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Dietary Poultry Intake and the Risk of Stroke: A Dose–Response Meta-Analysis of Prospective Cohort Studies Publisher Pubmed



Mohammadi H1 ; Jayedi A2 ; Ghaedi E3 ; Golbidi D4 ; Shabbidar S2
Authors
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Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
  2. 2. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Cancer, Environmental and Petroleum Pollutant Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  4. 4. Isfahan University of Medical Sciences, Isfahan, Iran

Source: Clinical Nutrition ESPEN Published:2018


Abstract

Background & aims: We performed a meta-analysis to illuminate and quantify the potential relationship between poultry intake and risk of stroke through summarizing available evidence using a dose–response meta-analysis of prospective cohort studies. Methods: Pertinent prospective cohort studies attained using electronic searches through PubMed, and Scopus up to September 25th, 2017. Relative risks (RR) s with corresponding 95% confidence intervals (CIs) of the highest versus the lowest for cohort studies were evaluated using DerSimonian and Laird random-effects models to find combined RRs. We also assessed the dose–response effect of this relationship. Results: A total of 7 studies involving 354 718 participants were met inclusion criteria. The pooled RR of total stroke risk was [RR = 0.92 95% CI, 0.82, 1.03, I2 = 19.8%, Pheterogeneity = 0.28] for the highest versus lowest categories of poultry intake. Subgroup analysis showed an inverse associations for the US people [RR = 0.86 95% CI, 0.77, 0.95, I2 = 0.0%, Pheterogeneity = 0.38] and women [RR = 0.83, 95% CI, 0.72, 0.93, I2 = 0.0%, Pheterogeneity = 0.63]. We did not obtain any significant association in the subtypes of strokes with highest versus lowest poultry intake [Ischemic stroke (RR = 0.91; 95% CI: 0.79, 1.02, I2 = 0.0%, p = 0.93), Hemorrhagic (RR = 0.82; 95% CI: 0.59, 1.04, I2 = 20.5%, Pheterogeneity = 0.28)]. One serving per week increment in poultry intake was not associated with the risk of stroke (RR: 1.00, 95% CI: 0.96, 1.03, I2 = 69.0%, Pheterogeneity = 0.004). Nonlinear dose–response meta-analysis showed lower risk of stroke at consumption ∼1 serving/week. Conclusion: Our meta-analysis revealed that poultry intake is not associated with total stroke risk; furthermore, an inverse relationship in US population and females must be interpreted with caution. © 2017 European Society for Clinical Nutrition and Metabolism
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