The value of the MIND diet in the primary and secondary prevention of hypertension: A cross-sectional and longitudinal cohort study from NHANES analysis
BackgroundThe Mediterranean-Dietary Approaches to Stop Hypertension for neurodegenerative delay (MIND) has been regarded as a novel healthy dietary pattern with huge benefits. However, its value in preventing and treating hypertension has not been investigated. The objective of this study is to inve...
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| Format: | Article |
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Frontiers Media S.A.
2023-03-01
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| Series: | Frontiers in Nutrition |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnut.2023.1129667/full |
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| author | Yanjun Song Yanjun Song Yanjun Song Zhen'ge Chang Kongyong Cui Kongyong Cui Kongyong Cui Chenxi Song Chenxi Song Chenxi Song Zhongxing Cai Zhongxing Cai Zhongxing Cai Boqun Shi Boqun Shi Boqun Shi Qiuting Dong Qiuting Dong Qiuting Dong Kefei Dou Kefei Dou Kefei Dou |
| author_facet | Yanjun Song Yanjun Song Yanjun Song Zhen'ge Chang Kongyong Cui Kongyong Cui Kongyong Cui Chenxi Song Chenxi Song Chenxi Song Zhongxing Cai Zhongxing Cai Zhongxing Cai Boqun Shi Boqun Shi Boqun Shi Qiuting Dong Qiuting Dong Qiuting Dong Kefei Dou Kefei Dou Kefei Dou |
| author_sort | Yanjun Song |
| collection | DOAJ |
| description | BackgroundThe Mediterranean-Dietary Approaches to Stop Hypertension for neurodegenerative delay (MIND) has been regarded as a novel healthy dietary pattern with huge benefits. However, its value in preventing and treating hypertension has not been investigated. The objective of this study is to investigate the impact of adhering to the MIND diet on the prevalence of hypertension in the entire population and long-term mortality in hypertensive patients.MethodsIn this cross-sectional and longitudinal study, 6,887 participants consisting of 2,984 hypertensive patients in the National Health and Nutritional Examination Surveys were analyzed and divided into 3 groups according to the MIND diet scores (MDS; groups of MDS-low [<7.5], MDS-medium [7.5–8.0] and MDS-high [≥8.5]). In the longitudinal analysis, the primary outcome was all-cause death and the secondary outcome was cardiovascular (CV) death. Hypertensive patients received a follow-up with a mean time of 9.25 years (median time: 111.1 months, range 2 to 120 months). Multivariate logistics regression models and Cox proportional hazards models were applicated to estimate the association between MDS and outcomes. Restricted cubic spline (RCS) was used to estimate the dose–response relationship.ResultsCompared with the MDS-low group, participants in the MDS-high group presented a significantly lower prevalence of hypertension (odds ratio [OR] 0.76, 95% confidence interval [CI] 0.58, 0.97, p = 0.040) and decreased levels of systolic blood pressure (β = −0.41, p = 0.033). Among hypertensive patients, 787 (26.4%) all-cause death consisting of 293 (9.8%) CV deaths were recorded during a 10-year follow-up. Hypertensive patients in the MDS-high group presented a significantly lower prevalence of ASCVD (OR = 0.71, 95% CI, 0.51, 0.97, p = 0.043), and lower risk of all-cause death (hazard ratio [HR] = 0.69, 95% CI, 0.58, 0.81, p < 0.001) and CV death (HR = 0.62, 95% CI, 0.46, 0.85, p for trend = 0.001) when compared with those in the MDS-low group.ConclusionFor the first time, this study revealed the values of the MIND diet in the primary and secondary prevention of hypertension, suggesting the MIND diet as a novel anti-hypertensive dietary pattern. |
| first_indexed | 2024-04-10T00:44:04Z |
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| institution | Directory Open Access Journal |
| issn | 2296-861X |
| language | English |
| last_indexed | 2024-04-10T00:44:04Z |
| publishDate | 2023-03-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Nutrition |
| spelling | doaj.art-85c72305d8334ac2afa3b0fd651ed3052023-03-14T04:30:51ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2023-03-011010.3389/fnut.2023.11296671129667The value of the MIND diet in the primary and secondary prevention of hypertension: A cross-sectional and longitudinal cohort study from NHANES analysisYanjun Song0Yanjun Song1Yanjun Song2Zhen'ge Chang3Kongyong Cui4Kongyong Cui5Kongyong Cui6Chenxi Song7Chenxi Song8Chenxi Song9Zhongxing Cai10Zhongxing Cai11Zhongxing Cai12Boqun Shi13Boqun Shi14Boqun Shi15Qiuting Dong16Qiuting Dong17Qiuting Dong18Kefei Dou19Kefei Dou20Kefei Dou21Cardiometabolic Medicine Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaCardiometabolic Medicine Center, State Key Laboratory of Cardiovascular Disease, Beijing, ChinaNational Clinical Research Center for Cardiovascular Diseases, Beijing, ChinaDepartment of Respiratory Medicine, Civil Aviation General Hospital, Beijing, ChinaCardiometabolic Medicine Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaCardiometabolic Medicine Center, State Key Laboratory of Cardiovascular Disease, Beijing, ChinaNational Clinical Research Center for Cardiovascular Diseases, Beijing, ChinaCardiometabolic Medicine Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaCardiometabolic Medicine Center, State Key Laboratory of Cardiovascular Disease, Beijing, ChinaNational Clinical Research Center for Cardiovascular Diseases, Beijing, ChinaCardiometabolic Medicine Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaCardiometabolic Medicine Center, State Key Laboratory of Cardiovascular Disease, Beijing, ChinaNational Clinical Research Center for Cardiovascular Diseases, Beijing, ChinaCardiometabolic Medicine Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaCardiometabolic Medicine Center, State Key Laboratory of Cardiovascular Disease, Beijing, ChinaNational Clinical Research Center for Cardiovascular Diseases, Beijing, ChinaCardiometabolic Medicine Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaCardiometabolic Medicine Center, State Key Laboratory of Cardiovascular Disease, Beijing, ChinaNational Clinical Research Center for Cardiovascular Diseases, Beijing, ChinaCardiometabolic Medicine Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaCardiometabolic Medicine Center, State Key Laboratory of Cardiovascular Disease, Beijing, ChinaNational Clinical Research Center for Cardiovascular Diseases, Beijing, ChinaBackgroundThe Mediterranean-Dietary Approaches to Stop Hypertension for neurodegenerative delay (MIND) has been regarded as a novel healthy dietary pattern with huge benefits. However, its value in preventing and treating hypertension has not been investigated. The objective of this study is to investigate the impact of adhering to the MIND diet on the prevalence of hypertension in the entire population and long-term mortality in hypertensive patients.MethodsIn this cross-sectional and longitudinal study, 6,887 participants consisting of 2,984 hypertensive patients in the National Health and Nutritional Examination Surveys were analyzed and divided into 3 groups according to the MIND diet scores (MDS; groups of MDS-low [<7.5], MDS-medium [7.5–8.0] and MDS-high [≥8.5]). In the longitudinal analysis, the primary outcome was all-cause death and the secondary outcome was cardiovascular (CV) death. Hypertensive patients received a follow-up with a mean time of 9.25 years (median time: 111.1 months, range 2 to 120 months). Multivariate logistics regression models and Cox proportional hazards models were applicated to estimate the association between MDS and outcomes. Restricted cubic spline (RCS) was used to estimate the dose–response relationship.ResultsCompared with the MDS-low group, participants in the MDS-high group presented a significantly lower prevalence of hypertension (odds ratio [OR] 0.76, 95% confidence interval [CI] 0.58, 0.97, p = 0.040) and decreased levels of systolic blood pressure (β = −0.41, p = 0.033). Among hypertensive patients, 787 (26.4%) all-cause death consisting of 293 (9.8%) CV deaths were recorded during a 10-year follow-up. Hypertensive patients in the MDS-high group presented a significantly lower prevalence of ASCVD (OR = 0.71, 95% CI, 0.51, 0.97, p = 0.043), and lower risk of all-cause death (hazard ratio [HR] = 0.69, 95% CI, 0.58, 0.81, p < 0.001) and CV death (HR = 0.62, 95% CI, 0.46, 0.85, p for trend = 0.001) when compared with those in the MDS-low group.ConclusionFor the first time, this study revealed the values of the MIND diet in the primary and secondary prevention of hypertension, suggesting the MIND diet as a novel anti-hypertensive dietary pattern.https://www.frontiersin.org/articles/10.3389/fnut.2023.1129667/fullhypertensionpreventionthe MIND dietdietary patternnutritionprognosis |
| spellingShingle | Yanjun Song Yanjun Song Yanjun Song Zhen'ge Chang Kongyong Cui Kongyong Cui Kongyong Cui Chenxi Song Chenxi Song Chenxi Song Zhongxing Cai Zhongxing Cai Zhongxing Cai Boqun Shi Boqun Shi Boqun Shi Qiuting Dong Qiuting Dong Qiuting Dong Kefei Dou Kefei Dou Kefei Dou The value of the MIND diet in the primary and secondary prevention of hypertension: A cross-sectional and longitudinal cohort study from NHANES analysis Frontiers in Nutrition hypertension prevention the MIND diet dietary pattern nutrition prognosis |
| title | The value of the MIND diet in the primary and secondary prevention of hypertension: A cross-sectional and longitudinal cohort study from NHANES analysis |
| title_full | The value of the MIND diet in the primary and secondary prevention of hypertension: A cross-sectional and longitudinal cohort study from NHANES analysis |
| title_fullStr | The value of the MIND diet in the primary and secondary prevention of hypertension: A cross-sectional and longitudinal cohort study from NHANES analysis |
| title_full_unstemmed | The value of the MIND diet in the primary and secondary prevention of hypertension: A cross-sectional and longitudinal cohort study from NHANES analysis |
| title_short | The value of the MIND diet in the primary and secondary prevention of hypertension: A cross-sectional and longitudinal cohort study from NHANES analysis |
| title_sort | value of the mind diet in the primary and secondary prevention of hypertension a cross sectional and longitudinal cohort study from nhanes analysis |
| topic | hypertension prevention the MIND diet dietary pattern nutrition prognosis |
| url | https://www.frontiersin.org/articles/10.3389/fnut.2023.1129667/full |
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