Toward a Targeted Nutritional Strategy for Restoring PUFA Balance: Socio-Economic, Cultural and Ecologic Contexts, Biochemical Rationale, and a Conceptual Framework for Dietary Modulation.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	Toward a Targeted Nutritional Strategy for Restoring PUFA Balance: Socio-Economic, Cultural and Ecologic Contexts, Biochemical Rationale, and a Conceptual Framework for Dietary Modulation.
Συγγραφείς:	Suchner U; Department of Anesthesiology and Surgical Intensive Care Medicine, Klinikum Darmstadt, 64283 Darmstadt, Germany.
Πηγή:	Nutrients [Nutrients] 2026 May 18; Vol. 18 (10). Date of Electronic Publication: 2026 May 18.
Τύπος έκδοσης:	Journal Article; Review
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: MDPI Publishing Country of Publication: Switzerland NLM ID: 101521595 Publication Model: Electronic Cited Medium: Internet ISSN: 2072-6643 (Electronic) Linking ISSN: 20726643 NLM ISO Abbreviation: Nutrients Subsets: MEDLINE
Imprint Name(s):	Original Publication: Basel, Switzerland : MDPI Publishing
Ιατρικοί όροι (MeSH):	Fatty Acids, Omega-6/administration & dosage , Fatty Acids, Omega-6/metabolism , Fatty Acids, Omega-6/adverse effects , Diet, Fatty Acids, Omega-3/administration & dosage ; Fatty Acids, Omega-3/metabolism ; Diet, Western/adverse effects ; Humans ; Animals ; Socioeconomic Factors
Περίληψη:	This review outlines the health risks associated with excessive dietary intake of n-6 polyunsaturated fatty acids (PUFAs), particularly linoleic acid (C18:2n-6, LA), which is highly prevalent in the Western diet. It proposes a targeted nutritional strategy to reduce n-6 PUFA overconsumption and increase n-3 PUFA intake, aiming to restore a healthier fatty acid balance and counteract imbalance-induced pathogenetic consequences. The conceptual framework builds on the foundational insights of William E. M. Lands regarding PUFA-driven eicosanoid imbalance. It extends these principles by integrating contemporary models of impaired adipose tissue expandability, functional lipodystrophy, insulin resistance, and ectopic lipid deposition as central mechanisms of lipotoxicity and as unifying drivers of the modern organo-metabolic spectrum of non-communicable diseases. The proposed nutritional strategy combines dietary modifications-such as avoiding seed oils and processed foods as well as products from industrialized animal farming, while prioritizing fatty fish and/or algae-derived supplements-with lifestyle interventions and ongoing laboratory monitoring. This approach is designed to lower chronic disease risk and improve overall metabolic resilience. In addition, Western-diet-related socioeconomic issues and ecological burdens are addressed. The objective of this review is to evaluate the biochemical and clinical relevance of HUFA imbalance and to assess the potential of dietary modulation of n-6 and n-3 PUFAs as a strategy to restore metabolic homeostasis. However, further research is required to corroborate the available findings before broader implementation of the proposed strategy can be recommended.
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Contributed Indexing:	Keywords: disease; health; linoleic acid; omega-3; omega-6; seed oil
Substance Nomenclature:	0 (Fatty Acids, Omega-6) 0 (Fatty Acids, Omega-3)
Entry Date(s):	Date Created: 20260527 Date Completed: 20260717 Latest Revision: 20260813
Update Code:	20260813
PubMed Central ID:	PMC13209225
DOI:	10.3390/nu18101600
PMID:	42197060
Βάση Δεδομένων:	MEDLINE

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Items	– Name: Title Label: Title Group: Ti Data: Toward a Targeted Nutritional Strategy for Restoring PUFA Balance: Socio-Economic, Cultural and Ecologic Contexts, Biochemical Rationale, and a Conceptual Framework for Dietary Modulation. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AU" term="%22Suchner+U%22">Suchner U</searchLink>; Department of Anesthesiology and Surgical Intensive Care Medicine, Klinikum Darmstadt, 64283 Darmstadt, Germany. – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22101521595%22">Nutrients</searchLink> [Nutrients] 2026 May 18; Vol. 18 (10). <i>Date of Electronic Publication: </i>2026 May 18. – Name: TypePub Label: Publication Type Group: TypPub Data: Journal Article; Review – Name: Language Label: Language Group: Lang Data: English – Name: TitleSource Label: Journal Info Group: Src Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22MDPI+Publishing%22">MDPI Publishing </searchLink><i>Country of Publication: </i>Switzerland <i>NLM ID: </i>101521595 <i>Publication Model: </i>Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>2072-6643 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2220726643%22">20726643 </searchLink><i>NLM ISO Abbreviation: </i>Nutrients <i>Subsets: </i>MEDLINE – Name: PublisherInfo Label: Imprint Name(s) Group: PubInfo Data: <i>Original Publication</i>: Basel, Switzerland : MDPI Publishing – Name: SubjectMESH Label: MeSH Terms Group: Su Data: <searchLink fieldCode="MM" term="%22Fatty+Acids%2C+Omega-6%22">Fatty Acids, Omega-6</searchLink>/<searchLink fieldCode="MM" term="%22Fatty+Acids%2C+Omega-6+administration+%26+dosage%22">administration & dosage</searchLink> <br /><searchLink fieldCode="MM" term="%22Fatty+Acids%2C+Omega-6%22">Fatty Acids, Omega-6</searchLink>/<searchLink fieldCode="MM" term="%22Fatty+Acids%2C+Omega-6+metabolism%22">metabolism</searchLink> <br /><searchLink fieldCode="MM" term="%22Fatty+Acids%2C+Omega-6%22">Fatty Acids, Omega-6</searchLink>/<searchLink fieldCode="MM" term="%22Fatty+Acids%2C+Omega-6+adverse+effects%22">adverse effects</searchLink> <br /><searchLink fieldCode="MM" term="%22Diet%22">Diet</searchLink><br /><searchLink fieldCode="MH" term="%22Fatty+Acids%2C+Omega-3%22">Fatty Acids, Omega-3</searchLink>/<searchLink fieldCode="MH" term="%22Fatty+Acids%2C+Omega-3+administration+%26+dosage%22">administration & dosage</searchLink> ; <searchLink fieldCode="MH" term="%22Fatty+Acids%2C+Omega-3%22">Fatty Acids, Omega-3</searchLink>/<searchLink fieldCode="MH" term="%22Fatty+Acids%2C+Omega-3+metabolism%22">metabolism</searchLink> ; <searchLink fieldCode="MH" term="%22Diet%2C+Western%22">Diet, Western</searchLink>/<searchLink fieldCode="MH" term="%22Diet%2C+Western+adverse+effects%22">adverse effects</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Animals%22">Animals</searchLink> ; <searchLink fieldCode="MH" term="%22Socioeconomic+Factors%22">Socioeconomic Factors</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: This review outlines the health risks associated with excessive dietary intake of n-6 polyunsaturated fatty acids (PUFAs), particularly linoleic acid (C18:2n-6, LA), which is highly prevalent in the Western diet. It proposes a targeted nutritional strategy to reduce n-6 PUFA overconsumption and increase n-3 PUFA intake, aiming to restore a healthier fatty acid balance and counteract imbalance-induced pathogenetic consequences. The conceptual framework builds on the foundational insights of William E. M. Lands regarding PUFA-driven eicosanoid imbalance. It extends these principles by integrating contemporary models of impaired adipose tissue expandability, functional lipodystrophy, insulin resistance, and ectopic lipid deposition as central mechanisms of lipotoxicity and as unifying drivers of the modern organo-metabolic spectrum of non-communicable diseases. The proposed nutritional strategy combines dietary modifications-such as avoiding seed oils and processed foods as well as products from industrialized animal farming, while prioritizing fatty fish and/or algae-derived supplements-with lifestyle interventions and ongoing laboratory monitoring. This approach is designed to lower chronic disease risk and improve overall metabolic resilience. In addition, Western-diet-related socioeconomic issues and ecological burdens are addressed. The objective of this review is to evaluate the biochemical and clinical relevance of HUFA imbalance and to assess the potential of dietary modulation of n-6 and n-3 PUFAs as a strategy to restore metabolic homeostasis. However, further research is required to corroborate the available findings before broader implementation of the proposed strategy can be recommended. – Name: Ref Label: References Group: RefInfo Data: Endocr Dev. 2016;30:29-36. (PMID: <searchLink fieldCode="PM" term="%2226683215%22">26683215)</searchLink><br />Nat Rev Endocrinol. 2014 Dec;10(12):723-36. (PMID: <searchLink fieldCode="PM" term="%2225287287%22">25287287)</searchLink><br />Nature. 2014 Jun 5;510(7503):92-101. (PMID: <searchLink fieldCode="PM" term="%2224899309%22">24899309)</searchLink><br />Nutrients. 2020 Aug 24;12(9):. (PMID: <searchLink fieldCode="PM" term="%2232846900%22">32846900)</searchLink><br />Front Immunol. 2021 Feb 02;11:627424. (PMID: <searchLink fieldCode="PM" term="%2233603757%22">33603757)</searchLink><br />Diabetologia. 2019 Feb;62(2):223-232. (PMID: <searchLink fieldCode="PM" term="%2230465066%22">30465066)</searchLink><br />Nutrients. 2026 Feb 13;18(4):. (PMID: <searchLink fieldCode="PM" term="%2241754143%22">41754143)</searchLink><br />Nutr Hosp. 2018 Dec 03;35(6):1432-1440. (PMID: <searchLink fieldCode="PM" term="%2230525859%22">30525859)</searchLink><br />Nature. 2006 Dec 14;444(7121):860-7. (PMID: <searchLink fieldCode="PM" term="%2217167474%22">17167474)</searchLink><br />World J Hepatol. 2020 Mar 27;12(3):84-98. (PMID: <searchLink fieldCode="PM" term="%2232231762%22">32231762)</searchLink><br />Front Cardiovasc Med. 2022 Dec 05;9:1075421. 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RecordInfo	BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.3390/nu18101600 Languages: – Code: eng Text: English Subjects: – SubjectFull: Fatty Acids, Omega-3 administration & dosage Type: general – SubjectFull: Fatty Acids, Omega-3 metabolism Type: general – SubjectFull: Diet, Western adverse effects Type: general – SubjectFull: Humans Type: general – SubjectFull: Animals Type: general – SubjectFull: Socioeconomic Factors Type: general – SubjectFull: Fatty Acids, Omega-6 administration & dosage Type: general – SubjectFull: Fatty Acids, Omega-6 metabolism Type: general – SubjectFull: Fatty Acids, Omega-6 adverse effects Type: general – SubjectFull: Diet Type: general Titles: – TitleFull: Toward a Targeted Nutritional Strategy for Restoring PUFA Balance: Socio-Economic, Cultural and Ecologic Contexts, Biochemical Rationale, and a Conceptual Framework for Dietary Modulation. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Suchner U IsPartOfRelationships: – BibEntity: Dates: – D: 18 M: 05 Text: 2026 May 18 Type: published Y: 2026 Identifiers: – Type: issn-electronic Value: 2072-6643 Numbering: – Type: volume Value: 18 – Type: issue Value: 10 Titles: – TitleFull: Nutrients Type: main
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