Cohort study2016

Substitutions of red meat, poultry and fish and risk of myocardial infarction

Würtz AM, Hansen MD, Tjønneland A, Rimm EB, Schmidt EB, Overvad K, Jakobsen MU

The British journal of nutrition · 12 citations

Review labels

Food frequency questionnaireNo stated lifestyle adjustment

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cohort study (indexed by PubMed)
Studied in
People
Main outcome
Clinical events such as disease or death
Intake measured by
Food frequency questionnaire

Who paid for it

Funding
Independent funding
Government
Strategiske Forskningsråd
University or hospital
Aarhus Universitet
Nonprofit
Kræftens Bekæmpelse
Government
Dana Ilmu Pengetahuan Indonesia
Grants
Strategiske Forskningsråd (0603-00488B)

Based on 4 listed funder(s).

Publication

Published
2016-03-07 · Br J Nutr · vol. 115 · issue 9 · pp. 1571–1578
Publisher
Cambridge University Press
Cited
17 citations · more than 85% of similar papers · 1.5× the field average
References
24 works
Access
Free to read
Research areas
Nutritional Studies and Diet · Consumer Attitudes and Food Labeling · Meat and Animal Product Quality
Keywords
Myocardial infarction, Fish <Actinopterygii>, Red meat, Poultry meat, Food science, Biology, Internal medicine, Medicine, Fishery
MeSH
animals, poultry, fishes, humans, myocardial infarction, dietary fats, diet, diet surveys, proportional hazards models, risk factors, prospective studies, feeding behavior, seafood, middle aged, female, male, red meat

7 authors

From DK, US

  • Anne Mette Lund Würtz · correspondingAarhus University
  • Mette D. HansenAarhus University
  • Anne Marie TjønnelandDanish Cancer Society
  • Eric B. RimmBrigham and Women's Hospital; Harvard University
  • Erik Berg SchmidtAalborg University Hospital; Aalborg University
  • Kim OvervadAarhus University; Aalborg University Hospital

Abstract

Red meat has been suggested to be adversely associated with risk of myocardial infarction (MI), but previous studies have rarely taken replacement foods into consideration. We aimed to investigate optimal substitutions between and within the food groups of red meat, poultry and fish for MI prevention. We followed up 55 171 women and men aged 50-64 years with no known history of MI at recruitment. Diet was assessed by a validated 192-item FFQ at baseline. Adjusted Cox proportional hazard models were used to calculate hazard ratios (HR) and 95 % CI for specified food substitutions of 150 g/week. During a median follow-up time of 13·6 years, we identified 656 female and 1694 male cases. Among women, the HR for replacing red meat with fatty fish was 0·76 (95 % CI 0·64, 0·89), whereas the HR for replacing red meat with lean fish was 1·00 (95 % CI 0·89, 1·14). Similarly, replacing poultry with fatty but not lean fish was inversely associated with MI: the HR was 0·81 (95 % CI 0·67, 0·98) for fatty fish and was 1·08 (95 % CI 0·92, 1·27) for lean fish. The HR for replacing lean with fatty fish was 0·75 (95 % CI 0·60, 0·94). Replacing processed with unprocessed red meat was not associated with MI. Among men, a similar pattern was found, although the associations were not statistically significant. This study suggests that replacing red meat, poultry or lean fish with fatty fish is associated with a lower risk of MI.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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