Fish Oil Supplements and Heart Disease

The surprising link

Tom Kane
Health and  Science
3 min readJun 14, 2024

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Artist impression of fish oil supplements in jars
Image by Nightcafe

Like many others, I have in the past taken fish oils in the form of supplements in order to boost my omega-3 levels, to compensate for my rather poor diet at the time.

Now some sources are casting doubts on the safety of this route to healthy living.

Fish oil supplements have long been touted as a panacea for heart health, with many people taking them to reduce their risk of cardiovascular disease. But new research is casting doubt on the benefits of these supplements, suggesting that they may actually increase the risk of heart attack and stroke among people with good cardiovascular health.

One study, published in the journal BMJ Medicine, and other research, analyzed data from over 415,000 people in the UK Biobank and found that individuals with no known cardiovascular disease who took fish oil supplements regularly had a 13% higher risk of developing atrial fibrillation and a 5% higher risk of having a stroke compared to those who didn’t take the supplements.

This is a surprising finding, given that fish oil supplements are widely used to reduce cardiovascular risk. But what does this mean for people who take these supplements, and should they be worried about their heart health?

Let’s have a look at the benefits and the risks.

The Benefits of Fish Oil Supplements

Fish oil supplements contain omega-3 fatty acids, which have anti-inflammatory properties and can help improve lipid profiles. Omega-3 fatty acids have been shown to lower triglyceride levels, decrease blood pressure, and reduce inflammation, all of which can help reduce the risk of heart disease.

However, the study suggests that the benefits of fish oil supplements may be more nuanced than previously thought. While they may be beneficial for people with preexisting cardiovascular conditions, they may not be as effective for primary prevention in the general population.

The Risks of Fish Oil Supplements

So, why might fish oil supplements be increasing the risk of heart disease in healthy individuals? One possibility is that the supplements are causing an imbalance in the body’s omega-6 to omega-3 fatty acid ratio, which can lead to inflammation and increased cardiovascular risk.

Another possibility is that the supplements are interacting with other medications or health conditions, leading to adverse effects. For example, people who take anticoagulant medications or have bleeding disorders may be at increased risk of bleeding if they take fish oil supplements.

What does this mean for you and me

If you’re taking fish oil supplements, should you stop taking them? Not necessarily. The study’s findings suggest that the supplements may be beneficial for people with preexisting cardiovascular conditions, and they may still be useful for reducing cardiovascular risk in certain individuals.

However, it’s important to talk to your doctor or healthcare provider about your individual risk factors and health status before taking fish oil supplements. They can help you weigh the benefits and risks of the supplements and determine whether they’re right for you.

So what’s the verdict

The study’s findings highlight the importance of individualized medicine and the need for more targeted recommendations for fish oil supplements. While they may not be suitable for everyone, they may still be beneficial for certain individuals.

In the meantime, it’s worth considering other ways to reduce your cardiovascular risk, such as eating a balanced diet rich in omega-3 fatty acids, exercising regularly, and managing stress.

Maybe by taking a holistic approach to heart health, we can reduce our risk of heart disease and maintain a healthy heart.

Okay, where’s my old fishing rod!

References:

Do fish oil supplements increase the risk of atrial fibrillation? — Hospital Pharmacy EuropeHospital Pharmacy Europe

Omega-3 Supplements Could Elevate Risk of A-Fib (cedars-sinai.org)

Omega-3 supplementation linked with atrial fibrillation risk: a meta-analysis — PMC (nih.gov)

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Tom Kane
Health and  Science

Retired Biochemist, Premium Ghostwriter, Top Medium Writer,Editor of Plainly Put and Poetry Genius publications on Medium