Long-term fish consumption is associated with protection against arrhythmia in healthy persons in a Mediterranean region—the ATTICA study

作者: Christina Chrysohoou , Demosthenes B Panagiotakos , Christos Pitsavos , John Skoumas , Xenofon Krinos

DOI: 10.1093/AJCN/85.5.1385

关键词: DemographyHeart diseaseMedicineConfoundingPopulationUnsaturated fatty acidDiseaseQT intervalAnthropometryElectrocardiography

摘要: BACKGROUND:Dietary habits have long been associated with many manifestations of cardiovascular disease. OBJECTIVE:We sought to investigate whether a diet enriched fish and n-3 fatty acid consumption are changes in the potential duration electrical action, as represented by QT on resting electrocardiogram, population-based sample Greek adults. DESIGN:During 2001 2002, we randomly enrolled 1514 men (18-87 y old) 1528 women (18-89 stratified age sex distribution (in census) from Attica area, Greece. We studied several demographic, anthropometric, lifestyle, dietary, bioclinical factors participants. Dietary (including consumption) were evaluated using validated food-frequency questionnaire. All subjects underwent electrocardiography 12-lead surface, which, along other indexes, was measured, heart rate-corrected (QTc) calculated (corrected Bazett's rate). The tested hypothesis through multiple linear regression analysis, after control for physical activity status, sex, age, medication intake, confounders. RESULTS:Compared nonconsumers, those who consumed >300 g fish/wk had mean 13.6% lower QTc (P =300 29.2% likelihood having intervals >0.45 s = 0.03). CONCLUSIONS:Long-term is interval free-eating people without any evidence Thus, intake seems provide antiarrhythmic protection at population level.

参考文章(45)
Richard F Gillum, Michael Mussolino, Jennifer H Madans, The relation between fish consumption, death from all causes, and incidence of coronary heart disease. the NHANES I Epidemiologic Follow-up Study. Journal of Clinical Epidemiology. ,vol. 53, pp. 237- 244 ,(2000) , 10.1016/S0895-4356(99)00149-3
Ghazwan S. Butrous, Peter J. Schwartz, Clinical Aspects of Ventricular Repolarization ,(1989)
Christina Chrysohoou, Demosthenes B Panagiotakos, Christos Pitsavos, Undurti N Das, Christodoulos Stefanadis, Adherence to the Mediterranean diet attenuates inflammation and coagulation process in healthy adults: The ATTICA Study. Journal of the American College of Cardiology. ,vol. 44, pp. 152- 158 ,(2004) , 10.1016/J.JACC.2004.03.039
Jing X Kang, Alexander Leaf, Prevention of fatal cardiac arrhythmias by polyunsaturated fatty acids The American Journal of Clinical Nutrition. ,vol. 71, ,(2000) , 10.1093/AJCN/71.1.202S
W C Willett, F Sacks, A Trichopoulou, G Drescher, A Ferro-Luzzi, E Helsing, D Trichopoulos, Mediterranean diet pyramid: a cultural model for healthy eating The American Journal of Clinical Nutrition. ,vol. 61, ,(1995) , 10.1093/AJCN/61.6.1402S
Alois Sellmayer, Helmut Witzgall, Reinhard L. Lorenz, Peter C. Weber, Effects of Dietary Fish Oil on Ventricular Premature Complexes American Journal of Cardiology. ,vol. 76, pp. 974- 977 ,(1995) , 10.1016/S0002-9149(99)80276-8
M.L. Burr, J.F. Gilbert, R.M. Holliday, P.C. Elwood, A.M. Fehily, S. Rogers, P.M. Sweetnam, N.M. Deadman, EFFECTS OF CHANGES IN FAT, FISH, AND FIBRE INTAKES ON DEATH AND MYOCARDIAL REINFARCTION: DIET AND REINFARCTION TRIAL (DART) The Lancet. ,vol. 334, pp. 757- 761 ,(1989) , 10.1016/S0140-6736(89)90828-3
S. Pepe, K. Bogdanov, H. Hallaq, H. Spurgeon, A. Leaf, E. Lakatta, Omega 3 polyunsaturated fatty acid modulates dihydropyridine effects on L-type Ca2+ channels, cytosolic Ca2+, and contraction in adult rat cardiac myocytes. Proceedings of the National Academy of Sciences of the United States of America. ,vol. 91, pp. 8832- 8836 ,(1994) , 10.1073/PNAS.91.19.8832
Ka He, Yiqing Song, Martha L. Daviglus, Kiang Liu, Linda Van Horn, Alan R. Dyer, Philip Greenland, Accumulated evidence on fish consumption and coronary heart disease mortality: a meta-analysis of cohort studies. Circulation. ,vol. 109, pp. 2705- 2711 ,(2004) , 10.1161/01.CIR.0000132503.19410.6B