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鱼类摄入与心血管疾病死亡风险剂量反应Meta分析

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目的 探讨鱼类的摄入量与心血管疾病(CVD)死亡风险之间的关系.方法 检索PubMed、Web ofScience、EMBASE、万方以及中国知网数据库,收集从建库至2016年9月所有有关鱼类摄入量与CVD死亡风险关系的中英文文献.采用随机效应模型计算合并RR值及95%可信区间(CI).采用限制性立方样条模型计算剂量反应关系.结果 有14篇队列研究包含了487 442例研究对象符合纳入标准.相对于低的鱼类摄入量,高的鱼类摄入量与CVD死亡率之间的合并RR值为0.91 (95 %CI=0.85~0.96);剂量反应关系结果显示,两者之间呈非线性关系(P=0.041).结论 高的鱼类摄入量与降低CVD死亡风险有关.
FISH CONSUMPTION AND RISK OF CARDIOVASCULAR DISEASE MORTALITY: A DOSE-RESPONSE META-ANALYSIS
Objective To investigate the association of fish consumption with risk of cardiovascular disease (CVD) mortality.Methods A systematic literature search was performed in PubMed,EMBASE,Web of science,Wanfang and Chinese National Knowledge Infrastructure databases up to September 2016-all the Chinese and English literature on the relationship between fish intake and risk of death from CVD was collected.Adopting random effects model,the pooled RR and 95%CI were selected and calculated.The restricted cubic spline model was applied to assess the dose-response relationship.Results A total of 14 prospective cohort studies with 487 442 participants were included in this meta-analysis.For the highest versus the lowest consumption of fish,the pooled RR was 0.91 (95 % CI =0.85-0.96).The dose-response analysis indicated a nonlinear relationship between fish consumption and CVD mortality (P=0.041).Conclusion High fish consumption may be associated with the reduced risk of cardiovascular disease mortality.

fishescardiovascular diseasesmortalitymeta-analysis

宋鑫源、张彤、姜文洁

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青岛大学医学院流行病与卫生统计学教研室,山东青岛 266021

鱼类 心血管疾病 死亡率 Meta分析

2017

齐鲁医学杂志
青岛大学医学院

齐鲁医学杂志

影响因子:0.609
ISSN:1008-0341
年,卷(期):2017.32(1)
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