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Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies.
Circulation. 2004 Jun 08; 109(22):2705-11.Circ

Abstract

BACKGROUND

Results from observational studies on fish consumption and coronary heart disease (CHD) mortality are inconsistent.

METHODS AND RESULTS

A meta-analysis of cohort studies was conducted to examine the association between fish intake and CHD mortality. Studies were included if they provided a relative risk (RR) and corresponding 95% CI for CHD mortality in relation to fish consumption and the frequency of fish intake. A database was developed on the basis of 11 eligible studies and 13 cohorts, including 222 364 individuals with an average 11.8 years of follow-up. Pooled RR and 95% CI for CHD mortality were calculated by using both fixed-effect and random-effect models. A linear regression analysis of the log RR weighted by the inverse of variance was performed to assess the possible dose-response relation. Compared with those who never consumed fish or ate fish less than once per month, individuals with a higher intake of fish had lower CHD mortality. The pooled multivariate RRs for CHD mortality were 0.89 (95% CI, 0.79 to 1.01) for fish intake 1 to 3 times per month, 0.85 (95% CI, 0.76 to 0.96) for once per week, 0.77 (95% CI, 0.66 to 0.89) for 2 to 4 times per week, and 0.62 (95% CI, 0.46 to 0.82) for 5 or more times per week. Each 20-g/d increase in fish intake was related to a 7% lower risk of CHD mortality (P for trend=0.03).

CONCLUSIONS

These results indicate that fish consumption is inversely associated with fatal CHD. Mortality from CHD may be reduced by eating fish once per week or more.

Authors+Show Affiliations

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 North Lake Shore Drive, Suite 1102, Chicago, Ill 60611, USA. kahe@northwestern.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis

Language

eng

PubMed ID

15184295

Citation

He, Ka, et al. "Accumulated Evidence On Fish Consumption and Coronary Heart Disease Mortality: a Meta-analysis of Cohort Studies." Circulation, vol. 109, no. 22, 2004, pp. 2705-11.
He K, Song Y, Daviglus ML, et al. Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. Circulation. 2004;109(22):2705-11.
He, K., Song, Y., Daviglus, M. L., Liu, K., Van Horn, L., Dyer, A. R., & Greenland, P. (2004). Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. Circulation, 109(22), 2705-11.
He K, et al. Accumulated Evidence On Fish Consumption and Coronary Heart Disease Mortality: a Meta-analysis of Cohort Studies. Circulation. 2004 Jun 8;109(22):2705-11. PubMed PMID: 15184295.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. AU - He,Ka, AU - Song,Yiqing, AU - Daviglus,Martha L, AU - Liu,Kiang, AU - Van Horn,Linda, AU - Dyer,Alan R, AU - Greenland,Philip, PY - 2004/6/9/pubmed PY - 2004/12/16/medline PY - 2004/6/9/entrez SP - 2705 EP - 11 JF - Circulation JO - Circulation VL - 109 IS - 22 N2 - BACKGROUND: Results from observational studies on fish consumption and coronary heart disease (CHD) mortality are inconsistent. METHODS AND RESULTS: A meta-analysis of cohort studies was conducted to examine the association between fish intake and CHD mortality. Studies were included if they provided a relative risk (RR) and corresponding 95% CI for CHD mortality in relation to fish consumption and the frequency of fish intake. A database was developed on the basis of 11 eligible studies and 13 cohorts, including 222 364 individuals with an average 11.8 years of follow-up. Pooled RR and 95% CI for CHD mortality were calculated by using both fixed-effect and random-effect models. A linear regression analysis of the log RR weighted by the inverse of variance was performed to assess the possible dose-response relation. Compared with those who never consumed fish or ate fish less than once per month, individuals with a higher intake of fish had lower CHD mortality. The pooled multivariate RRs for CHD mortality were 0.89 (95% CI, 0.79 to 1.01) for fish intake 1 to 3 times per month, 0.85 (95% CI, 0.76 to 0.96) for once per week, 0.77 (95% CI, 0.66 to 0.89) for 2 to 4 times per week, and 0.62 (95% CI, 0.46 to 0.82) for 5 or more times per week. Each 20-g/d increase in fish intake was related to a 7% lower risk of CHD mortality (P for trend=0.03). CONCLUSIONS: These results indicate that fish consumption is inversely associated with fatal CHD. Mortality from CHD may be reduced by eating fish once per week or more. SN - 1524-4539 UR - https://www.unboundmedicine.com/medline/citation/15184295/Accumulated_evidence_on_fish_consumption_and_coronary_heart_disease_mortality:_a_meta_analysis_of_cohort_studies_ L2 - http://www.ahajournals.org/doi/full/10.1161/01.CIR.0000132503.19410.6B?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -