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Dietary fish and omega-3 fatty acid consumption and heart rate variability in US adults.
Circulation 2008; 117(9):1130-7Circ

Abstract

BACKGROUND

Fish and omega-3 fatty acid consumption reduce risk of cardiac death, but mechanisms are not well established. Heart rate variability (HRV) predicts cardiac death and reflects specific electrophysiological pathways and influences. We hypothesized that habitual consumption of fish and marine omega-3 fatty acids would be associated with more favorable HRV, elucidating electrophysiological influences and supporting effects on clinical risk.

METHODS AND RESULTS

In a population-based cohort of older US adults, we evaluated cross-sectional associations of usual dietary fish and omega-3 consumption during the prior year and ECG-derived (n=4263) and 24-hour Holter monitor-derived (n=1152) HRV. After multivariable adjustment, consumption of tuna or other broiled/baked fish was associated with specific HRV components, including indices suggesting greater vagal predominance and moderated baroreceptor responses (eg, higher root mean square successive differences of normal-to-normal intervals [P=0.001]; higher normalized high-frequency power [P=0.008]; and lower low-frequency/high-frequency ratio [P=0.03]) and less erratic sinoatrial node firing (eg, lower Poincaré ratio [P=0.02] and higher short-term fractal scaling exponent [P=0.005]) but not measures of circadian fluctuations (eg, 24-hour standard deviation of normal-to-normal intervals). Findings were similar for estimated dietary consumption of marine omega-3 fatty acids. For magnitudes of observed differences in HRV comparing the highest to lowest category of fish intake, differences in relative risk of cardiac death during 10.8 years of follow-up ranged from 1.1% (for difference in standard deviation of normal-to-normal intervals) to 5.9% and 8.4% (for differences in Poincaré ratio and short-term fractal scaling exponent) lower risk.

CONCLUSIONS

Habitual tuna/other fish and marine omega-3 consumption are associated with specific HRV components in older adults, particularly indices of vagal activity, baroreceptor responses, and sinoatrial node function. Cellular mechanisms and implications for clinical risk deserve further investigation.

Authors+Show Affiliations

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

Pub Type(s)

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

Language

eng

PubMed ID

18285566

Citation

Mozaffarian, Dariush, et al. "Dietary Fish and Omega-3 Fatty Acid Consumption and Heart Rate Variability in US Adults." Circulation, vol. 117, no. 9, 2008, pp. 1130-7.
Mozaffarian D, Stein PK, Prineas RJ, et al. Dietary fish and omega-3 fatty acid consumption and heart rate variability in US adults. Circulation. 2008;117(9):1130-7.
Mozaffarian, D., Stein, P. K., Prineas, R. J., & Siscovick, D. S. (2008). Dietary fish and omega-3 fatty acid consumption and heart rate variability in US adults. Circulation, 117(9), pp. 1130-7. doi:10.1161/CIRCULATIONAHA.107.732826.
Mozaffarian D, et al. Dietary Fish and Omega-3 Fatty Acid Consumption and Heart Rate Variability in US Adults. Circulation. 2008 Mar 4;117(9):1130-7. PubMed PMID: 18285566.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary fish and omega-3 fatty acid consumption and heart rate variability in US adults. AU - Mozaffarian,Dariush, AU - Stein,Phyllis K, AU - Prineas,Ronald J, AU - Siscovick,David S, Y1 - 2008/02/19/ PY - 2008/2/21/pubmed PY - 2008/3/28/medline PY - 2008/2/21/entrez SP - 1130 EP - 7 JF - Circulation JO - Circulation VL - 117 IS - 9 N2 - BACKGROUND: Fish and omega-3 fatty acid consumption reduce risk of cardiac death, but mechanisms are not well established. Heart rate variability (HRV) predicts cardiac death and reflects specific electrophysiological pathways and influences. We hypothesized that habitual consumption of fish and marine omega-3 fatty acids would be associated with more favorable HRV, elucidating electrophysiological influences and supporting effects on clinical risk. METHODS AND RESULTS: In a population-based cohort of older US adults, we evaluated cross-sectional associations of usual dietary fish and omega-3 consumption during the prior year and ECG-derived (n=4263) and 24-hour Holter monitor-derived (n=1152) HRV. After multivariable adjustment, consumption of tuna or other broiled/baked fish was associated with specific HRV components, including indices suggesting greater vagal predominance and moderated baroreceptor responses (eg, higher root mean square successive differences of normal-to-normal intervals [P=0.001]; higher normalized high-frequency power [P=0.008]; and lower low-frequency/high-frequency ratio [P=0.03]) and less erratic sinoatrial node firing (eg, lower Poincaré ratio [P=0.02] and higher short-term fractal scaling exponent [P=0.005]) but not measures of circadian fluctuations (eg, 24-hour standard deviation of normal-to-normal intervals). Findings were similar for estimated dietary consumption of marine omega-3 fatty acids. For magnitudes of observed differences in HRV comparing the highest to lowest category of fish intake, differences in relative risk of cardiac death during 10.8 years of follow-up ranged from 1.1% (for difference in standard deviation of normal-to-normal intervals) to 5.9% and 8.4% (for differences in Poincaré ratio and short-term fractal scaling exponent) lower risk. CONCLUSIONS: Habitual tuna/other fish and marine omega-3 consumption are associated with specific HRV components in older adults, particularly indices of vagal activity, baroreceptor responses, and sinoatrial node function. Cellular mechanisms and implications for clinical risk deserve further investigation. SN - 1524-4539 UR - https://www.unboundmedicine.com/medline/citation/18285566/Dietary_fish_and_omega_3_fatty_acid_consumption_and_heart_rate_variability_in_US_adults_ L2 - http://www.ahajournals.org/doi/full/10.1161/CIRCULATIONAHA.107.732826?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -