ArticlePublic health nutrition2018
Quantity and species of fish consumed shape breast-milk fatty acid concentrations around Lake Victoria, Kenya.
Article in Public health nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Measuring dietary intake in low-and middle-income countries: a systematic review of the methods and tools for estimating fish and seafood intake.Nutrition reviews · 2024Pooled it
- 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 (Bethesda, Md.) · 2022Pooled it
- Dried fish provide widespread access to critical nutrients across Africa.Proceedings of the National Academy of Sciences of the United States of America · 2025Article
- A Scoping Review of Methodologies Exploring Diet and Health Outcomes in Lactating Women: What Has Been Done and Where to Next?Nutrition reviews · 2025Article
- Processing of fish products in Zambia for sustainable food systems and nutritious food for the first 1,000 days of life.Frontiers in nutrition · 2025Article
- A Systematic Scoping Review of the Impacts of Community Food Production Initiatives in Kenya, Cameroon, and South Africa.Journal of global health reports · 2021Article
- Fish Nutritional Value as an Approach to Children's Nutrition.Frontiers in nutrition · 2021Review
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveLong-chain PUFA (LCPUFA) found in breast milk are derived from dietary sources and critical for optimal infant development. We examined associations between fish consumption and concentrations of LCPUFA and essential n-3 and n-6 fatty acids in breast milk among mothers living around Lake Victoria.
designWe used cross-sectional analyses of associations between recent fish consumption and breast-milk fatty acid concentrations.
settingThe study was conducted around Lake Victoria on Mfangano Island, Kenya, where multiple fish species are key dietary components and also are widely exported. SUBJECTS: Breast-feeding mothers (n 60) provided breast-milk samples, anthropometric measurements and questionnaire responses.
resultsIn the previous 3 d, 97 % of women consumed a mean of 178 (sd 111) g fish (~2 servings/3 d). Mean breast-milk concentrations included DHA (0·75 % of total fatty acids), EPA (0·16 %), α-linolenic acid (ALA; 0·54 %), arachidonic acid (AA; 0·44 %) and linoleic acid (LA; 12·7 %). Breast-milk DHA concentrations exceeded the global average of 0·32 % in fifty-nine of sixty samples. We found native cichlids (Cichlidae) and dagaa (Rastrineobola argentea) contributed high levels of DHA, EPA and AA to local diets. We also found evidence for associations between fish species consumed and breast-milk LCPUFA concentrations when controlling for intake of other fish species, maternal body mass, maternal age, child age and exclusive breast-feeding.
conclusionsThe fatty acid composition of breast milk was influenced by the fish species consumed. Ensuring access to diverse fish and particularly inexpensive, locally available species, may be important for diet quality as well as infant growth and development.
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