The balance in our diet between omega 3 and omega 6 is a fundamental element in healthy nutrition. Indeed, for decades, our diet has been seriously unbalanced, providing too much omega 6 and not enough omega 3 to our body. This imbalance induces a dysfunction of the classic inflammatory cycle, and could well be co-responsible for many modern diseases. We will see in this article why this omega 3 / omega 6 ratio is important, and what to do on a daily basis to maintain it at a correct level.

Who are these fatty acids?

In the large family of fatty acids (which make up the majority of all our fatty oils, whether vegetable or animal), omega 3 and omega 6 are close cousins. They are part of the same family of polyunsaturated fatty acids (PUFA).

  • omega 6 is the leader linoleic acid (AL) found in the plant world. It is from AL that our body, like other animals, is capable of producing arachidonic acid, a longer chain omega 6.

  • omega 3s are plant-based alpha-linolenic acid (ALA) from which humans and animals make EPA and DHA, longer chain omega 3s.

Both omega 3 and omega 6 are so-called “essential” fatty acids because man is incapable of making them. They must therefore be provided through our diet.

Their role in the body

Omega 3 and 6 play, among other things, 2 absolutely vital roles in our body: they make up our cell membranes, and they play a major role in our inflammation mechanisms.

Essential components of cell membranes

These two types of fatty acids are very important components of the cell membranes of our body. They contribute to the flexibility, fluidity and permeability of the membranes of all the cells in our body, with a major issue at the level of brain cells and the retina of the eyes. It is also at the level of the plasma membrane that intra/extra-cellular communication and inter-cellular communication take place.

Major roles in inflammation

They also play a major role in inflammation which is our main defense mechanism.

  • One will be involved in the establishment of inflammation, an essential step to protect the body in the event of infection, for example. It is said that omega 6 (AL precursor of AA, itself precursor of molecules involved in inflammation) are pro-inflammatory. 
  • Omega 3 (ALA, precursor of EPA and DHA, themselves precursors of anti-inflammatory molecules) intervenes subsequently to regulate and resolve inflammation. They have an anti-inflammatory action.

It is therefore complementary and beneficial teamwork provided that the contribution of each of the actors in this duo is balanced. Indeed :

  • omega 6 plays on the front line and must then pass the baton to omega 3. To resolve inflammation, there must be enough omega 3;
  • and in addition, they use the same enzymes (delta 6 desaturase then delta 5 desaturase) to transform into AA for Omega 6 and into EPA/DHA for Omega 3: if your diet is too rich in Omega 6, these enzymes, who have a preference for omega 6, will be overwhelmed and the production of long-chain omega 3 will be slowed down and/or insufficient.

It is therefore, concerning Omegas 3 and 6, not only to fill RDA, but above all to ensure a good balance between the two to prevent the onset of chronic inflammation!

Note: for the curious who want to know more about the role played by Omegas 3 and 6 in inflammation, go to the bottom of the page.

The ideal ratio between Omega 3 and Omega 6

Today we recommend an Omega 3/Omega 6 ratio of 1/5, i.e. 1 molecule of Omega 3 for 5 molecules of Omega 6Today in France, current epidemiological data are still very far from official recommendations.

  • The average ratio is around 1/10.
  • Barely 50% of ANC covered for omega 3.
  • Only 1.2% of the adult population meets the recommendations for ALA (vegetable Omega 3);
  • 14.6% for DHA and 7.8% for EPA (animal Omega 3).

Since the 1960s, our Western diet (that of humans and that of the animals on which they feed) has been significantly enriched in sources of omega 6 and depleted in omega 3. Here are some key figures to understand the evolution of this balance throughout the history of humanity:

  • From 1/1 to 1/2 (Omega 3/Omega 6) in Cro-Magnon Man
  • Around 1/5 in the Neolithic with the development of agriculture
  • Increasing with the industrial era and the agri-food industry to 1/15 in Europe today (1/17 in the USA) and 1/30 in certain cases.

Why this preference in our modern diet for Omega 6? This is particularly linked to the fact that Omega 6 goes rancid less than Omega 3. The food industry has therefore gotten into the habit of using oils rich in Omega 6 in order to favor the preservation and taste of food. The best example is Sunflower oil, very stable, with a mild taste, very rich in Omega 6.

The consequences of imbalance

Numerous scientific studies confirm the link between:

  • the omega 3/6 imbalance,
  • a chronic inflammatory area
  • and most of so-called “civilization” diseases (allergies, asthma, diabetes, metabolic syndrome, CVD, cancer, obesity...), but also in terms of vision and psychological balance.

As an example, here are two studies which corroborate this correlation, selected from numerous other studies (more examples in source).

As early as 1996, the "Lyon Study" (see Dr Michel de Lorgeril, cardiologist, researcher at the CNRS / Mediterranean diet) showed that a diet combining the three omega 3s is associated with:

  • a significant reduction in both cardiovascular mortality (especially linked to EPA and DHA intake);
  • but also non-fatal cardiac events (e.g. arrhythmia, ventricular fibrillation) thanks to ALA supplementation (in the form of rapeseed oil margarine in the Lyon Study).
In 2011, laboratory experiments were carried out on mice. These mice were balanced in Omega 3/6, then we tried to induce diabetes in them (which we normally know how to do very well). “balanced” mice did not contract diabetes. Of course, we are not going to treat diabetes by acting only on our Omega 3/6, but this experiment proves a close link between this ratio, inflammation chronic, and the diseases that can be linked to it.

Three golden rules to restore balance

  • Favor food rather than food supplements ; the results of studies on the benefits of omega 3 supplementation are often contradictory. On the other hand, the interest seems well confirmed for a diet with intakes of omega 3 sources.

  • Avoid excessive sources of omega 6 (e.g. vegetable oils too rich in omega 6, foods from the food industry) especially due to competition with omega 3/6

  • Provide all the omega 3 (ALA, EPA and DHA) through sources plants AND animals. 

These recommendations are crucial. There are a plethora of studies regarding Omega 3, and not all of them support the link established on this page between Omega 3/6 imbalance and chronic inflammation. For what ? The answer lies in these 3 recommendations: the studies which show a real link are those where Omega 3 is provided in their 3 forms (ALA, EPA, DHA), through "natural" intakes, and those which point to an absence correlations are those where only ALA (for example) was provided as a dietary supplement. 

What foods to choose every day?

No to sunflower, yes to Rapeseed!

    Omega-3 and omega-6 compete in our body. It is therefore necessary to select oils that are both rich in omega-3 but relatively low in omega-6, which is the case for rapeseed (ratio around 4/1): 2 tablespoons of rapeseed oil per day covers the ANC in ALA.

    Like olive oil, rapeseed contains a large quantity of omega-9 which interferes with the metabolism of omega-6. Michel de Lorgeril therefore advises combining rapeseed and olive oils on a daily basis, the latter being, moreover, rich in protective antioxidants.

    Supplement with Linseed, Camelina or Hemp oil

      If you are unable to change your daily habits sufficiently (seasonings, cooking oils, etc.), you can also choose to ingest a teaspoon per day of these vegetable oils particularly rich in Omega 3: Flax, Camelina, Perilla or Hemp. These vegetable oils contain up to 50-60% Omega 3! 

      Incorporate nuts and certain seeds

      It is of course possible to increase your intake of plant Omega 3 (ALA) in forms other than with pure vegetable oils. This is particularly true with oilseeds and fruits.

      • nuts provide an excellent intake of ALA: six or seven nuts per day cover our needs. They also provide other valuable nutrients, such as phosphorus or magnesium.

      • squash and pumpkin seeds, flax, hemp, chia, soy also contain a lot of them.

      • details regarding flax seeds (a heaped tablespoon per day is enough to cover the daily omega-3 needs): before eating them, they must be soaked, crushed, crushed, ground. Chew them well if you don't have time... Otherwise, they will be evacuated intact, because the stomach cannot dissolve the seed coat, whether it is brown or blond (even if the blond is less thick) . Grinding at the last moment allows you to only use what you really need, as ground seeds do not keep long (a few days in the refrigerator). On the contrary, intact seeds keep very well and for a very long time, in a dry and cool place.

      To a lesser extent, you can find ALA in vegetables like purslane, pumpkin, chard, cabbage.

      Bring animal sources, fatty fish in mind!

      As we explained above, the body cannot be satisfied with a single intake of ALA (plant), there must also be intakes of EPA and DHA (animal). You can find animal Omega 3 in quantity in the following foods:

      • small fatty fish (sardines, mackerel, herring, anchovies): 1 to 2 times per week to cover your EPA and DHA needs. This is by far the most "reliable" method.

      • the salmon, but ! If it's a farmed salmon, it's a safe bet that its own diet is very unbalanced in omega 3/6. If it is wild salmon, you may more and more often be faced with concerns about heavy metal toxicity... Trout is therefore often favored over salmon.

      • eggs, milk, meat. Once again, an important nuance is necessary. If you are not careful about the diet of the animals from which these products are produced, you are almost certain to be dealing with a very poor level of Omega 3/6. No more than humans, animals are not capable of producing Omega 3: if you don't give it to them, they won't give it to you!

      Animal nutrition is therefore very important to restore the right balance because a diet rich in omega 6 based on sunflower, soya and corn is then found in everyday consumer products such as meat, eggs or milk. Dare Plants rich in Omega 3, such as rapeseed, alfalfa and linseed, have been reintroduced into the diet of certain livestock to rebalance this situation.

      This is the case, for example, for products Blue-white-heart. This is a label that you can find on many mass-market products. For example for eggs: 
      hens whose diet is naturally rich or enriched in sources of omega 3 (flax-based supplementation) produce eggs which contain on average fifteen times more omega 3 than a standard egg.

      Details on the role of Omega 3 and 6 in the inflammatory mechanism

      With the preceding article, you normally have everything you need to understand why the Omega 3/6 balance is important. However, you may be frustrated to have covered the mechanisms of transformation of plant Omegas into Omegas usable by the body, as well as the impact of the latter on inflammation. That’s what we’re going to dig into here.

      The transformation of plant Omegas 3 and 6 into AA, EPA and DHA

      Plant Omega 3 (Alpha-Linolenic Acid = ALA) and plant Omega 6 (Linoleic Acid = AL) are therefore polyunsaturated fatty acids with the following characteristics:

      • a size of 18 carbons;
      • 2 double bonds for Omega 6 and 3 for Omega 3.
      When they are ingested by a man or an animal, they will pass into the expert hands of 2 successive enzymes, called delta-6-desaturase and delta-5-desaturase, which go both extend the size of the chain, and add double bonds. Once the work of these 2 enzymes is completed: 
      • ALA (omega 3) gave birth to the EPA, a so-called “animal” omega 3, of length 20 and having 5 double bonds;
      • LA (omega 6) gave birth at the AA, Arachidonic Acid, of length 20 and having 4 double bonds.
      It is important to emphasize this: to carry out this transformation, the two omegas therefore need the same enzymes! Hence the competition…

      But the story is not over for Omega 3 since part of the EPA will once again be processed by the delta-6-desaturase enzyme (still in high demand), in order to form DHA, Omega 3 of length 22 having 6 double bonds.

      If we summarize, at the beginning of the course we have the ALA and the AL. At the end of the process, if everything has gone well and your enzymes have not been overloaded (by excess sunflower oil), we have AA (Omega 6), EPA (Omega 3) and DHA (Omega 3). It is in this form that Omegas will be able to play their role in the inflammatory process., and we'll see how. 

      You now understand better why a simple intake of plant-based Omega 3 can sometimes be of no use, and that it is important:
      • to also bring animal Omegas to your diet: your body must in fact implement many means to change ALA into DHA, means which it does not necessarily have at its disposal (time, limited yield of enzymes, energy, etc.).
      • to reduce Omega 6 intake.

      How do AA, EPA and DHA act in the inflammatory process?

      Once your body, through desaturase enzymes, has lengthened your Omega 3 and 6, these new fatty acids will be able to be oxidized by other enzymes, oxidoreductases with the sweet name of "cyclo-oxygenases". These enzymes will, via a complex process (several steps, several different enzymes), produce metabolites directly used by our body in inflammatory processes.

      Arachidonic Acid, or AA, Omega 6, will therefore give rise to metabolites of 3 types:

      • Prostaglandins;
      • Leukotrienes;
      • Lipoxins.

      Eicosapentaenoic acid (EPA), Omega 3, will give rise to metabolites called: Resolvins.

      Docosahexaenoic acid (dha), Omega 3, will give rise to metabolites of 3 types:

      • Resolvines (also);
      • Protectins;
      • Maresines.

      We are not going to go into the precise processes of action of each of these metabolites, but here is the role of each of these metabolites in the inflammatory process.

      Roles and specificities of chemical mediators from omega 6:

      • When necessary, the Prostaglandins (type 2) and Leukotrienes, both “cascade” products of your Omega 6, will act directly in the acute inflammatory process. They contribute to the development of several inflammatory manifestations, particularly at the cardiovascular level (e.g. vasodilation, coagulation, blood pressure), bronchial (link with asthma) or pain, etc.

      • THE Lipoxins on the contrary are pro-resolvers of inflammation, which induce the resolution phase of inflammation. They inhibit the migration of neutrophils towards the site of the inflammatory reaction and the production of inflammatory mediators. Their action does not, however, allow the resolution of the inflammation, but they “start the process”.

      Roles and specificities of chemical mediators from omega 3: 

      Triggered by lipoxins at the end of the acute phase of inflammation, resolvins and protectins induce the resorption of the causes and mediators of inflammation, the replacement of damaged cells, and the restoration of normal functioning.

      If omega 3 is not present in sufficient quantities, the inflammation cannot be completely resolved. There can therefore be theestablishment of chronic inflammation or so-called “low-grade” inflammation, latent, diffuse and deleterious. For example, when it comes to inflammation caused by an injury, fibrosis may develop instead of healing.

      The role of Omega 3 and 6 in the inflammatory process

      We tell you about it in video

      Was this article helpful to you?

        

      Average grade: 4.9 ( 512 votes)

      Bibliography

      Publication: Serhan, C.N., & Petasis, N.A. (2011). Resolvins and Protectins in Inflammation Resolution. Chemical Reviews, 111(10), 5922-5943. https://doi.org/10.1021/cr100396c

      Publication: Bagga, D., Wang, L., Farias-Eisner, R., Glaspy, JA, & Reddy, ST (2003). Differential effects of prostaglandin derived from -6 and -3 polyunsaturated fatty acids on COX-2 expression and IL-6 secretion. Proceedings of the National Academy of Sciences, 100(4), 1751-1756. https://doi.org/10.1073/pnas.0334211100

      Publication: Calder, PC, Ahluwalia, N., Brouns, F., Buetler, T., Clement, K., Cunningham, K., Esposito, K., Jönsson, LS, Kolb, H., Lansink, M., Marcos, A., Margioris, A., Matusheski, N., Nordmann, H., O'Brien, J., Pugliese, G., Rizkalla, S., Schalkwijk, C., Tuomilehto, J.,. . . Winklhofer-Roob, B.M. (2011). Dietary factors and low-grade inflammation in relation to overweight and obesity. British Journal of Nutrition, 106(S3), S5-S78. https://doi.org/10.1017/s0007114511005460

      Publication: Coussens, LM, & Werb, Z. (2002). Inflammation and cancer. Nature, 420(6917), 860-867. https://doi.org/10.1038/nature01322

      Publication: Dali-Youcef, N. (2015). Metabolic inflammation and insulin resistance: Current knowledge. Medicine of Metabolic Diseases, 9(3), 279-291. https://doi.org/10.1016/s1957-2557(15)30075-4

      Publication: Donath, M.Y., & Shoelson, S.E. (2011). Type 2 diabetes as an inflammatory disease. Nature Reviews Immunology, 11(2), 98-107. https://doi.org/10.1038/nri2925

      Publication: Felger, J. C. (2018). Role of Inflammation in Depression and Treatment Implications. Antidepressants, 255-286. https://doi.org/10.1007/164_2018_166

      Publication: Lewis, MD, Hibbeln, JR, Johnson, JE, Lin, YH, Hyun, DY, & Loewke, JD (2011). Suicide Deaths of Active-Duty US Military and Omega-3 Fatty-Acid Status. The Journal of Clinical Psychiatry, 72(12), 1585-1590. https://doi.org/10.4088/jcp.11m06879

      Publication: Li, J., Lee, DH, Hu, J., Tabung, FK, Li, Y., Bhupathiraju, SN, Rimm, EB, Rexrode, KM, Manson, JE, Willett, WC, Giovannucci, EL, & Hu, FB (2020). Dietary Inflammatory Potential and Risk of Cardiovascular Disease Among Men and Women in the US Journal of the American College of Cardiology, 76(19), 2181-2193. https://doi.org/10.1016/j.jacc.2020.09.535

      Publication: Tsalamandris, S., Antonopoulos, AS, Oikonomou, E., Papamikroulis, GA, Vogiatzi, G., Papaioannou, S., Deftereos, S., & Tousoulis, D. (2019). The Role of Inflammation in Diabetes: Current Concepts and Future Perspectives. European Cardiology Review, 14(1), 50-59. https://doi.org/10.15420/ecr.2018.33.1

      Publication: Warstedt, K., Furuhjelm, C., Duchén, K., Fälth-Magnusson, K., & Fagerås, M. (2009). The Effects of Omega-3 Fatty Acid Supplementation in Pregnancy on Maternal Eicosanoid, Cytokine, and Chemokine Secretion. Pediatric Research, 66(2), 212–217. https://doi.org/10.1203/pdr.0b013e3181aabd1c