Fish consumption in relation to myocardial infarction, stroke and mortality among women and men with type 2 diabetes: A prospective cohort study

You will have to ask your doctor if the full article refutes this earlier research from Oct. 2012. Or is diabetes the reason for the difference? Your doctor should know the answer to this.

Adding just two servings of fish to the diet each week could be an important way to cut your risk of stroke, finds a new study. The newest research found fish oil supplements don’t seem to provide the same benefit.     Oct. 2012

The latest here:

Fish consumption in relation to myocardial infarction, stroke and mortality among women and men with type 2 diabetes: A prospective cohort study

Clinical Nutrition, 01/30/2017 Wallin A, et al.

Among individuals with type 2 diabetes, fish consumption was associated with lower myocardial infarction (MI) incidence, while no association was seen with stroke. The data additionally showed an association with lower mortality, especially for coronary heart disease (CHD)–related deaths. Researchers bolster the current general advice on regular fish consumption also in the high–risk group of type 2 diabetes patients.

Methods

• From 1998 through 2012, the researchers followed women and men with diagnosed type 2 diabetes (n=2225; aged 45-84 years) within 2 population-based cohorts (the Swedish Mammography Cohort and the Cohort of Swedish Men).
• They used Cox proportional hazards models to estimate hazard ratios (HRs) with 95% confidence intervals (CIs).

Results

• During follow-up of up to 15 years, the researchers identified 333 incident MI events, 321 incident stroke events and 771 deaths (154 with coronary heart disease [CHD] as underlying cause).
• In this study, the multivariable HRs comparing >3 servings/week with ≤3 servings/month were 0.60 (95% CI, 0.39-0.92) for MI and 1.04 (95% CI, 0.66-1.64) for stroke.
• For total mortality, HRs were lowest for moderate fish consumption of 1- <2 servings/week (0.82; 95% CI, 0.64-1.04) and 2-3 servings/week (0.79; 95% CI, 0.61-1.01) compared with ≤3 servings/month.
• For CHD-related mortality, the corresponding HRs were 0.53; 95% CI, 0.32-0.90 and 0.75; 95% CI, 0.45-1.27.

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