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Fish protects against chronic heart condition in elderly

20/07/2004 - Eating broiled or baked fish – but not fried fish –

appears to lower the incidence of one of the most common causes of

stroke among the elderly, according to a study published yesterday.

The study is the first to examine whether fish intake affects atrial

fibrillation. It is also the first to focus on the kind of fish meals

eaten, according to lead author Dariush Mozaffarian.

" The results suggest that regular intake of tuna or other broiled or

baked fish may be a simple and important deterrent to atrial

fibrillation among older men and women, " said Mozaffarian, a

researcher in the Channing Laboratory, Brigham and Women's Hospital

and Harvard Medical School in Boston.

An estimated 2.3 million Americans have atrial fibrillation, and this

number is expected to double during the next two decades. The

prevalence of atrial fibrillation increases with age and affects

about 5 per cent of those 70 years of age or older. Among the very

elderly, atrial fibrillation is the single most important cause of

ischemic stroke, and accounts for up to 36 per cent of all strokes in

elderly people.

The chronic condition occurs when the heart's two upper chambers (the

atria) quiver instead of beating effectively. This causes disability

through fatigue, shortness of breath and reduced exercise tolerance.

It also increases the tendency for blood to clot.

Researchers analyzed data from the US government-funded

Cardiovascular Health Study, a prospective, population-based,

multicenter study on 4,800 people over the age of 65, with 12 years

of follow-up.

Writing in yesterday's rapid access issue of Circulation, the

researchers report that higher consumption of tuna fish (fresh or

canned) or other fish that was broiled or baked was associated with

lower incidence of atrial fibrillation.

People who reported eating those fish one to four times per week had

a 28 per cent lower risk of the condition, while those who had five

or more servings had a 31 per cent lower risk compared to those who

ate fish less than once a month.

In contrast, researchers found that eating fried fish or fish

sandwiches (fish burgers) was not associated with lower risk of the

condition and these differences persisted after adjusting for other

risk factors, including smoking, diabetes, prior stroke and high

blood pressure.

Researchers assessed dietary intake through a questionnaire about

usual fish consumption during the past year. In an earlier study on a

subgroup of this patient population, the researchers discovered that

eating tuna or other broiled and baked fish correlated to increased

biomarkers of long-chain omega-3 fatty acids in the blood while

eating fried fish or fish sandwiches did not.

" The lack of correlation between fried fish and fish sandwich intake

and omega-3 fatty acid levels suggests that these fish meals were

either mostly lean (white) fish or that the preparation method

affected the omega-3 fatty acid content, " Mozaffarian said.

However he added that " the former may be more likely because, on

average, most fried fish or fish sandwiches eaten in the United

States are lean (white) fish such as cod or pollock " .

The potential mechanisms of this relationship – such as effects on

blood pressure, left ventricular function, inflammation, or direct

anti-arrhythmic effects – should be evaluated further, he said.

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> Fish protects against chronic heart condition in elderly

************************************************************

Thanks for the post, Trudy. Guess I'll have a tuna sandwich for

lunch tomorrow. Like'em anyway.

Ed in VA

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> Fish protects against chronic heart condition in elderly

************************************************************

Thanks for the post, Trudy. Guess I'll have a tuna sandwich for

lunch tomorrow. Like'em anyway.

Ed in VA

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Guest guest

> Fish protects against chronic heart condition in elderly

************************************************************

Thanks for the post, Trudy. Guess I'll have a tuna sandwich for

lunch tomorrow. Like'em anyway.

Ed in VA

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