Fish intake and risk of heart failure: A meta‑analysis of five prospective cohort studies

Hou,Li-Na; Li,Fei; Zhou,You; Nie,Shi-Huai; Su,Liang; Chen,Ping‑An; Tan,Wan-Long; Xu,Ding-Li

doi:10.3892/etm.2012.605

Fish intake and risk of heart failure: A meta‑analysis of five prospective cohort studies

Authors:
- Li-Na Hou
- Fei Li
- You Zhou
- Shi-Huai Nie
- Liang Su
- Ping‑An Chen
- Wan-Long Tan
- Ding-Li Xu
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Affiliations: Department of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China, Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China, Minerva Foundation Institute for Medical Research, Biomedicum 2U, FI-00290 Helsinki, Finland, Department of Radiology, Zhongshan Ophthalmic Center of Sun Yat‑sen University, Guangzhou, Guangdong 510060, P.R.China
Published online on: June 8, 2012 https://doi.org/10.3892/etm.2012.605
Pages: 481-486

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Abstract

The findings on the association between fish intake and the risk of heart failure (HF) have been inconsistent. The purpose of this study was to clarify this potential association. We searched for relevant studies in the PubMed database through January 2012 and manually reviewed references. Five independent prospective cohort studies involving 5,273 cases and 144,917 participants were included. The summary relative risk estimates (SRRE) based on the highest compared with the lowest category of fish consumption were estimated by variance-based meta-analysis. In addition, we performed sensitivity and dose-response analyses to examine the association. Overall, an absence of an association between fish intake and HF was observed (SRRE=1.00; 95% CI, 0.81-1.24). However, fried fish intake positively associated with HF (SRRE=1.40; 95% CI, 1.22-1.61). In addition, dose-response analysis of fried fish suggested that each increment of six fried fish per month corresponded to a 37% increase of HF rate (RR=1.37; 95% CI, 1.20-1.56). In conclusion, our findings suggest that there is no significant association between fish intake and risk of HF, with the exception of a possible positive correlation with individuals comsuming fried fish, based on a limited number of studies. Future studies are required to conﬁrm these ﬁndings.

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1.	Kozak LJ, DeFrances CJ and Hall MJ: National hospital discharge survey: 2004 annual summary with detailed diagnosis and procedure data. Vital Health Stat 13. 162:1–209. 2006.PubMed/NCBI
2.	Lloyd-Jones D, Adams RJ, Brown TM, et al American Heart Association Statistics Committee and Stroke Statistics Subcommittee: Executive summary: heart disease and stroke statistics - 2010 update: a report from the American Heart Association. Circulation. 121:948–954. 2010. View Article : Google Scholar : PubMed/NCBI
3.	Lloyd-Jones DM, Larson MG, Leip EP, Beiser A, D’Agostino RB, Kannel WB, Murabito JM, Vasan RS, Benjamin EJ and Levy D; Framingham Heart Study: Lifetime risk for developing congestive heart failure: the Framingham Heart Study. Circulation. 106:3068–3072. 2002. View Article : Google Scholar : PubMed/NCBI
4.	Schocken DD: American Society for Preventive Cardiology. Prev Cardiol. 11:127–128. 2008. View Article : Google Scholar
5.	Yancy CW: Heart failure in African Americans. Am J Cardiol. 96:3i–12i. 2005. View Article : Google Scholar : PubMed/NCBI
6.	Jhund PS, Macintyre K, Simpson CR, Lewsey JD, Stewart S, Redpath A, Chalmers JW, Capewell S and McMurray JJ: Long-term trends in first hospitalization for heart failure and subsequent survival between 1986 and 2003: a population study of 5.1 million people. Circulation. 119:515–523. 2009. View Article : Google Scholar : PubMed/NCBI
7.	Norton C, Georgiopoulou VV, Kalogeropoulos AP and Butler J: Epidemiology and cost of advanced heart failure. Prog Cardiovasc Dis. 54:78–85. 2011. View Article : Google Scholar : PubMed/NCBI
8.	Magaña-Serrano JA, Almahmeed W, Gomez E, Al-Shamiri M, Adgar D, Sosner P and Herpin D; I PREFER Investigators: Prevalence of heart failure with preserved ejection fraction in Latin American, Middle Eastern, and North African Regions in the I PREFER study (Identification of Patients With Heart Failure and PREserved Systolic Function: an epidemiological regional study). Am J Cardiol. 108:1289–1296. 2011.
9.	Wang Y, Tuomilehto J, Jousilahti P, Antikainen R, Mähönen M, Katzmarzyk PT and Hu G: Lifestyle factors in relation to heart failure among Finnish men and women. Circ Heart Fail. 4:607–612. 2011. View Article : Google Scholar : PubMed/NCBI
10.	Cheng S and Vasan RS: Advances in the epidemiology of heart failure and left ventricular remodeling. Circulation. 124:e516–e519. 2011. View Article : Google Scholar : PubMed/NCBI
11.	Djoussé L, Driver JA and Gaziano JM: Relation between modifiable lifestyle factors and lifetime risk of heart failure. JAMA. 302:394–400. 2009.PubMed/NCBI
12.	Mozaffarian D, Katan MB, Ascherio A, Stampfer MJ and Willett WC: Trans fatty acids and cardiovascular disease. N Engl J Med. 354:1601–1613. 2006. View Article : Google Scholar : PubMed/NCBI
13.	Bays H: Clinical overview of Omacor: a concentrated formulation of omega-3 polyunsaturated fatty acids. Am J Cardiol. 98:71i–76i. 2006. View Article : Google Scholar : PubMed/NCBI
14.	Mozaffarian D and Rimm EB: Fish intake, contaminants, and human health: evaluating the risks and the benefits. JAMA. 296:1885–1899. 2006. View Article : Google Scholar : PubMed/NCBI
15.	Belin RJ, Greenland P, Martin L, Oberman A, Tinker L, Robinson J, Larson J, Van Horn L and Lloyd-Jones D: Fish intake and the risk of incident heart failure: the Women’s Health Initiative. Circ Heart Fail. 4:404–413. 2011.
16.	Levitan EB, Wolk A and Mittleman MA: Fatty fish, marine omega-3 fatty acids and incidence of heart failure. Eur J Clin Nutr. 64:587–594. 2010. View Article : Google Scholar : PubMed/NCBI
17.	Dijkstra SC, Brouwer IA, van Rooij FJ, Hofman A, Witteman JC and Geleijnse JM: Intake of very long chain n-3 fatty acids from fish and the incidence of heart failure: the Rotterdam Study. Eur J Heart Fail. 11:922–928. 2009. View Article : Google Scholar : PubMed/NCBI
18.	Nettleton JA, Steffen LM, Loehr LR, Rosamond WD and Folsom AR: Incident heart failure is associated with lower whole-grain intake and greater high-fat dairy and egg intake in the Atherosclerosis Risk in Communities (ARIC) study. J Am Diet Assoc. 108:1881–1887. 2008. View Article : Google Scholar : PubMed/NCBI
19.	Mozaffarian D, Bryson CL, Lemaitre RN, Burke GL and Siscovick DS: Fish intake and risk of incident heart failure. J Am Coll Cardiol. 45:2015–2021. 2005. View Article : Google Scholar
20.	Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, Moher D, Becker BJ, Sipe TA and Thacker SB: Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 283:2008–2012. 2000. View Article : Google Scholar
21.	Higgins JP and Thompson SG: Quantifying heterogeneity in a meta-analysis. Stat Med. 21:1539–1558. 2002. View Article : Google Scholar : PubMed/NCBI
22.	Orsini N, Bellocco R and Greenland S: Generalized least squares for trend estimation of summarized dose-response data. Stata J. 6:40–57. 2006.
23.	Egger M, Davey Smith G, Schneider M and Minder C: Bias in meta-analysis detected by a simple, graphical test. BMJ. 315:629–634. 1997. View Article : Google Scholar : PubMed/NCBI
24.	Begg CB and Mazumdar M: Operating characteristics of a rank correlation test for publication bias. Biometrics. 50:1088–1101. 1994. View Article : Google Scholar : PubMed/NCBI
25.	Levitan EB, Wolk A and Mittleman MA: Fish consumption, marine omega-3 fatty acids, and incidence of heart failure: a population-based prospective study of middle-aged and elderly men. Eur Heart J. 30:1495–1500. 2009. View Article : Google Scholar : PubMed/NCBI
26.	Yamagishi K, Iso H, Date C, Fukui M, Wakai K, Kikuchi S, Inaba Y, Tanabe N and Tamakoshi A; Japan Collaborative Cohort Study for Evaluation of Cancer Risk 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. 52:988–996. 2008. View Article : Google Scholar
27.	Bouzan C, Cohen JT, Connor WE, Kris-Etherton PM, Gray GM, König A, Lawrence RS, Savitz DA and Teutsch SM: A quantitative analysis of fish consumption and stroke risk. Am J Prev Med. 29:347–352. 2005. View Article : Google Scholar : PubMed/NCBI
28.	König A, Bouzan C, Cohen JT, Connor WE, Kris-Etherton PM, Gray GM, Lawrence RS, Savitz DA and Teutsch SM: A quantitative analysis of fish consumption and coronary heart disease mortality. Am J Prev Med. 29:335–346. 2005.PubMed/NCBI
29.	Wilson JF: Balancing the risks and benefits of fish consumption. Ann Intern Med. 141:977–980. 2004. View Article : Google Scholar : PubMed/NCBI
30.	Warner K: Impact of high-temperature food processing on fats and oils. Adv Exp Med Biol. 459:67–77. 1999. View Article : Google Scholar : PubMed/NCBI
31.	Aro T, Tahvonen R, Mattila T, Nurmi J, Sivonen T and Kallio H: Effects of season and processing on oil content and fatty acids of baltic herring (Clupea harengus membras). J Agric Food Chem. 48:6085–6093. 2000. View Article : Google Scholar : PubMed/NCBI
32.	Al-Saghir S, Thurner K, Wagner KH, Frisch G, Luf W, Razzazi- Fazeli E and Elmadfa I: Effects of different cooking procedures on lipid quality and cholesterol oxidation of farmed salmon fish (Salmo salar). J Agric Food Chem. 52:5290–5296. 2004. View Article : Google Scholar : PubMed/NCBI
33.	Mozaffarian D, Lemaitre RN, King IB, Song X, Spiegelman D, Sacks FM, Rimm EB and Siscovick DS: Circulating long-chain ω-3 fatty acids and incidence of congestive heart failure in older adults: the cardiovascular health study: a cohort study. Ann Intern Med. 155:160–170. 2011.