What Is the Omega-3 Index? Understanding Your Omega-3 Status
What Is the Omega-3 Index? Understanding Your Omega-3 Status

We often hear about the importance of omega-3 for brain health. From oily fish to fish oil supplements, we’re encouraged to make sure we’re getting enough of these essential fats. But how do you know whether you’re actually getting enough? The answer isn’t always as simple as looking at what you eat. One useful measure to assess your levels is the omega-3 index.
Two people can follow similar diets, or even take the same omega-3 supplement, and still have different levels of omega-3 in their blood. That’s where the Omega-3 Index comes in. This blood test measures your levels of two important omega-3 fatty acids, EPA and DHA, giving you a clearer picture of your omega-3 status. And with growing research exploring the relationship between omega-3 levels and brain health (1, 2), understanding your own status could be a useful step towards making more informed choices about your nutrition.
What is the Omega-3 Index?
The Omega-3 Index measures the amount of two long-chain omega-3 fatty acids, EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid), found in the membranes of your red blood cells. Both play important roles in the body, particularly when it comes to brain health. DHA is a major structural component of the brain, helping to maintain the membranes surrounding nerve cells. EPA is involved in several biological processes, including those that help regulate inflammation.
Your Omega-3 Index is expressed as a percentage. For example, a result of 6% means that EPA and DHA together make up 6% of the fatty acids measured in your red blood cell membranes. Unlike a snapshot of what you’ve eaten recently, the Omega-3 Index gives an indication of your omega-3 status over the previous few months (3). This makes it a useful way to understand whether your diet is providing enough of these important long-chain omega-3 fats.
Why does your omega-3 status matter for brain health?
Our brains are rich in fat. In fact, fats are essential to the structure and function of the billions of nerve cells that allow us to think, remember, learn and communicate. DHA is particularly important because it forms part of the membranes of brain cells, helping to maintain their structure and function.
But the interest in omega-3 goes beyond its structural role, as researchers have been investigating whether the amount of omega-3 in our blood is linked to how well our brains age. A growing body of research suggests that higher levels of omega-3 may be associated with better cognitive health and a lower risk of cognitive decline (1, 2). For example, a study published in Brain Sciences in 2023 (1) explored the relationship between omega-3 fatty acids, cognitive performance and brain volume in older adults.
The findings added to the evidence suggesting that omega-3 status may be relevant to maintaining brain health as we age. However, there’s an important distinction to make. Finding a link between higher omega-3 levels and better brain health doesn’t necessarily mean that taking more and more omega-3 will prevent dementia. Rather, it suggests that maintaining an optimal level is supportive for the ageing brain (and, we would argue, at all ages). What the research does suggest is that omega-3 status is worth paying attention to as part of a broader approach to protecting our brain health.
What is a healthy Omega-3 Index?
So, once you’ve measured your Omega-3 Index, what does the number actually mean? Researchers have proposed several ranges to help interpret omega-3 status (4). An Omega-3 Index of 8% or above is often considered a desirable target, based largely on research into cardiovascular health (4).
|
Some studies (1, 2) have also found associations between higher omega-3 levels and better cognitive outcomes. However, researchers have not yet established an ideal Omega-3 Index specifically for preventing cognitive decline or dementia. Based on what we know and with input from our omega-3 experts on the Scientific Advisory Board, we think levels between 8–12% are optimal for supporting the brain. It’s therefore more helpful to think of your result as a window into your nutritional status, rather than a score that determines how healthy your brain is. If you’ve already taken a test and would like to understand more about your results, visit our Omega-3 Index FAQs.
Why might your omega-3 levels be lower than you think?
You might eat healthily, take supplements and still find that your Omega-3 Index is lower than expected. This is the case for many of our customers and research participants.
‘As a strict vegetarian since age 13, I was interested to see what my omega-3 levels were. I was surprised to find my levels were low despite having plenty of healthy fats in my diet. I have since added a vegan omega-3 supplement more consistently each day, and have noticed a big difference in my concentration and focus.’ Emma
There are several reasons why this can happen.
You may not be getting enough EPA and DHA
Oily fish such as salmon, sardines, mackerel and herring are among the richest dietary sources of these long-chain omega-3 fats. However, many people don’t eat oily fish regularly or are long term vegetarians like Emma above.
Not all omega-3 supplements are the same
The amount of EPA and DHA varies considerably between supplements. A capsule labelled as containing 1,000 mg of fish oil doesn’t necessarily provide 1,000 mg of EPA and DHA. It’s the amounts of EPA and DHA that matter when assessing your intake of these particular omega-3 fatty acids.
Plant-based omega-3 is different
Foods such as flaxseeds, chia seeds and walnuts contain ALA, a plant-based omega-3 fatty acid. While the body can convert some ALA into EPA and DHA, this process is limited, particularly for DHA (5). For people who don’t eat fish, algae-derived omega-3 supplements can provide a direct source of DHA and, in some formulations, EPA. You can learn more in our article on algae oil versus fish oil.
We’re all different
Our genetics, metabolism and individual response to dietary fats can also influence omega-3 status. This helps explain why two people following similar diets may have different Omega-3 Index results.
How can you measure your omega-3 levels?
One way to understand your omega-3 status is through a blood test. The Omega-3 Index measures the proportion of EPA and DHA in your red blood cell membranes, providing an indication of your longer-term omega-3 status (3). At Food for the Brain, we’re interested in understanding how nutritional factors, including omega-3, relate to cognitive health.
Our at-home Omega-3 Index test allows you to collect a small blood sample using a finger-prick kit, which is then sent for laboratory analysis. Your results can help you understand your current omega-3 status and consider whether changes to your diet or supplementation may be appropriate. Find out more about the Food for the Brain Omega-3 Index Test.
Can you improve your omega-3 status?
The encouraging news is that your omega-3 status isn’t fixed. What you eat can make a difference. Eating oily fish more regularly or choosing an appropriate EPA- and DHA-containing supplement can help increase your Omega-3 Index over time (3). However, the amount needed to achieve a particular result varies from person to person.
Because red blood cells have a lifespan of around 120 days, changes in your omega-3 intake are reflected gradually in your Omega-3 Index (3). It may take approximately three to four months to see the fuller effect of a sustained dietary change. This is one reason why measuring your omega-3 status can be useful. Rather than relying entirely on assumptions about your intake, you can see how your body responds over time. If you’re considering taking omega-3 supplements, particularly at higher doses or if you take medication, it’s worth discussing this with a qualified healthcare professional. For more guidance, explore our omega-3 supplements guide.
What does the research tell us about omega-3 and brain ageing?
At Food for the Brain, we believe that understanding the role of nutrition is an important part of the conversation about protecting brain health. Omega-3 fatty acids have attracted considerable scientific interest because of their role in brain structure and function. Research has explored whether higher omega-3 blood levels are associated with better memory, healthier brain ageing and a reduced risk of dementia (1, 2). A 2023 study published in Brain Sciences, for example, investigated associations between omega-3 fatty acids, cognitive performance and brain volume in older adults (1). Other studies have examined the relationship between omega-3 status and dementia risk, with some reporting encouraging associations (2).
While these findings are promising, the evidence is not yet conclusive. Clinical trials have not consistently shown that omega-3 supplementation prevents cognitive decline or dementia (6). What we do know is that nutrition is one of several factors that can influence long-term brain health. Omega-3 is part of that picture, alongside B vitamins, physical activity, sleep, cardiovascular health and other lifestyle factors. Understanding your omega-3 status can help you make more informed nutritional choices, but it is not a test of your cognitive health or a way to predict whether you will develop dementia.
A small test that can tell you more about your nutrition
Most of us have a reasonable idea of whether we’re eating enough fruit and vegetables or getting regular exercise. But when it comes to omega-3, it’s much harder to know where we stand. You might be eating oily fish occasionally, taking a supplement or relying on plant-based sources, without knowing how much EPA and DHA is actually reflected in your blood. The Omega-3 Index offers a way to find out.
It’s not a guarantee against cognitive decline, and it’s certainly not the only measure that matters for brain health. But it can provide a useful piece of information about your nutritional status and help you make decisions based on evidence rather than guesswork. At Food for the Brain, our mission is to help people better understand the role of nutrition and lifestyle in maintaining cognitive health throughout life. Understanding your omega-3 status is one way to become more informed about the nutrients that support your brain.
Have more questions about your omega-3 results?
Whether you’re wondering what your results mean, how often to test or how to improve your omega-3 levels, we’ve put together answers to some of the questions we hear most often.
Visit our Omega-3 Index FAQs to find out more about testing and understanding your omega-3 status.
Thank you for reading!
Food for the Brain is a not-for-profit educational and research charity that offers a free Cognitive Function Test™ and assesses your Dementia Risk Index to be able to advise you on how to dementia-proof your diet and lifestyle.
By completing the Cognitive Function Test you are joining our grassroots research initiative to find out what really works for preventing cognitive decline. We share our ongoing research results with you to help you make brain-friendly choices.
Please support our research by becoming a FRIEND of Food for the Brain.
References
- Loong S, Barnes S, Gatto NM, Chowdhury S, Lee GJ. (2023). Omega-3 Fatty Acids, Cognition, and Brain Volume in Older Adults. Brain Sciences, 13(9), 1278.
- Wei BZ, Li L, Dong CW, et al. (2023). The Relationship of Omega-3 Fatty Acids with Dementia and Cognitive Decline: Evidence from Prospective Cohort Studies of Supplementation, Dietary Intake, and Blood Markers. American Journal of Clinical Nutrition, 117(6), 1096–1109.
- Cao J, Schwichtenberg KA, Hanson NQ, Tsai MY. (2006). Incorporation and Clearance of Omega-3 Fatty Acids in Erythrocyte Membranes and Plasma Phospholipids. Clinical Chemistry, 52(12), 2265–2272.
- Harris WS, von Schacky C. (2004). The Omega-3 Index: a new risk factor for death from coronary heart disease? Preventive Medicine, 39(1), 212–220.
- Burdge GC, Calder PC. (2005). Conversion of alpha-linolenic acid to longer-chain polyunsaturated fatty acids in human adults. Reproduction Nutrition Development, 45(5), 581–597.
- Sydenham E, Dangour AD, Lim WS. (2012). Omega 3 fatty acid for the prevention of cognitive decline and dementia. Cochrane Database of Systematic Reviews, (6), CD005379.



