Association between fruit and vegetable intake and the risk of hypertension among Chinese adults: a longitudinal study

Liu, Mingwei; Yu, Hong-jie; Yuan, Shuai; Song, Yong; Tang, Bowen; Cao, Z.K.; Yang, Xiaonan; Towne, Samuel D.; He, Qi-qiang

doi:10.1007/s00394-018-1687-0

Cited by 21 publications

(23 citation statements)

References 36 publications

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“…Other studies conducted among 28,082 female health professionals in the United States and a prospective cohort study among 745 residents aged 35 years without home hypertension at baseline from Ohasama, Japan, also reported a relationship between fruit consumption and decreased risk of hypertension [37, 38]. Lately, a longitudinal study conducted in China affirms that fruit intake was more robustly and significantly associated with lowering blood pressure than vegetable intake [39]. However, Nunez-Cordoba et al reported no association between fruit intake and risk of hypertension [40], which needs to be researched further.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Hypertension among Adult Female Population in Kpone-Katamanso District, Ghana

Acheampong

Nyamari

Ganu

et al. 2019

International Journal of Hypertension

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Background. Hypertension is an independent risk factor of cardiovascular disease, which is one of the biggest health challenges today. The objective of this study was to estimate the prevalence of the problem and other factors related to hypertension among women who are 25 years and above. Methods. A community-based cross-sectional study was conducted from September and November 2017. A multistage cluster sampling technique was used to select the study participants. The data was collected using a structured questionnaire and physical measurements adapted from “WHO STEPwise approach to chronic disease risk factor surveillance (STEPS).” Data were examined using the SPSS program IBM version 20. Descriptive statistics, including proportions, frequencies, and cross-tabulations, were used to summarize the study variables. A binary logistic regression was fitted variable with a p value of < 0.7. The bivariable analyses were entered in the multivariable analysis to control the possible effect of confounders. Multivariable logistic regression analysis was used to identify factors associated with hypertension. The Adjusted Odds Ratio (AOR) with a 95 % Confidence Interval (CI) was computed to show the level of certainty. A p value of <0.05 was considered statistically significant. Results. The study indicated that the prevalence of hypertension (BP ≥ 140/90 mmHg) was 33.8% (95% CI 27.4-40.2) which increased with age. At the time of the study, women aged 45-64 years [AOR =2.19, (95% CI: 1.11-4.34, p<0.02)] and 65+ years [AOR =5.13, (95% CI: 2.20-11.99), p<0.001] were two to five times as likely as those with age of 25-44 years to be hypertensive. Women who had a higher body mass index (BMI) ≥30 kg/m2 were two times as likely as those with normal weight to be hypertensive [AOR 2.38, (95% CI; 1.14-4.95, p<0.02)]. Women who did not consume fresh fruit daily were three times as likely as those women who consume fresh fruit daily to be hypertensive [AOR 3.17 (95% CI; 1.05-9.55, p<0.04)]. Conclusion. Increasing age, obesity, and women who did not consume fresh fruits daily were associated with hypertension, indicating opportunities for health education and other prevention measures.

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Section: Discussionmentioning

confidence: 99%

Predictors of Hypertension among Adult Female Population in Kpone-Katamanso District, Ghana

Acheampong

Nyamari

Ganu

et al. 2019

International Journal of Hypertension

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“…43) Some studies have reported that the inverse relationships between fruit and blood glucose or blood pressure were attenuated or made non-significant when the models were adjusted for adiposity. 37,38) However, most studies have reported that adjustment of the adiposity index did not significantly change the association between fruit intake and blood glucose level 19) or blood pressure. 35,36) This suggests that fruits have other positive properties, such as anti-oxidative and anti-inflammatory effects, and ability to improve endothelial function and glucose metabolism, besides their anti-obesity effects.…”

Section: Implications When Analyzing Fruit Intake and Health-related Studiesmentioning

confidence: 98%

“…36) The China Health and Nutrition Survey showed a similar protective effect, in that each standard deviation increase in fruit intake during the 5-year follow-up was associated with a 0.273 (0.058 to 0.487; P=0.013) mm Hg decrease in diastolic blood pressure, and a 0.264 (-0.578 to 0.049; P=0.098) mm Hg decrease in systolic blood pressure. 37) In summary, a fruit intake of up to 530-600 g/d is protective against incident hypertension.…”

Section: Hypertension 1 Does Fruit Intake Prevent Hypertension?mentioning

confidence: 99%

Fruit Intake to Prevent and Control Hypertension and Diabetes

Park

2021

Korean J Fam Med

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Fruits are considered healthy because of their high antioxidant, vitamin, mineral, fiber, and phytochemical contents. However, their high sugar content is a concern for glucose, lipid, and uric acid metabolism. We reviewed related articles published in the last 10 years and summarized evidence that relates fruit intake to the prevention and control of hypertension and diabetes mellitus. Clinicians should familiarize themselves with appropriate fruit intake to counsel at-risk patients on hypertension and diabetes.

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“…Participants under the age of 18 (n = 4408) and those who died before 2004 (n = 50) were excluded. Due to unreliable dietary intake data, subjects with excessively low or high energy intake (<500 kcal/day or >4000 kcal/day, n = 105) were excluded [14,15]. Furthermore, subjects with stroke, cancer, or myocardial infarction at baseline (n = 365) were excluded.…”

Section: Study Design and Participantsmentioning

confidence: 99%

The Association between Dietary Purine Intake and Mortality: Evidence from the CHNS Cohort Study

Yan¹,

Liu²,

Wu³

et al. 2022

Nutrients

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Objectives: To investigate the association between dietary purine intake and mortality among Chinese adults. Methods: Based on data from the 2004–2015 China Health and Nutrition Survey (CHNS) and the corresponding edition of China Food Composition, the average purine intake per day (mg/day) from 2004 to 2011 was calculated, and the surveyed population was divided into five groups by quintiles. The outcome event and timepoint of concern were defined as death and time, respectively, as reported by family members, recorded until the 2015 survey. Cox proportional hazards regression was used to estimate the hazard ratios (HRs) with 95% confidence intervals (CIs) for death. The possibly nonlinear relationship between purine intake and mortality was examined with restricted cubic splines. Results: We included 17,755 subjects, and the average purine intake among them was 355.07 ± 145.32 mg/day. Purine intake was inversely associated with mortality (Ptrend < 0.001). Compared with the lowest quintiles of purine intake, the highest quintiles (HR = 0.60; 95% CI: 0.46, 0.77) showed a significant association with lower mortality. The negative association with mortality was mainly found in plant-derived purine (Ptrend = 0.001) and, weakly, in animal-derived purine (Ptrend = 0.052). In addition, a U-shaped relationship between purine intake and mortality was observed in males; however, there was no statistically significant dose–response relationship in females. Conclusion: Considering the low-purine-intake levels of the Chinese population, we observed a U-shaped relationship between purine intake and mortality in males, but purine intake may not relate to mortality in females. Future studies should investigate the causal relationship between purine intake and disease burden in China.

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Association between fruit and vegetable intake and the risk of hypertension among Chinese adults: a longitudinal study

Abstract: Greater long-term intake and increased intake of fruit and vegetables may reduce the risk of developing hypertension in Chinese adults.

Cited by 21 publications

References 36 publications

Predictors of Hypertension among Adult Female Population in Kpone-Katamanso District, Ghana

Predictors of Hypertension among Adult Female Population in Kpone-Katamanso District, Ghana

Fruit Intake to Prevent and Control Hypertension and Diabetes

The Association between Dietary Purine Intake and Mortality: Evidence from the CHNS Cohort Study

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