Byrd, Kendra ORCID: 0000-0003-4528-752X, Shieh, Jacqueline, Mork, Stephanie, Pincus, Lauren, O'Meara, Lydia, Atkins, Molly and Thilsted, Shakuntala (2022) Fish and fish-based products for nutrition and health in the first 1000 days: a systematic review of the evidence from low and middle-income countries. Advances in Nutrition, 13 (6). pp. 2458-2487. ISSN 2156-5376 (Online) (doi:https://doi.org/10.1093/advances/nmac102)

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Abstract

Fish provide essential nutrients for the critical window of growth and development in the first 1000 d of life and are thus an attractive option for inclusion in nutrition-sensitive and nutrition-specific programming. We conducted a systematic review of the evidence for fish and fish-based products for nutrition and health outcomes during the first 1000 d of life in low- and middle-income countries, searching the peer-reviewed and gray literature from 1999 to 2020. Databases included PubMed, Web of Science, Embase, ProQuest, and the Clinical Trials repository. Our search returned 1135 articles, 39 of which met the inclusion criteria. All studies were dual evaluated for risk of bias. Of the included studies, 18 measured maternal health and nutrition outcomes and 24 measured infant/child outcomes (3 measured both). Our search uncovered 10 impact evaluations, all of which measured consumption of fish or fish-based complementary food products in children aged 6-24 mo. We did not find strong evidence for fish consumption in children improving child growth from the impact evaluations; however, the studies were highly heterogeneous in their design and likely underpowered to detect an effect. Results from observational studies were mixed but provided evidence that adding fish to maternal and child diets is associated with improved nutrition outcomes, such as reducing the risk of anemia and improving vitamin D status. Given the nutrient richness of fish and the fact that production is often more environmentally friendly as compared with other animal source foods, more robust evidence is needed on the role of fish consumption in nutrition interventions to inform policy and programming recommendations in low- and middle-income countries.

Item Type:	Article
Additional Information:	Copyright © The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition. This is an Open Access article distributed under the terms of the Creative Commons Attribution License.(https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords:	fish; aquatic foods; pregnancy; breastfeeding; complementary feeding; maternal diets; IYCF practices
Subjects:	G Geography. Anthropology. Recreation > GF Human ecology. Anthropogeography R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine S Agriculture > SH Aquaculture. Fisheries. Angling
Faculty / School / Research Centre / Research Group:	Faculty of Engineering & Science Faculty of Engineering & Science > Natural Resources Institute Faculty of Engineering & Science > Natural Resources Institute > FaNSI - Food Systems for Improved Nutrition Faculty of Engineering & Science > Natural Resources Institute > Food & Markets Department
Related URLs:	https://www.ncbi.nlm.nih.gov/pmc/article...
Last Modified:	28 Feb 2023 09:45
URI:	http://gala.gre.ac.uk/id/eprint/38704

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