Health
Fish oil supplements linked to greater first-time heart attack risk in study: ‘Not universally good or bad'
Taking fish oil supplements could raise the risk of heart attack and stroke, a new study suggests.
Among healthy people, regular use of fish oil was found to make them more susceptible to developing heart disease and stroke for the first time, the study found.
Among those who had existing heart disease, however, fish oil consumption was shown to slow the progression of cardiovascular disease and reduce the risk of mortality.
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Researchers analyzed nearly 12 years of data for more than 415,000 participants from the UK Biobank study; the participants ranged in age from 40 to 69.
“Regular use of fish oil supplements might be a risk factor for atrial fibrillation and stroke among the general population, but could be beneficial for progression of cardiovascular disease from atrial fibrillation to major adverse cardiovascular events, and from atrial fibrillation to death,” the researchers wrote in the study, which was published in The BMJ (British Medical Journal).
Taking fish oil supplements could raise the risk of heart attack and stroke among certain people, a new study suggests. (iStock)
“Further studies are needed to determine the precise mechanisms for the development and prognosis of cardiovascular disease events with regular use of fish oil supplements.”
Study highlights ‘uncertainty,’ cardiologist says
Dr. Jim Liu, a cardiologist at The Ohio State University Wexner Medical Center, who was not involved in the study, pointed out that there has been conflicting data about whether or not fish oil or omega 3 fatty acids can help reduce the risk of cardiovascular disease.
“This is yet another study that reminds us there is still a lot that needs to be investigated when it comes to fish oil and heart disease.”
“This study appears to echo the same sentiment that there is still some uncertainty about their relation to heart health,” he told Fox News Digital.
“Similar to previous studies, I think this study indicates that fish oil is not necessarily universally good or bad for all.”
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Whether or not fish oil is beneficial or harmful depends on an individual’s specific underlying health conditions, he said — such as a history of heart attack or atrial fibrillation, and on other factors such as dosing and different formulations of the substance.
“Further studies are needed to determine the precise mechanisms for the development and prognosis of cardiovascular disease events with regular use of fish oil supplements,” the authors of a new study wrote. (iStock)
“Previous studies have shown that certain formulations of fish oil can help reduce cardiovascular events in people with elevated triglycerides and previous cardiovascular events,” Liu noted.
“Overall, this is yet another study that reminds us that there is still a lot that needs to be investigated when it comes to fish oil and heart disease.”
Dietitians weigh risks and benefits
Tanya Freirich, a registered dietitian nutritionist in Charlotte, North Carolina, who practices as The Lupus Dietitian, also was not involved in the study but offered insights.
“In this study, there was a slightly increased association between healthy people who took fish oil and developing atrial fibrillation and stroke, whereas for those people who took the fish oil after being diagnosed with cardiovascular disease, there was a slightly decreased association and risk of atrial fibrillation and stroke,” she told Fox News Digital.
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“Overall, I would say to take these results with a grain of salt, as it was a prospective study.”
A prospective study monitors what people self-report and their eventual health outcomes over time, she noted — versus a control study, where similar people are placed in two groups and one group takes the fish oil while the other does not.
“We don’t know about the population of healthy participants and why they decided to take fish oil,” Freirich said.
A registered dietitian recommended that most people get their omega 3s from food sources such as salmon, sardines, tuna, ground flaxseed, chia seeds, walnuts and almonds. (iStock)
“Perhaps they have a family history of heart disease, or other lifestyle features that are contributing to their risk of developing atrial fibrillation and stroke outside of the fish oil supplement.”
As a registered dietitian, Freirich said she recommends most people get their omega 3s from food sources such as salmon, sardines, tuna, ground flaxseed, chia seeds, walnuts and almonds.
“Making small changes to your diet over time can have big benefits in reducing your overall cardiovascular risk.”
“Many people do not get enough omega 3 fatty acids in their diet, and this can be a great way to consume healthy fats while also benefiting from protein and sources of fiber,” she said.
When preparing meals, replacing a serving of red meat with fatty fish can promote heart health by decreasing the intake of saturated fats and increasing the intake of omega 3s, according to Freirich.
“Always discuss your supplement use with your medical care providers, as some may be unnecessary or even increase your risk for poor health outcomes,” said one expert. (iStock)
“Making small changes to your diet over time can have big benefits in reducing your overall cardiovascular risk,” she advised.
“Always discuss your supplement use with your medical care providers, as some may be unnecessary or even increase your risk for poor health outcomes.”
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Michelle Routhenstein, a New York-based preventive cardiology dietitian at EntirelyNourished.com, agreed that prior research has indicated that taking high doses of fish oil supplements could potentially elevate the risk of atrial fibrillation — while regularly consuming fatty fish four to five times a week may lower that risk.
To determine the potential benefits of fish oil and the appropriate dosage, experts recommended consulting with a registered dietitian specializing in heart disease. (iStock)
“We need to recognize that when it comes to fish oil — and many other foods and supplements — more or a concentrated dose isn’t necessarily better,” Routhenstein, who was not involved in the study, told Fox News Digital.
“It is also important to note that not all fish oil supplements are created equal. Factors like dosage, quality and additional ingredients can influence cardiovascular health outcomes.”
To determine the potential benefits of fish oil and the appropriate dosage, Routhenstein recommended consulting with a registered dietitian specializing in heart disease.
Fox News Digital reached out to the study researchers for more detail, as well as several manufacturers of fish oil supplements requesting comment on the findings.
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A new report by the American Heart Association (AHA) included some troubling predictions for the future of women’s health.
The forecast, published in the journal Circulation on Wednesday, projected increases in various comorbidities in American females by 2050.
More than 59% of women were predicted to have high blood pressure, up from less than 49% currently.
The review also projected that more than 25% of women will have diabetes, compared to about 15% today, and more than 61% will have obesity, compared to 44% currently.
As a result of these risk factors, the prevalence of cardiovascular disease and stroke is expected to rise to 14.4% from 10.7%.
The prevalence of cardiovascular disease and stroke in women is expected to rise to 14.4% from 10.7% by 2050. (iStock)
Not all trends were negative, as unhealthy cholesterol prevalence is expected to drop to about 22% from more than 42% today, the report stated.
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Dr. Elizabeth Klodas, a cardiologist and founder of Step One Foods in Minnesota, commented on these “jarring findings.”
“The fact that on our current trajectory, cardiometabolic disease is projected to explode in women within one generation should be a huge wake-up call,” she told Fox News Digital.
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“Hypertension, diabetes, obesity — these are all major risk factors for heart disease, and we are already seeing what those risks are driving. Heart disease is the No. 1 killer of women, eclipsing all other causes of death, including breast cancer.”
Cardiovascular disease is the leading cause of death for women in the U.S. and around the world. (iStock)
Klodas warned that heart disease starts early, progresses “stealthily,” and can present “out of the blue in devastating ways.”
The AHA published another study on Thursday revealing one million hospitalizations, showing that heart attack deaths are climbing among adults below the age of 55.
The more alarming finding, according to Klodas, is that young women were found more likely to die after their first heart attack than men of the same age.
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“This is all especially tragic since heart disease is almost entirely preventable,” she said. “The earlier you start, the better.”
Children can show early evidence of plaque deposition in their arteries, which can be reversed through lifestyle changes if “undertaken early enough and aggressively enough,” according to the expert.
Moving more is one part of protecting a healthy heart, according to experts. (iStock)
Klodas suggested that rising heart conditions are associated with traditional risk factors, like smoking, high blood pressure, high cholesterol, diabetes, obesity and a sedentary lifestyle.
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Doctors are also seeing higher rates of preeclampsia, or high blood pressure during pregnancy, as well as gestational diabetes. Klodas noted that these are sex-specific risk factors that don’t typically contribute to complications until after menopause.
The best way to protect a healthy heart is to “do the basics,” Klodas recommended, including the following lifestyle habits.
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Klodas especially emphasized making improvements to diet, as the food people eat affects “every single risk factor that the AHA’s report highlights.”
“High blood pressure, high blood sugar, high cholesterol, excess weight – these are all conditions that are driven in part or in whole by food,” she said. “We eat multiple times every single day, which means what we eat has profound cumulative effects over time.”
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health,” a doctor said. (iStock)
“Even a small improvement in dietary intake, when maintained, can have a massive positive impact on health.”
The doctor also recommends changing out a few snacks per day for healthier choices, which has been proven to “yield medication-level cholesterol reductions” in a month.
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“Keep up that small change and, over the course of a year, you could also lose 20 pounds and reduce your sodium intake enough to avoid blood pressure-lowering medications,” Klodas added.
“Women should not view the AHA report as inevitable. We have power over our health destinies. We just need to use it.”
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Nearsightedness (myopia) is skyrocketing globally, with nearly half of the world’s population expected to be myopic by 2050, according to the World Health Organization.
Heavy use of smartphones and other devices is associated with an 80% higher risk of myopia when combined with excessive computer use, but a new study suggests that dim indoor lighting could also be a factor.
For years, scientists have been puzzled by the different ways myopia is triggered. In lab settings, it can be induced by blurring vision or using different lenses. Conversely, it can be slowed by something as simple as spending time outdoors, research suggests.
Nearsightedness occurs when the eyeball grows too long from front to back, according to the American Optometric Association (AOA). This physical elongation causes light to focus in front of the retina rather than directly on it, making distant objects appear blurry.
The study suggests that myopia isn’t caused by the digital devices themselves, but by the low-light environments where they are typically used. (iStock)
Researchers at the State University of New York (SUNY) College of Optometry identified a potential specific trigger for this growth. When someone looks at a phone or a book up close, the pupil naturally constricts.
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“In bright outdoor light, the pupil constricts to protect the eye while still allowing ample light to reach the retina,” Urusha Maharjan, a SUNY Optometry doctoral student who conducted the study, said in a press release.
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“When people focus on close objects indoors, such as phones, tablets or books, the pupil can also constrict — not because of brightness, but to sharpen the image,” she went on. “In dim lighting, this combination may significantly reduce retinal illumination.”
High-intensity natural light prevents myopia because it provides enough retinal stimulation to override the “stop growing” signal, even when pupils are constricted. (iStock)
The hypothesis suggests that when the retina is deprived of light during extended close-up work, it sends a signal for the eye to grow.
In a dim environment, the narrowed pupil allows so little light through that the retinal activity isn’t strong enough to signal the eye to stop growing, the researchers found.
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In contrast, being outdoors provides light levels much brighter than indoors. This ensures that even when the pupil narrows to focus on a nearby object, the retina still receives a strong signal, maintaining healthy eye development.
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The team noted some limitations of the study, including the small subject group and the inability to directly measure internal lens changes, as the bright backgrounds used to mimic the outdoors made pupils too small for standard equipment.
Researchers believe that increasing indoor brightness during close-up work could be a simple, testable way to slow the global nearsightedness epidemic. (iStock)
“This is not a final answer,” Jose-Manuel Alonso, MD, PhD, SUNY distinguished professor and senior author of the study, said in the release.
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“But the study offers a testable hypothesis that reframes how visual habits, lighting and eye focusing interact.”
The study was published in the journal Cell Reports.
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