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European Journal of Nutrition
Erschienen in: European Journal of Nutrition 4/2018

21.03.2017 | Original Contribution

Greater adherence to the dietary approaches to stop hypertension (DASH) dietary pattern is associated with lower blood pressure in healthy Iranian primary school children

verfasst von: Aida Najafi, Shiva Faghih, Abdollah Hojhabrimanesh, Maryam Najafi, Hadith Tangestani, Masoumeh Atefi, Maryam Teymouri, Mahour Salehi, Majid Kamali, Sasan Amanat, Masoumeh Akhlaghi

Erschienen in: European Journal of Nutrition | Ausgabe 4/2018

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Abstract

Purpose

The dietary determinants of children blood pressure (BP) are poorly understood. We examined the association between adherence to the dietary approaches to stop hypertension (DASH) dietary pattern and BP in healthy Iranian primary school children.

Methods

This cross-sectional study was conducted among a representative sample (n = 407) of healthy Shirazi students aged 6–12 years. Subjects’ systolic and diastolic BP were measured by a validated oscillometric BP monitor. Usual dietary intakes over the past 12 months were assessed using a valid and reproducible 168-item semi-quantitative food frequency questionnaire via face-to-face interviews. A DASH score was calculated for each subject based on his/her energy-adjusted intakes of 8 major dietary components emphasized or minimized in the DASH dietary pattern. The higher the DASH score of a subject, the more his/her adherence to the DASH dietary pattern.

Results

After controlling for several potential confounders in the analysis of covariance models, multivariable-adjusted means of systolic and mean BP of subjects in the highest tertile of DASH score were significantly lower than those in the lowest tertile (for systolic BP: mean difference −6.2 mmHg, P = 0.010; and for mean BP: mean difference −5.4 mmHg, P = 0.013). Furthermore, a similar but statistically insignificant difference was found in terms of multivariable-adjusted means of diastolic BP (mean difference −3.9 mmHg, P = 0.146).

Conclusions

The findings suggest that greater adherence to the DASH dietary pattern is associated with lower BP in healthy Iranian primary school children. However, future prospective studies of adequate methodological quality are warranted to confirm these findings.
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Literatur
1.
Falkner B (2010) Hypertension in children and adolescents: epidemiology and natural history. Pediatr Nephrol 25:1219–1224CrossRefPubMed
2.
Fallah Z, Qorbani M, Motlagh ME, Heshmat R, Ardalan G, Kelishadi R (2014) Prevalence of prehypertension and hypertension in a nationally representative sample of Iranian children and adolescents: the CASPIAN-IV study. Int J Prev Med 5:S57–S64PubMedPubMedCentral
3.
Chen X, Wang Y (2008) Tracking of blood pressure from childhood to adulthood: a systematic review and meta-regression analysis. Circulation 117:3171–3180CrossRefPubMedPubMedCentral
4.
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ (2003) The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA 289:2560–2572CrossRefPubMed
5.
Niinikoski H, Jula A, Viikari J, Ronnemaa T, Heino P, Lagstrom H, Jokinen E, Simell O (2009) Blood pressure is lower in children and adolescents with a low-saturated-fat diet since infancy: the special turku coronary risk factor intervention project. Hypertension 53:918–924CrossRefPubMed
6.
Moore LL, Singer MR, Bradlee ML, Daniels SR (2016) Adolescent dietary intakes predict cardiometabolic risk clustering. Eur J Nutr 55:461–468CrossRefPubMed
7.
Krupp D, Shi L, Egert S, Wudy SA, Remer T (2015) Prospective relevance of fruit and vegetable consumption and salt intake during adolescence for blood pressure in young adulthood. Eur J Nutr 54:1269–1279CrossRefPubMed
8.
Birch L, Savage JS, Ventura A (2007) Influences on the development of children’s eating behaviours: from infancy to adolescence. Can J Diet Pract Res 68:s1–s56PubMedPubMedCentral
9.
Mikkila V, Rasanen L, Raitakari OT, Pietinen P, Viikari J (2005) Consistent dietary patterns identified from childhood to adulthood: the cardiovascular risk in Young Finns Study. Br J Nutr 93:923–931CrossRefPubMed
10.
Couch SC, Daniels SR (2005) Diet and blood pressure in children. Curr Opin Pediatr 17:642–647CrossRefPubMed
11.
Moore LL, Bradlee ML, Singer MR, Qureshi MM, Buendia JR, Daniels SR (2012) Dietary approaches to stop hypertension (DASH) eating pattern and risk of elevated blood pressure in adolescent girls. Br J Nutr 108:1678–1685CrossRefPubMed
12.
Hu FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13:3–9CrossRefPubMed
13.
Jacobs DR, Jr, Steffen LM (2003) Nutrients, foods, and dietary patterns as exposures in research: a framework for food synergy. Am J Clin Nutr 78:508S–513SCrossRefPubMed
14.
Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, Bray GA, Vogt TM, Cutler JA, Windhauser MM (1997) A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med 336:1117–1124CrossRefPubMed
15.
Gunther AL, Liese AD, Bell RA, Dabelea D, Lawrence JM, Rodriguez BL, Standiford DA, Mayer-Davis EJ (2009) Association between the dietary approaches to hypertension diet and hypertension in youth with diabetes mellitus. Hypertension 53:6–12CrossRefPubMed
16.
Mehio Sibai A, Nasreddine L, Mokdad AH, Adra N, Tabet M, Hwalla N (2010) Nutrition transition and cardiovascular disease risk factors in Middle East and North Africa countries: reviewing the evidence. Ann Nutr Metab 57:193–203CrossRefPubMed
17.
Ghassemi H, Harrison G, Mohammad K (2002) An accelerated nutrition transition in Iran. Public Health Nutr 5:149–155CrossRefPubMed
18.
Hojhabrimanesh A, Akhlaghi M, Rahmani E, Amanat S, Atefi M, Najafi M, Hashemzadeh M, Salehi S, Faghih S (2015) A Western dietary pattern is associated with higher blood pressure in Iranian adolescents. Eur J Nutr. doi:10.​1007/​s00394-015-1090-z CrossRefPubMed
19.
Hu FB, Rimm E, Smith-Warner SA, Feskanich D, Stampfer MJ, Ascherio A, Sampson L, Willett WC (1999) Reproducibility and validity of dietary patterns assessed with a food-frequency questionnaire. Am J Clin Nutr 69:243–249CrossRefPubMed
20.
Valipour G, Esmaillzadeh A, Azadbakht L, Afshar H, Hassanzadeh A, Adibi P (2017) Adherence to the DASH diet in relation to psychological profile of Iranian adults. Eur J Nutr 56:309–320CrossRefPubMed
21.
Azadbakht L, Hajishafiee M, Golshahi J, Esmaillzadeh A (2016) Snacking Behavior and Obesity among Female Adolescents in Isfahan, Iran. J Am Coll Nutr 35:405–412CrossRefPubMed
22.
23.
Saif M (2000) World medical association declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 284:3043–3045CrossRef
24.
Falkner B, Daniels SR (2004) Summary of the fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Hypertension 44:387–388CrossRef
25.
Parati G, Stergiou GS, Asmar R, Bilo G, de Leeuw P, Imai Y, Kario K, Lurbe E, Manolis A, Mengden T, O’Brien E, Ohkubo T, Padfield P, Palatini P, Pickering T, Redon J, Revera M, Ruilope LM, Shennan A, Staessen JA, Tisler A, Waeber B, Zanchetti A, Mancia G (2008) European society of hypertension guidelines for blood pressure monitoring at home: a summary report of the second international consensus conference on home blood pressure monitoring. J Hypertens 26:1505–1526CrossRefPubMed
26.
Takahashi H, Yoshika M, Yokoi T (2013) Validation of Omron RS8, RS6, and RS3 home blood pressure monitoring devices, in accordance with the European society of hypertension international protocol revision 2010. Vasc Health Risk Manag 9:265–272CrossRefPubMedPubMedCentral
27.
Esfahani FH, Asghari G, Mirmiran P, Azizi F (2010) Reproducibility and relative validity of food group intake in a food frequency questionnaire developed for the Tehran Lipid and Glucose Study. J Epidemiol 20:150–158CrossRefPubMed
28.
Mirmiran P, Esfahani FH, Mehrabi Y, Hedayati M, Azizi F (2010) Reliability and relative validity of an FFQ for nutrients in the Tehran lipid and glucose study. Public Health Nutr 13:654–662CrossRefPubMed
29.
Asghari G, Yuzbashian E, Mirmiran P, Hooshmand F, Najafi R, Azizi F (2016) Dietary approaches to stop hypertension (DASH) dietary pattern is associated with reduced incidence of metabolic syndrome in children and adolescents. J Pediatr 174:178–184CrossRefPubMed
30.
Bahreynian M, Paknahad Z, Maracy MR (2013) Major dietary patterns and their associations with overweight and obesity among Iranian children. Int J Prev Med 4:448–458PubMedPubMedCentral
31.
Azadbakht L, Esmaillzadeh A (2012) Dietary patterns and attention deficit hyperactivity disorder among Iranian children. Nutrition 28:242–249CrossRefPubMed
32.
Ghaffarpour M, Houshiar-Rad A, Kianfar H (1999) The manual for household measures, cooking yields factors, and edible portion of foods. Agriculture Sciences Press, Tehran
33.
Willett WC (1990) Implications of total energy intake for epidemiological analyses. In: Willett WC (ed) Nutritional epidemiology. Oxford University Press, New York, pp 245–271
34.
Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB (2008) Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med 168:713–720CrossRefPubMed
35.
36.
Saneei P, Fallahi E, Barak F, Ghasemifard N, Keshteli AH, Yazdannik AR, Esmaillzadeh A (2015) Adherence to the DASH diet and prevalence of the metabolic syndrome among Iranian women. Eur J Nutr 54:421–428CrossRefPubMed
37.
de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J (2007) Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 85:660–667CrossRefPubMedPubMedCentral
38.
Kelishadi R, Ardalan G, Gheiratmand R, Majdzadeh R, Delavari A, Heshmat R, Gouya MM, Razaghi EM, Motaghian M, Mokhtari MR, Barekati H, Arabi MS (2006) Blood pressure and its influencing factors in a national representative sample of Iranian children and adolescents: the CASPIAN Study. Eur J Cardiovasc Prev Rehabil 13:956–963CrossRefPubMed
39.
Crocker PR, Bailey DA, Faulkner RA, Kowalski KC, McGrath R (1997) Measuring general levels of physical activity: preliminary evidence for the Physical activity questionnaire for older children. Med Sci Sports Exerc 29:1344–1349CrossRefPubMed
40.
Kowalski KC, Crocker P, Faulkner RA (1997) Validation sf the physical activity questionnaire for older children. Pediatr Exerc Sci 9:174–186CrossRef
41.
Faghihimani Z, Nourian M, Nikkar AH, Farajzadegan Z, Khavariyan N, Ghatrehsamani S, Poursafa P, Kelishadi R (2010) Validation of the child and adolescent international physical activity questionnaires in Iranian children and adolescents. ARYA Atheroscler 5:1–4
42.
Boyce W, Torsheim T, Currie C, Zambon A (2006) The family affluence scale as a measure of national wealth: validation of an adolescent self-report measure. Soc Indic Res 78:473–487CrossRef
43.
44.
Esfarjani F, Roustaee R, Mohammadi-Nasrabadi F, Esmaillzadeh A (2013) Major dietary patterns in relation to stunting among children in Tehran, Iran. J Health Popul Nutr 31:202–210CrossRefPubMedPubMedCentral
45.
Novotny R, Nigg CR, Li F, Wilkens LR (2015) Pacific kids DASH for health (PacDASH) randomized, controlled trial with DASH eating plan plus physical activity improves fruit and vegetable intake and diastolic blood pressure in children. Child Obes 11:177–186CrossRefPubMed
46.
Couch SC, Saelens BE, Levin L, Dart K, Falciglia G, Daniels SR (2008) The efficacy of a clinic-based behavioral nutrition intervention emphasizing a DASH-type diet for adolescents with elevated blood pressure. J Pediatr 152:494–501CrossRefPubMed
47.
Hanevold CD (2013) Sodium intake and blood pressure in children. Curr Hypertens Rep 15:417–425CrossRefPubMed
48.
49.
He FJ, MacGregor GA (2006) Importance of salt in determining blood pressure in children: meta-analysis of controlled trials. Hypertension 48:861–869CrossRefPubMed
50.
Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, Obarzanek E, Conlin PR, Miller ER 3rd, Simons-Morton DG, Karanja N, Lin PH (2001) Effects on blood pressure of reduced dietary sodium and the dietary approaches to stop hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med 344:3–10CrossRefPubMed
51.
Houston MC (2011) The importance of potassium in managing hypertension. Curr Hypertens Rep 13:309–317CrossRefPubMed
52.
Mu JJ, Liu ZQ, Liu WM, Liang YM, Yang DY, Zhu DJ, Wang ZX (2005) Reduction of blood pressure with calcium and potassium supplementation in children with salt sensitivity: a 2-year double-blinded placebo-controlled trial. J Hum Hypertens 19:479–483CrossRefPubMed
53.
Buendia JR, Bradlee ML, Daniels SR, Singer MR, Moore LL (2015) Longitudinal effects of dietary sodium and potassium on blood pressure in adolescent girls. JAMA Pediatr 169:560–568CrossRefPubMed
54.
Penton D, Czogalla J, Loffing J (2015) Dietary potassium and the renal control of salt balance and blood pressure. Pflugers Arch 467:513–530CrossRefPubMed
55.
Kass L, Weekes J, Carpenter L (2012) Effect of magnesium supplementation on blood pressure: a meta-analysis. Eur J Clin Nutr 66:411–418CrossRefPubMed
56.
Guerrero-Romero F, Rodriguez-Moran M, Hernandez-Ronquillo G, Gomez-Diaz R, Pizano-Zarate ML, Wacher NH, Mondragon-Gonzalez R, Simental-Mendia LE (2016) Low serum magnesium levels and its association with high blood pressure in children. J Pediatr 168:93–98CrossRefPubMed
57.
Houston M (2011) The role of magnesium in hypertension and cardiovascular disease. J Clin Hypertens (Greenwich) 13:843–847CrossRef
58.
59.
Luft FC (1990) Putative mechanism of blood pressure reduction induced by increases in dietary calcium intake. Am J Hypertens 3:156 S–160 SCrossRef
60.
Hall WL (2009) Dietary saturated and unsaturated fats as determinants of blood pressure and vascular function. Nutr Res Rev 22:18–38CrossRefPubMed
61.
Streppel MT, Arends LR, van ‘t Veer P, Grobbee DE, Geleijnse JM (2005) Dietary fiber and blood pressure: a meta-analysis of randomized placebo-controlled trials. Arch Intern Med 165:150–156CrossRefPubMed
62.
63.
Storniolo CE, Casillas R, Bullo M, Castaner O, Ros E, Saez GT, Toledo E, Estruch R, Ruiz-Gutierrez V, Fito M, Martinez-Gonzalez MA, Salas-Salvado J, Mitjavila MT, Moreno JJ (2015) A Mediterranean diet supplemented with extra virgin olive oil or nuts improves endothelial markers involved in blood pressure control in hypertensive women. Eur J Nutr. doi:10.​1007/​s00394-015-1060-5 CrossRefPubMed
64.
Sakurai M, Stamler J, Miura K, Brown IJ, Nakagawa H, Elliott P, Ueshima H, Chan Q, Tzoulaki I, Dyer AR, Okayama A, Zhao L (2011) Relationship of dietary cholesterol to blood pressure: the INTERMAP study. J Hypertens 29:222–228CrossRefPubMedPubMedCentral
65.
Livingstone MB (1995) Assessment of food intakes: are we measuring what people eat? Br J Biomed Sci 52:58–67PubMed
Metadaten
Titel
Greater adherence to the dietary approaches to stop hypertension (DASH) dietary pattern is associated with lower blood pressure in healthy Iranian primary school children
verfasst von
Aida Najafi
Shiva Faghih
Abdollah Hojhabrimanesh
Maryam Najafi
Hadith Tangestani
Masoumeh Atefi
Maryam Teymouri
Mahour Salehi
Majid Kamali
Sasan Amanat
Masoumeh Akhlaghi
Publikationsdatum
21.03.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 4/2018
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-017-1423-1

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