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      Intake of Seafood in the US Varies by Age, Income, and Education Level but Not by Race-Ethnicity

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          Abstract

          Current US federal dietary guidance recommends regular consumption of seafood (fish + shellfish) to promote health; however, little is known about how well Americans meet the guideline, particularly population subgroups that may be at risk for inadequate intake. The purposes of this study were to describe the prevalence of seafood consumption and, among consumers, the amounts of seafood eaten by sex, age group, income and education level, and race-ethnicity. Data from 15,407 adults aged 19+ participating in the 2005–2010 National Health and Nutrition Examination Surveys were analyzed using methods to account for sporadic intake of seafood. Over 80% of Americans reported consuming any seafood over the past 30 days, 74% reported consuming fish, and 54% reported eating shellfish. The percentages varied by socio-demographic group. Younger age and lower income and education levels were associated with lower odds of being a seafood consumer ( p < 0.0001). Among those who reported eating seafood, the average amount eaten of any seafood was 158.2 ± 5.6 g/week. Among seafood consumers, women and individuals of lower age and education levels consumed less seafood. Approximately 80%–90% of seafood consumers did not meet seafood recommendations when needs were estimated by energy requirements. A great deal of work remains to move Americans toward seafood consumption at current recommended levels.

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          Most cited references41

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          Individual determinants of fish consumption: application of the theory of planned behaviour.

          This study investigates individual determinants of fish consumption behaviour based on cross-sectional data collected in Belgium. Analyses show that determinants as hypothesised by the theory of planned behaviour (TPB) and personal characteristics influence fish consumption intention and frequency. Favourable attitude, high subjective norm and high perceived behavioural control have a positive impact on fish consumption decisions. Significant habit effects are detected when including habit as a separate regressor of behavioural intention and behaviour. Appreciation of the attribute taste emerges as the most important driver for eating fish, followed closely by health. Bones and price constitute the negative attitude factor, which, however, does not directly reduce behavioural intention. Individual determinants pertain to gender, age, children, income, education level and region. Fish consumption frequency in compliance with health recommendations is higher among women and increases with increasing age, while the presence of children in the household leads to lower fish consumption. The lowest income class has the lowest fish consumption frequency. Higher education results in a higher intention to eat fish but has no effect on the consumption frequency itself. The coastal region of West Flanders is the region with the highest consumption. Food involvement correlates positively with fish consumption intention and frequency, whereas no significant impact of food-health awareness is found.
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            Association between fish consumption, long chain omega 3 fatty acids, and risk of cerebrovascular disease: systematic review and meta-analysis

            Objective To clarify associations of fish consumption and long chain omega 3 fatty acids with risk of cerebrovascular disease for primary and secondary prevention. Design Systematic review and meta-analysis. Data sources Studies published before September 2012 identified through electronic searches using Medline, Embase, BIOSIS, and Science Citation Index databases. Eligibility criteria Prospective cohort studies and randomised controlled trials reporting on associations of fish consumption and long chain omega 3 fatty acids (based on dietary self report), omega 3 fatty acids biomarkers, or supplementations with cerebrovascular disease (defined as any fatal or non-fatal ischaemic stroke, haemorrhagic stroke, cerebrovascular accident, or transient ischaemic attack). Both primary and secondary prevention studies (comprising participants with or without cardiovascular disease at baseline) were eligible. Results 26 prospective cohort studies and 12 randomised controlled trials with aggregate data on 794 000 non-overlapping people and 34 817 cerebrovascular outcomes were included. In cohort studies comparing categories of fish intake the pooled relative risk for cerebrovascular disease for 2-4 servings a week versus ≤1 servings a week was 0.94 (95% confidence intervals 0.90 to 0.98) and for ≥5 servings a week versus 1 serving a week was 0.88 (0.81 to 0.96). The relative risk for cerebrovascular disease comparing the top thirds of baseline long chain omega 3 fatty acids with the bottom thirds for circulating biomarkers was 1.04 (0.90 to 1.20) and for dietary exposures was 0.90 (0.80 to 1.01). In the randomised controlled trials the relative risk for cerebrovascular disease in the long chain omega 3 supplement compared with the control group in primary prevention trials was 0.98 (0.89 to 1.08) and in secondary prevention trials was 1.17 (0.99 to 1.38). For fish or omega 3 fatty acids the estimates for ischaemic and haemorrhagic cerebrovascular events were broadly similar. Evidence was lacking of heterogeneity and publication bias across studies or within subgroups. Conclusions Available observational data indicate moderate, inverse associations of fish consumption and long chain omega 3 fatty acids with cerebrovascular risk. Long chain omega 3 fatty acids measured as circulating biomarkers in observational studies or supplements in primary and secondary prevention trials were not associated with cerebrovascular disease. The beneficial effect of fish intake on cerebrovascular risk is likely to be mediated through the interplay of a wide range of nutrients abundant in fish.
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              Adult Women’s Blood Mercury Concentrations Vary Regionally in the United States: Association with Patterns of Fish Consumption (NHANES 1999–2004)

              Background The current, continuous National Health and Nutrition Examination Survey (NHANES) has included blood mercury (BHg) and fish/shellfish consumption since it began in 1999. NHANES 1999–2004 data form the basis for these analyses. Objectives This study was designed to determine BHg distributions within U.S. Census regions and within coastal and noncoastal areas among women of childbearing age, their association with patterns of fish consumption, and changes from 1999 through 2004. Methods We performed univariate and bivariate analyses to determine the distribution of BHg and fish consumption in the population and to investigate differences by geography, race/ethnicity, and income. We used multivariate analysis (regression) to determine the strongest predictors of BHg among geography, demographic factors, and fish consumption. Results Elevated BHg occurred more commonly among women of childbearing age living in coastal areas of the United States (approximately one in six women). Regionally, exposures differ across the United States: Northeast > South and West > Midwest. Asian women and women with higher income ate more fish and had higher BHg. Time-trend analyses identified reduced BHg and reduced intake of Hg in the upper percentiles without an overall reduction of fish consumption. Conclusions BHg is associated with income, ethnicity, residence (census region and coastal proximity). From 1999 through 2004, BHg decreased without a concomitant decrease in fish consumption. Data are consistent with a shift over this time period in fish species in women’s diets.
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                Author and article information

                Journal
                Nutrients
                Nutrients
                nutrients
                Nutrients
                MDPI
                2072-6643
                22 December 2014
                December 2014
                : 6
                : 12
                : 6060-6075
                Affiliations
                [1 ]United States Department of Agriculture, Agricultural Research Service, Grand Forks Human Nutrition Research Center, 2420 2nd Avenue N., Grand Forks, ND, 58203, USA; E-Mails: susan.raatz@ 123456ars.usda.gov (S.K.R.); luann.johnson@ 123456ars.usda.gov (L.K.J.); matthew.picklo@ 123456ars.usda.gov (M.J.P.)
                [2 ]Department of Food Science and Nutrition, 225 Food Science and Nutrition, 1334 Eckles Avenue Street Paul, MN 55108, USA
                [3 ]Centre for Exercise, Nutrition, and Health Sciences, School of Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK; E-Mail: sibylle.kranz@ 123456bristol.ac.uk
                [4 ]United States Department of Agriculture, Agricultural Research Service, Office of National Programs, 5601 Sunnyside Avenue, Beltsville, MD 20705, USA; E-Mail: jeff.silverstein@ 123456ars.usda.gov
                Author notes
                [* ]Author to whom correspondence should be addressed; E-Mail: lisa.jahns@ 123456ars.usda.gov ; Tel.: +1-701-795-8331; Fax: +1-701-795-8240.
                Article
                nutrients-06-06060
                10.3390/nu6126060
                4277015
                25533013
                8a01c03e-a96e-4b55-a079-2d55549baa53
                © 2014 by the authors; licensee MDPI, Basel, Switzerland.

                This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 30 September 2014
                : 04 December 2014
                : 10 December 2014
                Categories
                Article

                Nutrition & Dietetics
                seafood intake,fish,shellfish
                Nutrition & Dietetics
                seafood intake, fish, shellfish

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