Flaxseed, called linseed in some
countries, is a good source of dietary
fiber, omega-3 fatty acids, and lignans.
Each of these components may contribute to the
health effects of eating flaxseed, but flaxseed
oil contains no fiber and very little
lignan.
Where is it
found?
In
addition to its presence in flaxseed oil, small
amounts of ALA are also found in canola,
soy, black
currant, and walnut oils. Small amounts of
lignans are present in a wide variety of foods
of plant origin.
How much is usually
taken?
For
promoting bowel regularity, 1 tablespoon (15 ml)
of whole or ground flaxseed is taken one or two
times per day, accompanied by a full glass of
water. When used to treat other health
conditions, it is used in amounts of 30 to 35
grams (1 to 2 ounces) per day.
Although it is not suitable for cooking,
flaxseed oil (unlike fish oil) can be used
in salads. Some doctors recommend that people
use 1 tablespoon (15 ml) of flaxseed oil per day
as a supplement in salads or on vegetables to ensure a
supply of essential fatty acids. Some conversion
of ALA to EPA does occur,1 and this
conversion can be increased by restricting the
intake of other vegetable oils.
For
those who wish to replace fish oil with flaxseed
oil, research suggests taking up to ten times as
much ALA as EPA. Typically, this means 7.2 grams
of flaxseed oil equals 1 gram of fish oil.
However, even if taken in such high amounts,
flaxseed oil may not have the same effects as
fish oil. But, flaxseed oil will not cause a
fishy-smelling burp (a possible side effect of
fish oil).
Are there any side
effects or interactions?
Flaxseed oil toxicity has not been
reported. However, there is conflicting
information about the effect of flaxseed oil and
one of its major constituents, ALA, on
cancer risk.
While
most test tube and animal studies suggest a
possible protective role for ALA against
breast
cancer, one animal study and a preliminary
human study suggested increased breast cancer
risk from high dietary ALA. Another preliminary
human study reported that higher breast tissue
levels of ALA are associated with less advanced
breast cancer at the time of diagnosis. For
prostate cancer, a test tube study reported ALA
promoted cancer cell growth, but preliminary
human studies have shown ALA to be associated
with either an increased or decreased risk, or
no change at all.
Advocates of flaxseed oil speculate that
a potential association between ALA and cancer
may be due to the fact that meat contains ALA,
thus implicating ALA when the real culprits are
probably other components of meat. In some
studies, however, saturated fat (and therefore
probably meat) were taken into consideration,
and ALA still correlated with increased risk.
The associations between ALA and cancer might
eventually be shown to be caused by substances
found in foods rich in ALA rather than by ALA
itself. However, ALA has been reported to become
mutagenic (able to cause precancerous changes)
when heated, which concerns some
doctors.
The
effect of ALA as an isolated substance, and of
flaxseed oil on the risk of cancer in humans
remains unclear, with most animal and test tube
studies suggesting protection, and some
preliminary human trials suggesting cause for
concern. It is premature to suggest that ALA and
flaxseed oil will either cause or protect
against human cancer at this time.
Flaxseed oil is not suitable for cooking
and should be stored in an opaque, airtight
container in the refrigerator or freezer. If the
oil has a noticeable odor it is probably rancid
and should be discarded.
As with any source of fiber,
flaxseed should not be taken if there is
possibility that the intestines are obstructed.
People with scleroderma (systemic sclerosis)
should consult a doctor before using flaxseed.
Although a gradual introduction of fiber in the
diet may improve bowel symptoms in some cases,
there have been several reports of people with
scleroderma developing severe constipation and
even bowel obstruction requiring hospitalization
after fiber
supplementation.
Animal research suggests that large
amounts of flaxseed or lignans consumed during
pregnancy might adversely affect the development
of the reproductive system. No studies have
attempted to investigate whether this could be a
problem in humans.
Allergic reactions to flaxseed
have occasionally been reported, but are
considered very
uncommon.