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

The DOI matches its Crossref record, with a small difference in title or year; 27 of the 27 references it cites were found in a registry or an index.

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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  1. 10.1161/str.25.2.8303739 · DOI
  2. 10.1161/str.27.2.204 · DOI

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Metadata

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
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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