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超加工食品摄入增加成年人患高血压的风险:系统评价和荟萃分析。

Ultra-processed Foods Consumption Increases the Risk of Hypertension in Adults: A Systematic Review and Meta-analysis.

机构信息

Department of Endocrinology and Metabolism, Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.

Luzhou Key Laboratory of Cardiovascular and Metabolic Diseases, Department of Endocrinology and Metabolism, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.

出版信息

Am J Hypertens. 2022 Oct 3;35(10):892-901. doi: 10.1093/ajh/hpac069.

Abstract

BACKGROUND

Effect of ultra-processed foods (UPFs) consumption on health has attracted widespread attention in recent years. However, the relationship between UPFs consumption and hypertension is unclear. This meta-analysis was conducted to analyze the above association.

METHODS

We systematically searched PubMed, Embase, and Cochrane Library for all relevant studies published up to 31 January 2022 without language limitation. The random-effects model was selected to pool the effect sizes and 95% confidence intervals (CIs).

RESULTS

Nine observational studies involving 111,594 participants were included. Results from this meta-analysis showed that higher UPFs consumption significantly increased the risk of hypertension (odds ratio: 1.23; 95% CI: 1.11, 1.37; P = 0.034). Furthermore, analyses were performed based on gender, study design, exposure assessment, outcome assessment, body mass index, energy intake, and physical activity, which suggested that the results remained statistically significant.

CONCLUSIONS

Our findings suggested that UPFs might have detrimental effects on the incidence of hypertension in the general population. Although current evidence is limited, it cannot be denied that reducing consumption of UPFs may contribute to decrease the risk of chronic noncommunicable diseases.

摘要

背景

近年来,超加工食品(UPFs)的消费对健康的影响引起了广泛关注。然而,UPFs 的消费与高血压之间的关系尚不清楚。本荟萃分析旨在分析上述关联。

方法

我们系统地检索了 PubMed、Embase 和 Cochrane Library,检索时间截至 2022 年 1 月 31 日,没有语言限制。选择随机效应模型来汇总效应大小和 95%置信区间(CI)。

结果

纳入了 9 项观察性研究,涉及 111594 名参与者。荟萃分析的结果表明,较高的 UPFs 消费显著增加了高血压的风险(比值比:1.23;95%CI:1.11,1.37;P = 0.034)。此外,根据性别、研究设计、暴露评估、结局评估、体重指数、能量摄入和体力活动进行了分析,结果仍具有统计学意义。

结论

我们的研究结果表明,UPFs 可能对一般人群的高血压发病率产生不利影响。尽管目前的证据有限,但不能否认减少 UPFs 的消费可能有助于降低慢性非传染性疾病的风险。

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