Omega-3 Fatty Acids and Primary Care Physicians

Tripler Army Medical Center in Honolulu, HI recentlyThe researchers suggested that "reducing time
published the results of a survey concerning omega-3barriers associated with dietary counseling should be
fatty acids and primary care physicians. Specifically,explored further to increase recommendation of this
this survey looked at how frequently primary careimportant advice."
physicians in Washington State prescribed omega-3Other Barriers...
fatty acids fish oil health supplements....in January of 2006, researchers at the University of
Only 17% of the responding physicians wereMassachusetts Medical School wrote, "Physicians face
identified as "high fish prescribers". Since fish oilseveral barriers to counseling their patients about
supplements are readily available and a "prescription"nutrition, including conflicting evidence of the benefit
is not necessary, it may be that physicians feel it isof counseling, limited training and understanding of the
not necessary to recommend omega-3s to patients.topic, and imperfect and varied guidelines to follow."
But, other factors may be at play.Numerous studies have confirmed the health benefits
Time, Time, Time...of omega-3 fatty acids and primary care physicians
The majority of the physicians surveyed agreed thatshould be aware of these benefits, but since (as with
proper nutrition is important in the prevention ofpractically everything in medicine) there are conflicting
heart disease and that patients should be advisedopinions about omega-3 fatty acids, fish oil health
about dietary considerations. A little more than halfsupplements and dietary consumption of fish, the
recognized the effectiveness of omega-3 fatty acids,topic can be confusing. There are no clear-cut rules
fish oil health supplements or simply adding fish to theabout how much is too much, or about how little is
diet in "secondary prevention" of heart disease. So,effective.
why is it that fish oil is not frequently recommended?Concerns over the presence of mercury in fish make
Have you visited your primary care physician lately?it even more difficult to provide dietary
In many areas of the country, primary carerecommendations that can be applied to everyone.
physicians commonly schedule 6 or more patients perWomen of child bearing age and children need to use
hour. Meaning that the waiting room is packed andthe most care when selecting which fish to eat and
your time with your doctor may amount to littlehow often. For example, Oceans Alive, a department
more than 5 minutes.of the Environmental Defense Network, recommends
Those physicians in the survey who frequentlythat young children should never eat Atlantic salmon,
recommended fish oil also reported having more timebecause of possible mercury contamination.
to discuss the importance of diet with their patients.