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Fish consumption and risk of stroke : A second prospective case-control study from northern Sweden

Wennberg, Maria ; Jansson, Jan Håkan ; Norberg, Margareta ; Skerfving, Staffan LU ; Strömberg, Ulf ; Wiklund, Per Gunnar and Bergdahl, Ingvar A. LU (2016) In Nutrition Journal 15(1).
Abstract

Background: Fish consumption has been concluded to be associated with decreased risk of stroke in several reviews. However, among men, but not women, an increased risk of stroke was previously found at high fish consumption (>3 meals/week) in northern Sweden. This study investigates if previous results on elevated stroke risk with high fish consumption in men in northern Sweden can be confirmed in a larger study with new cases in the same population. Methods: A prospective nested case-control study was performed within the population-based Northern Sweden Health and Disease Study cohort. Information on fish consumption, other lifestyle and medical data was collected at baseline. Incident stroke cases (1987-2007, n = 735) were... (More)

Background: Fish consumption has been concluded to be associated with decreased risk of stroke in several reviews. However, among men, but not women, an increased risk of stroke was previously found at high fish consumption (>3 meals/week) in northern Sweden. This study investigates if previous results on elevated stroke risk with high fish consumption in men in northern Sweden can be confirmed in a larger study with new cases in the same population. Methods: A prospective nested case-control study was performed within the population-based Northern Sweden Health and Disease Study cohort. Information on fish consumption, other lifestyle and medical data was collected at baseline. Incident stroke cases (1987-2007, n = 735) were identified and 2698 controls matched for gender, age, year of baseline and geographical region. Results: There were no associations between total fish or fatty fish consumption and stroke risk; thus the previous finding of increased risk of stroke with high fish consumption in men could not be repeated. High intake of lean fish (>twice/week compared to < once/month) was associated with increased stroke risk in men [OR 1.80 (95% CI 1.00, 3.21), but not in women [OR 0.50 (95% CI 0.24, 1.10)]. The association was driven by men living alone. Conclusions: The previous association between high total fish consumption and risk of stroke in men could not be repeated. The increased risk found in men with high intake of lean fish may be due to chance or confounding specific for this group.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Confounding, Fish consumption, Hemorraghic stroke, Ischaemic stroke, Lifestyle
in
Nutrition Journal
volume
15
issue
1
article number
98
publisher
BioMed Central (BMC)
external identifiers
  • pmid:27852254
  • wos:000389007100002
  • scopus:84995390387
ISSN
1475-2891
DOI
10.1186/s12937-016-0216-3
language
English
LU publication?
yes
id
04a94fb6-fc8f-450c-a910-6570f0c97a0f
date added to LUP
2016-12-05 08:07:04
date last changed
2024-01-04 17:52:52
@article{04a94fb6-fc8f-450c-a910-6570f0c97a0f,
  abstract     = {{<p>Background: Fish consumption has been concluded to be associated with decreased risk of stroke in several reviews. However, among men, but not women, an increased risk of stroke was previously found at high fish consumption (&gt;3 meals/week) in northern Sweden. This study investigates if previous results on elevated stroke risk with high fish consumption in men in northern Sweden can be confirmed in a larger study with new cases in the same population. Methods: A prospective nested case-control study was performed within the population-based Northern Sweden Health and Disease Study cohort. Information on fish consumption, other lifestyle and medical data was collected at baseline. Incident stroke cases (1987-2007, n = 735) were identified and 2698 controls matched for gender, age, year of baseline and geographical region. Results: There were no associations between total fish or fatty fish consumption and stroke risk; thus the previous finding of increased risk of stroke with high fish consumption in men could not be repeated. High intake of lean fish (&gt;twice/week compared to &lt; once/month) was associated with increased stroke risk in men [OR 1.80 (95% CI 1.00, 3.21), but not in women [OR 0.50 (95% CI 0.24, 1.10)]. The association was driven by men living alone. Conclusions: The previous association between high total fish consumption and risk of stroke in men could not be repeated. The increased risk found in men with high intake of lean fish may be due to chance or confounding specific for this group.</p>}},
  author       = {{Wennberg, Maria and Jansson, Jan Håkan and Norberg, Margareta and Skerfving, Staffan and Strömberg, Ulf and Wiklund, Per Gunnar and Bergdahl, Ingvar A.}},
  issn         = {{1475-2891}},
  keywords     = {{Confounding; Fish consumption; Hemorraghic stroke; Ischaemic stroke; Lifestyle}},
  language     = {{eng}},
  month        = {{11}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{Nutrition Journal}},
  title        = {{Fish consumption and risk of stroke : A second prospective case-control study from northern Sweden}},
  url          = {{http://dx.doi.org/10.1186/s12937-016-0216-3}},
  doi          = {{10.1186/s12937-016-0216-3}},
  volume       = {{15}},
  year         = {{2016}},
}