51. Fish consumption and all-cause mortality: a meta-analysis of cohort studies
- Author
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Jiang-Wei Sun, Xiong Ma, Long-Gang Zhao, Yang Yang, Yong-Bing Xiang, and Yue-Ying Wang
- Subjects
Adult ,Male ,Risk ,0301 basic medicine ,Medicine (miscellaneous) ,Lower risk ,Eating ,03 medical and health sciences ,0302 clinical medicine ,Cause of Death ,Animals ,Humans ,Medicine ,Prospective Studies ,030212 general & internal medicine ,Prospective cohort study ,Cause of death ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Fishes ,Middle Aged ,Random effects model ,Confidence interval ,Seafood ,Meta-analysis ,Relative risk ,Female ,business ,Demography ,Cohort study - Abstract
Background/objectives Although fish consumption may have an influence on specific mortality of major chronic diseases, the relationship between fish consumption and all-cause mortality remains inconsistent. Subjects/methods We performed a systematic search of publications using PubMed and Web of science up to 31 December 2014. Summary relative risk (RR) for the highest versus lowest category of fish consumption on risk of all-cause mortality was calculated by using a random effects model. Potential nonlinear relation was tested by modeling fish intake using restricted cubic splines with three knots at fixed percentiles of the distribution. Results Twelve prospective cohort studies with 672,389 participants and 57,641 deaths were included in this meta-analysis. Compared with the lowest category, the highest category of fish intake was associated with about a 6% significantly lower risk of all-cause mortality (RR=0.94, 95% confidence interval (CI): 0.90, 0.98; I(2)=39.1%, P=0.06). The dose-response analysis indicated a nonlinear relationship between fish consumption and all-cause mortality. Compared with never consumers, consumption of 60 g of fish per day was associated with a 12% reduction (RR=0.88, 95% CI: 0.83, 0.93) in risk of total death. Conclusions These results imply that fish consumption was associated with a reduced risk of all-cause mortality.
- Published
- 2015