Fish consumption is inversely associated with the metabolic syndrome
Fish consumption is inversely associated with the metabolic syndrome"
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ABSTRACT BACKGROUND/OBJECTIVES: Although fish consumption has inversely been associated with several metabolic abnormalities, limited and inconsistent data have reported the relationship
between fish consumption and metabolic syndrome. The aim of this study was to identify the association between fish consumption and metabolic syndrome and its components. SUBJECTS/METHODS:
In a cross-sectional study conducted on 420 Iranian female adults, usual fish consumption was assessed using a dish-based semiquantitative food frequency questionnaire (FFQ). Fasting blood
samples were taken for biochemical assessment. Anthropometric and blood pressure measurements were carried out according to standard protocols. Metabolic syndrome was defined based on the
National Cholesterol Education Program Adult Treatment Panel III guidelines. Multivariate logistic regression adjusted for lifestyle and dietary variables was applied to assess
fish–metabolic syndrome association. RESULTS: The prevalence of metabolic syndrome was 8.2%. Mean daily intake of fish was 14.4 g per day. Individuals in the highest tertile of fish intake
were 65% less likely to have the metabolic syndrome than those in the lowest tertile (odds ratio: 0.35; 95% confidence interval (CI): 0.14–0.88). Controlling for potential confounders and
dietary variables strengthened this association (odds ratio: 0.05; 95% CI: 0.004–0.64). After adjustment for potential cofounders, high fish intake was inversely associated with
hypertriglyceridemia (odds ratio: 0.11; 95% CI: 0.01–0.85), low high-density lipoprotein cholesterol (odds ratio: 0.57; 95% CI: 0.19–0.89) and elevated blood pressure (odds ratio: 0.23; 95%
CI: 0.14–0.89). CONCLUSIONS: We found that increased fish intake was independently related to the lower odds of metabolic syndrome and its features. Further prospective investigations are
warranted to confirm this association. Access through your institution Buy or subscribe This is a preview of subscription content, access via your institution ACCESS OPTIONS Access through
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Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS INTAKE OF FISH AND LONG-CHAIN N-3 POLYUNSATURATED FATTY ACIDS AND RISK OF DISEASES IN A JAPANESE POPULATION: A
NARRATIVE REVIEW Article 16 September 2020 DIETARY PATTERNS AND ASSOCIATIONS WITH METABOLIC RISK FACTORS FOR NON-COMMUNICABLE DISEASE Article Open access 29 November 2023 THE LONG-TERM
ASSOCIATION OF DIFFERENT DIETARY PROTEIN SOURCES WITH METABOLIC SYNDROME Article Open access 29 September 2021 REFERENCES * Hu G, Qiao Q, Tuomilehto J, Balkau B, Borch-Johnsen K, Pyorala K,
DECODE Study Group. Prevalence of the metabolic syndrome and its relation to all-cause and cardiovascular mortality in nondiabetic European men and women. _Arch Intern Med_ 2004; 164:
1066–1076. Article Google Scholar * Scuteri A, Najjar SS, Morrell CH, Lakatta EG . Cardiovascular Health Study. The metabolic syndrome in older individuals: prevalence and prediction of
cardiovascular events: the Cardiovascular Health Study. _Diabetes Care_ 2005; 28: 882–887. Article Google Scholar * Lorenzo C, Okoloise M, Williams K, Stern MP, Haffner SM . The metabolic
syndrome as predictor of type 2 diabetes: the San Antonio Heart Study. _Diabetes Care_ 2003; 26: 3153–3159. Article Google Scholar * Esmaillzadeh A, Azadbakht L . Dietary energy density
and the metabolic syndrome among Iranian women. _Eur J Clin Nutr_ 2011; 65: 598–605. Article CAS Google Scholar * Lim S, Shin H, Song JH, Kwak SH, Kang SM, Won Yoon J _et al_. Increasing
Prevalence of Metabolic Syndrome in Korea The Korean National Health and Nutrition Examination Survey for 1998–2007. _Diabetes Care_ 2011; 34: 1323–1328. Article CAS Google Scholar *
Mozumdar A, Liguori G . Persistent increase of prevalence of metabolic syndrome among US adults: NHANES III to NHANES 1999–2006. _Diabetes Care_ 2011; 34: 216–219. Article Google Scholar *
Hillier TA, Fagot-Campagna A, Eschwege E, Vol S, Cailleau M, Balkau B . Weight change and changes in the metabolic syndrome as the French population moves towards overweight: the D.E.S.I.R.
cohort. _Int J Epidemiol_ 2006; 35: 190–196. Article CAS Google Scholar * Delavari A, Forouzanfar MH, Alikhani S, Sharian A, Kelishadi R . First nationwide study of the prevalence of the
metabolic syndrome and optimal cutoff points of waist circumference in the Middle East: The National Survey of Risk Factors for Noncommunicable Diseases of Iran. _Diabetes Care_ 2009; 32:
1092–1097. Article Google Scholar * Hollenberg NK . Genetic versus environmental etiology of the metabolic syndrome among male and female twins. _Curr Hypertens Rep_ 2002; 4: 178. Article
Google Scholar * Esmaillzadeh A, Azadbakht L . Consumption of hydrogenated versus nonhydrogenated vegetable oils and risk of insulin resistance and the metabolic syndrome among Iranian
adult women. _Diabetes Care_ 2008; 31: 223–226. Article Google Scholar * Azadbakht L, Esmaillzadeh A . Red meat intake is associated with metabolic syndrome and the plasma C-reactive
protein concentration in women. _J Nutr_ 2009; 139: 335–339. Article CAS Google Scholar * Esmaillzadeh A, Mirmiran P, Azizi F . Whole-grain consumption and the metabolic syndrome: a
favorable association in Tehranian adults. _Eur J Clin Nutr_ 2004; 59: 353–362. Article Google Scholar * He K, Liu K, Daviglus ML, Morris SJ, Loria CM, Van Horn L _et al_. Magnesium intake
and incidence of metabolic syndrome among young adults. _Circulation_ 2006; 113: 1675–1682. Article CAS Google Scholar * Carlson JJ, Eisenmann JC, Norman GJ, Ortiz KA, Young PC . Dietary
fiber and nutrient density are inversely associated with the metabolic syndrome in US adolescents. _J Am Diet Assoc_ 2011; 111: 1688–1695. Article Google Scholar * McKeown NM, Meigs JB,
Liu S, Saltzman E, Wilson PWF, Jacques PF . Carbohydrate nutrition, insulin resistance, and the prevalence of the metabolic syndrome in the Framingham Offspring Cohort. _Diabetes Care_ 2004;
27: 538–546. Article Google Scholar * Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC . Dietary patterns, insulin resistance, and prevalence of the metabolic
syndrome in women. _Am J Clin Nutr_ 2007; 85: 910–918. Article CAS Google Scholar * Amini M, Esmaillzadeh A, Shafaeizadeh S, Behrooz J, Zare M . Relationship between major dietary
patterns and metabolic syndrome among individuals with impaired glucose tolerance. _Nutrition_ 2010; 26: 986–992. Article CAS Google Scholar * Denova‐Gutiérrez E, Castañón S, Talavera JO,
Gallegos‐Carrillo K, Flores M, Dosamantes‐Carrasco D _et al_. Dietary patterns are associated with metabolic syndrome in an urban Mexican population. _J Nutr_ 2010; 140: 1855–1863. Article
Google Scholar * Panagiotakos DB, Pitsavos C, Skoumas Y, Stefanadis C . The association between food patterns and the metabolic syndrome using principal components analysis: The ATTICA
Study. _J Am Diet Assoc_ 2007; 107: 979–987. Article Google Scholar * Ebbesson SOE, Tejero ME, Nobmann ED, Lopez‐Alvarenga JC, Ebbesson L, Romenesko T _et al_. Fatty acid consumption and
metabolic syndrome components: the GOCADAN study. _J Cardiometab Syndr_ 2007; 2: 244–249. Article Google Scholar * Xun P, Hou N, Daviglus M, Liu K, Morris J, Shikany J _et al_. Fish oil,
selenium and mercury in relation to incidence of hypertension: a 20‐year follow‐up study. _J Intern Med_ 2011; 270: 175–186. Article CAS Google Scholar * Noel SE, Newby P, Ordovas JM,
Tucker KL . Adherence to an (_n_−3) fatty acid/fish intake pattern is inversely associated with metabolic syndrome among Puerto Rican adults in the Greater Boston area. _J Nutr_ 2010; 140:
1846–1854. Article CAS Google Scholar * Liu S, Song Y, Ford ES, Manson JAE, Buring JE, Ridker PM . Dietary calcium, vitamin D, and the prevalence of metabolic syndrome in middle-aged and
older US women. _Diabetes Care_ 2005; 28: 2926–2932. Article CAS Google Scholar * Wang L, Manson JAE, Buring JE, Lee IM, Sesso HD . Dietary intake of dairy products, calcium, and vitamin
D and the risk of hypertension in middle-aged and older women. _Hypertension_ 2008; 51: 1073–1079. Article CAS Google Scholar * Pittas AG, Harris SS, Stark PC, Dawson-Hughes B . The
effects of calcium and vitamin D supplementation on blood glucose and markers of inflammation in nondiabetic adults. _Diabetes Care_ 2007; 30: 980–986. Article CAS Google Scholar *
Ait-Yahia D, Madani S, Savelli JL, Prost J, Bouchenak M, Belleville J . Dietary fish protein lowers blood pressure and alters tissue polyunsaturated fatty acid composition in spontaneously
hypertensive rats. _Nutrition_ 2003; 19: 342–346. Article CAS Google Scholar * Hu FB, Bronner L, Willett WC, Stampfer MJ, Rexrode KM, Albert CM _et al_. Fish and omega-3 fatty acid intake
and risk of coronary heart disease in women. _JAMA_ 2002; 287: 1815–1821. Article CAS Google Scholar * Erkkilä AT, Lichtenstein AH, Mozaffarian D, Herrington DM . Fish intake is
associated with a reduced progression of coronary artery atherosclerosis in postmenopausal women with coronary artery disease. _Am J Clin Nutr_ 2004; 80: 32. Article Google Scholar * Nanri
A, Mizoue T, Noda M, Takahashi Y, Matsushita Y, Poudel-Tandukar K _et al_. Fish intake and type 2 diabetes in Japanese men and women: the Japan Public Health Center-based Prospective Study.
_Am J Clin Nutr_ 2011; 94: 884–891. Article CAS Google Scholar * He K, Rimm EB, Merchant A, Rosner BA, Stampfer MJ, Willett WC _et al_. Fish consumption and risk of stroke in men. _JAMA_
2002; 288: 3130–3136. Article CAS Google Scholar * Ruidavets JB, Bongard V, Dallongeville J, Arveiler D, Ducimetière P, Perret B _et al_. High consumptions of grain, fish, dairy products
and combinations of these are associated with a low prevalence of metabolic syndrome. _J Epidemiol Community Health_ 2007; 61: 810–817. Article Google Scholar * Baik I, Abbott RD, Curb
JD, Shin C . Intake of fish and _n_−3 fatty acids and future risk of metabolic syndrome. _J Am Diet Assoc_ 2010; 110: 1018–1026. Article CAS Google Scholar * Kouki R, Schwab U, Hassinen
M, Komulainen P, Heikkilä H, Lakka T _et al_. Food consumption, nutrient intake and the risk of having metabolic syndrome: the DR's EXTRA Study. _Eur J Clin Nutr_ 2010; 65: 368–377.
Article Google Scholar * Freire RD, Cardoso MA, Gimeno SGA . Ferreira SRG. Dietary fat is associated with metabolic syndrome in Japanese Brazilians. _Diabetes Care_ 2005; 28: 1779–1785.
Article CAS Google Scholar * Mennen LI, Lafay L, Feskens EJM, Novak M, Lépinay P, Balkau B . Possible protective effect of bread and dairy products on the risk of the metabolic syndrome.
_Nutr Res_ 2000; 20: 335–347. Article CAS Google Scholar * Esmaillzadeh A, Azadbakht L . Major dietary patterns in relation to general obesity and central adiposity among Iranian women.
_J Nutr_ 2008; 138: 358–363. Article CAS Google Scholar * Esmaillzadeh A, Azadbakht L . Legume consumption is inversely associated with serum concentrations of adhesion molecules and
inflammatory biomarkers among Iranian women. _J Nutr_ 2012; 142: 334–339. Article CAS Google Scholar * Kimiagar S, Ghaffarpour M, Houshiar-Rad A, Hormozdyari H, Zellipour L . Food
consumption pattern in the Islamic Republic of Iran and its relation to coronary heart disease. _Eastern Mediterranean Health J_ 1998; 4: 539–547. Google Scholar * Keshteli AH, Esmaillzadeh
A, Rajaie S, Askari G, Feinle-Bisset C, Adibi P . A dish-based semi-quantitative food frequency questionnaire for assessment of dietary intakes in epidemiologic studies in Iran: design and
development. _Int J Prev Med_ 2014; 5: 29–36. PubMed PubMed Central Google Scholar * Ghaffarpour M, Houshiar-Rad A, Kianfar H . _The Manual for Household Measures, Cooking Yields Factors
and Edible Portion of Foods_. Keshaverzi Presls: Tehran, Iran, 1999, pp 1–46. (in Farsi). Google Scholar * Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ _et al_.
Compendium of physical activities: an update of activity codes and MET intensities. _Med Sci Sports Exerc_ 2000; 32 (Suppl), S498–S504. Article CAS Google Scholar * Alberti K, Eckel RH,
Grundy SM, Zimmet PZ, Cleeman JI, Donato KA _et al_. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and
Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study
of Obesity. _Circulation_ 2009; 120: 1640–1645. Article CAS Google Scholar * Shabnam AA, Homa K, Reza MT, Bagher L, Hossein FM, Hamidreza A . Cut-off points of waist circumference and
body mass index for detecting diabetes, hypercholesterolemia and hypertension according to National Non-Communicable Disease Risk Factors Surveillance in Iran. _Arch Med Sci_ 2012; 8:
614–621. Article Google Scholar * Davidson MH . Mechanisms for the hypotriglyceridemic effect of marine omega-3 fatty acids. _Am J Cardiol_ 2006; 98: 27–33. Article Google Scholar *
Harris WS, Bulchandani D . Why do omega-3 fatty acids lower serum triglycerides? _Curr Opin Lipidol_ 2006; 17: 387–393. Article CAS Google Scholar * Yoshikawa T, Shimano H, Yahagi N, Ide
T, Amemiya-Kudo M, Matsuzaka T _et al_. Polyunsaturated fatty acids suppress sterol regulatory element-binding protein 1c promoter activity by inhibition of liver X receptor (LXR) binding to
LXR response elements. _J Biol Chem_ 2002; 277: 1705–1711. Article CAS Google Scholar * Kim HJ, Takahashi M, Ezaki O . Fish oil feeding decreases mature sterol regulatory element-binding
protein 1 (SREBP-1) by downregulation of SREBP-1c mRNA in mouse liver. _J Biol Chem_ 1999; 274: 25892–25898. Article CAS Google Scholar * Park Y, Harris WS . Omega-3 fatty acid
supplementation accelerates chylomicron triglyceride clearance. _J Lipid Res_ 2003; 44: 455–463. Article Google Scholar * Khan S, Minihane AM, Talmud PJ, Wright JW, Murphy MC, Williams CM
_et al_. Dietary long-chain _n_−3 PUFAs increase LPL gene expression in adipose tissue of subjects with an atherogenic lipoprotein phenotype. _J Lipid Res_ 2002; 43: 979–985. CAS PubMed
Google Scholar * Mori TA, Watts GF, Burke V, Hilme E, Puddey IB, Beilin LJ . Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm
microcirculation in hyperlipidemic, overweight men. _Circulation_ 2000; 102: 1264–1269. Article CAS Google Scholar * Nestel P, Shige H, Pomeroy S, Cehun M, Abbey M, Raederstorff D . The
_n_−3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans. _Am J Clin Nutr_ 2002; 76: 326–330. Article CAS Google Scholar * Das U .
Long-chain polyunsaturated fatty acids interact with nitric oxide, superoxide anion, and transforming growth factor-β to prevent human essential hypertension. _Eur J Clin Nutr_ 2004; 58:
195–203. Article CAS Google Scholar * Engler MM, Engler MB, Pierson DM, Molteni LB, Molteni A . Effects of docosahexaenoic acid on vascular pathology and reactivity in hypertension. _Exp
Biol Med (Maywood)_ 2003; 228: 299–307. Article CAS Google Scholar * Mozaffarian D . Fish, _n_−3 fatty acids, and cardiovascular haemodynamics. _J Cardiovasc Med_ 2007; 8: S23–S26.
Article Google Scholar Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran F Zaribaf, F
Barak, M Heidari & A Esmaillzadeh * Department of Nutrition, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran E Falahi * Integrative Functional
Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran A H Keshteli * Department of Medicine, University of Alberta, Edmonton, AB, Canada A H Keshteli *
Department of Critical Care Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran A Yazdannik * Department of Community Nutrition, School of
Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran A Esmaillzadeh Authors * F Zaribaf View author publications You can also search for this author inPubMed
Google Scholar * E Falahi View author publications You can also search for this author inPubMed Google Scholar * F Barak View author publications You can also search for this author inPubMed
Google Scholar * M Heidari View author publications You can also search for this author inPubMed Google Scholar * A H Keshteli View author publications You can also search for this author
inPubMed Google Scholar * A Yazdannik View author publications You can also search for this author inPubMed Google Scholar * A Esmaillzadeh View author publications You can also search for
this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to E Falahi. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no conflict of interest RIGHTS AND
PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Zaribaf, F., Falahi, E., Barak, F. _et al._ Fish consumption is inversely associated with the metabolic syndrome.
_Eur J Clin Nutr_ 68, 474–480 (2014). https://doi.org/10.1038/ejcn.2014.5 Download citation * Received: 08 March 2013 * Revised: 22 November 2013 * Accepted: 22 November 2013 * Published: 19
February 2014 * Issue Date: April 2014 * DOI: https://doi.org/10.1038/ejcn.2014.5 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get
shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * fish
intake * metabolic syndrome * cardiovascular risk factors * females * cross-sectional