title: Psychiatric agriculture: systemic nutritional modification and mental health in the developing world.
abstract: Modernization of agricultural systems to increase output causes changes to the nutritional content of food entire populations consume. Human nutritional needs differ from their "food", thus producing healthy agricultural products is not equivalent to providing agricultural products that are healthy for humans. Inclusion of the food production system as a factor in the increase of neuropsychiatric disorders and other chronic diseases helps explain negative trends in modern chronic diseases that remain unchecked despite stunning advances in modern medicine. Diseases in which our own technology plays a significant role include obesity and resulting disorders, such as diabetes, heart disease, hypertension, stroke and arthritis. Modernization's lure leads to importation of modern agricultural practices into a nutritionally vulnerable, malnourished and sometimes starving developing world. Wealthier nations hedge their food portfolio by having access to a wider variety of foods. The developing world's reliance on staple foods means even a minor widespread nutritional modification of one key food can have profound effects. New agricultural techniques may improve or exacerbate neuropsychiatric disorders through nutritional modification in regions where populations walk a nutritional tightrope with little margin for error. In most of the developing world western psychiatric interventions have failed to make inroads. People's consumption of fish has a demonstrated beneficial effect on their mental health and the omega-3 fatty acid content is a significant factor. Epidemiological, biological and agricultural studies implicate a lack of dietary omega-3s as a factor in certain mental disorders. Replenishing omega-3s has improved mental illnesses in controlled clinical trials. This article's detailed tilapia fish-farming model demonstrates how aquaculture/agriculture techniques can function as a public health intervention by increasing dietary omega-3s through creation of sustainable, economical and culturally appropriate food sources for the developing world.
authors.affiliation: Psychopharmacological Research Laboratory, McLean Hospital, Harvard Medical School, Belmont, MA, USA. dlondon@mclean.harvard.edu
authors.forename: Douglas S
authors.initials: DS
authors.lastname: London
authors.forename: Andrew L
authors.initials: AL
authors.lastname: Stoll
authors.forename: Bruce B
authors.initials: BB
authors.lastname: Manning
mesh_terms: D000383:Agriculture / Q000379:methods*; D019049:Developed Countries; D004035:Diet Therapy / Q000379:methods*; D005523:Food Supply; D006304:Health Status; D001523:Mental Disorders / Q000517:prevention & control*; D018673:Nutrition Policy; D009747:Nutritional Physiological Phenomena; D011570:Psychiatry / Q000379:methods*