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Dietary patterns and blood pressure among middle-aged and elderly Chinese men in Shanghai.
Br J Nutr. 2010 Jul; 104(2):265-75.BJ

Abstract

The prevalence of hypertension has increased over the past decade in many developed and developing countries, including China. This increase may be associated with changes in lifestyle, including dietary patterns. We evaluated the association of dietary patterns with blood pressure (BP) by using data from a large, population-based cohort study of middle-aged and elderly Chinese men, the Shanghai Men's Health Study. The present cross-sectional analysis includes 39 252 men who reported no prior history of hypertension, diabetes, CHD, or stroke nor use of antihypertensive drugs at study enrolment. Three dietary patterns, 'vegetable', 'fruit and milk' and 'meat', were derived using factor analysis. The fruit and milk diet was inversely associated with both systolic and diastolic BP (Ptrend < 0.001). The adjusted mean systolic BP was 2.9 mmHg lower (95 % CI - 3.4, - 2.4), and diastolic BP was 1.7 mmHg lower (95 % CI - 2.0, - 1.4) for men in the highest quintile of the 'fruit and milk' pattern compared with men in the lowest quintile. This inverse association was more evident among heavy drinkers; the highest quintile of the 'fruit and milk' pattern was associated with a 4.1 mmHg reduction in systolic BP v. a 2.0 mmHg reduction among non-drinkers (Pinteraction = 0.003) compared to the lowest quintile. The corresponding reductions in diastolic BP were 2.0 v. 1.3 mmHg (Pinteraction = 0.011). The 'fruit and milk' pattern was associated with a lower prevalence of both pre-hypertension and hypertension, and the associations appeared to be stronger among drinkers. Results of the present study suggest an important role for diet in the prevention of hypertension.

Authors+Show Affiliations

Department of Medicine, Vanderbilt Epidemiology Center, Vanderbilt University Medical Center and Vanderbilt-Ingram Cancer Center, 2525 West End Avenue, Suite 600, IMPH, Nashville TN 37203-1738, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

20187997

Citation

Lee, Sang-Ah, et al. "Dietary Patterns and Blood Pressure Among Middle-aged and Elderly Chinese Men in Shanghai." The British Journal of Nutrition, vol. 104, no. 2, 2010, pp. 265-75.
Lee SA, Cai H, Yang G, et al. Dietary patterns and blood pressure among middle-aged and elderly Chinese men in Shanghai. Br J Nutr. 2010;104(2):265-75.
Lee, S. A., Cai, H., Yang, G., Xu, W. H., Zheng, W., Li, H., Gao, Y. T., Xiang, Y. B., & Shu, X. O. (2010). Dietary patterns and blood pressure among middle-aged and elderly Chinese men in Shanghai. The British Journal of Nutrition, 104(2), 265-75. https://doi.org/10.1017/S0007114510000383
Lee SA, et al. Dietary Patterns and Blood Pressure Among Middle-aged and Elderly Chinese Men in Shanghai. Br J Nutr. 2010;104(2):265-75. PubMed PMID: 20187997.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary patterns and blood pressure among middle-aged and elderly Chinese men in Shanghai. AU - Lee,Sang-Ah, AU - Cai,Hui, AU - Yang,Gong, AU - Xu,Wang-Hong, AU - Zheng,Wei, AU - Li,Honglan, AU - Gao,Yu-Tang, AU - Xiang,Yong-Bing, AU - Shu,Xiao Ou, Y1 - 2010/03/01/ PY - 2010/3/2/entrez PY - 2010/3/2/pubmed PY - 2010/8/10/medline SP - 265 EP - 75 JF - The British journal of nutrition JO - Br. J. Nutr. VL - 104 IS - 2 N2 - The prevalence of hypertension has increased over the past decade in many developed and developing countries, including China. This increase may be associated with changes in lifestyle, including dietary patterns. We evaluated the association of dietary patterns with blood pressure (BP) by using data from a large, population-based cohort study of middle-aged and elderly Chinese men, the Shanghai Men's Health Study. The present cross-sectional analysis includes 39 252 men who reported no prior history of hypertension, diabetes, CHD, or stroke nor use of antihypertensive drugs at study enrolment. Three dietary patterns, 'vegetable', 'fruit and milk' and 'meat', were derived using factor analysis. The fruit and milk diet was inversely associated with both systolic and diastolic BP (Ptrend < 0.001). The adjusted mean systolic BP was 2.9 mmHg lower (95 % CI - 3.4, - 2.4), and diastolic BP was 1.7 mmHg lower (95 % CI - 2.0, - 1.4) for men in the highest quintile of the 'fruit and milk' pattern compared with men in the lowest quintile. This inverse association was more evident among heavy drinkers; the highest quintile of the 'fruit and milk' pattern was associated with a 4.1 mmHg reduction in systolic BP v. a 2.0 mmHg reduction among non-drinkers (Pinteraction = 0.003) compared to the lowest quintile. The corresponding reductions in diastolic BP were 2.0 v. 1.3 mmHg (Pinteraction = 0.011). The 'fruit and milk' pattern was associated with a lower prevalence of both pre-hypertension and hypertension, and the associations appeared to be stronger among drinkers. Results of the present study suggest an important role for diet in the prevention of hypertension. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/20187997/Dietary_patterns_and_blood_pressure_among_middle_aged_and_elderly_Chinese_men_in_Shanghai_ L2 - https://www.cambridge.org/core/product/identifier/S0007114510000383/type/journal_article DB - PRIME DP - Unbound Medicine ER -