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午餐高蛋白摄入与社区居住的老年人血压呈负相关:一项横断面研究。

High Protein Intake at Lunch Is Negatively Associated with Blood Pressure in Community-Dwelling Older Adults: A Cross-Sectional Study.

机构信息

Department of Geriatrics and Orthopedics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Graduate Program in Physical Education, Federal University of Mato Grosso, Cuiabá 78060-900, Brazil.

出版信息

Nutrients. 2023 Mar 2;15(5):1251. doi: 10.3390/nu15051251.

Abstract

BACKGROUND

The present study was conducted to explore the association between protein intake across the main meals and hypertension (HTN)-related parameters in community-dwelling Brazilian older adults.

METHODS

Brazilian community-dwelling older adults were recruited in a senior center. Dietary habits were assessed through 24 h recall. Protein intake was classified as high and low according to median and recommended dietary allowance values. Absolute and body weight (BW)-adjusted protein consumption levels were quantified and analyzed according to ingestion across the main meals. Systolic (SBP) and diastolic blood pressure (DBP) were measured using an oscilometric monitor. Participants were categorized as hypertensive according to physician diagnosis or the detection of high SBP and/or DBP values.

RESULTS

One hundred ninety-seven older adults were enrolled in the present study. Protein intake at lunch was independently and negatively associated with SBP. Furthermore, a lower prevalence of HTN (diagnosed by a physician) was observed in participants with higher intakes of protein. These results remained significant after adjustment for many covariates. However, significance was lost when kilocalories and micronutrients were included in the model.

CONCLUSIONS

Findings of the present study indicate that protein intake at lunch was independently and negatively associated with systolic BP in community-dwelling older adults.

摘要

背景

本研究旨在探讨社区居住的巴西老年人在主要用餐时间摄入蛋白质与高血压(HTN)相关参数之间的关系。

方法

在一家老年人中心招募了巴西社区居住的老年人。通过 24 小时回忆评估饮食习惯。根据中位数和推荐的膳食津贴值,将蛋白质摄入量分为高和低。根据主要用餐时间的摄入情况,定量和分析绝对和体重(BW)调整后的蛋白质消耗水平。使用振荡血压计测量收缩压(SBP)和舒张压(DBP)。根据医生诊断或检测到的 SBP 和/或 DBP 值升高,将参与者分为高血压患者。

结果

本研究共纳入 197 名老年人。午餐时的蛋白质摄入量与 SBP 呈独立负相关。此外,在摄入较高蛋白质的参与者中,高血压(由医生诊断)的患病率较低。在调整了许多协变量后,这些结果仍然具有统计学意义。然而,当将千卡和微量营养素纳入模型时,其显著性丧失。

结论

本研究结果表明,在社区居住的老年人中,午餐时的蛋白质摄入量与收缩压呈独立负相关。

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