Skip to content

Nutrition Diet: Which Fish Is High in Histamine and How to Avoid It

4 min read

According to the ANSES, 85% of histamine poisonings reported to French poison control centers between 2012 and 2021 were due to tuna consumption, highlighting the importance of knowing which fish is high in histamine. For those with histamine intolerance or simply seeking safer food practices, understanding this aspect of fish consumption is crucial.

Quick Summary

Certain fish species, particularly dark-lesioned ones like tuna and mackerel, are prone to developing high histamine levels due to improper storage. This can lead to scombroid poisoning, a reaction that can be prevented by ensuring proper refrigeration and handling. Canned and aged products should also be approached with caution.

Key Points

  • Top Offenders: Fish like tuna, mackerel, and sardines have higher levels of histidine, a precursor to histamine, making them high-risk if improperly handled.

  • Temperature Control is Critical: Immediate and continuous refrigeration or freezing is the most effective method for preventing histamine formation in fish.

  • Cooking is Not a Fix: Once histamine has formed in fish, cooking, smoking, or other heat treatments will not destroy the toxin.

  • Avoid Processed Fish: Canned, smoked, and dried fish products typically have higher histamine levels due to processing and extended storage.

  • Opt for Low-Histamine Fish: For sensitive individuals, fresh or flash-frozen white fish such as cod, hake, or trout are safer options.

  • Scombroid Poisoning: Consuming high-histamine fish can cause scombroid poisoning, which produces allergy-like symptoms.

  • Purchase from Reputable Sources: Buying fish from suppliers who maintain strict temperature control is crucial for minimizing histamine risk.

In This Article

Understanding Histamine in Fish

Histamine is a naturally occurring compound found in many foods, and in the human body, it plays a role in allergic reactions. In fish, histamine is not an inherent component of fresh fish meat. Instead, it forms when certain bacteria, such as Morganella morganii, multiply on the fish and convert the naturally present amino acid histidine into histamine. This process is entirely dependent on temperature and time; if fish are not properly chilled immediately after being caught, histamine levels can rise rapidly and dangerously.

The Cause: Scombroid Poisoning

The illness caused by consuming fish with high levels of histamine is known as scombroid poisoning. It is not a true food allergy but mimics one, with symptoms appearing rapidly, sometimes within minutes to hours after consumption. Symptoms can include:

  • Facial flushing or redness
  • Headaches
  • Nausea and vomiting
  • Diarrhea and abdominal cramps
  • A peppery or metallic taste in the mouth
  • Itching or hives

The key to preventing scombroid poisoning lies in controlling the temperature of the fish from the moment it is caught until it is cooked and consumed. Cooking, canning, or smoking the fish will not destroy the histamine toxin once it has formed.

Which Fish Is High in Histamine?

While any fish can become high in histamine due to improper handling, certain species are naturally more susceptible because their muscle tissue contains higher levels of the precursor amino acid, histidine. These are typically dark-fleshed fish, often from the Scombridae family.

High-Risk Fish to Watch Out For

  • Tuna: All species of tuna are a primary concern, including yellowfin, albacore, and skipjack. Canned tuna, depending on its processing and storage history, can also carry a risk.
  • Mackerel: A classic example, mackerel is frequently implicated in scombroid poisoning cases.
  • Sardines and Anchovies: These small, dark-fleshed fish also have high histidine levels, making proper handling critical.
  • Bonito: A relative of tuna, bonito shares a similar high-histidine profile.
  • Mahi-mahi (Dolphinfish): Another well-documented source of scombroid poisoning when mishandled.
  • Herring: Can be a source of high histamine, particularly in processed forms.
  • Bluefish: This species has been associated with scombroid fish poisoning.

Factors That Increase Histamine Risk

Beyond the species itself, several factors can elevate the risk of high histamine content:

  • Temperature Abuse: Any lapse in the cold chain, even for a short period, can trigger bacterial growth and rapid histamine production.
  • Processing: Canned, smoked, pickled, or dried fish products often have higher histamine levels due to the processing methods and prolonged storage.
  • Handling: Unhygienic handling and processing equipment can introduce additional histamine-producing bacteria.
  • Storage Time: The longer fish is stored, even under refrigeration, the higher the chance for histamine to accumulate.

Comparison: High-Histamine vs. Low-Histamine Fish

For individuals with histamine sensitivity, choosing fish wisely is crucial. Here is a comparison to help guide your decisions.

Feature High-Histamine Fish (Potential) Low-Histamine Fish (Best Choice)
Examples Tuna, Mackerel, Sardines, Anchovies, Herring Cod, Hake, Trout, Plaice, Halibut, Fresh Salmon
Flesh Type Often dark, red flesh. Often white, pale flesh.
Histidine Content High levels, which can convert to histamine. Low levels, reducing potential histamine formation.
Processing Canned, smoked, dried, or marinated products. Fresh or flash-frozen is ideal.
Scombroid Risk High, especially with poor temperature control. Low, assuming proper handling and freshness.
Storage Very sensitive to any temperature abuse. Safer when stored properly, but still requires chilling.

How to Safely Enjoy Fish on a Low-Histamine Diet

If you have histamine intolerance or want to minimize your risk, here are essential tips for selecting and preparing fish.

  1. Prioritize Freshness: The fresher the fish, the lower the histamine. Choose fish that has been stored on ice and handled properly from the point of catch.
  2. Go Flash-Frozen: Flash-frozen fish, where the chilling process occurs immediately after capture, can have lower histamine levels than fresh fish that has been sitting on ice for a few days.
  3. Choose Low-Histamine Species: Opt for naturally lower-histidine fish like cod, hake, or trout. Farmed salmon is also sometimes a safer option than wild-caught due to controlled handling.
  4. Avoid Processed Varieties: Stay away from canned fish (especially tuna), smoked fish, dried fish, and other processed seafood products.
  5. Cook Immediately: Once you bring fresh fish home, cook it as soon as possible. If not cooking immediately, freeze it.
  6. Maintain the Cold Chain: When purchasing, ensure the fish is kept in a chilled bag for the journey home. Never leave it sitting at room temperature.
  7. Consider Your Supplier: Purchase from reputable fishmongers or retailers who can guarantee the freshness and proper handling of their products. For those with severe sensitivity, look for suppliers who specialize in low-histamine fish, like those that freeze at sea.

Conclusion

Understanding which fish is high in histamine is a critical component of a safe and healthy diet, especially for those with histamine intolerance. While species like tuna, mackerel, and sardines carry a higher risk due to their natural composition, improper handling is the primary cause of dangerous histamine levels. The most effective strategy is a combination of selecting lower-histamine species and prioritizing freshness and temperature control throughout the entire process, from purchase to plate. By following these guidelines, you can significantly reduce the risk of histamine-related adverse reactions and enjoy fish safely. You can find further guidance on preventing histamine formation from reputable sources like the NSW Food Authority.

Frequently Asked Questions

No, freezing fish does not destroy histamine that has already formed. It can, however, prevent the formation of new histamine by stopping bacterial growth, so it is most effective when done immediately after the fish is caught.

Not reliably. While improperly handled fish might have a metallic, peppery taste or bad odor, contaminated fish can sometimes look, smell, and taste perfectly normal. This is why relying on freshness and proper handling is so important.

Canned fish, including tuna and sardines, generally presents a higher risk for elevated histamine levels due to the processing and prolonged storage involved. While the canning process kills bacteria, it doesn't eliminate histamine already present from poor handling before canning.

The histamine level in salmon can be variable and is considered controversial by some. Fresh or flash-frozen salmon is typically a safer bet than canned or smoked varieties. Farmed salmon may also have lower histamine than wild-caught due to controlled handling.

If you have a reduced ability to break down histamine, consuming a fish with high levels can trigger symptoms similar to an allergic reaction. This can include flushing, headaches, digestive upset, and hives, a condition called scombroid poisoning.

Good low-histamine fish choices include fresh or flash-frozen white fish like cod, hake, plaice, and trout. These species have naturally lower levels of the amino acid that converts to histamine.

Yes, scombroid poisoning can affect anyone. Studies have shown that younger individuals, including infants and children, can be at risk, with potential exposure varying by age group. Proper food safety for children is especially important.

References

  1. 1
  2. 2
  3. 3
  4. 4
  5. 5
  6. 6
  7. 7
  8. 8
  9. 9
  10. 10
  11. 11
  12. 12

Medical Disclaimer

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