Erschienen in:
19.06.2023 | Original Contribution
Comparison of data-driven identified hypertension-protective dietary patterns among Chinese adults: based on a nationwide study
verfasst von:
Yuxiang Yang, Wei Piao, Shuya Cai, Kun Huang, Changzheng Yuan, Xue Cheng, Ling Zhang, Yuge Li, Liyun Zhao, Dongmei Yu
Erschienen in:
European Journal of Nutrition
|
Ausgabe 7/2023
Einloggen, um Zugang zu erhalten
Abstract
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.