Science in Action: Omega-3 (simple reaction time)

A friend who has known me for years said I became more talkative recently — around the time I started taking flaxseed oil. In the letter-counting task I have been using, there is an increase in error rate at the same time that flaxseed oil is reducing reaction time — I become more “jumpy”. It is as if flaxseed oil lowers a threshold for action.

Maybe I could measure this. Following some of Greg’s principles, I devised what experimental psychologists call a simple reaction time task: I see colored circles on my laptop screen and press a key on the keyboard as quickly as possible when a circle appears. The computer beeps 0-4 times depending on how fast I respond.

With the letter-counting task, I kept improving for at least 100 sessions. With this task, I stopped improving (getting faster) after about 2 sessions. I took 4 T flaxseed oil around 2 pm and measured my reaction time before and after. Here are the results.

flaxseed oil and simple reaction time

My reaction time decreased with roughly the time course I’d seen in other tests. The percentage decrease was unsurprisingly small but it was quite clear. It was hard to tell how long it lasted.

I was impressed how easy the whole thing was. It only took about an hour to write the experiment-running program (because I could modify something I already had) and the necessary pretraining (learning the task) was trivial (a few minutes, in contrast to weeks with the letter-counting task). I’m unsure how much follow-up of this I will do but it was reassuring to find similar results (flaxseed oil improves performance) in another task.

Omega-3 and Plagiarism

The news page of Linkoping University, in Sweden, has two articles that greatly interest me. One is about a surprising effect of omega-3 supplements:

One-year-olds whose mothers had ingested fish oil during pregnancy and breastfeeding had considerably fewer allergic reactions than children whose mothers did not take this supplement.

The other is about a case of extreme plagiarism: An entire material-science paper was copied, almost word for word, from PNAS. Into Madness has a nice comment:

Regarding the main authors, there seems to be a Nepali element involved! Sounds like a case for Father Brown. . . . Some Engineering students at Anna University [where two of the four authors of the paper that is a copy came from] who I talked to were not aware of this until they read the blogs. There have been no newspaper reports in India (as far as I know). How and when Anna University will react to this incident will be interesting to watch.

I agree. In the 1990s, when (a) Ranjit Chandra’s research assistant came forward and said “this research couldn’t have been done” and (b) Chandra could not produce the data, it was obvious that something was seriously wrong. Yet Memorial University, Chandra’s employer, gave Chandra a tap on the wrist.

A curious feature of this case is that two co-authors claim they are innocent:

Tom Mathews, doctor at the Indira Gandhi center for nuclear research in India and one of the four researchers named as authors, distances himself from the article in an email to DN [= Swedish newspaper]. So does Roshan Bokalawela, graduate student at the University of Oklahoma in the USA.

What Causes Heart Attacks? (continued)

Uffe Ravnskov, a Swedish doctor, wrote a paper titled “Is atherosclerosis caused by high cholesterol?” (An admirably clear title.) His answer was no. He submitted it to a medical journal. One of his empirical points was that there was no relationship between cholesterol level and atherosclerosis growth. One reviewer commented:

Lack of relationship can be explained by more factors that only absence of it: small numbers, incorrect or indirect measurements of variables of interest, imprecision in measurement, confounding factors, etc.

To which Ravnskov replied:

If it is impossible to find exposure-response between changes of blood cholesterol and atherosclerosis growth in 22 studies including almost 2500 individuals a relationship between the two, if any, must be trivial.

Which sounds reasonable. But an even larger number of clinical trials failed to find clear evidence that omega-3 supplementation reduces heart disease. Yet I am sure that, with a large enough dose, it does.

Most people believe clinical trials, which are usually double-blind when possible and placebo-controlled. “The gold standard,” they are called. Science writer Gary Taubes, for example, believes them: When the results of a clinical trial contradicted a survey result, he believed the clinical trial. His recent NY Times magazine article was based on the assumption that clinical trials are trustworthy. This is such an article of faith that he gave no evidence for it.

That the heart disease clinical trials failed to clearly show benefits of omega-3 supplementation had large and unfortunate consequences. Not only because heart disease is the leading cause of death in many places, including America, but also because I am sure proper omega-3 supplementation would reduce many other problems, including falls, memory loss, gum disease, and other diseases of too much inflammation.

I don’t know why the big clinical trials failed to point clearly in the right direction. I can think of several possibilities:

1. Too large. Hard to control quality — verify data, for example. People near the bottom doing the work have little stake in accuracy of the outcome.

2. Poor compliance. If you are taking the placebo, why bother? And the odds are fifty-fifty you are. Lots of people have trouble following SLD, which obviously works.

3. Degradation. My belief that omega-3 is powerful comes from experiments (mine) and examples involving flaxseed oil. Flax grows at room temperature. The heart disease studies used fish oil; fish live in cold water. The omega-3 fats in fish oil may degrade at room temperature. The omega-3 fat in flaxseed oil may be far more stable at room temperature.

4. Wrong dose. Self-experimentation made it easy for me to figure out the correct dosage. People studying heart disease had no similar data to guide them. They could not realistically expect people to consume as much fish oil as the Eskimos whose rate of heart disease was so low.

5. Too sure. Self-experimentation encourages skepticism about one’s results because new experiments are easy to do. If I can think of reasons to doubt my results so far, that’s a good excuse for a new experiment. The more experiments the better. Each one is easy; I just need a good story line, a good reason for each one. Whereas if you are doing an experiment that cannot be repeated, any skepticism about it — e.g., about accuracy of measurements — is discouraged: It would cast doubt on the whole enterprise.

Joyce Cohen Gets Her Teeth Cleaned

A few months ago, Joyce Cohen, who writes The Hunt column for the NY Times Real Estate section, started drinking 2 tablespoons of flaxseed oil every day. She began after talking with me and because of stuff posted here. Yesterday she went to the dentist for the first time since she started drinking it.

“Jane the hygienist said my gums were in great shape — better than ever,” she wrote me. Meaning the best they’d ever been.

“What’s funny is you can’t FEEL good gums from inside your mouth, but I take her word for it.” The hygienist said that although she was scraping and scraping, there was no bleeding.

Joyce started with Spectrum Organic flaxseed oil without lignans but later switched to the oil with lignans. She despises the taste but finds it is most palatable mixed with yogurt.

My dental story. Tyler Cowen’s story.

What Causes Heart Attacks?

On the latest episode of the excellent TV show Mad Men, which takes place in 1960, a man who has just had a heart attack says, “Did everything they told me. Drank the cream. Ate the butter.” A humorous comment on how ideas change. Now, of course, many people — possibly including the screenwriter — think eating cream and butter causes heart attacks. After a year studying omega-3s, I’m sure it wasn’t the amount of fat that caused the high-fat diet/heart attack correlation, it was the type of fat (low in omega-3). Cream and butter would have been fine if the cows’ food contained plenty of omega-3.

For decades we’ve been told that cream and butter and other animal fats “clog your arteries”. It’s like a well-known experiment with split-brain patients. The patient chooses a card based on what he sees on a screen. The two hemispheres see different things. In one particular trial, the right hemisphere saw a picture of snow on the screen and picked out a card with a picture of a shovel. The left hemisphere saw a chicken claw. The left hemisphere controls speech. When the patient was asked to explain the choice, he said, “You need a shovel to clean out the chicken coop.” This happened again and again: The left hemisphere did not know why a card had been chosen but rather than saying “I don’t know” it confidently made up an explanation. Keep this in mind the next time you hear an explanation.

Studies to see if omega-3 supplementation reduces heart attacks have had ambiguous results, as Marion Nestle said. Why am I so sure that lack of omega-3 is the problem? (So sure that I no longer worry about my cholesterol.) 1. There is lots of evidence that heart attacks are due to inflammation. 2. There is lots of evidence that omega-3 fats are anti-inflammatory. 3. Eskimos had very low rates of heart disease and ate a diet high in omega-3 fats. 4. Many studies have correlated heart attack risk with gum disease. 5. My self-experimentation showed beyond any doubt that omega-3 supplementation makes the brain work better. It also showed what effective dosages are. 6. When Tyler Cowen took an effective dose, his gum disease quickly disappeared. Everyone — everyone who thinks about this stuff — knows #1-#4. It is #5 and #6 that are new and complete the chain of reasoning. I believe #6 is as meaningful as the observation that scurvy is quickly cured by lime juice.

In the 1930s, a dentist named Weston Price went all over the world looking at people’s gums. He wanted to compare modern diets with traditional diets. When his subjects ate a modern diet, he found gum disease. When they ate a traditional diet, their gums were fine even when they never brushed their teeth. In a few cases, such as an isolated group of Swiss mountain people, the traditional diets contained lots of butter and cream — from grass-fed cows. My gums vastly improved after I started taking good amounts of omega-3 (via flaxseed oil). After I reread Weston Price recently, I stopped being so careful about flossing and brushing. It hasn’t made a difference. In the past, my gums would bleed when I flossed unless I flossed daily. Now I floss rarely but they don’t bleed. I’m sure my whole circulatory system is in better shape.

A Clinical Trial of Fish Oil

A big study of the effects of fish oil is taking place at Ohio State University. From its website:

The beneficial effects of fish oil (or eating fish more frequently) include reductions in triglycerides, blood pressure, and heart rate, as well as increases in HDL cholesterol, the “good” type of cholesterol. In addition, certain aspects of immune function also appear to show favorable responses to fish oil supplementation, and some studies suggest that fish oil helps to improve mood and decrease depression. This study is designed to examine how supplementation with omega-3 polyunsaturated fatty acids (key fish oil components) affects aspects of your immune response, and your mood; because some research suggests that people who eat more fish may do better during stressful times, the study will also examine how fish oil affects your immune response to stress, certain stress hormone responses, and your psychological response to stress.

I was especially curious how they are measuring brain function. Here’s how:

At Visit 1 and Visit 5 [16 weeks after Visit 1] only, you will be asked to perform various tasks for about 20 minutes; these will include making a short speech and computing arithmetic problems without pencil or paper in the presence of other research team members. You will be audiotaped while you complete these tasks. . . At Visit 1 and Visit 5 only, the researchers will administer short tests that measure aspects of memory and concentration to see if the fish oil supplements have positive effects on learning and memory. For example, you might be asked to memorize several words, and then you would be asked which of the words you remember several minutes later.

Each subject participates for 24 weeks. The study, which started in 2006, is supposed to end in 2010, with 138 subjects in two groups (69 per group).

Tyler Cowen’s experience with flaxseed oil implies that omega-3 supplementation can dramatically reduce inflammation within a few weeks. My research shows that omega-3 supplementation can improve brain function within a few hours. This study appears to be much larger than necessary.

Marion Nestle on Omega-3s

In a January 2007 New York Times article about adding omega-3s to food, Marion Nestle, the NYU nutrition professor, said this:

My experience in nutrition is that single nutrients rarely produce miracles. But it’s also been my experience that companies will put anything in their food if they think the extra marketing hype will help them sell more of it.

I was critical. The single nutrients called vitamins produce miraculous improvements in vitamin-deficiency diseases. In the current issue of Scientific American, Nestle is more accurate:

In the early 1970s Danish investigators observed surprisingly low frequencies of heart disease among indigenous populations in Greenland that typically ate fatty fish, seals and whales. The re­searchers attributed the protective effect to the foods’ content of omega-3 fatty acids. Some subsequent studies—but by no means all—confirm this idea.

Because large, fatty fish are likely to have accumulated methylmercury and other toxins through predation, however, eating them raises questions about the balance between benefits and risks. Understandably, the fish industry is eager to prove that the health benefits of omega-3s outweigh any risks from eating fish. [A mysterious sentence. Perhaps something was lost in the editing.]

Even independent studies on omega-3 fats can be interpreted differently. In 2004 the National Oceanic and Atmospheric Administration—for fish, the agency equivalent to the USDA—asked the Institute of Medicine (IOM) to review studies of the benefits and risks of consuming seafood. The ensuing review of the research on heart disease risk illustrates the challenge such work poses for interpretation.

The IOM’s October 2006 report concluded that eating seafood reduces the risk of heart disease but judged the studies too inconsistent to decide if omega-3 fats were responsible. In contrast, investigators from the Harvard School of Public Health published a much more positive report in the Journal of the American Medical Association that same month. Even modest consumption of fish omega-3s, they stated, would cut coronary deaths by 36 percent and total mortality by 17 percent, meaning that not eating fish would constitute a health risk.

Differences in interpretation explain how distinguished scientists could arrive at such different conclusions after considering the same studies. The two groups, for example, had conflicting views of earlier work published in March 2006 in the British Medical Journal. That study found no overall effect of omega-3s on heart disease risk or mortality, although a subset of the original studies displayed a 14 percent reduction in total mortality that did not reach statistical significance. The IOM team interpreted the “nonsignificant” result as evidence for the need for caution, whereas the Harvard group saw the data as consistent with studies reporting the benefits of omega-3s.

I would have described benefits of omega-3 for which the evidence is clearer, as is done in the cover story about omega-3 in the current issue of Ode. Nabokov called Salvador Dali “Norman Rockwell’s twin brother, kidnapped by gypsies in babyhood.” I think of Ode, which put a Dali lookalike on its July/August 2005 cover, and Spy as linked like that.

Fish and Pregnancy Danger

An article in the latest issue of the American Journal of Epidemiology reports a correlation between fish consumption and worse pregnancy outcomes. It was done in Denmark. Mothers who had eaten fish four or more times per month during their pregnancy had babies that were less healthy on several measures of fetal growth than mothers who had not eaten fish.

The differences were small; they required a sample of about 40,000 women to detect. However, they are convincing partly because this effect was found for only fatty-fish consumption. For lean fish, the results were quite different. Organic pollutants accumulate in fat; mercury accumulates in protein, so these results are more likely due to organic pollutants than to mercury.

A reason to get one’s omega-3 from flaxseed oil rather than lots of fish or fish oil.

Earlier post about a study that found beneficial effects of pregnant women eating fish.

Reference: Is High Consumption of Fatty Fish during Pregnancy a Risk Factor for Fetal Growth Retardation? A Study of 44,824 Danish Pregnant Women. Th. I. Halldorsson, HM Meltzer, I Thorsdottir, V Knudsen, and SF Olsen. Am. J. Epidemiol. 2007 166: 687-696.

Science in Action: Omega-3 (more eggs)

Recently I described how, while testing flaxseed oil, I noticed that some eggs I had eaten seemed to have had a flaxseed-oil-like effect. The eggs came from grass-fed chickens; such eggs are believed to be high in omega-3. So the inference was plausible. But was it true?

To find out, I deliberately tested eggs. I used 2.5 large eggs (2 large, 1 small) to make scrambled eggs, which I ate. Here’s what happened:

Egg test reaction times

The blue line shows when I ate the eggs. The red line is the average of the pre-egg reaction times. The main result is that, as suggested by the earlier data, there was a flaxseed-oil-like effect. I’m not sure what to make of the lowest point. I had eaten half of a cheese-and-mushroom crepe before that measurement. If the crepe was digested quickly, that would have reduced reaction time. (Sugar drinks clearly do this.)

Here are the accuracy values.
egg test accuracy values

Mostly there was little change in accuracy. However, one value (90%) was very low, the lowest value in a long time. It happened before the biggest changes in reaction times. It might be due to the eggs.

My main conclusion is that yes, the eggs acted like flaxseed oil — presumably because of their omega-3. In addition, the results increase my belief that this method can measure the brain effects of ordinary food and can generate ideas worth testing.