Fish Consumption and Cardiovascular Health: A Systematic Review

Krittanawong, Chayakrit; Isath, Ameesh; Hahn, Joshua; Wang, Zhen; Narasimhan, Bharat; Kaplin, Scott; Jneid, Hani; Virani, Salim S.; Tang, W.H. Wilson

doi:10.1016/j.amjmed.2020.12.017

Cited by 32 publications

(26 citation statements)

References 53 publications

(28 reference statements)

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“…While most of the included studies adjusted for age and sex, many studies did not account for smoking status. Fish consumption is also an important potential confounder, as certain metals and metal species such as Hg and arsenobetaine are abundant in fish and seafood [ 79 ], and fish also contain essential nutrients that may reduce the risk of CVDs [ 80 , 81 ]. Sensitivity analyses restricting to non-fish consumers are therefore important for studies assessing the cardiotoxicity of metal mixtures, especially when arsenic and mercury are being evaluated [ 82 ].…”

Section: Resultsmentioning

confidence: 99%

Exposure to Metal Mixtures in Association with Cardiovascular Risk Factors and Outcomes: A Scoping Review

Yim

Wang

Howe

et al. 2022

Toxics

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Since the National Institute of Environmental Health Sciences (NIEHS) declared conducting combined exposure research as a priority area, literature on chemical mixtures has grown dramatically. However, a systematic evaluation of the current literature investigating the impacts of metal mixtures on cardiovascular disease (CVD) risk factors and outcomes has thus far not been performed. This scoping review aims to summarize published epidemiology literature on the cardiotoxicity of exposure to multiple metals. We performed systematic searches of MEDLINE (PubMed), Scopus, and Web of Science to identify peer-reviewed studies employing statistical mixture analysis methods to evaluate the impact of metal mixtures on CVD risk factors and outcomes among nonoccupationally exposed populations. The search was limited to papers published on or after 1998, when the first dedicated funding for mixtures research was granted by NIEHS, through 1 October 2021. Twenty-nine original research studies were identified for review. A notable increase in relevant mixtures publications was observed starting in 2019. The majority of eligible studies were conducted in the United States (n = 10) and China (n = 9). Sample sizes ranged from 127 to 10,818. Many of the included studies were cross-sectional in design. Four primary focus areas included: (i) blood pressure and/or diagnosis of hypertension (n = 15), (ii) risk of preeclampsia (n = 3), (iii) dyslipidemia and/or serum lipid markers (n = 5), and (iv) CVD outcomes, including stroke incidence or coronary heart disease (n = 8). The most frequently investigated metals included cadmium, lead, arsenic, and cobalt, which were typically measured in blood (n = 15). The most commonly utilized multipollutant analysis approaches were Bayesian kernel machine regression (BKMR), weighted quantile sum regression (WQSR), and principal component analysis (PCA). To our knowledge, this is the first scoping review to assess exposure to metal mixtures in relation to CVD risk factors and outcomes. Recommendations for future studies evaluating the associations of exposure to metal mixtures with risk of CVDs and related risk factors include extending environmental mixtures epidemiologic studies to populations with wider metals exposure ranges, including other CVD risk factors or outcomes outside hypertension or dyslipidemia, using repeated measurement of metals to detect windows of susceptibility, and further examining the impacts of potential effect modifiers and confounding factors, such as fish and seafood intake.

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Section: Resultsmentioning

confidence: 99%

Exposure to Metal Mixtures in Association with Cardiovascular Risk Factors and Outcomes: A Scoping Review

Yim

Wang

Howe

et al. 2022

Toxics

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“…In the present study, the amount of seafood consumption in Prinzmetal angina patients was lower than healthy people. Based on other studies, more intake of fresh fish is a protective factor against cardiovascular diseases [ 50 , 51 ], but some studies have shown inconsistent results. Krittanawong et al [ 50 ], in a review study, concluded that non-fried fish consumption was probably associated with a reduced risk of overall cardiovascular disease events and myocardial infarction risk.…”

Section: Discussionmentioning

confidence: 99%

Adherence to the Mediterranean Diet Association with Serum Levels of Nitric Oxide, Prostacyclin, and Thromboxane B2 among Prinzmetal Angina Patients and Healthy Persons

Mohajeri

Cicero

2023

Nutrients

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This study aimed to assess the association between adherence to the Mediterranean diet with serum Nitric oxide, Prostacyclin, and Thromboxane B2 among Prinzmetal angina patients and healthy persons. This case-control study was conducted among 100 Prinzmetal angina patients and 100 healthy persons referred to the Ardabil Imam Khomeini hospital between 2021 and 2022. Blood samples were obtained from all study participants for measurement of serum Nitric oxide, Prostacyclin, and Thromboxane B2. To calculate adherence to the Mediterranean diet, the ten-item screener was used. The serum Nitric oxide in patients who adhered more to the Mediterranean diet was higher than patients with less adherence (coeff. = 0.41 p = 0.04). The serum Prostacyclin level in patients with greater adherence to the Mediterranean diet was 0.34 units higher than patients with less adherence (coeff. = 0.34 p = 0.02). The level of serum Thromboxane B2 had a negative association with adherence to the Mediterranean diet (coeff. = −0.48 p = 0.04). The amount of consumption of olive oil, fruits, vegetables, and legumes in healthy people was more than Prinzmetal angina patients. In Prinzmetal angina patients, more adherence to the Mediterranean diet can decrease the serum Thromboxane B2 and increase the serum Nitric oxide and Prostacyclin.

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“…In the case of fish, the method of their cooking is very important. Eating fish can reduce the incidence of cardiovascular disease but eating fried fish can increase the risk of cardiovascular events [ 36 , 37 ]. In Poland, it is particularly important to include fish in food-based dietary guidelines due to very low consumption in this country [ 27 , 38 ].…”

Section: Discussionmentioning

confidence: 99%

Red and Processed Meat Consumption in Poland

Stós

Rychlik

Woźniak

et al. 2022

Foods

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The aim of the study was to assess the quantity and frequency of meat consumption, especially of red and processed meat, in Poland. The amount of meat consumed was assessed using data from household budget surveys undertaken in 2000, 2010, and 2020. The frequency of consumption was assessed using Food Propensity Questionnaire data from 1831 adults in 2019–2020. Poles consumed 1.35 kg of unprocessed red meat and 1.96 kg of total processed meat per person per month in 2020. The consumption of red meat was lower than in the two previous decades; the consumption of processed meat fluctuated. Pork was the most commonly consumed red meat: 40% of adults consumed pork 2–3 times a week. Beef and other unprocessed red meat were most often consumed less than once a month (29.1%). Processed meat was often consumed: 37.8% of adults ate cold cuts, and 34.9% ate sausages and bacon 2–3 times a week. The consumption of red and processed meat in Poland was high and frequent. In particular, the consumption of processed meat exceeded the recommendations and might increase the risk of chronic diseases. It is necessary to implement activities aimed at reducing the consumption of red and processed meat in Poland.

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Fish Consumption and Cardiovascular Health: A Systematic Review

Cited by 32 publications

References 53 publications

Exposure to Metal Mixtures in Association with Cardiovascular Risk Factors and Outcomes: A Scoping Review

Exposure to Metal Mixtures in Association with Cardiovascular Risk Factors and Outcomes: A Scoping Review

Adherence to the Mediterranean Diet Association with Serum Levels of Nitric Oxide, Prostacyclin, and Thromboxane B2 among Prinzmetal Angina Patients and Healthy Persons

Red and Processed Meat Consumption in Poland

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