Comparison of data-driven identified hypertension-protective dietary patterns among Chinese adults: based on a nationwide study.

Purpose: Diet pattern (DP) is a key modifiable and cost-effective factor in hypertension (HTN) management. The current study aimed to identify and compare the hypertension-protective DPs among Chinese adults. Methods: 52,648 participants aged over 18 years were included from China Nutrition and Heal...

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Publicado en:European Journal of Nutrition Vol. 62; no. 7; pp. 2805 - 2826
Autores principales: Yang, Yuxiang, Piao, Wei, Cai, Shuya, Huang, Kun, Yuan, Changzheng, Cheng, Xue, Zhang, Ling, Li, Yuge, Zhao, Liyun, Yu, Dongmei
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: European Journal of Nutrition
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      dt: Oct2023
      vid: 62
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00394-023-03195-9
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        atl: Comparison of data-driven identified hypertension-protective dietary patterns among Chinese adults: based on a nationwide study.
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        au:
          Yang, Yuxiang
          Piao, Wei
          Cai, Shuya
          Huang, Kun
          Yuan, Changzheng
          Cheng, Xue
          Zhang, Ling
          Li, Yuge
          Zhao, Liyun
          Yu, Dongmei
        affil: Department of Nutrition Surveillance, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, No. 29 Nanwei Road, 100050, Beijing, China
      sug:
        subj:
          Hypertension Diet Therapy
          Food Habits
          Chinese Persons In Adulthood
          Diet
          Adult
          Human
          Hypertension Prevention and Control
          Regression
          Logistic Regression
          Food Intake
          Vegetables
          Fruit
          Mushroom
          Fungi
          Soybeans
          Legumes
          Dairy Products
          Eggs
          Descriptive Statistics
          Confidence Intervals
          Odds Ratio
          Life Style
          Cardiovascular System
          Adult: 19-44 years
      ab: Purpose: Diet pattern (DP) is a key modifiable and cost-effective factor in hypertension (HTN) management. The current study aimed to identify and compare the hypertension-protective DPs among Chinese adults. Methods: 52,648 participants aged over 18 years were included from China Nutrition and Health Surveillance (CNHS) 2015–2017. Reduced rank regression (RRR) and partial least square regression (PLS) was applied to identify the DPs. Multivariable-adjusted logistic regression was used to assess the association between the DPs and HTN. Results: DPs derived by RRR and PLS were both featured by higher consumption of fresh vegetables and fruits, mushrooms and edible fungi, seaweeds, soybeans and related products, mixed legumes, dairy products, fresh eggs, and lower of refined grain consumption. Compared to the lowest quintile, participants in the highest quintile had lower odds of HTN (RRR-DP: OR = 0.77, 95% CI = 0.72–0.83; PLS-DP: OR = 0.76, 95% CI = 0.71–0.82; all p < 0.0001). Simplified DP scores were observed the same protective tendencies (Simplified RRR-DP: OR = 0.81, 95% CI = 0.75–0.87; Simplified PLS-DP: OR = 0.79, 95% CI = 0.74–0.85; all p < 0.0001) and showed effective extrapolation in subgroups defined by gender, age, location, lifestyle, and different metabolic conditions. Conclusions: The identified DPs had high conformity with East Asian dietary habits, and significantly negative associations with HTN among Chinese adults. The simplified DP technique also indicated the potential for improving the extrapolation of the results of DP analysis related to HTN.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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