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Intake of tuna or other broiled or baked fish versus fried fish and cardiac structure, function, and hemodynamics.
Am J Cardiol 2006; 97(2):216-22AJ

Abstract

Fish intake is associated with improved cardiovascular health, including a lower risk of arrhythmic death, atrial fibrillation, and heart failure. However, the physiologic effects that may produce these cardiovascular benefits are not well-established. We investigated the cross-sectional associations between a usual dietary intake of fish during the previous year and cardiac structure, function, and hemodynamics as determined by physical examination and 2-dimensional, Doppler, and M-mode transthoracic echocardiography among 5,073 older adults enrolled in the Cardiovascular Health Study. On multivariate-adjusted analyses, consumption of tuna or other broiled or baked fish was associated with a lower heart rate (p < 0.001), lower systemic vascular resistance (p = 0.002), and greater stroke volume (p < 0.001). Tuna/other fish intake was also associated with a higher E/A ratio (p = 0.004), a measure of more normal diastolic function. In contrast, fried fish or fish sandwich (fish burger) intake was associated with left ventricular wall motion abnormalities (p = 0.02), a reduced ejection fraction (p < 0.001), lower cardiac output (p = 0.04), a trend toward a larger left ventricular diastolic dimension (p = 0.07), and higher systemic vascular resistance (p = 0.003). In conclusion, in this large population-based study, the intake of tuna or other broiled or baked fish was associated with improved cardiac hemodynamics, but fried fish intake was associated with structural abnormalities indicative of systolic dysfunction and potential coronary atherosclerosis. These findings suggest potential specific physiologic mechanisms that may, in part, account for the effects of fish intake on cardiovascular health.

Authors+Show Affiliations

Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. dmozaffa@hsph.harvard.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

16442366

Citation

Mozaffarian, Dariush, et al. "Intake of Tuna or Other Broiled or Baked Fish Versus Fried Fish and Cardiac Structure, Function, and Hemodynamics." The American Journal of Cardiology, vol. 97, no. 2, 2006, pp. 216-22.
Mozaffarian D, Gottdiener JS, Siscovick DS. Intake of tuna or other broiled or baked fish versus fried fish and cardiac structure, function, and hemodynamics. Am J Cardiol. 2006;97(2):216-22.
Mozaffarian, D., Gottdiener, J. S., & Siscovick, D. S. (2006). Intake of tuna or other broiled or baked fish versus fried fish and cardiac structure, function, and hemodynamics. The American Journal of Cardiology, 97(2), pp. 216-22.
Mozaffarian D, Gottdiener JS, Siscovick DS. Intake of Tuna or Other Broiled or Baked Fish Versus Fried Fish and Cardiac Structure, Function, and Hemodynamics. Am J Cardiol. 2006 Jan 15;97(2):216-22. PubMed PMID: 16442366.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Intake of tuna or other broiled or baked fish versus fried fish and cardiac structure, function, and hemodynamics. AU - Mozaffarian,Dariush, AU - Gottdiener,John S, AU - Siscovick,David S, Y1 - 2005/11/21/ PY - 2005/06/10/received PY - 2005/08/05/revised PY - 2005/08/05/accepted PY - 2006/1/31/pubmed PY - 2006/3/4/medline PY - 2006/1/31/entrez SP - 216 EP - 22 JF - The American journal of cardiology JO - Am. J. Cardiol. VL - 97 IS - 2 N2 - Fish intake is associated with improved cardiovascular health, including a lower risk of arrhythmic death, atrial fibrillation, and heart failure. However, the physiologic effects that may produce these cardiovascular benefits are not well-established. We investigated the cross-sectional associations between a usual dietary intake of fish during the previous year and cardiac structure, function, and hemodynamics as determined by physical examination and 2-dimensional, Doppler, and M-mode transthoracic echocardiography among 5,073 older adults enrolled in the Cardiovascular Health Study. On multivariate-adjusted analyses, consumption of tuna or other broiled or baked fish was associated with a lower heart rate (p < 0.001), lower systemic vascular resistance (p = 0.002), and greater stroke volume (p < 0.001). Tuna/other fish intake was also associated with a higher E/A ratio (p = 0.004), a measure of more normal diastolic function. In contrast, fried fish or fish sandwich (fish burger) intake was associated with left ventricular wall motion abnormalities (p = 0.02), a reduced ejection fraction (p < 0.001), lower cardiac output (p = 0.04), a trend toward a larger left ventricular diastolic dimension (p = 0.07), and higher systemic vascular resistance (p = 0.003). In conclusion, in this large population-based study, the intake of tuna or other broiled or baked fish was associated with improved cardiac hemodynamics, but fried fish intake was associated with structural abnormalities indicative of systolic dysfunction and potential coronary atherosclerosis. These findings suggest potential specific physiologic mechanisms that may, in part, account for the effects of fish intake on cardiovascular health. SN - 0002-9149 UR - https://www.unboundmedicine.com/medline/citation/16442366/Intake_of_tuna_or_other_broiled_or_baked_fish_versus_fried_fish_and_cardiac_structure_function_and_hemodynamics_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9149(05)01752-2 DB - PRIME DP - Unbound Medicine ER -