Dietary Patterns in Association With Hypertension: A Community-Based Study in Eastern China

Wang, Cuicui; Zheng, Yanmin; Zhang, Ya; Liu, Dong; Guo, Li; Wang, Bo; Zuo, Hui

doi:10.3389/fnut.2022.926390

Cited by 6 publications

(6 citation statements)

References 54 publications

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“…The southern pattern that was the predominant dietary pattern in China, did not significantly affect BP and the risk of hypertension. This null association observed in our study was consistent with a previous report in a city of Eastern China [ 27 ]. Similarly, a traditional pattern with high loading of cereals and vegetables was not related to the risk of hypertension among Korean women aged 30–79 years [ 37 ].…”

Section: Discussionsupporting

confidence: 94%

“…Similar to our results, a cohort study of middle-aged and elderly men in Shanghai suggested that the ‘fruit and milk’ pattern was significantly associated with both lower SBP and DBP [ 34 ]. Besides, a community–based survey in Eastern China found that the fruit-dairy pattern was inversely associated with the risk of hypertension among the study participants [ 27 ]. The modern pattern in our study had high loadings for fruits, dairy products, eggs and nuts, all of which have been reported to have beneficial effects on BP [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…There is a need for public health professionals to provide dietary recommendation to persons who need to lower their BP or prevent development of hypertension. Previous studies have shown the association between dietary patterns and hypertension among Chinese population, which mostly were based either on cross-sectional surveys or on provincial data [ 21 – 27 ]. To add the substantial evidence, the current study aimed to investigate the longitudinal association between dietary patterns and hypertension in Chinese adults over 28 years of follow-up.…”

Section: Introductionmentioning

confidence: 99%

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Longitudinal study of dietary patterns and hypertension in adults: China Health and Nutrition Survey 1991–2018

Zhang

Huang

et al. 2023

Hypertens Res

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China is undergoing the nutrition transition that may explain partly the high prevalence of hypertension. We aimed to investigate the longitudinal association between dietary patterns and hypertension in Chinese adults over 28 years of follow-up. We used data collected in the China Health and Nutrition Survey from 1991 to 2018. Adults aged 18 years and above (n = 15,929) were included in the analysis, for whom questionnaires and anthropometric data were collected during at least two waves. Factor analysis was conducted to derive food patterns based on 18 foods or food groups. We constructed three-level mixed-effect linear regression models to estimate systolic blood pressure (SBP) and diastolic blood pressure (DBP) in relation to quartiles of dietary pattern score and performed three-level mixed-effect logistic regression models to assess the risk of hypertension. Participants in the top quartile of the modern pattern had a decrease in SBP (β = − 0.51; 95% CI −0.86, −0.16; P < 0.01) when adjusted for all potential confounders, whereas participants in the top quartile of the meat pattern had an increase in DBP (β = 0.31; 95% CI 0.08, 0.53; P < 0.01). Participants in the highest quartile of the meat pattern were more likely to have hypertension (OR = 1.14; 95% CI 1.03, 1.24; P < 0.01). Adherence to the modern pattern characterized by high intake of fruits and dairy products was inversely associated with SBP, whereas the meat pattern was positively associated with DBP and the risk of hypertension. These findings may well have important public health implications.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Longitudinal study of dietary patterns and hypertension in adults: China Health and Nutrition Survey 1991–2018

Zhang

Huang

et al. 2023

Hypertens Res

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“…Hypertension was defined as blood pressure ≥ 140/90 mmHg, hospital diagnosis, or antihypertensive medication use [23,29] .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…Information on diabetes, hyperlipidaemia, stroke (ischaemic, haemorrhagic and other types) or other chronic diseases (CHD, chronic obstructive pulmonary disease, asthma, bone and joint disease, neck or waist disease, chronic digestive system disease, chronic urinary system disease, and malignant tumours) was obtained by questioning the participants whether they had been diagnosed by a qualified physician at a township or higher hospital. Hypertension was defined as blood pressure ≥ 140/90 mmHg, hospital diagnosis or antihypertensive medication use (23,29) .…”

Section: Covariatesmentioning

confidence: 99%

Association of Dietary Approaches to Stop Hypertension (DASH) diet with self-reported sleep-disordered breathing (SDB): a cross-sectional study from China

Wang

Tan

et al. 2023

Br J Nutr

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Adherence to the Dietary Approaches to Stop Hypertension (DASH) diet has been associated with sleep quality. However, its relationship with sleep-disordered breathing (SDB) remains unknown. This study aimed to explore the association between the DASH diet and SDB using data from a community survey among adults in Suzhou, Eastern China. We conducted a cross-sectional analysis of the Suzhou Food Consumption and Health Survey in 2018-2020. Dietary intake was measured by a validated food frequency questionnaire (FFQ). The association between the DASH diet and SDB was estimated by multivariable logistic regression analysis. In addition, subgroup analysis and sensitivity analysis were performed to reinforce our findings. A total of 3939 participants were included in the final analysis. Participants in the upper quintile of the DASH score consumed more fruits, vegetables, nuts and legumes, whole grains, and dairy, and less sodium, red/processed meats, and sweetened beverages. The OR for the highest compared with the lowest quintile of the DASH score was 0.68 (95% CI: 0.52, 0.88; P-trend=0.004) for SDB after multivariable adjustment. Of the eight DASH components, vegetables, nuts and legumes, and dairy products were inversely associated with SDB. The associations were similar in subgroups by age, gender, BMI, smoking, alcohol drinking, hypertension, diabetes, and hyperlipidemia. Adherence to the DASH diet was independently associated with decreased odds of self-reported SDB. Our novel results expand previous findings on diet and sleep and suggest the possibility of improving SDB by enhancing diet quality.

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Comorbidities are associated with self-reported sleep-disordered breathing and insomnia: a cross-sectional study from China

Li,

Tan,

Liu

et al. 2023

Sleep Breath

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Dietary Patterns in Association With Hypertension: A Community-Based Study in Eastern China

Cited by 6 publications

References 54 publications

Longitudinal study of dietary patterns and hypertension in adults: China Health and Nutrition Survey 1991–2018

Longitudinal study of dietary patterns and hypertension in adults: China Health and Nutrition Survey 1991–2018

Association of Dietary Approaches to Stop Hypertension (DASH) diet with self-reported sleep-disordered breathing (SDB): a cross-sectional study from China

Comorbidities are associated with self-reported sleep-disordered breathing and insomnia: a cross-sectional study from China

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