Jianhua Guan, Liang Ding, Yifei Wang, Zhongsheng Zhu, Mingmang Pan, Li Du, Nuo Yin
{"title":"高血压和骨质疏松患者饮食模式与全因死亡率之间的关系：一项回顾性队列研究。","authors":"Jianhua Guan, Liang Ding, Yifei Wang, Zhongsheng Zhu, Mingmang Pan, Li Du, Nuo Yin","doi":"10.2147/JMDH.S518980","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore the association of dietary patterns with all-cause mortality in individuals with hypertension and osteoporosis.</p><p><strong>Methods: </strong>Data on individuals aged ≥20 years who completed bone mineral density tests were retrieved from the National Health and Nutrition Examination Survey database. Three dietary patterns were Mediterranean Diet Score (MeDS), Alternative Health Eating Index (AHEI) and Dietary Approaches to Stop Hypertension (DASH). The relationships between osteoporosis (OS), hypertension (HTN) and all-cause mortality were assessed by multivariate and univariate Cox proportional hazard models, with hazard ratios (HRs) and confidence intervals (CIs). Interaction of OS and HTN on overall mortality was evaluated by the attributable proportion (AP), relative excess risk due to interaction (RERI), and synergy index (S). Associations of three dietary patterns with all-cause mortality were explored in different groups, including adults with HTN or OS only, and adults with or without OS and HTN. Subgroups of gender and menopausal state were further evaluated these associations.</p><p><strong>Results: </strong>Of the total 16,358 participants, 1383 (5.84%) died during the follow-up duration. Participants who had HTN (HR=1.272, 95% CI: 1.083-1.494) or OS (HR=1.674, 95% CI: 1.262-2.221) had a higher risk of overall mortality. There was an interaction between HTN and OS on overall mortality (RERI=0.677, 95% CI: 0.070-1.285; AP=0.293, 95% CI: 0.094-0.492; SI=2.070, 95% CI: 1.124-3.813). The AHEI-2010, MeDS, and DASH were related to overall mortality in individuals with OS and HTN. The MeDS and DASH were concerned with all-cause mortality in HTN patients without OS. The MeDS and AHEI-2010 were linked to overall mortality in adults without OS and HTN.</p><p><strong>Conclusion: </strong>The impacts of different dietary patterns were differences in multi-feature population. It was suggested that reasonable dietary management is beneficial to the prognosis of different populations.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"3781-3791"},"PeriodicalIF":2.4000,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227007/pdf/","citationCount":"0","resultStr":"{\"title\":\"Association Between Dietary Patterns and All-Cause Mortality in Individuals with Hypertension and Osteoporosis: A Retrospective Cohort Study.\",\"authors\":\"Jianhua Guan, Liang Ding, Yifei Wang, Zhongsheng Zhu, Mingmang Pan, Li Du, Nuo Yin\",\"doi\":\"10.2147/JMDH.S518980\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To explore the association of dietary patterns with all-cause mortality in individuals with hypertension and osteoporosis.</p><p><strong>Methods: </strong>Data on individuals aged ≥20 years who completed bone mineral density tests were retrieved from the National Health and Nutrition Examination Survey database. Three dietary patterns were Mediterranean Diet Score (MeDS), Alternative Health Eating Index (AHEI) and Dietary Approaches to Stop Hypertension (DASH). The relationships between osteoporosis (OS), hypertension (HTN) and all-cause mortality were assessed by multivariate and univariate Cox proportional hazard models, with hazard ratios (HRs) and confidence intervals (CIs). Interaction of OS and HTN on overall mortality was evaluated by the attributable proportion (AP), relative excess risk due to interaction (RERI), and synergy index (S). Associations of three dietary patterns with all-cause mortality were explored in different groups, including adults with HTN or OS only, and adults with or without OS and HTN. Subgroups of gender and menopausal state were further evaluated these associations.</p><p><strong>Results: </strong>Of the total 16,358 participants, 1383 (5.84%) died during the follow-up duration. Participants who had HTN (HR=1.272, 95% CI: 1.083-1.494) or OS (HR=1.674, 95% CI: 1.262-2.221) had a higher risk of overall mortality. There was an interaction between HTN and OS on overall mortality (RERI=0.677, 95% CI: 0.070-1.285; AP=0.293, 95% CI: 0.094-0.492; SI=2.070, 95% CI: 1.124-3.813). The AHEI-2010, MeDS, and DASH were related to overall mortality in individuals with OS and HTN. The MeDS and DASH were concerned with all-cause mortality in HTN patients without OS. The MeDS and AHEI-2010 were linked to overall mortality in adults without OS and HTN.</p><p><strong>Conclusion: </strong>The impacts of different dietary patterns were differences in multi-feature population. 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Association Between Dietary Patterns and All-Cause Mortality in Individuals with Hypertension and Osteoporosis: A Retrospective Cohort Study.
Objective: To explore the association of dietary patterns with all-cause mortality in individuals with hypertension and osteoporosis.
Methods: Data on individuals aged ≥20 years who completed bone mineral density tests were retrieved from the National Health and Nutrition Examination Survey database. Three dietary patterns were Mediterranean Diet Score (MeDS), Alternative Health Eating Index (AHEI) and Dietary Approaches to Stop Hypertension (DASH). The relationships between osteoporosis (OS), hypertension (HTN) and all-cause mortality were assessed by multivariate and univariate Cox proportional hazard models, with hazard ratios (HRs) and confidence intervals (CIs). Interaction of OS and HTN on overall mortality was evaluated by the attributable proportion (AP), relative excess risk due to interaction (RERI), and synergy index (S). Associations of three dietary patterns with all-cause mortality were explored in different groups, including adults with HTN or OS only, and adults with or without OS and HTN. Subgroups of gender and menopausal state were further evaluated these associations.
Results: Of the total 16,358 participants, 1383 (5.84%) died during the follow-up duration. Participants who had HTN (HR=1.272, 95% CI: 1.083-1.494) or OS (HR=1.674, 95% CI: 1.262-2.221) had a higher risk of overall mortality. There was an interaction between HTN and OS on overall mortality (RERI=0.677, 95% CI: 0.070-1.285; AP=0.293, 95% CI: 0.094-0.492; SI=2.070, 95% CI: 1.124-3.813). The AHEI-2010, MeDS, and DASH were related to overall mortality in individuals with OS and HTN. The MeDS and DASH were concerned with all-cause mortality in HTN patients without OS. The MeDS and AHEI-2010 were linked to overall mortality in adults without OS and HTN.
Conclusion: The impacts of different dietary patterns were differences in multi-feature population. It was suggested that reasonable dietary management is beneficial to the prognosis of different populations.
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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