). Omega-3 fatty acids and cardiovascular disease: new recommendations from the American Heart Association. Arteriosclerosis, thrombosis, and vascular biology23(2), 151-152.

3.     https://www.hsph.harvard.edu/nutritionsource/what-should-you-eat/fats-and-cholesterol/types-of-fat/omega-3-fats/

4.     https://ods.od.nih.gov/factsheets/Omega3FattyAcids-HealthProfessional/

 

关于痛风您了解多少?

 















痛风并不罕见,你认识的人中多多少少都听过患有痛风的朋友或者亲人。其实很多人对痛风的了解并不全面,大概知道是尿酸高。今天这篇文章就让你了解关于痛风的那些事。

什么是痛风?

痛风是一种慢性疾病,其特征是由于关节和尿道中尿酸钠晶体发炎引起的剧烈疼痛和肿胀的反复发作。痛风倾向于发生在下肢的关节,大约一半的人最初的症状出现在大脚趾,但是脚背,脚踝,脚跟,腕部,肘部,手指和掌指关节也可能受到影响。尿酸晶体的沉积可能会导致关节变形,疼痛通常从晚上开始,并足以使人从睡眠中醒来。 

嘌呤是存在于人体所有组织和许多食物中的一组化学物质。我们的身体在不断地加工嘌呤,分解嘌呤,回收利用或去除副产物。当肾脏不能有效排出尿酸或者身体里尿酸过多的时候,则会引起尿酸浓度增高,久而久之在一定的条件下产生晶体聚集在体内。


痛风的诱发因素

 

  • 肥胖症
  • 其他慢性疾病:高血压、高血脂、糖尿病、肾衰竭
  • 家族病史
  • 大量高嘌呤食物摄入、大量饮酒
  • 药物(低剂量阿司匹林以及一些降血压药物如利尿剂)
  • 手术、感染或创伤后发作

 

如何预防痛风? 

在治疗的同时,控制饮食中摄入的嘌呤和果糖,戒酒也是必要的。预防痛风发作可以通过降低风险因素开始。

 

  • 限制高嘌呤食物的摄入。避免过量食用海鲜,内脏等高嘌呤食物。下面会具体来讲关于影响尿酸的食物或成分。

 

  • 戒酒。酒精增加嘌呤产生,降低嘌呤排出,特别是啤酒增加外源性嘌呤摄入。有痛风的患者戒酒是关键。

 

  • 喝足够的水分。每日最少需要喝2.5-3L的白开水。脱水容易让尿酸浓度进一步增高。

 

  • 健康减肥。避免快速减肥,每周减0.5kg的速度算是合理。

 

  • 保护肾脏功能。肾在排泄尿酸上的作用密不可分,以上的几点都有助于我们保护肾功能,控制好血糖也是对肾脏健康非常重要。

 

影响尿酸的食物或成份 

限制食用高嘌呤的食物:动物肝脏,脱水的食物(鱼干,肉干,豆干,蘑菇干,因为脱水后嘌呤比例变高),红肉,海鲜(贝壳类和小鱼干),酒精(尤其是啤酒)。另外目前并没有有力的证据指出高嘌呤的蔬菜类增加尿酸风险。 

每天的嘌呤摄入量<400mg/d(相当于每天食用<200g(生重)左右瘦肉类,基本不会超过这个量)。

果糖尿酸是果糖(Fructose)代谢的产物之一,研究上有充分证据表明果糖会增加血液中的尿酸水平。其他可升高尿酸的食物成分:山梨糖醇(Sorbitol)、蔗糖(Sucrose)、乳酸盐(Lactate)

总结重点:

  • 高尿酸血症不一定会痛风,痛风一定有高尿酸血症
  • 高尿酸是由于体内尿酸产生过高或者排泄下降或者两者皆有
  • 痛风患者如果肥胖,建议减肥,但是不宜过快
  • 痛风患者需要戒酒,饮酒增加尿酸产生同时降低尿酸排出
  • 限制高嘌呤动物来源,高嘌呤植物来源无需过分限制
  • 痛风患者需要限制果糖摄入
  • 控制高血压,控制高血脂,保护肾功能
  • 可补充维生素C帮助降低尿酸
  • 单纯高尿酸血症(未发生痛风)不推荐服药作为预防方式
  • 痛风发作以后,遵医嘱服用降尿酸药物

 

 

营养师 Lara
Anna Hoo Clinic

 

参考文献:

1. All About Gout – Harvard Health. https://www.health.harvard.edu/newsletter_article/all-about-gout

2. The interplay between diet, urate transporters and the risk for gout and hyperuricemia: current and future directions. https://www.ncbi.nlm.nih.gov/pubmed/23253231?dopt=AbstractPlus

3. Risk factors for gout and prevention: a systematic review of the literature. https://www.ncbi.nlm.nih.gov/pubmed/21285714?dopt=AbstractPlus

4. Diet and gout-what is the role of purines? https://onlinelibrary.wiley.com/doi/abs/10.1111/nbu.12205

5. Total Purine and Purine Base Content of Common Foodstuffs for Facilitating Nutritional Therapy for Gout and Hyperuricemia. https://www.jstage.jst.go.jp/article/bpb/37/5/37_b13-00967/_html/-char/en

6. Fructose-Rich Beverages and the Risk of Gout in Women. http://www.ncbi.nlm.nih.gov/pubmed/21068145?dopt=Abstract