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Arachidonic Acid / EPA Ratio

Heart & circulation markers

What the test generally measures, and what to ask about it.

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Updated Jul 29, 2026

What is Arachidonic Acid / EPA Ratio?

Compares an omega-6 (arachidonic acid) with an omega-3 (EPA) in cell membranes, reflecting pro- and anti-inflammatory fat balance.

This ratio measures the relative proportion of arachidonic acid, an omega-6 fatty acid, to EPA, an omega-3 fatty acid, within cell membranes, and is used as an indicator of dietary fat intake patterns and membrane fatty-acid composition. It relates to cardiovascular and cellular health because a diet with proportionally more omega-6 relative to omega-3 fats has been studied in relation to inflammatory balance, while diets richer in omega-3s from oily fish tend to lower this ratio. Clinicians and researchers may consider this ratio alongside the broader omega-3 index and omega-6/omega-3 ratio to build a picture of overall fatty-acid balance. It does not diagnose any condition on its own and reflects dietary intake patterns that can shift over weeks to months with changes in diet.

Tests often checked alongside this

How this can show up in how you look and feel

  • Persistently elevated values are not themselves associated with specific symptoms
  • A diet low in oily fish and high in processed vegetable oils may be associated with a higher ratio

What can affect this marker

  • Diet composition, particularly intake of oily fish versus processed vegetable oils
  • Overall omega-6 and omega-3 fat intake patterns
  • Alcohol intake and smoking status
  • Certain health conditions affecting fat metabolism

What to track over time

  • Trend over repeated testing alongside dietary changes
  • Whether the ratio shifts after increasing oily fish or omega-3 intake
  • How it relates to the broader omega-6/omega-3 ratio over time

What to ask your doctor

  • What does this ratio suggest about my dietary fat balance?
  • Would increasing oily fish or omega-3 intake likely help improve this ratio?
  • How does this relate to my overall omega-3 index?
  • Should this be retested after dietary changes?

This glossary entry is for informational purposes only and is not a substitute for professional medical advice. Read our Terms of Use.

References

Official source "Omega-3 Fatty Acids" NIH Office of Dietary Supplements. ods.od.nih.gov/factsheets/Omega3FattyAcids-Consumer.
"Fish and Omega-3 Fatty Acids" American Heart Association. www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/fish-and-omega-3-fatty-acids. Accessed Aug 24, 2026.

About our sources

Clinical / professional

Medical societies, specialty colleges, and professional associations whose consensus statements reflect clinical practice standards.

Peer-reviewed research

Original research articles and systematic reviews published in indexed journals and verified through PubMed or DOI.

History of updates

Published · Jul 29, 2026

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