Benefits
Omega-6 and omega-3 fatty acids in one food oil
Hemp seed oil supplies both linoleic acid (omega-6) and ALA (omega-3). In one trial, 3 g a day provided 1.4 g of linoleic acid and 0.7 g of ALA. In a 4-week crossover in healthy adults, 30 mL a day raised linoleic acid and GLA in blood lipids compared with flaxseed oil, which raised ALA more.
Red blood cell omega-3 levels (plant ALA source)
ALA is the plant omega-3. Humans convert only a limited share of ALA into EPA and even less into DHA, so hemp seed oil is not a substitute for fish or algal oil. In 36 children and teens with primary hyperlipidemia, 3 g a day for 8 weeks raised the red blood cell omega-3 index by about 1.2 percentage points, while blood lipids did not change compared with the control group.
GLA (gamma-linolenic acid) content
Hemp seed oil contains some GLA, an omega-6 fat. In one small trial, GLA in blood lipids rose after hemp seed oil, and in another it was higher than after flaxseed oil. Whether this amount of GLA has effects of its own has not been tested in hemp seed oil trials.
Skin dryness and itch in a dietary oil trial
In a randomized, single-blind crossover study in people with atopic dermatitis comparing dietary hemp seed oil with olive oil, skin dryness and itchiness improved and use of skin medicines fell during the hemp seed oil period. Water loss through the skin fell but not significantly. It was one small study, and the changes were reported within the hemp seed oil period.
Mechanism of action
Essential fatty acid provision
Linoleic acid and ALA are essential fatty acids: the body cannot make them, so they must come from food. Hemp seed oil supplies both.
Limited conversion of ALA to EPA and DHA
The body can convert ALA into EPA and DHA, but humans generally have limited capacity to do so, especially for DHA, and conversion to DHA differs between men and women. Fish or algal oils are more direct sources of EPA and DHA.
GLA to DGLA pathway
GLA is lengthened in the body to dihomo-gamma-linolenic acid (DGLA), which can be made into prostaglandin E1. This pathway is the proposed basis for interest in GLA; it was not measured in the hemp seed oil trials.
Skin barrier lipids
Essential fatty acids are part of the skin's outer lipid layer. In the atopic dermatitis study, plasma linoleic acid, ALA and GLA rose after hemp seed oil with no rise in arachidonic acid, and the authors linked the skin changes to this fatty acid supply.
Clinical trials
Randomized, single-blind crossover study comparing dietary hemp seed oil with olive oil over 20 weeks, measuring plasma fatty acids, skin water loss and a symptom questionnaire. (Callaway et al. 2005, J Dermatolog Treat)
Patients with atopic dermatitis.
Linoleic acid, ALA and GLA rose in all plasma lipid fractions after hemp seed oil, with no rise in arachidonic acid. After the hemp seed oil period, skin dryness and itchiness improved (p = 0.027) and use of skin medicines fell (p = 0.024); transepidermal water loss fell but not significantly (p = 0.074). These were within-period changes in a small study.
Randomized 8-week parallel pilot study of 3 g/day hemp seed oil (1.4 g linoleic acid, 0.7 g ALA) plus dietary guidance versus dietary guidance alone. (Del Bo' et al. 2019, Food Res Int)
36 children and adolescents aged 6 to 16 with primary hyperlipidemia on diet therapy.
Hemp seed oil lowered red blood cell saturated and monounsaturated fats, raised total omega-3 and omega-6 fats, and raised the omega-3 index by about 1.2 points. The serum lipid profile did not change compared with the control group.
Randomized, double-blind crossover trial of 30 mL/day hemp seed oil or flaxseed oil for 4 weeks each, separated by a 4-week washout. (Schwab et al. 2006, Eur J Nutr)
14 healthy volunteers.
Hemp seed oil gave higher linoleic acid and GLA in serum cholesteryl esters and triglycerides, and flaxseed oil gave higher ALA. Fasting total and lipoprotein lipids, glucose, insulin and blood clotting factors did not differ between the oils; the total-to-HDL cholesterol ratio tended to be lower after hemp seed oil (p = 0.065).