Dietary fish intake and the risk of multiple sclerosis: a systematic review and meta-analysis of observational studies

The Role of Diet in Multiple Sclerosis Onset: A Prospective Study Using UK Biobank

Multiple sclerosis (MS) is a debilitating autoimmune condition primarily affecting young adults, and its rise is evident globally. Despite this, its precise etiology remains elusive. Both genetic and environmental factors contribute to MS susceptibility; however, the link between diet and MS lacks substantial evidence due to limited large-scale studies. We exploited the UK Biobank resources to explore the nexus between diet, lifestyle, and MS risk. The dietary and lifestyle habits of MS incident cases, derived from a general food frequency questionnaire (FFQ) completed by all participants at study enrollment, were compared to those of subjects who did not develop MS during the follow-up. Our findings suggest the protective role of moderate oily fish consumption and weekly alcohol intake. Furthermore, by analyzing food intake data obtained through 24 h recall, completed by a subset of participants, we found a protective, though non-significant, trend of an increased adherence to the Mediterranean diet (MD). These findings, derived from the analysis of the UK Biobank and representing an unprecedented approach for this inquiry, warrant further exploration and integration in future research.

Overview of diet and autoimmune demyelinating optic neuritis: a narrative review

This review summarizes the cellular and molecular underpinnings of autoimmune demyelinating optic neuritis (ADON), a common sequela of multiple sclerosis and other demyelinating diseases. We further present nutritional interventions tested for people with multiple sclerosis focusing on strategies that have shown efficacy or associations with disease course and clinical outcomes. We then close by discuss the potential dietary guidance for preventing and/or ameliorating ADON.

Fish and the Thyroid: A Janus Bifrons Relationship Caused by Pollutants and the Omega-3 Polyunsaturated Fatty Acids

Benefits of the omega-3 polyunsaturated fatty acids (PUFA) on a number of clinical disorders, including autoimmune diseases, are widely reported in the literature. One major dietary source of PUFA are fish, particularly the small oily fish, like anchovy, sardine, mackerel and others. Unfortunately, fish (particularly the large, top-predator fish like swordfish) are also a source of pollutants, including the heavy metals. One relevant heavy metal is mercury, a known environmental trigger of autoimmunity that is measurable inside the thyroid. There are a number of interactions between the omega-3 PUFA and thyroid hormones, even at the level of the thyroid hormone transport proteins. Concerning the mechanisms behind the protection from/amelioration of autoimmune diseases, including thyroiditis, that are caused by the omega-3 PUFA, one can be the decreased production of chemokines, a decrease that was reported in the literature for other nutraceuticals. Recent studies point also to the involvement of resolvins. The intracellular increase in resolvins is associated with the tissue protection from inflammation that was observed in experimental animals after coadministration of omega-3 PUFA and thyroid hormone. After having presented data on fish consumption at the beginning, we conclude our review by presenting data on the market of the dietary supplements/nutraceuticals. The global omega-3 products market was valued at USD 2.10 billion in 2020, and was projected to go up at a compound annual growth rate of 7.8% from 2020 to 2028. Among supplements, fish oils, which are derived mainly from anchovies, are considered the best and generally safest source of omega-3. Taking into account (i) the anti-autoimmunity and anti-cancer properties of the omega-3 PUFA, (ii) the increasing incidence of both autoimmune thyroiditis and thyroid cancer worldwide, (iii) the predisposing role for thyroid cancer exerted by autoimmune thyroiditis, and (iv) the risk for developing metabolic and cardiovascular disorders conferred by both elevated/trendwise elevated serum TSH levels and thyroid autoimmunity, then there is enough rationale for the omega-3 PUFA as measures to contrast the appearance and/or duration of Hashimoto's thyroiditis as well as to correct the slightly elevated serum TSH levels of subclinical hypothyroidism.

Consumer fish consumption preferences and contributing factors: empirical evidence from Rangpur city corporation, Bangladesh

BACKGROUND

Fish is the important source of animal protein and regarded as the second food after rice in Bangladesh. Fish consumption is influenced by consumer socioeconomic characteristics.

OBJECTIVE

The specific objectives of the current study are (i) to find information on consumers' fish consumption levels; (ii) to assess the relationships between consumer's preferences and their socioeconomic characteristics; and (iii) to investigate the factors affecting consumer fish consumption.

METHOD

We surveyed a total of 128 randomly selected respondents from the Rangpur city corporation (RPCC), Bangladesh in 2019 using a semi-structural questionnaire.

MAIN FINDINGS

The average consumption level of fish per quarterly was 1.45 kg/person. Rui (Labeo rohita), Pangas (Pangasius), Hilsha (Tenualosa ilesha) and Tilapia (Oreochromis mossambicus) were the most frequently consumed fish species. Significant differences in consumption level were observed among the age categories, profession, gender, education, and income levels (p < 0.05). Most participants consumed fish more than once a week throughout the year and there was no seasonal impact on fish consumption. Fish consumption level was significantly and positively associated with education and income levels and negatively associated with age categories (p < 0.01). The stepwise multiple regression method elucidated 53.7% of the variance (p < 0.05) for fish consumption.

CONCLUSION

Fish consumption in the RPCC is lower than the average consumption level in Bangladesh particularly for lower income people. Lack of proper knowledge on fish consumption value and high price appeared as the important barrier to increase the fish consumption.