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

Shang, Xianwen; Flehr, Alison; Fang, Yujie; He, Miao

doi:10.1097/hjh.0000000000002794

Cited by 2 publications

(6 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 57 Compared with people whose dinner energy ratio was 30.2–39.1% (T2), a high dinner energy ratio (>39.1%) was related to an increasing prevalence of hypertension (adjusted OR 1.716; 95% CI, 1.302–2.261). A study on middle-aged adults showed that dinner energy ratio was not related to high blood pressure, 18 which was inconsistent with our results. This might be because their participants who had high dinner energy ratio always had low sodium intake, whereas the average daily sodium intake of our high dinner energy ratio population was high (5.2 g).…”

Section: Discussioncontrasting

confidence: 99%

“…Interestingly, we found a U-shaped relationship between dinner energy ratio and hypertension: compared with people whose dinner energy ratio was 30.2–39.1% (T2), a higher dinner energy ratio (>39.1%) was related to an increased prevalence of hypertension, and a lower dinner energy ratio (<30.2%) was also related to an increasing prevalence of hypertension (adjusted OR 1.371; 95% CI, 1.036–1.814). In China, the appropriate dinner energy ratio was considered to be 30–40%, 18 which was not evidence-based. Our study suggested that dinner energy ratio of 30.2–39.1% was relatively healthy.…”

Section: Discussionmentioning

confidence: 99%

“…Dinner energy ratio was the proportion of dinner energy to the total energy of the whole day. Since 30–40% of the total energy consumed at dinner is considered healthy in China 18 and also taking into account the sample size of the interaction subgroup, we categorized dinner energy ratio into three groups according to tertiles (T), which were as follows for T1 through T3: <30.2%, 30.2–39.1%, and >39.1%. Blood pressure was measured at the experimental site.…”

Section: Methodsmentioning

confidence: 99%

“… 16 , 17 In a recent 11-year cohort study of 25,220 participants among middle-aged Chinese adults, a dinner-dominant meal pattern was related to uncontrolled hypertension. 18 …”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Interaction of Dietary Sodium-to-potassium Ratio and Dinner Energy Ratio on Prevalence of Hypertension in Inner Mongolia, China

Zheng

Wang

Yang

et al. 2023

Journal of Epidemiology

View full text Add to dashboard Cite

Background Hypertension is one of the most common chronic diseases, and dietary factors play an important role in hypertension. We examined the interaction of dietary sodium-to-potassium (Na/K) ratio and dinner energy ratio on hypertension. Methods We conducted this study using data from the cross-sectional National Survey for Nutrition and Adult Chronic Disease in 2015 in Inner Mongolia, China. Dietary data were collected using 24-hour diet records with food weights across 3 consecutive days. Logistic regression was used to determine the interaction of dinner energy ratio and dietary Na/K ratio on hypertension. Results A total of 1,861 participants were included in this study, and 914 individuals were hypertensive (49.1%). Dinner energy ratio and high dietary Na/K ratio were independently related to high prevalence of hypertension. A formal test showed that dinner energy ratio interacted significantly with dietary Na/K ratio on hypertension ( P < 0.001), with an adjusted odds ratio (OR) of 1.119 (95% confidence interval [CI], 1.040–1.203). Participants whose dinner energy ratio greater than 39.1% and dietary Na/K ratio of 3.625–6.053 had the highest OR of hypertension prevalence, with an adjusted OR of 2.984 (95% CI, 1.758–5.066), compared with participants with dinner energy ratio of 30.2–39.1%, and dietary Na/K ratio less than 2.348. Conclusion Our study highlighted the interactive effect of dinner energy ratio and dietary Na/K ratio on hypertension among adults in Inner Mongolia. We advocated a balanced diet (dinner energy ratio not small or large) and a low dietary Na/K ratio for reducing the prevalence of hypertension.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“… 16 , 17 In a recent 11-year cohort study of 25,220 participants among middle-aged Chinese adults, a dinner-dominant meal pattern was related to uncontrolled hypertension. 18 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Interaction of Dietary Sodium-to-potassium Ratio and Dinner Energy Ratio on Prevalence of Hypertension in Inner Mongolia, China

Zheng

Wang

Yang

et al. 2023

Journal of Epidemiology

View full text Add to dashboard Cite

show abstract

“…The increasing correlation between significant variables might decrease the value of ORs. Second, the great socioeconomic and environmental transformations related to hypertension during 2011-2018, such as dietary patterns, exposure to fine particulate matter (PM 2.5 ), built environment factors, and some other confounders, were not controlled in our study [ 52 - 54 ]. Third, the association of midday napping with hypertension might be moderated by other variables such as physical conditions and night sleep duration [ 49 , 55 ].…”

Section: Discussionmentioning

confidence: 99%

The Association of Midday Napping With Hypertension Among Chinese Adults Older Than 45 Years: Cross-sectional Study

Tang

Zhou

Long

et al. 2022

JMIR Public Health Surveill

View full text Add to dashboard Cite

Background Hypertension is one of the main public health issues around worldwide, and midday napping is a popular habit. The association between the two remains to be explored. Objective The goal of the research was to explore the association of midday napping with hypertension. Methods This study separately selected 11,439, 12,689, and 9464 Chinese respondents aged over 45 years from the China Health and Retirement Longitudinal Study 2011, 2015, and 2018 data sets. Binary logistic regression was used to explore the association of midday napping with hypertension, and the 3-step method was used to test the mediation effect of BMI. Results Among all respondents, the prevalence rates of hypertension were 24.6% (2818/11439) in 2011, 21.1% (2683/12689) in 2015, and 22.1% (2092/9464) in 2018. Midday napping was positively correlated with hypertension. In 2011 and 2015, napping 60 to 90 minutes had the greatest odds ratios [OR] (OR2011 1.705, OR2015 1.494). In 2018, the biggest OR came from the group napping 30 to 60 minutes (OR 1.223), and ORs of different napping durations decreased from 2011 to 2018. In addition, BMI had a partial mediation effect in 2015 and 2018. Conclusions Midday napping is a potential risk factor for hypertension with BMI acting as a mediator. To prevent hypertension, avoiding prolonged duration of midday napping and taking action to maintain a normal BMI level are recommended.

show abstract

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

Abstract: Supplemental Digital Content is available in the text

Cited by 2 publications

References 39 publications

Interaction of Dietary Sodium-to-potassium Ratio and Dinner Energy Ratio on Prevalence of Hypertension in Inner Mongolia, China

Interaction of Dietary Sodium-to-potassium Ratio and Dinner Energy Ratio on Prevalence of Hypertension in Inner Mongolia, China

The Association of Midday Napping With Hypertension Among Chinese Adults Older Than 45 Years: Cross-sectional Study

Contact Info

Product

Resources

About