Association between dietary behavior and risk of hypertension among Japanese male workers.

Association between dietary behavior and risk of hypertension among Japanese male workers.
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日本男性工人饮食行为与高血压风险的关联。

DOI:
10.1038/hr.2012.205
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发表时间:
2013
期刊:
影响因子:
5.4
通讯作者:
Iso H.
Iso H.
中科院分区:
医学2区
文献类型:
--
作者:
Umesawa M;Kitamura A;Kiyama M;Okada T;Shimizu Y;Imano H;Ohira T;Nakamura M;Maruyama K;Iso H.

文献摘要

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饮食行为可能会恶化或预防高血压。然而,关于亚洲人饮食行为和高血压风险之间的关联的数据有限。这项研究的目的是确定日本男性员工中的这些关联。2001年至2011年,我们在日本大阪对30-71岁的日本男性工作者进行了一项前瞻性研究。研究对象是3486名血压正常的男性,他们使用年度调查进行了平均4.6年的评估。我们通过收缩压为⩾140 mm Hg,舒张压为⩾90 mm Hg和/或使用抗高血压药物来定义高血压。饮食行为问卷包括在年度调查中。对于每个关于饮食行为的问题,我们使用Logistic回归模型计算高血压风险的优势比(OR)。我们使用在基线和终点调查中始终给出肯定答案的受试者作为参考。3486人中新发高血压846人。与经常吃肉的人相比,经常不吃肉的人患高血压的风险更高(OR=1.26,95%可信区间:1.00~1.59)。不每天食用奶制品的人群患高血压的风险高于每天食用奶制品的人群(OR=1.39,95%CI:1.13~1.71)。肉类和奶制品的摄入量与日本男性工人高血压的预防有关。
Dietary behavior can worsen or prevent hypertension. However, data on the association between dietary behavior and the risk of hypertension in Asians are limited. The aim of this study was to determine these associations in Japanese male workers. We conducted a prospective study of 30–71-year-old Japanese male workers in Osaka, Japan, between 2001 and 2011. The study subjects were 3486 normotensive males who were assessed for an average of 4.6 years using an annual survey. We defined hypertension by a systolic blood pressure of⩾ 140 mm Hg, a diastolic blood pressure of⩾ 90 mm Hg and/or the use of antihypertensive medications. Dietary behavior questionnaires were included in the annual surveys. For each question on dietary behavior, we calculated the odds ratios (ORs) for the risk of hypertension using logistic regression models. We used subjects who consistently gave affirmative answers in the baseline and end-point surveys as a reference. The number of new cases of hypertension was 846 among 3486 subjects. Compared with subjects who eat meat frequently, subjects who did not eat meat frequently showed a higher risk of hypertension (OR= 1.26, 95% confidence interval (CI): 1.00–1.59). Subjects who did not consume dairy products every day showed a higher risk of hypertension (OR= 1.39, 95% CI: 1.13–1.71) compared with those who did. Meat and dairy product intake was associated with the prevention of hypertension among Japanese male workers.