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

Myint, Phyo K., Welch, Ailsa A., Bingham, Sheila A., Luben, Robert N., Wareham, Nicholas J., Day, Nicholas E. and Khaw, Kay-Tee (2006) Habitual fish consumption and risk of incident stroke: the European Prospective Investigation into Cancer (EPIC)-Norfolk prospective population study. Public Health Nutrition, 9 (7). pp. 882-888. ISSN 1368-9800

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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.

Item Type:	Article
Uncontrolled Keywords:	adult,aged,cohort studies,diet,fatty acids, omega-3,female,food habits,great britain,health surveys,humans,incidence,male,middle aged,proportional hazards models,prospective studies,questionnaires,risk factors,seafood,sex factors,stroke,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Centres > Population Health
Depositing User:	Pure Connector
Date Deposited:	06 Feb 2015 13:16
Last Modified:	28 Mar 2025 06:25
URI:	https://ueaeprints.uea.ac.uk/id/eprint/52137
DOI:	10.1017/PHN2006942

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