Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China

BMC Public Health

Zumin Shi¹  Frans J Kok³  Johanna M Geleijnse³  Minghao Zhou²  Yue Dai²  Baojun Yuan²  Jinkou Zhao²  Xiaoqun Pan²  Alida Melse-Boonstra³  Yu Qin² 

[1] Discipline of Medicine, University of Adelaide, Adelaide, Australia;Department of Non-communicable Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, P. R. China;Division of Human Nutrition, Wageningen University, P.O. Box 8129, 6700 EV, Bomenweg 2, Bdg 307, 6703 HD, Wageningen, The Netherlands

关键词: China;    Blood pressure;    Salt;    Body weight;    Dietary pattern;   

Others  :  1127085
DOI  :  10.1186/1471-2458-14-948

 received in 2014-01-27, accepted in 2014-09-05,  发布年份 2014

【 摘 要 】

Background

To identify risk factors, associations between dietary patterns, body mass index (BMI), and hypertension in a Chinese population.

Methods

Dietary intake was assessed in 2518 adults by a 3-day 24 h recall and a food frequency questionnaire. Salt and oil intake was assessed by weighing records. Four dietary patterns were identified using principal component analysis. Overweight and obesity was determined according to the Chinese cut-offs for BMI. High blood pressure was defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg. Prevalence ratios (PR) were calculated using Poisson regression.

Results

Of the subjects, 26.7% had high blood pressure. Subjects with overweight and obesity were more likely to have high blood pressure than those with normal weight (PR, 95% CI: 1.60, 1.40-1.87; 2.45, 2.11-2.85, respectively). Subjects with a ‘traditional’ dietary pattern were more likely to have high blood pressure (P _{for trend} = 0.001), whereas those with a ‘macho’ or ‘sweet tooth’ dietary pattern were less likely to have high blood pressure (P _{for trend} = 0.004 and <0.001, respectively). More than half of the population had salt intakes > 9 g/d, and blood pressure increased with salt intake (P _{for trend} <0.001). Subjects with a ‘traditional’ dietary pattern had the highest salt intake (12.3 g/d).

Conclusion

A traditional dietary pattern is associated with high blood pressure among the population of Jiangsu Province, which may be mainly due to high salt intake. Moreover, high BMI is an important determinant of high blood pressure. Both issues need to be addressed by lifestyle interventions.

【 授权许可】

   
2014 Qin et al.; licensee BioMed Central Ltd.

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