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.