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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 />

APPENDIX B<br />

Amount Results Conclusion*<br />

Categories of fish intake:<br />

1 = 0 g/day<br />

2 = 0-10 g/day<br />

3 = 10-20 g/day<br />

4 = >20 g/day<br />

Quintiles of fatty acids<br />

After adjusting for age and energy:<br />

Men in the 3rd category of fish intake had<br />

a significantly lower RR of colon cancer<br />

compared to men in the 1st category of fish<br />

intake (RR=0.41, 95% CI 0.21-0.83). No other<br />

significant relative risks of colon cancer were<br />

found based on fish intake for men, women, or<br />

both sexes; and<br />

No significant associations were found between<br />

risk of colon cancer and intake of energy,<br />

fat, saturated fat, monounsaturated fat,<br />

polyunsaturated fat, or protein for among men,<br />

women, or both sexes.<br />

“Increasing evidence from animal and in vitro<br />

studies indicates that n-3 fatty acids, especially<br />

the long-chain polyunsaturated fatty acids EPA<br />

and DHA, present in fatty fish and fish oils,<br />

inhibit carcinogenesis.”<br />

“The epidemiologic data on the association<br />

between fish consumption, as a surrogate marker<br />

for n-3 fatty acid intake, and cancer risk are,<br />

however, somewhat less consistent.”<br />

n-3 fatty acids may modify the carcinogenic<br />

process by suppressing AA-derived eicosanoid<br />

biosynthesis; influencing transcription factor<br />

activity, gene expression, and signal transduction<br />

pathways; modulating estrogen metabolism;<br />

increasing or decreasing the production of<br />

free radicals and reactive oxygen species; and<br />

influencing insulin sensitivity and membrane<br />

fluidity.<br />

Copyright © National Academy of Sciences. All rights reserved.<br />

B<br />

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