Fish Ranked by Health Impact—From Worst to Best

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Fish Ranked by Health Impact—From Worst to Best

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Tilapia – The Farm-Raised Disappointment

Tilapia - The Farm-Raised Disappointment (image credits: pixabay)
Tilapia – The Farm-Raised Disappointment (image credits: pixabay)

Sitting at the bottom of our health ranking is tilapia, the white fish that’s become America’s go-to affordable option. Tilapia contains much less omega-3 than other fish like salmon. Its omega-6 to omega-3 ratio is higher than other fish and may contribute to inflammation in the body. Unlike wild-caught varieties, most tilapia consumed in the U.S. comes from crowded fish farms, particularly in China, where questionable practices have raised red flags. Plus, there have been reports of using animal feces as food and the continued use of banned chemicals at tilapia farms in China. Because of this, if you choose to eat tilapia, it is best to avoid fish from China. The 2008 Wake Forest University study that shocked the nutrition world concluded that Eating Tilapia is Worse Than Eating Bacon due to its inflammatory omega-6 fatty acid profile. While tilapia provides lean protein, you’re missing out on the heart-healthy fats that make fish consumption beneficial in the first place.

Imported Mahi-Mahi – Environmental Concerns and Limited Benefits

Imported Mahi-Mahi - Environmental Concerns and Limited Benefits (image credits: flickr)
Imported Mahi-Mahi – Environmental Concerns and Limited Benefits (image credits: flickr)

Imported, longline mahi-mahi, or dolphinfish, is rated as one of the least eco-friendly fish by the Monterey Bay Aquarium Seafood Watch. There is concern about bycatch, including sea turtles, seabirds and sharks, getting tangled in the fishing gear when mahi-mahi is fished. This popular restaurant fish might taste great, but it comes with significant environmental baggage. The fishing methods used to catch imported mahi-mahi often result in the accidental capture and death of protected marine species. While mahi-mahi does provide decent protein content, it lacks the omega-3 powerhouse status of other fish options. However, mahi-mahi caught in the U.S. and Ecuador with troll lines is ranked under “Good Alternative” by Seafood Watch and is the better choice if you’re hankering for this particular fish. If you’re craving mahi-mahi, seek out domestically caught varieties that use more sustainable fishing practices. The environmental impact of your seafood choices matters for ocean health and future fish populations.

King Mackerel – Mercury Concerns Override Benefits

King Mackerel - Mercury Concerns Override Benefits (image credits: flickr)
King Mackerel – Mercury Concerns Override Benefits (image credits: flickr)

King mackerel presents a frustrating paradox in the fish world – it’s loaded with beneficial omega-3 fatty acids, but it’s also swimming in mercury. Herring contains less mercury than other omega-3-rich fish you may be eating, like tuna, king mackerel, swordfish and halibut. This large predatory fish accumulates mercury as it feeds on smaller contaminated fish throughout its lifetime. The mercury levels in king mackerel are high enough that the FDA specifically warns pregnant women, nursing mothers, and young children to avoid it completely. Even for healthy adults, the mercury content is concerning enough to outweigh the omega-3 benefits. Exposure to high levels of mercury increases the risk of cognitive defects and other health problems. Spanish mackerel, a smaller cousin, offers similar nutritional benefits with significantly lower mercury levels. When it comes to mackerel, size matters – and smaller is definitely safer.

Bluefin and Bigeye Tuna – Sustainability and Mercury Issues

Bluefin and Bigeye Tuna - Sustainability and Mercury Issues (image credits: pixabay)
Bluefin and Bigeye Tuna – Sustainability and Mercury Issues (image credits: pixabay)

Just like mackerel, different kinds of tuna have different levels of mercury. For example, it’s best to avoid bluefin and bigeye tuna steaks. These premium tuna varieties, often featured in high-end sushi restaurants, carry a double burden of health and environmental concerns. Bluefin tuna populations have been decimated by overfishing, with some species facing near-extinction. Exposure to high levels of mercury increases the risk of cognitive defects and other health problems. The mercury concentration in these large, long-lived fish can be dangerously high, especially for vulnerable populations. Beyond health concerns, choosing bluefin tuna contributes to unsustainable fishing practices that threaten marine ecosystems. Fresh tuna is a great source of omega-3s, but there are better options that don’t compromise your health or the ocean’s future. The premium price tag on these tuna varieties reflects their scarcity – a scarcity we’ve created through overconsumption.

Farmed Salmon – Environmental Baggage with Health Benefits

Farmed Salmon - Environmental Baggage with Health Benefits (image credits: pixabay)
Farmed Salmon – Environmental Baggage with Health Benefits (image credits: pixabay)

Farmed salmon occupies an uncomfortable middle ground in fish rankings, offering excellent nutrition while carrying significant environmental concerns. Most farmed salmon are raised in tightly packed, open-net pens often rife with parasites and diseases that threaten the wild salmon trying to swim to their ancestral spawning waters. Open-net-farmed salmon are often given antibiotics to combat diseases, and their food and waste pollute the ocean. Despite these issues, from a nutrition standpoint, farmed-raised and wild-caught salmon have just about the same heart-healthy omega-3 fats. The Harvard Medical School research confirms that compared to the wild-caught varieties, farmed fish tended to have higher levels of omega-3s, but they also contained higher levels of saturated and polyunsaturated fats. Freshwater-farmed salmon have earned a “Best Choice” status from Monterey Bay Aquarium Seafood Watch and some open-net systems are rated as “Good Alternatives.” Consumer pressure may encourage more farms to continue to adopt better practices. Look for responsibly farmed options when budget constraints make wild salmon impractical.

Cod and Flounder – Lean Options with Limited Omega-3s

Cod and Flounder - Lean Options with Limited Omega-3s (image credits: flickr)
Cod and Flounder – Lean Options with Limited Omega-3s (image credits: flickr)

Cod and flounder represent the “gateway fish” for people transitioning to more seafood in their diet. For example, low-fat fish like tilapia, cod, flounder, and sole have fewer than 120 calories in a 3-ounce serving and give you plenty of protein. If you don’t like fish but want to get more seafood into your diet, tilapia and cod can be a good starting point. Neither has much of a fishy taste. These white fish offer excellent lean protein and are typically lower in mercury than larger predatory species. However, their omega-3 content is minimal compared to fatty fish options. Cod provides selenium, vitamin B12, and phosphorus, making it a nutritious choice for those focused on protein intake rather than omega-3 benefits. They also tend to take on the flavor of a marinade or sauce. While these fish won’t deliver the anti-inflammatory benefits of fattier varieties, they’re safe, sustainable choices that can help you meet general seafood consumption recommendations without breaking the bank.

Canned Light Tuna – Mercury Balance with Convenience

Canned Light Tuna - Mercury Balance with Convenience (image credits: pixabay)
Canned Light Tuna – Mercury Balance with Convenience (image credits: pixabay)

Canned light tuna strikes a reasonable balance between convenience, nutrition, and safety concerns that plague other tuna varieties. For a good source of protein, it’s best to go with canned light tuna, which is safe to have up to three times a week. Unlike albacore or yellowfin tuna, light tuna (usually skipjack) contains significantly lower mercury levels while still providing decent omega-3 content. Albacore tuna, one of the more popular fish in the United States, is consistently high in methylmercury. “The same is true for canned light tuna unless you’re purchasing from a company that checks the mercury levels of each can,” continues Zumpano. The affordability and shelf stability of canned light tuna make it accessible for regular consumption. Harvard nutritionists recommend when I have canned tuna, I look for the “chunk light” variety, which is lower in mercury than other varieties. Choose brands that test mercury levels and avoid albacore varieties if you’re consuming tuna regularly.

Rainbow Trout – Sustainable Freshwater Excellence

Rainbow Trout - Sustainable Freshwater Excellence (image credits: flickr)
Rainbow Trout – Sustainable Freshwater Excellence (image credits: flickr)

Rainbow trout (also referred to as steelhead trout), is one of the best fish to eat when it’s farmed in the U.S. or in indoor recirculating tanks, according to Monterey Bay Aquarium Seafood Watch. Trout ranks just under canned pink salmon when it comes to omega-3 fats and supplies potassium, selenium and vitamin B6 while offering more than a day’s worth of vitamin B12. This freshwater fish represents an excellent middle-ground option that combines good nutrition with environmental responsibility. A 3.5-ounce (100-gram) serving of cooked trout typically contains approximately 580 milligrams (about 0.58 grams) of omega-3 fatty acids. The controlled farming environment for trout reduces concerns about mercury contamination and ocean pollution. Lake trout is a great alternative when it’s sourced from the right places. Seafood Watch advises buying lake trout caught in the Great Lakes, specifically Lake Superior’s Michigan and Minnesota waters, while avoiding trout that was caught from Wisconsin’s Lake Superior waters. Trout offers a delicate flavor that appeals to those who find salmon too “fishy” while delivering substantial nutritional benefits.

Herring – The Underappreciated Omega-3 Champion

Herring - The Underappreciated Omega-3 Champion (image credits: flickr)
Herring – The Underappreciated Omega-3 Champion (image credits: flickr)

Herring deserves recognition as one of the most nutritionally dense fish swimming in our oceans. Fatty fish like herring provide around 1.5 grams of omega-3s per 3 ounce serving. Herring also boasts more omega-3 fatty acids than either salmon or tuna, which are essential to human health since our bodies can’t make these fats. What makes herring particularly appealing is its low mercury content compared to other omega-3 rich options. Herring contains less mercury than other omega-3-rich fish you may be eating, like tuna, king mackerel, swordfish and halibut. This small, oily fish reproduces quickly and maintains stable populations, making it an environmentally sustainable choice. Other good fatty fish choices include sardines, herring, bluefish, and mackerel. The strong flavor of herring might take some getting used to, but “Try it chilled, with a light marinade of white wine vinegar, red onion and dill,” says Zumpano. Herring’s affordability and exceptional nutrient density make it an outstanding choice for health-conscious consumers.

Wild-Caught Alaskan Salmon – The Gold Standard

Wild-Caught Alaskan Salmon - The Gold Standard (image credits: pixabay)
Wild-Caught Alaskan Salmon – The Gold Standard (image credits: pixabay)

Wild-caught Alaskan salmon represents the pinnacle of fish nutrition and sustainability. Salmon is one of the most nutrient-dense foods on the planet. It contains high quality protein and various nutrients, including large amounts of vitamin D, selenium, and B vitamins. Studies show that people who regularly eat fatty fish such as salmon have a lower risk of conditions such as heart disease, with omega-3 content reaching 2,150 mg of EPA and DHA (combined) in 3.5 oz (100 g). Wild-caught salmon contain 10 times more Omega-3s than Omega-6s. (3) Farmed salmon have less than 4 times the amount of Omega-3s than Omega-6s. Wild salmon also contains 4 times as much vitamin D than farmed salmon. Alaska’s pristine waters and strict fishing regulations ensure both quality and sustainability. Canned salmon is not just a great source of omega-3 fats, it is one of the best sources of nondairy calcium. A 3-ounce serving has 241 milligrams (most adults need between 1,000 to 1,200 mg per day, according to the National Institutes of Health). Whether fresh or canned, wild Alaskan salmon delivers maximum nutritional bang for your buck.

Sardines – The Ultimate Nutritional Powerhouse

Sardines - The Ultimate Nutritional Powerhouse (image credits: pixabay)
Sardines – The Ultimate Nutritional Powerhouse (image credits: pixabay)

Sardines claim the top spot as the healthiest fish you can eat, combining exceptional nutrition with perfect sustainability. The tiny, inexpensive sardine is making it onto many lists of superfoods, and for good reason. It packs nearly 300 mg of omega-3 fats per 3 ounces and is one of the very few foods that’s naturally high in vitamin D. It’s also one of the few foods naturally high in calcium, packing 25% of your daily needs per serving. Recent research shows that sardines are an exceptional source, with a 3.5-ounce serving providing over 2,000 milligrams of omega-3s. In comparison, the same serving of salmon offers about 1,500 milligrams. While both fish are excellent sources, sardines lead in omega-3 content, offering more bang per bite The sustainability factor makes sardines even more attractive. When considering the environmental impact and accessibility, sardines are often more sustainable than salmon. They are lower on the food chain, reproduce quickly, and are caught using methods that generally have a lower environmental impact. Sardines are also more affordable and accessible, making them a smart choice for those looking to incorporate healthy seafood into their diet without breaking the bank “Since sardines are more likely to be sustainably caught, they’re a safe choice for pregnant and nursing women,” notes Zumpano. The complete nutritional profile includes more than 370% of the DV for vitamin B12, 24% for vitamin D, and 96% for selenium.

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