Stroke, Vol 25, 328-332, Copyright © 1994 by American Heart Association
SO Keli, EJ Feskens and D Kromhout
BACKGROUND AND PURPOSE: A low-to-moderate average daily fish consumption
has been reported to convey protection against coronary heart disease
incidence and mortality. Currently there is no information about its effect
on stroke risk. METHODS: In 1960, 1965, and 1970 cross-check dietary
histories were obtained in 552 men aged 50 to 69 years in 1970 in the town
of Zutphen, The Netherlands. The association between fish consumption and
stroke incidence in the period 1970 to 1985 was assessed by Cox
proportional hazards models. Adjustments were made for confounding by age,
systolic blood pressure, cigarette smoking, serum total cholesterol, energy
intake, alcohol consumption, and prescribed diet. RESULTS: The mean fish
consumption in 1970 was 17.9 g/d. Men who consumed more than 20 g of fish
per day in 1970 had a reduced risk of stroke compared with those who
consumed less fish. The hazard ratio (HR) amounted to 0.49 (95% confidence
interval [CI], 0.24 to 0.99), and did not change after adjustment for
potential confounders. Fewer strokes occurred among the 301 men who always
reported fish consumption between 1960 and 1970 than among the men who
changed fish consumption habits between 1960 and 1970 or did not consume
fish at all (HR, 0.63; 95% CI, 0.34 to 1.16). CONCLUSIONS: These results
suggest that consumption of at least one portion of fish per week may be
associated with a reduced stroke incidence.
ARTICLES
Fish consumption and risk of stroke. The Zutphen Study
Department of Chronic Diseases and Environmental Epidemiology, National Institute of Public Health and Environmental Protection, Bilthoven, The Netherlands.
This article has been cited by other articles:
 |
|
 |
|
  K. Yamagishi, H. Iso, C. Date, M. Fukui, K. Wakai, S. Kikuchi, Y. Inaba, N. Tanabe, A. Tamakoshi, and for the JACC Study Group Fish, {omega}-3 Polyunsaturated Fatty Acids, and Mortality From Cardiovascular Diseases in a Nationwide Community-Based Cohort of Japanese Men and Women: The JACC (Japan Collaborative Cohort Study for Evaluation of Cancer Risk) Study J. Am. Coll. Cardiol., September 16, 2008; 52(12): 988 - 996. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. A Beydoun, J. S Kaufman, J. A Satia, W. Rosamond, and A. R Folsom Plasma n-3 fatty acids and the risk of cognitive decline in older adults: the Atherosclerosis Risk in Communities Study Am. J. Clinical Nutrition, April 1, 2007; 85(4): 1103 - 1111. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Wang, W. S Harris, M. Chung, A. H Lichtenstein, E. M Balk, B. Kupelnick, H. S Jordan, and J. Lau n-3 Fatty acids from fish or fish-oil supplements, but not {alpha}-linolenic acid, benefit cardiovascular disease outcomes in primary- and secondary-prevention studies: a systematic review Am. J. Clinical Nutrition, July 1, 2006; 84(1): 5 - 17. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. C. Morris, D. A. Evans, C. C. Tangney, J. L. Bienias, and R. S. Wilson Fish Consumption and Cognitive Decline With Age in a Large Community Study Arch Neurol, December 1, 2005; 62(12): 1849 - 1853. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Mozaffarian, W. T. Longstreth Jr, R. N. Lemaitre, T. A. Manolio, L. H. Kuller, G. L. Burke, and D. S. Siscovick Fish Consumption and Stroke Risk in Elderly Individuals: The Cardiovascular Health Study Arch Intern Med, January 24, 2005; 165(2): 200 - 206. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. J Whalley, H. C Fox, K. W Wahle, J. M Starr, and I. J Deary Cognitive aging, childhood intelligence, and the use of food supplements: possible involvement of n-3 fatty acids Am. J. Clinical Nutrition, December 1, 2004; 80(6): 1650 - 1657. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. He, Y. Song, M. L. Daviglus, K. Liu, L. Van Horn, A. R. Dyer, U. Goldbourt, and P. Greenland Fish Consumption and Incidence of Stroke: A Meta-Analysis of Cohort Studies Stroke, July 1, 2004; 35(7): 1538 - 1542. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Kalmijn, M. P.J. van Boxtel, M. Ocke, W. M.M. Verschuren, D. Kromhout, and L. J. Launer Dietary intake of fatty acids and fish in relation to cognitive performance at middle age Neurology, January 27, 2004; 62(2): 275 - 280. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. Fraser Commentary: Protection from stroke by eating animal foods? Surely not! Int. J. Epidemiol., August 1, 2003; 32(4): 543 - 545. [Full Text] [PDF]
|
|
|
|
|
|
M. C. Morris, D. A. Evans, J. L. Bienias, C. C. Tangney, D. A. Bennett, R. S. Wilson, N. Aggarwal, and J. Schneider Consumption of Fish and n-3 Fatty Acids and Risk of Incident Alzheimer Disease Arch Neurol, July 1, 2003; 60(7): 940 - 946. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Heude, P. Ducimetiere, and C. Berr Cognitive decline and fatty acid composition of erythrocyte membranes--The EVA Study Am. J. Clinical Nutrition, April 1, 2003; 77(4): 803 - 808. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. Vanschoonbeek, M. P. M. de Maat, and J. W. M. Heemskerk Fish Oil Consumption and Reduction of Arterial Disease J. Nutr., March 1, 2003; 133(3): 657 - 660. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. M. Kris-Etherton, W. S. Harris, L. J. Appel, and for the Nutrition Committee Fish Consumption, Fish Oil, Omega-3 Fatty Acids, and Cardiovascular Disease Arterioscler Thromb Vasc Biol, February 1, 2003; 23(2): e20 - 30. [Full Text] [PDF]
|
|
|
|
 |
|
 K. He, E. B. Rimm, A. Merchant, B. A. Rosner, M. J. Stampfer, W. C. Willett, and A. Ascherio Fish Consumption and Risk of Stroke in Men JAMA, December 25, 2002; 288(24): 3130 - 3136. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. M. Kris-Etherton, W. S. Harris, L. J. Appel, and for the Nutrition Committee Fish Consumption, Fish Oil, Omega-3 Fatty Acids, and Cardiovascular Disease Circulation, November 19, 2002; 106(21): 2747 - 2757. [Full Text] [PDF]
|
|
|
|
|
|
H. Iso, S. Sato, U. Umemura, M. Kudo, K. Koike, A. Kitamura, H. Imano, T. Okamura, Y. Naito, and T. Shimamoto Linoleic Acid, Other Fatty Acids, and the Risk of Stroke Stroke, August 1, 2002; 33(8): 2086 - 2093. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Dewailly, C. Blanchet, S. Gingras, S. Lemieux, and B. J. Holub Cardiovascular disease risk factors and n-3 fatty acid status in the adult population of James Bay Cree Am. J. Clinical Nutrition, July 1, 2002; 76(1): 85 - 92. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Angerer, W. Kothny, S. Stork, and C. von Schacky Effect of dietary supplementation with {omega}-3 fatty acids on progression of atherosclerosis in carotid arteries Cardiovasc Res, April 1, 2002; 54(1): 183 - 190. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. Dewailly, C. Blanchet, S. Gingras, S. Lemieux, L. Sauve, J. Bergeron, and B. J. Holub Relations between n-3 fatty acid status and cardiovascular disease risk factors among Quebecers Am. J. Clinical Nutrition, November 1, 2001; 74(5): 603 - 611. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Iso, K. M. Rexrode, M. J. Stampfer, J. E. Manson, G. A. Colditz, F. E. Speizer, C. H. Hennekens, and W. C. Willett Intake of Fish and Omega-3 Fatty Acids and Risk of Stroke in Women JAMA, January 17, 2001; 285(3): 304 - 312. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Zhang, E. H. Temme, and H. Kesteloot Fish consumption is inversely associated with male lung cancer mortality in countries with high levels of cigarette smoking or animal fat consumption Int. J. Epidemiol., August 1, 2000; 29(4): 615 - 621. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Jamrozik, R. J. Broadhurst, S. Forbes, G. J. Hankey, and C. S. Anderson Predictors of Death and Vascular Events in the Elderly : The Perth Community Stroke Study Stroke, April 1, 2000; 31(4): 863 - 868. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. R. Artalejo, P. Guallar-Castillon, J. R. B. Banegas, B. d. A. Manzano, and J. d. R. Calero Consumption of Fruit and Wine and the Decline in Cerebrovascular Disease Mortality in Spain (1975–1993) Stroke, August 1, 1998; 29(8): 1556 - 1561. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. S. Gartside, P. Wang, and C. J. Glueck Prospective Assessment of Coronary Heart Disease Risk Factors: The NHANES I Epidemiologic Follow-up Study (NHEFS) 16-Year Follow-up J. Am. Coll. Nutr., June 1, 1998; 17(3): 263 - 269. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. O. Keli, M. G. L. Hertog, E. J. M. Feskens, and D. Kromhout Dietary Flavonoids, Antioxidant Vitamins, and Incidence of Stroke: The Zutphen Study Arch Intern Med, March 25, 1996; 156(6): 637 - 642. [Abstract] [PDF]
|
|
|
|
|
|
R. F. Gillum, M. E. Mussolino, and J. H. Madans The Relationship Between Fish Consumption and Stroke Incidence: The NHANES I Epidemiologie Follow-up Study Arch Intern Med, March 11, 1996; 156(5): 537 - 542. [Abstract] [PDF]
|
|
|
|
|
|
A. J. Orencia, M. L. Daviglus, A. R. Dyer, R. B. Shekelle, and J. Stamler Fish Consumption and Stroke in Men : 30-Year Findings of the Chicago Western Electric Study Stroke, February 1, 1996; 27(2): 204 - 209. [Abstract] [Full Text]
|
|
|
|
 |
|
 L. L. Bronner, D. S. Kanter, and J. E. Manson Primary Prevention of Stroke N. Engl. J. Med., November 23, 1995; 333(21): 1392 - 1400. [Full Text] [PDF]
|
|
|
|
|
|
S. Sasaki, X.-H. Zhang, and H. Kesteloot Dietary Sodium, Potassium, Saturated Fat, Alcohol, and Stroke Mortality Stroke, May 1, 1995; 26(5): 783 - 789. [Abstract] [Full Text]
|
|
|
|
|
|
J. V. Donadio, E. J. Bergstralh, K. P. Offord, D. C. Spencer, K. E. Holley, and The Mayo Nephrology Collaborative Group A Controlled Trial of Fish Oil in IgA Nephropathy N. Engl. J. Med., November 3, 1994; 331(18): 1194 - 1199. [Abstract] [Full Text]
|
|