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with a receptor site like a key in a lock. The receptors are held
in place by phospholipids and fatty acids. If the structures of the
phospholipids and the fatty acids are damaged or are poorly formed
(changed in shape), the receptor can ’ t receive the neurotransmitter.
It ’ s partly for this reason that fatty acid supplements have been
shown to improve the action of antidepressant medications.
Diet, Fats, and Depression
In
the past century, the amounts of essential fatty acids consumed
in the typical American diet have declined by more than 80 percent
(Schmidt, 2007; Rudin, 1985). Moreover, the types of fats have
changed for the worse, with an increase in animal fats, vegetable
oils, and processed foods. The balance of fats has also changed
dramatically: although there was once a balance between omega - 6
and omega - 3, that ratio has been skewed to 30:1.
The vast reduction
in omega - 3 fatty acid consumption has occurred for the following
reasons:
•
The reduction of cereal germ (which contains essential fatty
acids) by current milling practices
•
Decreased fi sh consumption
•
A 2,500 percent increase in trans - fatty acid consumption
(which interferes with essential fatty acid synthesis)
•
A 250 percent increase in sugar intake (which interferes with
the enzymes of essential fatty acid synthesis)
•
An increase in the consumption of LA oils (corn, sesame,
saffl ower, sunfl ower)
•
The hydrogenation of oils in commercial processing
Studies throughout the world have shown that there is a link
between the levels of fatty acids and depression. For example, a
study of 3,884
patients in Rotterdam, the Netherlands, found that
the higher the ratio of omega - 6 to omega - 3, the higher the rate
of depression. The researchers concluded that an adequate level of
omega - 3 is associated with positive moods.
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114 Rew i r e
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In Melbourne, Australia, a similar correspondence was found
between the ratio of omega - 6 to omega - 3 and the incidence of
depression. As the omega - 6 level was elevated over the omega - 3
level, there was a corresponding
increase in the symptoms of
depression.
Similar results were found in a study in Belgium: people with
depression had a higher ratio of omega - 6 to omega - 3. Supplementing
one ’ s diet with omega - 3 has been a consistent recommendation in
all these studies.
An elevated level of triglycerides (a group of lipids) has also been
found to be associated with an increase in depression, whereas
lowering the triglyceride level is associated with the alleviation of
depression.
Nancy ’ s old diet is unfortunately all too common, as she pointed
out the fi rst time I met her. The relatively
recent increase in fried
foods in the American diet has created multiple health problems,
including obesity, cardiovascular problems, and compromised brain
functions.
When an unsaturated fat is heated for a long time in a metal
container, such as occurs with deep frying in fast - food restaurants,
trans - fatty acids are formed. These are altered fats. In contrast to
essential fatty acids, which are curved and fl exible and thus help the
nerve cell membranes to maintain
their electrical properties, trans -
fatty acids are straight, tend to be solid at body temperature, and act
like saturated fat. This makes them more rigid and infl exible, which
makes them interfere with the normal functional properties of the
nerve cell membranes.
Researchers have shown that when trans - fatty acids are accom-
panied by a low level of omega - 3 ALA, the absorption of trans -
fatty acids by the brain doubles. Also, when
the level of trans - fatty
acids is high, omega - 3 DHA is replaced by a poor substitute called
docosapentaenoic acid
(DPA) (Petersen and Opstvedt, 1992). This
substitution occurs with excessive alcohol consumption, excessive
omega - 6 consumption, or insuffi cient essential fatty acids (espe-
cially DHA and ALA).
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Common sources of trans - fatty acids are foods prepared with
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