Body Mass Index Mediates the Relationship between the Frequency of Eating Away from Home and Hypertension in Rural Adults: A Large-Scale Cross-Sectional Study

This study was conducted to investigate the association of eating away from home (EAFH) frequency with hypertension and to explore whether the association was mediated by BMI. A total of 29,611 participants were selected from the Henan Rural Cohort Study. Data on the frequency of EAFH were obtained...

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Main Authors: Beibei Liu, Xiaotian Liu, Yuyang Wang, Xiaokang Dong, Wei Liao, Wenqian Huo, Jian Hou, Linlin Li, Chongjian Wang
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/9/1832
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author Beibei Liu
Xiaotian Liu
Yuyang Wang
Xiaokang Dong
Wei Liao
Wenqian Huo
Jian Hou
Linlin Li
Chongjian Wang
author_facet Beibei Liu
Xiaotian Liu
Yuyang Wang
Xiaokang Dong
Wei Liao
Wenqian Huo
Jian Hou
Linlin Li
Chongjian Wang
author_sort Beibei Liu
collection DOAJ
description This study was conducted to investigate the association of eating away from home (EAFH) frequency with hypertension and to explore whether the association was mediated by BMI. A total of 29,611 participants were selected from the Henan Rural Cohort Study. Data on the frequency of EAFH were obtained by face-to-face questionnaires. The relationship between EAFH frequency and blood pressure was evaluated by linear regression. Logistic regression and restricted cubic spline were used to assess the association between EAFH frequency and hypertension, and the mediation effect of BMI on the relationship was performed. There were pronounced associations between the frequency of EAFH and blood pressure (<i>P</i> <i>trend</i> < 0.001) in the total population and men. Compared with the population with 0 times EAFH per week, the multivariate odds ratios (<i>OR</i>s) and 95% confidence intervals (95% <i>CI</i>s) for hypertension of the group with 7 times or more EAFH per week were 1.673 (1.482–1.889) for the total population and 1.634 (1.413–1.890) for men. A nonlinear dose-response relationship was detected between the frequency of EAFH and hypertension (<i>p</i> < 0.001), and the relationship was partially mediated by BMI. The proportion explained was 21.3% in the total population and 25.4% in men. The current study indicated that EAFH was associated with rising blood pressure and increased risk of hypertension and BMI partially mediated the relationship.
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spelling doaj.art-413dabc6f40a4eb38f833fe9c10737d42023-11-23T08:59:02ZengMDPI AGNutrients2072-66432022-04-01149183210.3390/nu14091832Body Mass Index Mediates the Relationship between the Frequency of Eating Away from Home and Hypertension in Rural Adults: A Large-Scale Cross-Sectional StudyBeibei Liu0Xiaotian Liu1Yuyang Wang2Xiaokang Dong3Wei Liao4Wenqian Huo5Jian Hou6Linlin Li7Chongjian Wang8Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, ChinaDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, ChinaDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, ChinaDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, ChinaDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, ChinaDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, ChinaDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, ChinaDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, ChinaDepartment of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, ChinaThis study was conducted to investigate the association of eating away from home (EAFH) frequency with hypertension and to explore whether the association was mediated by BMI. A total of 29,611 participants were selected from the Henan Rural Cohort Study. Data on the frequency of EAFH were obtained by face-to-face questionnaires. The relationship between EAFH frequency and blood pressure was evaluated by linear regression. Logistic regression and restricted cubic spline were used to assess the association between EAFH frequency and hypertension, and the mediation effect of BMI on the relationship was performed. There were pronounced associations between the frequency of EAFH and blood pressure (<i>P</i> <i>trend</i> < 0.001) in the total population and men. Compared with the population with 0 times EAFH per week, the multivariate odds ratios (<i>OR</i>s) and 95% confidence intervals (95% <i>CI</i>s) for hypertension of the group with 7 times or more EAFH per week were 1.673 (1.482–1.889) for the total population and 1.634 (1.413–1.890) for men. A nonlinear dose-response relationship was detected between the frequency of EAFH and hypertension (<i>p</i> < 0.001), and the relationship was partially mediated by BMI. The proportion explained was 21.3% in the total population and 25.4% in men. The current study indicated that EAFH was associated with rising blood pressure and increased risk of hypertension and BMI partially mediated the relationship.https://www.mdpi.com/2072-6643/14/9/1832eating away from homeblood pressurehypertensionmediation analysisrural population
spellingShingle Beibei Liu
Xiaotian Liu
Yuyang Wang
Xiaokang Dong
Wei Liao
Wenqian Huo
Jian Hou
Linlin Li
Chongjian Wang
Body Mass Index Mediates the Relationship between the Frequency of Eating Away from Home and Hypertension in Rural Adults: A Large-Scale Cross-Sectional Study
Nutrients
eating away from home
blood pressure
hypertension
mediation analysis
rural population
title Body Mass Index Mediates the Relationship between the Frequency of Eating Away from Home and Hypertension in Rural Adults: A Large-Scale Cross-Sectional Study
title_full Body Mass Index Mediates the Relationship between the Frequency of Eating Away from Home and Hypertension in Rural Adults: A Large-Scale Cross-Sectional Study
title_fullStr Body Mass Index Mediates the Relationship between the Frequency of Eating Away from Home and Hypertension in Rural Adults: A Large-Scale Cross-Sectional Study
title_full_unstemmed Body Mass Index Mediates the Relationship between the Frequency of Eating Away from Home and Hypertension in Rural Adults: A Large-Scale Cross-Sectional Study
title_short Body Mass Index Mediates the Relationship between the Frequency of Eating Away from Home and Hypertension in Rural Adults: A Large-Scale Cross-Sectional Study
title_sort body mass index mediates the relationship between the frequency of eating away from home and hypertension in rural adults a large scale cross sectional study
topic eating away from home
blood pressure
hypertension
mediation analysis
rural population
url https://www.mdpi.com/2072-6643/14/9/1832
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