Fish consumption and mortality from all causes, ischemic heart disease, and stroke: An ecological study

Jianjun Zhang, Satoshi Sasaki, Keiko Amano, Hugo Kesteloot

Research output: Contribution to journalArticle

144 Scopus citations

Abstract

Background. The present study examined the relation between fish consumption and mortality from all causes, ischemic heart disease, and stroke. Methods. The fish consumption data in 1961-1963, 1979-1981, and 1989- 1991 and mortality data, age-standardized to 45-74 years, mean of the latest available 3 years, mostly around 1992-1993, in 36 countries, were obtained from the Food and Agriculture Organization and the World Health Organization, respectively. Results. There exists an inverse univariate correlation between log fish consumption in 1961-1963, 19791981, and 1989-1991 and log all-cause (P < 0.01 to < 0.001) and ischemic heart disease (P < 0.05 to <0.01) mortality in both sexes. An inverse univariate correlation between log fish consumption and log stroke mortality was found only for the period 1961-1963 in both sexes (P < 0.05). Log fish consumption was independently, significantly, and inversely associated with log all-cause (all P < 0.001), ischemic heart disease (P < 0.01 to <0.001), and stroke (P < 0.05 to < 0.001) mortality in all three time periods in both sexes, after adjusting for confounding factors. These associations remained significant even after exclusion of Iceland and Japan, countries with the highest amount of fish consumption and the lowest all-cause mortality rate. Conclusions. Fish consumption is associated with a reduced risk from all-cause, ischemic heart disease, and stroke mortality at the population level.

Original languageEnglish (US)
Pages (from-to)520-529
Number of pages10
JournalPreventive Medicine
Volume28
Issue number5
DOIs
StatePublished - May 1999
Externally publishedYes

Keywords

  • All-cause mortality
  • Fish consumption
  • Ischemic heart disease
  • Stroke

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Fingerprint Dive into the research topics of 'Fish consumption and mortality from all causes, ischemic heart disease, and stroke: An ecological study'. Together they form a unique fingerprint.

  • Cite this