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Pennington Nutrition Series
Healthier lives through education in nutrition and preventive medicine                                           No. 42


                                                                   Flaxseed
                                             A Review of Health Benefits
                                                    Flax (Linum usitatissimum) is a blue flowering crop that produces
                                                    small, flat seeds ranging in color from golden yellow to reddish
                                                    brown. The seeds are commonly consumed in one of three ways:
                                                    whole seed, ground seed (powder or meal), or flaxseed oil. In the
                                                    last decade, flaxseed has garnered attention due to its reported
                                                    health benefits. The American Botanical Council reported a 177%
                                                    increase in sales of flax products in 1999 alone.
                                                    Most of the benefits reported from flaxseed consumption are
                                                    believed to be due to the following three important components
                                                    found in flaxseeds, α-linolenic acid (ALA), lignans, and fiber.



     Flaxseed Oil
   Flaxseed oil differs from whole and ground flaxseed by being
   devoid of both fiber and lignans. It is a unique oil in that it is
   composed of 73% polyunsaturated fatty acids (PUFA), 18%
   monounsaturated fatty acids (MUFA) and 9% saturated fatty acids
   (SFA), making it a low-saturated fat food. It is also the richest
   known source of the omega 3 (n-3) fatty acid, ALA, which
   comprises 55% of the total fatty acids. In fact, the percent of fat as
   ALA in flaxseed oil is 5.5 times higher than the next highest
   sources, walnuts and canola oil.

                       Composition of Flaxseed Based on Serving Size of One Tablespoon
             Form of        Weight (g)       Energy      ALA (g)       Total Dietary        Soluble       SDG Content
            Flaxseed                          (kcal)                     Fiber (g)           Fiber           (mg)
          Whole Seed            11             50           2.5             3.0               0.75             8.8

          Ground Seed            8             36           1.8             2.2               0.55             6.4

          Flaxseed Oil          14             124          8.0             0.0                0.0             0.0

                         SDG, or secoisolariciresinol diglucoside, is the main lignan precursor for mammals.
Uses of Flaxseed
                              Flaxseed is most commonly used as a laxative.
                              Flaxseed is also used during menopause for hot flashes and breast
                              pain.
                              Flaxseed oil is used for various conditions including arthritis.
                              Both flaxseed and flaxseed oil have been used for high cholesterol
                              levels and in the prevention of cancer.



           Flax and Heart Disease
Flax has been suggested to protect against cardiovascular
disease (CVD). A number of mechanisms have been
proposed by which flax may exert its beneficial effects on
the cardiovascular system:
   Reducing serum cholesterol

   Reducing platelet aggregation
   Reducing inflammatory markers
                                                                        Anti-inflammatory and
   Improving glucose tolerance
                                                                        Antiplatelet Effects:
                                                                        Since atherosclerosis has been
                                                                        identified as an inflammatory
                 Clinical Trials                                        disorder, there has been much
                                                                        interest in the effect of n-3 fatty
   Hypolipidemic Effects:                                               acids on inflammation. Dietary
   The ability of whole flaxseed (or its powder) to reduce              supplementation with ALA
   cholesterol in humans has been supported in several                  significantly decreased
   studies. A review of 9 clinical trials suggests that 15-50           inflammatory markers in a study
   grams of flaxseed a day (either whole or powder) can                 in middle aged men.
   modestly reduce total and LDL cholesterol by 1.6 to 18%              Hypotensive Effects:
   in both normo– and hypertensive patients without any
                                                                        Although ALA is a precursor of
   significant effects on HDL or triglycerides.
                                                                        EPA and DHA, it may have inde-
   Flaxseed oil does not seem to be as effective in reducing            pendent effects on blood pressure
   cholesterol as whole flaxseed and flaxseed powder.                   and blood lipids.
Glucose Metabolism
     Some studies have suggested that flaxseed
     may improve glucose homeostasis. In a
     study, participants (after an overnight fast)
     were given bread made either from flaxseed
     or wheat flour. Blood glucose samples were
     taken at baseline and at 15, 30, 45 and 60
     minutes after the meal. A 28% reduction was
     observed for those who consumed bread with
     flaxseed flour compared with those who
     consumed wheat bread. Favorable effects on
     glucose metabolism observed from flax                              Flax and Cancer
     consumption was believed to be due to
     improvement in insulin sensitivity. This is likely   A strong positive relationship has been established
     due to the soluble fiber content of flax, which      between high concentrations of plasma estrogen
     may delay postprandial glucose absorption in         and an increased risk of developing breast cancer.
     the gut.                                             Counteracting the effects of estrogen with
                                                          antiestrogenic therapies decreases the incidence
                                                          and growth of invasive and noninvasive breast
                                                          cancer. However, some of the medications have
                                                          serious side effects.

                                                          Flaxseed is the richest source of the mammalian
                                                          lignan precursor secoisolariciresinol diglycoside
                                                          (SDG). SDG is converted to the lignans
                                                          enterolactone and enterodiol in the colon by
                                                          intestinal bacteria. Lignans have a very similar
                                                          chemical structure to some of the therapies available
                                                          for breast cancer, and recent research has focused
                                                          on using lignans for cancer treatment and their role
       Breast Cancer                                      in cancer prevention.

Flaxseed supplementation has shown beneficial effects on breast cancer in laboratory animals.
   In a study, mice were injected with human cancer cells and then fed a typical lab chow diet for 8 weeks.
   At 8 weeks, rats were randomly assigned into a group that continued with the chow diet or to a 10%
   flaxseed diet. At the end of the study, flax seed supplementation was shown to reduce the tumor growth
   rate and reduce metastasis by 45%.
   In another study, feeding nursing mice with a 10% flax seed diet protected the offspring from
   mammary gland tumors. When challenged with a carcinogen to induce mammary gland tumors, they
   had significantly lower incidence of tumors, tumor load, mean tumor size, and tumor number compared
   to those whose mothers had not received flaxseed supplementation.
Prostate Cancer


    Flaxseed supplementation (particularly
 ground flaxseed) has shown to be beneficial
for prostate cancer in both animal and human
   studies. The beneficial factor may be the
           lignans found in flaxseed.



                                                             The Pennington Biomedical Research Center is a world-renowned nutrition research
                                                             center.
     References
                                                             Mission:
   Donaldson M. Nutrition and cancer: a review of the
   evidence for an anti-cancer diet. Nutrition Journal.      To promote healthier lives through research and education in nutrition and preven-
                                                             tive medicine.
   2004; 3-19.
                                                             The Pennington Center has several research areas, including:
   Bloedon L, Szapary P. Flaxseed and cardiovascular risk.
   Nutrition Reviews. 2004; 62(1): 18-27.                         Clinical Obesity Research

                                                                  Experimental Obesity
   Thompson L, Chen J, Strasser-Weippl K, Goss P.
   Dietary flaxseed alters tumor biological markers in            Functional Foods
   postmenopausal breast cancer. Clin Cancer Res. 2005;
                                                                  Health and Performance Enhancement
   11(10): 3828-35.
                                                                  Nutrition and Chronic Diseases

                                                                  Nutrition and the Brain
Pennington Nutrition Series Pub No 42
11/0707                                                           Dementia, Alzheimer’s and healthy aging

Authors                                                           Diet, exercise, weight loss and weight loss maintenance

Heli J. Roy, PhD, RD                                         The research fostered in these areas can have a profound impact on healthy living
Shanna Lundy, MS                                             and on the prevention of common chronic diseases, such as heart disease, cancer,
                                                             diabetes, hypertension and osteoporosis.
Chad Eriksen, BA
                                                             The Division of Education provides education and information to the scientific com-
Beth Kalicki
                                                             munity and the public about research findings, training programs and research
Division of Education                                        areas, and coordinates educational events for the public on various health issues.
Phillip Brantley, PhD, Director
                                                             We invite people of all ages and backgrounds to participate in the exciting research
Pennington Biomedical Research Center                        studies being conducted at the Pennington Center in Baton Rouge, Louisiana. If you
Claude Bouchard, PhD, Executive Director                     would like to take part, visit the clinical trials web page at www.pbrc.edu or call
                                                             (225) 763-3000.
Edited : October 2009

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Health benefits of Flaxseed

  • 1. Pennington Nutrition Series Healthier lives through education in nutrition and preventive medicine No. 42 Flaxseed A Review of Health Benefits Flax (Linum usitatissimum) is a blue flowering crop that produces small, flat seeds ranging in color from golden yellow to reddish brown. The seeds are commonly consumed in one of three ways: whole seed, ground seed (powder or meal), or flaxseed oil. In the last decade, flaxseed has garnered attention due to its reported health benefits. The American Botanical Council reported a 177% increase in sales of flax products in 1999 alone. Most of the benefits reported from flaxseed consumption are believed to be due to the following three important components found in flaxseeds, α-linolenic acid (ALA), lignans, and fiber. Flaxseed Oil Flaxseed oil differs from whole and ground flaxseed by being devoid of both fiber and lignans. It is a unique oil in that it is composed of 73% polyunsaturated fatty acids (PUFA), 18% monounsaturated fatty acids (MUFA) and 9% saturated fatty acids (SFA), making it a low-saturated fat food. It is also the richest known source of the omega 3 (n-3) fatty acid, ALA, which comprises 55% of the total fatty acids. In fact, the percent of fat as ALA in flaxseed oil is 5.5 times higher than the next highest sources, walnuts and canola oil. Composition of Flaxseed Based on Serving Size of One Tablespoon Form of Weight (g) Energy ALA (g) Total Dietary Soluble SDG Content Flaxseed (kcal) Fiber (g) Fiber (mg) Whole Seed 11 50 2.5 3.0 0.75 8.8 Ground Seed 8 36 1.8 2.2 0.55 6.4 Flaxseed Oil 14 124 8.0 0.0 0.0 0.0 SDG, or secoisolariciresinol diglucoside, is the main lignan precursor for mammals.
  • 2. Uses of Flaxseed Flaxseed is most commonly used as a laxative. Flaxseed is also used during menopause for hot flashes and breast pain. Flaxseed oil is used for various conditions including arthritis. Both flaxseed and flaxseed oil have been used for high cholesterol levels and in the prevention of cancer. Flax and Heart Disease Flax has been suggested to protect against cardiovascular disease (CVD). A number of mechanisms have been proposed by which flax may exert its beneficial effects on the cardiovascular system: Reducing serum cholesterol Reducing platelet aggregation Reducing inflammatory markers Anti-inflammatory and Improving glucose tolerance Antiplatelet Effects: Since atherosclerosis has been identified as an inflammatory Clinical Trials disorder, there has been much interest in the effect of n-3 fatty Hypolipidemic Effects: acids on inflammation. Dietary The ability of whole flaxseed (or its powder) to reduce supplementation with ALA cholesterol in humans has been supported in several significantly decreased studies. A review of 9 clinical trials suggests that 15-50 inflammatory markers in a study grams of flaxseed a day (either whole or powder) can in middle aged men. modestly reduce total and LDL cholesterol by 1.6 to 18% Hypotensive Effects: in both normo– and hypertensive patients without any Although ALA is a precursor of significant effects on HDL or triglycerides. EPA and DHA, it may have inde- Flaxseed oil does not seem to be as effective in reducing pendent effects on blood pressure cholesterol as whole flaxseed and flaxseed powder. and blood lipids.
  • 3. Glucose Metabolism Some studies have suggested that flaxseed may improve glucose homeostasis. In a study, participants (after an overnight fast) were given bread made either from flaxseed or wheat flour. Blood glucose samples were taken at baseline and at 15, 30, 45 and 60 minutes after the meal. A 28% reduction was observed for those who consumed bread with flaxseed flour compared with those who consumed wheat bread. Favorable effects on glucose metabolism observed from flax Flax and Cancer consumption was believed to be due to improvement in insulin sensitivity. This is likely A strong positive relationship has been established due to the soluble fiber content of flax, which between high concentrations of plasma estrogen may delay postprandial glucose absorption in and an increased risk of developing breast cancer. the gut. Counteracting the effects of estrogen with antiestrogenic therapies decreases the incidence and growth of invasive and noninvasive breast cancer. However, some of the medications have serious side effects. Flaxseed is the richest source of the mammalian lignan precursor secoisolariciresinol diglycoside (SDG). SDG is converted to the lignans enterolactone and enterodiol in the colon by intestinal bacteria. Lignans have a very similar chemical structure to some of the therapies available for breast cancer, and recent research has focused on using lignans for cancer treatment and their role Breast Cancer in cancer prevention. Flaxseed supplementation has shown beneficial effects on breast cancer in laboratory animals. In a study, mice were injected with human cancer cells and then fed a typical lab chow diet for 8 weeks. At 8 weeks, rats were randomly assigned into a group that continued with the chow diet or to a 10% flaxseed diet. At the end of the study, flax seed supplementation was shown to reduce the tumor growth rate and reduce metastasis by 45%. In another study, feeding nursing mice with a 10% flax seed diet protected the offspring from mammary gland tumors. When challenged with a carcinogen to induce mammary gland tumors, they had significantly lower incidence of tumors, tumor load, mean tumor size, and tumor number compared to those whose mothers had not received flaxseed supplementation.
  • 4. Prostate Cancer Flaxseed supplementation (particularly ground flaxseed) has shown to be beneficial for prostate cancer in both animal and human studies. The beneficial factor may be the lignans found in flaxseed. The Pennington Biomedical Research Center is a world-renowned nutrition research center. References Mission: Donaldson M. Nutrition and cancer: a review of the evidence for an anti-cancer diet. Nutrition Journal. To promote healthier lives through research and education in nutrition and preven- tive medicine. 2004; 3-19. The Pennington Center has several research areas, including: Bloedon L, Szapary P. Flaxseed and cardiovascular risk. Nutrition Reviews. 2004; 62(1): 18-27. Clinical Obesity Research Experimental Obesity Thompson L, Chen J, Strasser-Weippl K, Goss P. Dietary flaxseed alters tumor biological markers in Functional Foods postmenopausal breast cancer. Clin Cancer Res. 2005; Health and Performance Enhancement 11(10): 3828-35. Nutrition and Chronic Diseases Nutrition and the Brain Pennington Nutrition Series Pub No 42 11/0707 Dementia, Alzheimer’s and healthy aging Authors Diet, exercise, weight loss and weight loss maintenance Heli J. Roy, PhD, RD The research fostered in these areas can have a profound impact on healthy living Shanna Lundy, MS and on the prevention of common chronic diseases, such as heart disease, cancer, diabetes, hypertension and osteoporosis. Chad Eriksen, BA The Division of Education provides education and information to the scientific com- Beth Kalicki munity and the public about research findings, training programs and research Division of Education areas, and coordinates educational events for the public on various health issues. Phillip Brantley, PhD, Director We invite people of all ages and backgrounds to participate in the exciting research Pennington Biomedical Research Center studies being conducted at the Pennington Center in Baton Rouge, Louisiana. If you Claude Bouchard, PhD, Executive Director would like to take part, visit the clinical trials web page at www.pbrc.edu or call (225) 763-3000. Edited : October 2009