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

Yu Qin, Alida Melse-Boonstra, Xiaoqun Pan, Jinkou Zhao, Baojun Yuan, Yue Dai, Minghao Zhou, Johanna M. Geleijnse, Frans J. Kok, Zumin Shi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

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.

LanguageEnglish
Article number948
JournalBMC Public Health
Volume14
Issue number1
DOIs
Publication statusPublished - 12 Sep 2014

Keywords

  • Blood pressure
  • Body weight
  • China
  • Dietary pattern
  • Salt

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Qin, Y., Melse-Boonstra, A., Pan, X., Zhao, J., Yuan, B., Dai, Y., ... Shi, Z. (2014). Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China. BMC Public Health, 14(1), [948]. https://doi.org/10.1186/1471-2458-14-948
Qin, Yu ; Melse-Boonstra, Alida ; Pan, Xiaoqun ; Zhao, Jinkou ; Yuan, Baojun ; Dai, Yue ; Zhou, Minghao ; Geleijnse, Johanna M. ; Kok, Frans J. ; Shi, Zumin. / Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China. In: BMC Public Health. 2014 ; Vol. 14, No. 1.
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abstract = "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.",
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Qin, Y, Melse-Boonstra, A, Pan, X, Zhao, J, Yuan, B, Dai, Y, Zhou, M, Geleijnse, JM, Kok, FJ & Shi, Z 2014, 'Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China', BMC Public Health, vol. 14, no. 1, 948. https://doi.org/10.1186/1471-2458-14-948

Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China. / Qin, Yu; Melse-Boonstra, Alida; Pan, Xiaoqun; Zhao, Jinkou; Yuan, Baojun; Dai, Yue; Zhou, Minghao; Geleijnse, Johanna M.; Kok, Frans J.; Shi, Zumin.

In: BMC Public Health, Vol. 14, No. 1, 948, 12.09.2014.

Research output: Contribution to journalArticle

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T1 - Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China

AU - Qin, Yu

AU - Melse-Boonstra, Alida

AU - Pan, Xiaoqun

AU - Zhao, Jinkou

AU - Yuan, Baojun

AU - Dai, Yue

AU - Zhou, Minghao

AU - Geleijnse, Johanna M.

AU - Kok, Frans J.

AU - Shi, Zumin

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N2 - 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.

AB - 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.

KW - Blood pressure

KW - Body weight

KW - China

KW - Dietary pattern

KW - Salt

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