Exercise training induces varying degrees of mechanical and metabolic stress on the human body, resulting in inflammation and oxidative stress (
1). Excessive inflammation can hinder recovery and performance (
2). For this reason, there is increasing interest in finding nutritional supplements and foods with functional benefits to enhance metabolic capacity, reduce the effects of oxidative stress, delay the onset of fatigue, improve muscle hypertrophy, shorten the recovery period, and, in other words, boost athletic performance in athletes (
3,
4). The International Society of Sports Nutrition lists fish as one of the best sources of high-quality protein for athletes because it provides ample fuel and helps build and repair muscle (
5). Fish provides a variety of nutrients, including protein, essential fats, and vitamins and minerals such as calcium, magnesium, selenium, zinc, iron, and vitamins A and D (
6). The health benefits of fish are primarily attributed to their content of long-chain polyunsaturated fatty acids (n-3 LCPUFA) or omega-3 (
7). Important features of fish oil and omega-3 include antioxidant and anti-inflammatory properties (modulating pro-inflammatory cytokines and eicosanoids), immune-modulatory effects (
8-
11), enhancement of lipid metabolism (
12-
14), and glucose metabolism (
15), as well as changes in cell membrane permeability (
16). Fish compounds can improve endothelial function and increase blood flow, delivering more nutrients and oxygen to the muscles, enhancing endurance, and reducing fatigue (
17). These properties have led athletes to use fish oil supplements as ergogenic aids in recent years. In studies by Jouris et al. and Philpott et al. and, it was found that fish oil reduces muscle damage and soreness caused by exercise (
2,
18). In a study by Jeromson et al., ω-3 PUFA supplementation reduced protein breakdown in cancerous rodents (
11). On the other hand, some studies have found that fish oil does not impact athletic performance (
19). D’Angelo et al. stated that only limited scientific evidence proves that fish oil supplementation positively affects sport performance. Therefore, at present, it cannot be concluded that fish oil is consistently effective or energizing (
3). Further studies are necessary.
Another feature of fish consumption is its potential effect on improving lipid profiles and enhancing fat metabolism. According to study results, compounds found in fish may influence the expression of genes involved in lipid metabolism. Omega-3 fatty acids can activate peroxisome proliferator-activated receptors (PPARs), which play an important role in regulating lipid metabolism and energy homeostasis (
20). This activation can lead to increased fatty acid oxidation and improved athletic performance. However, the effect of fish consumption on lipid profiles is inconsistent. Several studies have shown that fish consumption or supplements lower triglycerides (
3,
21), reduce LDL (
21), and increase HDL (
22). In some studies, LDL (
22) and HDL (
23) levels did not change; therefore, further investigation is necessary.
Vitamin D is an essential micronutrient for enhancing health and athletic performance. The main sources of vitamin D are dietary sources and exposure to sunlight. Among vitamin D-rich foods, oily fish are considered to be one of the best sources (
24). A systematic study reported that consuming at least two servings of fish, or 300 grams of fish per week, over a period of at least four weeks, was associated with a significant increase in serum 25-hydroxy D concentrations (
25). According to estimates, one billion people worldwide, with more than half of them in Iran, are deficient in vitamin D (
26). A high prevalence of vitamin D deficiency has been documented among athletes in both outdoor and indoor sports (
27). One characteristic of vitamin D is its impact on musculoskeletal health, cardiovascular health, and immune system function (
28). Also, in observational and interventional studies, insufficient vitamin D levels were associated with adverse serum lipid profiles (
29-
31), which reduced exercise performance. Research has shown that high serum levels of vitamin D are associated with reduced injury rates and improved athletic performance. It is recommended that individuals with vitamin D deficiency be identified and take supplements to optimize their performance and prevent future complications (
32). Consuming fresh rainbow trout is an excellent way to boost your vitamin D levels. That’s because a 3-ounce (85-gram) serving of rainbow trout contains 645 international units of vitamin D. In fact, rainbow trout is one of the fish that are high in vitamin D (
6).
Given the valuable properties of fish, it is essential to consider potential barriers to fish consumption among athletes. Factors such as taste preferences and concerns about sustainability and mercury exposure may limit fish consumption among some individuals. Wild fish tend to have higher mercury levels due to contaminants, while farmed fish are generally in a better position. On the other hand, due to increased fish consumption, aquaculture has risen, reducing the burden on wild fish stocks (
33). Although most studies suggest that wild fish have higher levels of omega-3 and vitamin D than farmed fish (
34,
35), the high mercury content of wild fish reduces their consumption. There is also controversy regarding the effects of fish on exercise performance, lipid profiles, and vitamin D3.