Relationship between fish intake, n-3 fatty acids, mercury and risk markers of CHD (National Health and Nutrition Examination Survey 1999-2002).

Abstract:

BACKGROUND:Fish consumption has been shown to be inversely associated with CHD, which may be due to n-3 fatty acids. The n-3 fatty acids, EPA and DHA, are naturally found only in marine sources. Dietary intakes of methylmercury from certain fish have been hypothesized to increase the risk of CHD. OBJECTIVE:To investigate the relationship between 30 d fish frequency consumption (assessed by FFQ), total blood Hg concentrations and risk markers of CHD in women aged 16-49 years participating in the National Health and Nutrition Examination Survey 1999-2002. DESIGN:Multiple linear regression analyses were used to test (i) the relationships between 30 d fish frequency consumption and five CHD risk markers, i.e. HDL cholesterol (HDL-C), LDL cholesterol, total cholesterol, TAG and C-reactive protein (CRP); and (ii) if total blood Hg attenuated any associations between fish consumption and CHD risk markers in non-pregnant, non-diabetic females aged 16-49 years. RESULTS:Total 30 d fish frequency consumption was negatively associated with CRP (b = -0.10, 95 % CI -0.19, -0.02, P = 0.015) and positively associated with HDL-C (b = 1.40, 95 % CI 0.31, 2.50, P = 0.014). Adjustment for other risk factors did not significantly attenuate the associations. Despite the collinearity between fish and Hg, there is a protective association between fish intake and CHD risk factors. CONCLUSIONS:The levels of DHA + EPA and other nutrients in fish may be adequate to offset the hypothesized risks of heart disease related to ingesting Hg from fish.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Smith KM,Barraj LM,Kantor M,Sahyoun NR

doi

10.1017/S1368980008003844

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

1261-9

issue

8

eissn

1368-9800

issn

1475-2727

pii

S1368980008003844

journal_volume

12

pub_type

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