Comparative studies of diet-related factors and blood pressure among Chinese and Japanese: results from the China-Japan Cooperative Research of the WHO-CARDIAC Study. Cardiovascular Disease and Alimentary Comparison.
Comparative studies of diet-related factors and blood pressure among Chinese and Japanese: results from the China-Japan Cooperative Research of the WHO-CARDIAC Study. Cardiovascular Disease and Alimentary Comparison.
复制标题
中国与日本饮食相关因素与血压的比较研究：WHO-CARDIAC研究中日合作研究结果
作者：
L. Liu;S. Mizushima;K. Ikeda;H. Hattori;A. Miura;M. Gao;Y. Nara;Y. Yamori
本研究旨在比较中国人和日本人饮食相关因素的差异及其与血压的关系。采用多中心横断面研究设计，共对1，151名中国人（男性/女性：551/600）和1，681名日本人（782/899）进行了研究，年龄为48-56岁。这项工作是世界卫生组织（WHO）心血管疾病和消化道比较（CARDIAC）研究的组成部分。本报告中包括的测量值为BP、体重指数（BMI）、血清总胆固醇（TC）、24小时尿钠、钾、钙、镁、肌酐、3-甲基组氨酸（3 MH，动物蛋白摄入量的标志物）和牛磺酸（海鲜摄入量的标志物）排泄水平。结果表明：（1）日本男性高血压患病率明显高于中国男性（34.4%比20.5%，P<0.01）;校正年龄后，日本男性的平均收缩压和舒张压（SBP，DBP）显著高于中国受试者，日本女性的DBP显著高于中国受试者（分别为p<0.01）。(b)日本人的BMI、TC和钠排泄量显著高于中国人，而镁排泄量显著低于中国人（p<0.01）。(c)在日本样本中，多元线性回归分析（使用逐步程序）显示，SBP与BMI和钠排泄呈显著正相关，与镁排泄呈显著负相关，而DBP与BMI呈显著正相关，与3 MH/肌酐比值（3 MH/Cre）呈显著负相关。在中国人群中，收缩压和舒张压均与BMI和钠呈显著正相关，与3 MH/Cre呈显著负相关。总之，日本人的平均血压明显高于中国人。血压的差异可能部分归因于两个人群之间各种饮食相关因素的差异，特别是BMI，钠，镁丰富的食物和动物蛋白摄入量。
We aimed to compare the differences in diet-related factors and their associations with blood pressure (BP) between Chinese and Japanese. A total of 1,151 Chinese (M/F: 551/600) and 1,681 Japanese (782/899), aged 48-56 years, were studied using a multi-center cross-sectional study design. This work was a constituent part of the World Health Organization (WHO) Cardiovascular Disease and Alimentary Comparison (CARDIAC) Study. Measurements included in the present report were BP, body mass index (BMI), serum total cholesterol (TC), 24-h urinary sodium, potassium, calcium, magnesium, creatinine, 3-Methylhistidine (3MH, a marker of animal protein intake) and taurine (a marker of seafood intake) excretion levels. Results were as follows: (a) Japanese men had a significantly higher prevalence of hypertension than the Chinese (34.4% vs. 20.5%, p<0.01). After adjustment for age, Japanese men had a significantly higher mean systolic and diastolic BP (SBP, DBP), and Japanese women had a significantly higher DBP than the Chinese subjects overall (p<0.01, respectively). (b) Japanese had significantly higher mean BMI, TC and sodium excretion, and lower mean magnesium excretion than Chinese (p<0.01). (c) In the Japanese sample, multiple linear regression analyses (using a stepwise procedure) showed that SBP had a significant positive association with BMI and sodium excretion, and a significant negative association with magnesium excretion, while DBP had a significant positive association with BMI and a significant negative association with the 3MH to creatinine ratio (3MH/Cre). In the Chinese sample, both SBP and DBP showed a significant positive association with BMI and sodium, and a significant negative association with 3MH/Cre. In conclusion, Japanese had significantly higher mean BP than Chinese. The differences in BP may have been partly attributable to differences in various diet-related factors, particularly in BMI, sodium, magnesium-rich foods and animal protein intake, between the two populations.
20世纪80年代中国成年人的体重指数。
影响因子：
4.7
作者：
Ge,K;Weisell,R;Guo,X;Cheng,L;Ma,H;Zhai,F;Popkin,BM
通讯作者：
Popkin,BM