Omega-6/omega-3 fatty acid intake of children and older adults in the U.S.: dietary intake in comparison to current dietary recommendations and the Healthy Eating Index

Kelly W Sheppard, Carol L Cheatham, Kelly W Sheppard, Carol L Cheatham

Abstract

Background: Omega-6 and omega-3 fatty acids (FAs) and their ratio have been shown to affect cognitive function in children and older adults. With these analyses, we aimed to describe omega-6 and omega-3 FA intake among children and older adults in light of FA intake recommendations and with consideration of overall diet.

Methods: Data were merged from two cross-sectional studies with 219 children 7 to 12 years old and one longitudinal study with 133 adults 65 to 79 years old. Demographic data, anthropometric data, and Healthy Eating Index scores were used to study relations among the omega-6 to omega-3 FA ratio and age, education, body mass index, and diet quality. FA intake, demographic, and anthropometric data were examined using partial correlations, t-tests, and analysis of variance.

Results: Most children and adults consumed at least the recommended amount of alpha-linolenic acid (LNA; omega-3) for their age and gender without consuming high amounts of linoleic acid (LA; omega-6), but did not consume sufficient eicosapentaenoic acid (EPA; omega-) and docosahexaenoic acid (DHA; omega-3). The average omega-6 to omega-3 ratios in both groups were lower than previously reported. Eating lower ratios was associated with healthier diets and consuming adequate amounts of several other nutrients. No demographic or anthropometric variables were related to FA intake in children. Adults with a college degree had significantly lower ratios than those without a college degree.

Conclusions: American children and older adults are able to consume more balanced omega-6 to omega-3 ratios than has been indicated by commodity data. However, very few American children met even the lowest recommendations for EPA and DHA intake. Research is needed to clarify recommendations for the optimal ratio across development, which may aid in increasing EPA and DHA intake and improving health outcomes in the United States.

Trial registration: ClinicalTrials.gov NCT02199808 13 July 2014, NCT01823419 (retrospectively registered) 20 March 2013, and NCT01515098 18 January 2012.

Keywords: Docosahexaenoic acid; Fatty acid intake; Human children; Human older adult; Omega-6/omega-3 fatty acid ratio; Typical diet.

Conflict of interest statement

Authors’ information

ORCID IDs: Cheatham: 0000–0002–8841-0105; Sheppard: 0000–0002–3412-8649.

Ethics approval and consent to participate

The trials that contributed data to these analyses were approved by the University of North Carolina Institutional Review Board, and were conducted in accordance with the 1964 Declaration of Helsinki and its later amendments. All adult participants provided written informed consent, and all children provided written assent and had a parent or legal guardian provide written parental permission.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Innis SM. Omega-3 fatty acid biochemistry: perspectives from human nutrition. Mil Med. 2014;179:82–87. doi: 10.7205/MILMED-D-14-00147.
    1. Blasbalg TL, Hibbeln JR, Ramsden CE, Majchrzak SF, Rawlings RR. Changes in consumption of omega-3 and omega-6 fatty acids in the United States during the 20th century. Am J Clin Nutr. 2011;93:950–962. doi: 10.3945/ajcn.110.006643.
    1. Kris-Etherton P, Taylor DS, Yu-Poth S, Huth P, Moriarty K, Fishell V, Hargrove RL, Zhao G, Etherton TD. Polyunsaturated fatty acids in the food chain in the United States. Am J Clin Nutr. 2000;71:179–188S. doi: 10.1093/ajcn/71.1.179S.
    1. Simopoulos AP. The importance of the ratio of omega-6/omega-3 essential fatty acids. Biomed Pharmacother. 2002;56:365–379. doi: 10.1016/S0753-3322(02)00253-6.
    1. Delion S, Chalon S, Guilloteau D, Lejeune B, Besnard J-C, Durand G. Age-related changes in phospholipid fatty acid composition and monoaminergic neurotransmission in the hippocampus of rats fed a balanced or an n-3 polyunsaturated fatty acid-deficient diet. J Lipid Res. 1997;38:680–689.
    1. Chalon S, Delion-Vancassel S, Belzung C, Guilloteau D, Leguisquet A-M, Besnard J-C, Durand G. Dietary fish oil affects monoaminergic neurotransmission and behavior in rats. J Nutr. 1998;128:2512–2519. doi: 10.1093/jn/128.12.2512.
    1. Aid S, Vancassel S, Poumes-Ballihaut C, Chalon S, Guesnet P, Lavialle M. Effect of a diet-induced n-3 PUFA depletion on cholinergic parameters in the rat hippocampus. J Lipid Res. 2003;44:1545–1551. doi: 10.1194/jlr.M300079-JLR200.
    1. Zimmer L, Delpal S, Guilloteau D, Aioun J, Durand G, Chalon S. Chronic n-3 polyunsaturated fatty acid deficiency alters dopamine vesicle density in the rat frontal cortex. Neurosci Lett. 2000;284:25–28. doi: 10.1016/S0304-3940(00)00950-2.
    1. Sheppard KW, Cheatham CL. Executive functions and the omega-6-to-omega-3 fatty acid ratio: a cross-sectional study. Am J Clin Nutr. 2017;105:32–41. doi: 10.3945/ajcn.116.141390.
    1. Carlson SE, Werkman SH, Peeples JM, Cooke RJ, Tolley EA. Arachidonic acid status correlates with first year growth in preterm infants. Proc Natl Acad Sci U S A. 1993;90:1073–1077. doi: 10.1073/pnas.90.3.1073.
    1. Cunnane SC, Schneider JA, Tangney C, Tremblay-Mercier J, Fortier M, Bennett DA, Morris MC. Plasma and brain fatty acid profiles in mild cognitive impairment and Alzheimer's disease. J Alzheimers Dis. 2012;29:691–697.
    1. Miller LR, Jorgensen MJ, Kaplan JR, Seeds MC, Rahbar E, Morgan TM, Welborn A, Chilton SM, Gillis J, Hester A, et al. Alterations in levels and ratios of n-3 and n-6 polyunsaturated fatty acids in the temporal cortex and liver of vervet monkeys from birth to early adulthood. Physiol Behav. 2016;156:71–78. doi: 10.1016/j.physbeh.2015.12.009.
    1. Sanders TAB. Polyunsaturated fatty acids in the food chain in Europe. Am J Clin Nutr. 2000;71:176–178S. doi: 10.1093/ajcn/71.1.176s.
    1. Simopoulos AP. Evolutionary aspects of diet: the omega-6/omega-3 ratio and the brain. Mol Neurobiol. 2011;44:203–215. doi: 10.1007/s12035-010-8162-0.
    1. Elmadfa I, Kornsteiner M. Fats and fatty acid requirements for adults. Ann Nutr Metab. 2009;55:56–75. doi: 10.1159/000228996.
    1. Fleith M, Clandinin MT. Dietary PUFA for preterm and term infants: review of clinical studies. Crit Rev Food Sci Nutr. 2005;45:205–229. doi: 10.1080/10408690590956378.
    1. Friesen RW, Innis SM. Dietary arachidonic acid to EPA and DHA balance is increased among Canadian pregnant women with low fish intake. J Nutr. 2009;139:2344–2350. doi: 10.3945/jn.109.112565.
    1. Ervin RB, Wright JD, Wang C-Y, Kennedy-Stephenson J: Dietary intake of fats and fatty acids for the United States population: 1999-2000. (Statistics NCfH ed., vol. 348. Hyattsville, Maryland; 2004.
    1. Keim SA, Branum AM. Dietary intake of polyunsaturated fatty acids and fish among US children 12-60 months of age. Matern Child Nutr. 2015;11:987–998. doi: 10.1111/mcn.12077.
    1. Uauy R, Dangour AD. Fat and fatty acid requirements and recommendations for infants of 0-2 years and children of 2-18 years. Ann Nutr Metab. 2009;55:76–96. doi: 10.1159/000228997.
    1. Cordain L, Eaton SB, Sebastian A, Mann N, Lindeberg S, Watkins BA, O'Keefe JH, Brand-Miller J. Origins and evolution of the western diet: health implications for the 21st century. Am J Clin Nutr. 2005;81:341–354. doi: 10.1093/ajcn.81.2.341.
    1. Eaton SB. The ancestral human diet: what was it and should it be a paradigm for contemporary nutrition? Proc Nutr Soc. 2007;65:1–6. doi: 10.1079/PNS2005471.
    1. Cheatham CL, Lupu DS, Niculescu MD. Genetic and epigenetic transgenerational implications related to omega-3 fatty acids. Part II: maternal FADS2 rs174575 genotype and DNA methylation predict toddler cognitive performance. Nutr Res. 2015;35:948–955. doi: 10.1016/j.nutres.2015.09.005.
    1. Lupu DS, Cheatham CL, Corbin KD, Niculescu MD. Genetic and epigenetic transgenerational implications related to omega-3 fatty acids. Part I: maternal FADS2 genotype and DNA methylation correlate with polyunsaturated fatty acid status in toddlers: an exploratory analysis. Nutr Res. 2015;35:939–947. doi: 10.1016/j.nutres.2015.09.004.
    1. Niculescu MD, Lupu DS, Craciunescu CN. Perinatal manipulation of alpha-linolenic acid intake induces epigenetic changes in maternal and offspring livers. FASEB J. 2013;27:350–358. doi: 10.1096/fj.12-210724.
    1. Martinez M. Tissue levels of polyunsaturated fatty acids during early human development. J Pediatr. 1992;120:S129–S138. doi: 10.1016/S0022-3476(05)81247-8.
    1. Martinez M, Mougan I. Fatty acid composition of human brain phospholipids during normal development. J Neurochem. 1998;71:2528–2533. doi: 10.1046/j.1471-4159.1998.71062528.x.
    1. A Report of the Panel on Macronutrients SoURL, of Nutrients and Interpretation and Uses of Dietary Reference Intakes at, Intakes SCotSEoDR: Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein, and amino acids (macronutrients). Washington, DC: The National Academies Press; 2005.
    1. Sheppard KW, Cheatham CL. Omega-6 to omega-3 fatty acid ratio and higher-order cognitive functions in 7- to 9-y-olds: a cross-sectional study. Am J Clin Nutr. 2013;98:659–667. doi: 10.3945/ajcn.113.058719.
    1. Wainwright PE, Jalali E, Mutsaers M, Bell R, Cvitkovic S. An imbalance of dietary essential fatty acids retards behavioral development in mice. Physiol Behav. 1999;66:833–839. doi: 10.1016/S0031-9384(99)00028-1.
    1. Baxter SD, Hardin JW, Guinn CH, Royer JA, Mackelprang AJ, Smith AF. Fourth-grade children's dietary recall accuracy is influenced by retention interval (target period and interview time) J Am Diet Assoc. 2009;109:846–856. doi: 10.1016/j.jada.2009.02.015.
    1. Lee JM, Lee H, Kang S, Park WJ. Fatty acid desaturases, polyunsaturated fatty acid regulation, and biotechnological advances. Nutrients. 2016;8
    1. Roth TL, Sweatt JD. Epigenetic marking of the BDNF gene by early-life adverse experiences. Horm Behav. 2011;59:315–320. doi: 10.1016/j.yhbeh.2010.05.005.
    1. Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HA, Kuczynski KJ, Kahle LL, Krebs-Smith SM. Update of the healthy eating index: HEI-2010. J Acad Nutr Diet. 2013;113:569–580. doi: 10.1016/j.jand.2012.12.016.
    1. Fats and fatty acids in human nutrition: Report of an expert consultation. Rome: food and agriculture organization of the united nations; 2010.
    1. Harris WS, Klurfeld DM. Twentieth-century trends in essential fatty acid intakes and the predicted omega-3 index: evidence versus estimates. Am J Clin Nutr. 2011;93:907–908. doi: 10.3945/ajcn.111.014365.
    1. Salem N, Pawlosky B, Wegher B, Hibbeln JR. In vivo conversion of linoleic acid to arachidonic acid in human adults. Prostaglandins Leukot Essent Fat Acids. 1999;60:407–410. doi: 10.1016/S0952-3278(99)80021-0.
    1. Salem N, Wegher B, Mena P, Uauy R. Arachidonic and docosahexaenoic acids are biosynthesized from their 18-carbon precursors in human infants. Proc Natl Acad Sci U S A. 1996;93:49–54. doi: 10.1073/pnas.93.1.49.
    1. Gibson RA, Neumann MA, Lien EL, Boyd KA, Tu WC. Docosahexaenoic acid synthesis from alpha-linolenic acid is inhibited by diets high in polyunsaturated fatty acids. Prostaglandins Leukot Essent Fatty Acids. 2013;88:139–146. doi: 10.1016/j.plefa.2012.04.003.
    1. Wardle J, Herrera M-L, Cooke L, Gibson EL. Modifying children's food preferences: the effects of exposure and reward on acceptance of an unfamiliar vegetable. Eur J Clin Nutr. 2003;57:341–348. doi: 10.1038/sj.ejcn.1601541.
    1. Sullivan SA, Birch LL. Infant dietary experience and acceptance of solid foods. Pediatrics. 1994;93:271–277.
    1. Hausner H, Hartvig DL, Reinbach HC, Wendin K, Bredie WL. Effects of repeated exposure on acceptance of initially disliked and liked Nordic snack bars in 9-11 year-old children. Clin Nutr. 2012;31:137–143. doi: 10.1016/j.clnu.2011.08.003.
    1. Mikkila V, Vepsalainen H, Saloheimo T, Gonzalez SA, Meisel JD, Hu G, Champagne CM, Chaput JP, Church TS, Katzmarzyk PT, et al. An international comparison of dietary patterns in 9-11-year-old children. Int J Obes Suppl. 2015;5:S17–S21. doi: 10.1038/ijosup.2015.14.
    1. Martin CL, Siega-Riz AM, Sotres-Alvarez D, Robinson WR, Daniels JL, Perrin EM, Stuebe AM. Maternal dietary patterns during pregnancy are associated with child growth in the first 3 years of life. J Nutr. 2016;146:2281–2288. doi: 10.3945/jn.116.234336.
    1. Lee HA, Hwang HJ, Oh SY, Park EA, Cho SJ, Kim HS, Park H. Which diet-related behaviors in childhood influence a healthier dietary pattern? From the Ewha birth and growth cohort. Nutrients. 2016;9
    1. Atkins JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG. Dietary patterns and the risk of CVD and all-cause mortality in older British men. Br J Nutr. 2016;116:1246–1255. doi: 10.1017/S0007114516003147.
    1. Simopolous AP. Evolutionary aspects of omega-3 fatty acids in the food supply. Prostaglandins Leukot Essent Fat Acids. 1999;60:421–429. doi: 10.1016/S0952-3278(99)80023-4.
    1. Harris WS. The omega-6/omega-3 ratio and cardiovascular disease risk: uses and abuses. Curr Atheroscler Rep. 2006;8:453–459. doi: 10.1007/s11883-006-0019-7.
    1. Lassek WD, Gaulin SJC. Linoleic and docosahexaenoic acids in human milk have opposite relationships with cognitive test performance in a sample of 28 countries. Prostaglandins Leukot Essent Fat Acids. 2014;91:195–201. doi: 10.1016/j.plefa.2014.07.017.
    1. Sabel KG, Strandvik B, Petzold M, Lundqvist-Persson C. Motor, mental and behavioral developments in infancy are associated with fatty acid pattern in breast milk and plasma of premature infants. Prostaglandins Leukot Essent Fatty Acids. 2012;86:183–188. doi: 10.1016/j.plefa.2012.02.008.
    1. Sheppard KW, Cheatham CL. Executive functions and the omega-6 to omega-3 fatty acid ratio: a cross-sectional study. Am J Clin Nutr. 105:32–41.
    1. Yehuda S: Omega-6/omega-3 ratio and brain-related functions. In Omega-6/omega-3 essential fatty acid ratio: the scientific evidence. Volume 92. Edited by Simopoulos AP, Cleland LG. Basel, Karger; 2003: 37–56.
    1. Wainwright PE, Huang YS, Bulman-Fleming B, Dalby D, Mills DE, Redden PR, McCutcheon D. The effects of dietary n-3/n-6 ratio on brain development in the mouse: a dose response study with long-chain n-3 fatty acids. Lipids. 1999;27:98–103. doi: 10.1007/BF02535807.
    1. Moriguchi T, Greiner RS, Salem N. Behavioral deficits associated with dietary induction of decreased brain docosahexaenoic acid concentration. J Neurochem. 2000;75:2563–2573. doi: 10.1046/j.1471-4159.2000.0752563.x.
    1. Helland IB, Saugstad OD, Smith L, Saarem K, Solvoll K, Ganes T, Drevon CA. Similar effects on infants of n-3 and n-6 fatty acids supplementation to pregnant and lactating women. Pediatrics. 2001;108:e82-e82. doi: 10.1542/peds.108.5.e82.
    1. Auestad N, Halter R, Hall RT, Blatter M, Bogle ML, Burks W, Erickson JR, Fitzgerald KM, Dobson V, Innis SM, et al. Growth and development in term infants fed long-chain polyunsaturated fatty acids: a double-masked, randomized, parallel, prospective, multivariate study. Pediatrics. 2001;108:372–381. doi: 10.1542/peds.108.2.372.
    1. Dunstan JA, Simmer K, Dixon G, Prescott SL. Cognitive assessment of children at age 2(1/2) years after maternal fish oil supplementation in pregnancy: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed. 2008;93:F45–F50. doi: 10.1136/adc.2006.099085.
    1. Labelling reference intake values for n-3 and n-6 polyunsaturated fatty acids. In The EFSA Journal, vol. 1176. pp. 1–11: Panel on Dietetic Products, Nutrition and Allergies; 2009:1–11.
    1. Recommendations for Intake of Polyunsaturated Fatty Acids in Healthy Adults. International Society for the Study of Fatty Acids and Lipids; 2003.

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