Associations between Age at Menarche and Dietary Patterns with Blood Pressure in Southwestern Chinese Adults
The aim of our study was to examine the relationship between age at menarche (AM) and hypertension and to evaluate whether different dietary patterns have an effect on associations between AM and hypertension in a large-scale Han Chinese population in southwest China. A cross-sectional study was per...
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MDPI AG
2022-04-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/8/1610 |
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| author | Ting Chen Deqiang Mao Liling Chen Wenge Tang Xianbin Ding |
| author_facet | Ting Chen Deqiang Mao Liling Chen Wenge Tang Xianbin Ding |
| author_sort | Ting Chen |
| collection | DOAJ |
| description | The aim of our study was to examine the relationship between age at menarche (AM) and hypertension and to evaluate whether different dietary patterns have an effect on associations between AM and hypertension in a large-scale Han Chinese population in southwest China. A cross-sectional study was performed that included 44,900 participants from 17 districts in southwest China from September 2018 to January 2019. The study comprised 23,805 individuals in the final analysis. Logistic regression and multivariable linear regression were applied to estimate the dietary pattern-specific associations between AM and hypertension or systolic/diastolic blood pressure (SBP/DBP). Restricted cubic spline regression was utilized to calculate the shape of the relationship between AM and the odds ratio of hypertension. After adjusting for multiple variables, women who had a history of AM > 14 years were associated with an increased risk of hypertension (OR 1.12, 95%CI 1.04–1.19) and elevated levels of SBP (<i>β</i> 0.90, 95%CI 0.41–1.38) compared with those with AM ≤ 14 years among the total population, and this association was still statistically significant when we further adjusted for body mass index (BMI). In participants with AM > 14 years, the odds ratio values of hypertension increased with increasing menarche age. After stratification by age at recruitment, the positive association between menarche age and hypertension only remained in the middle-aged group, and this association was not found in the young and old groups. After stratification by the Dietary Approaches to Stop Hypertension (DASH) score among the total population, the positive association between AM and hypertension was presented only in the low DASH score group; however, this association was not found in the high DASH score group. Women who have a history of AM > 14 years should pay close attention to blood pressure levels and incorporate the DASH diet more in order to achieve the early prevention of hypertension, especially middle-aged women. |
| first_indexed | 2024-03-09T04:19:57Z |
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| id | doaj.art-468b83183ae54c5fb0dc165dccfa0e23 |
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| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T04:19:57Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-468b83183ae54c5fb0dc165dccfa0e232023-12-03T13:48:19ZengMDPI AGNutrients2072-66432022-04-01148161010.3390/nu14081610Associations between Age at Menarche and Dietary Patterns with Blood Pressure in Southwestern Chinese AdultsTing Chen0Deqiang Mao1Liling Chen2Wenge Tang3Xianbin Ding4Department of Non-Communicable Disease Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing 400042, ChinaDepartment of Non-Communicable Disease Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing 400042, ChinaDepartment of Non-Communicable Disease Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing 400042, ChinaDepartment of Non-Communicable Disease Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing 400042, ChinaDepartment of Non-Communicable Disease Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing 400042, ChinaThe aim of our study was to examine the relationship between age at menarche (AM) and hypertension and to evaluate whether different dietary patterns have an effect on associations between AM and hypertension in a large-scale Han Chinese population in southwest China. A cross-sectional study was performed that included 44,900 participants from 17 districts in southwest China from September 2018 to January 2019. The study comprised 23,805 individuals in the final analysis. Logistic regression and multivariable linear regression were applied to estimate the dietary pattern-specific associations between AM and hypertension or systolic/diastolic blood pressure (SBP/DBP). Restricted cubic spline regression was utilized to calculate the shape of the relationship between AM and the odds ratio of hypertension. After adjusting for multiple variables, women who had a history of AM > 14 years were associated with an increased risk of hypertension (OR 1.12, 95%CI 1.04–1.19) and elevated levels of SBP (<i>β</i> 0.90, 95%CI 0.41–1.38) compared with those with AM ≤ 14 years among the total population, and this association was still statistically significant when we further adjusted for body mass index (BMI). In participants with AM > 14 years, the odds ratio values of hypertension increased with increasing menarche age. After stratification by age at recruitment, the positive association between menarche age and hypertension only remained in the middle-aged group, and this association was not found in the young and old groups. After stratification by the Dietary Approaches to Stop Hypertension (DASH) score among the total population, the positive association between AM and hypertension was presented only in the low DASH score group; however, this association was not found in the high DASH score group. Women who have a history of AM > 14 years should pay close attention to blood pressure levels and incorporate the DASH diet more in order to achieve the early prevention of hypertension, especially middle-aged women.https://www.mdpi.com/2072-6643/14/8/1610age at menarchedietary patternhypertension |
| spellingShingle | Ting Chen Deqiang Mao Liling Chen Wenge Tang Xianbin Ding Associations between Age at Menarche and Dietary Patterns with Blood Pressure in Southwestern Chinese Adults Nutrients age at menarche dietary pattern hypertension |
| title | Associations between Age at Menarche and Dietary Patterns with Blood Pressure in Southwestern Chinese Adults |
| title_full | Associations between Age at Menarche and Dietary Patterns with Blood Pressure in Southwestern Chinese Adults |
| title_fullStr | Associations between Age at Menarche and Dietary Patterns with Blood Pressure in Southwestern Chinese Adults |
| title_full_unstemmed | Associations between Age at Menarche and Dietary Patterns with Blood Pressure in Southwestern Chinese Adults |
| title_short | Associations between Age at Menarche and Dietary Patterns with Blood Pressure in Southwestern Chinese Adults |
| title_sort | associations between age at menarche and dietary patterns with blood pressure in southwestern chinese adults |
| topic | age at menarche dietary pattern hypertension |
| url | https://www.mdpi.com/2072-6643/14/8/1610 |
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