Influence of fruit and vegetable consumption on blood pressure progression among hypertensive patients in rural China

HE Zhi; LIU Fang-chao; LI Jian-xin; CAO Jie; CHEN Ji-chun; HU Dong-sheng; SHEN Chong; GU Shu-jun; ZHAO Ying-xin; HUANG Jian-feng; CHEN Shu-feng; LU Xiang-feng; GU Dong-feng

doi:10.16462/j.cnki.zhjbkz.2021.03.006

Volume 25 Issue 3

Mar. 2021

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(3): 276-283

HE Zhi, LIU Fang-chao, LI Jian-xin, CAO Jie, CHEN Ji-chun, HU Dong-sheng, SHEN Chong, GU Shu-jun, ZHAO Ying-xin, HUANG Jian-feng, CHEN Shu-feng, LU Xiang-feng, GU Dong-feng. Influence of fruit and vegetable consumption on blood pressure progression among hypertensive patients in rural China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 276-283. doi: 10.16462/j.cnki.zhjbkz.2021.03.006

Citation:

HE Zhi, LIU Fang-chao, LI Jian-xin, CAO Jie, CHEN Ji-chun, HU Dong-sheng, SHEN Chong, GU Shu-jun, ZHAO Ying-xin, HUANG Jian-feng, CHEN Shu-feng, LU Xiang-feng, GU Dong-feng. Influence of fruit and vegetable consumption on blood pressure progression among hypertensive patients in rural China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 276-283. doi: 10.16462/j.cnki.zhjbkz.2021.03.006

Citation:

HE Zhi, LIU Fang-chao, LI Jian-xin, CAO Jie, CHEN Ji-chun, HU Dong-sheng, SHEN Chong, GU Shu-jun, ZHAO Ying-xin, HUANG Jian-feng, CHEN Shu-feng, LU Xiang-feng, GU Dong-feng. Influence of fruit and vegetable consumption on blood pressure progression among hypertensive patients in rural China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 276-283. doi: 10.16462/j.cnki.zhjbkz.2021.03.006

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Influence of fruit and vegetable consumption on blood pressure progression among hypertensive patients in rural China

doi: 10.16462/j.cnki.zhjbkz.2021.03.006

1.
Key Laboratory of Cardiovascular Epidemiology, Department of Epidemiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100037, China
2.
School of Public Health, Zhengzhou University, Zhengzhou 450001, China
3.
School of Public Health, Shenzhen University, Shenzhen 518060, China
4.
School of Public Health, Nanjing Medical University, Nanjing 211166, China
5.
Changshu Center for Disease Control and Prevention, Changshu 215500, China
6.
Shandong First Medical University (Shandong Academy of Medicine Sciences), Jinan, 250062, China

Funds:

National Key Research and Development Program of China 2018YFC1311703

National Key Research and Development Program of China 2017YFC0211703

Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences 2019-I2M-2-003

Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences 2017-I2M-1-004

More Information

Corresponding author: CHEN Shu-feng, E-mail: chenshufeng@fuwai.cams.cn
Received Date: 2021-01-01
Rev Recd Date: 2021-02-20
Publish Date: 2021-03-10

Abstract

Abstract

Objective To evaluate the relationship of fruit and vegetable consumption with blood pressure (BP) progression among hypertensive patients in rural China, using a prospective cohort study. Methods Baseline examination of the Community Intervention of Metabolic Syndrome in China & Chinese Family Health Study (CIMIC) was conducted in 2007-2008 to collect information on diet consumption, physical activity, BP, and so on. Participants were followed up during 2012-2015. Diet consumption was calculated from food frequency questionnaires. Participants were divided into two groups by whether meeting the recommended intake of total fruit and vegetable (total F&V), fruit, or vegetable consumption (Yes or No), and were also classified into four groups according to their quartiles (Q1-Q4), respectively. Three stages of hypertension were ascertained according to BP levels, and BP progression was defined as an increment of ≥1 stage of hypertension from baseline to the follow-up visit. Logistic regression models were used to estimate the odds ratios (ORs) and their corresponding confidence intervals (CIs) for the relationship of fruit and vegetable intake with the risk of BP progression. Results Among 25 080 participants with hypertension at baseline, 4 112 patients had BP progression during the average follow-up of 5.8 years, with the progression rate of 16.4%. Participants who met the recommended total F&V intake had a 17% (OR=0.83, 95% CI: 0.77-0.90) reduction in the risk of BP progression compared with those who did not. Compared with the lowest group of total F&V consumption (Q1), the ORs (95% CIs) of BP progression were 0.86 (0.78-0.95), 0.77 (0.69-0.86) and 0.69 (0.61-0.77) for the Q2, Q3 and Q4 group, respectively (χ²_trend=43.02, P < 0.001). Analyses of vegetable and fruit consumption showed similar results. Furthermore, each increment of 100 g/d in total F&V and vegetable intake was associated with a 4% (OR=0.96, 95% CI: 0.94-0.98) and 5% (OR=0.95, 95% CI: 0.93-0.97) lower risk of BP progression, respectively. The association of fruit with BP progression was not significant (OR=0.97, 95% CI: 0.93-1.01). Conclusions Increasing the intake of fruit and vegetable could reduce the risk of BP progression and is beneficial for the management of hypertension patients.
- Fruit,
- Vegetable,
- Blood pressure progression,
- Hypertension,
- Cohort study

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References(21)

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