Evidence map›Paper›PMID 27852254›Full record

ArticleNutrition journal2016

Fish consumption and risk of stroke: a second prospective case-control study from northern Sweden.

Maria Wennberg, Jan-Håkan Jansson, Margareta Norberg, Staffan Skerfving, Ulf Strömberg, Per-Gunnar Wiklund, Ingvar A Bergdahl

Abstract read
In one paragraph

Article in Nutrition journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Maria WennbergDepartment of Public Health and Clinical Medicine, Nutritional Research, Umeå University, 901 87, Umeå, Sweden. maria.wennberg@umu.se.ORCID 0000-0002-1673-8494
Jan-Håkan JanssonDepartment of Public Health and Clinical Medicine, Research Unit Skellefteå, Umeå University, Umeå, Sweden.
Margareta NorbergDepartment of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeå University, Umeå, Sweden.
Staffan SkerfvingDivision of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
Ulf StrömbergHealth Metrics Unit, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Per-Gunnar WiklundDepartment of Public Health and Clinical Medicine, Medicine, Umeå University, Umeå, Sweden.
Ingvar A BergdahlDepartment of Public Health and Clinical Medicine, Occupational and Environmental Medicine, Umeå University, Umeå, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFish consumption has been concluded to be associated with decreased risk of stroke in several reviews. However, among men, but not women, an increased risk of stroke was previously found at high fish consumption (>3 meals/week) in northern Sweden. This study investigates if previous results on elevated stroke risk with high fish consumption in men in northern Sweden can be confirmed in a larger study with new cases in the same population.

methodsA prospective nested case-control study was performed within the population-based Northern Sweden Health and Disease Study cohort. Information on fish consumption, other lifestyle and medical data was collected at baseline. Incident stroke cases (1987-2007, n = 735) were identified and 2698 controls matched for gender, age, year of baseline and geographical region.

resultsThere were no associations between total fish or fatty fish consumption and stroke risk; thus the previous finding of increased risk of stroke with high fish consumption in men could not be repeated. High intake of lean fish (>twice/week compared to < once/month) was associated with increased stroke risk in men [OR 1.80 (95% CI 1.00, 3.21), but not in women [OR 0.50 (95% CI 0.24, 1.10)]. The association was driven by men living alone.

conclusionsThe previous association between high total fish consumption and risk of stroke in men could not be repeated. The increased risk found in men with high intake of lean fish may be due to chance or confounding specific for this group.

Indexed as

DietFishesSeafoodAdultAgedAnimalsCase-Control StudiesFemaleHumansLife StyleMaleMiddle AgedProspective StudiesRisk FactorsSex FactorsStrokeConfoundingFish consumptionHemorraghic strokeIschaemic strokeLifestyle

Identifiers

PMID27852254
PMCPMC5112685

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.