Vegetarians, vegans, flexitarians… pescatarians? Over the past few years our food has become more and more important to us, and a great many different ways of eating have developed. But do we actually know what lies behind all these labels? And does it even make sense to follow a special way of eating such as pescatarianism? Here you will find everything you need to know about the pescatarian diet.
Everything about the pescatarian diet
Table of contents
1. The 9 best known ways of eating at a glance
First, a short overview of the 9 best known ways of eating1 2:
With this way of eating, mainly plant foods and animal products such as cheese or eggs are consumed. Meat, fish and products made from them are left out.
Here all animal products are off limits. This is a purely plant based way of eating.
Meat only comes to the table occasionally. The focus is on high quality and on animals being kept in appropriate conditions.
Fruitarians, also called fructarians or fruganers, eat exclusively plant products that can be harvested without the plant being damaged or dying.
The foods eaten in this way of eating are predominantly of plant origin. In addition, fish, fish products and seafood come onto the plate.
Advocates of clean eating avoid processed foods and ready meals. What matters most are natural and fresh ingredients with a focus on regional and seasonal produce, whether vegan, vegetarian or pescatarian.
On a paleo diet, only those food groups are eaten that already existed in the Stone Age. These are above all vegetables, fruit, nuts, meat, fish and eggs. Grain products, dairy products and processed foods are left out.
The low carb diet is defined by a lower intake of carbohydrates. In general we speak of low carb when less than 100g of carbohydrates are taken in per day.
A ketogenic diet is a form of low carb eating in which the focus lies on the formation of so-called ketone bodies. This way of eating gets fat burning in the body going.
2. What does pescatarian mean?
Now to the actual topic: the pescatarian diet.
The term “pescatarian” comes from the Latin word “piscis”, the fish. That already makes it clear that a pescatarian diet must have something to do with fish. But how exactly do pescatarians eat? Pescatarianism is a sub-form of vegetarianism. So in essence pescatarians eat vegetarian food, but in addition they eat fish, fish products and sea creatures.1
3. The potential of fish
Is it even worth choosing a pescatarian lifestyle? What is in fish that makes them so healthy?
The answer: quite a lot!
You have certainly heard of omega-3 fatty acids before. These are polyunsaturated fatty acids that give your body that extra health kick. The most important omega-3 fatty acids include eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). By eating fish as part of a pescatarian diet you take in plenty of these omega-3 fatty acids. But what exactly does that do for your body?
Omega-3 fatty acids lower negative cholesterol values such as LDL cholesterol and the triglyceride concentration in the blood, while at the same time raising positive HDL cholesterol. This goes along with a lower risk of coronary heart disease, the risk of heart attack is lowered, and other cardiovascular risk factors improve as well. The likelihood of developing a lipid metabolism disorder also decreases.3-7
DHA and EPA act neuroprotectively: they protect our nerve cells. Research has shown that in diseases of the central nervous system such as Alzheimer’s and Parkinson’s, eating fish represents a potential nutritional therapy for improving the symptoms.6-8
The antioxidant effect of fish is also of great importance. So-called reactive oxygen species play an important role in many illnesses, for example Alzheimer’s or diabetes, but also in the ageing process. Through their antioxidant effect, the fatty acids in fish can reduce oxidative stress and thereby protect the nervous system and our cells effectively.6 7
Besides the health promoting effects already mentioned, omega-3 fatty acids hold further magic powers:
- Anti-inflammatory effect 7 8
- Anti-thrombotic effects 6
- Reduced risk of depression 5 6 8
- Reduced cancer risk 5 6 8
- Anti-microbial activity against disease causing bacteria 7
- Support for gut health 6 7
- Increased insulin sensitivity and therefore a lower risk of type 2 diabetes mellitus 5 6 8
Recommended intake
So that you can benefit from these positive effects within your pescatarian diet, the German Nutrition Society (DGE) recommends eating fish once or twice a week. Oily fish in particular contain a lot of omega-3. These include, for example, mackerel, anchovy, perch, herring, salmon and tuna. The omega-3 content can vary depending on the species of fish, the fishing area, the fish’s food and how it is prepared, which is why this recommendation is only a rough guide. 3 4
But that was not all. After all, fish are not made of fat alone.
Fish are the perfect source of protein. This protein is not only high in quality but also easy to digest and can therefore be used very well by our body4. Compared with meat, the share of saturated fats is also lower9. In addition, fish contain peptides that lower blood pressure and prevent cholesterol plaques from building up on the inner walls of the blood vessels and thereby obstructing blood flow.6
Where vegetarians and vegans can often run into a deficiency, a pescatarian diet usually has no problems: vitamin B12. Because it is involved in blood formation, DNA synthesis and cell division, vitamin B12 is particularly important. A deficiency can lead to anaemia, but also to low mood or tiredness. Since this vital vitamin occurs in sufficient amounts only in animal products, you can fill your vitamin B12 stores ideally with fish.
With a sufficient intake of animal products such as milk, yoghurt or eggs, vegetarians can also fill their vitamin B12 stores. Since this food group is not available to vegans, a suitable supplement is advisable for them. 5 10
Vitamin D, which rarely occurs in foods, is also found in fish3-7. Among other things it plays an important role in bone metabolism and reduces the risk of osteomalacia, a softening of the bones11.
Fish also contains vitamin A5 6 7. This vitamin has many important functions in our body. It is not only involved in the process of seeing, it is also important for our immune function, for the development and maintenance of skin and mucous membranes, and it matters in embryonic development too.12
The vitamin E taken in through fish protects against cell damage with its antioxidant effect by reducing oxidative stress. This also lowers the risk of illnesses associated with oxidative stress. 5 6 7
Besides this vitamin cocktail, numerous minerals are found in fish. These include copper, selenium, zinc, fluorine and magnesium, but also calcium, which is important for strong bones6. Saltwater fish in particular also contain a considerable amount of iodine3 4. As an important component in the production of thyroid hormones, iodine contributes to normal thyroid function13.
4. What you need to watch out for on a pescatarian diet
Metal in fish?
The best known problem with eating fish is probably contamination with heavy metals. Methylmercury is formed by marine bacteria and can be taken up by fish. Fish at the end of the food chain are particularly affected, for example pike, tuna or sharks. Since methylmercury, as an environmental contaminant, is toxic for the nervous system and the developing brain, pregnant women, breastfeeding women, women who want to have children and small children in particular should not eat these species of fish too often.5 8 Even so, fish should not be avoided completely, because DHA plays a decisive role in the development of the brain of the foetus and the child9.
Risks and side effects?
Besides methylmercury, other environmental contaminants can also accumulate in fish and bring possible risks with them. Research shows, however, that eating 1 to 2 portions of fish per week does not lead to worrying amounts of contaminants being taken in, and that the health promoting effects outweigh them.3
Signs of deficiency
In contrast to vegetarians and vegans, the vitamin B12 problem does not arise on a pescatarian diet.
Iron supply is a different matter. Fish does contain divalent iron, which the body can use better, but the content is not particularly high. So here pescatarians have to rely on additional iron rich foods. These include, for example, beetroot, pulses and grain products made from wholemeal flour14.
For pescatarianism too, the following applies: a balanced, high quality choice of foods is the be-all and end-all of a healthy diet.
5. What about sustainability?
As with every food, you should of course give some thought to where the fish comes from. Many wild fish stocks are overfished, and commercial aquaculture mostly has the same problems as conventional livestock farming on land15. So how can you square a pescatarian diet with your conscience?
Quality labels help you when buying fish
There are numerous quality labels for fish as well. Among the best known are MSC (Marine Stewardship Council) and ASC (Aquaculture Stewardship Council). Since the criteria of these labels tolerate quite a lot, though, you should not trust them blindly. Better to pay attention to where the fish comes from and how it was caught. Labels with stricter criteria are, for example, FOS (Friend of the Sea) or the Naturland label for wild fish. Naturland wild fish not only avoids critical and environmentally damaging fishing methods, it also looks at careful use of fish stocks and at social guidelines for fishers and employees. The Naturland aquaculture criteria are even stricter than those of the EU organic label. You should therefore preferably buy fish carrying these quality labels. If you want to be 100% sure that you are buying the right fish, there are also fish guides, for example from WWF or Greenpeace, with which you are guaranteed to make the most sustainable choice. That way you are on the sustainable side with a pescatarian diet too.16 17
6. Combining a pescatarian diet with low carb/keto
Since fish and seafood contain almost no carbohydrates at all, you can combine a pescatarian diet with low carb/keto without any trouble. What matters, of course, is the way it is prepared. Above all you should reach for unprocessed fish products and ideally make your coatings yourself, for example from nuts.
A pescatarian diet with Foodpunk
By the way, did you already know that in our Foodpunk questionnaire you can also select a pescatarian lifestyle and so receive your very own individual pescatarian nutrition plan? No? Then it is definitely worth taking a look at our app. Or have you already chosen a different way of eating in the questionnaire, but would like to try pescatarianism once? No problem at all, because once a month you have the option of changing your questionnaire free of charge, so you are free to try something new.
7. Pescatarian low carb/keto recipe ideas
Would you also like to switch to a pescatarian diet, or do you already eat pescatarian but are short of creative recipe ideas? Never mind, that is what we are here for. Our Foodpunk recipe developers are constantly creating new recipes with something for every lifestyle, including for pescatarians of course. Whether as meal prep, a quick salad or a relaxed dinner…nothing is missing.
In our app you will find pescatarian recipes such as…
- Pike-perch with pepper sauerkraut
- Fine minestrone with cod fillet
- Grilled salmon with tomato and avocado salsa
- Baked vegetable parcels with juicy salmon
- Sushi bowl with smoked trout
- Pan-fried pike-perch with creamed salsify and carrot apple salad
- Zoodles in coconut sauce with pan-fried wild salmon
- Stuffed chicory boats with tuna
- Prawn pan with fruity cauliflower rice
- Trampó con gambas, Mallorcan tomato salad with garlic prawns
- Iceberg wraps with salmon and sweet potato fries
- Breakfast salad with avocado and tuna
- Colourful prawn bowl
- Tuna patties with salad
- Salmon tartare with papaya and lime dressing
- Salmon ceviche with fresh cucumber salad
- Foodpunk sushi with cauliflower rice
- Pangasius fillet with coconut and macadamia crust
- Poached redfish on radish carpaccio
- Pan-fried scallops with lemony celeriac purée
- Juicy salmon in a sesame crust with salad
- Salmon fish fingers with celeriac fries
- Salmon burger with easy guacamole
- Cod with almond and lemon crust and spinach
- Pancakes with smoked trout
- Lukewarm seafood salad
- Vegetable fritters with salmon
- Juicy tuna steak with citrus avocado salad
- Salmon balls with avocado sauce
- Summer rolls with pepper & prawns
You are not a Foodpunk yet, but would like to get a first impression of us? Then have a look at our blog and try pescatarian delicacies such as…
- Poisson Cru, low carb/keto tuna salad
- Low carb meal prep salad with salmon
- Cod with macadamia crust
- Salmon with chia seed crust & pak choi (low carb)
- Low carb salmon ceviche
- Low carb spaghetti with prawns
- Sea trout with mango avocado salsa
Have you now developed a real appetite for tasty fish dishes and would you like a completely individual nutrition plan that suits your lifestyle? Then get going with Foodpunk now and discover even more pescatarian recipes that are not only incredibly tasty but also do you and your body a lot of good.
And now: on to the fish!
1 Deutsche Gesellschaft für Ernährung (2013): Flexitarier – die flexiblen Vegetarier, DGEinfo (10/2013), pp. 146-148
2 BARMER (2022): Ernährungsformen im Vergleich: Wie gesund leben Veganer & Co. wirklich? (accessed 24.08.2022)
3 Dinter J., Bechthold A., Boeing H., Ellinger S., Leschik-Bonnet E., Linseisen J., Lorkowski S., Wolfram G. (2016), Fish intake and prevention of selected nutrition-related diseases. Ernährungs Umschau, 63(7), pp. 148–154
4 Deutsche Gesellschaft für Ernährung (2016): Regelmäßig Fisch auf den Tisch! (press release no. 9 of 2 August 2016)
5 Sidhu K. S. (2003), Health benefits and potential risks related to consumption of fish or fish oil. Regulatory toxicology and pharmacology, 38, pp. 336–344
6 Kundam D. N., Acham I. O., Girgih A. T. (2018), Bioactive Compounds in Fish and Their Health Benefits. Asian Food Science Journal, 4(4), pp. 1–14
7 Chen J., Jayachandran M., Bai W., Xu B. (2022), A critical review on the health benefits of fish consumption and its bioactive constituents. Food chemistry, 369, pp. 1-9
8 Li N., Wu X., Zhuang W., Xia L., Chen Y., Wu C., Rao Z., Du L., Zhao R., Yi M., Wan Q., Zhou Y. (2020), Fish consumption and multiple health outcomes: Umbrella review. Trends in Food Science & Technology
9 Daviglus M., Sheeshka J., Murkin E. (2002), Health Benefits from Eating Fish. Comments on Toxicology, 8(4-6), pp. 345–374
10 Deutsche Gesellschaft für Ernährung (2019): Neuer Referenzwert für die Vitamin-B12-Zufuhr. (press release no. 2 of 22 January 2019)
11 Hamed I., Özogul F., Regenstein J. M. (2015), Marine Bioactive Compounds and Their Health Benefits: A Review. Comprehensive Reviews in Food Science and Food Safety, 14, pp. 446-465
12 Deutsche Gesellschaft für Ernährung (2020): Ausgewählte Fragen und Antworten zu Vitamin A (accessed 23.08.2022)
13 Bundesinstitut für Risikobewertung (2022): Jod (accessed 23.08.2022)
14 Bundesinstitut für Risikobewertung (2008): Fragen und Antworten zu Eisen in Lebensmitteln (accessed 24.08.2022)
15 WWF (2018): Ist Aquakultur die Lösung? (accessed 23.08.2022)
16 Verbraucherzentrale (2022): Fischsiegel und -label: Eine Orientierung für Ihren Einkauf (accessed 23.08.2022)
17 NDR (2019): Fisch kaufen: Sind Siegel wie MSC sinnvoll? (accessed 23.08.2022)
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