Nutritional
5 min read

What Is the Omega-3 Index? Cardiovascular Risk and Fish Oil | Stem Health

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Published on
22 January 2021

What Is the Omega-3 Index?

The omega-3 index measures the percentage of EPA and DHA in your red blood cell membranes. These long-chain omega-3 fatty acids are found primarily in fatty fish and fish oil.

Unlike a snapshot blood draw, RBC omega-3 levels reflect intake over the previous 4–6 months.

Why It Matters

Low omega-3 index is associated with:

  • Increased cardiovascular risk — independent of cholesterol
  • Elevated triglycerides
  • Increased inflammation
  • Cognitive decline — DHA is the dominant brain fatty acid
  • Depression

Omega-3 Index Reference Ranges

Below 4%: High cardiovascular risk. 4–8%: Intermediate risk. 8%+: Optimal (lowest cardiovascular risk).

Most North Americans test in the 4–6% range due to low fish consumption.

How to Improve Your Omega-3 Index

  • Fatty fish — salmon, sardines, mackerel; 2–3 servings per week
  • Fish oil supplementation — 2–4g/day EPA/DHA combined; triglyceride-form for better absorption
  • Algae-based omega-3 — effective alternative for non-fish eaters
  • Reducing omega-6 intake — limiting refined seed oils improves the ratio

Is the Omega-3 Index Tested in a Standard Physical?

No. Stem Health includes the omega-3 index in every Core and Horizon Assessment.

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