RT Journal Article T1 No association between fish consumption and risk of stroke in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC-Spain): a 13·8-year follow-up study. A1 Amiano, Pilar A1 Chamosa, Saioa A1 Etxezarreta, Nerea A1 Arriola, Larraitz A1 Moreno-Iribas, Conchi A1 Huerta, José-María A1 Egües, Nerea A1 Guevara, Marcela A1 Navarro, Carmen A1 Chirlaque, María-Dolores A1 Sanchez-Perez, Maria-Jose A1 Molina-Montes, Esther A1 Requena, Mar A1 Quirós, Jose-Ramón A1 Obón-Santacana, Mireia A1 Jakszyn, Paula A1 González, Carlos-Alberto A1 Dorronsoro, Miren K1 Cohort studies K1 Fish consumption K1 Stroke AB To prospectively assess the associations between lean fish, fatty fish and total fish intakes and risk of stroke in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC-Spain). Fish intake was estimated from a validated dietary questionnaire. Cox proportional hazards regression models were used to assess the association between the intakes of lean fish, fatty fish and total fish and stroke risk. Models were run separately for men and women. Five Spanish regions (Asturias, San Sebastian, Navarra, Granada and Murcia). Individuals (n 41 020; 15 490 men and 25 530 women) aged 20-69 years, recruited from 1992 to 1996 and followed-up until December 2008 (December 2006 in the case of Asturias). Only participants with definite incident stroke were considered as cases. During a mean follow-up of 13·8 years, 674 strokes were identified and subsequently validated by record linkage with hospital discharge databases, primary-care records and regional mortality registries, comprising 531 ischaemic, seventy-nine haemorrhagic, forty-two subarachnoid and twenty-two unspecific strokes. After multiple adjustments, no significant associations were observed between lean fish, fatty fish and total fish consumption and the risk of stroke in men or women. In men, results revealed a non-significant trend towards an inverse association between lean fish (hazard ratio=0·84; 95 % CI 0·55, 1·29, P trend=0·06) and total fish consumption (hazard ratio=0·77; 95 % CI 0·51, 1·16, P trend=0·06) and risk of total stroke. In the EPIC-Spain cohort, no association was found between lean fish, fatty fish and total fish consumption and risk of stroke. YR 2016 FD 2016 LK http://hdl.handle.net/10668/9841 UL http://hdl.handle.net/10668/9841 LA en DS RISalud RD Apr 7, 2025