Department of International Inpatient, Institute of Health Management, Chinese PLA General Hospital, Beijing, China.
Sci Rep. 2017 Sep 11;7(1):11136. doi: 10.1038/s41598-017-11071-w.
Hypertension is a multiple factor disease which was influenced by gene, environment, and lifestyle. Several studies confirmed that the ALDH2 rs671 polymorphism is associated with hypertension. However, the evidence remains inconclusive. Whether lifestyle affects blood pressure in different genotype groups have not been clarified, either. The subjects were adult Chinese Han people who received health examination in the period from December 2014 to December 2015. Detection of the ALDH2 r671 polymorphism was determined by polymerase chain reaction. Lifestyle data were collected using self-administered questionnaires. Basic characteristics and fasting venous blood sample were collected at baseline. 4018 subjects were eligible for participation.The frequencies of the ALDH2 rs671 genotype were 68.67% (GG), 28.67%(GL), 2.66%(LL), respectively. Pepole who harbored the L allele were less likely to develop incident hypertension. There was a significant association between food frequency and hypertension in the L genotype group. Fried food intake was significantly increased the risk of hypertension in the L genotype group. Our study suggested that ALDH2 rs671 L-genotypes are protective factors for hypertension in Han Chinese. Consumption of fried food accelerated the development of hypertension in individuals with poor metabolism of acetaldehyde.
高血压是一种受基因、环境和生活方式影响的多因素疾病。有几项研究证实,ALDH2 rs671 多态性与高血压有关。然而,证据仍存在争议。生活方式是否会影响不同基因型人群的血压,目前也尚未阐明。
本研究对象为 2014 年 12 月至 2015 年 12 月期间接受健康检查的成年汉族中国人。采用聚合酶链反应检测 ALDH2 r671 多态性。采用自填式问卷收集生活方式数据。在基线时收集基本特征和空腹静脉血样。4018 名受试者符合纳入标准。ALDH2 rs671 基因型的频率分别为 68.67%(GG)、28.67%(GL)和 2.66%(LL)。携带 L 等位基因的人发生高血压的风险较低。在 L 基因型组中,食物频率与高血压之间存在显著相关性。在 L 基因型组中,食用油炸食品会显著增加高血压的风险。
我们的研究表明,ALDH2 rs671 L 基因型是汉族人高血压的保护因素。在乙醛代谢不良的个体中,食用油炸食品会加速高血压的发展。