Rahmanian Sasan, Salimi Zahra, Masoumvand Mohammad, Aghakhani Nejad Zohre, Ghorbani Hesari Mohamadtaghi, Mirshafaei Seyed Reza, Keshavarz Mohammadian Mohammad, Abbasi Mobarakeh Khadijeh, Ataei Kachooei Masoomeh, Shamsi-Goushki Ali, Khoshdooz Sara, Bahmani Parsa, Doaei Saeid, Kooshki Akram, Gholamalizadeh Maryam
Nursing Faculty, Shiraz University of Medical Sciences, Shiraz.
Department of Clinical Nutrition and Dietetics, Student Research Committee, Faculty of Nutrition and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran.
Cardiovasc Endocrinol Metab. 2024 Nov 14;13(4):e00316. doi: 10.1097/XCE.0000000000000316. eCollection 2024 Dec.
Hypertension (HTN) is a major global public health issue influenced by genetics and lifestyle factors such as diet and psychological stress. Previous research suggests a potential link between HTN and dietary vitamin A intake. This study aims to explore the association between HTN and the intake of various forms of vitamin A.
This cross-sectional study was conducted on 1239 patients with HTN and 2945 normotensive individuals aged 35-70 years in Sabzevar, Iran. Dietary vitamin A intake was assessed using the Nutritionist IV software and a food frequency questionnaire.
A positive association was found between HTN with total vitamin A intake [odds ratio (OR): 1.03, 95% confidence interval (CI): 1.01-1.05, = 0.04] and β-carotene intake (OR: 1.03, 95% CI: 1.02-1.05, = 0.03) after adjusting for age and sex. These associations remained statistically significant after adjusting for physical activity and BMI. The association between HTN and β-carotene intake remained significant after additional adjustment for calorie intake. No significant association was observed between dietary retinol intake and HTN.
Increased dietary intake of vitamin A and β-carotene may be associated with a higher risk of HTN. Further longitudinal studies are needed to confirm these findings and elucidate the underlying mechanisms.
高血压是一个主要的全球公共卫生问题,受遗传和饮食、心理压力等生活方式因素影响。先前的研究表明高血压与膳食维生素A摄入量之间存在潜在联系。本研究旨在探讨高血压与各种形式维生素A摄入量之间的关联。
这项横断面研究在伊朗萨卜泽瓦尔对1239例35至70岁的高血压患者和2945例血压正常个体进行。使用营养师IV软件和食物频率问卷评估膳食维生素A摄入量。
在调整年龄和性别后,发现高血压与总维生素A摄入量[比值比(OR):1.03,95%置信区间(CI):1.01 - 1.05,P = 0.04]和β-胡萝卜素摄入量(OR:1.03,95%CI:1.02 - 1.05,P = 0.03)呈正相关。在调整身体活动和体重指数后,这些关联仍具有统计学意义。在进一步调整热量摄入后,高血压与β-胡萝卜素摄入量之间的关联仍然显著。未观察到膳食视黄醇摄入量与高血压之间存在显著关联。
膳食中维生素A和β-胡萝卜素摄入量增加可能与高血压风险较高有关。需要进一步的纵向研究来证实这些发现并阐明潜在机制。