Cited by 371Nutritional Studies and DietFatty Acid Research and HealthAcute Ischemic Stroke Management

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Fish Consumption and Incidence of Stroke: A Meta-Analysis of Cohort Studies

He, Ka, Song, Yiqing, Daviglus, Martha L., Liu, Kiang, Van Horn, Linda, Dyer, Alan R., Goldbourt, Uri, Greenland, Philip·2004·Stroke

DOI 10.1161/01.str.0000130856.31468.47

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Abstract

Background and Purpose— Results from observational studies on fish consumption and risk of stroke are inconsistent. We quantitatively assessed the relationship between fish intake and incidence of stroke using a meta-analysis of cohort studies. Methods— We searched the Medline and Embase databases (1966 through October 2003) and identified 9 independent cohorts (from 8 studies) that provided a relative risk (RR) and corresponding 95% CI for total or any type of stroke in relation to fish consumption. Pooled RR and 95% CI of stroke were estimated by variance-based meta-analysis. Results— Compared with those who never consumed fish or ate fish less than once per month, the pooled RRs for total stroke were 0.91 (95% CI, 0.79 to 1.06) for individuals with fish intake 1 to 3 times per month, 0.87 (95% CI, 0.77 to 0.98) for once per week, 0.82 (95% CI, 0.72 to 0.94) for 2 to 4 times per week, and 0.69 (95% CI, 0.54 to 0.88) for ≥5 times per week ( P for trend=0.06). In stratified analyses of 3 large cohort studies with data on stroke subtypes, the pooled RRs across 5 categories of fish intake were 1.0, 0.69 (95% CI, 0.48 to 0.99), 0.68 (95% CI, 0.52 to 0.88), 0.66 (95% CI, 0.51 to 0.87), and 0.65 (95% CI, 0.46 to 0.93) for ischemic stroke ( P for trend=0.24); and 1.0, 1.47 (95% CI, 0.81 to 2.69), 1.21 (95% CI, 0.78 to 1.85), 0.89 (95% CI, 0.56 to 1.40), and 0.80 (95% CI, 0.44 to 1.47) for hemorrhagic stroke ( P for trend=0.31). Conclusions— These results suggest that intake of fish is inversely related to risk of stroke, particularly ischemic stroke. Fish consumption as seldom as 1 to 3 times per month may protect against the incidence of ischemic stroke.

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Authors: He, K., Song, Y., Daviglus, M. L., Liu, K., Van Horn, L., Dyer, A. R., Goldbourt, U., & Greenland, P.
Affiliations: Northwestern University (US)
From the Department of Preventive Medicine (K.H., M.L.D., K.L., L.V.H., A.R.D., P.G.), Northwestern University Feinberg School of Medicine, Chicago, Ill; the Department of Nutrition (Y.S.), Harvard School of Public Health, Boston, Mass; and the Division of Epidemiology and Preventive Medicine (U.G.), Sackler Medical Faculty, Tel Aviv University, Tel Aviv, Israel.
ORCID: He, Ka
Song, Yiqing
Daviglus, Martha L.
Liu, Kiang
Dyer, Alan R.
Greenland, Philip
Venue: Stroke
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2004-07
Volume: 35
Issue: 7
Pages: 1538-1542
ISSN: 0039-2499 (ISSN-L)
1524-4628
DOI: 10.1161/01.str.0000130856.31468.47
OpenAlex: W2060050759
Cited by: 371
References: 27
Citations by year: 2026: 3 · 2025: 2 · 2024: 7 · 2023: 3 · 2022: 14 · 2021: 9 · 2020: 12 · 2019: 16 · 2018: 10 · 2017: 17 · 2016: 17 · 2015: 11 · 2014: 27 · 2013: 24 · 2012: 36
FWCI: 17.05
Type: journal article
Language: en
Open access: closed
Locations: Stroke (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Nursing › Nutrition and Dietetics › Fatty Acid Research and Health
Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
Keywords: fish consumption, stroke incidence, ischemic stroke, hemorrhagic stroke, stroke risk factors, omega-3 fatty acids, fish oil, dietary cholesterol, dietary fiber, dietary sodium, dietary calcium, dietary magnesium, potassium intake, dietary iron, dietary zinc, vitamin C intake, dietary vitamin E, dietary vitamin A, dietary carotenoids, dietary antioxidants
MeSH terms: Diet, Humans, Risk, Incidence, Seafood, Stroke

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Fish Consumption and Incidence of Stroke: A Meta-Analysis of Cohort Studies

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