The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in the Malaysian and Philippines populations

<strong>Background and aim</strong> Despite a growing body of evidence from Western populations on the health benefits of Dietary Approaches to Stop Hypertension (DASH) diets, their applicability in South East Asian settings is not clear. We examined cross-sectional associations between...

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Main Authors: Tiong, XT, Shahirah, A, Pun, VC, Wong, KY, Fong, AYY, Sy, RG, Castillo-Carandang, NT, Nang, EEK, Woodward, M, van Dam, RM, Tai, ES, Venkataraman, K
Format: Journal article
Published: Elsevier 2018
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author Tiong, XT
Shahirah, A
Pun, VC
Wong, KY
Fong, AYY
Sy, RG
Castillo-Carandang, NT
Nang, EEK
Woodward, M
van Dam, RM
Tai, ES
Venkataraman, K
author_facet Tiong, XT
Shahirah, A
Pun, VC
Wong, KY
Fong, AYY
Sy, RG
Castillo-Carandang, NT
Nang, EEK
Woodward, M
van Dam, RM
Tai, ES
Venkataraman, K
author_sort Tiong, XT
collection OXFORD
description <strong>Background and aim</strong> Despite a growing body of evidence from Western populations on the health benefits of Dietary Approaches to Stop Hypertension (DASH) diets, their applicability in South East Asian settings is not clear. We examined cross-sectional associations between DASH diet and cardio-metabolic risk factors among 1,837 Malaysian and 2,898 Philippines participants in a multi-national cohort. <strong>Methods and results</strong> Blood pressures, fasting lipid profile and fasting glucose were measured, and DASH score was computed based on a 22-item food frequency questionnaire. Older individuals, women, those not consuming alcohol and those undertaking regular physical activity were more likely to have higher DASH scores. In the Malaysian cohort, while total DASH score was not significantly associated with cardio-metabolic risk factors after adjusting for confounders, significant associations were observed for intake of green vegetable [0.011, standard error (SE): 0.004], and red and processed meat (-0.009, SE: 0.004) with total cholesterol. In the Philippines cohort, a 5-unit increase in total DASH score was significantly and inversely associated with systolic blood pressure (-1.41, SE: 0.40), diastolic blood pressure (-1.09, SE: 0.28), total cholesterol (-0.015, SE: 0.005), low-density lipoprotein cholesterol (-0.025, SE: 0.008), and triglyceride (-0.034, SE: 0.012) after adjusting for socio-demographic and lifestyle groups. Intake of milk and dairy products, red and processed meat, and sugared drinks were found to significantly associated with most risk factors. <strong>Conclusions</strong> Differential associations of DASH diet and dietary components with cardio-metabolic risk factors by country suggest the need for country-specific tailoring of dietary interventions to improve cardio-metabolic risk profiles.
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spelling oxford-uuid:fcf72f33-3599-4c0d-9dd7-91f841060a1c2022-03-27T13:25:14ZThe association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in the Malaysian and Philippines populationsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fcf72f33-3599-4c0d-9dd7-91f841060a1cSymplectic Elements at OxfordElsevier2018Tiong, XTShahirah, APun, VCWong, KYFong, AYYSy, RGCastillo-Carandang, NTNang, EEKWoodward, Mvan Dam, RMTai, ESVenkataraman, K<strong>Background and aim</strong> Despite a growing body of evidence from Western populations on the health benefits of Dietary Approaches to Stop Hypertension (DASH) diets, their applicability in South East Asian settings is not clear. We examined cross-sectional associations between DASH diet and cardio-metabolic risk factors among 1,837 Malaysian and 2,898 Philippines participants in a multi-national cohort. <strong>Methods and results</strong> Blood pressures, fasting lipid profile and fasting glucose were measured, and DASH score was computed based on a 22-item food frequency questionnaire. Older individuals, women, those not consuming alcohol and those undertaking regular physical activity were more likely to have higher DASH scores. In the Malaysian cohort, while total DASH score was not significantly associated with cardio-metabolic risk factors after adjusting for confounders, significant associations were observed for intake of green vegetable [0.011, standard error (SE): 0.004], and red and processed meat (-0.009, SE: 0.004) with total cholesterol. In the Philippines cohort, a 5-unit increase in total DASH score was significantly and inversely associated with systolic blood pressure (-1.41, SE: 0.40), diastolic blood pressure (-1.09, SE: 0.28), total cholesterol (-0.015, SE: 0.005), low-density lipoprotein cholesterol (-0.025, SE: 0.008), and triglyceride (-0.034, SE: 0.012) after adjusting for socio-demographic and lifestyle groups. Intake of milk and dairy products, red and processed meat, and sugared drinks were found to significantly associated with most risk factors. <strong>Conclusions</strong> Differential associations of DASH diet and dietary components with cardio-metabolic risk factors by country suggest the need for country-specific tailoring of dietary interventions to improve cardio-metabolic risk profiles.
spellingShingle Tiong, XT
Shahirah, A
Pun, VC
Wong, KY
Fong, AYY
Sy, RG
Castillo-Carandang, NT
Nang, EEK
Woodward, M
van Dam, RM
Tai, ES
Venkataraman, K
The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in the Malaysian and Philippines populations
title The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in the Malaysian and Philippines populations
title_full The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in the Malaysian and Philippines populations
title_fullStr The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in the Malaysian and Philippines populations
title_full_unstemmed The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in the Malaysian and Philippines populations
title_short The association of the dietary approach to stop hypertension (DASH) diet with blood pressure, glucose and lipid profiles in the Malaysian and Philippines populations
title_sort association of the dietary approach to stop hypertension dash diet with blood pressure glucose and lipid profiles in the malaysian and philippines populations
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