Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/89668
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Type: Journal article
Title: Association of dietary pattern and body weight with blood pressure in Jiangsu Province, China
Author: Qin, Y.
Melse-Boonstra, A.
Pan, X.
Zhao, J.
Yuan, B.
Dai, Y.
Zhou, M.
Geleijnse, J.
Kok, F.
Shi, Z.
Citation: BMC Public Health, 2014; 14(1):948-1-948-8
Publisher: BioMed Central
Issue Date: 2014
ISSN: 1471-2458
1471-2458
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Responsibility: 
Yu Qin, Alida Melse-Boonstra, Xiaoqun Pan, Jinkou Zhao, Baojun Yuan, Yue Dai, Minghao Zhou, Johanna M Geleijnse, Frans J Kok and Zumin Shi
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.
Keywords: Dietary pattern; Body weight; Salt; Blood pressure; China
Rights: © 2014 Qin et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
RMID: 0030015464
DOI: 10.1186/1471-2458-14-948
Appears in Collections:Medicine publications

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