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Daan Kromhout, PhD, MPH

JAMA. 1998;279:65-66.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Nearly 20 years ago, Bang and coworkers¹ first suggested that the low mortality rate from coronary heart disease among Greenland Eskimos compared with Danes may be due to their high consumption of seafood. Five years later, in a prospective cohort study, Kromhout et al² showed that consumption of fish once or twice a week was associated with a 50% reduction in coronary heart disease mortality. Since that time, the majority (but not all) of 14 additional cohort studies that have been published have shown a protective effect from the consumption of a small amount of fish.³ The controversy surrounding the association between fish consumption and coronary heart disease was enhanced by the publication of negative results from 2 large cohort studies from the United States^4-5 and the inconsistent findings from 3 other studies.^6-8

The hypothesis that fish consumption may be protective in relation to sudden cardiac . . . [Full Text of this Article]

From the Division of Public Health Research, National Institute of Public Health and the Environment, Bilthoven, the Netherlands.

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