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aquatic fish
gill-bearing aquatic craniate animals without limbs with digits [3]
Adverse effects:
- mercury content of fish
- highest levels in mackerel, marlin, orange roughy, shark, swordfish, Gulf of Mexico tilefish, bigeye tuna
- intermediate levels in yellowfin & albacore tuna, grouper, halibut, mahi mahi
- lowest levels in canned light tuna, cod, crab, haddock, lobster, shrimp, salmon, tilapia)
- intestinal perforation or tonsillar perforation from fish bones [4]
Recommendations:
- dietary fish intake beneficial.
- recommended intake:
- 6 oz of oily fish (salmon) weekly, enough to supply 1500-2000 mg of DHA/EPA weekly [1]
- 2-3 servings weekly from lowest mercury group or 1 serving weekly from intermediate mercury group (adults)
- limit albacore tuna (intermediate group) to 6 ounces/week
- avoid eating fish from highest level group
- large predatory fish (swordfish, shark)
- serving size 4 oz of uncooked fish
- women of childbearing age
- 2-3 servings of fish from lowest mercury group every week
- children
- 1-2 servings of fish from lowest mercury group every week
- serving size 2 oz of uncooked fish [2]
- fish consumption lowers cardiovascular risk only in patients with preexisting cardiovascular disease [5]
- higher frequency of fish intake associated with lower cerebrovascular disease burden [6]
Related
fish oil
Specific
ciguatara
halibut
salmon
scombroid
General
vertebrate
References
- Mozaffarian D and Rimm EB
Fish intake, contaminants, and human health: Evaluating the
risks and the benefits.
JAMA 2006, 296:1885
PMID: 17047219
- FDA News Release. Jan 18, 2017
FDA and EPA issue final fish consumption advice.
http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm537362.htm
- FDA chart categorizing 62 types of fish
Eating Fish: What Pregnant Women and Parents Should Know
http://www.fda.gov/Food/FoodborneIllnessContaminants/Metals/ucm393070.htm
- Wikipedia: Fish
https://en.wikipedia.org/wiki/Fish
- Taguchi T, Kitagawa H.
Fish Bone Perforation.
N Engl J Med 2019; 381:762. August 22, 2019
PMID: 31433923
https://www.nejm.org/doi/full/10.1056/NEJMicm1900442
- Mohan D, Mente A, Dehghan M et al.
Associations of fish consumption with risk of cardiovascular disease
and mortality among individuals with or without vascular disease
from 58 countries.
JAMA Intern Med 2021 Mar 8; [e-pub]
PMID: 33683310
https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2777338
- Thomas A, Crivello F, Mazoyer B et al
Fish Intake and MRI Burden of Cerebrovascular Disease in Older Adults.
Neurology. 2021. Nov 3
PMID: 34732545
https://n.neurology.org/content/early/2021/11/03/WNL.0000000000012916