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Original Communication

The Association between Fish Consumption and Risk of Metabolic Syndrome in Adults: Tehran Lipid and Glucose Study

Published Online:https://doi.org/10.1024/0300-9831/a000561

Abstract. Objective: Although fish consumption may play a role in prevention of the risk of metabolic syndrome (MetS), results of studies available on this topic are controversial. In this study, we have examined the association of fish consumption and 3.6-year incidence of MetS in Tehranian adults. Methods: We conducted a population based cohort study of 3382 adult subjects, aged 19-55 years, from the Tehran Lipid and Glucose Study (TLGS). Fish consumption data were collected using a valid and reliable food-frequency questionnaire. The consumption of fish, in the form of canned and non-canned fish was designated for all subjects, and was classified into three categories (< 30, 30-45, and > 45 g/week). Odds ratio (OR) for the occurrence of MetS according to categories of fish consumption was assessed by multivariable logistic regression. Results: The mean age of participants (35% male) at baseline was 35 years. Mean fish consumption was 11.3 g/d and incidence of MetS was 13.1%. In the fully adjusted model, subjects, who consumed > 45 g/week of fish had lower incidence of MetS, compared to those who consumed < 30 g/week (OR = 0.73; CI: 0.56-0.95). However, there were no associations between consumption of non-canned fish (OR = 0.86; 95% CI: 0.67-1.10) and canned fish (OR = 0.91; 95% CI: 0.64-1.29) and the incidence of MetS. Conclusion: Our findings suggest that high consumption of fish can reduce the incidence of MetS among adults.

References

  • 1 Executive summary of the third report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). (2001). JAMA. 285, 2486–2497. First citation in articleCrossref MedlineGoogle Scholar

  • 2 Alberti, K.G., Eckel, R.H., Grundy, S.M., Zimmet, P.Z., Cleeman, J.I., Donato, K.A., et al. (2009) 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. 120, 1640–1645. First citation in articleCrossref MedlineGoogle Scholar

  • 3 Kaur, J.A. (2014) Comprehensive review on metabolic syndrome. Cardiol Res Pract. 943162. First citation in articleMedlineGoogle Scholar

  • 4 Thomas, G., Sehgal, A.R., Kashyap, S.R., Srinivas, T.R., Kirwan, J.P., & Navaneethan, S.D. (2011) Metabolic syndrome and kidney disease: A systematic review and meta-analysis. Clin J Am Soc Nephrol. 6, 2364–2373. First citation in articleCrossref MedlineGoogle Scholar

  • 5 Ford, E.S. (2005) Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: a summary of the evidence. Diabetes Care. 28, 1769–1778. First citation in articleCrossref MedlineGoogle Scholar

  • 6 Feldeisen, S.E., & Tucker, K.L. (2007) Nutritional strategies in the prevention and treatment of metabolic syndrome. Appl Physiol Nutr Metabol. 32, 46–60. First citation in articleCrossref MedlineGoogle Scholar

  • 7 Church, T. (2011) Exercise in obesity, metabolic syndrome, and diabetes. Progr Cardiovasc Dis. 53, 412–418. First citation in articleCrossref MedlineGoogle Scholar

  • 8 Hong, S., Song, Y., Lee, K.H., Lee, H.S., Lee, M., Jee, S.H., et al. (2001) A fruit and dairy dietary pattern is associated with a reduced risk of metabolic syndrome. Metabolism. 61, 883–890. First citation in articleCrossrefGoogle Scholar

  • 9 Kim, J., & Jo, I. (2011) Grains, vegetables, and fish dietary pattern is inversely associated with the risk of metabolic syndrome in south Korean adults. J Am Diet Assoc. 111, 1141–1149. First citation in articleCrossref MedlineGoogle Scholar

  • 10 Herold, P.M., & Kinsella, J.E. (1986) Fish oil consumption and decreased risk of cardiovascular disease: a comparison of findings from animal and human feeding trials. Am J Clin Nutr. 43, 566–598. First citation in articleCrossref MedlineGoogle Scholar

  • 11 Campbell, F., Dickinson, H.O., Critchley, J.A., Ford, G.A., & Bradburn, M. (2013) A systematic review of fish-oil supplements for the prevention and treatment of hypertension. Eur J Prev Cardiol. 20, 107–120. First citation in articleCrossref MedlineGoogle Scholar

  • 12 Lorente-Cebrián, S., Costa, A.V., Navas-Carretero, S., Zabala, M., Martínez, J.A., & Moreno-Aliaga, M. (2013) Role of omega-3 fatty acids in obesity, metabolic syndrome, and cardiovascular diseases: a review of the evidence. J Physiol Biochem. 69, 633–651. First citation in articleCrossref MedlineGoogle Scholar

  • 13 Zaribaf, F., Falahi, E., Barak, F., Heidari, M., Keshteli, A.H., Yazdannik, A., et al. (2014) Fish consumption is inversely associated with the metabolic syndrome. Eur J Clin Nutr. 68, 474–480. First citation in articleCrossref MedlineGoogle Scholar

  • 14 Lai, Y.H.L., Petrone, A.B., Pankow, J.S., Arnett, D.K., North, K.E., Ellison, R.C., et al. (2013) Association of dietary omega-3 fatty acids with prevalence of metabolic syndrome: The National Heart, Lung, and Blood Institute Family Heart Study. Clin Nutr. 32, 966–969. First citation in articleCrossref MedlineGoogle Scholar

  • 15 Mennen, L.I., Lafay, L., Feskens, E.J.M., Novak, M., Lépinay, P., & Balkau, B. (2000) Possible protective effect of bread and dairy products on the risk of the metabolic syndrome. Nutr Res. 20, 335–347. First citation in articleCrossrefGoogle Scholar

  • 16 Kouki, R., Schwab, U., Hassinen, M., Komulainen, P., Heikkila, H., Lakka, T.A., et al. (2001) Food consumption, nutrient intake and the risk of having metabolic syndrome: the DR’s EXTRA Study. Eur J Clin Nutr. 65, 368–377. First citation in articleCrossrefGoogle Scholar

  • 17 Ruidavets, J.B., Bongard, V., Dallongeville, J., Arveiler, D., Ducimetiere, P., Perret, B., et al. (2007) High consumptions of grain, fish, dairy products and combinations of these are associated with a low prevalence of metabolic syndrome. J Epidemiol Commun Health. 61, 810–817. First citation in articleCrossref MedlineGoogle Scholar

  • 18 Kim, Y.S., Xun, P., Iribarren, C., Van Horn, L., Steffen, L., Daviglus, M.L., et al. (2016) Intake of fish and long-chain omega-3 polyunsaturated fatty acids and incidence of metabolic syndrome among American young adults: a 25-year follow-up study. Eur J Nutr. 55, 1707–1716. First citation in articleCrossref MedlineGoogle Scholar

  • 19 Tørris, C., Molin, M., & Cvancarova Småstuen, M. (2014) Fish consumption and its possible preventive role on the development and prevalence of metabolic syndrome - a systematic review. Diabetol Metabol Syndr. 6, 112. First citation in articleCrossref MedlineGoogle Scholar

  • 20 Kim, Y.S., Xun, P., & He, K. (2015) Fish consumption, long-chain omega-3 polyunsaturated fatty acid intake and risk of metabolic syndrome: a meta-analysis. Nutrients. 7, 2085–2100. First citation in articleCrossref MedlineGoogle Scholar

  • 21 Baik, I., Abbott, R.D., Curb, J.D., & Shin, C. (2010) Intake of fish and n-3 fatty acids and future risk of metabolic syndrome. J Am Diet Assoc. 110, 1018–1026. First citation in articleCrossref MedlineGoogle Scholar

  • 22 Azizi, F., Ghanbarian, A., Momenan, A.A., Hadaegh, F., Mirmiran, P., Hedayati, M., et al. (2009) Prevention of non-communicable disease in a population in nutrition transition: Tehran Lipid and Glucose Study phase II. Trials. 10, 5. First citation in articleCrossref MedlineGoogle Scholar

  • 23 Momenan, A.A., Delshad, M., Sarbazi, N., Rezaei Ghaleh, N., Ghanbarian, A., & Azizi, F. (2012) Reliability and validity of the Modifiable Activity Questionnaire (MAQ) in an Iranian urban adult population. Arch Iran Med. 15, 279–282. First citation in articleMedlineGoogle Scholar

  • 24 Ainsworth, B.E., Haskell, W.L., Whitt, M.C., Irwin, M.L., Swartz, A.M., Strath, S.J., et al. (2002) Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 32, S498–S504. First citation in articleCrossrefGoogle Scholar

  • 25 Asghari, G., Rezazadeh, A., Hosseini-Esfahani, F., Mehrabi, Y., Mirmiran, P., & Azizi, F. (2012) Reliability, comparative validity and stability of dietary patterns derived from an FFQ in the Tehran Lipid and Glucose Study. Br J Nutr. 108, 1109–1117. First citation in articleCrossref MedlineGoogle Scholar

  • 26 Mirmiran, P., Esfahani, F.H., Mehrabi, Y., Hedayati, M., & Azizi, F. (2010) Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr. 13, 654–662. First citation in articleCrossref MedlineGoogle Scholar

  • 27 Hosseini Esfahani, F., Asghari, G., Mirmiran, P., & Azizi, F. (2010) Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran lipid and glucose study. Journal of Epidemiology. 20, 150–158. First citation in articleCrossref MedlineGoogle Scholar

  • 28 Azizi, F., Hadaegh, F., Khalili, D., Esteghamati, A., Hosseinpanah, F., Delavari, A., et al. (2010) Appropriate definition of metabolic syndrome among Iranian adults: report of the Iranian National Committee of Obesity. Arch Iran Med. 13, 426–428. First citation in articleMedlineGoogle Scholar

  • 29 Aubourg, S.P. (2001) Review: Loss of quality during the manufacture of canned fish products. Food Sci Technol Int. 7, 199–215. First citation in articleCrossrefGoogle Scholar

  • 30 Neff, M.R., Bhavsar, S.P., Braekevelt, E., & Arts, M.T. (2014) Effects of different cooking methods on fatty acid profiles in four freshwater fishes from the Laurentian Great Lakes region. Food Chem. 164, 544–550. First citation in articleCrossref MedlineGoogle Scholar

  • 31 Hosseini, H., Mahmoudzadeh, M., Rezaei, M., Mahmoudzadeh, L., Khaksar, R., Khosroshahi, N.K., et al. (2014) Effect of different cooking methods on minerals, vitamins and nutritional quality indices of kutum roach (Rutilus frisii kutum). Food Chem. 148, 86–91. First citation in articleCrossref MedlineGoogle Scholar

  • 32 Adeli, A., Hasangholipour, T., Hossaini, A., Salehi, H., & Shabanpour, B. (2011) Status of fish Consumption per capita of Tehran citizens. Iran J Fish Sci. 10, 546–556. First citation in articleGoogle Scholar

  • 33 Hoshi, T., Wissuwa, B., Tian, Y., Tajima, N., Xu, R., Bauer, M., et al. (2013) Omega-3 fatty acids lower blood pressure by directly activating large-conductance Ca(2 +)-dependent K(+) channels. Proc Natl Acad Sci U S A. 110, 4816–4821. First citation in articleCrossref MedlineGoogle Scholar

  • 34 Mori, T.A., & Beilin, L.J. (2001) Long-chain omega 3 fatty acids, blood lipids and cardiovascular risk reduction. Curr Opin Lipidol. 12, 11–17. First citation in articleCrossref MedlineGoogle Scholar

  • 35 Miller, P.E., Van Elswyk, M., & Alexander, D.D. (2014) Long-chain omega-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid and blood pressure: a meta-analysis of randomized controlled trials. Am J Hypertens. 27, 885–896. First citation in articleCrossref MedlineGoogle Scholar

  • 36 Pearson, S.J., Johnson, T., & Robins, A. (2014) Fish oil supplementation, resting blood flow and markers of cellular metabolism during incremental exercise. Int J Vitam Nutr Res. 84, 18–26. First citation in articleLinkGoogle Scholar

  • 37 Root, M.M., & Dawson, H.R. (2013) DASH-like diets high in protein or monounsaturated fats improve metabolic syndrome and calculated vascular risk. Int J Vitam Nutr Res. 83, 224–231. First citation in articleLinkGoogle Scholar

  • 38 Simopoulos, A.P. (1989) Summary of the NATO advanced research workshop on dietary omega 3 and omega 6 fatty acids: biological effects and nutritional essentiality. J Nutr. 119, 521–528. First citation in articleCrossref MedlineGoogle Scholar

  • 39 Mori, T.A., Watts, G.F., Burke, V., Hilme, E., Puddey, I.B., & Beilin, L.J. (2000) Differential effects of eicosapentaenoic acid and docosahexaenoic acid on vascular reactivity of the forearm microcirculation in hyperlipidemic, overweight men. Circulation. 102, 1264–1269. First citation in articleCrossref MedlineGoogle Scholar

  • 40 Nestel, P., Shige, H., Pomeroy, S., Cehun, M., Abbey, M., & Raederstorff, D. (2002) The n-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid increase systemic arterial compliance in humans. Am J Clin Nutr. 76, 326–330. First citation in articleCrossref MedlineGoogle Scholar

  • 41 Das, U.N. (2004) Long-chain polyunsaturated fatty acids interact with nitric oxide, superoxide anion, and transforming growth factor-beta to prevent human essential hypertension. Eur J Clin Nutr. 58, 195–203. First citation in articleCrossref MedlineGoogle Scholar

  • 42 Rios-Hoyo, A., Cortes, M.J., Rios-Ontiveros, H., Meaney, E., Ceballos, G., & Gutierrez-Salmean, G. (2014) Obesity, metabolic syndrome, and dietary therapeutical approaches with a special focus on nutraceuticals (Polyphenols): A mini-review. Int J Vitam Nutr Res. 84, 113–123. First citation in articleLinkGoogle Scholar

  • 43 Balk, E.M., Lichtenstein, A.H., Chung, M., Kupelnick, B., Chew, P., & Lau, J. (2006) Effects of omega-3 fatty acids on serum markers of cardiovascular disease risk: a systematic review. Atherosclerosis. 189, 19–30. First citation in articleCrossref MedlineGoogle Scholar

  • 44 Delarue, J., Couet, C., Cohen, R., Brechot, J.F., Antoine, J.M., & Lamisse, F. (1996) Effects of fish oil on metabolic responses to oral fructose and glucose loads in healthy humans. Am J Physiol. 270, E353–E362. First citation in articleMedlineGoogle Scholar

  • 45 Tsitouras, P.D., Gucciardo, F., Salbe, A.D., Heward, C., & Harman, S.M. (2008) High omega-3 fat intake improves insulin sensitivity and reduces CRP and IL6, but does not affect other endocrine axes in healthy older adults. Horm Metab Res. 40, 199–205. First citation in articleCrossref MedlineGoogle Scholar