Abstract

A low Omega-3 Index (eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) in erythrocytes) is associated with cardiac, cerebral, and other health issues. Intake of EPA and DHA, but not of alpha-linolenic acid (ALA), increases the Omega-3 Index. We investigated bioavailability, safety, palatability and tolerability of EPA and DHA in a novel source: a variety of sausages. We screened 96 healthy volunteers, and recruited 44 with an Omega-3 Index <5%. Participants were randomly assigned to receive a variety of sausages enriched with approximately 250 mg EPA and DHA per 80 g (n = 22) daily for 8 weeks, or matching placebo sausages (n = 22). All sausages contained approximately 250 mg ALA/80 g. In the verum group, the mean Omega-3 Index increased from 4.18 ± 0.54 to 5.72 ± 0.66% (p < 0.001), while it remained unchanged in the placebo group. While ALA levels increased only in the placebo group, DPA levels increased in both groups. Inter-individual variability in the response was large. The mean increase of the Omega-3 Index per intake of EPA and DHA we observed was higher than for other sources previously studied, indicating superior bioavailability. As increasing production of EPA and DHA is difficult, improvements of bioavailability can facilitate reaching the target range for the Omega-3 Index (8–11%).

Highlights

  • The two omega-3 fatty acids eicosapentaenoic acid (EPA, 20:5n-3) and docosahexaenoic acid (DHA, 22:6n-3) fulfill important structural and functional roles in cell membranes [1,2]

  • The status of an individual in, EPA and DHA are represented by the Omega-3 Index, the sum of EPA and DHA in erythrocytes, as analyzed with a highly standardized method [3]

  • Erythrocyte fatty acid composition was analysed according to the HS-Omega-3 Index®

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Summary

Introduction

The two omega-3 fatty acids eicosapentaenoic acid (EPA, 20:5n-3) and docosahexaenoic acid (DHA, 22:6n-3) fulfill important structural and functional roles in cell membranes [1,2]. The status of an individual in, EPA and DHA are represented by the Omega-3 Index, the sum of EPA and DHA in erythrocytes, as analyzed with a highly standardized method [3]. Index is associated with elevated total and cardiovascular mortality [3,4], major depression [5,6], impairments of cognitive function [7,8], and other health issues. Increasing intake of the plant-derived omega-3 fatty acid alpha-linolenic acid (ALA). Increasing intake of EPA and DHA is the most effective way to increase the Omega-3 Index Conversion of ALA to EPA is poor, and ALA does not increase DHA [9].

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