Author + information
- Received January 12, 2006
- Revision received March 17, 2006
- Accepted March 22, 2006
- Published online August 1, 2006.
- Dariush Mozaffarian, MD, DrPH, FACC⁎,†,⁎ (, )
- Ronald J. Prineas, MD, PhD‡,
- Phyllis K. Stein, PhD§ and
- David S. Siscovick, MD, MPH∥
- ↵⁎Reprint requests and correspondence:
Dr. Dariush Mozaffarian, 665 Huntington Avenue, Building 2, Room 315, Boston, Massachusetts 02115.
Objectives We evaluated the association between dietary fish intake and several cardiac electrocardiographic parameters in humans relevant to arrhythmic risk.
Background Fish consumption may reduce the incidence of sudden death and atrial fibrillation, possibly related to anti-arrhythmic effects.
Methods In a population-based study of 5,096 men and women, we evaluated cross-sectional associations between usual dietary fish intake and electrocardiographic measures of heart rate, atrioventricular conduction (PR interval), ventricular repolarization (QT interval), and ventricular conduction (QRS interval). Multivariate models were adjusted for age, gender, race, education, smoking, body mass index, diabetes, coronary heart disease, physical activity, and intakes of beef or pork, fried fish, fruits, vegetables, alcohol, and total calories.
Results Consumption of tuna or other broiled or baked fish (comparing the highest to the lowest category of intake) was associated with lower heart rate (−3.2 beats/min, 95% confidence interval [CI] = 1.3 to 5.1; p trend <0.001), slower atrioventricular conduction (PR interval +7.2 ms, 95% CI = 1.4 to 12.9; p trend = 0.03), and substantially lower likelihood of prolonged QT (relative risk = 0.50, 95% CI = 0.27 to 0.95; p trend = 0.03). Tuna/other fish intake was not associated with ventricular conduction (p = 0.60). Findings were similar for estimated intake of marine n-3 fatty acids: a 1 g/day higher intake was associated with 2.3 beats/min lower heart rate (95% CI = 0.9 to 3.7), 7.6 ms longer PR interval (95% CI = 3.3 to 11.9), and 46% lower likelihood of prolonged QT (relative risk = 0.54, 95% CI = 0.33 to 0.88).
Conclusions These findings in this large, population-based study suggest that dietary fish intake is associated with cardiac electrophysiology in humans, including heart rate, atrioventricular conduction, and ventricular repolarization, with potential implications for arrhythmic risk.
The NHLBI, NIH, provided support for the research reported in this article (K08-HL-075628; contracts N01-HC-85079 through N01-HC-85086, N01-HC-35129, and N01-HC-15103). For a full list of CHS investigators and institutions, see “About CHS-Principal Investigators and Study Sites” at http://chs-nhlbi.org.
- Received January 12, 2006.
- Revision received March 17, 2006.
- Accepted March 22, 2006.
- American College of Cardiology Foundation