The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
Fish Consumption and Risk of Stroke in Men
Abstract
CONTEXT: The effect of fish consumption or long-chain omega-3 polyunsaturated fatty acid (PUFA) intake on risk of stroke remains uncertain. OBJECTIVE: To examine the relation of fish consumption and long-chain omega-3 PUFA intake and risk of stroke in men. DESIGN AND SETTING: The Health Professional Follow-up Study, a US prospective cohort study with 12 years of follow-up. PARTICIPANTS: A total of 43 671 men aged 40 to 75 years who completed a detailed and validated semiquantitative food frequency questionnaire and who were free of cardiovascular disease at baseline in 1986. MAIN OUTCOME MEASURE: Relative risk (RR) of stroke by subtype based on cumulative average fish consumption or long-chain omega-3 PUFA intake, ascertained in 1986, 1990, and 1994. RESULTS: We documented 608 strokes during the 12-year follow-up period, including 377 ischemic, 106 hemorrhagic, and 125 unclassified strokes. Compared with men who consumed fish less than once per month, the multivariate RR of ischemic stroke was significantly lower among those who ate fish 1 to 3 times per month (RR, 0.57; 95% confidence interval [CI], 0.35-0.95). However, a higher frequency of fish intake was not associated with further risk reduction; the RR was 0.54 (95% CI, 0.31-0.94) for men who consumed fish 5 or more times per week. This lack of linearity was confirmed by spline analyses. By dichotomized fish intake, the multivariate RR for men who consumed fish at least once per month compared with those who ate fish less than once per month was 0.56 (95% CI, 0.38-0.83) for ischemic stroke and 1.36 (95% CI, 0.48-3.82) for hemorrhagic stroke. The inverse association between fish intake and risk of ischemic stroke was not materially modified by use of aspirin. No significant associations were found between fish or long-chain omega-3 PUFA intake and risk of hemorrhagic stroke. CONCLUSION: Our findings suggest that eating fish once per month or more can reduce the risk of ischemic stroke in men.
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Cites
Statistics and Causal Inference
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Reproducibility and validity of a semiquantitative food frequency questionnaire
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Prospective study of alcohol consumption and risk of coronary disease in men.
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Fish oils and plasma lipid and lipoprotein metabolism in humans: a critical review
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Fish Consumption and Risk of Sudden Cardiac Death
Albert, C. M. (1998) · JAMA · doi:10.1001/jama.279.1.23 · Cited by 990
The composition of the Eskimo food in north western Greenland.
Bang, H. O., Dyerberg, J., & Sinclair, H. M. (1980) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/33.12.2657 · Cited by 807
Randomization, Statistics, and Causal Inference
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Fish consumption and cardiovascular disease in the physicians’ health study: A prospective study
Morris, M. C., Manson, J. E., Rosner, B., Buring, J. E., Willett, W. C., & Hennekens, C. H. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117615 · Cited by 268 · cited 1×
“Epidemiological data on these associations are sparse because most studies did not separate ischemic from hemorrhagic stroke, due to either small numbers of hemorrhagic events or incomplete clinical information.(12-15) In the Nurses’ Health Study, Iso and colleagues(16) found a significant inverse association between…”
Roche, H. M., & Gibney, M. J. (2000) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.1.232s · Cited by 195
Cited by
Kernan, W. N., Ovbiagele, B., Black, H. R., Bravata, D. M., Chimowitz, M. I., Ezekowitz, M. D., Fang, M. C., Fisher, M., Furie, K. L., Heck, D. V., et al. (2014) · Stroke · doi:10.1161/str.0000000000000024 · Cited by 5,170
Wang, C., Harris, W. S., Chung, M., Lichtenstein, A. H., Balk, E. M., Kupelnick, B., Jordan, H. S., & Lau, J. (2006) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/84.1.5 · Cited by 980
Rimm, E. B., Appel, L. J., Chiuve, S. E., Djoussé, L., Engler, M. B., Kris-Etherton, P. M., Mozaffarian, D., Siscovick, D. S., Lichtenstein, A. H., & On behalf of the American Heart Association Nutrition Committee of the Council on Lifestyle and Cardiometabolic Health; Council on Epidemiology and Prevention; Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; and Council on Clinical Cardiology (2018) · Circulation · doi:10.1161/cir.0000000000000574 · Cited by 500
Chowdhury, R., Stevens, S., Gorman, D., Pan, A., Warnakula, S., Chowdhury, S., Ward, H., Johnson, L., Crowe, F., Hu, F. B., et al. (2012) · BMJ · doi:10.1136/bmj.e6698 · Cited by 379
Fish Consumption and Incidence of Stroke: A Meta-Analysis of Cohort Studies
He, K., Song, Y., Daviglus, M. L., Liu, K., Van Horn, L., Dyer, A. R., Goldbourt, U., & Greenland, P. (2004) · Stroke · doi:10.1161/01.str.0000130856.31468.47 · Cited by 371
Self-citation
Metadata
- Authors
- He, K.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2002-12-25
- Volume
- 288
- Issue
- 24
- Pages
- 3130
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2014696483
- Cited by
- 334
- References
- 11
- FWCI
- 18.79
- Type
- journal article
- Language
- en
- Open access
- closed
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