Association between Dietary Patterns and the Risk of Hypertension among Chinese: A Cross-Sectional Study

Zheng, Pei-Fen; Shu, Long; Zhang, Xiaoyan; Si, Caijuan; Yu, Xiaohong; Gao, Wei; Tong, Xiao-Qing; Zhang, Lun

doi:10.3390/nu8040239

Cited by 50 publications

(47 citation statements)

References 39 publications

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“…First, processed and cooked meats contain a lot of salt and nitrite. As mentioned before, high salt intake can increase the risk of diabetes [38]. In addition, nitrate as one of the common added preservatives in processed meats can convert to nitrosamine compounds, which have been reported to increase the risk of diabetes [39].…”

Section: Discussionmentioning

confidence: 88%

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Association between dietary patterns and prediabetes risk in a middle-aged Chinese population

Shen

Huang

Zhang

et al. 2020

Preprint

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Background: Information regarding dietary patterns associated with prediabetes in the Chinese population is lacking. The objective of the present study was to explore the association between major dietary patterns and the risk of prediabetes in a middle-aged Chinese population. Methods: A total of 1761 participants (aged 45 to 59 years) were recruited in Hangzhou city, the capital of Zhejiang Province, China from June 2015 to December 2016. Dietary information was obtained by interview using a 138-item, validated semi-quantitative food frequency questionnaire(SQFFQ). Multivariate logistic regression models were used to analyze the associations between dietary patterns and the risk of prediabetes with adjustment of potential confounding variables. Results:Three dietary patterns were ascertained by factor analysis and labeled as traditional southern Chinese, Western, and grains-vegetables patterns. After controlling of the potential confounders, participants in the top quartile of the Western pattern scores had greater odds ratio(OR) for prediabetes (OR=1.54; 95% confidence interval(CI):1.068-2.059; P=0.025) than did those in the bottom quartile. Compared with those in the bottom quartile, participants in the top quartile of the grains-vegetables pattern scores had a lower OR for prediabetes(OR=0.83; 95% CI:0.747-0.965; P=0.03). Besides, no statistically significant association was observed in the association between the traditional southern Chinese pattern and prediabetes risk (P>0.05). Conclusions:The findings of this study showed that the Western pattern was associated with higher risk, and the grains-vegetables pattern was associated with lower risk of prediabetes. Future prospective studies are required to validate our findings.

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Section: Discussionmentioning

confidence: 88%

“…Simultaneously, pickled vegetables that were loaded on this pattern contain high amounts of salt. Our previous study has shown that high intake of salt can increase the risk of hypertension [38], an important risk factor for diabetes. In short, the above possibilities can't be ruled out in our study.…”

Section: Discussionmentioning

confidence: 98%

Association between dietary patterns and prediabetes risk in a middle-aged Chinese population

Shen

Huang

Zhang

et al. 2020

Preprint

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“…It is noteworthy that soy products are related to the prevention of atherosclerosis due to their antioxidant action on circulating lipids in plasma, as well as due to the presence of soluble fibers that act especially on the decrease of total cholesterol and LDL-C, since they reduce triglyceride levels besides exerting an anti-platelet aggregation effect [39,40,41]. …”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of a Bioactive Food Compound in the Lipid Control of Individuals with HIV/AIDS

et al. 2016

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Cardiovascular events due to decompensated lipid metabolism are commonly found in Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/AIDS) patients using anti-retroviral therapy (HAART). Thus, the aim of this study was to identify the effect of a bioactive food compound (BFC) containing functional foods on individuals with HIV undergoing HAART. Particularly, this study aims to verify the clinical outcome in the change of the lipid profile due to the use of this compound. This study includes 115 individuals with HIV on HAART. All patients received dietary guidelines; however, sixty-one consumed BFC while fifty-one did not (NO BFC). Biochemical examinations and socio-demographic and clinical profiles were evaluated. As result, in patients using hypolipidemic and/or hypoglycemic drugs, there was 28.6% decrease in triglyceride levels (p < 0.001) in the NO BFC group, and 18.3% reduction in low density lipoprotein cholesterol (LDL-C) (p < 0.001) in the BFC group. In patients who did not use hypolipidemic and/or hypoglycemic drugs in the NO BFC group, there was 30.6% increase in triglycerides, 11.3% total cholesterol and 15.3% LDL-C levels (p < 0.001) while for the BFC group there was 4.5% reduction in total cholesterol (p < 0.001). In conclusion, this study evidenced that the dietary intervention containing BFC positively affected in lipid control, since these HIV/AIDS patients using HAART are more vulnerable to lipid disorders.

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“…Blood pressure was measured twice at the house of the participants after a rest of 5 minutes by the trained interviewer using standard mercury sphygmomanometer and appropriate-sized cuff according to a standard protocol, and the blood pressure was recorded in average. The hypertension was defined as an average SBP at least 140 mmHg, and/or DBP at least 90 mmHg without any anti-hypertensive medication use [ 19 ].…”

Section: Methodsmentioning

confidence: 99%

Association between dietary patterns and hypertension among Han and multi-ethnic population in southwest China

Ruan

Huang²,

Zhang

et al. 2018

BMC Public Health

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BackgroundDifferent dietary patterns and the risks of hypertension in various diet exposures among multi-ethnic population in southwest China remain extremely scarce. The aim of this study is to identify dietary patterns and explore the association between dietary patterns and the risk of hypertension among Han and multi-ethnic population in southwest China.MethodsA representative sample of 3591 participants of Han, and multi-ethnic population were recruited by stratified cluster sampling in Diqing of Yunnan Province, southwest China from September 2012 to January 2013. Participants who were under 18 years old or who could not clearly answer the questions and those who used the anti-hypertensive medication were excluded from this survey. All participants reported their dietary intakes using validated food frequency questionnaires (FFQ), and their blood pressures were measured by standardized procedures. Hypertension was defined as systolic blood pressure (SBP) ≥ 140 mmHg and/or diastolic blood pressure (DBP) ≥ 90 mmHg. Dietary patterns were identified by factor analysis with principal component. Logistic regression was used to explore the association between dietary patterns and hypertension.ResultsThe overall prevalence of hypertension was 30.5% among Han and multi-ethnic population in Diqing, Yunnan Province. Three dietary patterns were identified in this study, defined as ‘Grassland healthy’, ‘Tuber and meat’, and ‘Fruit and vegetable’. Participants in the 5th quintile of the three dietary patterns were at a lower risk of hypertension compared with those in the 1st quintile. The odds ratio (OR) for the 5th quintile of ‘Grassland healthy’ pattern, ‘Tuber and meat’ and ‘Fruit and vegetable’ was 0.693 (95% CI: 0.537–0.893, p = 0.005), 0.678 (95% CI: 0.530–0.868, p = 0.002), 0.759 (95% CI: 0.593–0.970, p = 0.028), respectively. After further adjustment of participants’ age, the negative association between the ‘Grassland healthy’ pattern and the prevalence of hypertension persisted (OR = 0.703, 95% CI: 0.535–0.924, p = 0.012). However, the significant associations between the other two dietary patterns and hypertension disappeared.ConclusionsThe ‘Grassland healthy’ dietary pattern is associated with lower risk of hypertension, whereas there is no significant associations between the other two dietary patterns and hypertension among Han and multi-ethnic population in Diqing of Yunnan province, southwest China.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6003-7) contains supplementary material, which is available to authorized users.

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Association between Dietary Patterns and the Risk of Hypertension among Chinese: A Cross-Sectional Study

Cited by 50 publications

References 39 publications

Association between dietary patterns and prediabetes risk in a middle-aged Chinese population

Association between dietary patterns and prediabetes risk in a middle-aged Chinese population

The Effectiveness of a Bioactive Food Compound in the Lipid Control of Individuals with HIV/AIDS

Association between dietary patterns and hypertension among Han and multi-ethnic population in southwest China

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