Children's risk of developing attention-deficit/hyperactivity disorder (ADHD) later in life may be tied to how much fish their mothers ate while pregnant, according to a U.S. study.
Researchers writing in the Archives of Pediatrics & Adolescent Medicine found that eating at least two servings of fish per week was linked to about a 60 percent lower risk of kids developing certain ADHD-like symptoms.
But elevated mercury levels, which can also come from eating more fish - depending on the fish - were tied to a higher risk of developing the symptoms, such as hyperactivity, impulsiveness and inattentiveness.
Though the study did not prove cause and effect, and did not use a formal diagnosis of ADHD, it may offer insights into a condition that's estimated to have an impact on one in 10 children in the United States, researchers say.
"The really important message is to eat fish," said Sharon Sagiv, the study's lead author from the Boston University School of Public Health.
"Just stay away from mercury-containing fish, because these protective effects are pretty important."
Sagiv said it's best to stay away from "big fishes," such as tuna and swordfish, which typically contain the most mercury. Instead, stick to fishes such as haddock and salmon.
Past studies looking at the link between mercury and ADHD have produced conflicting results.
For the new study, the researchers followed 788 children who were born near New Bedford, Massachusetts, between 1993 and 1998. They used hair samples taken from the mothers right after delivery to test their mercury levels, and food diaries to see how much fish they ate.
Then, once the children were about 8 years old, the researchers asked their teachers to evaluate the kids' behaviors to see how many exhibited ADHD-like symptoms.
After taking all of the information into account, the researchers found 1 microgram of mercury per gram of a mother's hair - about eight times the average levels found in similar women's hair in another analysis - was tied to about a 60 percent increase in the risk of their child exhibiting ADHD-like behaviors.
But there was no link below 1 microgram of mercury per gram of a mother's hair.
Sagiv added that the negative effects from lower levels of mercury may be canceled out by the benefits from eating fish. The children appeared to be 60 percent less likely to exhibit impulsive or hyperactive behaviors if their mothers ate two or more servings of fish per week.
That finding conflicts with the U.S. government's recommendation that says pregnant women should eat no more than two six-ounce servings of fish per week to limit their exposure to mercury.
"I think it does call into question those guidelines, but this is only one study and the results should be confirmed," Sagiv told Reuters health.
In an editorial that appeared with the study, Bruce Lanphear at Simon Fraser University in Vancouver, echoed Sagiv's advice on avoiding "big fishes."
In the long term, we have to really find ways to fight contamination levels in fish so years from now we don't have to give this advice," he added.
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Correction: An earlier version of this story contained a headline that drew an incorrect conclusion from the study.
Copyright 2013 Thomson Reuters. Click for restrictions.

It will take more than just this study with the small number of children involved to actually confirm this information. Obviously with many cultures around the world which consume high amounts of fish in their diets, it would make sense to look at their rates of ADHD to see if there has been an increase over time in those locations.Especially in developed nations where eating a diet high in seafood goes back thousands of years. Contamination from man into the environment is going to continue to take place in increasing amounts.Unless that issue is addressed adequately, we can expect negative consequences on the health of not just humans, but all life.
Before agricultural runoff fish used to be the healthiest food on earth. Notice how you don't see anyone trying to stop it?
One benefit of increasing atmospheric CO2 is that plants grow faster and stronger with more CO2. They are also more water efficient and more drought tolerant with more CO2. That means that less artificial fertilizer can be used. So agricultural runoff might have less fertilizer and maybe even less pesticides in it in the future. There is still the issue of runoff from dairy farms but if we can reduce the amount of hormones and antibiotics that are given animals that might get better also.
B.S., The link would show up in other cultures that eat way more fish than is in even a fish heavy American diet, and it dosen't.
I agree with NewMalthus, that's a crock! One has to conclude these people are just trying to justify a salary, pretty soon they'll be telling us its bad for us to breathe air!!!!
Ugh, tough dilemma! I took fish oil supplements while pregnant with my daughter and ate just one serving of fish a week to avoid the mercury.
Aliza,
Main Line Doulas
www.mainlinedoulas.com
They very carefully left out mercury in vaccines and dental amalgrams.