Association Of Dietary Pattern With Systolic And Diastolic Blood Pressure In Young Adults Of Punjab, Pakistan
DOI:
https://doi.org/10.69980/ajpr.v28i1.288Keywords:
Hypertension, Prehypertension, Dietary pattern, Young adults, Systolic blood pressure, Unhealthy dietAbstract
Background: Hypertension, a complex metabolic disorder, involves various hormonal and biochemical mechanisms. Many risk factors are reported to be associated with hypertension. Increase in urbanization, unhealthy diet, and obesity are affecting the population in Pakistan as they have globally in the last decade.
Objectives: This study was planned to assess the dietary patterns in young adults and to find association with systolic and diastolic blood pressure.
Material and Methods: This cross-sectional study was approved by the board of studies and the ethical review committee, Institute of Molecular Biology and Biotechnology (IMBB), The University of Lahore. A total of 589 young adults of 18-23 years studying in different institutes participated in the study. Written consent was obtained from each participant. A standardized questionnaire was used to collect information like name, age, gender, dietary pattern, blood pressure, and family history of hypertension. The data recorded from all participants were entered into a standardized proforma.
Results: A total of 589 subjects were divided based on blood pressure values into three groups: normotensive, prehypertensive, and hypertensive. Both male and female subjects participated in the study. The subjects were divided into healthy, borderline and unhealthy dietary patterns based on dietary habits. Among these, sixty subjects had systolic prehypertension, and eight had hypertension based on systolic blood pressure. The diastolic type of prehypertension was observed in forty subjects, while the diastolic type of hypertension was seen in nineteen subjects. Significant difference of systolic blood pressure was observed within hypertensive group based on dietary pattern. The present study found a strong association between dietary pattern, systolic and diastolic blood pressure.
Statistical Analysis: It was performed by SPSS. For comparison within the groups, ANOVA and independent t test was used.
Conclusion: In this study, systolic and diastolic blood pressure revealed strong association with unhealthy dietary patterns. Strategies to minimize risk of hypertension may be adopted by increasing awareness about importance healthy diet.
References
1. Bell, L. K., Edwards, S., and Grieger, J. A. (2015). The relationship between dietary patterns and metabolic health in a representative sample of adult Australians. Nutrients, 7(8): 6491-6505.
2. Chen, M., Xu, Y., Wang, X., Shan, S., & Cheng, G. (2023). Association between the prudent dietary pattern and blood pressure in Chinese adults is partially mediated by body composition. Frontiers in Nutrition, 10: 1131126.
3. Cherfan, M., Vallee, A., Kab, S., Salameh, P., Goldberg, M., Zins, M., & Blacher, J. (2020). Unhealthy behaviors and risk of uncontrolled hypertension among treated individuals-The CONSTANCES population-based study. Scientific Reports, 10(1): 1925.
4. Dabbagh-Moghaddam, A., Kamali, M., Hojjati, A., Foroughi, M., Ghiasvand, R., Askari, G., & Hosseinzadeh, J. (2018). The relationship between dietary patterns with blood pressure in Iranian army staffs. Advanced Biomedical Research, 7(1): 127.
5. Fisher, N. D., and Curfman, G. (2018). Hypertension—a public health challenge of global proportions. JAMA, 320(17): 1757-1759.
6. Heaton, J., Alshami, A., Imburgio, S., Mararenko, A., Schoenfeld, M., Sealove, B., ... & Almendral, J. (2024). Current Trends in Hypertension Identification and Management: Insights from the National Health and Nutrition Examination Survey (NHANES) Following the 2017 ACC/AHA High Blood Pressure Guidelines. Journal of the American Heart Association, 13(8): e034322.
7. Ji, H., Kim, A., Ebinger, J. E., Niiranen, T. J., Claggett, B. L., Merz, C. N. B., & Cheng, S. (2020). Sex differences in blood pressure trajectories over the life course. JAMA Cardiology, 5(3): 255-262.
8. Kamran, A., Shekarchi, A. A., Sharifian, E., & Heydari, H. (2016). The comparison of dietary behaviors among rural controlled and uncontrolled hypertensive patients. Advances in Preventive Medicine, 2016(1): 7086418.
9. Kong, J. S., Kim, Y. M., Woo, H. W., Shin, M. H., Koh, S. B., Kim, H. C., ... & Kim, M. K. (2023). Prospective associations between cumulative average intake of flavonoids and hypertension risk in the Cardiovascular Disease Association Study (CAVAS). Nutrients, 15(5): 1186.
10. Livingstone, K. M., & McNaughton, S. A. (2016). Diet quality is associated with obesity and hypertension in Australian adults: a cross sectional study. BMC Public Health, 16: 1-10.
11. Margerison, C., Riddell, L. J., McNaughton, S. A., & Nowson, C. A. (2020). Associations between dietary patterns and blood pressure in a sample of Australian adults. Nutrition Journal, 19: 1-12.
12. Mishra, C. P. (2022). Prevalence and predictors of hypertension: Evidence from a study of rural India. Journal of Family Medicine and Primary Care, 11(3), 1047-1054.
13. Muntner, P., Carey, R. M., Gidding, S., Jones, D. W., Taler, S. J., Wright Jr, J. T., & Whelton, P. K. (2018). Potential US population impact of the 2017 ACC/AHA high blood pressure guideline. Circulation, 137(2): 109-118.
14. Neupane, D., McLachlan, C. S., Sharma, R., Gyawali, B., Khanal, V., Mishra, S. R., ... & Kallestrup, P. (2014). Prevalence of hypertension in member countries of South Asian Association for Regional Cooperation (SAARC): systematic review and meta-analysis. Medicine, 93(13): e74.
15. Ndanuko, R. N., Tapsell, L. C., Charlton, K. E., Neale, E. P., & Batterham, M. J. (2016). Dietary patterns and blood pressure in adults: a systematic review and meta-analysis of randomized controlled trials. Advances in Nutrition, 7(1): 76-89.
16. Riaz, M., Shah, G., Asif, M., Shah, A., Adhikari, K., & Abu-Shaheen, A. (2021). Factors associated with hypertension in Pakistan: A systematic review and meta-analysis. PloS One, 16(1): e0246085.
17. Roger, V. L., Go, A. S., Lloyd-Jones, D. M., Adams, R. J., Berry, J. D., Brown, T. M., ... & Wylie-Rosett, J. (2011). Heart disease and stroke statistics—2011 update: a report from the American Heart Association. Circulation, 123(4): e18-e209.
18. Safdar, N. F., Bertone-Johnson, E., Cordeiro, L., Jafar, T. H., & Cohen, N. L. (2013). Dietary patterns of Pakistani adults and their associations with sociodemographic, anthropometric and life-style factors. Journal of Nutritional Science, 2: e42.
19. Shafi, S. T., & Shafi, T. (2017). A survey of hypertension prevalence, awareness, treatment, and control in health screening camps of rural central Punjab, Pakistan. Journal of Epidemiology and Global Health, 7(2): 135-140.
20. Sohail, S., Maqbool, T., Cheema, A.M., & Saqib, A. (2024). Comparison of serum angiotensin II, sodium and potassium levels between normotensive, prehypertensive and hypertensive young adults of Punjab population, Pakistan. Kurdish Studies, 12(3), 496–502.
21. Tang, C., Wang, X., Qin, L. Q., & Dong, J. Y. (2021). Mediterranean diet and mortality in people with cardiovascular disease: a meta-analysis of prospective cohort studies. Nutrients, 13(8): 2623.
22. Wong, M. M., Grech, A., & Louie, J. C. Y. (2020). Dietary patterns and cardiovascular disease in Australian adults: Findings from the 2011-12 Australian Health Survey. Nutrition, Metabolism and Cardiovascular Diseases, 30(5): 738-748.
23. Yang, Y., Yu, D., Piao, W., Huang, K., and Zhao, L. (2022). Nutrient-derived beneficial for blood pressure dietary pattern associated with hypertension prevention and control: based on China Nutrition and Health Surveillance 2015–2017. Nutrients, 14(15): 3108.
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