Diet quality in relation to the risk of hypertension among Iranian adults: cross-sectional analysis of Fasa PERSIAN cohort study.

Background: Hypertension is a common chronic disease with various complications and is a main contributing factor to cardiovascular disease (CVD). This study aimed to assess the association of diet quality, assessed by dietary diversity score (DDS), Mediterranean dietary score (MDS), diet quality in...

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Publicado en:Nutrition Journal Vol. 20; no. 1; pp. 1 - 11
Autores principales: Motamedi, Amir, Ekramzadeh, Maryam, Bahramali, Ehsan, Farjam, Mojtaba, Homayounfar, Reza
Formato: research Journal Article
Publicado: BioMed Central 6/26/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 6/26/2021
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      pub: BioMed Central
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        10.1186/s12937-021-00717-1
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        atl: Diet quality in relation to the risk of hypertension among Iranian adults: cross-sectional analysis of Fasa PERSIAN cohort study.
      aug:
        au:
          Motamedi, Amir
          Ekramzadeh, Maryam
          Bahramali, Ehsan
          Farjam, Mojtaba
          Homayounfar, Reza
        affil: Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
      sug:
        subj:
          Hypertension Epidemiology
          Diet
          Prospective Studies
          Human
          Adult
          Iran
          Male
          Female
          Cross Sectional Studies
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Questionnaires
          Adult: 19-44 years
          Male
          Female
      ab: Background: Hypertension is a common chronic disease with various complications and is a main contributing factor to cardiovascular disease (CVD). This study aimed to assess the association of diet quality, assessed by dietary diversity score (DDS), Mediterranean dietary score (MDS), diet quality index-international (DQI-I), and healthy eating index-2015 (HEI-2015) with the risk of hypertension.Methods: This study recruited a total of 10,111 individuals (45.14% male) with mean age of 48.63 ± 9.57 years from the Fasa Cohort Study, Iran. Indices of diet quality, including MDS, HEI-2015, DQI-I, and DDS were computed by a 125-item Food Frequency Questionnaire. Participants were diagnosed as hypertensive if they had a diastolic blood pressure (DBP) ≥90 mmHg, systolic blood pressure (SBP) ≥140 mmHg,, or used antihypertensive drugs.Results: Hypertension was prevalent in 28.3% of the population (21.59% in males and 33.74% in females). In the whole population, after adjustment for potential covariates, including daily energy intake, age, gender, physical activity, smoking, family history of hypertension, body mass index, and the level of education, higher adherence to the MDS (OR: 0.86, 95%CI = 0.75-0.99) and HEI-2015 (OR: 0.79, 95%CI = 0.68-0.90) was significantly associated with decreased risk of hypertension. The protective effect of HEI-2015 against hypertension remained significant for both males (OR: 0.80, 95%CI = 0.64-0.99) and females (OR: 0.78, 95%CI = 0.66-0.94), while, for MDS, this relationship disappeared in the subgroup analysis by gender. DQI-I and DDS were not related to the odds of hypertension.Conclusions: Adhering to MDS and HEI-2015 diets could contribute to the prevention of hypertension.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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