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Associations Between Plasma Omega-3 and Fish Oil Use With Risk of Atrial Fibrillation in the UK Biobank
Evan O'Keefe1, James H O'Keefe1,2, Nathan L Tintle2,3
1Saint Luke's Mid America Heart Institute and University of Missouri-Kansas City Kansas City MO USA.
Higher omega-3 fatty acid levels in the blood are linked to a lower risk of atrial fibrillation (AF). Fish oil supplement use, however, showed no association with AF risk in a large UK study.
Area of Science:
- Cardiology
- Nutritional Science
- Epidemiology
Background:
- Conflicting evidence exists regarding omega-3 fatty acids and atrial fibrillation (AF) risk.
- Some meta-analyses suggest increased AF risk with omega-3 products, while others indicate a protective effect based on blood levels.
Purpose of the Study:
- To investigate the association between plasma omega-3 levels and fish oil supplement (FOS) use with incident AF risk.
- To clarify the relationship between omega-3s and AF in a large cohort study.
Main Methods:
- Retrospective analysis of UK Biobank data.
- Examined plasma omega-3 levels and reported FOS use in relation to incident AF.
- Used multivariable-adjusted hazard ratios for continuous and dichotomous exposure variables.
Main Results:
- Higher plasma omega-3 levels were inversely associated with incident AF (HR per IQ5R, 0.89).
- Fish oil supplement use was reported by 31% of the cohort.
- No association was found between FOS use and AF risk after multivariable adjustment (HR, 1.00).
Conclusions:
- Elevated circulating omega-3 levels are associated with a reduced risk of AF.
- Fish oil supplement use, when adjusted for age as a continuous variable, does not appear to be associated with AF risk.
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