Dietary patterns associated with hypertension among Korean males

Kim, Young Ok

doi:10.4162/nrp.2009.3.2.162

Cited by 26 publications

(23 citation statements)

References 22 publications

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“…Our data may imply that the decreased risk of hypertension in the dairy and carbohydrate pattern may be related to increased calcium and potassium intake. A previous cross-sectional study based on the second KHANES of 1869 Korean men conducted in 2001 reported no significant correlations between dietary pattern and hypertension [46]. However, a recent cross-sectional study of 5308 Korean adults based on the 2007-2008 KHANES data indicated that the drinking dietary pattern was significantly associated with both hypertension and pre-hypertension [47].…”

Section: Discussionmentioning

confidence: 99%

Associations between dietary patterns and hypertension among Korean adults: the Korean National Health and Nutrition Examination Survey (2008-2010)

Shin

Kim

2013

Nutr Res Pract

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The objective of this study is to identify the dietary patterns associated with the risk of hypertensions among Korean adults using data from the Korean National Health and Nutrition Examination Survey (KNHANES, 2008-2010). This study analyzes data from 11,883 subjects who participated in the health and nutrition survey, aging from 20 to 64 years. We performed factor analysis based on the weekly mean intake frequencies of 36 food groups to identify major dietary patterns. We identified three major dietary patterns in both sexes, namely "traditional", "western" and "dairy and carbohydrate" patterns. Participants in the highest quartile of western pattern scores had significantly higher blood pressure, serum total cholesterol, and triglyceride levels than those in the lowest quartile. Although not statistically significant, a trend (P for trend = 0.0732) toward a positive association between the western dietary pattern and hypertension risk was observed after adjustments for age, sex, education, income, body mass index (BMI), smoking, physical activity, and energy intake. The dairy and carbohydrate pattern was inversely related with BMI and blood pressures and positively associated with serum high-density lipoprotein (HDL)-cholesterol. After adjusting the age, sex, education, income, BMI, smoking, physical activity and energy intake, the dairy and carbohydrate pattern showed inverse associations with hypertension prevalence (OR = 0.64, 95% CI = 0.55-0.75; P for trend < 0.0001). Intakes of fiber, sodium, and antioxidant vitamins were significantly higher in the top quartile for the traditional pattern than in the lowest quartile for the traditional pattern (P for trend < 0.0001). Intakes of fiber (P for trend < 0.0001), calcium (P for trend < 0.0001), retinol (P for trend = 0.0164), vitamin B1 (P for trend = 0.001), vitamin B2 (P for trend < 0.0001), niacin (P for trend = 0.0025), and vitamin C (P for trend < 0.0001) were significantly increased across quartiles for the dairy and carbohydrate pattern whereas sodium (P for trend < 0.0001) intake was decreased for this pattern. In conclusion, the dairy and carbohydrate pattern may be associated with a reduced risk of hypertension whereas the western pattern may be associated with an increased risk of hypertension among Korean adults.

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Section: Discussionmentioning

confidence: 99%

Associations between dietary patterns and hypertension among Korean adults: the Korean National Health and Nutrition Examination Survey (2008-2010)

Shin

Kim

2013

Nutr Res Pract

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“…higher intakes of vegetables, potatoes, soya products, fruits, seaweeds, citrus, beans and dried fish) was associated with lower levels of SBP, DBP and pulse pressure in women (23) . In a previous cross-sectional study of 1869 Korean males aged 20-65 years, no significant association was observed between dietary patterns and hypertension prevalence (25) . However, we found that a drinking dietary pattern was significantly associated with hypertension in the Korean population.…”

Section: Discussionmentioning

confidence: 99%

Dietary pattern and hypertension in Korean adults

Park

Jung

Lee

2013

Public Health Nutr.

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Objective: To assess the dietary pattern associated with hypertension and pre-hypertension among Korean male and female adults. Design: Cross-sectional study from a representative sample of the Korean population. Setting: The Korea National Health and Nutrition Examination Survey IV, which was conducted in 2007 and 2008. Subjects: Males and females (n 5308) over the age of 20 years. Results: Scores for three major dietary patterns ('whole food', 'Western' and 'drinking') were generated using a factor analysis of thirty predefined food groups based on the food items consumed. We used polytomous logistic regression analyses to obtain odds ratios and 95 % confidence intervals for pre-hypertension and hypertension. Participants with a high drinking pattern score (moderate to high alcohol intake, salted fermented seafood intake) had a significantly higher prevalence of prehypertension or hypertension than those with a lower drinking pattern score; odds for the top quintile v. the bottom quintile were OR 5 1?56 (95 % CI 1?23, 1?99; P trend 5 0?001) for pre-hypertension and OR 5 3?05 (95 % CI 2?12, 4?40; P trend , 0?001) for hypertension. The whole food pattern was not associated with either pre-hypertension or hypertension, while the Western pattern was associated with the prevalence of hypertension only among men. Conclusions: Our finding warrants further prospective studies to examine whether alcohol drinking and salty food consumption increase the risk of developing hypertension in Koreans.

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“…In Western countries there is a positive association between 'Western' dietary patterns and hypertension (19)(20)(21)(22)(23) , although a null association has also been reported (24)(25)(26)(27)(28) . However, in Asia no significant association between a Western dietary pattern and hypertension was found in most existing studies (29)(30)(31)(32)(33)(34)(35)(36) , with a small number of studies showing a positive association between this pattern and hypertension (37)(38)(39)(40) . The Western dietary pattern contains processed foods, is low in fibre and has high amounts of refined carbohydrates, fat (especially saturated fat) and salt.…”

Section: Modern Dietary Pattern and Hypertensionmentioning

confidence: 99%

Dietary patterns associated with hypertension risk among adults in Thailand: 8-year findings from the Thai Cohort Study

Shi

Papier

Yiengprugsawan

et al. 2018

Public Health Nutr.

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Objective: Dietary intake is a leading risk factor for hypertension. We aimed to assess longitudinal associations between overall dietary patterns and incident hypertension among adults in Thailand. Design: Prospective large Thai Cohort Study (TCS) conducted nationwide from 2005 to 2013. Dietary patterns were identified using factor analysis based on usual intake of fourteen food groups. Multivariable logistic regression assessed associations between dietary patterns and hypertension prevalence and incidence. Setting: Emerging hypertension and changing diets in Thailand. Subjects: TCS participants who were normotensive at baseline in 2005. Results: Among 36 293 participants without hypertension at baseline, 1831 reported incident hypertension (5·1 % incidence) at follow-up. Two dietary patterns were identified: 'Modern' and 'Prudent'. The Modern dietary pattern (high intakes of roasted/smoked foods, instant foods, canned foods, fermented fruits/ vegetables, fermented foods, soft drinks, deep-fried foods) was associated with increased incident hypertension (comparing extreme quartiles, OR for incident hypertension = 1·51; 95 % CI 1·31, 1·75 in 2013). The Prudent dietary pattern (high intakes of soyabean products, milk, fruits, vegetables) was not associated with incident hypertension in a fully adjusted model. The association between the Modern dietary pattern and hypertension was attenuated by BMI. Conclusions: Modern dietary pattern was positively associated with hypertension among Thai adults. BMI had a great impact on the relationship between the Modern dietary pattern and incidence of hypertension. Reduction of Modern diets would be expected to prevent and control hypertension. Such a strategy would be worth testing.

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Dietary patterns associated with hypertension among Korean males

Cited by 26 publications

References 22 publications

Associations between dietary patterns and hypertension among Korean adults: the Korean National Health and Nutrition Examination Survey (2008-2010)

Associations between dietary patterns and hypertension among Korean adults: the Korean National Health and Nutrition Examination Survey (2008-2010)

Dietary pattern and hypertension in Korean adults

Dietary patterns associated with hypertension risk among adults in Thailand: 8-year findings from the Thai Cohort Study

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