From the Division of Nephrology, National Clinical Research Center for Kidney Disease, State Key Laboratory for Organ Failure Research, Guangdong Provincial Institute of Nephrology, Guangzhou Regenerative Medicine and Health Guangdong Laboratory, Nanfang Hospital, Southern Medical University, Guangzhou, China (M.L., C.Z., Z.Z., P.H., Y.Z., H.L., C.L., X.Q.).
Institute of Biomedicine, Anhui Medical University, Hefei, China (Q.L., C.L.).
Hypertension. 2020 Dec;76(6):1709-1716. doi: 10.1161/HYPERTENSIONAHA.120.16211. Epub 2020 Nov 2.
The prospective relation of dietary riboflavin intake with hypertension remains uncertain. We aimed to investigate the relationship of dietary riboflavin intake with new-onset hypertension and examine possible effect modifiers in general population. A total of 12 245 participants who were free of hypertension at baseline from China Health and Nutrition Survey were included. Dietary intake was measured by 3 consecutive 24-hour dietary recalls combined with a household food inventory. The study outcome was new-onset hypertension, defined as systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg or diagnosed by physician or under antihypertensive treatment during the follow-up. A total of 4303 (35.1%) subjects developed hypertension during 95 573 person-years of follow-up. Overall, there was a nonlinear, inverse association between total, plant-based, or animal-based riboflavin intake and new-onset hypertension (all for nonlinearity, <0.001). The risk of new-onset hypertension was increased only in participants with relatively lower riboflavin intake. Accordingly, a significantly lower risk of new-onset hypertension was found in participants in quartiles 2 to 4 of total riboflavin intake (hazard ratio, 0.74 [95% CI, 0.68-0.80]), plant-derived riboflavin intake (hazard ratio, 0.77 [95% CI, 0.71-0.84]), or animal-derived riboflavin intake (hazard ratio, 0.70 [95% CI, 0.65-0.77]), compared with those in quartile 1. In addition, the association between total riboflavin intake and new-onset hypertension was particularly evident in those with lower dietary sodium/potassium intake ratio ( interaction, <0.001). In summary, there was an inverse association between riboflavin intake and new-onset hypertension in general Chinese adults. Our results emphasized the importance of maintaining relatively higher riboflavin intake levels for the prevention of hypertension.
饮食核黄素摄入量与高血压之间的前瞻性关系尚不确定。我们旨在研究饮食核黄素摄入量与新发高血压的关系,并在一般人群中检查可能的效应修饰剂。共纳入了来自中国健康与营养调查的 12245 名基线时无高血压的参与者。通过连续 3 天的 24 小时饮食回忆和家庭食物库存来测量饮食摄入。研究结果是新发高血压,定义为收缩压≥140mmHg 或舒张压≥90mmHg 或由医生诊断或在随访期间接受抗高血压治疗。在 95573 人年的随访期间,共有 4303 名(35.1%)参与者发生高血压。总体而言,总核黄素、植物性或动物性核黄素摄入与新发高血压之间呈非线性、反向关联(所有非线性 P<0.001)。只有在核黄素摄入量相对较低的参与者中,新发高血压的风险才会增加。因此,在总核黄素摄入量 quartiles 2 至 4 的参与者中,新发高血压的风险显著降低(风险比,0.74[95%CI,0.68-0.80]),植物源性核黄素摄入量(风险比,0.77[95%CI,0.71-0.84])或动物源性核黄素摄入量(风险比,0.70[95%CI,0.65-0.77]),与 quartile 1 相比。此外,总核黄素摄入量与新发高血压之间的关联在饮食钠/钾摄入量比值较低的人群中更为明显(交互作用,<0.001)。总之,在中国一般成年人中,核黄素摄入量与新发高血压之间存在负相关关系。我们的研究结果强调了保持相对较高的核黄素摄入量水平对预防高血压的重要性。
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