Metabolomics & Nutrition OMEGA

Omega-3 Index & Fatty Acid Profile.

Complete fatty acid profiling including Omega-3, Omega-6, monounsaturated, saturated, and trans fatty acids with calculated indices and ratios. Performed by gas chromatography with flame ionisation detection (GC-FID).

Quick Reference
Method
GC-FID
Sample Types
DBS Plasma/Serum RBC
Analytes

24+ fatty acids & indices

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What does this test assess?

This method provides a comprehensive assessment of fatty acid status from a single dried blood spot, enabling evaluation of essential fatty acid intake, cardiovascular risk markers, and inflammatory balance.

Clinical indications include:

  • Cardiovascular risk assessment via Omega-3 Index
  • Evaluation of dietary fatty acid intake and supplementation efficacy
  • Assessment of inflammatory balance through Omega-6:Omega-3 and AA:EPA ratios
  • Monitoring of trans fatty acid exposure
  • Prenatal DHA status assessment for maternal and foetal health
  • Support for dietary counselling in neurological and psychiatric conditions

Measured analytes

Analyte / GroupComponentsClinical Significance
Omega-3 fatty acids ALA, EPA, DPA, DHA Anti-inflammatory; essential for cardiovascular and neurological health
Omega-6 fatty acids LA, GLA, DGLA, AA Pro-inflammatory in excess; essential in balance with Omega-3
Monounsaturated Oleic acid and others Associated with cardiovascular protection
Saturated fatty acids Palmitic, stearic, and others Structural and metabolic roles; excess linked to CVD risk
Trans fatty acids Industrial and ruminant trans fats Associated with increased cardiovascular risk
Calculated indices Omega-3 Index, Trans Fat Index, Omega-6:Omega-3 ratio, AA:EPA ratio Composite markers for clinical interpretation

About fatty acids

Fatty acids are fundamental components of cell membranes and play critical roles in energy metabolism, signal transduction, gene expression, and inflammatory regulation. The balance between different fatty acid classes — particularly Omega-3 and Omega-6 — has profound implications for cardiovascular, neurological, and immune health.

Omega-3 Index

Target 8–12% for optimal cardiovascular protection

AA:EPA Ratio

Key marker of inflammatory balance

Trans Fat Index

Lower is better; no safe threshold established

The Omega-3 Index, defined as the percentage of EPA and DHA in red blood cell membranes, has emerged as a robust biomarker for cardiovascular risk. An index below 4% is associated with the highest risk of cardiac events, while an index of 8–12% is considered cardioprotective. Unlike plasma levels, the Omega-3 Index reflects long-term dietary intake over approximately 120 days.

DHA is particularly important during pregnancy and early development, as it is critical for foetal brain and retinal development. Maternal DHA status directly influences supply to the foetus, making prenatal assessment clinically relevant.

Clinical applications

Fatty acid profiling supports evidence-based dietary counselling across a wide range of clinical scenarios, from cardiovascular prevention to neuropsychiatric support and prenatal care.

Key clinical uses
Cardiovascular risk stratification via Omega-3 Index
Monitoring fish oil and Omega-3 supplementation efficacy
Prenatal DHA assessment for maternal-foetal health
Inflammatory balance evaluation in chronic disease
Trans fat exposure monitoring
Dietary counselling support for neurological conditions

Analytical technique

The test is performed using gas chromatography with flame ionisation detection (GC-FID), the gold standard for fatty acid profiling. Fatty acid methyl esters (FAMEs) are prepared from the dried blood spot and separated on a highly polar capillary column, providing baseline resolution of individual fatty acid species including positional and geometric isomers.

Sample information

DBS collection enables convenient home sampling without venepuncture. The dried blood spot matrix reflects red blood cell membrane composition, providing a stable, long-term measure of fatty acid status rather than a snapshot of recent dietary intake.

Literature

  1. Harris WS, Von Schacky C. “The Omega-3 Index: a new risk factor for death from coronary heart disease?” Preventive Medicine, 2004, 39(1):212-220. 10.1016/j.ypmed.2004.02.030
  2. Stark KD, et al. “Global survey of the omega-3 fatty acids, docosahexaenoic acid and eicosapentaenoic acid in the blood stream of healthy adults.” Progress in Lipid Research, 2016, 63:132-152. 10.1016/j.plipres.2016.05.001
  3. Koletzko B, et al. “The roles of long-chain polyunsaturated fatty acids in pregnancy, lactation and infancy.” Journal of Perinatal Medicine, 2008, 36(1):5-14. 10.1515/JPM.2008.001

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