Association of major dietary patterns and blood pressure longitudinal change in Bangladesh

Jieying Jiang, Mengling Liu, Faruque Parvez, Binhuan Wang, Fen Wu, Mahbub Eunus, Sripal Bangalore, Alauddin Ahmed, Tariqul Islam, Muhammad Rakibuz-Zaman, Rabiul Hasan, Golam Sarwar, Diane Levy, Maria Argos, Molly Scannell Bryan, Joseph Graziano, Richard B. Hayes, Habibul Ahsan, Yu Chen

Research output: Contribution to journalArticle

Abstract

Background: Observational studies and clinical trials have shown associations of diet and high blood pressure (BP). However, prospective studies on the association between dietary patterns and longitudinal BP change are lacking, especially in low-income populations. Method: We evaluated the association of dietary patterns and food groups with longitudinal change of BP in 10 389 participants in the Health Effects of Arsenic Longitudinal Study, with a median of 6.7 years of follow-up. Dietary information was obtained through a previously validated food-frequency questionnaire. BP was measured at baseline and at each biennial follow-up using the same method. Result: Each standard deviation (SD) increase for the 'gourd vegetable' dietary pattern score was related to a slower annual change of 0.08, 0.04, and 0.05 mmHg in SBP, DBP, or pulse pressure, respectively. Each SD increase in the 'balanced' dietary pattern score was related to a decreasing annual change of 0.06 mmHg (P = 0.012) and 0.08 mmHg in SBP and pulse pressure (P < 0.001). On the contrary, one SD increase in 'western' dietary pattern score was related to a greater annual increase of 0.07 (P = 0.005) and 0.05 mmHg in SBP and pulse pressure (P = 0.013). Higher intake of fruits and vegetables was associated with a slower rate of change in annual SBP and pulse pressure, whereas higher meat intake was related to a more rapid increase in annual pulse pressure. Conclusion: The findings suggest that dietary patterns play a significant role in the rate of BP change over time in a low-income population.

Original languageEnglish (US)
Pages (from-to)1193-1200
Number of pages8
JournalJournal of Hypertension
Volume33
Issue number6
DOIs
StatePublished - Jun 6 2015

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Bangladesh
Blood Pressure
Poverty
Vegetables
Food
Arsenic
Meat
Observational Studies
Longitudinal Studies
Fruit
Clinical Trials
Prospective Studies
Diet
Hypertension
Health

Keywords

  • blood pressure
  • dietary pattern
  • longitudinal analysis

ASJC Scopus subject areas

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Association of major dietary patterns and blood pressure longitudinal change in Bangladesh. / Jiang, Jieying; Liu, Mengling; Parvez, Faruque; Wang, Binhuan; Wu, Fen; Eunus, Mahbub; Bangalore, Sripal; Ahmed, Alauddin; Islam, Tariqul; Rakibuz-Zaman, Muhammad; Hasan, Rabiul; Sarwar, Golam; Levy, Diane; Argos, Maria; Scannell Bryan, Molly; Graziano, Joseph; Hayes, Richard B.; Ahsan, Habibul; Chen, Yu.

In: Journal of Hypertension, Vol. 33, No. 6, 06.06.2015, p. 1193-1200.

Research output: Contribution to journalArticle

Jiang, J, Liu, M, Parvez, F, Wang, B, Wu, F, Eunus, M, Bangalore, S, Ahmed, A, Islam, T, Rakibuz-Zaman, M, Hasan, R, Sarwar, G, Levy, D, Argos, M, Scannell Bryan, M, Graziano, J, Hayes, RB, Ahsan, H & Chen, Y 2015, 'Association of major dietary patterns and blood pressure longitudinal change in Bangladesh', Journal of Hypertension, vol. 33, no. 6, pp. 1193-1200. https://doi.org/10.1097/HJH.0000000000000534
Jiang, Jieying ; Liu, Mengling ; Parvez, Faruque ; Wang, Binhuan ; Wu, Fen ; Eunus, Mahbub ; Bangalore, Sripal ; Ahmed, Alauddin ; Islam, Tariqul ; Rakibuz-Zaman, Muhammad ; Hasan, Rabiul ; Sarwar, Golam ; Levy, Diane ; Argos, Maria ; Scannell Bryan, Molly ; Graziano, Joseph ; Hayes, Richard B. ; Ahsan, Habibul ; Chen, Yu. / Association of major dietary patterns and blood pressure longitudinal change in Bangladesh. In: Journal of Hypertension. 2015 ; Vol. 33, No. 6. pp. 1193-1200.
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abstract = "Background: Observational studies and clinical trials have shown associations of diet and high blood pressure (BP). However, prospective studies on the association between dietary patterns and longitudinal BP change are lacking, especially in low-income populations. Method: We evaluated the association of dietary patterns and food groups with longitudinal change of BP in 10 389 participants in the Health Effects of Arsenic Longitudinal Study, with a median of 6.7 years of follow-up. Dietary information was obtained through a previously validated food-frequency questionnaire. BP was measured at baseline and at each biennial follow-up using the same method. Result: Each standard deviation (SD) increase for the 'gourd vegetable' dietary pattern score was related to a slower annual change of 0.08, 0.04, and 0.05 mmHg in SBP, DBP, or pulse pressure, respectively. Each SD increase in the 'balanced' dietary pattern score was related to a decreasing annual change of 0.06 mmHg (P = 0.012) and 0.08 mmHg in SBP and pulse pressure (P < 0.001). On the contrary, one SD increase in 'western' dietary pattern score was related to a greater annual increase of 0.07 (P = 0.005) and 0.05 mmHg in SBP and pulse pressure (P = 0.013). Higher intake of fruits and vegetables was associated with a slower rate of change in annual SBP and pulse pressure, whereas higher meat intake was related to a more rapid increase in annual pulse pressure. Conclusion: The findings suggest that dietary patterns play a significant role in the rate of BP change over time in a low-income population.",
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AU - Jiang, Jieying

AU - Liu, Mengling

AU - Parvez, Faruque

AU - Wang, Binhuan

AU - Wu, Fen

AU - Eunus, Mahbub

AU - Bangalore, Sripal

AU - Ahmed, Alauddin

AU - Islam, Tariqul

AU - Rakibuz-Zaman, Muhammad

AU - Hasan, Rabiul

AU - Sarwar, Golam

AU - Levy, Diane

AU - Argos, Maria

AU - Scannell Bryan, Molly

AU - Graziano, Joseph

AU - Hayes, Richard B.

AU - Ahsan, Habibul

AU - Chen, Yu

PY - 2015/6/6

Y1 - 2015/6/6

N2 - Background: Observational studies and clinical trials have shown associations of diet and high blood pressure (BP). However, prospective studies on the association between dietary patterns and longitudinal BP change are lacking, especially in low-income populations. Method: We evaluated the association of dietary patterns and food groups with longitudinal change of BP in 10 389 participants in the Health Effects of Arsenic Longitudinal Study, with a median of 6.7 years of follow-up. Dietary information was obtained through a previously validated food-frequency questionnaire. BP was measured at baseline and at each biennial follow-up using the same method. Result: Each standard deviation (SD) increase for the 'gourd vegetable' dietary pattern score was related to a slower annual change of 0.08, 0.04, and 0.05 mmHg in SBP, DBP, or pulse pressure, respectively. Each SD increase in the 'balanced' dietary pattern score was related to a decreasing annual change of 0.06 mmHg (P = 0.012) and 0.08 mmHg in SBP and pulse pressure (P < 0.001). On the contrary, one SD increase in 'western' dietary pattern score was related to a greater annual increase of 0.07 (P = 0.005) and 0.05 mmHg in SBP and pulse pressure (P = 0.013). Higher intake of fruits and vegetables was associated with a slower rate of change in annual SBP and pulse pressure, whereas higher meat intake was related to a more rapid increase in annual pulse pressure. Conclusion: The findings suggest that dietary patterns play a significant role in the rate of BP change over time in a low-income population.

AB - Background: Observational studies and clinical trials have shown associations of diet and high blood pressure (BP). However, prospective studies on the association between dietary patterns and longitudinal BP change are lacking, especially in low-income populations. Method: We evaluated the association of dietary patterns and food groups with longitudinal change of BP in 10 389 participants in the Health Effects of Arsenic Longitudinal Study, with a median of 6.7 years of follow-up. Dietary information was obtained through a previously validated food-frequency questionnaire. BP was measured at baseline and at each biennial follow-up using the same method. Result: Each standard deviation (SD) increase for the 'gourd vegetable' dietary pattern score was related to a slower annual change of 0.08, 0.04, and 0.05 mmHg in SBP, DBP, or pulse pressure, respectively. Each SD increase in the 'balanced' dietary pattern score was related to a decreasing annual change of 0.06 mmHg (P = 0.012) and 0.08 mmHg in SBP and pulse pressure (P < 0.001). On the contrary, one SD increase in 'western' dietary pattern score was related to a greater annual increase of 0.07 (P = 0.005) and 0.05 mmHg in SBP and pulse pressure (P = 0.013). Higher intake of fruits and vegetables was associated with a slower rate of change in annual SBP and pulse pressure, whereas higher meat intake was related to a more rapid increase in annual pulse pressure. Conclusion: The findings suggest that dietary patterns play a significant role in the rate of BP change over time in a low-income population.

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