Fatty fish, marine omega-3 fatty acids and incidence of heart failure

Eur J Clin Nutr. 2010 Jun;64(6):587-94. doi: 10.1038/ejcn.2010.50. Epub 2010 Mar 24.

Abstract

Background/objectives: Marine omega-3 fatty acids have beneficial effects on cardiovascular risk factors. Consumption of fatty fish and marine omega-3 has been associated with lower rates of cardiovascular diseases. We examined the association of fatty fish and marine omega-3 with heart failure (HF) in a population of middle-aged and older women.

Subjects/methods: Participants in the Swedish Mammography Cohort aged 48-83 years completed 96-item food-frequency questionnaires. Women without any history of HF, myocardial infarction or diabetes at baseline (n=36,234) were followed from 1 January 1998 until 31 December 2006 for HF hospitalization or mortality through Swedish inpatient and cause-of-death registers; 651 women experienced HF events. Cox proportional hazards models accounting for age and other confounders were used to calculate incidence rate ratios (RR) and 95% confidence intervals (CI).

Results: Compared with women who did not eat fatty fish, RR were 0.86 (95% CI: 0.67, 1.10) for <1 serving per week, 0.80 (95% CI: 0.63, 1.01) for 1 serving per week, 0.70 (95% CI: 0.53, 0.94) for 2 servings per week and 0.91 (95% CI: 0.59, 1.40) for >or=3 servings per week (P(trend)=0.049). RR across quintiles of marine omega-3 fatty acids were 1 (reference), 0.85 (95% CI: 0.67, 1.07), 0.79 (95% CI: 0.61, 1.02), 0.83 (95% CI 0.65, 1.06) and 0.75 (95% CI: 0.58, 0.96) (P(trend)=0.04).

Conclusion: Moderate consumption of fatty fish (1-2 servings per week) and marine omega-3 fatty acids were associated with a lower rate of first HF hospitalization or death in this population.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Animals
  • Cohort Studies
  • Diet Surveys
  • Dietary Fats / administration & dosage*
  • Fatty Acids, Omega-3 / administration & dosage*
  • Feeding Behavior
  • Female
  • Fishes*
  • Heart Failure / epidemiology*
  • Heart Failure / prevention & control
  • Humans
  • Incidence
  • Mammography
  • Middle Aged
  • Proportional Hazards Models
  • Risk Factors
  • Seafood*
  • Surveys and Questionnaires
  • Sweden / epidemiology

Substances

  • Dietary Fats
  • Fatty Acids, Omega-3