The DOI matches its Crossref record; 81 of the 83 references it cites were found in a registry or an index.
n-3 Fatty acid dietary recommendations and food sources to achieve essentiality and cardiovascular benefits.
Open accessAbstract
Dietary recommendations have been made for n-3 fatty acids, including alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA), and docosahexaenoic acid (DHA) to achieve nutrient adequacy and to prevent and treat cardiovascular disease. These recommendations are based on a large body of evidence from epidemiologic and controlled clinical studies. The n-3 fatty acid recommendation to achieve nutritional adequacy, defined as the amount necessary to prevent deficiency symptoms, is 0.6-1.2% of energy for ALA; up to 10% of this can be provided by EPA or DHA. To achieve recommended ALA intakes, food sources including flaxseed and flaxseed oil, walnuts and walnut oil, and canola oil are recommended. The evidence base supports a dietary recommendation of approximately 500 mg/d of EPA and DHA for cardiovascular disease risk reduction. For treatment of existing cardiovascular disease, 1 g/d is recommended. These recommendations have been embraced by many health agencies worldwide. A dietary strategy for achieving the 500-mg/d recommendation is to consume 2 fish meals per week (preferably fatty fish). Foods enriched with EPA and DHA or fish oil supplements are a suitable alternate to achieve recommended intakes and may be necessary to achieve intakes of 1 g/d.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“on average, North American adults eat <1 serving per week of fish/seafood; thus, the mean intake of DHA+EPA in the United States (US) is only ~100 mg/d114.”
From Effects of Omega-3 Fatty Acid Treatment on Risk for Atrial Fibrillation: An Updated Meta-Analysis of 35 Trials including 114 592 Individuals (2026) · cites this paper as [114]
In the citing paper
“Recently, algae have been cultivated to preferentially produce DHA and their oil has been extracted to make supplements (13,14).”
In the citing paper
“Comparatively, U.S. consumption of total polyunsaturated fatty acids and ALA are around 6–7% and 0.6–0.7% of total energy intake, respectively[382,383].”
From Enterosalivary nitrate metabolism and the microbiome: Intersection of microbial metabolism, nitric oxide and diet in cardiac and pulmonary vascular health (2017) · cites this paper as [383]
Citations
Cites
Trumbo, P., Schlicker, S., Yates, A. A., & Poos, M. (2002) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(02)90346-9 · Cited by 5,993
Diet, nutrition and the prevention of chronic diseases
Joint, W. (2002) · Medical Entomology and Zoology · Cited by 4,890
Fish Consumption, Fish Oil, Omega-3 Fatty Acids, and Cardiovascular Disease
Kris-Etherton, P. M., Harris, W. S., & Appel, L. J. (2002) · Circulation · doi:10.1161/01.cir.0000038493.65177.94 · Cited by 3,707
Self-citationde Lorgeril, M., Salen, P., Martin, J.-L., Monjaud, I., Delaye, J., & Mamelle, N. (1999) · Circulation · doi:10.1161/01.cir.99.6.779 · Cited by 2,910
Burr, M. L., Gilbert, J. F., Holliday, R. M., Elwood, P. C., Fehily, A. M., Rogers, S., Sweetnam, P. M., & Deadman, N. M. (1989) · The Lancet · doi:10.1016/s0140-6736(89)90828-3 · Cited by 2,610
Diet, Nutrition, and the Prevention of Chronic Diseases
Zimmermann, M. B. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/60.4.644a · Cited by 2,131
Management of acute myocardial infarction in patients presenting with ST-segment elevation
de Werf, F. V. (2003) · European Heart Journal · doi:10.1016/s0195-668x(02)00618-8 · Cited by 1,442
Fish and Omega-3 Fatty Acid Intake and Risk of Coronary Heart Disease in Women
Hu, F. B. (2002) · JAMA · doi:10.1001/jama.287.14.1815 · Cited by 1,018
Fish Consumption and Risk of Sudden Cardiac Death
Albert, C. M. (1998) · JAMA · doi:10.1001/jama.279.1.23 · Cited by 990
The health benefits of omega‐3 polyunsaturated fatty acids: a review of the evidence
Ruxton, C. H. S., Reed, S. C., Simpson, M. J. A., & Millington, K. J. (2004) · Journal of Human Nutrition and Dietetics · doi:10.1111/j.1365-277x.2004.00552.x · Cited by 957
Neuringer, M. D., CONNOR, W. E., Lin, D. S., Barstad, L., & Luck, S. (1986) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.83.11.4021 · Cited by 914
Fish consumption and the 30-year risk of fatal myocardial infarction
Daviglus, M. L., Stamler, J., Orencia, A. J., Dyer, A. R., Liu, K., Greenland, P., Walsh, M. K., Morris, D., & Shekelle, R. B. (1997) · New England Journal of Medicine · doi:10.1056/nejm199704103361502 · Cited by 902
Global Assessment of Organic Contaminants in Farmed Salmon
Hites, R. A., Foran, J. A., Carpenter, D. O., Hamilton, M. C., Knuth, B. A., & Schwager, S. J. (2004) · Science · doi:10.1126/science.1091447 · Cited by 856
Bucher, H. C., Hengstler, P., Schindler, C., & Meier, G. (2002) · The American Journal of Medicine · doi:10.1016/s0002-9343(01)01114-7 · Cited by 823
Dietary fat and risk of coronary heart disease in men: cohort follow up study in the United States
Ascherio, A., Rimm, E. B., Giovannucci, E. L., Spiegelman, D. L., Stampfer, M. J., & Willett, W. C. (1996) · BMJ · doi:10.1136/bmj.313.7049.84 · Cited by 733
Mercury, Fish Oils, and the Risk of Myocardial Infarction
Güallar, E., Sanz-Gallardo, M. I., Veer, P. V., Bode, P., Aro, A., Gómez-Aracena, J., Kark, J. D., Riemersma, R. A., Martin-Moreno, J. M., & Kok, F. J. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa020157 · Cited by 714
Dietary omega-3 fatty acid deficiency and visual loss in infant rhesus monkeys.
Neuringer, M., CONNOR, W. E., Petten, C. V., & Barstad, L. (1984) · Journal of Clinical Investigation · doi:10.1172/jci111202 · Cited by 645
Pietinen, P., Ascherio, A., Korhonen, P. A., Hartman, A. M., Willett, W. C., Albanes, D., & Virtamo, J. R. K. (1997) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009047 · Cited by 560
Iso, H., Kobayashi, M., Ishihara, J., Sasaki, S., Okada, K., Kita, Y., Kokubo, Y., & Tsugane, S. (2006) · Circulation · doi:10.1161/circulationaha.105.581355 · Cited by 557
A case of human linolenic acid deficiency involving neurological abnormalities
Holman, R., Johnson, S., & Hatch, T. (1982) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/35.3.617 · Cited by 533
Dietary intake of α-linolenic acid and risk of fatal ischemic heart disease among women
Hu, F. B., Stampfer, M. J., Manson, J. E., Rimm, E. B., Wolk, A., Colditz, G. A., Hennekens, C. H., & Willett, W. C. (1999) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/69.5.890 · Cited by 522
Dolecek, T. A. (1992) · Experimental Biology and Medicine · doi:10.3181/00379727-200-43413 · Cited by 410
Lack of benefit of dietary advice to men with angina: results of a controlled trial
Burr, M. L., Ashfield-Watt, P. A. L., Dunstan, F. D. J., Fehily, A. M., Breay, P., Ashton, T., Zotos, P. C., Haboubi, N. A. A., & Elwood, P. C. (2003) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601539 · Cited by 409
Importance of the Ratio of Omega-6/Omega-3 Essential Fatty Acids: Evolutionary Aspects
Simopoulos, A. P. (2003) · KARGER eBooks · doi:10.1159/000073788 · Cited by 407
Essentiality of and Recommended Dietary Intakes for Omega-6 and Omega-3 Fatty Acids
Simopoulos, A. P., Leaf, A., & Salem, N. (1999) · Annals of Nutrition and Metabolism · doi:10.1159/000012777 · Cited by 404
Lemaître, R. N., King, I. B., Mozaffarian, D., Kuller, L. H., Tracy, R. P., & Siscovick, D. S. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.2.319 · Cited by 395
Yamamoto, N., Saitoh, M., Moriuchi, A., Nomura, M., & Okuyama, H. (1987) · Journal of Lipid Research · doi:10.1016/s0022-2275(20)38713-7 · Cited by 383
Raitt, M. H., Connor, W. E., Morris, C., Kron, J., Halperin, B., Chugh, S. S., McClelland, J., Cook, J., MacMurdy, K., Swenson, R., et al. (2005) · JAMA · doi:10.1001/jama.293.23.2884 · Cited by 371
A Possible Essential Role for Dietary Linolenic Acid in the Development of the Young Rat
Lamptey, M. S., & Walker, B. L. (1976) · Journal of Nutrition · doi:10.1093/jn/106.1.86 · Cited by 365
Prevention of fatal arrhythmias in high-risk subjects by fish oil n-3 fatty acid intake
Leaf, A., Albert, C. M., Josephson, M., Steinhaus, D., Kluger, J., Kang, J. X., Cox, B., Zhang, H., & Schoenfeld, D. (2005) · Circulation · doi:10.1161/circulationaha.105.549527 · Cited by 364
Allhoff, P., Laaser, U., & Heinrich, J. (1991) · Springer eBooks · doi:10.1007/978-3-642-95642-3_32 · Cited by 333
Membrane Fatty Acids Associated with the Electrical Response in Visual Excitation
Benolken, R. M., Anderson, R. E., & Wheeler, T. G. (1973) · Science · doi:10.1126/science.182.4118.1253 · Cited by 321
Spector, A. A. (1999) · Lipids · doi:10.1007/bf02562220 · Cited by 310
Global Assessment of Polybrominated Diphenyl Ethers in Farmed and Wild Salmon
Hites, R. A., Foran, J. A., Schwager, S. J., Knuth, B. A., Hamilton, M. C., & Carpenter, D. O. (2004) · Environmental Science & Technology · doi:10.1021/es049548m · Cited by 298
Dolecek, T. A., & Grandits, G. (2015) · World review of nutrition and dietetics · doi:10.1159/000419291 · Cited by 286
Davis, B. C., & Kris‐Etherton, P. M. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.3.640s · Cited by 286
Self-citationProblems with essential fatty acids: time for a new paradigm?
Cunnane, S. C. (2003) · Progress in Lipid Research · doi:10.1016/s0163-7827(03)00038-9 · Cited by 252
Rosell, M. S., Lloyd-Wright, Z., Appleby, P. N., Sanders, T. A., Allen, N. E., & Key, T. J. (2005) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/82.2.327 · Cited by 247
Brouwer, I. A., Katan, M., & Zock, P. L. (2004) · Journal of Nutrition · doi:10.1093/jn/134.4.919 · Cited by 237
Djoussé, L., Pankow, J. S., Eckfeldt, J. H., Folsom, A. R., Hopkins, P. N., Province, M. A., Hong, Y., & Ellison, R. C. (2001) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/74.5.612 · Cited by 233
Ferrer, S. L., Baucells, M. D., Barroeta, A. C., & Grashorn, M. A. (2001) · Poultry Science · doi:10.1093/ps/80.6.741 · Cited by 226
Simopoulos, A. P. (1989) · Journal of Nutrition · doi:10.1093/jn/119.4.521 · Cited by 214
Ursin, V. M. (2003) · Journal of Nutrition · doi:10.1093/jn/133.12.4271 · Cited by 206
Enriched Eggs as a Source of N-3 Polyunsaturated Fatty Acids for Humans
Lewis, N. M., SEBURG, S., & Flanagan, N. (2000) · Poultry Science · doi:10.1093/ps/79.7.971 · Cited by 201
Erkkilä, A. T., Lehto, S., Pyörälà, K., & Uusitupa, M. I. J. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.1.65 · Cited by 201
Zhang, J., Sasaki, S., Amano, K., & Kesteloot, H. (1999) · Preventive Medicine · doi:10.1006/pmed.1998.0472 · Cited by 192
Fish Consumption and Stroke Risk in Elderly Individuals: The Cardiovascular Health Study
Mozaffarian, D. (2005) · Archives of Internal Medicine · doi:10.1001/archinte.165.2.200 · Cited by 183
Leskanich, C. O., Matthews, K. R., Warkup, C. C., Noble, R. C., & Hazzledine, M. J. (1997) · Journal of Animal Science · doi:10.2527/1997.753673x · Cited by 162
Blanchet, C., Lucas, M., Julien, P., Morin, R. P., Gingras, S., & Dewailly, É. (2005) · Lipids · doi:10.1007/s11745-005-1414-0 · Cited by 156
Bjerve, K. S., Mostad, I. L., & Thoresen, L. (1987) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/45.1.66 · Cited by 155
Dietary intake of fats and fatty acids for the United States population: 1999-2000.
Ervin, R. B., Wright, J. D., Wang, C., & Kennedy‐Stephenson, J. (2004) · PubMed · Cited by 152
New products from the agri‐food industry: The return of n‐3 fatty acids into the food supply
Simopoulos, A. P. (1999) · Lipids · doi:10.1007/bf02562324 · Cited by 147
Rodríguez, B. L., Sharp, D. S., Abbott, R. D., Burchfiel, C. M., Masaki, K., Chyou, P., Huang, B., Yano, K., & Curb, J. D. (1996) · Circulation · doi:10.1161/01.cir.94.5.952 · Cited by 131
Omega 3-Fatty Acids: Health Benefits and Cellular Mechanisms of Action
Siddiqui, R. A., Shaikh, S. R., Sech, L., Yount, H., Stillwell, W. H., & Zaloga, G. P. (2004) · Mini-Reviews in Medicinal Chemistry · doi:10.2174/1389557043403431 · Cited by 130
Oomen, C. M., Ocké, M. C., Feskens, E. J. M., Kok, F. J., & Kromhout, D. (2001) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/74.4.457 · Cited by 125
Yamaguchi, N., Gazzard, D., Scholey, G., & Macdonald, D. W. (2002) · Chemosphere · doi:10.1016/s0045-6535(02)00482-4 · Cited by 120
Fish oil supplementation: evidence for health benefits.
Harris, W. S. (2004) · Cleveland Clinic Journal of Medicine · doi:10.3949/ccjm.71.3.208 · Cited by 120
Self-citationBjerve, K. S., Fischer, S., & Alme, K. (1987) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/46.4.570 · Cited by 118
Yokoyama, M., & Origasa, H. (2003) · American Heart Journal · doi:10.1016/s0002-8703(03)00367-3 · Cited by 117
Apports nutritionnels conseillés pour la population française
Dupin, H., Jean, A., & Isméne, G. (2017) · Cited by 114
Fish Consumption and Stroke in Men
Orencia, A. J., Daviglus, M. L., Dyer, A. R., Shekelle, R. B., & Stamler, J. (1996) · Stroke · doi:10.1161/01.str.27.2.204 · Cited by 111
Foran, S. E., Flood, J. G., & Lewandrowski, K. B. (2003) · Archives of Pathology & Laboratory Medicine · doi:10.5858/2003-127-1603-momlic · Cited by 110
Osler, M. (2003) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(02)00600-5 · Cited by 104
Tuna fishmeal as a source of DHA for n−3 PUFA enrichment of pork, chicken, and eggs
Howe, P. R. C., Downing, J. A., Grenyer, B. F. S., Grigonis-Deane, E., & Bryden, W. L. (2002) · Lipids · doi:10.1007/s11745-002-1002-3 · Cited by 101
Scollan, N. D., Enser, M., Gulati, S. K., Richardson, R. I., & Wood, J. D. (2003) · British Journal Of Nutrition · doi:10.1079/bjn2003933 · Cited by 97
Dietary reference intakes: energy, proteins, fats and digestible carbohydrates
van den Brandt, P. A. (2001) · Research Publications (Maastricht University) · Cited by 93
Natvig, H., Borchgrevink, C. F., Dedichen, J., OWREN, P. A., Schiøtz, E. H., & Westlund, K. (1968) · PubMed · Cited by 87
Polychlorinated Biphenyls in Salmon and Salmon Feed: Global Differences and Bioaccumulation
Carlson, D. L., & Hites, R. A. (2005) · Environmental Science & Technology · doi:10.1021/es048023r · Cited by 81
Gillum, R. F., Mussolino, M. E., & Madans, J. H. (2000) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(99)00149-3 · Cited by 74
Effect of Cooking on the Loss of Persistent Organic Pollutants from Salmon
Bayen, S., Barlow, P. J., Lee, H. K., & Obbard, J. P. (2005) · Journal of Toxicology and Environmental Health · doi:10.1080/15287390590895126 · Cited by 72
Melanson, S. F., Lewandrowski, E. L., Flood, J. G., & Lewandrowski, K. B. (2005) · Archives of Pathology & Laboratory Medicine · doi:10.5858/2005-129-74-mooico · Cited by 71
Kitessa, S. M., Gulati, S. K., Simos, G. C., Ashes, J. R., Scott, T. W., Fleck, E., & WYNN, P. C. (2004) · British Journal Of Nutrition · doi:10.1079/bjn20031050 · Cited by 70
American Heart Association Scientific Sessions
Winkelmann, B. R. (2004) · Expert Opinion on Investigational Drugs · doi:10.1517/13543784.13.4.435 · Cited by 64
Health benefits of omega-3 fatty acids
Ruxton, C. H. S. (2004) · Nursing Standard · doi:10.7748/ns2004.08.18.48.38.c3668 · Cited by 56
The 2005 Dietary Guidelines Advisory Committee Report
Weaver, C. M., Nicklas, T. A., & Britten, P. (2005) · Nutrition Today · doi:10.1097/00017285-200505000-00003 · Cited by 47
On the demonstration of omega-3 essential-fatty-acid deficiency in humans
Anderson, G. J., & CONNOR, W. E. (1989) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/49.4.585 · Cited by 44
Dietary [omega] 3 and [omega] 6 fatty acids : biological effects and nutritional essentiality
Effects, F. A. B., Essentiality, N., Galli, C., & Simopoulos, A. P. (1989) · Plenum Press eBooks · Cited by 38
The impact of the changing fatty acid profile of fats on diet assessment and health
Kris‐Etherton, P. M., & Etherton, T. D. (2003) · Journal of Food Composition and Analysis · doi:10.1016/s0889-1575(03)00052-8 · Cited by 25
Self-citationLinolenic Acid Deficiency In Man
Holman, R. T., & Johnson, S. B. (2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.1982.tb05292.x · Cited by 23
Health benefits of omega-3 fatty acids
Ruxton, C. H. S. (2004) · Nursing Standard · doi:10.7748/ns.18.48.38.s55 · Cited by 22
Research works printed but not linked: 3
- 1999, Gruppo Italiano per lo Studio della Sopravvivenza nellInfarto miocardico, Lancet, 354, 447
- 2004, Recommendations for intake of polyunsaturated fatty acids in healthy adults.
- 2004, What you need to know about mercury in fish and shellfish.
Cited by
Sorted by citations
Hodson, L., Skeaff, C. M., & Fielding, B. A. (2008) · Progress in Lipid Research · doi:10.1016/j.plipres.2008.03.003 · Cited by 1,344
Saini, R. K., & Keum, Y. (2018) · Life Sciences · doi:10.1016/j.lfs.2018.04.049 · Cited by 1,371
Trends in the Use of Complementary Health Approaches Among Adults in the United States
Jackson, C. (2015) · Holistic Nursing Practice · doi:10.1097/hnp.0000000000000088 · Cited by 1,174
Red meat consumption: An overview of the risks and benefits
Yeates, A. J., McSorley, E. M., Cuskelly, G. J., MOSS, B. W., Wallace, J. M. W., Bonham, M. P., & Fearon, A. M. (2009) · Meat Science · doi:10.1016/j.meatsci.2009.08.029 · Cited by 839
Omega-3 long-chain polyunsaturated fatty acids and aquaculture in perspective
Tocher, D. R. (2015) · Aquaculture · doi:10.1016/j.aquaculture.2015.01.010 · Cited by 784
Metadata
- Authors
- Gebauer, S. K., Psota, T. L., Harris, W. S., & Kris-Etherton, P. M.
- Affiliations
- Pennsylvania State University (US)
- Venue
- The American Journal of Clinical Nutrition
- Publisher
- Elsevier BV
- Published
- 2006-06
- Volume
- 83
- Issue
- 6
- Pages
- 1526S-1535S
- ISSN
- 0002-9165 (ISSN-L)
- OpenAlex
- W1858298699
- Cited by
- 642
- References
- 83
- Citations by year
- 2026: 12 · 2025: 21 · 2024: 18 · 2023: 23 · 2022: 22 · 2021: 29 · 2020: 39 · 2019: 31 · 2018: 30 · 2017: 32 · 2016: 42 · 2015: 23 · 2014: 51 · 2013: 41 · 2012: 44
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- American Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Life Sciences › Agricultural and Biological Sciences › Aquatic Science › Aquaculture Nutrition and Growth
- Keywords
- omega-3 fatty acids, dietary recommendations, alpha-linolenic acid, eicosapentaenoic acid, docosahexaenoic acid, cardiovascular disease prevention, cardiovascular disease treatment, fish oil supplements, fatty fish consumption, flaxseed, Juglans regia, canola oil, omega-3 deficiency, nutritional adequacy
- MeSH terms
- Cardiovascular Diseases, Fish Oils, Food Analysis, Food, Fortified, Humans, Nutritional Requirements, Fatty Acids, Omega-3, Epidemiologic Studies, Randomized Controlled Trials as Topic, Seafood, Nutrition Policy, Evidence-Based Medicine, Dietary Supplements
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review