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Avocado consumption is associated with a reduction in hypertension incidence in Mexican women

Published online by Cambridge University Press:  18 August 2022

Adriana Monge
Affiliation:
Center for Research on Population Health, National Institute of Public Health, Cuernavaca, Mexico
Dalia Stern
Affiliation:
CONACyT-Center for Research on Population Health, National Institute of Public Health, Cuernavaca, Mexico
Adrian Cortés-Valencia
Affiliation:
Center for Research on Population Health, National Institute of Public Health, Cuernavaca, Mexico
Andrés Catzín-Kuhlmann
Affiliation:
Department of Medicine, National Institute of Medical Sciences and Nutrition, Ciudad de Mexico, Mexico Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo León, México
Martín Lajous
Affiliation:
Center for Research on Population Health, National Institute of Public Health, Cuernavaca, Mexico Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA
Edgar Denova-Gutiérrez*
Affiliation:
Center for Research on Nutrition and Health, National Institute of Public Health, Cuernavaca, Mexico
*
*Corresponding author: Edgar Denova Gutiérrez, email edgar.denova@insp.mx

Abstract

Avocado is a fruit rich in dietary fibre, potassium, Mg, mono and PUFA and bioactive phytochemicals, which are nutritional components that have been associated with cardiovascular health. Yet, despite the boom in avocado consumption, we lack evidence on its association with CVD risk in the general population. To estimate the prospective association between avocado consumption and incident hypertension in Mexican women, we estimated the association in participants from the Mexican Teachers’ Cohort who were ≥ 25 years, free of hypertension, CVD and cancer at baseline (n 67 383). We assessed baseline avocado consumption with a semi-quantitative FFQ (never to six or more times per week). Incident hypertension cases were identified if participants self-reported a diagnosis and receiving treatment. To assess the relation between categories of avocado consumption (lowest as reference) and incident hypertension, we estimated incidence rate ratios (IRR) and 95 % CI using Poisson regression models and adjusting for confounding. We identified 4002 incident cases of hypertension during a total of 158 706 person-years for a median follow-up of 2·2 years. The incidence rate of hypertension was 25·1 cases per 1000 person-years. Median avocado consumption was 1·0 (interquartile range: 0·23, 1·0) serving per week (half an avocado). After adjustment for confounding, consuming 5 + servings per week of avocado was associated with a 17 % decrease in the rate of hypertension, compared with non- or low consumers (IRR = 0·83; 95 % CI: 0·70, 0·99; P trend = 0·01). Frequent consumption of avocado was associated with a lower incidence of hypertension.

Type
Research Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of The Nutrition Society

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