Document Detail

Dietary patterns and blood pressure among middle-aged and elderly Chinese men in Shanghai.
MedLine Citation:
PMID:  20187997     Owner:  NLM     Status:  MEDLINE    
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.
Sang-Ah Lee; Hui Cai; Gong Yang; Wang-Hong Xu; Wei Zheng; Honglan Li; Yu-Tang Gao; Yong-Bing Xiang; Xiao Ou Shu
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.     Date:  2010-03-01
Journal Detail:
Title:  The British journal of nutrition     Volume:  104     ISSN:  1475-2662     ISO Abbreviation:  Br. J. Nutr.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-14     Completed Date:  2010-08-09     Revised Date:  2014-09-12    
Medline Journal Info:
Nlm Unique ID:  0372547     Medline TA:  Br J Nutr     Country:  England    
Other Details:
Languages:  eng     Pagination:  265-75     Citation Subset:  IM    
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MeSH Terms
Asian Continental Ancestry Group / statistics & numerical data*
Blood Pressure*
China / epidemiology
Cohort Studies
Diet / statistics & numerical data*
Food Habits / ethnology*
Health Surveys
Hypertension / epidemiology*
Life Style
Middle Aged
Nutritional Status
Socioeconomic Factors
Urban Health / statistics & numerical data
Grant Support
R01 CA082729/CA/NCI NIH HHS; R01 CA082729-09/CA/NCI NIH HHS; R01 CA82729/CA/NCI NIH HHS

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