Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries
Digital
- Autores:
-
Mohan, Deepa
Mente, Andrew
Dehghan, Mahshid
Rangarajan, Sumathy
O’Donnell, Martin
Hu, Weihong
Dagenais, Gilles
Wielgosz, Andreas
Lear, Scott
Wei, Li
Diaz, Rafael
Avezum, Alvaro
Lopez-Jaramillo, Patricio
Lanas, Fernando
Swaminathan, Sumathi
Kaur, Manmeet
Vijayakumar, K.
Mohan, Viswanathan
Gupta, Rajeev
Szuba, Andrzej
Iqbal, Romaina
Yusuf, Rita
Mohammadifard, Noushin
Khatib, Rasha
Yusoff, Khalid
Gulec, Sadi
Rosengren, Annika
Yusufali, Afzalhussein
Wentzel-Viljoen, Edelweiss
Chifamba, Jephat
Dans, Antonio
Alhabib, Khalid F.
Yeates, Karen
Teo, Koon
Gerstein, Hertzel C.
Yusuf, Salim
The PURE, ONTARGET, TRANSCEND, and ORIGIN investigators
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2021
- Institución:
- Universidad de Santander
- Repositorio:
- Repositorio Universidad de Santander
- Idioma:
- eng
- OAI Identifier:
- oai:repositorio.udes.edu.co:001/6122
- Acceso en línea:
- https://repositorio.udes.edu.co/handle/001/6122
- Palabra clave:
- Rights
- closedAccess
- License
- © The Authors, JAMA 2022
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Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries |
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Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries |
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Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries |
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Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries |
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Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries |
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Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries |
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Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries |
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Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries |
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Mohan, Deepa Mente, Andrew Dehghan, Mahshid Rangarajan, Sumathy O’Donnell, Martin Hu, Weihong Dagenais, Gilles Wielgosz, Andreas Lear, Scott Wei, Li Diaz, Rafael Avezum, Alvaro Lopez-Jaramillo, Patricio Lanas, Fernando Swaminathan, Sumathi Kaur, Manmeet Vijayakumar, K. Mohan, Viswanathan Gupta, Rajeev Szuba, Andrzej Iqbal, Romaina Yusuf, Rita Mohammadifard, Noushin Khatib, Rasha Yusoff, Khalid Gulec, Sadi Rosengren, Annika Yusufali, Afzalhussein Wentzel-Viljoen, Edelweiss Chifamba, Jephat Dans, Antonio Alhabib, Khalid F. Yeates, Karen Teo, Koon Gerstein, Hertzel C. Yusuf, Salim The PURE, ONTARGET, TRANSCEND, and ORIGIN investigators |
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Mohan, Deepa Mente, Andrew Dehghan, Mahshid Rangarajan, Sumathy O’Donnell, Martin Hu, Weihong Dagenais, Gilles Wielgosz, Andreas Lear, Scott Wei, Li Diaz, Rafael Avezum, Alvaro Lopez-Jaramillo, Patricio Lanas, Fernando Swaminathan, Sumathi Kaur, Manmeet Vijayakumar, K. Mohan, Viswanathan Gupta, Rajeev Szuba, Andrzej Iqbal, Romaina Yusuf, Rita Mohammadifard, Noushin Khatib, Rasha Yusoff, Khalid Gulec, Sadi Rosengren, Annika Yusufali, Afzalhussein Wentzel-Viljoen, Edelweiss Chifamba, Jephat Dans, Antonio Alhabib, Khalid F. Yeates, Karen Teo, Koon Gerstein, Hertzel C. Yusuf, Salim The PURE, ONTARGET, TRANSCEND, and ORIGIN investigators |
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2021 |
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2021-03-08 |
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2022-02-23T14:34:05Z |
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2022-02-23T14:34:05Z |
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eng |
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eng |
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Mohan D, Mente A, Dehghan M, et al. Associations of Fish Consumption With Risk of Cardiovascular Disease and Mortality Among Individuals With or Without Vascular Disease From 58 Countries. JAMA Intern Med. 2021;181(5):631–649. doi:10.1001/jamainternmed.2021.0036 |
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Scopus |
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JAMA Internal Medicine |
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© The Authors, JAMA 2022 |
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JAMA Network |
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https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2777338 |
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Mohan, Deepac1ac1891-f173-41a6-92c2-4c9af4cf2153-1Mente, Andrew9a80b664-b49e-4fce-961e-b7dd6e07a3ab-1Dehghan, Mahshid24c90dd8-52a1-41e0-8c9a-52ee9ce29532-1Rangarajan, Sumathy5466c363-e515-4bd2-8537-eb839320f385-1O’Donnell, Martind9e21167-a04f-403d-8401-26514731eb78-1Hu, Weihong241682e5-afae-433b-b18a-0553a1040131-1Dagenais, Gillesc865f015-4dc7-483d-9dae-132288d901f8-1Wielgosz, Andreasd9d25746-66c4-498e-a328-286412ab8782-1Lear, Scott8e0bbcca-8f82-4279-a446-02b2186ad662-1Wei, Li615354ee-b1c5-4dab-b9f2-64e8bcad90e8-1Diaz, Rafaelf2be4a74-501a-4e63-8bbd-965cbcf8c57b-1Avezum, Alvaro8b920360-abb2-4ec8-b5ee-4e3f4e0b11eb-1Lopez-Jaramillo, Patricio9a71267b-dcb0-4d31-b37d-2d30be58d4d2-1Lanas, Fernandod22b7fe4-9f1f-4028-a22b-be782ef03d3c-1Swaminathan, Sumathi2df52946-d5e9-441c-b38e-cd33e6fc3722-1Kaur, Manmeet857257e4-cebb-4bea-8d9b-e134b46dc72b-1Vijayakumar, K.d97df464-6693-4241-a590-1b34260afcf0-1Mohan, Viswanathane7246d73-7de3-4d86-9c7b-b9ca011e618b-1Gupta, Rajeevde1826df-aac8-4d9f-9b84-f21ba704686c-1Szuba, Andrzej66d9d177-80f1-4191-9e5f-ef493dc7c253-1Iqbal, Romaina015cbc16-dd01-4e26-adff-257bb8827f50-1Yusuf, Rita73629390-dae0-4d21-aca0-90da88bd2808-1Mohammadifard, Noushin24262688-da4b-4bdf-9ced-4eb264282354-1Khatib, Rasha7beae0a6-cfd5-4272-bf8c-1b5896fed8e5-1Yusoff, Khalid933db13d-f5bb-4ea6-91a5-68eea1ca9ffc-1Gulec, Sadi877f5289-b16d-4a48-bd64-a1886f2c2a73-1Rosengren, Annika923779f9-3a92-4086-b3d9-9d78974926d9-1Yusufali, Afzalhussein2c177fd9-b761-4f07-b754-1e05fe659a48-1Wentzel-Viljoen, Edelweiss317eea85-67ad-47e3-becb-6191d660b998-1Chifamba, Jephatf2496279-e934-40b8-8f61-0039a09f03f8-1Dans, Antoniof365ef5a-7610-4022-8485-31d6d3879cd6-1Alhabib, Khalid F.84dc113a-dcf3-43f0-adec-af4dabb61538-1Yeates, Karen79418492-ec06-4cc6-831a-4bf5b245b584-1Teo, Koon60475883-56ab-4acc-833d-b027ad828534-1Gerstein, Hertzel C.8dbb4c88-f0dd-45f2-8bc4-590f0a1e3c3c-1Yusuf, Salim06a836b5-f5e3-41d9-a516-9cc46e5d7948-1The PURE, ONTARGET, TRANSCEND, and ORIGIN investigatorsd4518e0c-2321-4ada-9847-7709775ec349-1Masira2022-02-23T14:34:05Z2022-02-23T14:34:05Z2021-03-08DigitalImportance Cohort studies report inconsistent associations between fish consumption, a major source of long-chain ω-3 fatty acids, and risk of cardiovascular disease (CVD) and mortality. Whether the associations vary between those with and those without vascular disease is unknown. Objective To examine whether the associations of fish consumption with risk of CVD or of mortality differ between individuals with and individuals without vascular disease. Design, Setting, and Participants This pooled analysis of individual participant data involved 191 558 individuals from 4 cohort studies—147 645 individuals (139 827 without CVD and 7818 with CVD) from 21 countries in the Prospective Urban Rural Epidemiology (PURE) study and 43 413 patients with vascular disease in 3 prospective studies from 40 countries. Adjusted hazard ratios (HRs) were calculated by multilevel Cox regression separately within each study and then pooled using random-effects meta-analysis. This analysis was conducted from January to June 2020. Exposures Fish consumption was recorded using validated food frequency questionnaires. In 1 of the cohorts with vascular disease, a separate qualitative food frequency questionnaire was used to assess intake of individual types of fish. Main Outcomes and Measures Mortality and major CVD events (including myocardial infarction, stroke, congestive heart failure, or sudden death). Results Overall, 191 558 participants with a mean (SD) age of 54.1 (8.0) years (91 666 [47.9%] male) were included in the present analysis. During 9.1 years of follow-up in PURE, compared with little or no fish intake (≤50 g/mo), an intake of 350 g/wk or more was not associated with risk of major CVD (HR, 0.95; 95% CI, 0.86-1.04) or total mortality (HR, 0.96; 0.88-1.05). By contrast, in the 3 cohorts of patients with vascular disease, the HR for risk of major CVD (HR, 0.84; 95% CI, 0.73-0.96) and total mortality (HR, 0.82; 95% CI, 0.74-0.91) was lowest with intakes of at least 175 g/wk (or approximately 2 servings/wk) compared with 50 g/mo or lower, with no further apparent decrease in HR with consumption of 350 g/wk or higher. Fish with higher amounts of ω-3 fatty acids were strongly associated with a lower risk of CVD (HR, 0.94; 95% CI, 0.92-0.97 per 5-g increment of intake), whereas other fish were neutral (collected in 1 cohort of patients with vascular disease). The association between fish intake and each outcome varied by CVD status, with a lower risk found among patients with vascular disease but not in general populations (for major CVD, I2 = 82.6 [P = .02]; for death, I2 = 90.8 [P = .001]). Conclusions and Relevance Findings of this pooled analysis of 4 cohort studies indicated that a minimal fish intake of 175 g (approximately 2 servings) weekly is associated with lower risk of major CVD and mortality among patients with prior CVD but not in general populations. The consumption of fish (especially oily fish) should be evaluated in randomized trials of clinical outcomes among people with vascular disease.Ciencias Médicas y de la Saludapplication/pdfdoi:10.1001/jamainternmed.2021.0036https://repositorio.udes.edu.co/handle/001/6122engJAMA NetworkUSAMohan D, Mente A, Dehghan M, et al. Associations of Fish Consumption With Risk of Cardiovascular Disease and Mortality Among Individuals With or Without Vascular Disease From 58 Countries. JAMA Intern Med. 2021;181(5):631–649. doi:10.1001/jamainternmed.2021.0036ScopusJAMA Internal Medicine© The Authors, JAMA 2022info:eu-repo/semantics/closedAccessAtribución-NoComercial 4.0 Internacional (CC BY-NC 4.0)https://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_14cbhttps://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2777338Associations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 CountriesArtículo de revistahttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1Textinfo:eu-repo/semantics/articlehttp://purl.org/redcol/resource_type/ARTinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/version/c_970fb48d4fbd8a85Todas las AudienciasPublicationORIGINALAssociations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries.pdfAssociations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries.pdfapplication/pdf215736https://repositorio.udes.edu.co/bitstreams/94ad06d1-6e50-403c-8875-d5dc57ce6fb5/downloada32af19b37bcd6764aac55dcdbf3ab2eMD51LICENSElicense.txtlicense.txttext/plain; charset=utf-859https://repositorio.udes.edu.co/bitstreams/40388cc8-35d4-4fea-b915-c3179835a6c3/download38d94cf55aa1bf2dac1a736ac45c881cMD52TEXTAssociations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries.pdf.txtAssociations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries.pdf.txtExtracted texttext/plain5https://repositorio.udes.edu.co/bitstreams/272d7e84-32d9-4106-950c-d8ddb28bce10/download5dbe86c1111d64f45ba435df98fdc825MD53THUMBNAILAssociations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries.pdf.jpgAssociations of Fish Consumption with Risk of Cardiovascular Disease and Mortality among Individuals with or without Vascular Disease from 58 Countries.pdf.jpgGenerated Thumbnailimage/jpeg8547https://repositorio.udes.edu.co/bitstreams/547e29da-a831-4eaf-8a62-c616b74c0a95/download6517b1d11012dc96faa038c1f0a22a3aMD54001/6122oai:repositorio.udes.edu.co:001/61222023-10-09 16:47:03.184https://creativecommons.org/licenses/by-nc/4.0/© The Authors, JAMA 2022https://repositorio.udes.edu.coRepositorio Universidad de Santandersoporte@metabiblioteca.comTGljZW5jaWEgZGUgUHVibGljYWNpw7NuIFVERVMKRGlyZWN0cmljZXMgZGUgVVNPIHkgQUNDRVNPCgo= |