Citation
Zhuang, Pan; Wang, Wenqiao; Wang, Jun; Zhang, Yu; & Jiao, Jingjing (2018). Current Level of Fish Consumption Is Associated with Mortality in Chinese but not U.S. Adults: New Findings from Two Nationwide Cohort Studies with 14 and 9.8 Years of Follow-Up. Molecular Nutrition & Food Research, 62, e1700898.Abstract
SCOPE: Whether dietary fish consumption is linked to mortality remains unclear. We aim to investigate the association of fish consumption with mortality in Chinese and US nationwide populations.
METHODS AND RESULTS: We utilized data from China Health and Nutrition Survey (CHNS, n = 14,117) and National Health and Nutrition Examination Survey (NHANES, n = 33,221) including NHANES III conducted in 1988-1994 and continuous NHANES 1999-2010. Cox proportional hazards regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs). During a median follow-up of 14 and 9.8 years for CHNS and NHANES, 1007 and 5209 deaths were documented, respectively. Among Chinese adults, increased fish intake was significantly associated with decreased total mortality. The multivariable-adjusted HRs (95% CIs) across increasing categories of fish intake were 0.45 (0.36-0.56), 0.72 (0.60-0.86) and 0.70 (0.59-0.85) (P trend < 0.0001). However, fish intake was not associated with total mortality among US adults (P trend = 0.21). We only detected a borderline inverse association between fish intake and stroke mortality (P trend = 0.05), whereas a positive association with diabetes mortality in the third category of fish intake in NHANES.
CONCLUSION: In these two nationwide cohort studies, fish consumption is associated with a reduced risk of total mortality for Chinese but not US populations. This article is protected by copyright. All rights reserved.
URL
http://dx.doi.org/10.1002/mnfr.201700898Reference Type
Journal ArticleYear Published
2018Journal Title
Molecular Nutrition & Food ResearchAuthor(s)
Zhuang, PanWang, Wenqiao
Wang, Jun
Zhang, Yu
Jiao, Jingjing