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In both the Lyon Diet Heart Study38 (testing a Mediterranean-style diet enriched with -linolenic acid) and the GISSI-Prevention Study39 (testing the effects of 850 mg of supplemental omega-3 fatty acids), there was no significant effect on the incidence music art dance of stroke. The evidence to date is primarily for total stroke risk, and associations could differ if the data were analyzed for type-specific stroke incidence. For example, evidence exists for music art dance an inverse relationship between small music art dance intakes of fish (1 portion per week) and ischemic stroke32 and for a possible increased risk for hemorrhagic stroke with "Eskimo" intakes of omega-3 fatty acids.40 Thus, as Zhang et al8 have noted, linking fish consumption with total stroke risk is likely to underestimate the strength of the real associations between fish consumption and type-specific stroke risk.
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