The relationship of dietary sodium, potassium, fruits, and vegetables intake with blood pressure among Korean adults aged 40 and older

BACKGROUND/OBJECTIVES The inverse relationships of combined fruits and vegetables intake with blood pressure have been reported. However, whether there are such relationships with salty vegetables has rarely been investigated in epidemiologic studies. We evaluated the relation of combined and separate intake of fruits, vegetable intakes, and salty vegetables, as well as sodium and potassium, with blood pressure among the middle-aged and elderly populations. SUBJECTS/METHODS The present cross-sectional analysis of a prospective cohort baseline survey was performed with 6,283 subjects (2,443 men and 3,840 women) and free of hypertension, diabetes, cardiovascular diseases, and cancer. Dietary data were collected by trained interviewers using food frequency questionnaire. RESULTS The significantly inverse linear trend of diastolic blood pressure (DBP) was found in fruits and non-pickled vegetables (81.2 mmHg in the lowest quintile vs 79.0 mmHg in the highest quintile, P for trend = 0.0040) and fruits only (80.9 mmHg in the lowest quintile vs 79.4 mmHg in the highest quintile, P for trend = 0.0430) among men. In contrast, sodium and sodium to potassium ratio were positively related with blood pressure among men (DBP, 78.8 mmHg in the lowest quintile vs 80.6 mmHg in the highest quintile, P for trend = 0.0079 for sodium; DBP, 79.0 mmHg in the lowest quintile vs 80.7 mmHg in the highest quintile, P for trend = 0.0199 and SBP, 123.8 mmHg in the lowest quintile vs 125.9 mmHg in the highest quintile for sodium/potassium). Kimchies consumption was positively related to DBP for men (78.2 mmHg in the lowest quintile vs 80.9 mmHg in the highest quintile for DBP, P for trend = 0.0003). Among women, these relations were not found. CONCLUSION Fruits and/or non-pickled vegetables may be inversely, but sodium, sodium to potassium, and Kimchies may be positively related to blood pressure among men.

[1]  S. Vollset,et al.  Nutritional Epidemiology , 2020, Definitions.

[2]  J. Yim,et al.  Moderate diet-induced weight loss is associated with improved insulin sensitivity in middle-aged healthy obese Korean women , 2014, Nutrition research and practice.

[3]  Miseon Kim,et al.  Relationships of adolescent's dietary habits with personality traits and food neophobia according to family meal frequency , 2014, Nutrition research and practice.

[4]  P. Elliott,et al.  Association of raw fruit and fruit juice consumption with blood pressure: the INTERMAP Study. , 2013, The American journal of clinical nutrition.

[5]  Ian J. Brown,et al.  Relation of raw and cooked vegetable consumption to blood pressure: the INTERMAP Study , 2012, Journal of Human Hypertension.

[6]  Jinho Shin,et al.  Relationship between sodium intake and blood pressure according to metabolic syndrome status in the Korean National Health and Nutrition Examination Survey , 2012, Blood pressure monitoring.

[7]  Kyong Park,et al.  Nutrient Intake, Lifestyle Factors and Prevalent Hypertension in Korean Adults: Results from 2007-2008 Korean National Health and Nutrition Examination Survey , 2012 .

[8]  J. Manson,et al.  Fruit and vegetable intake and the risk of hypertension in middle-aged and older women. , 2012, American journal of hypertension.

[9]  Chou-Long Huang,et al.  Association of urinary sodium/potassium ratio with blood pressure: sex and racial differences. , 2012, Clinical journal of the American Society of Nephrology : CJASN.

[10]  D. English,et al.  Relationship of urinary sodium and sodium‐to‐potassium ratio to blood pressure in older adults in Australia , 2011, The Medical journal of Australia.

[11]  Richard J. Johnson,et al.  Dietary Fructose and Hypertension , 2011, Current hypertension reports.

[12]  J. Lovegrove,et al.  Fruit polyphenols and CVD risk: a review of human intervention studies , 2010, British Journal of Nutrition.

[13]  J. Geleijnse,et al.  Dietary Protein and Blood Pressure: A Systematic Review , 2010, PloS one.

[14]  J. Kopple,et al.  The effect of nutrition on blood pressure. , 2010, Annual review of nutrition.

[15]  Jeongseon Kim,et al.  Relationship between dietary sodium, potassium, and calcium, anthropometric indexes, and blood pressure in young and middle aged Korean adults , 2010, Nutrition research and practice.

[16]  H. Ueshima,et al.  Dietary Salt Intake and Blood Pressure in a Representative Japanese Population: Baseline Analyses of NIPPON DATA80 , 2010, Journal of epidemiology.

[17]  J. McNeill,et al.  The fructose-fed rat: a review on the mechanisms of fructose-induced insulin resistance and hypertension , 2009, Molecular and Cellular Biochemistry.

[18]  M. Martínez-González,et al.  Role of vegetables and fruits in Mediterranean diets to prevent hypertension , 2009, European Journal of Clinical Nutrition.

[19]  D. Lackland,et al.  DASH Lowers Blood Pressure in Obese Hypertensives Beyond Potassium, Magnesium and Fiber , 2009, Journal of Human Hypertension.

[20]  Yoonna Lee,et al.  Nutritional Environment Influences Hypertension in the Middle-aged Korean Adults: based on 1998 & 2001 National Health and Nutrition Survey , 2007 .

[21]  N. Madias,et al.  Sodium and potassium in the pathogenesis of hypertension. , 2007, The New England journal of medicine.

[22]  Y. Ahn,et al.  Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study , 2007, European Journal of Clinical Nutrition.

[23]  손숙미,et al.  고혈압 환자의 식이관련 위험요인 분석에 관한 연구 , 2006 .

[24]  F. Beyer,et al.  Combined calcium, magnesium and potassium supplementation for the management of primary hypertension in adults. , 2006, The Cochrane database of systematic reviews.

[25]  F. Beyer,et al.  Potassium supplementation for the management of primary hypertension in adults. , 2006, The Cochrane database of systematic reviews.

[26]  L. Dahl,et al.  Possible role of salt intake in the development of essential hypertension. 1960. , 2005, International journal of epidemiology.

[27]  N. Graudal.  Commentary: Possible role of salt intake in the development of essential hypertension , 2005 .

[28]  N. Markandu,et al.  Effect of Short-Term Supplementation of Potassium Chloride and Potassium Citrate on Blood Pressure in Hypertensives , 2005, Hypertension.

[29]  K. Reynolds,et al.  Global burden of hypertension: analysis of worldwide data , 2005, The Lancet.

[30]  L. Cupples,et al.  Intake of Fruits, Vegetables, and Dairy Products in Early Childhood and Subsequent Blood Pressure Change , 2005, Epidemiology.

[31]  M. Most,et al.  Estimated phytochemical content of the dietary approaches to stop hypertension (DASH) diet is higher than in the Control Study Diet. , 2004, Journal of the American Dietetic Association.

[32]  W. James,et al.  A life course approach to diet, nutrition and the prevention of chronic diseases , 2004, Public Health Nutrition.

[33]  J. Morrow,et al.  DASH Diet Lowers Blood Pressure and Lipid-Induced Oxidative Stress in Obesity , 2003, Hypertension.

[34]  Vikesh K. Singh,et al.  The effect of magnesium supplementation on blood pressure: a meta-analysis of randomized clinical trials. , 2002, American journal of hypertension.

[35]  A. Robertson,et al.  The potential contribution of increased vegetable and fruit consumption to health gain in the European Union , 2001, Public Health Nutrition.

[36]  N. Graudal,et al.  Effects of sodium restriction on blood pressure, renin, aldosterone, catecholamines, cholesterols, and triglyceride: a meta-analysis. , 1998, JAMA.

[37]  G. Bray,et al.  A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. , 1997, The New England journal of medicine.

[38]  N. Cook,et al.  Efficacy of nonpharmacologic interventions in adults with high-normal blood pressure: results from phase 1 of the Trials of Hypertension Prevention. Trials of Hypertension Prevention Collaborative Research Group. , 1997, The American journal of clinical nutrition.

[39]  J. Cutler,et al.  Randomized trials of sodium reduction: an overview. , 1997, The American journal of clinical nutrition.

[40]  M. Ishida,et al.  Effects of age and sex on sodium chloride sensitivity: association with plasma renin activity. , 1994, Clinical nephrology.

[41]  Mohsen Mesgarani,et al.  Book Review: Diet, Nutrition and the Prevention of Chronic Diseases , 2003, World Health Organization technical report series.

[42]  J. Who,et al.  Diet, nutrition and the prevention of chronic diseases : report of a Joint WHO/FAO Expert Consultation , 2003 .

[43]  G. Bray,et al.  Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. , 2001, The New England journal of medicine.

[44]  Orton,et al.  EFFECTS ON BLOOD PRESSURE OF REDUCED DIETARY SODIUM AND THE DIETARY APPROACHES TO STOP HYPERTENSION ( DASH ) DIET , 2000 .