Evidence map›Paper›PMID 39956386›Full record

SynthesisAdvances in nutrition (Bethesda, Md.)2025

Seafood and Neurocognitive Development in Children: A Systematic Review.

Lauren E O'Connor, Maureen K Spill, Sanjoy Saha, Arin Balalian, Julie S Davis, Amanda J MacFarlane

Abstract readSystematic Review
In one paragraph

Synthesis in Advances in nutrition (Bethesda, Md.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Neurodevelopmental Outcomes Associated with Early-Life Exposure to Heavy Metals: A Systematic Review.International journal of environmental research and public health · 2025
    Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lauren E O'ConnorTexas A&M Agriculture, Food and Nutrition Evidence Center, Fort Worth, TX, United States.
Maureen K SpillTexas A&M Agriculture, Food and Nutrition Evidence Center, Fort Worth, TX, United States. Electronic address: Maureen.spill@ag.tamu.edu.
Sanjoy SahaTexas A&M Agriculture, Food and Nutrition Evidence Center, Fort Worth, TX, United States.
Arin BalalianTexas A&M Agriculture, Food and Nutrition Evidence Center, Fort Worth, TX, United States.
Julie S DavisTexas A&M Agriculture, Food and Nutrition Evidence Center, Fort Worth, TX, United States.
Amanda J MacFarlaneTexas A&M Agriculture, Food and Nutrition Evidence Center, Fort Worth, TX, United States. Electronic address: Amanda.macfarlane@ag.tamu.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Seafood is a source of essential nutrients to support neurocognitive development of children and adolescents, but there are concerns about contaminant exposure. Assessing seafood as a food group, rather than a source of nutrients or contaminants, can inform future dietary guidance. This study aimed to update and assess relationships between seafood consumption during childhood and adolescence and neurocognitive development. Three electronic databases were searched until September 2024 to update a previous search from 2000 to 2019. Articles were included if associations were assessed between seafood intake during childhood and adolescence and neurocognitive development outcomes (cognitive development, social-emotional and behavioral development, movement/physical development, language/communication development, depression, anxiety, attention-deficit/hyperactivity disorder, and autism spectrum disorder). All articles were screened at title, abstract, and full-text levels by 2 independent analysts. Data were extracted by 1 analyst, quality checked by a second analyst, and synthesized narratively by 2 analysts independently, considering direction, magnitude, and statistical significance of results for each outcome; discrepancies were resolved via discussion. Risk of bias was assessed using ROBINS-E and ROB 2.0. Certainty of evidence was assessed with Grading of Recommendations Assessment, Development and Evaluation (GRADE). Eighteen articles from 5 short-term (12-16 wk) RCTs conducted in Northern Europe and 9 prospective cohort studies conducted in various countries were included. The evidence suggested a relationship between higher seafood consumption and improved cognitive development outcomes for children and adolescents aged 0-18 y old (GRADE: low). This conclusion was informed by 5 short-term RCTs in which children aged 10 mo to 15 y were provided fatty fish compared with meat, poultry, or fish oil supplements. These RCTs were largely supported by results from 5 longer-term prospective cohort studies. Evidence was inconsistent for social-emotional and behavioral development outcomes and was lacking for other outcomes. Seafood consumption within current recommended intake amounts consumed mainly as fatty fish likely improves cognitive development outcomes in children and adolescents. This review was registered at PROSPERO as CRD42023432844.

Indexed as

Child DevelopmentCognitionDietSeafoodAdolescentAdolescent DevelopmentChildChild, PreschoolFemaleHumansInfantMaledevelopmental disordersfatty fishfishinfants and toddlersshellfishω-3 fatty acids

Identifiers

PMID39956386
PMCPMC11930684

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.