Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Food and health

Investigating the effects of arctic dietary intake on lung health

Abstract

Background/Objective:

Preservation of lung health requires understanding the modifiable risk factors of airflow limitation. This study investigates the association between diet and lung function in a population of Greenland Inuit residing in the Arctic (Greenland) or Western Europe (Denmark).

Subjects/Methods:

Two unselected Inuit populations were recruited, one living in Greenland (Urban (Nuuk) n=358; Rural (Uummannaq) n=207) and the other in Denmark (n=539). Lung function was measured using spirometry and diet by a food frequency questionnaire. Factors associated with airflow limitation were assessed using multiple linear regression models.

Results:

The dietary composition differed significantly in the two regions, with higher whale, seal and wild meat intake and lower fruit and vegetable intake in the Arctic regions compared with Denmark. Consumption of vegetables (P=0.004) and whale and/or seal (P<0.0001) was significantly and positively associated with FEV1, as well as with FVC (vegetables: P=0.001, whale and/or seal: P=0.002). Regular fruit intake was included in the statistical models; however, it did not reach statistical significance (FEV1: P=0.053; FVC: P=0.055).

Conclusions:

High dietary intake of vegetables as well as intake of arctic marine mammals had independent positive associations with lung function in this cohort of Greenlandic Inuit. These findings suggest an additive role of dietary intake of antioxidants and unsaturated fatty acids in lung health, which warrants prospective evaluation.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Hole DJ, Watt GCM, Davey-Smith G, Hart CL, Gillis CR, Hawthorne VM . Impaired lung function and mortality risk in men and women: findings from the Renfrew and Paisley prospective population study. BMJ 1996; 313: 711–715.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Schünemann HJ, Dorn J, Grant BJB, Winkelstein JW, Trevisan M . Pulmonary function is a long-term predictor of mortality in the general population*: 29-year follow-up of the buffalo health study. Chest 2000; 118: 656–664.

    Article  PubMed  Google Scholar 

  3. Buist AS, McBurnie MA, Vollmer WM, Gillespie S, Burney P, Mannino DM et al. International variation in the prevalence of COPD (The BOLD Study): a population-based prevalence study. Lancet 370: 741–750.

    Article  Google Scholar 

  4. Thorleifsson S, Margretardottir O, Gudmundsson G, Olafsson I, Benediktsdottir B, Janson C et al. Chronic airflow obstruction and markers of systemic inflammation: results from the BOLD study in Iceland. Respir Med 2009; 103: 1548–1553.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Sin DD, Wu L, Man SFP . The relationship between reduced lung function and cardiovascular mortality*: A population-based study and a systematic review of the literature. Chest 2005; 127: 1952–1959.

    Article  PubMed  Google Scholar 

  6. James AL, Knuiman MW, Divitini ML, Hui J, Hunter ML, Mulrennan SA et al. Risk factors for respiratory symptoms in adults: The Busselton Health Study. Respirology 2013; 18: 1256–1260.

    Article  PubMed  Google Scholar 

  7. Ferrie JE, Singh-Manoux A, Kivimäki M, Mindell J, Breeze E, Smith GD et al. Cardiorespiratory risk factors as predictors of 40-year mortality in women and men. Heart 2009; 95: 1250–1257.

    Article  CAS  PubMed  Google Scholar 

  8. Varraso R, Fung T, Hu F, Willett W, Camargo C . Prospective study of dietary patterns and chronic obstructive pulmonary disease among US men. Thorax 2007; 62: 786–791.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Varraso R, Fung TT, Barr RG, Hu FB, Willett W, Camargo CA . Prospective study of dietary patterns and chronic obstructive pulmonary disease among US women. Am J Clin Nutr 2007; 86: 488–495.

    Article  CAS  PubMed  Google Scholar 

  10. Hirayama F, Lee AH, Binns CW, Hiramatsu N, Mori M, Nishimura K . Dietary intake of isoflavones and polyunsaturated fatty acids associated with lung function, breathlessness and the prevalence of chronic obstructive pulmonary disease: Possible protective effect of traditional Japanese diet. Mol Nutr Food Res 2010; 54: 909–917.

    Article  CAS  PubMed  Google Scholar 

  11. Young T . Are the circumpolar Inuit becoming obese? Am J Hum Biol 2007; 19: 181–189.

    Article  CAS  PubMed  Google Scholar 

  12. Deutch B, Dyerberg J, Pedersen H, Aschlund E, Hansen J . Traditional and modern Greenlandic food - dietary composition, nutrients and contaminants. Sci Total Environ 2007; 384: 106–119.

    Article  CAS  PubMed  Google Scholar 

  13. Deutch B, Pedersen H, Hansen J . Increasing overweight in Greenland: social, demographic, dietary and other life-style factors. Int J Circumpolar Health 2005; 64: 86–98.

    Article  CAS  PubMed  Google Scholar 

  14. Backer V, Nepper-Christensen S, Porsbjerg C, von Linstow M-L, Reersted P . Respiratory symptoms in Greenlanders living in Greenland and Denmark: a population-based study. Ann Allergy Asthma Immunol 2004; 93: 76–82.

    Article  PubMed  Google Scholar 

  15. Jørgensen M, Pedersen M, Siggaard C, Sørensen T, Mulvad G, Hansen J et al. Twenty-four-hour blood pressure among Greenlanders and Danes: relationship to diet and lifestyle. Scand J Clin Lab Invest 2002; 62: 413–422.

    Article  PubMed  Google Scholar 

  16. Jørgensen M, Pedersen M, Siggaard C, Sørensen T, Mulvad G, Hansen J et al. Ethnic, geographic and dietary influences upon vasoactive hormones and blood pressure among Greenland Inuit and Danes. Blood Press 2003; 12: 298–306.

    Article  PubMed  Google Scholar 

  17. Moustgaard H, Bjerregaard P, Borch-Johnsen K, Jørgensen M . Diabetes among Inuit migrants in Denmark. Int J Circumpolar Health 2005; 64: 354–364.

    Article  PubMed  Google Scholar 

  18. Bjerregaard P, Pedersen H, Mulvad G . The associations of a marine diet with plasma lipids, blood glucose, blood pressure and obesity among the inuit in Greenland. Eur J Clin Nutr 2000; 54: 732–737.

    Article  CAS  PubMed  Google Scholar 

  19. Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R et al. General considerations for lung function testing. Eur Respir J 2005; 26: 153–161.

    Article  CAS  PubMed  Google Scholar 

  20. Jeppesen C, Bjerregaard P . Consumption of traditional food and adherance to nutrition recommendations in Greenland. Scand J Public Health 2012; 40: 475–481.

    Article  PubMed  Google Scholar 

  21. Deutch B, Pedersen HS, Hansen JC . Dietary composition in Greenland 2000, plasma fatty acids and persistent organic pollutants. Sci Total Environ 2004; 331: 177–188.

    Article  CAS  PubMed  Google Scholar 

  22. Wood L, Attia J, McElduff P, McEvoy M, Gibson P . Assessment of dietary fat intake and innate immune activation as risk factors for impaired lung function. Eur J Clin Nutr 2010; 64: 818–825.

    Article  CAS  PubMed  Google Scholar 

  23. James M, Gibson R, Cleland L . Dietary polyunsaturated fatty acids and inflammatory mediator production. Am J Clin Nutr 2000; 71: 343S–348S.

    Article  CAS  PubMed  Google Scholar 

  24. Mayer K, Meyer S, Reinholz-Muhly M, Maus U, Merfels M, Lohmeyer J et al. Short-time infusion of fish oil-based lipid emulsions, approved for parenteral nutrition, reduces monocyte proinflammatory cytokine generation and adhesive interaction with endothelium in humans. J Immunol 2003; 171: 4837–4843.

    Article  CAS  PubMed  Google Scholar 

  25. Williams-Bey Y, Boularan C, Vural A, Huang N-N, Hwang I-Y, Shan-Shi C et al. Omega-3 free fatty acids suppress macrophage inflammasome activation by inhibiting NF-κB activation and enhancing autophagy. PLoS ONE 2014; 9: e97957.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Root M, Houser S, Anderson J, Dawson H . Healthy Eating Index 2005 and selected macronutrients are correlated with improved lung function in humans. Nutr Res 2014; 34: 277–284.

    Article  CAS  PubMed  Google Scholar 

  27. Romieu I . Nutrition and lung health. Int J Tuberc Lung Dis 2005; 9: 362–374.

    CAS  PubMed  Google Scholar 

  28. Romieu I, Meneses F, Ramirez M, Ruiz S, Padilla R, Sienra J et al. Antioxidant supplementation and respiratory functions among workers exposed to high levels of ozone. Am J Respir Crit Care Med 1998; 158: 226–232.

    Article  CAS  PubMed  Google Scholar 

  29. Bentley AR, Kritchevsky SB, Harris TB, Holvoet P, Jensen RL, Newman AB et al. Dietary antioxidants and forced expiratory volume in 1 s decline: the Health, Aging and Body Composition study. Eur Respir J 2012; 39: 979–984.

    Article  CAS  PubMed  Google Scholar 

  30. Berthon B, Macdonald-Wicks L, Gibson P, Wood L . Investigation of the association between dietary intake, disease severity and airway inflammation in asthma. Respirology 2013; 18: 447–454.

    Article  PubMed  Google Scholar 

  31. Varraso R, Willett W, Camargo C . Prospective study of dietary fibre and risk of chronic obstructive pulmonary disease among US women and men. Am J Epidemiol 2010; 171: 776–784.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Shahar E, Folsom AR, Melnick SL, Tockman MS, Comstock GW, Gennaro V et al. Dietary n-3 polyunsaturated fatty acids and smoking-related chronic obstructive pulmonary disease. N Engl J Med 1994; 331: 228–233.

    Article  CAS  PubMed  Google Scholar 

  33. Sharp DS, Rodriguez BL, Shahar E, Hwang LJ, Burchfiel CM . Fish consumption may limit the damage of smoking on the lung. Am J Respir Crit Care Med 1994; 150: 983–987.

    Article  CAS  PubMed  Google Scholar 

  34. Varraso R, Barr RG, Willett WC, Speizer FE, Camargo CA . Fish intake and risk of chronic obstructive pulmonary disease in 2 large U.S. cohorts. Am J Clin Nutr 2015; 101: 354–361.

    Article  CAS  PubMed  Google Scholar 

  35. Johansen P, Pars T, Bjerregaard P . Lead, cadmium, mercury and selenium intake by Greendlanders from local marine food. Sci Total Environ 2000; 245: 187–194.

    Article  CAS  PubMed  Google Scholar 

  36. Oh C-M, Oh I-H, Lee J-K, Park YH, Choe B-K, Yoon T-Y et al. Blood cadmium levels are associated with a decline in lung function in males. Environ Res 2014; 132: 119–125.

    Article  CAS  PubMed  Google Scholar 

  37. Leung T, Chan I, Liu T, Lam C, Wong G . Relationship between passive smoking exposure and urinary heavy metals and lung functions in preschool children. Pediatr Pulmonol 2013; 48: 1089–1097.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We acknowledge Peter Bjerregaard and the Greenlandic Population Study. This study was funded by the Bispebjerg University Hospital.

Author Contributions

Study design and conception: KJB, VB, PGG, HP and CMP. Data collection and interpretation: KJB, VB, PGG, HP and CMP. Data analysis: HP. Writing of the manuscript: KJB, VB, PGG, HP and CMP. Editing and review of the manuscript: KJB, VB, PGG, HP and CMP.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to K J Baines.

Ethics declarations

Competing interests

The authors declare no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Baines, K., Backer, V., Gibson, P. et al. Investigating the effects of arctic dietary intake on lung health. Eur J Clin Nutr 69, 1262–1266 (2015). https://doi.org/10.1038/ejcn.2015.85

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/ejcn.2015.85

Search

Quick links