Association between the prevalence of hypertension and dairy consumption by housing type among survivors of the Great East Japan Earthquake
Association between the prevalence of hypertension and dairy consumption by housing type among survivors of the Great East Japan Earthquake
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DOI：
10.1038/s41371-021-00500-z
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发表时间：
2021-03
影响因子：
2.7
通讯作者：
N. Miyagawa;N. Tsuboyama-Kasaoka;N. Nishi;M. Tsubota-Utsugi;H. Shimoda;K. Sakata;A. Ogawa;S. Kobayashi
中科院分区：
文献类型：
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作者：
N. Miyagawa;N. Tsuboyama-Kasaoka;N. Nishi;M. Tsubota-Utsugi;H. Shimoda;K. Sakata;A. Ogawa;S. Kobayashi
2011年东日本大地震的幸存者患心血管疾病和高血压的风险更高，特别是严重洪灾地区的居民和撤离人员。到目前为止，在这些撤离者中，高血压患病率与乳制品消费之间的关系尚不清楚。在东日本大地震后，我们通过房屋类型调查了这种关联。在这项横断面研究中，我们对2011年9月至2012年2月期间9569名年龄≥18岁的地震幸存者进行了基线调查。高血压被定义为收缩压/舒张压≥140/90 mmHg或接受高血压治疗的人。使用问卷调查确定乳制品消费频率。居住在预制住房和紧急避难所的与会者被视为临时住房的居民。在临时和非临时住房的参与者中，高血压患病率分别为43.8%和44.7%。对每日乳制品消费高血压患病率的logistic回归分析显示，多变量校正优势比的大小因住房类型而异（优势比为0.64；临时住房的优势比为0.51-0.80；优势比为0.85；非临时住房的优势比为0.73-0.995；p相互作用= 0.0501）。根据性别、年龄、行为因素、肥胖、脂质代谢紊乱和经济状况，这些关联在亚组中是一致的。在地震和海啸的社区生活幸存者中，特别是那些生活在临时住房中的幸存者，较高的乳制品消费频率与较低的高血压患病率有关。因此，包括乳制品消费的饮食疗法可以帮助预防撤离者的高血压。
Survivors of the Great East Japan Earthquake in 2011 had higher risks of cardiovascular diseases and hypertension, particularly residents of heavy flooding areas and evacuees. Thus far, the association between the prevalence of hypertension and dairy consumption remains unknown among these evacuees. We investigated this association by housing type after the Great East Japan Earthquake. In this cross-sectional study, we conducted a baseline survey among 9569 survivors of the earthquake, aged ≥18 years, between September 2011 and February 2012. Hypertension was defined as a systolic/diastolic blood pressure ≥140/90 mmHg or as persons undergoing treatment for high blood pressure. The frequency of dairy consumption was determined using a questionnaire. Participants living in prefabricated housing and emergency shelters were regarded as residents of temporary housing. Hypertension was prevalent among 43.8% and 44.7% of the participants in temporary and non-temporary housing, respectively. A logistic regression analysis of the prevalence of hypertension by daily dairy consumption showed that the magnitude of multivariable-adjusted odds ratios differed according to housing type (odds ratio, 0.64; 95% confidence interval, 0.51–0.80 in temporary housing; odds ratio, 0.85; 95% confidence interval, 0.73–0.995 in non-temporary housing;Pfor interaction = 0.0501). These associations were consistent across subgroups according to sex, age, behavioral factors, obesity, disorders of lipid metabolism, and economic status. A higher frequency of dairy consumption was associated with a lower prevalence of hypertension among community-dwelling survivors of earthquakes and tsunamis, particularly those living in temporary housing. Therefore, dietary therapy involving dairy consumption could help prevent hypertension among evacuees.