| Title: | Vegetarians, fish, poultry, and meat-eaters: who has higher risk of cardiovascular disease incidence and mortality? A prospective study from UK Biobank |
| Journal: | European Heart Journal |
| Published: | 14 Dec 2020 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/33313747/ |
| DOI: | https://doi.org/10.1093/eurheartj/ehaa939 |
| URL: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7982287 |
Publication 5987
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Abstract
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.</p>
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 {hazard ratios (HR): 0.93 [95% confidence intervals (CI): 0.88-0.97]}, 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.</p>
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.</p>
15 Keywords
- Animals
- Biological Specimen Banks
- Cardiovascular Diseases
- Diet
- Diet, Vegetarian
- Female
- Humans
- Incidence
- Male
- Meat
- Poultry
- Prospective Studies
- Risk Factors
- United Kingdom
- Vegetarians
10 Authors
- Fanny Petermann-Rocha
- Solange Parra-Soto
- Stuart Gray
- Jana Anderson
- Paul Welsh
- Jason Gill
- Naveed Sattar
- Frederick K Ho
- Carlos Celis-Morales
- Jill P Pell
1 Application
| Application ID | Title |
|---|---|
| 7155 | Epidemiology of mental health, cognitive function, pain and cardiometabolic disease. |
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