Intake of fruits, vegetables, and dairy products in early childhood and subsequent blood pressure change
Intake of fruits, vegetables, and dairy products in early childhood and subsequent blood pressure change
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DOI：
10.1097/01.ede.0000147106.32027.3e
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发表时间：
2005-01-01
期刊：
影响因子：
5.4
通讯作者：
Ellison, RC
中科院分区：
文献类型：
--
作者：
Moore, LL;Singer, MR;Ellison, RC
背景：以大量摄入水果、蔬菜和低脂乳制品为特征的饮食（例如 DASH 饮食）已被证明可以降低成人血压。类似饮食对儿童血压的影响尚不清楚。方法：我们使用了 95 名儿童 8 年的随访数据，这些儿童在 1986 年参加前瞻性弗雷明汉儿童研究时最初年龄为 3 至 6 岁。每年的门诊就诊包括使用自动化设备测量的 5 项血压。每年通过重复的 3 天食物日记来评估饮食。结果：学龄前期间摄入更多水果和蔬菜（每天 4 份或更多份）或更多乳制品（每天 2 份或更多份）的儿童在整个童年时期收缩压的年度增幅较小。到青春期早期，水果、蔬菜和乳制品摄入量较高的儿童的调整后平均（标准差）收缩压为 106 +/- 2.9 毫米汞柱，而两类食物摄入量较低的儿童的平均收缩压为 113 +/- 1.5 毫米汞柱。那些单独摄入较多水果和蔬菜或单独摄入乳制品的人在青春期的收缩压处于中等水平。对舒张压的影响较弱。结论：这些结果表明，富含水果、蔬菜和乳制品的饮食可能对儿童时期的血压产生有益影响。
Background: Diets characterized by high intakes of fruits and vegetables and low-fat dairy products (for example, the DASH diet) have been shown to reduce blood pressure in adults. The effects of similar diets on children's blood pressure are unknown.Methods: We used 8 years of follow-up data from 95 children, initially 3 to 6 years of age at enrollment in the prospective Framingham Children's Study in 1986. The yearly clinic visits included 5 measures of blood pressure obtained with an automated device. Diet was assessed by means of replicate sets of 3-day food diaries during each year.Results: Children who consumed more fruits and vegetables (4 or more servings per day) or more dairy products (2 or more servings per day) during the preschool years had smaller yearly gains in systolic blood pressure throughout childhood. By the time of early adolescence, children with higher intakes of fruits and vegetables and dairy products had an adjusted mean ( standard deviation) systolic blood pressure of 106 +/- 2.9 mm Hg, whereas those with lower intakes in both food groups had a mean systolic blood pressure of 113 +/- 1.5 mm Hg. Those with higher intakes of fruits and vegetables alone or dairy alone had intermediate levels of systolic blood pressure in adolescence. The effects on diastolic blood pressure were weaker.Conclusion: These results suggest that a diet rich in fruits, vegetables, and dairy products may have beneficial effects on blood pressure during childhood.