Wang Min, Liao Jiali, Wang Hao, Deng Lu, Zhang Tingyu, Guo Heng, Qian Xin, Ma Rulin
Department of Preventive Medicine, Shihezi University, Shihezi 832000, China.
Key Laboratory for Prevention and Control of Emerging Infectious Diseases and Public Health Security, The Xinjiang Production and Construction Corps, Shihezi 832000, China.
Nutrients. 2025 Jan 1;17(1):165. doi: 10.3390/nu17010165.
: Diet and inflammation are both associated with hypertension. We aimed to investigate the relationship between the dietary inflammation index (DII), dietary patterns, and the risk of hypertension among Xinjiang residents. : A total of 930 residents aged 20-80 from Shihezi and Tumushuk were selected as participants using a stratified whole cluster random sampling method. General demographic information, dietary data, and physical examination results were collected from the participants and DII scores were calculated. Restricted cubic spline was used to analyze the dose-response relationship between the DII and the risk of hypertension. LASSO regression was used to screen dietary factors associated with hypertension. Factor analysis was used to extract dietary patterns. Finally, logistic regression modeling was used to analyze the association between the DII, dietary patterns, and the risk of hypertension. : The DII was linearly and positively associated with the risk of developing hypertension. Logistic regression analysis showed that the prevalence of hypertension was 2.23 (95% CI: 1.53, 3.23) and 3.29 (95% CI: 2.26, 4.79) in the T2 and T3 groups, respectively, compared with the T1 group. Riboflavin and folate were associated with the risk of hypertension. In the vegetable-egg dietary pattern, the risk of hypertension was reduced by 33%, 39%, and 37% in groups Q2, Q3, and Q4, respectively, compared with group Q1 (Q2: OR = 0.67, 95% CI: 0.45, 0.99; Q3: OR = 0.61, 95% CI: 0.41, 0.92; Q4: OR = 0.63, 95% CI: 0.42, 0.96). : The higher the DII score, the higher the risk of hypertension among residents of Xinjiang. In addition, vegetable-egg dietary patterns can reduce the risk of hypertension. Therefore, local residents should be scientifically instructed to increase their intake of vegetables and eggs.
饮食与炎症均与高血压相关。我们旨在研究新疆居民的饮食炎症指数(DII)、饮食模式与高血压风险之间的关系。
采用分层整群随机抽样方法,选取了来自石河子和图木舒克的930名年龄在20至80岁的居民作为研究对象。收集了研究对象的一般人口统计学信息、饮食数据和体格检查结果,并计算了DII得分。采用限制立方样条分析DII与高血压风险之间的剂量反应关系。采用LASSO回归筛选与高血压相关的饮食因素。采用因子分析提取饮食模式。最后,采用逻辑回归模型分析DII、饮食模式与高血压风险之间的关联。
DII与高血压发病风险呈线性正相关。逻辑回归分析显示,与T1组相比,T2组和T3组高血压患病率分别为2.23(95%CI:1.53,3.23)和3.29(95%CI:2.26,4.79)。核黄素和叶酸与高血压风险相关。在蔬菜 - 蛋类饮食模式中,与Q1组相比,Q2、Q3和Q4组高血压风险分别降低了33%、39%和37%(Q2:OR = 0.67,95%CI:0.45,0.99;Q3:OR = 0.61,95%CI:0.41,0.92;Q4:OR = 0.63,95%CI:0.42,0.96)。
新疆居民的DII得分越高,患高血压的风险越高。此外,蔬菜 - 蛋类饮食模式可降低高血压风险。因此,应科学指导当地居民增加蔬菜和蛋类的摄入量。