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Seafood ChoiCeS

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<strong>Seafood</strong> Choices: Balancing Benefits and Risks<br />

http://www.nap.edu/catalog/11762.html<br />

hEALTh BENEFITS ASSOCIATED WITh NUTRIENTS IN SEAFOOD<br />

Part II: Benefits for<br />

Prevention of Adult Chronic Disease<br />

CARDIOVASCULAR DISEASE, CARDIOVASCULAR MORTALITY,<br />

AND ALL-CAUSE MORBIDITY AND MORTALITY<br />

Most evidence for benefits of seafood consumption and EPA/DHA<br />

supplementation associated with coronary heart disease (CHD) mortality<br />

is inferred from interventional studies of populations at risk, observational<br />

studies in the general population, and mechanistic studies. Early investigations<br />

of the association between diet and cardiovascular disease led to the<br />

recommendations to restrict dietary fat and cholesterol as a public health<br />

intervention to prevent CHD. However, subsequent observations suggest<br />

a more complex association between dietary fat intake and cardiovascular<br />

pathophysiology (Howard et al., 2006).<br />

Cardiovascular Benefits to Specific Population Groups<br />

Certain populations in the Mediterranean region consuming a diet<br />

relatively high in monounsaturated fat from olive oil enjoyed some of the<br />

lowest cardiovascular disease rates in the world. Another intriguing observation<br />

came from the comparison of Greenland Eskimo populations that had<br />

low mortality rates from CHD compared to the mainland Danish population,<br />

despite having a diet rich in fat (Bang et al., 1971). Bang et al. (1971)<br />

hypothesized that genetics, lifestyle, and the high content of EPA/DHA in<br />

the diet (which consisted primarily of fish, sea birds, seal, and whale) may<br />

account for the low cardiovascular mortality rate observed in this population.<br />

Plasma lipid patterns examined in this study showed that most types<br />

of lipids were decreased compared to a Danish cohort control and Eskimos<br />

living in Denmark (p

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