Re: dissing omega 3 - correct web address for BMJ

From: P Howgate (phowgate@clara.co.uk)
Date: Sat Apr 01 2006 - 10:04:19 PST

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    Dear Pam

    Thanks for noticing, and correcting, the typo.

    Peter
    ----- Original Message -----
    From: "Pamela Tom" <pdtom@ucdavis.edu>
    To: "P Howgate" <phowgate@clara.co.uk>
    Cc: "seafood" <seafood@ucdavis.edu>
    Sent: Saturday, April 01, 2006 6:05 PM
    Subject: Re: dissing omega 3 - correct web address for BMJ

    > Dear Peter and Seafood Subscribers,
    >
    > Thank you for your excellent discussion in reply to the post by Liz Brown
    > (Alaska Sea Grant marine advisor)!
    >
    > There is a typo in the url address for the British Medical Journal listed
    > below. An "i" was substituted for one of the two "j"s in the domain
    > address. The correct web address is http://bmj.bmjjournals.com/
    >
    > Pamela Tom
    > Seafood HACCP Mailing List Owner
    > University of California
    > Sea Grant Extension Program
    >
    > On Sat, 1 Apr 2006, P Howgate wrote:
    >
    >> Dear Liz, and others
    >>
    >> This story questioning benefits of omega-3 oils appeared in the UK media
    >> a
    >> few days ago, but didn't 'run'. Your links refer to 2 though separate
    >> topics, though there is a connection, and should be commented on
    >> separately.
    >> The first link, the British Medical Journal one, refers to an editorial
    >> in
    >> the journal which comments on a paper which questioned some claimed
    >> benefits
    >> the omega-3 oils and let me comment on that first.
    >>
    >> The paper is Hooper et al., 'Risks and benefits of omega 3 fats for
    >> mortality, cardiovascular disease, and cancer: systematic review'. It has
    >> not appeared in print yet, but a pdf file of it can be downloaded from
    >> http://bmj.bmijournals.com .Go to the site and enter hooper and omega 3
    >> into
    >> the author and keywords boxes respectively in the top right and the paper
    >> and its link to the pdf file will be listed. It describes a meta-analysis
    >> of
    >> a large number of studies of the risks and benefits stated in the title.
    >> Their conclusion from this pooling and analysis of data was not the same
    >> as
    >> some previous meta-analyses, but those previous ones did not include the
    >> results of a recent large study. Let me quote the conclusion from the
    >> summary of the paper:"Long chain and shorter chain omega 3 fats do not
    >> have
    >> a clear effect on total mortality, combined cardiovascular events, or
    >> cancer." Within the paper is an highlighted box which I assume was
    >> inserted
    >> in the editorial process to catch the eye of the skimming reader. Here is
    >> what this box states under a subtitle 'What this study adds': "This
    >> systematic review assessed the health effects of long chain and shorter
    >> chain omega 3 fats (together or separately) on total mortality,
    >> cardiovascular events, cancer, and strokes in a wide group of
    >> participants
    >> and found no evidence of a clear benefit of omega 3 fats on health" Note
    >> that this editorial embellishment has changed the authors' '... do not
    >> have
    >> a clear effect on total mortality, combined cardiovascular events, or
    >> cancer.' to '...found no evidence of a clear benefit of omega 3 fats on
    >> health'. These 2 conclusions are not the same and that of the authors of
    >> the
    >> paper are more cautious and limited in scope than the editorial box
    >> suggest.
    >> The authors are quite explicit that they did not set out to examine
    >> claims
    >> for the health effects of omega-3 acids generally, but for some specific
    >> aspects of health, mortality, cardiovascular disease and cancer.
    >>
    >> It is a highly technical paper directed towards epidemiologists and can
    >> only
    >> be appreciated by specialists, but the reasonably informed person can
    >> follow
    >> the discussion. The authors discuss at some length the recent survey
    >> which
    >> swung their meta-analysis towards a no effect compared with previous
    >> analyses that did show an effect. The authors write in the section
    >> Interpretation: "It is not clear whether long chain or short chain omega
    >> 3
    >> fats (together or separately) reduce or increase total mortality,
    >> cardiovascular events, cancer, or strokes. Our findings do not rule out
    >> an
    >> important effect of omega 3 fats on total mortality, as robust trials at
    >> low
    >> risk of bias reported few deaths.". They also write: "UK guidelines
    >> encourage the general public to eat more oily fish, and higher amounts
    >> are
    >> advised after myocardial infarction (supported by trials after myocardial
    >> infarction). This advice should continue at present but the evidence
    >> should
    >> be reviewed regularly. It is probably not appropriate to recommend a high
    >> intake of omega 3 fats for people who have angina but have not had a
    >> myocardial infarction." These observations is not quite the clear-cut
    >> conclusions put out in the media in Britain.
    >>
    >> The first link in Liz's message is to an editorial in The BMJ of 24 March
    >> which is probably the source of the press release because the Hooper et
    >> al.
    >> is not yet published. Though called an Editorial it is more like a
    >> scientific paper rather than an editorial in a newspaper in that it cites
    >> references in a bibliography and is signed. After briefly summarising the
    >> conclusions of the Hooper et al paper it goes on to discuss health
    >> benefits
    >> of consumption of omega-3 oils other than on cardiovascular conditions.
    >> It
    >> is the last paragraph that to my mind is incorrect and contentious; I
    >> should
    >> quote it in full: "We are faced with a paradox. Health recommendations
    >> advise increased consumption of oily fish and fish oils, within limits,
    >> on
    >> the grounds that intake is generally low. However, industrial fishing has
    >> depleted the world's fish stocks by some 90% since 1950, and rising fish
    >> prices reduce affordability particularly for people with low incomes.
    >> Global
    >> production trends suggest that, although fish farming is expanding
    >> rapidly,
    >> we probably do not have a sustainable supply of long chain omega 3
    >> fats.".
    >> For the claim that the world's fish stocks have been depleted by some 90%
    >> since 1950 the author cites a paper by Myers RA,& Worm B., 'Rapid
    >> worldwide
    >> depletion of predatory fish communities', Nature, 2003, 423:280-3. This
    >> paper is not available at the Nature site unless you have a subscription
    >> to
    >> the journal, but can be downloaded from the Berkley university site at
    >> http://seismo.berkeley.edu/~manga/eps3/myersandworm2003.pdf. This paper
    >> though is about depletion of stocks of predatory fish, not of stocks of
    >> fish
    >> generally. Predatory fish are not fished directly for fish meal and oil
    >> though both these products are obtained from wastes from processing of
    >> predatory fish, for example meal from fillet waste, oil from livers. Most
    >> fish oil is obtained from directed fisheries of pelagic fish. Over the
    >> last
    >> two decades or so the catch from industrialised fisheries has been around
    >> 25-30 million tonnes/year other than in El NiZo years compared with about
    >> 4
    >> million tonnes of waste material going for reduction. FAO publishes on
    >> bi-annual basis a "The State of World Fisheries and Aquaculture" and as I
    >> read them they do not express great concern for the status of pelagic
    >> stocks
    >> caught for industrial purposes. It seems to me from my reading, though
    >> without specialised knowledge of the subject, that there is a sustainable
    >> supply of marine-sourced omega-3 fatty acids. What is up for discussion
    >> whether or not this sustainable production is adequate for all
    >> requirements,
    >> and how much is to be used in animal feeds and how much for human
    >> consumption.
    >>
    >> The author of the editorial has a point about affordability. In the UK
    >> anyway, fillets, skin-on, of predatory white-fleshed fish such as cod
    >> retails at around 20USD/kg, more expensive than chicken or of common cuts
    >> of
    >> pork or beef. Farmed salmon is slightly cheaper, about 17USD/kg. Salmon
    >> is
    >> very much richer in omega-3 acids than gadoids, fillets anyway, so farmed
    >> salmon is a much better buy if omega-3 intake is of concern. Pelagic
    >> fish,
    >> herring and mackerel, on a fillet basis, are a little cheaper still, but
    >> still more expensive than chicken or cheaper cuts of red meat. Official
    >> health guidelines recommend that we consume one portion a week of fatty
    >> fish. Assuming a portion is 150g of fillet and a world population of 6
    >> billion, this would require 100 million tonnes live weight of oily, that
    >> is
    >> predominately pelagic, fish. Total world fishery production of all sorts
    >> of
    >> aquatic animals for all outlets, human consumption and for reduction, is
    >> around 130 million tonnes, insufficient for all persons in the world to
    >> have
    >> one helping of fatty fish a week even if all the pelagic fish going for
    >> reduction is diverted to human consumption. Now that is the paradox.
    >>
    >> Peter Howgate
    >>
    >> ----- Original Message -----
    >> From: "Liz Brown" <bfeab@uaf.edu>
    >> To: "seafood" <seafood@ucdavis.edu>
    >> Cc: "Laine Welch" <msfish@alaska.com>; "Bristol BayTimes"
    >> <bbtimes@nushtel.com>; "Victoria Briggs" <ViedeF97@aol.com>
    >> Sent: Thursday, March 30, 2006 4:30 PM
    >> Subject: dissing omega 3
    >>
    >>
    >> > Here's the first 'not all it's cracked it up to be' story I've seen
    >> > about
    >> > omega 3:
    >> > http://bmj.bmjjournals.com/cgi/rapidpdf/bmj.38798.680185.47v1?hrss=1
    >> >
    >> > Here's a link to the source for the assertion that we should stop
    >> > eating
    >> > fish because we've depleted the world's stocks:
    >> > http://www.nature.com/nature/journal/v423/n6937/full/nature01610.html
    >> >
    >> > My knee jerk reaction is that this is irresponsibly ignoring that many
    >> > fisheries are managed sustainably. I would be interested in hearing
    >> > other
    >> > perspectives.
    >> >
    >> > --
    >> > Liz Brown
    >> > Marine Advisory Program
    >> > University of Alaska Fairbanks
    >> > PO Box 1549
    >> > Dillingham, AK 99576
    >> > 907-842-1265
    >> > Fax 907-842-3202
    >> > www.uaf.edu/map
    >> >
    >> >
    >> >
    >> >
    >>
    >
    >
    >
    >



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