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叶酸、维生素B₆和维生素B₁₂的摄入量与高血压患病率呈负相关:一项基于全国人口的研究。

Folate, vitamin B, and vitamin B intakes are negatively associated with the prevalence of hypertension: A national population-based study.

作者信息

Xiong Yuqing, Huang Jiamin, Amoah Adwoa Nyantakyiwaa, Liu Bingrui, Bo Yacong, Lyu Quanjun

机构信息

Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou 450000, Henan, China.

Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou 450000, Henan, China.

出版信息

Nutr Res. 2023 Apr;112:46-54. doi: 10.1016/j.nutres.2023.02.006. Epub 2023 Mar 8.

Abstract

We hypothesized that the prevalence of hypertension is related to B-vitamin intake in the general population, but it has not been sufficiently studied. This study aimed to investigate the intakes of dietary folate, vitamin B, and vitamin B concerning hypertension in US adults. A total of 55 569 adults from National Health and Nutrition Examination Survey III and 1999-2014 were included in this study. Nutrient intake was collected from subjects through one or two 24-hour dietary reviews. Multiple logistic regression models were used to examine the relationship between these nutrient intakes and hypertension. Among male participants, dietary folate, vitamin B, and vitamin B intakes were significantly and negatively associated with the prevalence of hypertension, with multivariate-adjusted odds ratios (ORs) of 0.61 (95% confidence interval [CI], 0.55-0.68), 0.65 (95% CI, 0.59-0.72), and 0.84 (95% CI, 0.75-0.95) for the highest quartile group compared with the lowest group. Results were similar for female participants, with multivariate-adjusted ORs of 0.63 (95% CI, 0.57-0.71), 0.60 (95% CI, 0.53-0.66), and 0.87 (95% CI, 0.77-0.98) for the highest quartile group. Moreover, there was a linear trend (P < .001) in both men and women that the prevalence of hypertension tended to decrease with increased intake of folate, vitamin B, and vitamin B; however, the decreases above the third quartile were negligible. Dietary folate, vitamin B, and vitamin B were significantly associated negatively with hypertension, indicating that these nutrients might have a protective effect against hypertension in United States adults.

摘要

我们推测,在普通人群中高血压患病率与B族维生素摄入量有关,但这方面尚未得到充分研究。本研究旨在调查美国成年人饮食中叶酸、维生素B₆和维生素B₁₂的摄入量与高血压的关系。本研究纳入了来自第三次全国健康和营养检查调查以及1999 - 2014年的总共55569名成年人。通过一到两次24小时饮食回顾收集受试者的营养素摄入量。使用多元逻辑回归模型来检验这些营养素摄入量与高血压之间的关系。在男性参与者中,饮食中叶酸、维生素B₆和维生素B₁₂的摄入量与高血压患病率显著负相关,最高四分位数组与最低组相比,多变量调整后的比值比(OR)分别为0.61(95%置信区间[CI],0.55 - 0.68)、0.65(95% CI,0.59 - 0.72)和0.84(95% CI,0.75 - 0.95)。女性参与者的结果相似,最高四分位数组的多变量调整后OR分别为0.63(95% CI,0.57 - 0.71)、0.60(95% CI,0.53 - 0.66)和0.87(95% CI,0.77 - 0.98)。此外,男性和女性中均存在线性趋势(P <.001),即随着叶酸、维生素B₆和维生素B₁₂摄入量的增加,高血压患病率趋于下降;然而,高于第三四分位数的下降幅度可忽略不计。饮食中的叶酸、维生素B₆和维生素B₁₂与高血压显著负相关,表明这些营养素可能对美国成年人的高血压具有保护作用。

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