Fish and shellfish consumption in relation to death from myocardial infarction among men in Shanghai, China.

Between 1986 and 1989, 18,244 men aged 45-64 years in Shanghai, China, participated in a prospective study of diet and cancer. All participants completed an in-person, structured interview and provided blood and urine samples. As of September 1, 1998, 113 deaths from acute myocardial infarction were identified. After analyses were adjusted for age, total energy intake, and known cardiovascular disease risk factors, men who consumed >or=200 g of fish/shellfish per week had a relative risk of 0.41 (95% confidence interval: 0.22, 0.78) for fatal acute myocardial infarction compared with men consuming <50 g per week. Similarly, dietary intake of n-3 fatty acids derived from seafood also was significantly associated with reduced mortality from myocardial infarction. Neither dietary seafood nor n-3 fatty acid intake was associated with a reduced risk of death from stroke or ischemic heart disease other than acute myocardial infarction. However, approximately a 20% reduction in total mortality associated with weekly fish/shellfish intake was observed in the study population (relative risk = 0.79, 95% confidence interval: 0.69, 0.91). These prospective data suggest that eating fish and shellfish weekly reduces the risk of fatal myocardial infarction in middle-aged and older men in Shanghai, China.

[1]  D Kromhout,et al.  The inverse relation between fish consumption and 20-year mortality from coronary heart disease. , 1985, The New England journal of medicine.

[2]  W C Willett,et al.  Intake of fatty acids and risk of coronary heart disease in a cohort of Finnish men. The Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study. , 1997, American journal of epidemiology.

[3]  H M Sinclair,et al.  The composition of the Eskimo food in north western Greenland. , 1980, The American journal of clinical nutrition.

[4]  P. Allhoff,et al.  The Honolulu Heart Program , 1991 .

[5]  R. Levy,et al.  Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. , 1972, Clinical chemistry.

[6]  D O Stram,et al.  Singapore Chinese Health Study: Development, Validation, and Calibration of the Quantitative Food Frequency Questionnaire , 2001, Nutrition and cancer.

[7]  N. Sheard Fish consumption and risk of sudden cardiac death. , 2009, Nutrition reviews.

[8]  B. Henderson,et al.  Follow up study of moderate alcohol intake and mortality among middle aged men in Shanghai, China , 1997, BMJ.

[9]  M. Abeywardena,et al.  Dietary fish oil prevents ventricular fibrillation following coronary artery occlusion and reperfusion. , 1988, American heart journal.

[10]  Roberto Marchioli,et al.  Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial. Gruppo Italiano per lo Studio della Sopravvivenza nell'Infarto miocardico. , 1999 .

[11]  N. Breslow,et al.  The analysis of case-control studies , 1980 .

[12]  K. Yano,et al.  Fish intake may limit the increase in risk of coronary heart disease morbidity and mortality among heavy smokers. The Honolulu Heart Program. , 1996, Circulation.

[13]  J. Sabaté,et al.  A possible protective effect of nut consumption on risk of coronary heart disease. The Adventist Health Study. , 1992, Archives of internal medicine.

[14]  A. Simopoulos Omega-3 fatty acids in health and disease and in growth and development. , 1991, The American journal of clinical nutrition.

[15]  P. Elwood,et al.  EFFECTS OF CHANGES IN FAT, FISH, AND FIBRE INTAKES ON DEATH AND MYOCARDIAL REINFARCTION: DIET AND REINFARCTION TRIAL (DART) , 1989, The Lancet.

[16]  E. Rimm,et al.  Dietary intake of marine n-3 fatty acids, fish intake, and the risk of coronary disease among men. , 1995, The New England journal of medicine.

[17]  G A Colditz,et al.  Relation of meat, fat, and fiber intake to the risk of colon cancer in a prospective study among women. , 1990, The New England journal of medicine.

[18]  GISSI-Prevenzione Investigators,et al.  Dietary supplementation with n-3 polyunsaturated fatty acids and vitamin E after myocardial infarction: results of the GISSI-Prevenzione trial , 1999, The Lancet.

[19]  B. Henderson,et al.  Urinary aflatoxin biomarkers and risk of hepatocellular carcinoma , 1992, The Lancet.

[20]  T. Terano,et al.  Eicosapentaenoic acid and adult diseases in Japan: epidemiological and clinical aspects , 1989, Journal of internal medicine. Supplement.

[21]  T. Dolecek,et al.  Epidemiological Evidence of Relationships between Dietary Polyunsaturated Fatty Acids and Mortality in the Multiple Risk Factor Intervention Trial , 1992, Proceedings of the Society for Experimental Biology and Medicine. Society for Experimental Biology and Medicine.

[22]  Egon Toft,et al.  Effect of fish oil on heart rate variability in survivors of myocardial infarction: a double blind randomised controlled trial , 1996, BMJ.

[23]  E Toft,et al.  Fish consumption, n-3 fatty acids in cell membranes, and heart rate variability in survivors of myocardial infarction with left ventricular dysfunction. , 1997, The American journal of cardiology.

[24]  D.,et al.  Regression Models and Life-Tables , 2022 .

[25]  J. Manson,et al.  Fish consumption and cardiovascular disease in the physicians' health study: a prospective study. , 1995, American journal of epidemiology.

[26]  A. Malliani,et al.  Heart rate variability. Standards of measurement, physiological interpretation, and clinical use , 1996 .

[27]  G. Billman,et al.  Prevention of Sudden Cardiac Death by Dietary Pure ω-3 Polyunsaturated Fatty Acids in Dogs , 1999 .

[28]  B. Henderson,et al.  Prospective evaluation of dietary and other predictors of fatal stroke in Shanghai, China. , 1997, Circulation.

[29]  T. Raghunathan,et al.  Dietary intake and cell membrane levels of long-chain n-3 polyunsaturated fatty acids and the risk of primary cardiac arrest. , 1995, JAMA.

[30]  N. Breslow,et al.  Statistical methods in cancer research. Vol. 1. The analysis of case-control studies. , 1981 .

[31]  B. Henderson,et al.  Morbidity and mortality in relation to cigarette smoking in Shanghai, China. A prospective male cohort study. , 1996, JAMA.

[32]  Ivar Heuch,et al.  Fish consumption and mortality from coronary heart disease. , 1985, The New England journal of medicine.

[33]  E. Feskens,et al.  The protective effect of a small amount of fish on coronary heart disease mortality in an elderly population. , 1995, International journal of epidemiology.

[34]  R. Gillum,et al.  The relationship between fish consumption and stroke incidence. The NHANES I Epidemiologic Follow-up Study (National Health and Nutrition Examination Survey). , 1996, Archives of internal medicine.

[35]  E. Feskens,et al.  Fish consumption and coronary heart disease mortality in Finland, Italy, and The Netherlands. , 2000, American journal of epidemiology.

[36]  Mimi C. Yu,et al.  Body weight and mortality: a prospective evaluation in a cohort of middle-aged men in Shanghai, China. , 1998, International journal of epidemiology.

[37]  P. Simpson,et al.  Statistical methods in cancer research , 2001, Journal of surgical oncology.

[38]  ichard,et al.  FISH CONSUMPTION AND THE 30-YEAR RISK OF FATAL MYOCARDIAL INFARCTION , 2000 .

[39]  M. Liebman,et al.  Reduced asthma symptoms with n-3 fatty acid ingestion are related to 5-series leukotriene production. , 1997, The American journal of clinical nutrition.

[40]  M. Abeywardena,et al.  Dietary lipid modulation of ventricular fibrillation threshold in the marmoset monkey. , 1992, American heart journal.

[41]  G. Breithardt,et al.  Heart rate variability: standards of measurement, physiological interpretation and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. , 1996 .