Vegetarian diet reduces the risk of hypertension independent of abdominal obesity and inflammation: A prospective study

Journal of Hypertension

Volumn 34, Issue 11, 2016, Pages 2164-2171

  Chuang, Shao Yuan ^a   Chiu, Tina H T ^b,c   Lee, Chun Yi ^a   Liu, Ting Ting ^d   Tsao, Chwen Keng ^d   Hsiung, Chao A ^a   Chiu, Yen Feng ^a  

^a NATIONAL HEALTH RESEARCH INSTITUTES   (Taiwan)

^b Tzu Chi Medical Foundation   (Taiwan)

^c NATIONAL TAIWAN UNIVERSITY   (Taiwan)

^d MJ Group   (Taiwan)

Author keywords

Hypertension incidence; Mediation; Plant based diets; Prospective cohort study

Indexed keywords

C REACTIVE PROTEIN; GLUCOSE; HIGH DENSITY LIPOPROTEIN CHOLESTEROL; LOW DENSITY LIPOPROTEIN CHOLESTEROL; TRIACYLGLYCEROL; GLUCOSE BLOOD LEVEL;

ABDOMINAL OBESITY; ADULT; AGE; AGED; ARTICLE; BODY MASS; CARDIOVASCULAR RISK; COHORT ANALYSIS; CORRELATIONAL STUDY; DIASTOLIC BLOOD PRESSURE; DIET RESTRICTION; DRINKING BEHAVIOR; EDUCATION; FEMALE; GENDER; GLUCOSE BLOOD LEVEL; GROUPS BY AGE; HUMAN; HYPERTENSION; INCIDENCE; INFLAMMATION; INSULIN RESISTANCE; MAJOR CLINICAL STUDY; MALE; METABOLIC SYNDROME X; PHYSICAL ACTIVITY; PREHYPERTENSION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK REDUCTION; SYSTOLIC BLOOD PRESSURE; TAIWANESE; TRIACYLGLYCEROL BLOOD LEVEL; VEGETARIAN DIET; WAIST CIRCUMFERENCE; BLOOD; BLOOD PRESSURE; CASE CONTROL STUDY; CLINICAL TRIAL; METABOLISM; MIDDLE AGED; MULTICENTER STUDY; OBESITY, ABDOMINAL; ODDS RATIO; PATHOPHYSIOLOGY; RISK FACTOR; TAIWAN; VERY ELDERLY; YOUNG ADULT;

ADULT; AGED; AGED, 80 AND OVER; BLOOD GLUCOSE; BLOOD PRESSURE; C-REACTIVE PROTEIN; CASE-CONTROL STUDIES; DIET, VEGETARIAN; FASTING; FEMALE; HUMANS; HYPERTENSION; INCIDENCE; INFLAMMATION; INSULIN RESISTANCE; MALE; MIDDLE AGED; OBESITY, ABDOMINAL; ODDS RATIO; PROSPECTIVE STUDIES; RISK FACTORS; TAIWAN; WAIST CIRCUMFERENCE; YOUNG ADULT;

EID: 84981510370     PISSN: 02636352     EISSN: 14735598     Source Type: Journal    
DOI: 10.1097/HJH.0000000000001068     Document Type: Article

References (43)

1. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R, Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 360:1903-1913.
2. Kengne AP, Patel A, Barzi F, Jamrozik K, Lam TH, Ueshima H, et al., Asia Pacific Cohort Studies Collaboration. Systolic blood pressure, diabetes and the risk of cardiovascular diseases in the Asia-Pacific region. J Hypertens 2007; 25:1205-1213.
3. Chien KL, Hsu HC, Sung FC, Su TC, Chen MF, Lee YT. Incidence of hypertension and risk of cardiovascular events among ethnic Chinese: report from a community-based cohort study in Taiwan. J Hypertens 2007; 25:1355-1361.
4. Appel LJ, Moore TJ, Obarzanek E, VollmerWM, Svetkey LP, Sacks FM, et al. A clinical trial of the effects of dietary patterns on blood pressure. DASHCollaborativeResearch Group.NEngl JMed 1997; 336:1117-1124.
5. Lin PH, Yeh WT, Svetkey LP, Chuang SY, Chang YC, Wang C, et al. Dietary intakes consistent with the DASH dietary pattern reduce blood pressure increase with age and risk for stroke in a Chinese population. Asia Pac J Clin Nutr 2013; 22:482-491.
6. de Paula TP, Steemburgo T, de Almeida JC, Dall'Alba V, Gross JL, de Azevedo MJ. The role of Dietary Approaches to Stop Hypertension (DASH) diet food groups in blood pressure in type 2 diabetes. Br J Nutr 2012; 108:155-162.
7. Donnison CP. Blood pressure in the African native: its bearing upon the aetiology of hyperpiesia and arteriosclerosis. Lancet 1929; 213:6-7.
8. Huang CJ, Fan YC, Liu JF, Tsai PS. Characteristics and nutrient intake of Taiwanese elderly vegetarians: evidence from a national survey. Br J Nutr 2011; 106:451-460.
9. Chiang JK, Lin YL, Chen CL, Ouyang CM,Wu YT, Chi YC, et al. Reduced risk for metabolic syndrome and insulin resistance associated with Ovo-Lacto-vegetarian behavior in female Buddhists: a case-control study. PLoS One 2013; 8: e71799.
10. Dinh QN, Drummond GR, Sobey CG, Chrissobolis S. Roles of inflammation, oxidative stress, and vascular dysfunction in hypertension. Biomed Res Int 2014; 2014:406960.
11. Soleimani M. Insulin resistance and hypertension: new insights. Kidney Int 2015; 87:497-499.
12. Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesity-induced hypertension. Hypertens Res 2010; 33:386-393.
13. Chen CW, Lin YL, Lin TK, Lin CT, Chen BC, Lin CL. Total cardiovascular risk profile of Taiwanese vegetarians. Eur J Clin Nutr 2008; 62:138-144.
14. Kuo CS, Lai NS, Ho LT, Lin CL. Insulin sensitivity in Chinese ovolactovegetarians compared with omnivores. Eur J Clin Nutr 2004; 58:312-316.
15. Rosell M, Appleby P, Spencer E, Key T. Weight gain over 5 years in 21,966 meat-eating, fish-eating, vegetarian, and vegan men and women in EPIC-Oxford. Int J Obes (Lond) 2006; 30:1389-1396.
16. Tonstad S, Butler T, Yan R, Fraser GE. Type of vegetarian diet, body weight, and prevalence of type 2 diabetes. Diabetes Care 2009; 32:791-796.
17. Chiu YF, Hsu CC, Chiu HTT, Lee CY, Liu TT, Tsao CK, et al. Crosssectional and longitudinal comparisons of metabolic profiles between vegetarian and nonvegetarian subjects: a matched cohort study. Br J Nutr 2015; 114:1313-1320.
18. Wen CP, Wai JP, Tsai MK, Yang YC, Cheng TY, Lee MC, et al. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet 2011; 378:1244-1253.
19. Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DR Jr, Tudor-Locke C, et al. 2011 Compendium of physical activities: a second update of codes and MET values. Med Sci Sports Exerc 2011; 43:1575-1581.
20. Yokoyama Y, Nishimura K, Barnard ND, Takegami M, Watanabe M, Sekikawa A, et al. Vegetarian diets and blood pressure: a meta-analysis. JAMA Intern Med 2014; 174:577-587.
21. Kim MH, Bae YJ. Postmenopausal vegetarians' low serum ferritin level may reduce the risk for metabolic syndrome. Biol Trace Elem Res 2012; 149:34-41.
22. Lin CK, Lin DJ, Yen CH, Chen SC, Chen CC, Wang TY, et al. Comparison of renal function and other health outcomes in vegetarians versus omnivores in Taiwan. J Health Popul Nutr 2010; 28:470-475.
23. Lu SC, WuWH, Lee CA, Chou HF, Lee HR, Huang PC. LDL of Taiwanese vegetarians are less oxidizable than those of omnivores. J Nutr 2000; 130:1591-1596.
24. Yang SY, Li XJ, Zhang W, Liu CQ, Zhang HJ, Lin JR, et al. Chinese lactovegetarian diet exerts favorable effects on metabolic parameters, intima-media thickness, and cardiovascular risks in healthy men. Nutr Clin Pract 2012; 27:392-398.
25. Yang SY, Zhang HJ, Sun SY, Wang LY, Yan B, Liu CQ, et al. Relationship of carotid intima-media thickness and duration of vegetarian diet in Chinese male vegetarians. Nutr Metab (Lond) 2011; 8:63.
26. Chiu TH, Huang HY, Chiu YF, Pan WH, Kao HY, Chiu JP, et al. Taiwanese vegetarians and omnivores: dietary composition, prevalence of diabetes and IFG. PLoS One 2014; 9:e88547.
27. Welty FK, Lee KS, Lew NS, Zhou JR. Effect of soy nuts on blood pressure and lipid levels in hypertensive, prehypertensive, and normotensive postmenopausal women. Arch Intern Med 2007; 167:1060-1067.
28. Lin CL, Fang TC, Gueng MK. Vascular dilatory functions of ovolactovegetarians compared with omnivores. Atherosclerosis 2001; 158:247-251.
29. Pettersen BJ, Anousheh R, Fan J, Jaceldo-Siegl K, Fraser GE. Vegetarian diets and blood pressure among white subjects: results from the Adventist Health Study-2 (AHS-2). Public Health Nutr 2012; 15:1909-1916.
30. Appleby PN, Davey GK, Key TJ. Hypertension and blood pressure among meat eaters, fish eaters, vegetarians and vegans in EPIC-Oxford. Public Health Nutr 2002; 5:645-654.
31. Roberts CK, Hevener AL, Barnard RJ. Metabolic syndrome and insulin resistance: underlying causes and modification by exercise training. Compr Physiol 2013; 3:1-58.
32. Barnard ND, Scialli AR, Turner-McGrievy G, Lanou AJ, Glass J. The effects of a low-fat, plant-based dietary intervention on body weight, metabolism, and insulin sensitivity. Am J Med 2005; 118: 991-997.
33. Kahleova H, Matoulek M, Malinska H, Oliyarnik O, Kazdova L, Neskudla T, et al. Vegetarian diet improves insulin resistance and oxidative stress markers more than conventional diet in subjects with Type 2 diabetes. Diabet Med 2011; 28:549-559.
34. Hung CJ, Huang PC, Li YH, Lu SC, Ho LT, Chou HF. Taiwanese vegetarians have higher insulin sensitivity than omnivores. Br J Nutr 2006; 95:129-135.
35. Lakoski SG, Cushman M, Siscovick DS, Blumenthal RS, Palmas W, Burke G, et al. The relationship between inflammation, obesity and risk for hypertension in the Multi-Ethnic Study of Atherosclerosis (MESA). J Hum Hypertens 2011; 25:73-79.
36. Chuang SY, Hsu PF, Chang HY, Bai CH, Yeh WT, Pan HW. C-reactive protein predicts systolic blood pressure and pulse pressure but not diastolic blood pressure: the Cardiovascular Disease Risk Factors Two-Township Study. Am J Hypertens 2013; 26:657-664.
37. Szeto YT, Kwok TC, Benzie IF. Effects of a long-term vegetarian diet on biomarkers of antioxidant status and cardiovascular disease risk. Nutrition 2004; 20:863-866.
38. Jiao J,XuJY,Zhang W,Han S, QinLQ. Effect ofdietary fiberoncirculating C-reactive protein in overweight and obese adults: a meta-analysis of randomized controlled trials. Int J Food Sci Nutr 2015; 66:114-119.
39. Rizzo NS, Sabate J, Jaceldo-Siegl K, Fraser GE. Vegetarian dietary patterns are associated with a lower risk of metabolic syndrome: the adventist health study 2. Diabetes Care 2011; 34:1225-1227.
40. Golshahi J, Ahmadzadeh H, Sadeghi M, Mohammadifard N, Pourmoghaddas A. Effect of self-care education on lifestyle modification, medication adherence and blood pressure in hypertensive adults: randomized controlled clinical trial. Adv Biomed Res 2015; 4:204.
41. He J, Whelton PK. Elevated systolic blood pressure as a risk factor for cardiovascular and renal disease. J Hypertens Suppl 1999; 17:S7-13.
42. Azadbakht L, Kimiagar M, Mehrabi Y, Esmaillzadeh A, Padyab M, Hu FB, et al. Soy inclusion in the diet improves features of the metabolic syndrome: a randomized crossover study in postmenopausal women. Am J Clin Nutr 2007; 85:735-741.
43. Springmann M, Godfray HC, Rayner M, Scarborough P. Analysis and valuation of the health and climate change cobenefits of dietary change. Proc Natl Acad Sci U S A 2016; 113:4146-4151.