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Fish Consumption and Cardiovascular Health: A Systematic Review
Authors:Chayakrit Krittanawong  Ameesh Isath  Joshua Hahn  Zhen Wang  Bharat Narasimhan  Scott L. Kaplin  Hani Jneid  Salim S. Virani  W.H. Wilson Tang
Affiliation:1. The Michael E. DeBakey VA Medical Center, Houston, Texas;2. Section of Cardiology, Baylor College of Medicine, Houston, Texas;3. Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY;4. Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery;5. Division of Health Care Policy and Research, Department of Health Sciences Research, Mayo Clinic, Rochester, Minn;6. Department of Cardiovascular Diseases, New York University School of Medicine, New York, NY;7. Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Ohio;1. Beth Israel Deaconess Medical Center, Boston, Mass;2. Harvard Medical School, Boston, Mass;1. Department of Medicine, University of Maryland Medical Center, Baltimore;2. Department of Medicine, Division of Endocrinology, Diabetes & Metabolism, Johns Hopkins School of Medicine, Baltimore, Md;3. Department of Medicine, Providence VA Medical Center and Alpert Medical School of Brown University, Providence, RI;4. Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, NC;1. Medical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Md;2. National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Md;3. National Institutes of Health Clinical Center, Bethesda, Md;4. University of Mississippi Medical Center, Jackson;1. Hematology Institute and Blood Bank, Meir Medical Center, Kfar Saba, Israel;2. Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel;1. Endocrinology Clinic, Division of Maternal Fetal Medicine, Helen Schneider, Women''s Hospital, Rabin Medical Center, Petah Tikva, Israel;2. Associate Professor, Faculty of Medicine, Hebrew University, Jerusalem, Israel
Abstract:
Studies evaluating fish consumption and cardiovascular disease events have shown inconsistent results. We performed a systematic review of peer-reviewed publications from an extensive query of Ovid MEDLINE, Ovid Embase, Ovid Cochrane Database of Systematic Reviews, Scopus, and Web of Science from database inception to September 2020 for observational studies that reported the association between fish consumption and cardiovascular disease events. We identified and reviewed 24 studies related to fish consumption and the effect on cardiovascular outcomes. The study population included a total of 714,526 individuals and multiple cohorts from several countries. We found that nonfried fish consumption is probably associated with a reduced risk of overall cardiovascular disease events and myocardial infarction risk. In contrast, fried fish consumption is probably associated with an increased risk of overall cardiovascular disease events and myocardial infarction risk. No studies to date have shown any significant association between fish consumption and stroke. Our analysis suggests that fish consumption may reduce cardiovascular disease events, but fried fish consumption was associated with an increased risk of cardiovascular events.
Keywords:Acute myocardial infarction  Cardiovascular disease  Fish consumption  Stroke  Systematic review
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