Habitual fish consumption and risk of incident stroke: the European Prospective Investigation into Cancer (EPIC)-Norfolk prospective population study.

TitleHabitual fish consumption and risk of incident stroke: the European Prospective Investigation into Cancer (EPIC)-Norfolk prospective population study.
Publication TypeJournal Article
Year of Publication2006
AuthorsMyint, PK, Welch, AA, Bingham, SA, Luben, RN, Wareham, NJ, Day, NE, Khaw, K-T
JournalPublic Health Nutr
Volume9
Issue7
Pagination882-8
Date Published2006 Oct
ISSN1368-9800
KeywordsAdult, Aged, Cohort Studies, Diet, Fatty Acids, Omega-3, Feeding Behavior, Female, Health Surveys, Humans, Incidence, Male, Middle Aged, Proportional Hazards Models, Prospective Studies, Risk Factors, Seafood, Sex Factors, Stroke, Surveys and Questionnaires, United Kingdom
Abstract

OBJECTIVES: To examine the association between fish consumption and stroke risk.DESIGN: Prospective population cohort study.SETTING: Norfolk, UK cohort of the European Prospective Investigation into Cancer (EPIC-Norfolk).SUBJECTS: Subjects were 24 312 men and women aged 40-79 years who had no previous history of stroke at baseline.METHODS: Fish consumption was assessed using a food-frequency questionnaire at baseline in 1993-1997 and stroke incidence ascertained to 2004.RESULTS: A total of 421 incident strokes were identified (mean follow-up=8.5 years, total person-years=209 238). There were no significant relationships between total fish, shellfish or fish roe consumption and risk of stroke in men and women after adjusting for age, systolic blood pressure, body mass index, smoking, cholesterol, diabetes, physical activity, alcohol consumption, fish oil supplement use and total energy intake using Cox regression analyses. Oily fish consumption was significantly lower in women who subsequently had a stroke (odds ratio (OR) for consumers vs. non-consumers=0.69, 95% confidence interval (CI) 0.51-0.94, P=0.02). The trend in men was similar but not significant (OR for consumers vs. non-consumers=0.88, 95% CI 0.65-1.19, P=0.41).CONCLUSIONS: There was no consistent relationship between fish consumption and stroke in this British population. Inconsistencies in the observed health effects of fish consumption in different populations may reflect different patterns and type of fish consumed and preparation methods.

Alternate JournalPublic Health Nutr
Citation Key2096
PubMed ID17010254
Grant ListG0401527 / / Medical Research Council / United Kingdom
MC_U106179471 / / Medical Research Council / United Kingdom
/ / Wellcome Trust / United Kingdom