Fish consumption and mortality in the European Prospective Investigation into Cancer and Nutrition cohort

被引:38
作者
Engeset, Dagrun [1 ]
Braaten, Tonje [1 ]
Teucher, Birgit [2 ]
Kuhn, Tilman [3 ]
Bueno-de-Mesquita, H. B. [4 ,5 ,6 ]
Leenders, Max [5 ,7 ]
Agudo, Antonio [8 ]
Bergmann, Manuela M. [9 ]
Valanou, Elisavet [10 ]
Naska, Androniki [10 ,11 ]
Trichopoulou, Antonia [10 ,12 ]
Key, Timothy J. [13 ]
Crowe, Francesca L. [13 ]
Overvad, Kim [14 ]
Sonestedt, Emily [15 ]
Mattiello, Amalia [16 ]
Peeters, Petra H. [17 ,18 ]
Wennberg, Maria [19 ]
Jansson, Jan Hakan [20 ]
Boutron-Ruault, Marie-Christine [21 ,22 ,23 ]
Dossus, Laure [21 ,22 ,23 ]
Dartois, Laureen [21 ,22 ,23 ]
Li, Kuanrong [3 ]
Barricarte, Aurelio [24 ,25 ]
Ward, Heather [26 ]
Riboli, Elio [26 ]
Agnoli, Claudia [27 ]
Maria Huerta, Jose [25 ,28 ]
Sanchez, Maria-Jose [25 ,29 ]
Tumino, Rosario [30 ,31 ]
Altzibar, Jone M. [25 ,32 ]
Vineis, Paolo [6 ,33 ]
Masala, Giovanna [34 ]
Ferrari, Pietro [35 ]
Muller, David C. [35 ]
Johansson, Mattias [35 ]
Luisa Redondo, M. [36 ]
Tjonneland, Anne [37 ]
Olsen, Anja [37 ]
Olsen, Karina Standahl [1 ]
Brustad, Magritt [1 ]
Skeie, Guri [1 ]
Lund, Eiliv [1 ]
机构
[1] UiT, Dept Community Med, Tromso, Norway
[2] Heidelberg Univ, Translat Lung Res Ctr Heidelberg TLRC, Dept Translat Pulmonol, Heidelberg, Germany
[3] German Canc Res Ctr, Heidelberg, Germany
[4] Natl Inst Publ Hlth & Environm, NL-3720 BA Bilthoven, Netherlands
[5] Univ Med Ctr, Dept Gastroenterol & Hepatol, Utrecht, Netherlands
[6] Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, London, England
[7] Univ Utrecht, Inst Risk Assessment Sci, Utrecht, Netherlands
[8] Catalan Inst Oncol ICO, IDIBELL, Unit Nutr Environm & Canc, Barcelona, Spain
[9] German Inst Human Nutr Potsdam Rehbrucke, Potsdam, Germany
[10] Hellen Hlth Fdn, Athens, Greece
[11] Univ Athens, Sch Med, Dept Hyg Epidemiol & Med Stat, GR-11527 Athens, Greece
[12] Univ Athens, Sch Med, Dept Hyg Epidemiol & Med Stat, WHO Collaborating Ctr Food & Nutr Policies, GR-11527 Athens, Greece
[13] Nuffield Dept Populat Hlth, Canc Epidemiol Unit, Oxford, England
[14] Aarhus Univ, Dept Publ Hlth, Epidemiol Sect, Aarhus, Denmark
[15] Lund Univ, Dept Clin Sci Malmo, Lund, Sweden
[16] Univ Naples Federico II, Dipartimento Med Clin & Chirurg, Naples, Italy
[17] Univ Med Ctr, Dept Epidemiol, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
[18] Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Fac Med, Dept Epidemiol & Biostat, London, England
[19] Umea Univ, Dept Publ Hlth & Clin Med, Nutr Res, Umea, Sweden
[20] Umea Univ, Dept Publ Hlth & Clin Med, Res Unit Skelleftea, Umea, Sweden
[21] Ctr Res Epidemiol & Populat Hlth CESP, INSERM, U1018, Nutr Hormones & Womens Hlth Team, Villejuif, France
[22] Univ Paris 11, UMRS 1018, Villejuif, France
[23] IGR, F-94805 Villejuif, France
[24] Navarre Publ Hlth Inst, Pamplona, Spain
[25] CIBER Epidemiol & Salud Publ CIBERESP, Consortium Biomed Res Epidemiol & Publ Hlth, Madrid, Spain
[26] Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England
[27] Fdn IRCCS Ist Nazl Tumori, Epidemiol & Prevent Unit, Milan, Italy
[28] Murcia Reg Hlth Council, Dept Epidemiol, Murcia, Spain
[29] Inst Invest Biosanitaria Granada Granada Ibs, Escuela Andaluza Salud Publ, Granada, Spain
[30] ASP Ragusa, Civ MP Arezzo Hosp, Canc Registry, Ragusa, Italy
[31] ASP Ragusa, Civ MP Arezzo Hosp, Histopathol Unit, Ragusa, Italy
[32] Publ Hlth Dept Gipuzkoa, San Sebastian, Spain
[33] HuGeF Fdn, Turin, Italy
[34] Canc Res & Prevent Inst ISPO, Mol & Nutr Epidemiol Unit, Florence, Italy
[35] Int Agcy Res Canc, F-69372 Lyon, France
[36] Publ Hlth Directorate, Asturias, Spain
[37] Danish Canc Soc, Res Ctr, Copenhagen, Denmark
基金
英国医学研究理事会;
关键词
Mortality; Fish consumption; Cohort; Lean fish; Fatty fish; Multi-centre study; CORONARY-HEART-DISEASE; RISK; MEAT; CALIBRATION; CONTAMINANTS; METAANALYSIS; FISHERMEN; DIETARY; MODELS; DEATH;
D O I
10.1007/s10654-014-9966-4
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Fish is a source of important nutrients and may play a role in preventing heart diseases and other health outcomes. However, studies of overall mortality and cause-specific mortality related to fish consumption are inconclusive. We examined the rate of overall mortality, as well as mortality from ischaemic heart disease and cancer in relation to the intake of total fish, lean fish, and fatty fish in a large prospective cohort including ten European countries. More than 500,000 men and women completed a dietary questionnaire in 1992-1999 and were followed up for mortality until the end of 2010. 32,587 persons were reported dead since enrolment. Hazard ratios and their 99 % confidence interval were estimated using Cox proportional hazard regression models. Fish consumption was examined using quintiles based on reported consumption, using moderate fish consumption (third quintile) as reference, and as continuous variables, using increments of 10 g/day. All analyses were adjusted for possible confounders. No association was seen for fish consumption and overall or cause-specific mortality for both the categorical and the continuous analyses, but there seemed to be a U-shaped trend (p < 0.000) with fatty fish consumption and total mortality and with total fish consumption and cancer mortality (p = 0.046).
引用
收藏
页码:57 / 70
页数:14
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