Fish Consumption and the 30-Year Risk of Fatal Myocardial Infarction

Daviglus, Martha L.; Stamler, Jeremiah; Orencia, Anthony J.; Dyer, Alan R.; Liu, Kiang; Greenland, Philip; Walsh, Mary F.; Morris, Douglas A.; Shekelle, Richard B.

doi:10.1056/nejm199704103361502

Cited by 785 publications

(444 citation statements)

References 36 publications

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“…Validation studies have shown that the intake of ®sh was higher when reported with the questionnaire than with dietary records (108 vs 75 gad) (Nes et al, 1992) and 48 h recall (71 vs 64 gad) . The ®sh intake in our survey was higher than reported in national dietary surveys in the Netherlands (approximately 10 gad) (Hulshof et al, 1991), Denmark (24 gad) (Andersen et al, 1996), Sweden (30 gad) (Becker, 1994), as well as in large prospective surveys in the Netherlands (Kromhout et al, 1985) and USA (Daviglus et al, 1997), and secondary prevention trials in UK (Burr et al, 1989). However, the ®sh intake was lower than reported in national surveys in Iceland (73 gad) and Japan (approximately 90 gad) (World Health Organization, 1990).…”

Section: Discussioncontrasting

confidence: 55%

“…The main sources for these fatty acids are marine oils and ®sh. In some studies the intake of marine oils (Nestel, 1987) and ®sh (Kromhout et al, 1985;Daviglus et al, 1997) are associated with reduced risk for coronary heart disease (CHD), although this has not been observed in other studies (Vollset et al, 1985;Morris et al, 1995;Ascherio et al, 1995). Of four prospective studies reporting intake of n-3 fatty acids from ®sh, one found an inverse association (Dolecek, 1992), another reported a positive association (Pietinen et al, 1997) and the others reported no signi®cant association to CHD (Morris et al, 1995;Ascherio et al, 1995).…”

Section: Introductionmentioning

confidence: 98%

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Intake of very-long-chain n-3 fatty acids related to social status and lifestyle

et al. 1998

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Objectives: Little information is available about the intake of very-long-chain n-3 fatty acids in random samples of populations. We examined if the intake of these fatty acids was associated with gender, social status and lifestyle in a similar way as other indicators for a healthy diet in a nationwide survey. Design and subjects: Data were obtained from self-administered quantitative food frequency questionnaires ®lled in by a representative sample of Norwegian men and women, aged 16 ± 79 y. 3144 (63%) of the invited subjects responded with acceptable questionnaires. Results: Daily intake of very-long-chain n-3 fatty acids was on average 0.9 gad and 0.4% of total energy was derived from these fatty acids. Energy derived from very-long-chain n-3 fatty acids was slightly higher among men than women, and two-fold higher among subjects aged 60 ± 79 vs 16 ± 29 y. White collar workers had higher intake of very-long-chain n-3 fatty acids than blue collar workers. Men and women in the highest quartile of intake of very-long-chain n-3 fatty acids had 2 ± 3 E% higher fat intake (mostly mono-and polyunsaturated fatty acids), as compared to individuals in the lowest quartile. They also had 3 ± 4 fold higher daily intake of retinol and vitamin D, as well as 20 ± 50% higher intake of fruits and vegetables, dietary ®bre and vitamin C. Conclusions: Intake of very-long-chain n-3 fatty acids was correlated to indicators for healthy dietary habits. However, contrary to many other indicators of a healthy diet, energy derived from very-long-chain n-3 fatty acids was not signi®cantly associated with female gender or non-smoking.

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Section: Discussioncontrasting

confidence: 55%

Section: Introductionmentioning

confidence: 98%

Intake of very-long-chain n-3 fatty acids related to social status and lifestyle

et al. 1998

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“…What is the optimal intake (amount and frequency) of ®sh? Several prospective observational studies and a randomised factorial trial showed that one serving of ®sh weekly may decrease the risk of fatal CHD by approximately 40% relative to no ®sh (Burr et al, 1989;Ascherio et al, 1995;Kromhout et al, 1995;Gillum et al, 1996;Daviglus et al, 1997). Higher intakes did not provide greater protection.…”

Section: Fish and Healthmentioning

confidence: 99%

Health aspects of fish and n-3 polyunsaturated fatty acids from plant and marine origin

et al. 1998

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“…A growing body of literature supports a protective role of fish intake and of essential dietary long-chain polyunsaturated fatty acids in cardiovascular disease (Dolecek & Granditis, 1991;Ascherio et al, 1995;Daviglus et al, 1997;Hopper et al, 1999;Oomen et al, 2000;Rissanen et al, 2000;Hallgren et al, 2001;Iso et al, 2001;Yuan et al, 2001) including a reduction of the risk of sudden cardiac death (Siscovick et al, 1995;Albert et al, 1998). There are several potential mechanisms for this protection including antithrombotic (Kristensen et al, 1989;Prisco et al, 1995) and anti-arrhythmic effects (Marchioli et al, 2002), decreased heart rate variability (Christensen et al, 1997) and resting blood pressure (Knapp, 1989), decreased serum LDL cholesterol and triglyceride concentrations (Agren et al, 1996) and increased insulin sensitivity (Torjesen et al, 1997;Mori et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

Dietary intake of n-3, n-6 fatty acids and fish: Relationship with hostility in young adults—the CARDIA study

et al. 2003

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Background: Hostility has been shown to predict both the development and manifestation of coronary disease. Examining the inter-relation of dietary intake of fish and of polyunsaturated (n-3 and n-6) essential fatty acids with hostility may provide additional insights into the cardioprotective effect of dietary fish and polyunsaturated fatty acids. Objective: To examine the association of dietary n-3, n-6 fatty acids and fish with level of hostility in a sample of 3581 urban white and black young adults. Design: Cross-sectional observational study as part of an ongoing cohort study. A dietary assessment in 1992-1993 and measurement of hostility and other covariates in 1990-1991 were used in the analysis. Results: The multivariate odds ratios of scoring in the upper quartile of hostility (adjusting for age, sex, race, field center, educational attainment, marital status, body mass index, smoking, alcohol consumption and physical activity) associated with one standard deviation increase in docosahexaenoic acid (DHA, 22:6) intake was 0.90 (95% CI ¼ 0.82-0.98; P ¼ 0.02). Consumption of any fish rich in n-3 fatty acids, compared to no consumption, was also independently associated with lower odds of high hostility (OR ¼ 0.82; 95% CI ¼ 0.69-0.97; P ¼ 0.02). Conclusions: These results suggest that high dietary intake of DHA and consumption of fish rich in n-3 fatty acids may be related to lower likelihood of high hostility in young adulthood. The association between dietary n-3 fatty acids and hostile personality merits further research.

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Fish Consumption and the 30-Year Risk of Fatal Myocardial Infarction

Abstract: These data show an inverse association between fish consumption and death from coronary heart disease, especially nonsudden death from myocardial infarction.

Cited by 785 publications

References 36 publications

Intake of very-long-chain n-3 fatty acids related to social status and lifestyle

Intake of very-long-chain n-3 fatty acids related to social status and lifestyle

Health aspects of fish and n-3 polyunsaturated fatty acids from plant and marine origin

Dietary intake of n-3, n-6 fatty acids and fish: Relationship with hostility in young adults—the CARDIA study

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