Fish are a primary source of long-chain omega-3 fatty acids, which may help delay cognitive aging. We pooled participants from the French Three-City study and four US cohorts (Nurses' Health Study, Women's Health Study, Chicago Health and Aging Project and Rush Memory and Aging Project) with diet and cognitive data (n = 23,688 Caucasians aged ≥65 years, 88% female, baseline year range, 1992-1999, median follow-up range, 3.9-9.1 years) to investigate the relation of fish intake to cognitive decline and examine interactions with Alzheimer's disease-related genes. We estimated cohort-specific associations between fish and change in composite scores of global cognition and episodic memory using linear mixed models, and pooled results using inverse-variance weighted meta-analysis. In multivariate analyses, higher fish intake was associated with slower decline in both global cognition and memory (P-trend ≤ 0.031). Consuming ≥4 versus <1 fish serving/week was associated with 0.018 (95% CI: 0.004, 0.032) standard units lower rate of memory decline; an effect estimate equivalent to that found for 4 years of age. For global cognition, no comparisons of higher versus low fish intake reached statistical significance. In this meta-analysis, increasing fish intake was associated with decreasing memory decline. We found no evidence of effect modification by Alzheimer's disease genes.
This research output has an Altmetric Attention Score of 83. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 September 2026.
All research outputs
#648,745
of 34,321,056 outputs
Outputs from American Journal of Epidemiology
#459
of 10,759 outputs
Outputs of similar age
#10,210
of 370,439 outputs
Outputs of similar age from American Journal of Epidemiology
#8
of 52 outputs
Altmetric has tracked 34,321,056 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 10,759 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 20.5. This one has done particularly well, scoring higher than 95% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 370,439 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 97% of its contemporaries.
We're also able to compare this research output to 52 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 84% of its contemporaries.
