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Anthropometric and dietary determinants of blood pressure in over 7000 Mediterranean women: the European Prospective Investigation into Cancer and Nutrition-Florence cohort.

Abstract

BACKGROUND

Anthropometric characteristics and dietary habits are widely recognized to influence blood pressure. We evaluated their role in a large series of Mediterranean adult women.

METHODS

In Florence, in the European Prospective Investigation into Cancer and Nutrition, we recruited 10 083 women, aged 35-64 years. Detailed information on diet, lifestyle, physical activity, and medical history were collected. Anthropometric indices and systolic and diastolic blood pressures were measured at recruitment using standardized procedures. Overall, after excluding those women who reported a clinical diagnosis of hypertension and/or an antihypertensive treatment and those without measurements, 7601 women were available for analyses with an average systolic and diastolic blood pressure value of 123.2+/-16.0 and 78.7+/-9.4 mmHg, respectively.

RESULTS

Multivariate regression models showed that body mass index (P<0.0001) and waist circumference (>or=88 cm, P<0.0001), as well as processed meat, potatoes, and wine consumption, were directly associated with both systolic and diastolic values. In contrast, a high consumption of selected foods resulted inversely associated with systolic (total vegetables, yoghurt, and eggs), diastolic (olive oil) or both systolic and diastolic values (leafy vegetables, milk, coffee). Analyses performed on nutrients showed a positive association with alcohol and sodium intake, and an inverse one with potassium and micronutrients derived from fruits and vegetables.

CONCLUSION

In this large series of women from Tuscany, Central Italy, we confirm the independent influence of anthropometric characteristics on blood pressure. The role of specific foods and nutrients in modulating blood pressure also emerged, suggesting a central role for lifestyle modifications in blood pressure control.

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  • Authors+Show Affiliations

    ,

    Molecular and Nutritional Epidemiology Unit, ISPO, Florence, Italy.

    , , , , , , , , , ,

    Source

    Journal of hypertension 26:11 2008 Nov pg 2112-20

    MeSH

    Adult
    Anthropometry
    Blood Pressure
    Body Weights and Measures
    Cohort Studies
    Feeding Behavior
    Female
    Health Behavior
    Humans
    Hypertension
    Italy
    Life Style
    Middle Aged
    Multivariate Analysis
    Prospective Studies

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    18854749

    Citation

    Masala, Giovanna, et al. "Anthropometric and Dietary Determinants of Blood Pressure in Over 7000 Mediterranean Women: the European Prospective Investigation Into Cancer and Nutrition-Florence Cohort." Journal of Hypertension, vol. 26, no. 11, 2008, pp. 2112-20.
    Masala G, Bendinelli B, Versari D, et al. Anthropometric and dietary determinants of blood pressure in over 7000 Mediterranean women: the European Prospective Investigation into Cancer and Nutrition-Florence cohort. J Hypertens. 2008;26(11):2112-20.
    Masala, G., Bendinelli, B., Versari, D., Saieva, C., Ceroti, M., Santagiuliana, F., ... Palli, D. (2008). Anthropometric and dietary determinants of blood pressure in over 7000 Mediterranean women: the European Prospective Investigation into Cancer and Nutrition-Florence cohort. Journal of Hypertension, 26(11), pp. 2112-20. doi:10.1097/HJH.0b013e32830ef75c.
    Masala G, et al. Anthropometric and Dietary Determinants of Blood Pressure in Over 7000 Mediterranean Women: the European Prospective Investigation Into Cancer and Nutrition-Florence Cohort. J Hypertens. 2008;26(11):2112-20. PubMed PMID: 18854749.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Anthropometric and dietary determinants of blood pressure in over 7000 Mediterranean women: the European Prospective Investigation into Cancer and Nutrition-Florence cohort. AU - Masala,Giovanna, AU - Bendinelli,Benedetta, AU - Versari,Daniele, AU - Saieva,Calogero, AU - Ceroti,Marco, AU - Santagiuliana,Federica, AU - Caini,Saverio, AU - Salvini,Simonetta, AU - Sera,Francesco, AU - Taddei,Stefano, AU - Ghiadoni,Lorenzo, AU - Palli,Domenico, PY - 2008/10/16/pubmed PY - 2008/11/18/medline PY - 2008/10/16/entrez SP - 2112 EP - 20 JF - Journal of hypertension JO - J. Hypertens. VL - 26 IS - 11 N2 - BACKGROUND: Anthropometric characteristics and dietary habits are widely recognized to influence blood pressure. We evaluated their role in a large series of Mediterranean adult women. METHODS: In Florence, in the European Prospective Investigation into Cancer and Nutrition, we recruited 10 083 women, aged 35-64 years. Detailed information on diet, lifestyle, physical activity, and medical history were collected. Anthropometric indices and systolic and diastolic blood pressures were measured at recruitment using standardized procedures. Overall, after excluding those women who reported a clinical diagnosis of hypertension and/or an antihypertensive treatment and those without measurements, 7601 women were available for analyses with an average systolic and diastolic blood pressure value of 123.2+/-16.0 and 78.7+/-9.4 mmHg, respectively. RESULTS: Multivariate regression models showed that body mass index (P<0.0001) and waist circumference (>or=88 cm, P<0.0001), as well as processed meat, potatoes, and wine consumption, were directly associated with both systolic and diastolic values. In contrast, a high consumption of selected foods resulted inversely associated with systolic (total vegetables, yoghurt, and eggs), diastolic (olive oil) or both systolic and diastolic values (leafy vegetables, milk, coffee). Analyses performed on nutrients showed a positive association with alcohol and sodium intake, and an inverse one with potassium and micronutrients derived from fruits and vegetables. CONCLUSION: In this large series of women from Tuscany, Central Italy, we confirm the independent influence of anthropometric characteristics on blood pressure. The role of specific foods and nutrients in modulating blood pressure also emerged, suggesting a central role for lifestyle modifications in blood pressure control. SN - 0263-6352 UR - https://www.unboundmedicine.com/medline/citation/18854749/Anthropometric_and_dietary_determinants_of_blood_pressure_in_over_7000_Mediterranean_women:_the_European_Prospective_Investigation_into_Cancer_and_Nutrition_Florence_cohort_ L2 - http://Insights.ovid.com/pubmed?pmid=18854749 DB - PRIME DP - Unbound Medicine ER -