Ji-hong Hu , Shu-xia Wang , Yun Wang , Liangjia Cao , Keye Ru , Wenjuan Xu , Li Wang , Jiaxuan Zhang
{"title":"Association between salt sensitivity of blood pressure and dietary habits in survey population: A case-control study","authors":"Ji-hong Hu , Shu-xia Wang , Yun Wang , Liangjia Cao , Keye Ru , Wenjuan Xu , Li Wang , Jiaxuan Zhang","doi":"10.1016/j.clnesp.2024.09.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Salt sensitivity of blood pressure (SSBP) is an independent risk factor for cardiovascular diseases (CVDs) and links dietary salt with blood pressure. However, the study on the relationship between SSBP and dietary habits is rare. This study investigated the relationship between diet and SSBP in different blood pressure statues.</div></div><div><h3>Methods</h3><div>1459 subjects were assigned into four groups based on a case (hypertension)-control (normotension) study of SSBP and hypertension: 561 Salt-sensitive hypertension (SSH) and 235 non-salt-sensitive hypertension (NSSH) and 424 salt-sensitive normotension (SSN) and 239 non-salt-sensitive normotension (NSSN). Foods information of weekly or daily intakes were recalled. SSBP was tested with the modified salt stress test and was diagnosed with the Sullivan criteria.</div></div><div><h3>Results</h3><div>Compared with the NSSH and SSN groups, SSH group have lower intake of fresh fruits (both <em>P</em> < 0.05). Furthermore, NSSN group have the lowest intake of red meat, and bacon (<em>P</em> < 0.05). SSH group have the lowest intake of fresh vegetables (<em>P</em> < 0.05). SSN group have the highest intake of eggs, dairy products, white meat (all <em>P</em> < 0.05). In hypertensive patients, staple food (OR = 0.37, 95%CI: 0.10–0.64) was associated with decreased risk of salt sensitivity. In normotensive subjects, white meat (OR = 0.28, 95%CI: 0.14–0.43) was associated with reduced risk of salt sensitivity, bacon (OR = 5.39, 95%CI: 2.11–8.67) and dairy products (OR = 4.22, 95%CI: 1.82–6.56) and red meat (OR = 2.95, 95%CI: 1.15–4.84) were associated with elevated risk of salt sensitivity.</div></div><div><h3>Conclusions</h3><div>Dietary habits play an important role in SSBP and the role varies with blood pressure especially among population.</div></div>","PeriodicalId":10352,"journal":{"name":"Clinical nutrition ESPEN","volume":"64 ","pages":"Pages 229-235"},"PeriodicalIF":2.9000,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical nutrition ESPEN","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405457724013123","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Salt sensitivity of blood pressure (SSBP) is an independent risk factor for cardiovascular diseases (CVDs) and links dietary salt with blood pressure. However, the study on the relationship between SSBP and dietary habits is rare. This study investigated the relationship between diet and SSBP in different blood pressure statues.
Methods
1459 subjects were assigned into four groups based on a case (hypertension)-control (normotension) study of SSBP and hypertension: 561 Salt-sensitive hypertension (SSH) and 235 non-salt-sensitive hypertension (NSSH) and 424 salt-sensitive normotension (SSN) and 239 non-salt-sensitive normotension (NSSN). Foods information of weekly or daily intakes were recalled. SSBP was tested with the modified salt stress test and was diagnosed with the Sullivan criteria.
Results
Compared with the NSSH and SSN groups, SSH group have lower intake of fresh fruits (both P < 0.05). Furthermore, NSSN group have the lowest intake of red meat, and bacon (P < 0.05). SSH group have the lowest intake of fresh vegetables (P < 0.05). SSN group have the highest intake of eggs, dairy products, white meat (all P < 0.05). In hypertensive patients, staple food (OR = 0.37, 95%CI: 0.10–0.64) was associated with decreased risk of salt sensitivity. In normotensive subjects, white meat (OR = 0.28, 95%CI: 0.14–0.43) was associated with reduced risk of salt sensitivity, bacon (OR = 5.39, 95%CI: 2.11–8.67) and dairy products (OR = 4.22, 95%CI: 1.82–6.56) and red meat (OR = 2.95, 95%CI: 1.15–4.84) were associated with elevated risk of salt sensitivity.
Conclusions
Dietary habits play an important role in SSBP and the role varies with blood pressure especially among population.
期刊介绍:
Clinical Nutrition ESPEN is an electronic-only journal and is an official publication of the European Society for Clinical Nutrition and Metabolism (ESPEN). Nutrition and nutritional care have gained wide clinical and scientific interest during the past decades. The increasing knowledge of metabolic disturbances and nutritional assessment in chronic and acute diseases has stimulated rapid advances in design, development and clinical application of nutritional support. The aims of ESPEN are to encourage the rapid diffusion of knowledge and its application in the field of clinical nutrition and metabolism. Published bimonthly, Clinical Nutrition ESPEN focuses on publishing articles on the relationship between nutrition and disease in the setting of basic science and clinical practice. Clinical Nutrition ESPEN is available to all members of ESPEN and to all subscribers of Clinical Nutrition.