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Vegetarians, fish, poultry, and meat-eaters: who has higher risk of cardiovascular disease incidence and mortality? A prospective study from UK Biobank

Petermann-Rocha, Fanny ; Parra-Soto, Solange ; Gray, Stuart ; Anderson, Jana ; Welsh, Paul ; Gill, Jason ; Sattar, Naveed ; Ho, Frederick K ; Celis-Morales, Carlos ; Pell, Jill P

European heart journal, 2021-03, Vol.42 (12), p.1136-1143 [Periódico revisado por pares]

England: Oxford University Press

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  • Título:
    Vegetarians, fish, poultry, and meat-eaters: who has higher risk of cardiovascular disease incidence and mortality? A prospective study from UK Biobank
  • Autor: Petermann-Rocha, Fanny ; Parra-Soto, Solange ; Gray, Stuart ; Anderson, Jana ; Welsh, Paul ; Gill, Jason ; Sattar, Naveed ; Ho, Frederick K ; Celis-Morales, Carlos ; Pell, Jill P
  • Assuntos: Animals ; Biological Specimen Banks ; Cardiovascular Diseases - epidemiology ; Clinical Research ; Diet ; Diet, Vegetarian ; Editor's Choice ; Female ; Humans ; Incidence ; Male ; Meat ; Poultry ; Prospective Studies ; Risk Factors ; United Kingdom - epidemiology ; Vegetarians
  • É parte de: European heart journal, 2021-03, Vol.42 (12), p.1136-1143
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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    Frederick K Ho, Carlos Celis-Morales and Jill P Pell authors contributed equally to this work and are joint senior authors.
  • Descrição: 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. 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. 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. Graphical Abstract
  • Editor: England: Oxford University Press
  • Idioma: Inglês
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