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BMJ 2004;328:406 (14 February), doi:10.1136/bmj.328.7436.406-c
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EDITORIn their review of omega 3 fatty acids and cardiovascular disease Din et al ignored the plant derived omega 3 fatty acids beyond the initial definitions.1
In figure 3 they say that the omega 3 fatty acids from fish oils are metabolites of
linolenic acid (the plant derived source of omega 3 fatty acids). However, they did not say whether
linolenic acid is as effective as oily fish in the beneficial effects described. Is this because no trials exist or trials show less effect?
Din et al comment on concerns about depleting fish stocks and environmental contamination of certain fish. Would suggesting a trial of
linolenic acid supplements or a diet rich in the plant sources of this oil be an option for future research as well as their proposed trial of fish oil supplements?
Olga N Garrard, consultant in child and adolescent psychiatry
Canada House, Gillingham ME7 4JL olga.garrard@icc.wkentmht.nhs.uk