Associations of dietary patterns and incident hypertension in a community population cohort from Southwest China

Empirical data on the association between diet and incident hypertension in Southwest China is lacking. We examined the associations between various dietary patterns and the risk of incident hypertension in this prospective population cohort of Southwest China. A total of 5442 eligible adults were included from Guizhou Province, China, since 2010. Dietary information was obtained using face-to-face interviews with a semi-quantitative food frequency questionnaire, and dietary patterns were characterized using factor analysis. The hazard ratios (HRs) and 95% confidence intervals (95% CIs) were estimated for the associations between various dietary patterns and incident hypertension risk using a Cox proportional hazard model. Until 2020, a total of 1177 new hypertension cases were identified during an average follow-up of 6.97 years. In the multivariable-adjusted analysis, a low intake of the junk food pattern was significantly associated with the reducing risk of incident hypertension (HR: 0.772, 95% CI: 0.671, 0.887) and a high intake of the vegetable–grain pattern statistically lowered the risk of incident hypertension (HR: 0.774, 95% CI: 0.669, 0.894) compared with the medium intake of such patterns. Higher adherence to the vegetable–grain pattern and lower adherence to the junk food pattern significantly lowered the hypertension incidence among the population in Southwest China. Those findings suggested healthy diet guidelines should be developed for the prevention of hypertension.

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Western and Modern Mexican dietary patterns are directly associated with incident hypertension in Mexican women: a prospective follow-up study

Nutrition Journal ◽

10.1186/s12937-018-0332-3 ◽

2018 ◽

Vol 17 (1) ◽

Cited By ~ 14

Author(s):

Adriana Monge ◽

Martín Lajous ◽

Eduardo Ortiz-Panozo ◽

Beatriz L. Rodríguez ◽

José Juan Góngora ◽

...

Keyword(s):

Dietary Patterns ◽

Mexican Women ◽

Incident Hypertension ◽

Follow Up Study

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Social capital and dietary patterns in three ethnic minority groups native to Yunnan Province, Southwest China

PLoS ONE ◽

10.1371/journal.pone.0256078 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0256078

Author(s):

Qiang Zhang ◽

Zhitao Liu ◽

Wenmin Hu ◽

Xinguang Chen ◽

Juanjuan Li ◽

...

Keyword(s):

Social Capital ◽

Ethnic Minority ◽

Dietary Patterns ◽

Yunnan Province ◽

Southwest China ◽

Minority Groups ◽

Nutrition Intervention ◽

Principal Component Factor Analysis ◽

Dietary Intakes ◽

Ethnic Minority Groups

Background Few studies have focused on the influencing factors of dietary practices among ethnic minority groups in China, particularly from a social capital perspective. Methods Between May and September 2019, we conducted a cross-sectional survey among adults (n = 1,813) from three ethnic minority communities (A Chang, De Ang and Jing Po) in Yunnan Province, Southwest China. Dietary intakes during the past 12 months were measured with a 100-item Food Frequency Questionnaire (FFQ), and two forms of social capital (bonding and bridging) were measured using the validated Personal Social Capital Scale 16 (PSCS-16). Principal component factor analysis was used to derive dietary patterns from 20 food groups. Multivariate linear regressions were used to examine the associations between social capital and dietary patterns. Results Two distinct dietary patterns were identified: the traditional and the modern. The traditional pattern was characterized by high consumptions of tubers, poultry, rice, fruits, vegetables and low consumptions of oil and salt, whereas the modern pattern was highly correlated with egg, nut, beverage, snack and oil consumptions. After adjusted for potential confounders, the modern pattern was positively associated with bonding capital (β = 0.066; 95%CI: 0.058, 0.075) and negatively associated with bridging capital (β = -0.017; 95%CI: -0.024, -0.010). Conclusion In conclusion, an unhealthy dietary pattern was identified among the ethnic minority groups in Southwest China. The influences of people’s social connections on dietary behaviors should be considered in designing and implementing nutrition intervention programs for the population.

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The association of priori and posteriori dietary patterns with the risk of incident hypertension: Tehran Lipid and Glucose Study

Journal of Translational Medicine ◽

10.1186/s12967-021-02704-w ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Azra Ramezankhani ◽

Firoozeh Hosseini-Esfahani ◽

Parvin Mirmiran ◽

Fereidoun Azizi ◽

Farzad Hadaegh

Keyword(s):

Dietary Patterns ◽

Principal Component ◽

Healthy Eating Index ◽

Dash Score ◽

Dietary Intakes ◽

Dietary Recommendations ◽

Incident Hypertension ◽

Increased Risk ◽

Incident Cases

Abstract Background The aim of this study was to investigate the association of dietary patterns with incident hypertension. Materials/methods This prospective study was conducted on 4793 individuals of Tehran lipid and glucose study participants, aged ≥ 18 years who were followed for a median of 6.3 years from 2008–2011 to 2016–2018. A valid and reliable semi-quantitative food frequency questionnaire was used to assess usual dietary intakes. Anthropometrics and blood pressure were assessed at baseline and during follow up examinations. Dietary patterns were derived using principal component analysis (PCA). Healthy eating index (HEI) and dietary approach to stop hypertension (DASH) score were measured based on dietary recommendations. Time-dependent Cox models adjusting for confounders were used to examine the association between dietary patterns and the risk of hypertension. Results During follow-up, a total of 727 incident cases of hypertension were identified. The mean ± SD age at baseline was 40.3 ± 13.5 and 37.9 ± 12.1 years in men and women, respectively. Two dietary patterns (the healthy and unhealthy) were extracted by PCA. Compared with participants in the first quartile, a 23% (HR: 1.23; 95%CI 1.00–1.53; P trend: 0.056) increased risk of hypertension was found in the fourth quartile of HEI score. This association was disappeared after further adjustment for confounders. Increasing DASH score, the healthy and unhealthy dietary pattern were not associated with risk of hypertension. Conclusion Our findings showed that higher adherences to the posteriori- and priori-dietary patterns were not associated with risk of hypertension in this population.

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

Public Health Nutrition ◽

10.1017/s1368980018002203 ◽

2018 ◽

Vol 22 (2) ◽

pp. 307-313 ◽

Cited By ~ 1

Author(s):

Zumin Shi ◽

Keren Papier ◽

Vasoontara Yiengprugsawan ◽

Matthew Kelly ◽

Sam-ang Seubsman ◽

...

Keyword(s):

Cohort Study ◽

Dietary Patterns ◽

Dietary Pattern ◽

Fermented Foods ◽

Food Groups ◽

Incident Hypertension ◽

Fried Foods ◽

Canned Foods ◽

Adjusted Model ◽

And Control

AbstractObjectiveDietary 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.DesignProspective 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.SettingEmerging hypertension and changing diets in Thailand.SubjectsTCS participants who were normotensive at baseline in 2005.ResultsAmong 36293 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.ConclusionsModern 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 in Relation to General and Central Obesity among Adults in Southwest China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph13111080 ◽

2016 ◽

Vol 13 (11) ◽

pp. 1080 ◽

Cited By ~ 2

Author(s):

Qiang Zhang ◽

Xinguang Chen ◽

Zhitao Liu ◽

Deepthi Varma ◽

Rong Wan ◽

...

Keyword(s):

Dietary Patterns ◽

Central Obesity ◽

Southwest China

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The Association of Priori and Posteriori Dietary Patterns With the Risk of Incident Hypertension: Tehran Lipid and Glucose Study

10.21203/rs.3.rs-42285/v1 ◽

2020 ◽

Author(s):

Azra Ramezankhani ◽

Firoozeh Hosseini-Esfahani ◽

Parvin Mirmiran ◽

Fereidoun Azizi ◽

Farzad Hadaegh

Keyword(s):

Dietary Patterns ◽

Principal Component ◽

Healthy Eating Index ◽

Dash Score ◽

Dietary Intakes ◽

Dietary Recommendations ◽

Incident Hypertension ◽

Increased Risk ◽

Incident Cases

Abstract Background The aim of this study was to investigate the association of dietary patterns with incident hypertension. Materials/methods: This prospective study was conducted on 4793 individuals of Tehran lipid and glucose study participants, aged ≥ 18 years who were followed for a median of 6.3 years from 2008-11 to 2016-18 surveys. A valid and reliable semi-quantitative food frequency questionnaire was used to assess usual dietary intakes. Anthropometrics and blood pressure were assessed at baseline and during follow up examinations. Dietary patterns were derived using principal component analysis (PCA); healthy eating index (HEI) and dietary approach to stop hypertension (DASH) score were measured based on dietary recommendations. Time-dependent Cox models, adjusting for confounders were used to examine the association between dietary patterns and the risk of hypertension. Results During follow-up, a total of 727 incident cases of hypertension were identified. The mean ± SD age at baseline was 40.3 ± 13.5 and 37.9 ± 12.1 years in men and women, respectively. Two dietary patterns (the healthy and unhealthy) were extracted by PCA. Compared with participants in the first quartile, a 23% (HR: 1.23; 95%CI: 1.00-1.53; P trend: 0.056) increased risk of hypertension was found in the fourth quartile of HEI score. This association was disappeared after further adjustment for confounders. Increasing DASH score, the healthy and unhealthy dietary pattern were not associated with risk of hypertension. Conclusion According to our findings, after adjustment for confounders, higher adherence to posteriori- and priori-dietary patterns was not associated with risk of hypertension.

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