Docosahexaenoic Acid (DHA): benefits, dosage, contraindications

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DHA (docosahexaenoic acid) is a long-chain omega-3 polyunsaturated fatty acid, consisting of 22 carbons. It can be found in certain types of marine microalgae like schizochytrium, as well as in the tissues of marine mammals and fatty fish (tuna, salmon). DHA is also present in fish liver oil and fish oil products. DHA cannot be synthesized by our body without a precursor. A portion of the DHA we need is synthesized from alpha-linolenic acid (ALA) found in some vegetable oils such as flaxseed oil or walnut oil. Our synthesis capacity, however, remains limited and diminishes with age. Essential fatty acids, including DHA, are crucial for optimal health. The omega-3 concentration in cell membranes conditions the proper functioning of these organs, particularly the heart and brain. It is noteworthy that more than 50% of the brain's mass is made up of lipids, over half of which are omega-3 fatty acids. DHA contributes to the normal development of fetuses, infants, and children, especially when the mother is atopic. It also aids in maintaining normal brain functions, normal vision, normal blood pressure, and normal triglyceride levels in adults.

Other name(s) 

Omega-3

Scientific name(s)

DHA, PUFA

Family or group: 

Fatty Acids


Indications

Rating methodology

EFSA approval.

Several clinical trials (> 2) randomized controlled with double blind, including a significant number of patients (>100) with consistently positive outcomes for the indication.
Several clinical trials (> 2) randomized controlled with double blind, and including a significant number of patients (>100) with positive outcomes for the indication.
One or more randomized studies or multiple cohorts or epidemiological studies with positive outcomes for the indication.
Clinical studies exist but are uncontrolled, with conclusions that may be positive or contradictory.
Lack of clinical studies to date that can demonstrate the indication.


Eye health
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The EFSA (European Food Safety Authority) has concluded positively on DHA's contribution to maintaining normal vision. Published data suggest that infants not receiving DHA from breast milk or formula have delayed visual acuity development compared to those receiving adequate DHA. DHA is essential for normal neuronal function and plays a key role in developing neural and synaptic membranes, particularly retinal and visual functions. Moreover, studies show that taking omega 3 (DHA and EPA) can reduce the risk of developing AMD (age-related macular degeneration).

Posologie

posologieOral administration

posologie280 mg

formulationfish oil


Synergies


Child development
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The EFSA has published a positive opinion on DHA's contribution to maintaining normal brain functions in children and adults. Long-chain polyunsaturated fatty acids represent a third of all lipids in brain matter. Studies show that insufficient intake of polyunsaturated fatty acids like DHA during fetal and child development is considered a factor in developing behavioral, functional, and neurological disorders.

Posologie

posologieOral administration

posologie200 - 250 mg

duration4 - months

formulationfish oil


Pregnancy
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DHA is present in human breast milk and found in the plasma and cerebral cortex of infants. Pregnancy can lead to long-term effects on DHA stores in women. However, maternal DHA levels likely normalize within one year after pregnancy. There appears to be a preferential transfer of DHA through the placenta. Maternal DHA supplementation at 200 mg/day from the 15th week of pregnancy or during the third trimester might normalize DHA levels in the mother. Maternal DHA levels tend to decrease significantly during the third trimester of pregnancy. Omega 3 supplementation, particularly DHA, could prevent some pregnancy-related complications like hypertension or eclampsia. High-quality clinical studies show that DHA supplementation also reduces the risk of premature birth.

Posologie

posologieOral route

posologie200 - 1000 mg

duration17 - weeks

populationPregnant women

formulationfish oil


Fetal Development
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DHA accumulates rapidly in the human brain during the third trimester of pregnancy and early postnatal period. The accumulation of DHA and other fatty acids at this stage leads to rapid development and growth of brain tissue. Furthermore, some data suggest that infants who do not receive DHA in breast milk have delayed visual acuity development compared to those who receive an adequate amount of DHA.

Posologie

posologieOral route

posologie400 - 600 mg

populationPregnant women

formulationfish oil


Dementia
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Studies have shown that an increase of 0.1 g per day in dietary DHA intake was associated with a 14% reduced risk of dementia when taken over 2 to 21 years. However, no dose-response relationship was found. Other clinical studies suggest that taking 0.72 grams of DHA per day for one year improves dementia symptoms in patients with dementia due to cerebral vascular thrombosis. Preliminary clinical research conducted on patients with mild to moderate Alzheimer's disease shows that taking 500 mg of DHA daily in fish oil combined with carotenoids (Lutein and Zeaxanthin) for 12 months slightly improved memory and mood compared to placebo. According to researchers, oxidized derivatives of DHA are involved in Alzheimer's disease. DHA seems to be a target of oxidative attack in this disease. Without certainty on the cause-effect relationship of oxidation in Alzheimer's disease, it is recommended to protect DHA reserves in the brain with DHA supplementation associated with antioxidants like vitamin E.

Posologie

posologieOral route

posologie500 mg

duration1 - years

formulationfish oil


Synergies


Cognitive Decline
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Preliminary clinical studies show that taking 12 mg of lutein, alone or with docosahexaenoic acid (DHA), at 800 mg per day for 4 months, can improve verbal fluency and memory scores compared to baseline levels in older women. Another randomized double-blind placebo-controlled trial showed that oral DHA supplementation (2 g/day) for 12 months in older subjects with mild cognitive impairment had a beneficial effect on overall cognitive function. Results suggest that DHA supplementation over 12 months significantly increased hippocampal volume. The hippocampus is a brain region essential for memory formation and plays a significant role in the consolidation of information from short-term memory to long-term memory and spatial navigation.

Posologie

posologieOral route

posologie800 - 2000 mg

duration4 - months

populationWomen, Seniors

formulationfish oil


Synergies


Coronary Heart Disease
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Increased dietary intake of DHA may reduce the risk of death in patients with coronary heart disease. It is noted that studies emphasize a cardioprotective effect, but no effect on atherosclerosis progression. The probable explanation is that omega-3s modulate the heart's electrical activity and produce a "stabilizing" effect that protects in case of a heart attack.

Posologie

posologieOral route

posologie800 mg

formulationfish oil


Synergies


AMD
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Increased dietary intake of DHA is associated with a reduced risk of AMD. Preliminary clinical research shows that taking a combination of DHA 280 mg, lutein 12 mg, and zeaxanthin 0.6 mg per day for one year increases macular pigment optical density by 31% compared to placebo in patients with AMD. An increase in macular pigment optical density is associated with improved visual performance and a lower risk of AMD.

Posologie

posologieOral route

posologie280 mg

duration12 - months

formulationfish oil


Synergies


Properties


Neurological

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In healthy subjects, DHA increases the activation of the prefrontal cortex during sustained attention. In animals, DHA injection shortly after a spinal cord injury, followed by the addition of DHA in the diet, provides neuroprotective effects, notably increasing the survival of glial cells responsible for protecting neural tissue. In vitro research suggests that neuroprotectin D1 - a DHA-derived mediator - enhances inflammatory signaling and neuronal dysfunctions linked to beta-amyloid peptides (a small protein detrimental to the central nervous system under certain circumstances like in Alzheimer's disease). Laboratory and animal research also suggests that DHA levels in the brain regulate glucose uptake by acting on glucose transporters.

Usages associés

Dementia, Cognitive decline

Vision

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According to laboratory research, DHA plays a significant role in the development and maintenance of the retina, where DHA makes up 60% of polyunsaturated fatty acids. Laboratory research suggests that neuroprotectin D1 - a DHA-derived mediator - may counteract aging or degeneration of retinal pigment epithelial cells and photoreceptor cells.

Usages associés

Eye health, AMD

Essential

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There is interest in using DHA supplements for young children's development. Some data suggest that infants not receiving DHA from breast milk or formula lag in the development of visual acuity compared to those receiving enough. Long-chain polyunsaturated fatty acids make up a third of all brain matter lipids. DHA is regarded as important for normal neuron function and might play a key role in the structural development of neuronal and synaptic membranes. DHA rapidly accumulates in the human brain during the third trimester of pregnancy and early postnatal period. This accumulation leads to rapid brain tissue development and growth. Insufficient availability of polyunsaturated fatty acids like DHA during fetal and infant development is considered a factor behind behavioral, functional, and neurological disorders. Higher plasma DHA levels during childbirth may also be associated with greater newborns' central nervous system maturity, based on sleep and waking habits.

Usages associés

Child development, Fetal development, Pregnancy

Hypolipidemic

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DHA appears to reduce serum triglycerides. However, it does not increase HDL cholesterol (high-density lipoproteins, good cholesterol) in most studies, although it may increase HDL-2 fractions in some studies. DHA does not appear to decrease total cholesterol.

Usages associés

Dyslipidemia

Anti-inflammatory

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The anti-inflammatory effects associated with DHA may be linked to its metabolites serving as messengers. Indeed, resolvins (derived from DHA) may affect inflammatory mediators and inflammatory cells. Omega 3 can partially replace arachidonic acid (AA) - a pro-inflammatory omega 6 derivative - as they compete with AA for necessary synthesis enzymes like cyclooxygenase (COX). For the record, COX is an enzyme targeted by aspirin - a famous non-steroidal anti-inflammatory- to reduce inflammation.


Cardiovascular

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DHA appears to reduce blood viscosity and increase red blood cell deformability, helping to prevent thrombosis. Various clinical trials have shown that DHA can reduce blood pressure. Although the mechanism is unclear, DHA seems to improve blood vessel dilation in men with hyperlipidemia, but not in healthy young adults.

Usages associés

Coronary diseases


Safety dosage

Adult from 18 year(s) : 250 mg - 3000 mg (oil)

The minimum physiological requirement for DHA is 250 mg per day for adults.

Child from 2 to 18 year(s) : 250 mg (oil)

Foods intended for children aged 2 to 18 years should provide a daily intake of 250 mg of DHA in one or more servings.

Infant from 6 to 24 months : 100 mg (oil)

Foods intended for infants aged 6 months to 2 years should provide a daily intake of 100 mg of DHA in one or more servings.

Pregnant woman : 250 mg - 450 mg (oil)

Breastfeeding woman: 250 mg - 450 mg (oil)


Interactions

Médicaments

Antidiabetic: moderate interaction

DHA appears to increase fasting blood glucose in subjects with type 2 diabetes. Theoretically, DHA may interfere with antidiabetic medications and reduce their effects.

Antihypertensive: moderate interaction

Fish oils containing DHA may lower blood pressure and have additive effects in patients treated with antihypertensive medications.

Plantes ou autres actifs

Docosahexaenoic acid (DHA): weak interaction

Omega 3s may reduce selenium absorption.