UK omega-3 heart attack revision 'disappointing and somewhat misguided'

By Shane STARLING contact

- Last updated on GMT

“NICE no longer recommends eating oily fish, or taking omega-3 fatty acid capsules or omega-3 fatty acid supplemented foods specifically for the prevention of further heart attacks."
“NICE no longer recommends eating oily fish, or taking omega-3 fatty acid capsules or omega-3 fatty acid supplemented foods specifically for the prevention of further heart attacks."

Related tags: Omega-3 fatty acid, Myocardial infarction

A public body that advises the UK National Health Service (NHS) has revised its position that heart attack patients can benefit from omega-3 consumption to prevent further attacks, in a move labeled “misguided” by the omega-3 sector.

The National Institute for Health and Care Excellence (NICE) said new evidence and treatments like the drug Omacor for heart attack (myocardial infarction) patients meant the impact of omega-3 consumption via foods or supplements was reduced.

NICE no longer recommends eating oily fish, or taking omega-3 fatty acid capsules or omega-3 fatty acid supplemented foods specifically for the prevention of further heart attacks,”​ NICE said.

“However, people who have had a heart attack should still follow a ‘Mediterranean-style diet’ – involving more bread, fruit, vegetables and fish, less meat, and butter and cheese replaced by products based on plant oils.”

NICE’s earlier pro-omega-3 guidance recommended, that patients consume seven grams of omega-3 per week from 2 to 4 portions of oily fish or prescription of Omacor 1 gram / day.”

Its revision comes as three heart health-related omega-3 EPA-DHA claims have this week been written into EU law books under article 13 of the tough nutrition and health claims regulation (NHCR).

“In light of the current body of scientific evidence, the unfortunate decision by the National Institute for Health and Care Excellence (NICE) to revoke it's O-3 recommendation for post-myocardial infarction patients is disappointing and somewhat misguided,”​ said Global Organization for EPA and DHA Omega-3s (GOED) VP of regulatory and scientific affairs, Harry Rice, PhD.

In the literature

He said studies like a recent cohort study with more than 12,000 patients with multiple cardiovascular risk factors published in the New England Journal of Medicine​ that found omega-3s acids did not reduce cardiovascular mortality and morbidity, needed to be placed in context.

“One of the biggest complaints about recent studies investigating the effects of omega-3s on cardiovascular endpoints is that the studies have been under-powered given that patients are receiving state-of-the-art antihypertensive, antithrombotic and lipid-modifying therapy,”​ Dr Rice said.

“In essence, omega-3s are not failing to have an effect on cardiovascular outcomes like myocardial infarction. Rather, investigators are failing to power their studies sufficiently in order to detect an effect.”

Omega-3
NICE spoon of advice: Omega-3s don't help heart attack patients on their own, but GOED said its reference data is obfuscated by other factors like use of medicines

“NICE, as a public body providing national guidance and advice to improve health and social care, should be seeking cost-effective solutions with minimal side effects.”

He said the NICE advice did not alter the totality of the evidence, which had won health claims under the tough EU system.

“Therefore, consumers should continue to take omega-3 products for heart health.”​  

Related topics: Regulation & Policy, Suppliers

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5 comments

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Indeed disappointing and misguided

Posted by omega-3-blog,

The scientific evidence accumulated over a half-century of rigorous research clearly points to the beneficial effect of omega-3 fatty acids on the cardiovascular system. We invite you to read more about this on our impartial, research-based platform at http://www.expertomega3.com/omega-3-benefits/reducing-cholesterol.asp, where you may also post your own questions on omega-3.

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Plant Oil Versus Fish Oil

Posted by Tom Hennessy,

The problems in proving the efficacy of the various oils could stem from the simple fact fish oils don't contain the essential omega-3 fatty acid , alpha-linolenic acid , since it is after all the alpha-linolenic acid which confers the heart healthy properties , fibrinogen control.
"Fibrinogen level of the blood is largely caused by the lack of omega-3-alpha-linolenic acid in the diet."

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When will end?

Posted by Daniel Halley,

One day, it's this, next day it's that! I have learned, moderation works best! At least for me! Lesson learned!

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