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Article

Associations of Dietary Patterns and Risk of Hypertension in Southwest China: A Prospective Cohort Study

by 1,†, 2,†, 2, 1, 1, 2, 2, 2,* and 1,*
1
Guizhou Center for Disease Control and Prevention, Guiyang 550004, China
2
School of Public Health & Key Laboratory of Public Health Safety & NHC Key Laboratory of Health Technology Assessment, Fudan University, Shanghai 200032, China
*
Authors to whom correspondence should be addressed.
Both authors contributed equally to this work.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2021, 18(23), 12378; https://doi.org/10.3390/ijerph182312378
Received: 31 October 2021 / Revised: 21 November 2021 / Accepted: 22 November 2021 / Published: 25 November 2021
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
Empirical data on the association between diet and incident hypertension in Southwest China is lacking. We examined the associations between various dietary patterns and the risk of incident hypertension in this prospective population cohort of Southwest China. A total of 5442 eligible adults were included from Guizhou Province, China, since 2010. Dietary information was obtained using face-to-face interviews with a semi-quantitative food frequency questionnaire, and dietary patterns were characterized using factor analysis. The hazard ratios (HRs) and 95% confidence intervals (95% CIs) were estimated for the associations between various dietary patterns and incident hypertension risk using a Cox proportional hazard model. Until 2020, a total of 1177 new hypertension cases were identified during an average follow-up of 6.97 years. In the multivariable-adjusted analysis, a low intake of the junk food pattern was significantly associated with the reducing risk of incident hypertension (HR: 0.772, 95% CI: 0.671, 0.887) and a high intake of the vegetable–grain pattern statistically lowered the risk of incident hypertension (HR: 0.774, 95% CI: 0.669, 0.894) compared with the medium intake of such patterns. Higher adherence to the vegetable–grain pattern and lower adherence to the junk food pattern significantly lowered the hypertension incidence among the population in Southwest China. Those findings suggested healthy diet guidelines should be developed for the prevention of hypertension. View Full-Text
Keywords: dietary patterns; factor analysis; cohort study; hypertension; China dietary patterns; factor analysis; cohort study; hypertension; China
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MDPI and ACS Style

Zhang, Y.; Wang, Y.; Chen, Y.; Zhou, J.; Xu, L.; Xu, K.; Wang, N.; Fu, C.; Liu, T. Associations of Dietary Patterns and Risk of Hypertension in Southwest China: A Prospective Cohort Study. Int. J. Environ. Res. Public Health 2021, 18, 12378. https://doi.org/10.3390/ijerph182312378

AMA Style

Zhang Y, Wang Y, Chen Y, Zhou J, Xu L, Xu K, Wang N, Fu C, Liu T. Associations of Dietary Patterns and Risk of Hypertension in Southwest China: A Prospective Cohort Study. International Journal of Environmental Research and Public Health. 2021; 18(23):12378. https://doi.org/10.3390/ijerph182312378

Chicago/Turabian Style

Zhang, Yixia, Yanhuan Wang, Yun Chen, Jie Zhou, Lina Xu, Kelin Xu, Na Wang, Chaowei Fu, and Tao Liu. 2021. "Associations of Dietary Patterns and Risk of Hypertension in Southwest China: A Prospective Cohort Study" International Journal of Environmental Research and Public Health 18, no. 23: 12378. https://doi.org/10.3390/ijerph182312378

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