Nutrition

The Health Benefits of Fish Oil: A Guide

Mehak Shah

November 6, 2023

Fish oil, a powerhouse of omega-3 fatty acids, holds a pivotal role in promoting well-being and vitality. These essential nutrients are vital for cardiovascular health and also contribute significantly to cognitive function. While fish stands as an exceptional source of omega-3s, fish oil supplements offer a convenient option for those who may not regularly include fish in their diets. 

This article will explore the various types of fish oil, delve into its numerous health benefits, discover creative ways to incorporate it into your meals, address potential drawbacks, and provide a comprehensive understanding of the value of fish oil in your healthcare routine. Join us as we explore fish oil and uncover its potential for a healthier, more vibrant life.

Types of Fish Oil

Fish oil, derived from the tissues of oily fish such as anchovies, salmon, sardines, and trout, is a rich source of omega-3 fatty acids, notably docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA). These omega-3s offer many health benefits. 

There are primarily two types of fish oil: natural fish oil and processed fish oil.

Natural Fish Oil

This type of fish oil is closest to its natural form, primarily found in the tissues of oily fish in the shape of triglycerides. Natural fish oil is rich in essential nutrients, including omega-3 fatty acids (EPA and DHA), in varying proportions, ranging from 18% to 31%. Additionally, it contains vitamins A and D. Common sources of natural fish oil include salmon, sardines, herring, menhaden, and cod liver. You can find natural fish oil in both capsule and liquid forms.

Processed Fish Oil

Processed fish oil undergoes purification and concentration processes. During purification, contaminants like mercury and PCBs are removed, ensuring a purer product. Concentration, on the other hand, elevates the levels of EPA and DHA, with some processed fish oils containing as much as 50% to 90% pure EPA and/or DHA. Processed fish oils are widely available in the market, often in capsule form. 

It’s important to note that the ethyl ester form of processed fish oil is less readily absorbed by the body compared to natural fish oil. However, some manufacturers further process the oil into a synthetic triglyceride form, enhancing its absorption. These oils are known as reformed (or re-esterified) triglycerides, albeit they tend to be more expensive and less common.

Summary

Fish oil comes in two primary types: natural and processed. Natural fish oil, found in oily fish tissues, contains varying levels of omega-3 fatty acids (EPA and DHA) and essential vitamins. Processed fish oil undergoes purification and concentration processes, making it a popular choice due to its affordability. Still, it may be less efficiently absorbed in its ethyl ester form, although some brands offer reformed triglyceride versions with better absorption rates. Understanding these distinctions can help you make an informed choice when incorporating fish oil into your healthcare routine.

Benefits of Fish Oil

Fish oil, a nutritional powerhouse derived from fatty fish, offers various health benefits, each supported by scientific studies.

1. Heart Health

Fish oil’s impact on heart health is profound. It improves various heart-related factors. Omega-3 fatty acids in fish oil increase levels of HDL (good) cholesterol while potentially lowering LDL (bad) cholesterol.

Fish oil can lead to a significant reduction in triglyceride levels by as much as 30%. Moreover, even in modest doses, fish oil can lower blood pressure, offering a promising avenue for managing hypertension. Furthermore, fish oil also has a role in preventing arterial plaques, reducing the hardening of arteries, and enhancing the stability of existing plaques.

Although fish oil supplements have shown promise in improving these risk factors, their effectiveness in preventing heart attacks or strokes remains inconclusive.

2. Mental Health Support

The brain, consisting of nearly 60% fat, relies heavily on omega-3 fatty acids for its proper functioning. Several studies suggest a correlation between lower omega-3 blood levels and certain mental health conditions. Intriguingly, omega-3s serve as a protective shield against the onset and progression of specific mental health disorders. For instance, they lead to a decreased risk of psychotic disorders, particularly in individuals at risk. 

Preliminary research indicates that high-dose fish oil supplementation could alleviate symptoms in individuals with conditions such as schizophrenia and bipolar disorder. However, more comprehensive studies are warranted for concrete conclusions.

3. Eye Health

The eyes, like the brain, are dependent on omega-3 fats. Inadequate omega-3 intake leads to a higher risk of various eye disorders. While evidence supporting the use of fish oil supplements in eye health is somewhat equivocal, a diet rich in omega-3s from fish appears to reduce the likelihood of age-related macular degeneration (AMD). However, the benefits of fish oil supplements in this context remain less clear. 

Earlier research showed potential improvements in vision for individuals with AMD after consuming a high-dose fish oil regimen for 19 weeks. However, these findings stemmed from a small study. More extensive studies investigating the combined impact of omega-3s and other nutrients on AMD have produced conflicting results.

4. Anti-Inflammatory Properties

Chronic inflammation is at the core of various chronic diseases, including obesity, diabetes, depression, and heart disease. Fish oil’s anti-inflammatory attributes position it as a potential remedy for conditions influenced by inflammation.

Fish oil may reduce the production and gene expression of inflammatory molecules known as cytokines, mainly when inflammation results from factors like increased weight or stress. Additionally, fish oil supplements can significantly alleviate joint pain and stiffness, reducing the need for medication in individuals with rheumatoid arthritis. Nevertheless, its effectiveness in addressing inflammatory bowel disease (IBD) remains uncertain.

5. Skin Health

Omega-3 fatty acids found in fish oil have prompted interest in their potential to enhance skin health, especially in individuals with skin conditions such as psoriasis and dermatitis. Research suggests that fish oil supplements offer benefits in managing these conditions, although further investigation is needed to ascertain their full potential.

6. Pregnancy and Early Life

Omega-3s are critical for fetal growth and development. Pregnant and nursing mothers can benefit from fish oil supplements, which may contribute to improved foetal brain development. The influence of fish oil on cognitive function and IQ in offspring remains a subject of exploration. Additionally, supplementing with fish oil during pregnancy and breastfeeding may enhance infant visual development and reduce the risk of allergies.

7. Liver Health

Nonalcoholic fatty liver disease (NAFLD), characterised by the accumulation of fat in the liver, is a growing concern. Fish oil supplements can enhance liver function and mitigate inflammation. As a result, it alleviates NAFLD symptoms and reduces liver fat.

8. Mental Decline Prevention

Cognitive decline is a natural part of ageing, with Alzheimer’s disease posing an increasing risk as individuals grow older. A diet rich in fish is associated with a slower cognitive decline in later life. However, the impact of fish oil supplements on cognitive function in older adults remains inconclusive, with some small-scale studies suggesting potential memory improvements in healthy older individuals.

9. Asthma and Allergy Support

Asthma, a condition characterised by lung inflammation and breathlessness, is becoming more prevalent in infants. Several studies have suggested that fish oil may mitigate asthma symptoms, particularly in early life. Additionally, fish oil supplements taken during pregnancy may reduce the risk of allergies in infants, offering a potential preventive measure.

10. Bone Health

Ageing often leads to the loss of essential minerals in bones, increasing the risk of osteoporosis and osteoarthritis. While calcium and vitamin D play critical roles in bone health, emerging evidence suggests that omega-3 fatty acids may also contribute positively. Individuals with higher omega-3 intake and blood levels may exhibit better bone mineral density (BMD). However, the efficacy of fish oil supplements in improving BMD requires further investigation, as existing research presents mixed results.

Summary

Fish oil, due to its omega-3 fatty acids, provides a multifaceted approach to health improvement. It plays a pivotal role in enhancing heart health by improving cholesterol levels, lowering triglycerides, reducing blood pressure, and potentially preventing arterial plaques. Additionally, omega-3s are essential for mental well-being, potentially shielding against mental health disorders and alleviating symptoms in conditions like schizophrenia and bipolar disorder. Fish oil supports eye health, reducing the risk of age-related macular degeneration, while its anti-inflammatory properties make it valuable for conditions influenced by chronic inflammation. Moreover, fish oil can enhance skin health, aid in pregnancy and early life development, and support liver health. It may have a role in preventing cognitive decline, mitigating asthma symptoms, and improving bone health. These benefits, substantiated by scientific research, underscore the importance of fish oil in promoting overall well-being.

Supplementing Fish Oil: Tips for Optimal Use

If you don’t regularly consume oily fish, adding a fish oil supplement to your routine can be a beneficial choice. 

Here are essential tips to consider when incorporating fish oil supplements:

Dosage

The recommended dosage of EPA and DHA in fish oil supplements can vary depending on factors like age and health. For most adults, a daily intake of 1.1–1.6 grams (1,100–1,600 mg) of omega-3 fatty acids is suggested by WHO. However, it’s essential to consult with a healthcare provider, especially if you’re pregnant, nursing, or at risk of heart disease, as your dosage may need adjustment.

Form

Fish oil supplements are available in various forms, including ethyl esters, triglycerides, reformed triglycerides, free fatty acids, and phospholipids. Opt for a supplement in a form other than ethyl esters, as they are not as effectively absorbed by the body.

Concentration

Pay attention to the concentration of EPA and DHA in your chosen supplement. Some products may contain up to 1,000 mg of fish oil per serving but only 300 mg of EPA and DHA. Look for supplements that provide at least 500 mg of EPA and DHA per 1,000 mg of fish oil for optimal benefits.

Purity

Ensure the purity of your fish oil supplement by selecting products that undergo third-party testing or carry a seal of purity from reputable organisations like the Global Organization for EPA and DHA Omega-3s (GOED). It helps avoid supplements that may not contain the claimed ingredients.

Freshness

Omega-3 fatty acids are susceptible to oxidation, which can cause them to become rancid. To prevent this, choose supplements that include antioxidants, such as vitamin E. Store your supplements away from light, ideally in the refrigerator, and avoid using them if they have a rotten odour or are past their expiration date.

Sustainability

Consider the sustainability of the fish oil source. Look for supplements with sustainability certifications from organisations like the Marine Stewardship Council (MSC) or the Environmental Defense Fund. Fish oil derived from smaller, more sustainable fish like anchovies is a more eco-friendly choice than that from larger fish.

Timing

Omega-3 fatty acids are absorbed better when consumed with dietary fats. To enhance absorption, take your fish oil supplement with a meal that contains fats.

By following these simple yet crucial tips, you can make the most of your fish oil supplement and reap its potential health benefits effectively. Always consult with a healthcare professional for personalised recommendations based on your specific needs.

Summary

To make the most of your fish oil supplement, consider these essential tips. First, consult with a healthcare provider to determine the correct dosage, which can vary based on your age and health. Choose a supplement in a form other than ethyl esters for better absorption. Pay attention to the concentration, aiming for at least 500 mg of EPA and DHA per 1,000 mg of fish oil. Ensure purity by selecting products that undergo third-party testing. Store supplements away from light and avoid using them if they have a rotten smell or are past their expiration date. Opt for sustainably sourced fish oil with certifications, like from the Marine Stewardship Council, and take your supplement with a meal containing dietary fats for improved absorption. Always seek personalised recommendations from a healthcare professional to meet your specific needs.

Fish Oil Safety and Potential Interactions

Fish oil is generally considered safe for most people, but there are certain precautions and potential interactions that one should note.

Allergies and Bleeding Risk

While fish oil is safe for many, individuals with fish or shellfish allergies should exercise caution. Fish oil, an omega-3 supplement, can lengthen bleeding time, making it essential to consult a healthcare provider if you have a bleeding disorder.

Atrial Fibrillation Risk

Some research suggests that omega-3 supplements, like fish oil, may increase the risk of atrial fibrillation (AFib) in individuals with high triglyceride levels. AFib is a common irregular heart rhythm disorder characterised by a faster-than-normal heartbeat.

Drug Interactions

If you’re currently taking medications, especially anticoagulants (blood thinners), it’s essential to discuss fish oil with your healthcare provider. Omega-3s in fish oil can interact with drugs that affect bleeding time, potentially impacting the effectiveness of these medications.

Quality Assurance

Look for third-party tested fish oil supplements, as the Food and Drug Administration (FDA) does not regulate them. Third-party testing ensures that supplements contain the stated ingredients in the correct amounts. A seal of quality assurance from a third-party tester is a reliable indicator of product quality.

Safe Dosage

There is no specific government-recommended daily intake of fish oil supplements. It’s essential to follow the product’s instructions regarding dosage and timing. The Dietary Guidelines for Americans (DGA) recommend obtaining crucial nutrients through diet whenever possible. If you regularly consume fatty fish like salmon, mackerel, or sardines, you may not need a fish oil supplement.

Potential Side Effects

Fish oil supplements may lead to some side effects, including an unpleasant taste in the mouth, bad breath, prolonged bleeding time, headaches, minor digestive discomfort (e.g., burping, diarrhoea, or heartburn), nausea, and body odour in sweat.

Summary

Fish oil is generally safe, but individuals with allergies or bleeding disorders should be cautious. It’s crucial to discuss its use with a healthcare provider, especially if you’re on medications. Look for third-party tested supplements to ensure quality, follow recommended dosages, and consider obtaining omega-3s through a balanced diet. Possible side effects are generally mild and manageable for most individuals.

HealthifyMe Suggestion

For my clients, I do recommend fish oil when they ask me the remedy for better concentration. Cod oil can be used as a brain food because of the DHA content in it. It helps to improve memory and concentration. Interestingly enough even Dwayne “The Rock” Johnson is known to believe in the benefits of fish oil. In 2015, it was claimed that he consumes 820 pounds of fish per year, which is enormous even for a man his stature. But of course, I would suggest you connect with your healthcare professional to find the appropriate dosage for you.

The Final Word

Fish oil is a remarkable natural source of essential omega-3 fatty acids, such as EPA and DHA, which play vital roles in our overall health. From supporting heart health to potentially aiding in mental well-being, fish oil offers a plethora of benefits. While it’s essential to consult a healthcare professional for personalised guidance, especially regarding dosage and potential interactions, incorporating fish oil into your daily routine, whether through diet or supplements, can contribute to a healthier and more vibrant life. So, consider including this nutritional powerhouse to enjoy its potential advantages while being mindful of the tips mentioned earlier.

Disclaimer: The purpose of this article is just to disperse knowledge and raise awareness. It does not intend to replace medical advice from professionals. For further information, please contact our certified nutritionists Here.

Frequently Asked Questions

Q: What is fish oil?

A: Fish oil is a dietary supplement derived from the tissues of oily fish like salmon, sardines, and trout. It is rich in omega-3 fatty acids, particularly EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), which offer various health benefits.

Q: What are the key components of fish oil?

A: The key components of fish oil are EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), both of which are omega-3 fatty acids. These components are known for their positive effects on heart health, brain function, and more.

Q: Can fish oil be beneficial for heart health?

A: Yes, fish oil can be beneficial for heart health. It may increase HDL (good) cholesterol, lower triglycerides, reduce blood pressure, and help prevent arterial plaques, potentially reducing the risk of heart disease.

Q: How does fish oil support brain function and cognitive health?

A: Fish oil supports brain function and cognitive health because the brain relies on omega-3 fatty acids, like DHA, for proper functioning. These fatty acids are essential for brain development and may protect against certain mental health disorders.

Q: Can fish oil supplements help reduce inflammation?

A: Fish oil supplements have anti-inflammatory properties and may help reduce inflammation. They can lower the production of inflammatory molecules called cytokines, potentially benefiting conditions related to inflammation.

Q: What are the potential benefits of fish oil for joint health?

A: Fish oil supplements may alleviate joint pain and stiffness, making them beneficial for individuals with conditions like rheumatoid arthritis. However, their effectiveness in addressing inflammatory bowel disease (IBD) remains uncertain.

Q: Is fish oil beneficial for skin and hair health?

A: Fish oil’s omega-3 fatty acids have the potential to enhance skin health, particularly in individuals with skin conditions like psoriasis and dermatitis. While research suggests benefits, further investigation is needed to confirm their full potential for skin and hair health.

Q: Can fish oil aid in weight management and fat loss?

A: Fish oil supplements may help with weight management by reducing inflammation and supporting overall health. While they’re not a direct fat loss solution, they can complement a healthy diet and exercise routine.

Q: How does fish oil impact cholesterol levels?

A: Fish oil may improve cholesterol levels by increasing HDL (good) cholesterol and reducing triglycerides. However, its effectiveness in preventing heart attacks or strokes remains inconclusive.

Q: Are there any potential side effects or risks associated with fish oil consumption?

A: Fish oil supplements may have side effects, including an unpleasant taste, bad breath, and digestive discomfort. They can also lengthen bleeding time, so individuals with bleeding disorders or allergies to fish or shellfish should exercise caution.

Q: What is the recommended daily dosage of fish oil supplements?

A: The recommended daily dosage of fish oil supplements varies depending on factors like age and health. For most adults, a daily intake of 1.1–1.6 grams (1,100–1,600 mg) of omega-3 fatty acids is suggested by WHO. However, it’s essential to consult with a healthcare provider for personalised recommendations.

Q: Can fish oil be useful in managing certain mental health conditions?

A: Preliminary research suggests that high-dose fish oil supplementation could have a positive impact on conditions like schizophrenia and bipolar disorder. However, more comprehensive studies are needed for conclusive results.

Q: What are the different types of fish oil, and do they have varying benefits?

A: There are primarily two types of fish oil: natural fish oil and processed fish oil. While natural fish oil is closer to its natural form, processed fish oil undergoes purification and concentration. The choice between them depends on personal preferences and absorption considerations.

Q: Can fish oil be beneficial for children’s development and growth?

A: Fish oil supplements may benefit children’s development and growth by supporting brain and visual development. Pregnant and nursing mothers can also take fish oil supplements to potentially enhance infant visual development and reduce the risk of allergies.

Q: How can fish oil be incorporated into one’s diet or supplementation routine?

A: Fish oil can be incorporated into one’s diet by consuming fatty fish like salmon, mackerel, or sardines. Alternatively, fish oil supplements are available in various forms, including capsules and liquids, and can be taken with meals that contain dietary fats for optimal absorption. Always follow the product’s instructions for dosage and consult with a healthcare professional for personalised advice.

Research Sources

Dietary sources, current intakes, and nutritional role of omega-3 docosapentaenoic acid

Enhanced increase of omega-3 index in response to long-term n-3 fatty acid supplementation from triacylglycerides versus ethyl esters

Preparation of highly purified concentrates of eicosapentaenoic acid and docosahexaenoic acid

Benefits of fish oil supplementation in hyperlipidemia: a systematic review and meta-analysis

Omega-3 Fatty Acids for the Management of Hypertriglyceridemia: A Science Advisory From the American Heart Association.

Omega-3 fatty acids and mental health

Beneficial effects of omega-3 fatty acid supplementation in schizophrenia: possible mechanisms

Oral Omega-3 intake may lower eye disease risk in young adults: Australian study.

Pilot study for treating dry age-related macular degeneration (AMD) with high-dose omega-3 fatty acids

The Role of Fish Oil in Inflammatory Eye Diseases 

Omega-3 Fatty Acids and Inflammatory Processes

Effects of fish oil supplement on psoriasis: a meta-analysis of randomised controlled trials

Fish oil supplementation in pregnancy and lactation may decrease the risk of infant allergy.

Effects of Omega-3 Fatty Acid in Nonalcoholic Fatty Liver Disease: A Meta-Analysis

Fish Intake Is Associated with Slower Cognitive Decline in Chinese Older Adults

Higher Omega-3 Index Is Associated with Better Asthma Control and Lower Medication Dose: A Cross-Sectional Study

A systematic review of omega-3 fatty acids and osteoporosis

Fish and Omega-3 Fatty Acids

Omega-3 Fatty Acids Fact Sheet for Health Professionals

Oxidation Rates of Triacylglycerol and Ethyl Ester Fish Oils

Fish oil supplements in New Zealand are highly oxidised and do not meet the label content of n-3 PUFA.

The Global Organization for EPA & DHA Omega-3s

Absorption of eicosapentaenoic acid and docosahexaenoic acid from fish oil triacylglycerols or fish oil ethyl esters co-ingested with a high-fat meal.

Omega-3 Supplements

Background Information: Dietary Supplements

Advice about Eating Fish

About the Author

Mehak holds masters in foods and nutrition from Amity university, Noida. She has a keen interest in public health and nutrition and has been in charge of various projects with milestone NGO. She has worked with people over the globe to bring out the changes in their lives and has always been working towards lifestyle modifications via good dietary practices. According to her a healthy lifestyle is not about the destination but all about the journey.


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