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Fruit and vegetable consumption is inversely associated with blood pressure in a Mediterranean population with a high vegetable-fat intake: the Seguimiento Universidad de Navarra (SUN) Study

  • Alvaro Alonso (a1) (a2), Carmen de la Fuente (a1), Ana M. Martín-Arnau (a1), Jokin de Irala (a1), J. Alfredo Martínez (a3) and Miguel Ángel Martínez-González (a1)...
Abstract

There is evidence that a diet rich in fruit and vegetables reduces blood pressure (BP). Characteristically, the Mediterranean diet is rich in plant-derived foods and also in fat, but studies conducted in Mediterranean countries to relate diet to BP are scarce. We studied the association between fruit and vegetable consumption and BP in a cross-sectional analysis of 4393 participants in the Seguimiento Universidad de Navarra (SUN) Study, an ongoing dynamic cohort study in Spain. Diet was measured using a food-frequency questionnaire previously validated in Spain. Fat represented more than 37% total energy intake. Subjects were considered to have undiagnosed hypertension if they reported systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, and not a medical diagnosis of hypertension. The adjusted prevalence odds ratio of undiagnosed hypertension (upper v. lowest quintile) was 0·58 (95% CI 0·36, 0·91; P for trend 0·01) for vegetable consumption and 0·68 (95% CI 0·43, 1·09; P for trend 0·10) for fruit consumption. Comparing those in the highest quintile of both fruit and vegetable consumption with those in the lowest quintile of both food groups, the prevalence odds ratio was 0·23 (95% CI 0·10, 0·55; P=0·001), after adjusting for risk factors for hypertension and other dietary exposures. In a Mediterranean population with an elevated fat consumption, a high fruit and vegetable intake is inversely associated with BP levels.

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Corresponding author
*Corresponding author: Dr Miguel Angel Martínez-González, fax +34 948 42 56 49, email mamartinez@unav.es
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BE Ainsworth , WL Haskell & MC Whitt Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc (2000) 32, S498S504.

LJ Appel , TJ Moore & E Obarzanek A clinical trial of the effects of dietary patterns on blood pressure. N Engl J Med (1997) 336, 11171124.

A Ascherio , CH Hennekens , WC Willett , FM Sacks , B Rosner , JE Manson , JCM Witteman & MJ Stampfer Prospective study of nutritional factors, blood pressure, and hypertension among US women. Hypertension (1996) 27, 10651072.

A Ascherio , EB Rimm , EL Giovanucci , GA Colditz , B Rosner , WC Willett , FM Sacks & MJ Stampfer A prospective study of nutritional factors and hypertension among US men. Circulation (1992) 86, 14751484.

JR Banegas , F Rodríguez-Artalejo , JJ de la Cruz Troca , P Guallar-Castillón & J del Rey Calero Blood pressure in Spain. Distribution, awareness, control, and benefits of a reduction in average pressure. Hypertension (1998) 32, 9981002.

AV Chobanian , GL Bakris & HR Black The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA (2003) 289, 25602571.

M De Lorgeril , P Salen , JL Martin , I Monjaud , J Delaye & N Mamelle Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart study. Circulation (1999) 99, 779785.

LA Ferrara , AS Raimondi , L d'Episcopo , L Guida , A Dello Russo & T Marotta Olive oil and reduced need for antihypertensive medications. Arch Intern Med (2000) 160, 837842.

N Goldman , I-F Lin , M Weinstein & Y-H Lin Evaluating the quality of self-reports of hypertension and diabetes. J Clin Epidemiol (2003) 56, 148154.

FJ He & GA MacGregor Beneficial effects of potassium. BMJ (2001) 323, 497501.

DW Hosmer & S Lemeshow Applied Logistic Regression 2nd ed. New York: Wiley. (2000).

MK Kim , S Sasaki , S Sasazuki , S Okubo , M Hayashi & S Tsugane Lack of long-term effect of vitamin C supplementation on blood pressure. Hypertension (2002) 40, 797803.

M McIntyre , DF Bohr & AF Dominiczak Endothelial function in hypertension: the role of superoxide anion. Hypertension (1999) 34, 539545.

MA Martínez-González , A Alonso , J de Irala-Estévez & E Fernández-Jarne What is protective in the Mediterranean diet?. Atherosclerosis (2003) 166, 405407.

MA Martínez-González , JA Martínez , FB Hu , MJ Gibney & J Kearney Physical inactivity, sedentary lifestyles, and obesity in the European Union. Int J Obes Relat Metab Disord (1999) 23, 11921201.

MA Martínez-González & A Sánchez-Villegas The emerging role of Mediterranean diets in cardiovascular epidemiology: monounsaturated fats, olive oil, red wine or the whole pattern?. Eur J Epidemiol (2004) 19, 913.

MA Martínez-González , A Sánchez-Villegas , J de Irala-Estévez , A Martí & JA Martínez Mediterranean diet and stroke: objectives and design of the SUN project. Nutr Neurosci (2002) 5, 6573.

JM Martín-Moreno , P Boyle , L Gorgojo , P Maisonneuve , JC Fernández-Rodríguez , S Salvini & WC Willett Development and validation of a food frequency questionnaire in Spain. Int J Epidemiol (1993) 22, 512519.

BA Mullan , IS Young , H Fee & DR McCance Ascorbic acid reduces blood pressure and arterial stiffness in type 2 diabetes. Hypertension (2002) 40, 804809.

RM Robertson & L Smaha Can a Mediterranean-style diet reduce heart disease?. Circulation (2001) 103, 18211822.

KJ Rothman & S Greenland Modern Epidemiology 2nd ed. Philadelphia, PA: Lippincott-Raven. (1998).

V Ruiz-Gutiérrez , FJ Muriana , A Guerrero , AM Cert & J Villar Plasma lipids, erythrocyte membrane lipids and blood pressure of hypertensive women after ingestion of dietary oleic acid from two different sources. J Hypertens (1996) 14, 14831490.

FM Sacks , LP Svetkey & WM Vollmer et al.. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. N Engl J Med (2001) 344, 310.

A Sánchez-Villegas , M Delgado-Rodríguez , MA Martínez-González & J de Irala-Estévez Gender, age, socio-demographic and lifestyle factors associated with major dietary patterns in the Spanish project SUN (Seguimiento Universidad de Navarra). Eur J Clin Nutr (2003) 57, 285292.

S Sans , G Paluzie , L Balana , T Puig & I Balaguer-Vintró Trends in prevalence, awareness, treatment and control of arterial hypertension between 1986 and 1996: the MONICA-Catalonia study (in Spanish). Med Clin (Barc) (2001) 117, 246253.

RB Singh , G Dubnov , MA Niaz , S Ghosh , R Singh , SS Rastogi , O Manor , D Pella & EM Berry Effect of an Indo-Mediterranean diet on progression of coronary artery disease in high risk patients (Indo-Mediterranean Diet Heart study): a randomised single-blind trial. Lancet (2002) 360, 14551461.

JR Sowers Hypertension, angiotensin II, and oxidative stress. N Engl J Med (2002) 346, 19992001.

J Stamler , K Liu , KJ Ruth , J Pryer & P Greenland Eight-year blood pressure change in middle-aged men: relationship to multiple nutrients. Hypertension (2002) 39, 10001006.

LP Svetkey & CM Loria Blood pressure effects of vitamin C: what's the key question?. Hypertension (2002) 40, 789791.

MJ Tormo , C Navarro , MD Chirlaque & X Barber Is there a different dietetic pattern depending on self-knowledge of high blood pressure?. Eur J Epidemiol (2000) 16, 963971.

A Trichopoulou , T Costacou , C Barnia & D Trichopoulos Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med (2003) 348, 25992608.

PK Whelton , J He & LJ Appel Primary prevention of hypertension: clinical and public health advisory from the National High Blood Pressure Education Program. JAMA (2002) 288, 18821888.

WC Willett Nutritional Epidemiology 2nd ed. New York: Oxford University Press. (1998).

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British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
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