Only 1 in 10 Americans eat the recommended amount of fish. One reason: fear that it might come with an unhealthy dose of mercury.

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On Nutrition

Are you feeling conflicted about eating seafood? Do you embrace the idea of getting healthy omega-3 fats in your diet — but worry that they might come with an unhealthy dose of mercury? If so, you’re far from alone — that’s one reason that the average American is not eating the recommended amount of fish and seafood.

The official recommendations for seafood consumption from the American Heart Association and the 2015-2020 Dietary Guidelines for Americans are to eat fish at least twice weekly — at least 8 ounces total — but only one in 10 of us do. The average person eats 3.5 ounces per week, and that drops to an average of 2 ounces during pregnancy — despite the recommendation that pregnant and breast-feeding women increase fish intake to up to 12 ounces per week.

If you’ve been playing it safe by limiting how much fish you eat, the good news is that you can relax. There’s a game-changer in the seafood and mercury debate — selenium. Selenium is an antioxidant mineral that helps prevent free radical damage to your cells, but it’s also an essential part of a few dozen enzymes (selenoenzymes) that protect your brain from damage. This is where seafood comes in.

According to Nicholas Ralston, Ph.D., a research scientist at the University of North Dakota’s Energy and Environment Research Center, part of the confusion about mercury and seafood comes from conflicting results from large studies on the effects of mercury consumption on childhood brain development. Ralston, who studies the health effects of mercury, spoke at the annual meeting of the Academy of Nutrition and Dietetics in Boston in October.

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On one hand, two major studies, one from the Faeroe Islands and one from New Zealand, found low levels of harm from mercury exposure from seafood. On the other hand, studies in the United States and other countries found increased seafood consumption was associated with higher child IQ, despite mercury. Ralston said that when researchers dug harder to figure out what was driving the inconsistencies, they found the selenium link.

Mercury and selenium form an essentially unbreakable bond in your body. If you are getting more mercury than selenium, that doesn’t leave any “free” selenium for those brain enzymes. This can be especially devastating during pregnancy and shortly after birth, when a child’s brain is developing rapidly.

In the Faroe Island and New Zealand studies, the most heavily consumed types of seafood were whale and shark, which are high in mercury and very low in selenium. “That’s not what most people eat,” Ralston said. To top it off, both countries were also selenium-poor. “At the time of the study, New Zealand was one of the most selenium-poor nations on Earth. So throw some mercury at them, and they’re going to go down hard and fast.”

The U.S. is not a selenium-poor nation, but even if that weren’t true, the bottom line is that it is much safer to eat fish than to not eat fish. “There’s so much selenium in ocean fish that rather than falling behind in your selenium, you get enriched,” Ralston said. “The more fish you eat, rather than being in more danger of mercury toxicity, you’re safer.”

The Food and Drug Administration and Environmental Protection Agency recommend that pregnant and breast-feeding women eat 8 to 12 ounces of lower-mercury fish per week because fish benefits fetal growth and child development, as well as the mother’s health. The agencies recommend avoiding tilefish, king mackerel, swordfish and shark. As it turns out, those fish aren’t just higher in mercury, they’re also lower in selenium. Despite concerns about albacore tuna, it has significantly more selenium than mercury. Bigeye, yellowfin and skipjack tuna have even better margins.

What about here in the Northwest, where wild salmon is king? The good news is that wild Alaska salmon, cod and pollock have among the lowest mercury levels of all seafood. Alaska’s Department of Environmental Conservation regularly tests for water quality, methylmercury and other possible contaminants.

Freshwater fish is also likely to be OK, but follow local fish advisories. “There are places where some top predators are high in mercury relative to selenium,” Ralston said. “So freshwater fish, they can be an issue, but 97 percent of all watersheds [have tested] OK.”

Salmon with Miso-Soy-Ginger Glaze

Serves 4

Miso is a savory, salty paste made with fermented soybeans that adds a wonderful umami flavor to marinades, dressings and soups. I specify white miso for this recipe, but you can use red miso, too, but reduce the amount slightly as it has a stronger flavor. Mirin is a sweet, low-alcohol rice wine used in Japanese cooking. Look for it in your supermarket with the Asian ingredients.

2 tablespoons white miso

2 tablespoons mirin

2 tablespoons tamari or soy sauce

1 ½ tablespoons ginger, grated or minced

2 teaspoons dark sesame oil

4 6-ounce salmon filets

2 tablespoons chopped fresh cilantro

1. Whisk the miso, mirin, soy sauce, ginger and sesame oil in a small bowl until smooth.

2. Pour half the mixture into a dish that’s large enough to fit the salmon fillets, then add the salmon and pour the rest over the top of the fish. Make sure the salmon is coated. Cover and marinate for at least 30 minutes and up to overnight.

3. Position rack in the upper third of oven and preheat broiler. Line a baking pan with aluminum foil. Brush a little vegetable oil over the foil and lay the salmon fillets on top, skin-side down. Make sure there is an even, thin coating of marinade on top of the fish.

4. Place the pan so the salmon is about 6 inches from the broiler element in your oven. Broil for 6-10 minutes, until just cooked through in the center. If the salmon starts charring before it’s cooked through, place it on a lower rack in the oven.

5. Plate the salmon and garnish with the cilantro.