© 1995 Oxford University Press
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The Protective Effect of a Small Amount of Fish on Coronary Heart Disease Mortality in an Elderly Population
Division of Public Health Research, National Institute of Public Health and Environmental Protection PO Box 1, 3720 BA, Bilthoven, The Netherlands.
Background. A protective effect of a small amount of fish on coronary heart disease (CHD) mortality has been establised in observational studies in middle-aged people. In the present study this association was investigated in the elderly
Methods. In 1971 CHD risk factors were measured in 272 people born before 1907. They belonged to a general pratice in Rotterdam, the Netherlands and were followed for 17 years. The cross-check dietary history method was used obtain information on fish comsumption.
Results. During the follow-up period 58 people died from CHD, 67 from cancer and 187 from all causes. In 1971 about 60% of the elderly ate fish and 40% did not eat fish. Multivariate Cox proportional hazards analyses, taking the confounding effect of major risk factor into account, showed an inverse relation between fish consumption and 17-year CHD mortally. The risk ratio (RR) for fish eaters compared with no-fish eaters was significantly different from unity (RR = 0.51, 95% Cl : 0.29–0.89). Cancer and total mortality were not related to fish consumption.
Conclusion. The result from the present study suggest that the protective effect of a small amount of fish in relation to CHD observed in middle-aged people seems also to be present in the elderly.
Received 1 October 1994
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