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Inverse association between dairy intake and hypertension: the Rotterdam Study.
Am J Clin Nutr. 2009 Jun; 89(6):1877-83.AJ

Abstract

BACKGROUND

Little is known about the effect of different types of dairy food products on the development of hypertension.

OBJECTIVE

The objective was to determine whether the incidence of hypertension in older Dutch subjects is associated with intake of dairy products.

DESIGN

We examined the relation between dairy intake and incident hypertension in 2245 participants of the Rotterdam Study aged > or =55 y with complete dietary and blood pressure data, who were free of hypertension at baseline (1990-1993). Blood pressure was reexamined in 1993-1995 and in 1997-1999. Hazard ratios (HRs) with 95% CIs for 2- and 6-y incidence of hypertension were obtained in quartiles of energy-adjusted dairy intake, with adjustment for age, sex, BMI, smoking, educational level, dietary factors, and intake of alcohol and total energy.

RESULTS

Risk of hypertension after 2 y of follow-up (664 incident cases) was inversely associated with dairy product intake. After adjustment for confounders, HRs (95% CIs) were 1.00, 0.82 (0.67, 1.02), 0.67 (0.54, 0.84), and 0.76 (0.61, 0.95) in consecutive quartiles of total dairy product intake (P for trend = 0.008). Corresponding HRs for low-fat dairy products were 1.00, 0.75 (0.60, 0.92), 0.77 (0.63, 0.96), and 0.69 (0.56, 0.86) (P for trend = 0.003). Analysis of specific types of dairy products showed an inverse association with milk and milk products (P for trend = 0.07) and no association with high-fat dairy or cheese (P > 0.6). After 6 y of follow-up (984 incident cases), the associations with hypertension were attenuated to risk reductions of approximately 20% for both total and low-fat dairy products between the extreme quartiles of intake (P for trend = 0.07 and 0.09, respectively).

CONCLUSION

Intake of low-fat dairy products may contribute to the prevention of hypertension at an older age.

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Authors+Show Affiliations

Engberink MF
Division of Human Nutrition, Wageningen University and Research Centre, Wageningen, The Netherlands. marielle.engberink@wur.nl
Hendriksen MA
No affiliation info available
Schouten EG
No affiliation info available
van Rooij FJ
No affiliation info available
Hofman A
No affiliation info available
Witteman JC
No affiliation info available
Geleijnse JM
No affiliation info available

MeSH

AgedBlood PressureDairy ProductsDietDietary FatsFemaleHumansHypertensionIncidenceMaleMiddle AgedNetherlandsRisk Factors

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19369377

Citation

Engberink, Marielle F., et al. "Inverse Association Between Dairy Intake and Hypertension: the Rotterdam Study." The American Journal of Clinical Nutrition, vol. 89, no. 6, 2009, pp. 1877-83.
Engberink MF, Hendriksen MA, Schouten EG, et al. Inverse association between dairy intake and hypertension: the Rotterdam Study. Am J Clin Nutr. 2009;89(6):1877-83.
Engberink, M. F., Hendriksen, M. A., Schouten, E. G., van Rooij, F. J., Hofman, A., Witteman, J. C., & Geleijnse, J. M. (2009). Inverse association between dairy intake and hypertension: the Rotterdam Study. The American Journal of Clinical Nutrition, 89(6), 1877-83. https://doi.org/10.3945/ajcn.2008.27064
Engberink MF, et al. Inverse Association Between Dairy Intake and Hypertension: the Rotterdam Study. Am J Clin Nutr. 2009;89(6):1877-83. PubMed PMID: 19369377.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Inverse association between dairy intake and hypertension: the Rotterdam Study. AU - Engberink,Marielle F, AU - Hendriksen,Marieke A H, AU - Schouten,Evert G, AU - van Rooij,Frank J A, AU - Hofman,Albert, AU - Witteman,Jacqueline C M, AU - Geleijnse,Johanna M, Y1 - 2009/04/15/ PY - 2009/4/17/entrez PY - 2009/4/17/pubmed PY - 2009/6/13/medline SP - 1877 EP - 83 JF - The American journal of clinical nutrition JO - Am J Clin Nutr VL - 89 IS - 6 N2 - BACKGROUND: Little is known about the effect of different types of dairy food products on the development of hypertension. OBJECTIVE: The objective was to determine whether the incidence of hypertension in older Dutch subjects is associated with intake of dairy products. DESIGN: We examined the relation between dairy intake and incident hypertension in 2245 participants of the Rotterdam Study aged > or =55 y with complete dietary and blood pressure data, who were free of hypertension at baseline (1990-1993). Blood pressure was reexamined in 1993-1995 and in 1997-1999. Hazard ratios (HRs) with 95% CIs for 2- and 6-y incidence of hypertension were obtained in quartiles of energy-adjusted dairy intake, with adjustment for age, sex, BMI, smoking, educational level, dietary factors, and intake of alcohol and total energy. RESULTS: Risk of hypertension after 2 y of follow-up (664 incident cases) was inversely associated with dairy product intake. After adjustment for confounders, HRs (95% CIs) were 1.00, 0.82 (0.67, 1.02), 0.67 (0.54, 0.84), and 0.76 (0.61, 0.95) in consecutive quartiles of total dairy product intake (P for trend = 0.008). Corresponding HRs for low-fat dairy products were 1.00, 0.75 (0.60, 0.92), 0.77 (0.63, 0.96), and 0.69 (0.56, 0.86) (P for trend = 0.003). Analysis of specific types of dairy products showed an inverse association with milk and milk products (P for trend = 0.07) and no association with high-fat dairy or cheese (P > 0.6). After 6 y of follow-up (984 incident cases), the associations with hypertension were attenuated to risk reductions of approximately 20% for both total and low-fat dairy products between the extreme quartiles of intake (P for trend = 0.07 and 0.09, respectively). CONCLUSION: Intake of low-fat dairy products may contribute to the prevention of hypertension at an older age. SN - 1938-3207 UR - https://www.unboundmedicine.com/medline/citation/19369377/Inverse_association_between_dairy_intake_and_hypertension:_the_Rotterdam_Study_ L2 - https://academic.oup.com/ajcn/article-lookup/doi/10.3945/ajcn.2008.27064 DB - PRIME DP - Unbound Medicine ER -