A cross-sectional analysis of the PURE study on minerals intake among Malaysian adult population with hypertension

Abstract Hypertension (HPT) is the leading modifiable risk factor for cardiovascular diseases and premature death worldwide. Currently, attention is given to various dietary approaches with a special focus on the role of micronutrient intake in the regulation of blood pressure. This study aims to me...

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Main Authors: Nafiza Mat Nasir, Zaleha Md Isa, Noor Hassim Ismail, Rosnah Ismail, Azmi Mohd Tamil, Mohd Hasni Jaafar, Mohamed Syarif Mohamed Yassin, Najihah Zainol Abidin, Nurul Hafiza Ab Razak, Aziemah Zulkifli, Khairul Hazdi Yusof
Format: Article
Language:English
Published: Nature Portfolio 2024-04-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-59206-0
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author Nafiza Mat Nasir
Zaleha Md Isa
Noor Hassim Ismail
Rosnah Ismail
Azmi Mohd Tamil
Mohd Hasni Jaafar
Mohamed Syarif Mohamed Yassin
Najihah Zainol Abidin
Nurul Hafiza Ab Razak
Aziemah Zulkifli
Khairul Hazdi Yusof
author_facet Nafiza Mat Nasir
Zaleha Md Isa
Noor Hassim Ismail
Rosnah Ismail
Azmi Mohd Tamil
Mohd Hasni Jaafar
Mohamed Syarif Mohamed Yassin
Najihah Zainol Abidin
Nurul Hafiza Ab Razak
Aziemah Zulkifli
Khairul Hazdi Yusof
author_sort Nafiza Mat Nasir
collection DOAJ
description Abstract Hypertension (HPT) is the leading modifiable risk factor for cardiovascular diseases and premature death worldwide. Currently, attention is given to various dietary approaches with a special focus on the role of micronutrient intake in the regulation of blood pressure. This study aims to measure the dietary intake of selected minerals among Malaysian adults and its association with HPT. This cross-sectional study involved 10,031 participants from the Prospective Urban and Rural Epidemiological study conducted in Malaysia. Participants were grouped into HPT if they reported having been diagnosed with high blood pressure [average systolic blood pressure (SBP)/average diastolic blood pressure (DBP) ≥ 140/90 mm Hg]. A validated food frequency questionnaire (FFQ) was used to measure participants' habitual dietary intake. The dietary mineral intake of calcium, copper, iron, magnesium, manganese, phosphorus, potassium, sodium, and zinc was measured. The chi-square test was used to assess differences in socio-demographic factors between HPT and non-HPT groups, while the Mann–Whitney U test was used to assess differences in dietary mineral intake between the groups. The participants’ average dietary intake of calcium, copper, iron, magnesium, manganese, phosphorus, potassium, selenium, sodium, and zinc was 591.0 mg/day, 3.8 mg/day, 27.1 mg/day, 32.4 mg/day, 0.4 mg/day, 1431.1 mg/day, 2.3 g/day, 27.1 µg/day, 4526.7 mg/day and 1.5 mg/day, respectively. The intake was significantly lower among those with HPT than those without HPT except for calcium and manganese. Continuous education and intervention should be focused on decreasing sodium intake and increasing potassium, magnesium, manganese, zinc, and calcium intake for the general Malaysian population, particularly for the HPT patients.
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spelling doaj.art-7b219deafa6e468589350d5cdd9985632024-04-14T11:13:28ZengNature PortfolioScientific Reports2045-23222024-04-011411910.1038/s41598-024-59206-0A cross-sectional analysis of the PURE study on minerals intake among Malaysian adult population with hypertensionNafiza Mat Nasir0Zaleha Md Isa1Noor Hassim Ismail2Rosnah Ismail3Azmi Mohd Tamil4Mohd Hasni Jaafar5Mohamed Syarif Mohamed Yassin6Najihah Zainol Abidin7Nurul Hafiza Ab Razak8Aziemah Zulkifli9Khairul Hazdi Yusof10Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA (UiTM)Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA (UiTM)Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaDepartment of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan MalaysiaAbstract Hypertension (HPT) is the leading modifiable risk factor for cardiovascular diseases and premature death worldwide. Currently, attention is given to various dietary approaches with a special focus on the role of micronutrient intake in the regulation of blood pressure. This study aims to measure the dietary intake of selected minerals among Malaysian adults and its association with HPT. This cross-sectional study involved 10,031 participants from the Prospective Urban and Rural Epidemiological study conducted in Malaysia. Participants were grouped into HPT if they reported having been diagnosed with high blood pressure [average systolic blood pressure (SBP)/average diastolic blood pressure (DBP) ≥ 140/90 mm Hg]. A validated food frequency questionnaire (FFQ) was used to measure participants' habitual dietary intake. The dietary mineral intake of calcium, copper, iron, magnesium, manganese, phosphorus, potassium, sodium, and zinc was measured. The chi-square test was used to assess differences in socio-demographic factors between HPT and non-HPT groups, while the Mann–Whitney U test was used to assess differences in dietary mineral intake between the groups. The participants’ average dietary intake of calcium, copper, iron, magnesium, manganese, phosphorus, potassium, selenium, sodium, and zinc was 591.0 mg/day, 3.8 mg/day, 27.1 mg/day, 32.4 mg/day, 0.4 mg/day, 1431.1 mg/day, 2.3 g/day, 27.1 µg/day, 4526.7 mg/day and 1.5 mg/day, respectively. The intake was significantly lower among those with HPT than those without HPT except for calcium and manganese. Continuous education and intervention should be focused on decreasing sodium intake and increasing potassium, magnesium, manganese, zinc, and calcium intake for the general Malaysian population, particularly for the HPT patients.https://doi.org/10.1038/s41598-024-59206-0MicronutrientsMineralsDietaryModificationHigh blood pressure
spellingShingle Nafiza Mat Nasir
Zaleha Md Isa
Noor Hassim Ismail
Rosnah Ismail
Azmi Mohd Tamil
Mohd Hasni Jaafar
Mohamed Syarif Mohamed Yassin
Najihah Zainol Abidin
Nurul Hafiza Ab Razak
Aziemah Zulkifli
Khairul Hazdi Yusof
A cross-sectional analysis of the PURE study on minerals intake among Malaysian adult population with hypertension
Scientific Reports
Micronutrients
Minerals
Dietary
Modification
High blood pressure
title A cross-sectional analysis of the PURE study on minerals intake among Malaysian adult population with hypertension
title_full A cross-sectional analysis of the PURE study on minerals intake among Malaysian adult population with hypertension
title_fullStr A cross-sectional analysis of the PURE study on minerals intake among Malaysian adult population with hypertension
title_full_unstemmed A cross-sectional analysis of the PURE study on minerals intake among Malaysian adult population with hypertension
title_short A cross-sectional analysis of the PURE study on minerals intake among Malaysian adult population with hypertension
title_sort cross sectional analysis of the pure study on minerals intake among malaysian adult population with hypertension
topic Micronutrients
Minerals
Dietary
Modification
High blood pressure
url https://doi.org/10.1038/s41598-024-59206-0
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