Omega-3 Fatty Acids Can Help Depression
By Dr. Randi Fredricks, Ph.D.
As mentioned earlier, omega-3 fatty acids are polyunsaturated fatty acids (PUFAs) found predominantly in fish, nuts and seeds.
Fish oil PUFAs include eicosapentaenoic acid (EPA) and docosahexaenioc acid (DHA). Numerous observational studies and uncontrolled
trials have reported the benefits of fish oils and omega-3 fatty acids DHA and EPA for improving the symptoms of depression.
The omega-3 fatty acids found in deep-water fish oil, particularly DHA, are needed for normal nervous system function. It has been
theorized that adequate long-chain PUFAs, especially DHA, may reduce the development of depression.
So important are essential acids in relations to depression that they even appear to decrease the risk of suicide. Investigators in
one study found low levels of DHA and a high ratio of omega-6 fatty acids to omega-3 fatty acids predicted suicide risk in subjects
with depression. According to the study's authors, "If confirmed, this finding would have implications for the neurobiology of
suicide and reduction of suicide risk."
A number of studies have indicated that depressed people have lower omega-3 fatty acid levels than people who are not depressed.
Moreover, low levels of EPA have correlated with increased severity of depression. Research has shown supplementation of EPA can be
beneficial in the treatment of depression when administered alone.
A 2007 study at Haukeland University Hospital in Norway discovered that regular and long-term intake of omega-3 fatty acid-rich cod liver
oil may protect people from symptoms of depression.205 The prevalence of depressive symptoms was 29% lower in regular cod liver oil users
than the rest of the population.
Dietary sources of PUFAs, such as cold-water fish and flax seed are rich in essential fatty acids and can be protective against depression.
References (To view, roll mouse over the "References" heading; to hide, click on the heading)
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Colin A, Reggers J, Castronovo V, Ansseau M. Lipids, depression and suicide. Encephale 2003 Jan-Feb;29(1): 49-58.
Edwards R, Peet M, Shay J, Horrobin D. Omega-3 polyunsaturated fatty acid levels in the diet and in red blood cell membranes of depressed patients. J Affect Disord 1998;48: 149-55.
Hibbeln JR, Salem N. Dietary polyunsaturated fatty acids and depression: When cholesterol does not satisfy. Am J Clin Nutr 1995; 62: 1-9.
Maes M, Christophe A, Delanghe J, Altamura C, Neels H, Meltzer HY. Lowered omega-3 polyunsaturated fatty acids in serum phospholipids and cholesteryl esters of depressed patients. Psychiatry Res 1999 Mar;85(3): 275-91.
Maes M, Smith R, Christophe A, Cosyns P, Desnyder R, Meltzer H. Fatty acid composition in major depression: decreased omega 3 fractions in cholesteryl esters and increased C20: 4 omega 6/C20:5 omega 3 ratio in cholesteryl esters and phospholipids. J Affect Disord 1996 Apr;38(1): 35-46.
Peet M, Horrobin DF. A dose-ranging study of the effects of ethyl-eicosapentaenoate in patients with ongoing depression despite apparently adequate treatment with standard drugs. Arch Gen Psychiatry 2002;59: 913-9.
Raeder B, Steen V, Vollset E, Bjelland I. Associations between cod liver oil use and symptoms of depression: The Hordaland Health Study. Journal of Affective Disorders 2007;101(1-3): 245-9.
Sublette ME, Hibbeln JR, Galfalvy H, Oquendo MA, Mann JJ. Omega-3 polyunsaturated essential fatty acid status as a predictor of future suicide risk. Am J Psychiatry 2006 Jun;163(6): 1100-2.