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Seafood ChoiCeS

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<strong>Seafood</strong> Choices: Balancing Benefits and Risks<br />

http://www.nap.edu/catalog/11762.html<br />

0 SEAFOOD ChOICES<br />

were 0.93 (95% CI 0.70-1.23), 1.11 (95% CI 0.85-1.46), 1.10 (95% CI<br />

0.84-1.45), and 1.44 (95% CI 1.12-1.86), respectively (p for trend=0.001).<br />

The corresponding adjusted hazard rate ratios were 0.86 (95% CI 0.65-<br />

1.15), 1.08 (95% CI 0.82-1.42), 1.01 (95% CI 0.77-1.34), and 1.34 (95%<br />

CI 1.02-1.76) (p for trend = 0.006). In conclusion, there was no association<br />

between n-3 fatty acid intake from fish and a reduction in risk of atrial fibrillation<br />

or flutter. Surprisingly, the risk was significantly higher at increased<br />

EPA/DHA intake. The authors, however, were unable to exclude the possibility<br />

of residual confounding caused by a lack of information on intake<br />

of fish-oil supplements.<br />

Fibrinogen<br />

Other Cardiovascular Indicators<br />

Balk et al. (2004) found no consistent effect of EPA/DHA on fibrinogen<br />

levels, and the studies reviewed were equally divided among those showing<br />

increases, no change, or decreases in fibrinogen levels compared to controls.<br />

Most of the study results were not significant. However, for those that<br />

did show statistically significant differences between omega-3 treatment<br />

and controls, three showed decreases ranging from 5–20 percent, and one<br />

showed an increase of 11 percent in fibrinogen levels. Cobiac et al. (1991)<br />

reported that seafood consumption may be associated with a small decrease<br />

in fibrinogen level (change = 0.15±0.12), which was significantly different<br />

than the change in the controls (p

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