It’s estimated that many people over 60 have only 40 percent of 
kidney function left. Chronic kidney disease, as it’s known, occurs 
gradually over the course of years. Risk factors include high blood 
pressure, which has devastating effects on the filtering units of the 
kidneys; diabetes; obesity; elevated blood fats, such as cholesterol and
 triglycerides; and smoking. The harm produced by those factors is 
related to damage of blood vessels in the kidneys or direct damage to 
the kidneys themselves. Much of it occurs due to a low-grade 
inflammation localized to the kidneys. Since omega-3 fatty acids, as 
found in fish oil, offer potent anti-inflammatory effects, it stands to 
reason that fish oil should also protect the kidneys, and that’s 
precisely what a recent study found.1
The researchers examined the eating habits of 2,600 people over 50. 
The primary results were that fish oil intake is inversely associated 
with the prevalence of chronic kidney disease. Just eating a lot of fish
 lowered the rate of chronic kidney disease by 32 percent. Conversely, 
taking alpha-linoleic acid, an omega-3 fatty acid precursor found in 
various vegetable sources, including flaxseed oil, increased the 
likelihood of getting chronic kidney disease by 73 percent. Although the
 protective effect mechanism of fish oil isn’t precisely established, 
several theories suggest how it occurs.
The main theory is that fish oil products protect by lowering 
inflammation in the kidneys. It does that by lowering the production of 
various inflammatory mediators, such as cytokines, and even nitric 
oxide, which in excess can damage the kidneys. Fish oil also lowers 
blood pressure, which is the major cause of kidney destruction. By 
helping to control elevated blood lipids, fish oil offers still another 
layer of protection for the kidneys. Some studies suggest that it lowers
 excessive protein excretion through the kidneys, which is a known 
harbinger of future kidney problems.
As to why alpha-linoleic acid didn’t offer any such protection, the 
authors note that ALA converts poorly into the more active omega-3 fatty
 acids, namely EPA and DHA, in the body. Even worse, consuming large 
amounts of alpha-linoleic acid may interfere with the metabolism of DHA 
though a negative-feedback mechanism, which would lower tissue 
concentrations of DHA. In addition, ALA doesn’t affect the inflammatory 
mediators as do the preformed omega-3 fats found in fish and fish oil. 
The study also found that omega-6 fatty acids, as contained in vegetable
 oils and other sources, have a negative effect on long-term kidney 
function, since they convert into pro-inflammatory mediators that can 
damage the kidneys. The good news is that omega-3 fish oil can block the
 damaging effect of excess omega-6 fats.
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1 Gopinath, B., et al. (2011). Consumption of long-chain 
N-3 PUFA, a-linoleic acid and fish is associated with the prevalence of 
chronic kidney disease. Br J Nutr. 105:1361-1368.
TRAIN WITH WAYNE 
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