期刊
EUROPEAN HEART JOURNAL
卷 42, 期 12, 页码 1136-1143出版社
OXFORD UNIV PRESS
DOI: 10.1093/eurheartj/ehaa939
关键词
Cardiovascular diseases; Vegetarians; Meat; Incidence; Mortality
资金
- Welsh Assembly Government
- British Heart Foundation
- Chilean Government
The study compared the incidence and mortality risk for cardiovascular diseases among people with different types of diets and found that eating fish and being vegetarian were associated with a lower risk of adverse cardiovascular outcomes compared to meat-eaters.
Aims To compare the incidence and mortality risk for cardiovascular diseases (CVD) [CVD and also ischaemic heart disease (IHD), myocardial infarction (MI), stroke, and heart failure (HF)] among people with different types of diets-including vegetarians, fish eaters, fish and poultry eaters, and meat-eaters-using data from UK Biobank. Methods and results A total of 422 791 participants (55.4% women) were included in this prospective analysis. Using data from a food frequency questionnaire, four types of diets were derived. Associations between types of diets and health outcomes were investigated using Cox proportional hazard models. Meat-eaters comprised 94.7% of the cohort and were more likely to be obese than other diet groups. After a median follow-up of 8.5 years, fish eaters, compared with meat-eaters, had lower risks of incident CVD fhazard ratios (HR): 0.93 [95% confidence intervals (CI): 0.880.97]g, IHD [HR: 0.79 (95% CI: 0.70-0.88)], MI [HR: 0.70 (95% CI: 0.56-0.88)], stroke [HR: 0.79 (95% CI: 0.63-0.98)] and HF [HR: 0.78 (95% CI: 0.63-0.97)], after adjusting for confounders. Vegetarians had lower risk of CVD incidence [HR: 0.91 (95% CI: 0.86-0.96)] relative to meat-eaters. In contrast, the risk of adverse outcomes was not different in fish and poultry eaters compared with meat-eaters. No associations were identified between types of diets and CVD mortality. Conclusion Eating fish rather than meat or poultry was associated with a lower risk of a range of adverse cardiovascular outcomes. Vegetarianism was only associated with a lower risk of CVD incidence.
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