Background: Frequent fish consumption is considered a key component of a healthy diet, highlighting the importance of promoting it from an early age. This study aimed to investigate the prevalence of fish consumption and identify associated lifestyle factors. Methods: In a cross-sectional observational study, data from a representative sample of 177,091 Greek schoolchildren aged 8-17 years were enrolled. The Mediterranean Diet Quality Index for children and adolescents (KIDMED) was used to assess fish intake and dietary habits; while physical activity, screen time, and sleeping habits were evaluated through self-completed questionnaires. Anthropometric and physical fitness variables were measured by physical education teachers. Results: More boys than girls (50.1% vs. 46.6%, p<0.001) consumed fish at least 2-3 times weekly and had better anthropometric and aerobic fitness measurements, healthier dietary habits, decreased screen time, and slept more than non-consumers (all p<0.01). Consuming fish was strongly correlated with eating diets rich in fruits, vegetables, legumes, dairy products, and olive oil. The likelihood of eating fish decreased by 1% for boys and 5% for girls for each year increase of age. Those who were overweight/obese were 14% less likely to eat fish frequently. The odds of consuming fish decreased by 37% and 13%, respectively, with increased screen time and insufficient sleep, while inadequate physical activity level reduced the odds of consuming fish frequently by 23%. Conclusion: Increased fish consumption was linked to a healthier lifestyle profile in both sexes. A healthy approach to regular fish eating might be devised, such as nutritional school programs. |
- Craigie AM, Lake AA, Kelly SA, et al. Tracking of obesity-related behaviours from childhood to adulthood: A systematic review. Maturitas. 2011;70:266-284. DOI: 10.1016/j.maturitas.2011.08.005. PMID: 21920682.
- Hassanshahi N, Masoumi SJ. The Effect of Omega-3 Fatty Acids in Ulcerative Colitis: A Systematic Review. Int J Nutr Sci. 2018;3:58-64.
- Mendivil CO. Fish consumption: a review of its effects on metabolic and hormonal health. Nutr Metab Insights. 2021;14:11786388211022378. DOI: 10.1177/11786388211022378. PMID: 34158802.
- Buckland G, de Silva Johnson S, Johnson L, et al. The relationship between dietary intakes and plasma concentrations of PUFA in school-age children from the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort. Br J Nutr. 2021:127:1-11. DOI:10.1017/S0007114521002191. PMID: 34134803.
- Kris-Etherton PM, Harris WS, Appel LJ. Fish consumption, fish oil, omega-3 fatty acids, and cardiovascular disease. Circulation. 2002;106:2747-2757. DOI: 10.1161/01.CIR.0000038493.65177.94. PMID: 12438303.
- Djuricic I, Calder PC. Beneficial outcomes of omega-6 and omega-3 polyunsaturated fatty acids on human health: an update for 2021. Nutrients. 2021;13:2421. DOI: 10.3390/nu13072421. PMID: 34371930.
- Mehrabani D, Masoumi SJ, Masoumi AS, et al. Role of Diet in Mesenchymal Stem Cells’ Function: A Review. Int J Nutr Sci. 2023;8:9-19. DOI: 10.30476/IJNS.2023.97788.1221.
- Demelash AB, Alefe AM. Health benefits and health risks of contaminated fish consumption: Current research outputs, research approaches, and perspectives. Heliyon. 2024;10:e33905. DOI: 10.1016/j.heliyon.2024.e33905. PMID: 39050454.
- FAO/WHO (2024) Joint FAO/WHO Expert Consultation in the risks and benefits of fish consumption: Meeting report, 9–13 October 2023. Food Safety and Quality Series, No. 28. Rome. DOI:10.4060/cd2394.
- Maulu S, Nawanzi K, Abdel-Tawwab M, et al. Fish nutritional value as an approach to children's nutrition. Front Nutr. 2021;8:780844. DOI: 10.3389/fnut.2021.780844. PMID: 34977125.
- National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Food and Nutrition Board; Committee on the Role of Seafood Consumption on Child Growth and Development. Washington (DC): National Academies Press (US); 2024 May 28. Accessed April 13, 2025.
- Nel L, Emmett PM, Golding J, et al. Seafood intake in children at age 7 years and neurodevelopmental outcomes in an observational cohort study (ALSPAC). Eur J Nutr. 2025;64:120. DOI:10.1007/s00394-025-03636-7. PMID: 40064696.
- Courraud J, Quist JS, Kontopodi E, et al. Dietary habits, metabolic health and vitamin D status in Greenlandic children. Public Health Nutr. 2020;23:904-913. DOI:10.1017/S1368980019002799. PMID: 31573464.
- Zhang T, Ye H, Pang X, et al. Seafood intake in childhood/adolescence and the risk of obesity: results from a Nationwide Cohort Study. Nutr J. 2024;23:77. DOI:10.1186/s12937-024-00986-6. PMID: 39010085.
- Liaset B, Øyen J, Jacques H, et al. Seafood intake and the development of obesity, insulin resistance and type 2 diabetes. Nutr Res Rev. 2019;32:146-167. DOI:10.1017/S0954422418000240. PMID: 30728086.
- Vuholm S, Teisen MN, Mølgaard C, et al. Sleep and physical activity in healthy 8-9-year-old children are affected by oily fish consumption in the FiSK Junior randomized trial. Eur J Nutr. 2021;60:3095-3106. DOI:10.1007/s00394-021-02490-7. PMID: 33515093.
- Takey M, Giannini DT, Kuschnir M, ERICA: prevalence of fish consumption and its association with cardiovascular risk factors and healthy behavior in Brazilian adolescents. J Pediatr (Rio J). 2022;98:599-606. DOI:10.1016/j.jped.2022.02.003. PMID: 35381207.
- Macoel ES, Sdnato JG, Galvad JA, et al. Fish consumption and lifestyle: a cross-sectional study. Food Sci Technol (Campinas). 2019;39:141-145. DOI:10.1590/fst.40617.
- Shqair AQ, Pauli LA, Costa VPP, et al. Screen time, dietary patterns and intake of potentially cariogenic food in children: A systematic review. J Dent. 2019;86:17-26. DOI:10.1016/j.jdent.2019.06.004. PMID: 31228564.
- Cole T, Bellizzi M, Flegal K, et al. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1240-1243. DOI: 10.1136/bmj.320.7244.1240. PMID: 10797032.
- Browning LM, Hsieh SD, Ashwell M. A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.5 could be a suitable global boundary value. Nutr Res Rev. 2010;23:247-269. DOI: 10.1017/S0954422410000144. PMID: 20819243.
- Research CoECoEoS (1993) Eurofit: handbook for the Eurofit tests of Physical fitness. 1993.p.1-75.
- Serra-Majem L, Ribas L, Ngo J, et al. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr. 2004;7:931-935. DOI: 10.1079/phn2004556. PMID: 15482620.
- Grigorakis DA, Georgoulis M, Psarra G, et al. Prevalence and lifestyle determinants of central obesity in children. Eur J Nutr. 2016;55:1923-1931. DOI: 10.1007/s00394-015-1008-9. PMID: 26233883.
- Colley RC, Wong SL, Garriguet D, et al. Physical activity, sedentary behaviour and sleep in Canadian children: parent-report versus direct measures and relative associations with health risk. Health Rep. 2012; 23:45-52. PMID: 22866540.
- Paruthi S, Brooks LJ, D'Ambrosio C, et al. Consensus Statement of the American Academy of Sleep Medicine on the Recommended Amount of Sleep for Healthy Children: Methodology and Discussion. J Clin Sleep Med. 2016;12:1549-1561. DOI: 10.5664/jcsm.6288. PMID: 27707447.
- https://worldpopulationreview.com/country-rankings/fish-consumption-by-country. Accessed April 13, 2025.
- Mikkilä V, Vepsäläinen H, Saloheimo T, et al. An international comparison of dietary patterns in 9-11-year-old children. Int J Obes Suppl. 2015;5:S17-S21. DOI:10.1038/ijosup.2015.14. PMID: 27152179.
- https://www.fda.gov/food/consumers/advice-about-eating-fish. Accessed April 13, 2025.
- U.S. Department of Health and Human Services, U.S. Department of Agriculture. (2020). 2020–2025 Dietary Guidelines for Americans, 9th ed. https://www.dietaryguidelines.gov/sites/default/files/2021-03/Dietary. Guidelines_for_Americans-2020-2025.pdf. Accessed April 13, 2025.
- World Health Organization European Region. Food based dietary guidelines in the WHO European Region. Copenhagen: WHO, Europe, 2003. Accessed April 13, 2025.
- Tambalis KD, Panagiotakos DB, Psarra G, et al. Association of cardiorespiratory fitness levels with dietary habits and lifestyle factors in schoolchildren. Appl Physiol Nutr Metab. 2019;44:539-545. DOI: 10.1139/apnm-2018-0407. PMID: 30321490.
- Thivel D, Aucouturier J, Isacco L, et al. Are eating habits associated with physical fitness in primary school children? Eat Behav. 2013;14:83-86. DOI: 10.1016/j.eatbeh.2012.11.002. PMID: 23265408.
- Deroover K, Bucher T, Vandelanotte C, et al. Practical nutrition knowledge mediates the relationship between sociodemographic characteristics and diet quality in adults: A cross-sectional analysis. Am J Health Promot. 2020;34:59-62. DOI: 10.1177/0890117119878074. PMID: 31578076.
- McKinnon L., Giskes K., Turrell G. The contribution of three components of nutrition knowledge to socio-economic differences in food purchasing choices. Public Health Nutr. 2014;17:1814-1824. DOI: 10.1017/S1368980013002036. PMID: 23920283.
- Mehrabani D, Vahedi M, Eftekhari MH, et al. Food avoidance in patients with ulcerative colitis: a review. Int J Nutr Sci. 2018;2:189-95.
- Hedayati A, Homayuon M, Mobaracky A, et al. Lithium chloride, ketogenic diet and stem cell transplantation in treatment of bipolar disorder. Int J Nutr Sci. 2024;9:80-82. DOI: 10.30476/IJNS.2024.99601.1250.
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