Can Omega-3 Fish Oil Help Reduce Inflammation Without Raising Cholesterol? - Nutrition

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Does consuming deep-sea fish oil increase cholesterol levels?


Hello, Director Hsieh! I have rheumatoid arthritis.
Can taking deep-sea fish oil help reduce inflammation? Will it increase cholesterol levels? My cholesterol level was previously high at 260, but it decreased after taking lipid-lowering medication.
Is it suitable for me to take deep-sea fish oil? What other health foods or foods can help reduce inflammation? Thank you!

Amin, 50~59 year old female. Ask Date: 2022/05/16

Dr. Xie Peiru reply Nutrition


Dear Ms.
Amin,
1.
Fish oil has a mechanism for preventing inflammation in dietary supplements; however, its effectiveness in treating inflammation is relatively slow.
Rheumatoid arthritis is an issue related to the immune system.
Since we cannot ascertain the severity of your condition, it is advisable to consult a nutritionist or physician to prevent rapid progression of the disease.
2.
There are many reasons for increased cholesterol levels, and it is not necessarily related to fish oil.
Approximately two-thirds of cholesterol in the body is endogenous, while one-third is exogenous, so it is important to clarify whether dietary intake is truly the cause.
3.
From a nutritionist's perspective, it is recommended to consume a variety of colorful fruits and vegetables, limit processed foods, and avoid overly cooked foods (such as fried, pan-fried, or charred foods).
One should aim to consume 30-40 different types of food daily to meet the body's nutritional needs.
It is not advisable to rely heavily on processed dietary supplements to maintain health.
Wishing you good health and well-being.
Best regards,
Nutrition Department, Qihospital

Reply Date: 2022/05/16

More Info


Omega-3 fish oil has garnered significant attention for its potential health benefits, particularly in reducing inflammation and its effects on cholesterol levels. For individuals with rheumatoid arthritis (RA) or other inflammatory conditions, the question of whether Omega-3 fish oil can help alleviate inflammation without adversely affecting cholesterol levels is particularly pertinent.


Omega-3 Fish Oil and Inflammation
Research indicates that Omega-3 fatty acids, particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), found in fish oil, possess anti-inflammatory properties. These fatty acids can help modulate the body's inflammatory response, which is crucial for individuals suffering from autoimmune diseases like rheumatoid arthritis. Studies have shown that Omega-3 supplementation can lead to a reduction in joint pain and stiffness, improve morning stiffness, and decrease the need for non-steroidal anti-inflammatory drugs (NSAIDs) in some patients.

However, it is important to note that while Omega-3s can help manage inflammation, they are not a cure for RA. The anti-inflammatory effects may take time to manifest, and the degree of benefit can vary among individuals. Therefore, it is advisable to consult with a healthcare provider before starting any supplementation, especially for those with pre-existing health conditions.


Omega-3 Fish Oil and Cholesterol Levels
Regarding cholesterol, the relationship between Omega-3 fish oil and lipid profiles is complex. Omega-3 fatty acids are known to lower triglyceride levels, which is beneficial for cardiovascular health. However, their effect on low-density lipoprotein (LDL) cholesterol, often referred to as "bad" cholesterol, can vary. Some studies suggest that Omega-3 supplementation may lead to a slight increase in LDL cholesterol levels, while others indicate that it can raise high-density lipoprotein (HDL) cholesterol, known as "good" cholesterol.

For individuals with a history of high cholesterol, such as the case mentioned with a previous level of 260 mg/dL, it is crucial to monitor lipid levels closely when introducing Omega-3 fish oil into the diet. The increase in LDL cholesterol is not universally observed, and many factors, including diet, genetics, and overall health, can influence cholesterol levels.


Recommendations for Omega-3 Supplementation
1. Consultation with Healthcare Providers: Before starting Omega-3 fish oil, especially for those with a history of high cholesterol or other health concerns, it is essential to consult with a healthcare provider. They can provide personalized advice based on individual health status and needs.

2. Dietary Sources: Incorporating dietary sources of Omega-3s, such as fatty fish (e.g., salmon, mackerel, sardines), walnuts, and flaxseeds, can be beneficial. These foods not only provide Omega-3s but also come with other nutrients that support overall health.

3. Monitoring Cholesterol Levels: If Omega-3 fish oil is introduced, regular monitoring of cholesterol levels is advisable. This can help determine if the supplementation is having an adverse effect on lipid profiles and allow for timely adjustments.

4. Balanced Diet: Alongside Omega-3 supplementation, maintaining a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help manage inflammation and support heart health. Foods high in antioxidants, such as berries and leafy greens, can also combat oxidative stress and inflammation.

5. Alternative Anti-Inflammatory Foods: In addition to Omega-3s, consider other anti-inflammatory foods such as turmeric, ginger, green tea, and olive oil, which can complement the effects of fish oil.

In conclusion, Omega-3 fish oil can be a valuable addition to the diet for individuals looking to reduce inflammation, particularly in conditions like rheumatoid arthritis. However, its effects on cholesterol levels can vary, necessitating careful monitoring and consultation with healthcare professionals. A holistic approach that includes a balanced diet and lifestyle changes will yield the best outcomes for managing inflammation and maintaining overall health.

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