Association between meal intake behavior and blood pressure in Spanish adults

Keller, Kristin; López, Santiago Rodríguez; Moreno, María Margarita Carmenate

doi:10.20960/nh.487

Cited by 4 publications

(9 citation statements)

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“…Epidemiological studies suggest meal timing or time of energy intake has a relationship with obesity [10,14,26,27], blood pressure [12,28,29], and type 2 diabetes [10,30], but study examining time-of-day patterns of energy intake in relation to insulin resistance is lacking. The "Evening dominant pattern" observed in the present study was associated with higher insulin resistance risk, compared with the "Noon dominant pattern", after adjusting for sociodemographic, lifestyle, and other cardiometabolic risk factors.…”

Section: Discussionmentioning

confidence: 99%

Association of Time-of-Day Energy Intake Patterns with Nutrient Intakes, Diet Quality, and Insulin Resistance

Song

Wang

et al. 2021

Nutrients

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Evidence shows time-of-day of energy intake are associated with health outcomes; however, studies of time-of-day energy patterns and their health implication are still lacking in the Asian population. This study aims to examine the time-of-day energy intake pattern of Chinese adults and to examine its associations with nutrient intakes, diet quality, and insulin resistance. Dietary data from three 24-h recalls collected during the 2015 China Health and Nutrition Survey (CHNS) were analyzed (n = 8726, aged ≥ 18 years). Time-of-day energy intake patterns were determined by latent class analysis (LCA). General Linear Models and Multilevel Mixed-effects Logistic Regression Models were applied to investigate the associations between latent time-of-day energy intake patterns, energy-adjusted nutrient intakes, diet quality score, and insulin resistance. Three time-of-day energy intake patterns were identified. Participants in the “Evening dominant pattern” were younger, had higher proportions of alcohol drinkers and current smokers. The “Evening dominant pattern” was associated with higher daily energy intake and a higher percentage of energy from fat (%) (p < 0.001), as well as higher insulin resistance risk (OR = 1.21; 95% CI: 1.05, 1.40), after adjusting for multivariate covariates. The highest diet quality score was observed in participants with “Noon dominant pattern” (p < 0.001). A higher proportion of energy in the later of the day was associated with insulin resistance in free-living individuals.

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Section: Discussionmentioning

confidence: 99%

Association of Time-of-Day Energy Intake Patterns with Nutrient Intakes, Diet Quality, and Insulin Resistance

Song

Wang

et al. 2021

Nutrients

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“…Several studies have investigated the association between breakfast intake and hypertension, and the results are inconsistent. Two cross-sectional studies have shown that breakfast consumption was not significantly associated with hypertension [18,19]. Data from the 1946 British birth cohort showed that energy intake at breakfast at age 43 years was not significantly associated with the incidence of hypertension at age 53 years [20].…”

Section: Discussionmentioning

confidence: 99%

Meal patterns and incident hypertension in community-dwelling middle-aged adults: an 11-year follow-up cohort study

Shang

Flehr

Fang

et al. 2021

Journal of Hypertension

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“…Another study, in the same cohort, found no association between time of day macronutrient intakes and BP [39]. Keller et al found that the consumption of an afternoon meal, but not other conventional Spanish meals, was modestly associated with lower SBP and DBP, even after adjustment for dietary intake and waist circumference [22]. In the present study, a temporal eating pattern characterized by having a later “lunch” meal was associated with SBP, DBP, and hypertension prevalence among women, after adjustment for potential covariates, BMI, and diet quality.…”

Section: Discussionmentioning

confidence: 99%

“…The temporal distribution of EO in relation to BP has rarely been examined [21, 22]. In the UK Cohort Study, Almoosawi et al [21] found a positive association for higher total energy intake in the evening with 10-year increases in SBP and DBP.…”

Section: Introductionmentioning

confidence: 99%

“…In the UK Cohort Study, Almoosawi et al [21] found a positive association for higher total energy intake in the evening with 10-year increases in SBP and DBP. In a study of Spanish adult volunteers, consumption of an afternoon meal was associated with lower SBP and DBP [22]. However, these studies focussed on timing of EO/energy intake at isolated periods of the day and did not simultaneously capture EO at other times of the day [4].…”

Section: Introductionmentioning

confidence: 99%

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Eating patterns of Australian adults: associations with blood pressure and hypertension prevalence

et al. 2018

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Purpose Eating patterns have been linked to obesity, an established risk factor for hypertension; however, their contribution to hypertension is poorly understood. This study aimed to examine associations of frequency of meals, snacks and all eating occasions (EO), and temporal eating patterns, with blood pressure (BP) and hypertension. Methods Dietary data collected via two 24-h recalls during the 2011-2012 Australian National Nutrition and Physical Activity Survey (n = 4482 adults, ≥ 19 years) were analysed. Frequencies of EO, meals, and snacks were calculated. Temporal eating patterns were determined using latent class analysis. Multivariate regression models assessed associations of eating patterns with systolic BP (SBP), diastolic BP (DBP), and hypertension prevalence. Results Among men, a higher snack frequency was inversely associated with DBP [β = − 0.59, 95% confidence interval (CI) (− 1.12, − 0.07)] and hypertension [odds ratio (OR) 0.86, 95% CI (0.75, 0.98)] after adjustment for covariates and BMI. However, these associations disappeared after additional adjustment for total energy intake and overall diet quality. Among women, a temporal eating pattern characterized by a later "lunch" meal was associated with SBP [β = 2.45, 95% CI (0.05, 4.84)], DBP [β = 1.69, 95% CI (0.25, 3.13)], and hypertension [OR = 1.49, 95% CI (1.00, 2.22)], when compared to a "conventional" eating pattern. Conclusions In this study, an inverse association found between snack frequency and BP among men disappeared after adjustment for dietary factors and a "later lunch" pattern was associated with higher BP in women. Future research is needed to understand the relationship and potential mechanistic pathways between eating patterns and BP.

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Association between meal intake behavior and blood pressure in Spanish adults

Abstract: This study suggests that SBP/DBP might be reduced by the intake of an afternoon meal. However, population-based prospective studies are needed in order to confirm the consequences of the investigated associations on health.

Cited by 4 publications

References 0 publications

Association of Time-of-Day Energy Intake Patterns with Nutrient Intakes, Diet Quality, and Insulin Resistance

Association of Time-of-Day Energy Intake Patterns with Nutrient Intakes, Diet Quality, and Insulin Resistance

Meal patterns and incident hypertension in community-dwelling middle-aged adults: an 11-year follow-up cohort study

Eating patterns of Australian adults: associations with blood pressure and hypertension prevalence

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