A Diet Pattern with More Dairy and Nuts, but Less Meat Is Related to Lower Risk of Developing Hypertension in Middle-Aged Adults: The Atherosclerosis Risk in Communities (ARIC) Study

Nutrients

Lu-Chen Weng¹  Lyn M. Steffen¹  Moyses Szklo²  Jennifer Nettleton³  Lloyd Chambless⁴ 

[1] Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 1300 South 2nd Street, Suite 300, Minneapolis, MN 55454, USA; E-Mails:;Department of Epidemiology, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD 21205, USA; E-Mail:;Department of Epidemiology and Disease Control, University of Texas Health Science Center-Houston, 1200 Herman Pressler, Houston, TX 77030, USA; E-Mail:;Department of Biostatistics, University of North Carolina-Chapel Hill, 3101 McGavran-Greenberg Hall, CB #7420, Chapel Hill, NC 27599, USA; E-Mail:

关键词: diet pattern;    healthy food score;    hypertension;    high normal blood pressure;   

DOI  :  10.3390/nu5051719

来源: mdpi

【 摘 要 】

Dietary intake among other lifestyle factors influence blood pressure. We examined the associations of an “a priori” diet score with incident high normal blood pressure (HNBP; systolic blood pressure (SBP) 120–139 mmHg, or diastolic blood pressure (DBP) 80–89 mmHg and no antihypertensive medications) and hypertension (SBP ≥ 140 mmHg, DBP ≥ 90 mmHg, or taking antihypertensive medication). We used proportional hazards regression to evaluate this score in quintiles (Q) and each food group making up the score relative to incident HNBP or hypertension over nine years in the Atherosclerosis Risk of Communities (ARIC) study of 9913 African-American and Caucasian adults aged 45–64 years and free of HNBP or hypertension at baseline. Incidence of HNBP varied from 42.5% in white women to 44.1% in black women; and incident hypertension from 26.1% in white women to 40.8% in black women. Adjusting for demographics and CVD risk factors, the “a priori” food score was inversely associated with incident hypertension; but not HNBP. Compared to Q1, the relative hazards of hypertension for the food score Q2–Q5 were 0.97 (0.87–1.09), 0.91 (0.81–1.02), 0.91 (0.80–1.03), and 0.86 (0.75–0.98); p_trend = 0.01. This inverse relation was largely attributable to greater intake of dairy products and nuts, and less meat. These findings support the 2010 Dietary Guidelines to consume more dairy products and nuts, but suggest a reduction in meat intake.

【 授权许可】

CC BY   
© 2013 by the authors; licensee MDPI, Basel, Switzerland.