Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Research article

Lean fish consumption is associated with lower risk of metabolic syndrome: a Norwegian cross sectional study

Authors: C. Tørris, M. Molin, M. Småstuen Cvancarova

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

Fish consumption may have a role in reducing the prevalence of metabolic syndrome (MetS). The aim of this study was to identify associations between fish consumption and MetS and its components, especially regarding differences concerning consumption of fatty and lean fish.

Methods

This cross sectional study uses data from the Tromsø 6 survey (2007–08), where a sample of 12 981 adults, aged 30–87 years (47 % men) from the Norwegian general population was included. Fish consumption was assessed using food frequency questionnaires (FFQ). Blood sample assessments, anthropometric and blood pressure measurements were carried out according to standard protocols. MetS was defined using the Joint Interim Societies (JIS) definition. All tests were two-sided. Analyses were performed using IBM SPSS Statistics 22 (Pearson’s correlation, Chi-Square tests, analysis of variance (ANOVA), linear and logistic regression models).

Results

Mean age was 57.5, and the prevalence of MetS was 22.6 %. Fish consumption once a week or more was associated with lower risk of having MetS among men (OR 0.85, CI 95 % 0.74 to 0.98, P = 0.03). In the adjusted models, lean fish consumption was associated with a decreased risk of having MetS, whereas fatty fish consumption was not associated with a decreased risk of having MetS. Both an increased fatty and lean fish consumption (0–1 times per month, 2–3 times per month, 1–3 times per week, 4–6 times per week, 1–2 times per day) were associated with decreased serum triglyceride (TG), and increased high-density lipoprotein cholesterol (HDL-C).

Conclusions

Fish consumption may be associated with a lower risk of having MetS and consumption of lean fish seems to be driving the association. Further investigation is warranted to establish associations between fish consumption and MetS.
Literature
1.
go back to reference Ford ES, Giles WH, Mokdad AH. Increasing prevalence of the metabolic syndrome among u.s. Adults. Diabetes Care. 2004;27(10):2444–9.CrossRefPubMed Ford ES, Giles WH, Mokdad AH. Increasing prevalence of the metabolic syndrome among u.s. Adults. Diabetes Care. 2004;27(10):2444–9.CrossRefPubMed
2.
go back to reference Lim S, Shin H, Song JH, Kwak SH, Kang SM, Won Yoon J, Choi SH, Cho SI, Park KS, Lee HK, et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998–2007. Diabetes Care. 2011;34(6):1323–8.CrossRefPubMedPubMedCentral Lim S, Shin H, Song JH, Kwak SH, Kang SM, Won Yoon J, Choi SH, Cho SI, Park KS, Lee HK, et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998–2007. Diabetes Care. 2011;34(6):1323–8.CrossRefPubMedPubMedCentral
3.
go back to reference Alberti KG, Zimmet P, Shaw J. The metabolic syndrome--a new worldwide definition. Lancet. 2005;366(9491):1059–62.CrossRefPubMed Alberti KG, Zimmet P, Shaw J. The metabolic syndrome--a new worldwide definition. Lancet. 2005;366(9491):1059–62.CrossRefPubMed
4.
go back to reference Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith Jr SC. 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(16):1640–5.CrossRefPubMed Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith Jr SC. 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(16):1640–5.CrossRefPubMed
5.
go back to reference Potenza MV, Mechanick JI. The metabolic syndrome: definition, global impact, and pathophysiology. Nutrition Clin Practice. 2009;24(5):560–77.CrossRef Potenza MV, Mechanick JI. The metabolic syndrome: definition, global impact, and pathophysiology. Nutrition Clin Practice. 2009;24(5):560–77.CrossRef
6.
go back to reference Cornier MA, Dabelea D, Hernandez TL, Lindstrom RC, Steig AJ, Stob NR, Van Pelt RE, Wang H, Eckel RH. The metabolic syndrome. Endocr Rev. 2008;29(7):777–822.CrossRefPubMed Cornier MA, Dabelea D, Hernandez TL, Lindstrom RC, Steig AJ, Stob NR, Van Pelt RE, Wang H, Eckel RH. The metabolic syndrome. Endocr Rev. 2008;29(7):777–822.CrossRefPubMed
7.
go back to reference Cohen A, Pieper CF, Brown AJ, Bastian LA. Number of children and risk of metabolic syndrome in women. J Womens Health (Larchmt). 2006;15(6):763–73.CrossRef Cohen A, Pieper CF, Brown AJ, Bastian LA. Number of children and risk of metabolic syndrome in women. J Womens Health (Larchmt). 2006;15(6):763–73.CrossRef
8.
go back to reference Carr MC. The emergence of the metabolic syndrome with menopause. J Clin Endocrinology Metabolism. 2003;88(6):2404–11.CrossRef Carr MC. The emergence of the metabolic syndrome with menopause. J Clin Endocrinology Metabolism. 2003;88(6):2404–11.CrossRef
9.
go back to reference He K, Song Y, Daviglus ML, Liu K, Van Horn L, Dyer AR, Greenland P. Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. Circulation. 2004;109(22):2705–11.CrossRefPubMed He K, Song Y, Daviglus ML, Liu K, Van Horn L, Dyer AR, Greenland P. Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. Circulation. 2004;109(22):2705–11.CrossRefPubMed
10.
go back to reference Hu FB, Cho E, Rexrode KM, Albert CM, Manson JE. Fish and long-chain omega-3 fatty acid intake and risk of coronary heart disease and total mortality in diabetic women. Circulation. 2003;107(14):1852–7.CrossRefPubMed Hu FB, Cho E, Rexrode KM, Albert CM, Manson JE. Fish and long-chain omega-3 fatty acid intake and risk of coronary heart disease and total mortality in diabetic women. Circulation. 2003;107(14):1852–7.CrossRefPubMed
11.
go back to reference He K, Song Y, Daviglus ML, Liu K, Van Horn L, Dyer AR, Goldbourt U, Greenland P. Fish consumption and incidence of stroke: a meta-analysis of cohort studies. Stroke. 2004;35(7):1538–42.CrossRefPubMed He K, Song Y, Daviglus ML, Liu K, Van Horn L, Dyer AR, Goldbourt U, Greenland P. Fish consumption and incidence of stroke: a meta-analysis of cohort studies. Stroke. 2004;35(7):1538–42.CrossRefPubMed
12.
go back to reference Zheng J, Huang T, Yu Y, Hu X, Yang B, Li D. Fish consumption and CHD mortality: an updated meta-analysis of seventeen cohort studies. Public Health Nutr. 2012;15(4):725–37.CrossRefPubMed Zheng J, Huang T, Yu Y, Hu X, Yang B, Li D. Fish consumption and CHD mortality: an updated meta-analysis of seventeen cohort studies. Public Health Nutr. 2012;15(4):725–37.CrossRefPubMed
13.
go back to reference Mozaffarian D, Wu JH. Omega-3 fatty acids and cardiovascular disease: effects on risk factors, molecular pathways, and clinical events. J Am Coll Cardiol. 2011;58(20):2047–67.CrossRefPubMed Mozaffarian D, Wu JH. Omega-3 fatty acids and cardiovascular disease: effects on risk factors, molecular pathways, and clinical events. J Am Coll Cardiol. 2011;58(20):2047–67.CrossRefPubMed
14.
go back to reference Alexander J, Vitenskapskomiteen for m. A comprehensive assessment of fish and other seafood in the Norwegian diet. Oslo: Vitenskapskomiteen for mattrygghet; 2007. Alexander J, Vitenskapskomiteen for m. A comprehensive assessment of fish and other seafood in the Norwegian diet. Oslo: Vitenskapskomiteen for mattrygghet; 2007.
15.
16.
go back to reference Tørris C, Molin M, Cvancarova Småstuen M. Fish consumption and its possible preventive role on the development and prevalence of metabolic syndrome - a systematic review. Diabetology Metabolic Syndrome. 2014;6:112.CrossRefPubMedPubMedCentral Tørris C, Molin M, Cvancarova Småstuen M. Fish consumption and its possible preventive role on the development and prevalence of metabolic syndrome - a systematic review. Diabetology Metabolic Syndrome. 2014;6:112.CrossRefPubMedPubMedCentral
17.
go back to reference Vazquez C, Botella-Carretero JI, Corella D, Fiol M, Lage M, Lurbe E, Richart C, Fernandez-Real JM, Fuentes F, Ordonez A, et al. White fish reduces cardiovascular risk factors in patients with metabolic syndrome: the WISH-CARE study, a multicenter randomized clinical trial. Nutr Metab Cardiovasc Dis. 2014;24(3):328–35.CrossRefPubMed Vazquez C, Botella-Carretero JI, Corella D, Fiol M, Lage M, Lurbe E, Richart C, Fernandez-Real JM, Fuentes F, Ordonez A, et al. White fish reduces cardiovascular risk factors in patients with metabolic syndrome: the WISH-CARE study, a multicenter randomized clinical trial. Nutr Metab Cardiovasc Dis. 2014;24(3):328–35.CrossRefPubMed
18.
go back to reference Baik I, Abbott RD, Curb JD, Shin C. Intake of fish and n-3 fatty acids and future risk of metabolic syndrome. J Am Dietetic Assoc. 2010;110(7):1018–26.CrossRef Baik I, Abbott RD, Curb JD, Shin C. Intake of fish and n-3 fatty acids and future risk of metabolic syndrome. J Am Dietetic Assoc. 2010;110(7):1018–26.CrossRef
19.
go back to reference Zaribaf F, Falahi E, Barak F, Heidari M, Keshteli AH, Yazdannik A, Esmaillzadeh A. Fish consumption is inversely associated with the metabolic syndrome. Eur J Clin Nutr. 2014;68(4):474–80.CrossRefPubMed Zaribaf F, Falahi E, Barak F, Heidari M, Keshteli AH, Yazdannik A, Esmaillzadeh A. Fish consumption is inversely associated with the metabolic syndrome. Eur J Clin Nutr. 2014;68(4):474–80.CrossRefPubMed
20.
go back to reference Erkkila AT, Schwab US, de Mello VD, Lappalainen T, Mussalo H, Lehto S, Kemi V, Lamberg-Allardt C, Uusitupa MI. Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications. Eur J Nutr. 2008;47(6):319–28.CrossRefPubMed Erkkila AT, Schwab US, de Mello VD, Lappalainen T, Mussalo H, Lehto S, Kemi V, Lamberg-Allardt C, Uusitupa MI. Effects of fatty and lean fish intake on blood pressure in subjects with coronary heart disease using multiple medications. Eur J Nutr. 2008;47(6):319–28.CrossRefPubMed
22.
go back to reference Eggen AE, Mathiesen EB, Wilsgaard T, Jacobsen BK, Njolstad I. The sixth survey of the Tromso Study (Tromso 6) in 2007–08: collaborative research in the interface between clinical medicine and epidemiology: study objectives, design, data collection procedures, and attendance in a multipurpose population-based health survey. Scand J Public Health. 2013;41(1):65–80.CrossRefPubMed Eggen AE, Mathiesen EB, Wilsgaard T, Jacobsen BK, Njolstad I. The sixth survey of the Tromso Study (Tromso 6) in 2007–08: collaborative research in the interface between clinical medicine and epidemiology: study objectives, design, data collection procedures, and attendance in a multipurpose population-based health survey. Scand J Public Health. 2013;41(1):65–80.CrossRefPubMed
23.
go back to reference Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith Jr SC, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005;112(17):2735–52.CrossRefPubMed Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith Jr SC, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation. 2005;112(17):2735–52.CrossRefPubMed
24.
go back to reference Kouki R, Schwab U, Hassinen M, Komulainen P, Heikkila H, Lakka TA, Rauramaa R. Food consumption, nutrient intake and the risk of having metabolic syndrome: the DR’s EXTRA Study. EurJ Clin Nutr. 2011;65(3):368–77.CrossRef Kouki R, Schwab U, Hassinen M, Komulainen P, Heikkila H, Lakka TA, Rauramaa R. Food consumption, nutrient intake and the risk of having metabolic syndrome: the DR’s EXTRA Study. EurJ Clin Nutr. 2011;65(3):368–77.CrossRef
25.
go back to reference Ruidavets JB, Bongard V, Dallongeville J, Arveiler D, Ducimetiere P, Perret B, Simon C, Amouyel P, Ferrieres J. 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(9):810–7.CrossRefPubMedPubMedCentral Ruidavets JB, Bongard V, Dallongeville J, Arveiler D, Ducimetiere P, Perret B, Simon C, Amouyel P, Ferrieres J. 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(9):810–7.CrossRefPubMedPubMedCentral
26.
go back to reference Baik I. Optimal cutoff points of waist circumference for the criteria of abdominal obesity: comparison with the criteria of the International Diabetes Federation. Circulation J. 2009;73(11):2068–75.CrossRef Baik I. Optimal cutoff points of waist circumference for the criteria of abdominal obesity: comparison with the criteria of the International Diabetes Federation. Circulation J. 2009;73(11):2068–75.CrossRef
27.
go back to reference Lai YH, Petrone AB, Pankow JS, Arnett DK, North KE, Ellison RC, Hunt SC, Djousse L: Association of dietary omega-3 fatty acids with prevalence of metabolic syndrome: The National Heart, Lung, and Blood Institute Family Heart Study. Clinical nutrition 2013;32(6):966-69. Lai YH, Petrone AB, Pankow JS, Arnett DK, North KE, Ellison RC, Hunt SC, Djousse L: Association of dietary omega-3 fatty acids with prevalence of metabolic syndrome: The National Heart, Lung, and Blood Institute Family Heart Study. Clinical nutrition 2013;32(6):966-69.
28.
go back to reference Pasalic D, Dodig S, Corovic N, Pizent A, Jurasovic J, Pavlovic M. High prevalence of metabolic syndrome in an elderly Croatian population - a multicentre study. Public Health Nutr. 2011;14(9):1650–7.CrossRefPubMed Pasalic D, Dodig S, Corovic N, Pizent A, Jurasovic J, Pavlovic M. High prevalence of metabolic syndrome in an elderly Croatian population - a multicentre study. Public Health Nutr. 2011;14(9):1650–7.CrossRefPubMed
29.
go back to reference Ramel A, Jonsdottir MT, Thorsdottir I. Consumption of cod and weight loss in young overweight and obese adults on an energy reduced diet for 8-weeks. Nutr Metab Cardiovasc Dis. 2009;19(10):690–6.CrossRefPubMed Ramel A, Jonsdottir MT, Thorsdottir I. Consumption of cod and weight loss in young overweight and obese adults on an energy reduced diet for 8-weeks. Nutr Metab Cardiovasc Dis. 2009;19(10):690–6.CrossRefPubMed
30.
go back to reference Uhe AM, Collier GR, O’Dea K. A comparison of the effects of beef, chicken and fish protein on satiety and amino acid profiles in lean male subjects. J Nutr. 1992;122(3):467–72.PubMed Uhe AM, Collier GR, O’Dea K. A comparison of the effects of beef, chicken and fish protein on satiety and amino acid profiles in lean male subjects. J Nutr. 1992;122(3):467–72.PubMed
31.
go back to reference El Khoury D, Anderson GH. Recent advances in dietary proteins and lipid metabolism. Current Opinion Lipidology. 2013;24(3):207–13.CrossRef El Khoury D, Anderson GH. Recent advances in dietary proteins and lipid metabolism. Current Opinion Lipidology. 2013;24(3):207–13.CrossRef
32.
go back to reference Shukla A, Bettzieche A, Hirche F, Brandsch C, Stangl GI, Eder K. Dietary fish protein alters blood lipid concentrations and hepatic genes involved in cholesterol homeostasis in the rat model. Br J Nutr. 2006;96(4):674–82.PubMed Shukla A, Bettzieche A, Hirche F, Brandsch C, Stangl GI, Eder K. Dietary fish protein alters blood lipid concentrations and hepatic genes involved in cholesterol homeostasis in the rat model. Br J Nutr. 2006;96(4):674–82.PubMed
33.
go back to reference Pilon G, Ruzzin J, Rioux LE, Lavigne C, White PJ, Froyland L, Jacques H, Bryl P, Beaulieu L, Marette A. Differential effects of various fish proteins in altering body weight, adiposity, inflammatory status, and insulin sensitivity in high-fat-fed rats. Metabolism. 2011;60(8):1122–30.CrossRefPubMed Pilon G, Ruzzin J, Rioux LE, Lavigne C, White PJ, Froyland L, Jacques H, Bryl P, Beaulieu L, Marette A. Differential effects of various fish proteins in altering body weight, adiposity, inflammatory status, and insulin sensitivity in high-fat-fed rats. Metabolism. 2011;60(8):1122–30.CrossRefPubMed
34.
go back to reference Madani Z, Louchami K, Sener A, Malaisse WJ, Ait Yahia D. Dietary sardine protein lowers insulin resistance, leptin and TNF-alpha and beneficially affects adipose tissue oxidative stress in rats with fructose-induced metabolic syndrome. Int J Molecular Med. 2012;29(2):311–8. Madani Z, Louchami K, Sener A, Malaisse WJ, Ait Yahia D. Dietary sardine protein lowers insulin resistance, leptin and TNF-alpha and beneficially affects adipose tissue oxidative stress in rats with fructose-induced metabolic syndrome. Int J Molecular Med. 2012;29(2):311–8.
35.
go back to reference Ouellet V, Marois J, Weisnagel SJ, Jacques H. Dietary cod protein improves insulin sensitivity in insulin-resistant men and women: a randomized controlled trial. Diabetes Care. 2007;30(11):2816–21.CrossRefPubMed Ouellet V, Marois J, Weisnagel SJ, Jacques H. Dietary cod protein improves insulin sensitivity in insulin-resistant men and women: a randomized controlled trial. Diabetes Care. 2007;30(11):2816–21.CrossRefPubMed
36.
go back to reference Cho YA, Kim J, Cho ER, Shin A. Dietary patterns and the prevalence of metabolic syndrome in Korean women. Nutr Metab Cardiovas Dis. 2011;21(11):893–900.CrossRef Cho YA, Kim J, Cho ER, Shin A. Dietary patterns and the prevalence of metabolic syndrome in Korean women. Nutr Metab Cardiovas Dis. 2011;21(11):893–900.CrossRef
37.
go back to reference Allan CA. Sex steroids and glucose metabolism. Asian J Andrology. 2014;16(2):232–8.CrossRef Allan CA. Sex steroids and glucose metabolism. Asian J Andrology. 2014;16(2):232–8.CrossRef
38.
go back to reference Sartorius G, Spasevska S, Idan A, Turner L, Forbes E, Zamojska A, Allan CA, Ly LP, Conway AJ, McLachlan RI, et al. Serum testosterone, dihydrotestosterone and estradiol concentrations in older men self-reporting very good health: the healthy man study. Clin Endocrinology. 2012;77(5):755–63.CrossRef Sartorius G, Spasevska S, Idan A, Turner L, Forbes E, Zamojska A, Allan CA, Ly LP, Conway AJ, McLachlan RI, et al. Serum testosterone, dihydrotestosterone and estradiol concentrations in older men self-reporting very good health: the healthy man study. Clin Endocrinology. 2012;77(5):755–63.CrossRef
39.
go back to reference Agledahl I, Skjaerpe PA, Hansen JB, Svartberg J. Low serum testosterone in men is inversely associated with non-fasting serum triglycerides: the Tromso study. Nutr Metab Cardiovasc Dis. 2008;18(4):256–62.CrossRefPubMed Agledahl I, Skjaerpe PA, Hansen JB, Svartberg J. Low serum testosterone in men is inversely associated with non-fasting serum triglycerides: the Tromso study. Nutr Metab Cardiovasc Dis. 2008;18(4):256–62.CrossRefPubMed
40.
go back to reference Grundy SM. Metabolic syndrome pandemic. Arteriosclerosis Thrombosis Vascular Biology. 2008;28(4):629–36.CrossRef Grundy SM. Metabolic syndrome pandemic. Arteriosclerosis Thrombosis Vascular Biology. 2008;28(4):629–36.CrossRef
41.
go back to reference Maggi S, Noale M, Gallina P, Bianchi D, Marzari C, Limongi F, Crepaldi G. Metabolic syndrome, diabetes, and cardiovascular disease in an elderly Caucasian cohort: the Italian Longitudinal Study on Aging. Gerontol A Biol Sci Med Sci. 2006;61(5):505–10.CrossRef Maggi S, Noale M, Gallina P, Bianchi D, Marzari C, Limongi F, Crepaldi G. Metabolic syndrome, diabetes, and cardiovascular disease in an elderly Caucasian cohort: the Italian Longitudinal Study on Aging. Gerontol A Biol Sci Med Sci. 2006;61(5):505–10.CrossRef
42.
go back to reference Jaber LA, Brown MB, Hammad A, Zhu Q, Herman WH. The prevalence of the metabolic syndrome among arab americans. Diabetes Care. 2004;27(1):234–8.CrossRefPubMed Jaber LA, Brown MB, Hammad A, Zhu Q, Herman WH. The prevalence of the metabolic syndrome among arab americans. Diabetes Care. 2004;27(1):234–8.CrossRefPubMed
43.
go back to reference Guarner-Lans V, Rubio-Ruiz ME, Perez-Torres I, Banos de MacCarthy G. Relation of aging and sex hormones to metabolic syndrome and cardiovascular disease. Exp Gerontol. 2011;46(7):517–23.CrossRefPubMed Guarner-Lans V, Rubio-Ruiz ME, Perez-Torres I, Banos de MacCarthy G. Relation of aging and sex hormones to metabolic syndrome and cardiovascular disease. Exp Gerontol. 2011;46(7):517–23.CrossRefPubMed
44.
go back to reference Gunderson EP, Jacobs Jr DR, Chiang V, Lewis CE, Feng J, Quesenberry Jr CP, Sidney S. Duration of lactation and incidence of the metabolic syndrome in women of reproductive age according to gestational diabetes mellitus status: a 20-Year prospective study in CARDIA (Coronary Artery Risk Development in Young Adults). Diabetes. 2010;59(2):495–504.CrossRefPubMedPubMedCentral Gunderson EP, Jacobs Jr DR, Chiang V, Lewis CE, Feng J, Quesenberry Jr CP, Sidney S. Duration of lactation and incidence of the metabolic syndrome in women of reproductive age according to gestational diabetes mellitus status: a 20-Year prospective study in CARDIA (Coronary Artery Risk Development in Young Adults). Diabetes. 2010;59(2):495–504.CrossRefPubMedPubMedCentral
45.
go back to reference Butte NF, King JC. Energy requirements during pregnancy and lactation. Public Health Nutr. 2005;8(7A):1010–27.PubMed Butte NF, King JC. Energy requirements during pregnancy and lactation. Public Health Nutr. 2005;8(7A):1010–27.PubMed
46.
go back to reference Butte NF, Wong WW, Hopkinson JM. Energy requirements of lactating women derived from doubly labeled water and milk energy output. J Nutr. 2001;131(1):53–8.PubMed Butte NF, Wong WW, Hopkinson JM. Energy requirements of lactating women derived from doubly labeled water and milk energy output. J Nutr. 2001;131(1):53–8.PubMed
48.
go back to reference Torris C, Thune I, Emaus A, Finstad SE, Bye A, Furberg AS, Barrett E, Jasienska G, Ellison P, Hjartaker A. Duration of lactation, maternal metabolic profile, and body composition in the Norwegian EBBA I-study. Breastfeed Med. 2013;8(1):8–15.CrossRefPubMed Torris C, Thune I, Emaus A, Finstad SE, Bye A, Furberg AS, Barrett E, Jasienska G, Ellison P, Hjartaker A. Duration of lactation, maternal metabolic profile, and body composition in the Norwegian EBBA I-study. Breastfeed Med. 2013;8(1):8–15.CrossRefPubMed
49.
go back to reference Kim H, Park S, Yang H, Choi YJ, Huh KB, Chang N. Association between fish and shellfish, and omega-3 PUFAs intake and CVD risk factors in middle-aged female patients with type 2 diabetes. Nutrition Res Practice. 2015;9(5):496–502.CrossRef Kim H, Park S, Yang H, Choi YJ, Huh KB, Chang N. Association between fish and shellfish, and omega-3 PUFAs intake and CVD risk factors in middle-aged female patients with type 2 diabetes. Nutrition Res Practice. 2015;9(5):496–502.CrossRef
50.
go back to reference Telle-Hansen VH, Larsen LN, Hostmark AT, Molin M, Dahl L, Almendingen K, Ulven SM. Daily intake of cod or salmon for 2 weeks decreases the 18:1n-9/18:0 ratio and serum triacylglycerols in healthy subjects. Lipids. 2012;47(2):151–60.CrossRefPubMed Telle-Hansen VH, Larsen LN, Hostmark AT, Molin M, Dahl L, Almendingen K, Ulven SM. Daily intake of cod or salmon for 2 weeks decreases the 18:1n-9/18:0 ratio and serum triacylglycerols in healthy subjects. Lipids. 2012;47(2):151–60.CrossRefPubMed
51.
go back to reference Aadland EK, Lavigne C, Graff IE, Eng O, Paquette M, Holthe A, Mellgren G, Jacques H, Liaset B. Lean-seafood intake reduces cardiovascular lipid risk factors in healthy subjects: results from a randomized controlled trial with a crossover design. Am J Clin Nutr. 2015;102(3):582–92.CrossRefPubMed Aadland EK, Lavigne C, Graff IE, Eng O, Paquette M, Holthe A, Mellgren G, Jacques H, Liaset B. Lean-seafood intake reduces cardiovascular lipid risk factors in healthy subjects: results from a randomized controlled trial with a crossover design. Am J Clin Nutr. 2015;102(3):582–92.CrossRefPubMed
52.
go back to reference Liu X, Tao L, Cao K, Wang Z, Chen D, Guo J, Zhu H, Yang X, Wang Y, Wang J, et al. Association of high-density lipoprotein with development of metabolic syndrome components: a five-year follow-up in adults. BMC Public Health. 2015;15:412.CrossRefPubMedPubMedCentral Liu X, Tao L, Cao K, Wang Z, Chen D, Guo J, Zhu H, Yang X, Wang Y, Wang J, et al. Association of high-density lipoprotein with development of metabolic syndrome components: a five-year follow-up in adults. BMC Public Health. 2015;15:412.CrossRefPubMedPubMedCentral
Metadata
Title
Lean fish consumption is associated with lower risk of metabolic syndrome: a Norwegian cross sectional study
Authors
C. Tørris
M. Molin
M. Småstuen Cvancarova
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-3014-0

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue