Seven-year incidence of new-onset hypertension by frequency of dairy intake among survivors of the Great East Japan Earthquake

Seven-year incidence of new-onset hypertension by frequency of dairy intake among survivors of the Great East Japan Earthquake
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东日本大地震幸存者七年新发高血压发病率(按乳制品摄入频率)

DOI:
10.1038/s41440-022-00933-0
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发表时间:
2022
期刊:
影响因子:
5.4
通讯作者:
Kobayashi S
Kobayashi S
中科院分区:
医学2区
文献类型:
--
作者:
Miyagawa N;Tsubota-Utsugi M;Tsuboyama-Kasaoka N;Nishi N;Shimoda H;Sakata K;Ogawa A;Kobayashi S

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自然灾害的幸存者患心血管疾病的风险很高。需要确定行为风险因素,包括可改变的饮食。到目前为止,这些幸存者中乳制品摄入量与新发高血压之间的关系尚不清楚。因此,我们研究了这种关系。我们对 2011 年东日本大地震的 4475 名幸存者进行了一项纵向队列研究,他们参与了为期 7 年的跟踪调查。使用年度健康检查数据评估新发高血压。使用自我报告问卷获得有关乳制品摄入频率的信息。使用 Cox 比例风险回归模型计算根据乳制品摄入频率发生高血压的风险比。观察总人数为 20,042 人年,中位随访时间为 5.4 年。观察期间,有1554人出现高血压。与不食用乳制品的人相比,每天食用一次乳制品的人(0.82,95%置信区间 0.71-0.94)和每天食用两次或以上乳制品的人(0.84,95%置信区间 0.71-0.99)的多变量调整后的新发高血压风险比显着降低;逆线性趋势略有显着(P= 0.083)。这种关联不受脂质代谢的影响,并且在性别、年龄、行为因素、心脏代谢因素和灾难造成的住房类型等亚组中保持一致。对于地震和海啸的社区居民来说,较高的乳制品摄入频率与较低的新发高血压风险相关。涉及乳制品摄入的饮食指导可以降低这些幸存者患高血压的风险。
Survivors of natural disasters are at a high risk of cardiovascular disease. Behavioral risk factors, including modifiable diet, need to be identified. Thus far, the association between dairy intake and new-onset hypertension among these survivors is unknown. Therefore, we investigated this relationship. We conducted a longitudinal cohort study of 4475 survivors of the Great East Japan Earthquake in 2011 who participated in a 7-year follow-up survey. New-onset hypertension was assessed using annual health checkup data. Information on the frequency of dairy intake was obtained using a self-report questionnaire. The hazard ratio for developing hypertension according to the frequency of dairy intake was calculated using Cox proportional hazards regression models. The total number of person-years observed was 20,042, with a median follow-up of 5.4 years. During the observation period, 1554 individuals developed hypertension. The multivariable-adjusted hazard ratios of new-onset hypertension were significantly lower in those who consumed dairy products once per day (0.82, 95% confidence interval 0.71–0.94) and twice or more times per day (0.84, 95% confidence interval 0.71–0.99) than in nonconsumers; the inverse linear trend was marginally significant (P= 0.083). This association was not affected by lipid metabolism and was consistent across subgroups by sex, age, behavioral factors, cardiometabolic factors, and housing type due to the disaster. A higher frequency of dairy intake was associated with a lower risk of new-onset hypertension in community-dwelling survivors of earthquakes and tsunamis. Dietary guidance involving dairy intake could reduce the risk of developing hypertension among these survivors.
DOI: 10.1038/s41371-021-00500-z
发表时间: 2021-03
影响因子: 2.7
作者:
N. Miyagawa;N. Tsuboyama-Kasaoka;N. Nishi;M. Tsubota-Utsugi;H. Shimoda;K. Sakata;A. Ogawa;S. Kobayashi
通讯作者: N. Miyagawa;N. Tsuboyama-Kasaoka;N. Nishi;M. Tsubota-Utsugi;H. Shimoda;K. Sakata;A. Ogawa;S. Kobayashi
DOI: 10.1056/nejm199704173361601
发表时间: 1997-04-17
影响因子: 158.5
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通讯作者: Karanja, N
DOI: 10.22037/aaem.v9i1.1208
发表时间: 2021
影响因子: 5.4
作者:
Babaie J;Pashaei Asl Y;Naghipour B;Faridaalaee G
通讯作者: Faridaalaee G
DOI: 10.1038/s41440-020-00607-9
发表时间: 2021
影响因子: 5.4
作者:
Tomohiro Takahashi;F. Tanaka;H. Shimoda;K. Tanno;K. Sakata;Shuko Takahashi;Y. Yonekura;A. Ogawa;S. Kobayashi;Osamu Shimooki;Motoyuki Nakamura
通讯作者: Motoyuki Nakamura
笠冈义世(坪山):《基础营养》Kenpakusha 25 (2003)。
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