How fish oil affects your prostate cancer risk
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Fish oil, which contains the omega-3 fatty acids DHA and EPA, has long been touted as beneficial for cardiovascular health, mental health (including depression and Alzheimer’s disease) and arthritis, just to name a few.
New research suggests high doses of the compound can increase one’s risk of high-grade prostate cancer. But before you abstain from all fish and omega-3 consumption, let’s take a closer look.
The terms “fish oil” and “omega-3 fatty acids” are often used interchangeably, which can actually be misleading. Fish and fish oil contain the omega-3 fatty acids docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA). The third omega-3 fatty acid, alpha-linolenic acid (ALA) is found in nuts and vegetable oils and can be converted, in small amounts, into DHA.
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Therefore, when using the term “fish oil,” you are actually only referring to two of the three omega-3s. Most of the evidence supporting the health benefits of omega-3s refers to the two components of fish oil: DHA and EPA, whereas evidence supporting the health benefits of ALA is lacking.
The American Heart Association recommends consuming fish (particularly fatty fish like salmon) twice a week and the Food and Drug Administration (FDA) considers up to 3 grams of fish oil per day “generally regarded as safe.” Consumption of more than 3 grams per day can increase your risk of bleeding and should be discussed with your doctor first.
Researchers at the Fred Hutchinson Cancer Research Center looked at a subset of the Selenium and Vitamin E Cancer Prevention Trial (SELECT) population: 834 men who developed prostate cancer and 1,393 randomly chosen men who did not have cancer. They found that men who had the highest levels of omega-3 fatty acid compounds had a 71 percent increased risk of high-grade prostate cancer and a 43 percent increase for all prostate cancer.
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It’s important to remember that this research did not establish a causal relationship between omega-3 fatty acid consumption and prostate cancer, and while these statistics are indeed alarming, a few more questions need to be answered.
More research is needed into why such high concentrations of omega-3 fatty acids are associated with an increased risk of prostate cancer, especially high-grade disease. We need to understand the biological mechanism behind the findings and how consumption of omega-3s affects men who have already been diagnosed with prostate cancer.
Different people may have different levels of omega-3 fatty acids in their blood despite similar intake, so talk to your doctor about before beginning or discontinuing use of these supplements or general fish consumption.