Association of dietary calcium, magnesium, sodium, and potassium intake and hypertension: a study on an 8-year dietary intake data from the National Health and Nutrition Examination Survey
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BACKGROUND/OBJECTIVES: There has been an increased interest in determining calcium magnesium, sodium, and potassium's distinct effects on hypertension over the past decade, yet they simultaneously regulate blood pressure. We aimed at examining the association of dietary calcium, magnesium, sodium, and potassium independently and jointly with hypertension using National Health and Nutrition Examination Survey data from 2007 to 2014. MATERIALS/METHODS: The associations were examined on a large cross-sectional study involving 16684 US adults aged>20 years, using multivariate analyses with logistical models. RESULTS: Sodium and calcium quartiles assessed alone were not associated with hypertension. Potassium was negatively associated with hypertension in the highest quartile, 0.64 (95% confidence interval [CI], 0.48–0.87). When jointly assessed using the high and low cut-off points, low sodium and corresponding high calcium, magnesium, and potassium intake somewhat reduced the odds of hypertension 0.39 (95% CI, 0.20–0.76). The sodium-to-potassium ratio was positively associated with hypertension in the highest quartile1.50 (95% CI, 1.11–2.02). When potassium was adjusted for sodium intake and sodium-to-potassium ratio assessed among women, increased odds of hypertension were reported in the highest quartile as 2.02 (95% CI, 1.18–3.34) and 1.69 (95% CI, 1.12–2.57), respectively. The association of combined minerals on hypertension using dietary goals established that men meeting the reference intakes for calcium and exceeding for magnesium had reduced odds of hypertension 0.51 (95% CI, 0.30–0.89). Women exceeding the recommendations for both calcium and magnesium had the lower reduced odds of 0.30 (95% CI, 0.10–0.69). CONCLUSIONS: Our results suggest that the studied minerals' association on hypertension is stronger when jointly assessed, mostly after gender stratification. As compared to men, women increased their risk of hypertension even with a low sodium intake. Women would also reasonably reduce their risk of developing hypertension by increasing calcium and magnesium intake. In comparison, men would somewhat be protected from developing hypertension with calcium intake meeting the dietary goals and magnesium exceeding the nutritional goals.
Abstract
BACKGROUND/OBJECTIVES: There has been an increased interest in determining calcium magnesium, sodium, and potassium's distinct effects on hypertension over the past decade, yet they simultaneously regulate blood pressure. We aimed at examining the association of dietary calcium, magnesium, sodium, and potassium independently and jointly with hypertension using National Health and Nutrition Examination Survey data from 2007 to 2014. MATERIALS/METHODS: The associations were examined on a large cross-sectional study involving 16684 US adults aged>20 years, using multivariate analyses with logistical models. RESULTS: Sodium and calcium quartiles assessed alone were not associated with hypertension. Potassium was negatively associated with hypertension in the highest quartile, 0.64 (95% confidence interval [CI], 0.48–0.87). When jointly assessed using the high and low cut-off points, low sodium and corresponding high calcium, magnesium, and potassium intake somewhat reduced the odds of hypertension 0.39 (95% CI, 0.20–0.76). The sodium-to-potassium ratio was positively associated with hypertension in the highest quartile1.50 (95% CI, 1.11–2.02). When potassium was adjusted for sodium intake and sodium-to-potassium ratio assessed among women, increased odds of hypertension were reported in the highest quartile as 2.02 (95% CI, 1.18–3.34) and 1.69 (95% CI, 1.12–2.57), respectively. The association of combined minerals on hypertension using dietary goals established that men meeting the reference intakes for calcium and exceeding for magnesium had reduced odds of hypertension 0.51 (95% CI, 0.30–0.89). Women exceeding the recommendations for both calcium and magnesium had the lower reduced odds of 0.30 (95% CI, 0.10–0.69). CONCLUSIONS: Our results suggest that the studied minerals' association on hypertension is stronger when jointly assessed, mostly after gender stratification. As compared to men, women increased their risk of hypertension even with a low sodium intake. Women would also reasonably reduce their risk of developing hypertension by increasing calcium and magnesium intake. In comparison, men would somewhat be protected from developing hypertension with calcium intake meeting the dietary goals and magnesium exceeding the nutritional goals.
참고문헌 (56)
- Mills KT, "Global disparities of hypertension prevalence and control : a systematic analysis of population-based studies from 90 countries", Circulation, 134, pp.441~450 (2016)
- Lawes CM, "Global burden of blood-pressure-related disease, 2001", Lancet, 371, pp.1513~1518 (2008)
- Kearney PM, "Global burden of hypertension : analysis of worldwide data", Lancet, 365, pp.217~223 (2005)
- Mittal BV, "Hypertension in the developing world : challenges and opportunities", Am J Kidney Dis, 55, pp.590~598 (2010)
- Benjamin EJ, "Heart disease and stroke statistics-2017 update : a report from the American Heart Association", Circulation, 135, pp.e146~e603 (2017)
- Mozaffarian D, "Heart disease and stroke statistics--2015 update : a report from the American Heart Association", Circulation, 131, pp.e29~e322 (2015)
- Arnett DK, "2019 ACC", AHA Guideline on the primary prevention of cardiovascular disease : executive summary : a report of the American College of Cardiology, Circulation, pp.2019, 140[DOI]
- Zhang GH, "Field observation on the effect of low-sodium and high-potassium salt substitute on blood pressure in the rural community-based population in China", Zhonghua Liu Xing Bing Xue Za Zhi, 32, pp.859~863 (2011)
- Yang Q, "Sodium and potassium intake and mortality among US adults : prospective data from the Third National Health and Nutrition Examination Survey", Arch Intern Med, 171, pp.1183~1191 (2011)
- Bailey RL, "Estimating sodium and potassium intakes and their ratio in the American diet : data from the 2011–2012 NHANES", J Nutr, 146, pp.745~750 (2016)
- Adrogué HJ, "Sodium and potassium in the pathogenesis of hypertension", N Engl J Med, 356, pp.1966~1978 (2007)
- Ford ES, "Intake of dietary magnesium and the prevalence of the metabolic syndrome among U.S. adults", Obesity(Silver Spring), 15, pp.1139~1146 (2007)
- 박주연, "Relationship between dietary sodium, potassium, and calcium, anthropometric indexes, and blood pressure in young and middle aged Korean adults", Nutrition Research and Practice, 4(2), pp.155~162 (2010), 한국영양학회
- Beydoun MA, "Ethnic differences in dairy and related nutrient consumption among US adults and their association with obesity, central obesity, and the metabolic syndrome", Am J Clin Nutr, 87, pp.1914~1925 (2008)
- Cormick G, "Calcium supplementation for prevention of primary hypertension", Cochrane Database Syst Rev, (6), pp.CD010037~ (2015)
- 김미현, "Daily calcium intake and its relation to blood pressure, blood lipids, and oxidative stress biomarkers in hypertensive and normotensive subjects", Nutrition Research and Practice, 6(5), pp.421~428 (2012), 한국영양학회[DOI]
- Liu S, "Dietary calcium, vitamin D, and the prevalence of metabolic syndrome in middle-aged and older U.S. women", Diabetes Care, 28, pp.2926~2932 (2005)
- Sacks FM, "Effects on blood pressure of reduced dietary sodium and the dietary approaches to stop hypertension(DASH)diet", N Engl J Med, 344, pp.3~10 (2001)
- Aburto NJ, "Effect of increased potassium intake on cardiovascular risk factors and disease : systematic review and meta-analyses", BMJ, 346, pp.f1378~ (2013)
- Seligman HK, "Food insecurity is associated with chronic disease among low-income NHANES participants", J Nutr, 140, pp.304~310 (2010)
- Nielsen FH, "Magnesium, inflammation, and obesity in chronic disease", Nutr Rev, 68, pp.333~340 (2010)
- Rayssiguier Y, "Magnesium deficiency and metabolic syndrome : stress and inflammation may reflect calcium activation", Magnes Res, 23, pp.73~80 (2010)
- Parker JD, "National Health and Nutrition Examination Survey: California and Los Angeles County, estimation methods and analytic considerations, 1999–2006 and 2007–2014", Vital Health Stat 2, 2017, pp.1~26 (2017)
- Centers for Disease Control and Prevention (CDC), "Vital signs: prevalence, treatment, and control of hypertension--United States, 1999–2002 and 2005–2008", MMWR Morb Mortal Wkly Rep, 60, pp.103~108 (2011)
- "Alcohol use and your health" (2018)[URL]
- Hite AH, "The 2015 dietary guidelines for Americans : irrelevant or alarming? or both?", J Evol Health, 2, pp.14~ (2017)
- Xu J, "Associations of usual 24-hour sodium and potassium intakes with blood pressure and risk of hypertension among adults in China's Shandong and Jiangsu Provinces", Kidney Blood Press Res, 42, pp.188~200 (2017)
- Whelton PK, "Effects of oral potassium on blood pressure. Meta-analysis of randomized controlled clinical trials", JAMA, 277, pp.1624~1632 (1997)
- Poorolajal J, "Oral potassium supplementation for management of essential hypertension : a meta-analysis of randomized controlled trials", PLoS One, 12, pp.e0174967~ (2017)
- Khaw KT, "The association between blood pressure, age, and dietary sodium and potassium : a population study", Circulation, 77, pp.53~61 (1988)
- Martin TP, "Sodium, potassium, and high blood pressure", ACSMs Health Fit J, 16, pp.13~21 (2012)
- Binia A, "Daily potassium intake and sodium-to-potassium ratio in the reduction of blood pressure : a meta-analysis of randomized controlled trials", J Hypertens, 33, pp.1509~1520 (2015)
- Young DB, "Role of Potassium in Preventive Cardiovascular Medicine" (2012), Springer Science & Business Media
- Khaw KT, "The association between blood pressure, age, and dietary sodium and potassium : a population study", Circulation, 77, pp.53~61 (1988)
- Spahn JM, "The systematic review methodology used to support the 2010 Dietary Guidelines Advisory Committee", J Am Diet Assoc, 111, pp.520~523 (2011)
- Faulkner JL, "Lack of suppression of aldosterone production leads to salt-sensitive hypertension in female but not male Balb", C mice, 2018, pp.72, 1397~1406
- Spahn JM, "The systematic review methodology used to support the 2010 Dietary Guidelines Advisory Committee", J Am Diet Assoc, 111, pp.520~523 (2011)
- Pilic L, "Salt-sensitive hypertension : mechanisms and effects of dietary and other lifestyle factors", Nutr Rev, 74, pp.645~658 (2016)
- Weaver CM, "Mineral intake ratios are a weak but significant factor in blood pressure variability in US adults", J Nutr, 148, pp.1845~1851 (2018)
- Sharma S, "Dietary sodium and potassium intake is not associated with elevated blood pressure in US adults with no prior history of hypertension", J Clin Hypertens(Greenwich), 16, pp.418~423 (2014)
- Chmielewski J, "Dietary sodium, dietary potassium, and systolic blood pressure in US adolescents", J Clin Hypertens(Greenwich), 19, pp.904~909 (2017)
- Liu Y, "Sodium sensitivity of blood pressure in Chinese populations", J Hum Hypertens, 34, pp.94~107 (2020)
- Huan Y, "Aldosterone and aldosterone : renin ratio associations with insulin resistance and blood pressure in African Americans", J Am Soc Hypertens, 6, pp.56~65 (2012)
- He FJ, "Importance of the renin system in determining blood pressure fall with salt restriction in black and white hypertensives", Hypertension, 32, pp.820~824 (1998)
- Ferrario CM, "Role of angiotensin II in cardiovascular disease therapeutic implications of more than a century of research", J Renin Angiotensin Aldosterone Syst, 7, pp.3~14 (2006)
- Scuteri A, "Nitric oxide inhibition as a mechanism for blood pressure increase during salt loading in normotensive postmenopausal women", J Hypertens, 21, pp.1339~1346 (2003)
- Wright JT Jr, "Determinants of salt sensitivity in black and white normotensive and hypertensive women", Hypertension, 42, pp.1087~1092 (2003)
- Moore-Schiltz L, "Dietary intake of calcium and magnesium and the metabolic syndrome in the National Health and Nutrition Examination(NHANES)2001-2010 data", Br J Nutr, 114, pp.924~935 (2015)
- Resnick LM, "The role of dietary calcium in hypertension : a hierarchical overview", Am J Hypertens, 12, pp.99~112 (1999)
- Bucher HC, "Effects of dietary calcium supplementation on blood pressure. A meta-analysis of randomized controlled trials", JAMA, 275, pp.1016~1022 (1996)
- Chan Q, "An update on nutrients and blood pressure", J Atheroscler Thromb, 23, pp.276~289 (2016)
- McCarron DA, "Finding consensus in the dietary calcium-blood pressure debate", J Am Coll Nutr, 18(Suppl), pp.398S~405S (1999)
- Houston M, "The role of magnesium in hypertension and cardiovascular disease", J Clin Hypertens(Greenwich), 13, pp.843~847 (2011)
- Young DB, "Potassium's cardiovascular protective mechanisms", Am J Physiol, 268, pp.R825~R837 (1995)
- Intersalt Cooperative Research Group, "Intersalt: an international study of electrolyte excretion and blood pressure. Results for 24 hour urinary sodium and potassium excretion", BMJ, 297, pp.319~328 (1988)
- Bara M, "Regulation of sodium and potassium pathways by magnesium in cell membranes", Magnes Res, 6, pp.167~177 (1993)