Department of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto, Ontario.
Can Fam Physician. 2011 Jan;57(1):26-30.
To provide family physicians with a practical, evidence-based approach to counseling women about healthy fish eating.
MEDLINE was searched for articles published between 1999 and 2008. Most studies described in this article provide level II or III evidence.
Fish is an important component of a healthy diet for women in their reproductive years owing to the beneficial effects of omega-3 fatty acids on the neurologic development of the fetus. However, some fish species contain considerable methylmercury, which crosses the placenta and has harmful effects on neurobehavioural development. As many jurisdictions have issued fish consumption advisories, which can be confusing, women would benefit from individualized assistance from a trusted source, their family physicians, to clarify the risks and benefits of eating fish.
We recommend that family physicians counsel women in their reproductive years about healthy choices regarding fish in their diet, and provide appropriate resources.
为家庭医生提供一种实用的、基于循证的方法，用于向女性提供有关健康鱼类食用的咨询。
对 1999 年至 2008 年期间发表的文章进行了 MEDLINE 检索。本文中描述的大多数研究提供了二级或三级证据。
鱼类是生育期女性健康饮食的重要组成部分，因为 omega-3 脂肪酸对胎儿的神经系统发育有有益影响。然而，某些鱼类含有相当数量的甲基汞，它可以穿过胎盘并对神经行为发育产生有害影响。由于许多司法管辖区都发布了鱼类消费建议，这可能会令人困惑，因此女性将受益于来自可信赖来源（即家庭医生）的个性化帮助，以澄清食用鱼类的风险和益处。
我们建议家庭医生向生育期女性提供有关其饮食中鱼类的健康选择方面的咨询，并提供适当的资源。
