FNS  Vol.3 No.4 , April 2012
Effectiveness of Dietary Advice to Increase Fish Consumption over a 12-Month Period
Abstract: Habitual fish consumption is associated with numerous health benefits; however, in Australia fish intake remains low. The aim of this study was to compare the effect of specific or general fish consumption recommendations on fish intake behavior over the duration of a 12-month clinical trial. Participants were randomized into a control group (general dietary advice), and two intervention groups (received dietetic advice to consume 180 g fish/wk), with one intervention group receiving LC omega-3 PUFA supplements. Dietary data was available for n = 117 at baseline, n = 85 at 3 months and n = 63 at 12 months. Total, fatty and lean fish intake (g/day) was calculated, and the change in fish intake between and within groups over the duration of the study was measured. Total fish consumption did not differ significantly between groups or within groups, however fatty fish intake was significantly greater in the intervention groups at three months (p = 0.004). The proportion of study participants complying with fish intake recommendations was also highest at the three month time point for both intervention groups. Overall, compliance to fish intake recommendations was highest at the three month time point and appeared to be influenced by dietetic intervention. Provision of fish may increase compliance in future studies, however if research is to be translated to practice, behavioral approaches are required to increase fish intake in the long term.
Cite this paper: E. Neale, A. Cossey, Y. Probst, M. Batterham and L. Tapsell, "Effectiveness of Dietary Advice to Increase Fish Consumption over a 12-Month Period," Food and Nutrition Sciences, Vol. 3 No. 4, 2012, pp. 455-460. doi: 10.4236/fns.2012.34065.

[1]   H. Iso, K. M. Rexrode, M. J. Stampfer, J. E. Manson, G. A. Colditz, F. E. Speizer, C. H. Hennekens and W. C. Willett, “Intake of Fish and Omega-3 Fatty Acids and Risk of Stroke in Women,” Journal of the American Medical Association, Vol. 285, No. 3, 2001, pp. 304-312. doi:10.1001/jama.285.3.304

[2]   K. He, E. B. Rimm, A. Merchant, B. A. Rosner, M. J. Stampfer, W. C. Willett and A. Ascherio, “Fish Consumption and Risk of Stroke in Men,” Journal of the American Medical Association, Vol. 288, No. 24, 2002, pp. 3130-3136. doi:10.1001/jama.288.24.3130

[3]   D. Mozaffarian, W. T. Longstreth, Jr., R. N. Lemaitre, T. A. Manolio, L. H. Kuller, G. L. Burke and D. S. Siscovick, “Fish Consumption and Stroke Risk in Elderly Individuals: The Cardiovascular Health Study,” Archives of Internal Medicine, Vol. 165, No. 2, 2005, pp. 200-206. doi:10.1001/archinte.165.2.200

[4]   E. B. Levitan, A. Wolk and M. A. Mittleman, “Fish Consumption, Marine Omega-3 Fatty Acids, and Incidence of Heart Failure: A Population-Based Prospective Study of Middle-Aged and Elderly Men,” European Heart Journal, Vol. 30, No. 12, 2009, pp. 1495-1500. doi:10.1093/eurheartj/ehp111

[5]   D. Mozaffarian, R. N. Lemaitre, L. H. Kuller, G. L. Burke, R. P. Tracy and D. S. Siscovick, “Cardiac Benefits of Fish Consumption May Depend on the Type of Fish Meal Consumed: The Cardiovascular Health Study,” Circulation, Vol. 107, No. 10, 2003, pp. 1372-1377. doi:10.1161/01.CIR.0000055315.79177.16

[6]   K. Yamagishi, H. Iso, C. Date, M. Fukui, K. Wakai, S. Kikuchi, Y. Inaba, N. Tanabe and A. Tamakoshi, “Fish, [Omega]-3 Polyunsaturated Fatty Acids, and Mortality From Cardiovascular Diseases in a Nationwide Community-Based Cohort of Japanese Men and Women: The JACC (Japan Collaborative Cohort Study for Evaluation of Cancer Risk) Study,” Journal of the American College of Cardiology, Vol. 52, No. 12, 2008, pp. 988-996. doi:10.1016/j.jacc.2008.06.018

[7]   C. M. Albert, C. H. Hennekens, C. J. O’Donnell, U. A. Ajani, V. J. Carey, W. C. Willett, J. N. Ruskin and J. E. Manson, “Fish Consumption and Risk of Sudden Cardiac Death,” Journal of the American Medical Association, Vol. 279, No. 1, 1998, pp. 23-28. doi:10.1001/jama.279.1.23

[8]   M. T. Streppel, M. C. Ocke, H. C. Boshuizen, F. J. Kok and D. Kromhout, “Long-Term Fish Consumption and n-3 Fatty Acid Intake in Relation to (Sudden) Coronary Heart Disease Death: The Zutphen Study,” European Heart Journal, Vol. 29, No. 16, 2008, pp. 2024-2030. doi:10.1001/jama.279.1.23

[9]   I. Thorsdottir, H. Tomasson, I. Gunnarsdottir, E. Gisladottir, M. Kiely, M. Parra, N. Bandarra, G. Schaafsma and J. Martinez, “Randomized Trial of Weight-Loss-Diets for Young Adults Varying in Fish and Fish Oil Content,” International Journal of Obesity, Vol. 31, No. 2007, pp. 1560-1566.

[10]   The National Heart Foundation, “Heart Foundation Position Statement: Fish, Fish Oils, n-3 Polyunsaturated Fatty Acids and Cardiovascular Health,” 2008.

[11]   Australian Bureau of Statistics, “National Nutrition Survey: Foods Eaten,” Canberra, 1995.

[12]   M. T. Timin, K. V. Shores and M. Reicks, “Behavior Change Outcomes in an Outpatient Cardiac Rehabilitation Program,” Journal of the American Dietetic Association, Vol. 102, No. 5, 2002, pp. 664-671. doi:10.1016/S0002-8223(02)90152-5

[13]   L. C. Tapsell, M. J. Batterham and K. E. Charlton, “Effects of n-3 Fatty Acids on Weight Loss: A 1 Year Randomized Controlled Trial,” The FASEB Journal, Vol. 25, No. 1, 2011, pp. 774-775.

[14]   G. S. Martin, L. C. Tapsell, S. Denmeade and M. J. Batterham, “Relative Validity of a Diet History Interview in an Intervention Trial Manipulating Dietary Fat in the Management of Type II Diabetes Mellitus [Small Star, Filled],” Preventive Medicine, Vol. 36, No. 4, 2003, pp. 420-428. doi:10.1016/S0091-7435(02)00054-3

[15]   E. Neale, Y. Probst, M. Batterham and L. Tapsell, “Development and Validation of an Australian Database for Estimating the Seafood Content of Canned Products,” Food and Nutrition Sciences, Vol. 2, No. 7, 2011, pp. 759-763. doi:10.4236/fns.2011.27104

[16]   K. Mina, L. Fritschi and M. Knuiman, “A Valid Semiquantitative Food Frequency Questionnaire to Measure Fish Consumption,” European Journal of Clinical Nutrition, Vol. 61, No. 8, 2007, pp. 1023-1031. doi:10.1038/sj.ejcn.1602617

[17]   E. E. Devore, F. Grodstein, F. J. A. van Rooij, A. Hofman, B. Rosner, M. J. Stampfer, J. C. M. Witteman and M. M. B. Breteler, “Dietary Intake of Fish and Omega-3 Fatty Acids in Relation to Long-Term Dementia Risk,” American Journal of Clinical Nutrition, Vol. 90, No. 1, 2009, pp. 170-176. doi:10.3945/ajcn.2008.27037

[18]   C. Enders, “Applied Missing Data Analysis,” The Guilford Press, New York, 2010.

[19]   S. Alhassan, S. Kim, A. Bersamin, A. King and C. Gardner, “Dietary Adherence and Weight Loss Success among Overweight Women: Results from the A to Z Weight Loss Study,” International Journal of Obesity, Vol. 32, No. 2008, pp. 985-991.

[20]   L. C. Tapsell, M. J. Batterham, G. Teuss, S. Y. Tan, S. Dalton, C. J. Quick, L. J. Gillen and K. E. Charlton, “Long-Term Effects of Increased Dietary Polyunsaturated Fat from Walnuts on Metabolic Parameters in Type II Diabetes,” European Journal of Clinical Nutrition, Vol. 63, No. 8, 2009, pp. 1008-1015. doi:10.1038/ejcn.2009.19

[21]   M. L. Dansinger, J. A. Gleason, J. L. Griffith, H. P. Selker and E. J. Schaefer, “Comparison of the Atkins, Ornish, Weight Watchers, and Zone Diets for Weight Loss and Heart Disease Risk Reduction: A Randomized Trial,” Journal of the American Medical Association, Vol. 293, No. 1, 2005, pp. 43-53. doi:10.1001/jama.293.1.43

[22]   K. Markwell, S. Somerset, F. Rowe and S. Borbasi, “What Contributes to Weight Loss Dietary Adherence? Results of a Psychosocial Investigation,” Australasian Medical Journal, Vol. 3, No. 1, 2010, p. 102.

[23]   I. Thorsdottir, B. Birgisdottir, M. Kiely, J. Martinez and N. Bandarra, “Fish Consumption among Young Overweight European Adults and Compliance to Varying Seafood Content in Four Weight Loss Intervention Diets,” Public Health Nutrition, Vol. 12, 2009, pp. 592-598.

[24]   T. A. Mori, R. Vandongen, L. J. Beilin, V. Burke, J. Morris and J. Ritchie, “Effects of Varying Dietary Fat, Fish, and Fish Oils on Blood Lipids in a Randomized Controlled Trial in Men at Risk of Heart Disease,” American Journal of Clinical Nutrition, Vol. 59, No. 5, 1994, pp. 1060-1068.

[25]   K. Kondo, K. Morino, Y. Nishio, M. Kondo, T. Fuke, S. Ugi, H. Iwakawa, A. Kashiwagi and H. Maegawa, “Effects of a Fish-Based Diet on the Serum Adiponectin Concentration in Young, Non-Obese, Healthy Japanese Subjects,” Journal of Atherosclerosis and Thrombosis, Vol. 17, No. 6, 2010, pp. 628-637. doi:10.5551/jat.3657

[26]   J. J. Lara, M. Economou, A. M. Wallace, A. Rumley, G. Lowe, C. Slater, M. Caslake, N. Sattar and M. E. J. Lean, “Benefits of Salmon Eating on Traditional and Novel Vascular Risk Factors in Young, Non-Obese Healthy Subjects,” Atherosclerosis, Vol. 193, No. 1, 2007, pp. 213-221. doi:10.1016/j.atherosclerosis.2006.06.018

[27]   R. R. Wing and R. W. Jeffery, “Food Provision as a Strategy to Promote Weight Loss,” Obesity, Vol. 9, No. 11S, 2001, pp. 271S-275S. doi:10.1038/oby.2001.130

[28]   R. W. Jeffery, R. R. Wing, C. Thorson, L. R. Burton, C. Raether, J. Harvey and M. Mullen, “Strengthening Behavioral Interventions for Weight Loss: A Randomized Trial of Food Provision and Monetary Incentives,” Journal of Consulting & Clinical Psychology, Vol. 61, No. 6, 1993, pp. 1038-1045. doi:10.1037/0022-006X.61.6.1038

[29]   J. A. Metz, P. M. Kris-Etherton, C. D. Morris, V. A. Mustad, J. S. Stern, S. Oparil, A. Chait, R. B. Haynes, L. M. Resnick, S. Clark, et al., “Dietary Compliance and Cardiovascular Risk Reduction with a Prepared Meal Plan Compared with a Self-Selected Diet,” American Journal of Clinical Nutrition, Vol. 66, No. 2, 1997, pp. 373-385.

[30]   F. E. Thompson and T. Byers, “Dietary Assessment Resource Manual,” Journal of Nutrition, Vol. 124, No. 11, 1994, pp. 2245s-2317s.

[31]   W. S. Harris and C. von Schacky, “The Omega-3 Index: A New Risk Factor for Death from Coronary Heart Disease?” Preventive Medicine, Vol. 39, No. 1, 2004, pp. 212-220. doi:10.1016/j.ypmed.2004.02.030