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How many pieces of fish can I eat?

4 min read

The American Heart Association and UK health services recommend eating at least two portions of fish per week. However, the number of pieces of fish you can safely eat depends on the type of fish, due to varying levels of mercury and other pollutants.

Quick Summary

Guidance on how many pieces of fish to eat weekly varies by species, primarily due to mercury content. It's crucial to select a variety of fish and moderate consumption of higher-mercury types to maximize health benefits while minimizing risks.

Key Points

  • Moderate Consumption of Low-Mercury Fish: Most healthy adults can safely eat two to three servings of low-mercury fish per week, according to FDA and EPA guidelines.

  • Vary Your Choices: To minimize exposure to any single contaminant, it's best to eat a variety of fish from the 'Best Choices' list, which includes salmon, sardines, and tilapia.

  • Limit High-Mercury Species: Reduce consumption of 'Good Choice' fish like halibut and mahi-mahi to one serving per week and avoid 'Choices to Avoid' such as swordfish and shark entirely.

  • Prioritize Low-Mercury Options for Vulnerable Groups: Pregnant women, breastfeeding mothers, and young children should strictly adhere to guidelines for low-mercury fish to protect brain and nervous system development.

  • Choose Healthier Cooking Methods: Prepare fish by baking, grilling, or steaming rather than deep-frying to keep meals healthy and minimize unnecessary fat intake.

  • Check Local Advisories: If consuming recreationally caught fish, consult local health department advisories, as some local waterways may have higher contamination levels.

In This Article

Understanding the Recommended Portions

Most health organizations, including the American Heart Association and the Environmental Protection Agency (EPA), advise adults to consume a minimum of two servings of fish per week. A standard serving size is typically 4 ounces (about 113 grams) cooked, which is roughly the size and thickness of a deck of cards or the palm of an average adult's hand. For children and pregnant or breastfeeding women, specific, lower recommendations apply due to increased sensitivity to contaminants like mercury.

Mercury Levels and Fish Categories

Mercury is a naturally occurring element that can build up in the bodies of certain fish, a process known as bioaccumulation. Larger, longer-living predatory fish tend to have the highest concentrations of mercury. To help consumers, the FDA and EPA classify fish into three categories based on their mercury content.

  • Best Choices (Eat 2-3 servings a week): This category includes a wide variety of fish and shellfish that are low in mercury. Examples include salmon, canned light tuna, tilapia, cod, shrimp, anchovies, and sardines. Eating fish from this category frequently offers the most nutritional benefits with the lowest risk.
  • Good Choices (Eat 1 serving a week): These fish have slightly higher mercury levels. The list includes options like Atlantic mackerel, grouper, halibut, and canned albacore (white) tuna. It is important to limit these to one serving per week to balance health benefits with potential risks.
  • Choices to Avoid (Highest mercury levels): This category should be avoided, especially by pregnant women and children. It features large predatory fish with the highest mercury concentrations, including swordfish, king mackerel, bigeye tuna, shark, and tilefish from the Gulf of Mexico.

The Importance of Variety and Low-Mercury Options

Eating a wide variety of fish is the best way to maximize your intake of beneficial omega-3 fatty acids, protein, and nutrients while minimizing exposure to any single contaminant. For example, regularly incorporating small, oily fish like sardines and anchovies, which are very low in mercury, can boost your omega-3 intake significantly. For those concerned about mercury, choosing from the “Best Choices” list is the safest approach for regular consumption.

Benefits Beyond the Plate

Including fish in your diet offers numerous health advantages beyond just protein. Fish, particularly the fatty varieties, is rich in omega-3 fatty acids (EPA and DHA) which are essential for brain function and heart health. They help lower blood pressure, reduce inflammation, and can decrease the risk of heart attack and stroke. Fish is also a vital source of important vitamins and minerals such as vitamin D, vitamin B12, selenium, and iodine. For pregnant women, DHA is particularly crucial for the healthy development of the baby's brain and eyes.

Comparison of Fish Types and Mercury Content

Fish Type (Example) Category (FDA/EPA) Recommended Intake Omega-3 Content Average Mercury Level (PPM)
Salmon (Wild) Best Choice 2-3 servings/week High 0.022
Canned Tuna (Light) Best Choice 2-3 servings/week Medium 0.126
Halibut Good Choice 1 serving/week Medium 0.241
Canned Tuna (Albacore) Good Choice 1 serving/week High 0.350
Swordfish Avoid Do not eat Medium 0.995
King Mackerel Avoid Do not eat High 0.730

Reducing Risks and Ensuring Freshness

To further minimize your risk from potential contaminants, consider these practical tips:

  • Cooking methods: Frying fish can increase its fat content and potentially introduce unhealthy oils. Healthier cooking methods like baking, grilling, poaching, or steaming are recommended.
  • Purchase wisely: Always buy fish and shellfish from reputable sources. For fresh fish, check for clear eyes, firm flesh, and no strong, unpleasant odor. If purchasing frozen fish, ensure the packaging is intact with no signs of freezer burn.
  • Consider farmed vs. wild: While wild-caught fish often contain fewer contaminants, sustainably-farmed fish is also a healthy and reliable choice. The specific farming regulations can significantly impact the final product. For example, farmed rainbow trout in the US tends to have low mercury levels.
  • Check local advisories: For fish caught recreationally in local lakes, rivers, or coastal areas, check with local or state health departments for any specific consumption advisories.

Conclusion: Balancing Benefits with Caution

So, how many pieces of fish can I eat? The answer is not a single number but rather depends on the type of fish and your personal health considerations. For most healthy adults, consuming two to three servings of low-mercury fish each week is a safe and highly beneficial dietary practice. By prioritizing variety and following the FDA/EPA guidelines for 'Best Choices', you can enjoy the significant nutritional benefits of seafood while minimizing potential risks associated with mercury. Always pay attention to official advisories and be mindful of your cooking methods to make the healthiest choices for you and your family. Eating smaller, younger fish is generally a safer option, as they have had less time to accumulate mercury and other pollutants compared to larger, older predatory species.

Frequently Asked Questions

A standard single serving of fish is about 4 ounces (113 grams), which is approximately the size and thickness of the palm of an average adult's hand.

Yes, if you stick to fish from the FDA/EPA 'Best Choices' list, which contains very low levels of mercury, you can safely eat more than two servings a week. However, consumption of 'Good Choices' fish should be limited to one serving weekly.

Fish with the highest mercury levels that should be avoided include swordfish, king mackerel, bigeye tuna, shark, and tilefish from the Gulf of Mexico.

Canned light tuna (including skipjack) is on the 'Best Choices' list and is considered safe for regular consumption. Canned albacore (white) tuna has higher mercury and is listed as a 'Good Choice,' so its intake should be limited to one serving per week.

Pregnant or breastfeeding women and children can safely consume 2-3 servings per week from the 'Best Choices' list. They should completely avoid 'Choices to Avoid' fish due to high mercury content.

No, cooking fish does not reduce its mercury concentration. Mercury is bound to the protein in fish muscle and cannot be removed by common cooking methods like frying or grilling.

Neither is universally healthier. Wild fish can accumulate ocean contaminants, while farmed fish may have different fat profiles or contaminants depending on their diet and farming conditions. Choosing fish low on the food chain, regardless of origin, is generally the safest bet for lower mercury levels.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.