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Relationship between dietary sodium, potassium, and calcium, anthropometric indexes, and blood pressure in young and middle aged Korean adults

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Epidemiological evidence of the effects of dietary sodium, calcium, and potassium, and anthropometric indexes on blood pressure is still inconsistent. To investigate the relationship between dietary factors or anthropometric indexes and hypertension risk, we examined the association of systolic and diastolic blood pressure (SBP and DBP) with sodium, calcium, and potassium intakes and anthropometric indexes in 19~49-year-olds using data from Korean National Health and Nutrition Examination Survey (KNHANES) III. Total of 2,761 young and middle aged adults (574 aged 19~29 years and 2,187 aged 30~49 years) were selected from KNHANES III. General information, nutritional status, and anthropometric data were compared between two age groups (19~29 years old and 30~49 years old). The relevance of blood pressure and risk factors such as age, sex,body mass index (BMI), weight, waist circumference, and the intakes of sodium, potassium, and calcium was determined by multiple regression analysis. Multiple regression models showed that waist circumference, weight, and BMI were positively associated with SBP and DBP in both age groups. Sodium and potassium intakes were not associated with either SBP or DBP. Among 30~49-year-olds, calcium was inversely associated with both SBP and DBP (P = 0.012 and 0.010, respectively). Our findings suggest that encouraging calcium consumption and weight control may play an important role in the primary prevention and management of hypertension in early adulthood.

Abstract

Epidemiological evidence of the effects of dietary sodium, calcium, and potassium, and anthropometric indexes on blood pressure is still inconsistent. To investigate the relationship between dietary factors or anthropometric indexes and hypertension risk, we examined the association of systolic and diastolic blood pressure (SBP and DBP) with sodium, calcium, and potassium intakes and anthropometric indexes in 19~49-year-olds using data from Korean National Health and Nutrition Examination Survey (KNHANES) III. Total of 2,761 young and middle aged adults (574 aged 19~29 years and 2,187 aged 30~49 years) were selected from KNHANES III. General information, nutritional status, and anthropometric data were compared between two age groups (19~29 years old and 30~49 years old). The relevance of blood pressure and risk factors such as age, sex,body mass index (BMI), weight, waist circumference, and the intakes of sodium, potassium, and calcium was determined by multiple regression analysis. Multiple regression models showed that waist circumference, weight, and BMI were positively associated with SBP and DBP in both age groups. Sodium and potassium intakes were not associated with either SBP or DBP. Among 30~49-year-olds, calcium was inversely associated with both SBP and DBP (P = 0.012 and 0.010, respectively). Our findings suggest that encouraging calcium consumption and weight control may play an important role in the primary prevention and management of hypertension in early adulthood.

참고문헌 (31)

  1. "World health report 2002: Reducing risks, promoting healthy life"[URL]
  2. Sun Z, "Prevalence and risk factors of the rural adult people prehypertension status in Liaoning Province of China", Circ J, 71, pp.550~553 (2007)
  3. Ueshima H, "Epidemiology of hypertension in China and Japan", J Hum Hypertens, 14, pp.765~769 (2000)
  4. The Korean National Health and Nutrition Examination Survey - KNHANES I (1998), "Korean Ministry of Health and Welfare", ~ (1999)
  5. The Korean National Health and Nutrition Examination Survey - KNHANES II (2001), "Korean Ministry of Health and Welfare", ~ (2002)
  6. The Korean National Health and Nutrition Examination Survey - KNHANES III (2005), "Korean Ministry of Health and Welfare", ~ (2006)
  7. The Korean National Health and Nutrition Examination Survey - KNHANES IV (2007), "Korean Ministry of Health, Welfare", ~ (2008)
  8. Chobanian AV, "Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure", Hypertension, 42, pp.1206~1252 (2003)
  9. Droyvold WB, "Change in body mass index and its impact on blood pressure: a prospective population study", Int J Obes (Lond), 29, pp.650~655 (2005)
  10. Ruixing Y, "Comparison of hypertension and its risk factors between the Guangxi Bai Ku Yao and Han populations", Blood Press, 17, pp.306~316 (2008)
  11. Hermansen K, "Diet, blood pressure and hypertension", Br J Nutr, 83, pp.S113~S119 (2000)
  12. Ajani UA, "Sodium intake among people with normal and high blood pressure", Am J Prev Med, 29, pp.63~67 (2005)
  13. He J TG, "Relation of electrolytes to blood pressure", Hypertension, 17, pp.378~385 (1991)
  14. Schroder H, "Relationship between diet and blood pressure in a representative Mediterranean population", Eur J Nutr, 41, pp.161~167 (2002)
  15. Elmarsafawy SF, "Dietary calcium as a potential modifier of the relationship of lead burden to blood pressure", Epidemiology, 17, pp.531~537 (2006)
  16. Hajjar IM, "Dietary calcium lowers the age-related rise in blood pressure in the United States: the NHANES III survey", J Clin Hypertens (Greenwich), 5, pp.122~126 (2003)
  17. Wang L, "Dietary intake of dairy products, calcium, and vitamin D and the risk of hypertension in middle-aged and older women", Hypertension, 51, pp.1073~1079 (2008)
  18. Cohen HW, "Sodium intake and mortality follow-up in the Third National Health and Nutrition Examination Survey (NHANES III)", J Gen Intern Med, 23, pp.1297~1302 (2008)
  19. Dietary reference intakes for Koreans, "The Korean Nutrition Society", The Korean Nutrition Society, ~ (2005)
  20. Geleijnse JM, "Impact of dietary and lifestyle factors on the prevalence of hypertension in Western populations", Eur J Public Health, 14, pp.235~239 (2004)
  21. Halm J, "Physical activity recommendation for hypertension management: does healthcare provider advice make a difference?", Ethn Dis, 18, pp.278~282 (2008)
  22. Onat A, "Lifestyle and metabolic determinants of incident hypertension, with special reference to cigarette smoking: a longitudinal populationbased study", Am J Hypertens, 22, pp.156~162 (2009)
  23. Sesso HD, "Alcohol consumption and the risk of hypertension in women and men", Hypertension, 51, pp.1080~1087 (2008)
  24. Lin SJ, "Prevalence of prehypertension and associated risk factors in a rural Taiwanese adult population", Int J Cardiol (2009)
  25. Mellen PB, "Deteriorating dietary habits among adults with hypertension: DASH dietary accordance, NHANES 1988-1994 and 1999-2004", Arch Intern Med, 168, pp.308~314 (2008)
  26. The DECODA Study Group, "BMI compared with central obesity indicators in relation to diabetes and hypertension in Asians", Obesity (Silver Spring), 16, pp.1622~1635 (2008)
  27. Yadav S, "Prevalence & risk factors of pre-hypertension & hypertension in an affluent north Indian population", Indian J Med Res, 128, pp.712~720 (2008)
  28. He FJ, "Salt and blood pressure in children and adolescents", J Hum Hypertens, 22, pp.4~11 (2008)
  29. Dickinson HO, "Potassium supplementation for the management of primary hypertension in adults", Cochrane Database Syst Rev, 3, pp.CD004641~ (2006)
  30. Dickinson HO, "Calcium supplementation for the management of primary hypertension in adults", Cochrane Database Syst Rev, 2, pp.CD004639~ (2006)
  31. van Mierlo LA, "Blood pressure response to calcium supplementation: a meta-analysis of randomized controlled trials", J Hum Hypertens, 20, pp.571~580 (2006)

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