If  you have recently been to a U.S. theme park, it is startling to most to  notice the waistlines of American families. Mom and Dad are overweight  and more often than not, every child is overweight, too. Many experts  were quick to comment that obesity must be related to genetic  susceptibility. Really, what about mother and father’s lifestyle and the  lifestyle messages they teach their children? That line of thinking may  be about to change. According to a French biochemist, “this is the  first time that we have shown a trans-generational increase in obesity”  linked to omega intake referring to a newly reported study which found  that overeating when it is combined with the wrong balance of fats in  the diet can cause obesity to be carried over from one generation to the  next. 
 When  Walter Willett, MD, MPH, Chair, Harvard University Department of  Nutrition and Fredrick John Stare Professor of Epidemiology and  Nutrition, commented in the January 2000 issue of Time magazine that the  most significant change in nutritional science of the 20th century was  the fact that Americans ‘changed the fats in their diet’. We moved away  from dietary sources of omega three and omega six fatty acids to trans  hydrogenated fats in increasing amounts with a profound abundance of  omega six to omega three fatty acids in our diet. Fats are one of the  fundamental three building blocks of our diet (proteins, carbohydrates,  and fats) essential for cellular membranes, brain function, immune  function, hormonal function, cardiovascular health,and  energy, just to name  a few. Books such as “Smart Fats” by Michael Schmidt, DC, CCN and “The  Omega Three Connection” by Andrew Stoll, MD are but a few to chronicle  what it is essential to get enough good fatty acids in our diet in a  proper ratio of omega three: omega six.
 As this study notes, the  omega-6 to omega-3 ratio in a typical Western diet has shifted from an  optimal five-to-one to 40-to-one in the United States. In the breast  milk of American women, the average ratio has gone from six-to-one to  18-to-one. American women have the lowest tissue stores of DHA, an  important omega three fatty acid, in the world. It has been established  that an imbalanced ratio can be linked to conditions such as depression  which has become all-too-common among the American population.
 Fatty  acid deficiency and imbalance are truly public health crises to be  addressed by the American scientific and medical community. The epidemic  of inflammation related to neurodegenerative diseases including  Alzheimer’s disease and Parkinson’s disease, to cardiovascular/heart  disease, to immune system imbalances such as autoimmune diseases, to  allergies and asthma, to the risk of stroke, hormonal imbalances,  behavior and learning disabilities are all related to this very fatty  acid deficiency and imbalance. Europe embraced this beginning with  important research in the decades of the 1960s and 1970s. The U.S. was a  ‘slow adopter’ and only recently did the American Heart Association and  its physician community embrace adequate good fats for heart health. 
 It is  critical that every American physician follow the lead of the  integrative medical community which began in 1980 thanks to educational  leaders like Jeffrey Bland, PhD to address, educate, and empower their  patients regarding fatty acid sufficiency and balance. Future  generations will depend upon the conventional medical community  embracing this research and making sure it is the standard of care for  all Americans and for future generations. We cannot afford to wait as  heart doctors waited for years to embrace essential fatty acids.  Integrative medicine has long made fatty acid sufficiency and fatty acid  balance the standard of care for medical practice. It is critical that  conventional medicine include this critical nutrient for every American  as well. 
 Deborah Ray, MT (ASCP)
