Imperial College London
Alternate

DrLindaOude Griep

Faculty of Medicine, School of Public Health

Honorary Research Fellow
 
 
 
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Contact

 

+44 (0)20 7594 3300l.oude-griep

 
 
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Location

 

151Medical SchoolSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Aljuraiban:2021:10.1136/bmjnph-2020-000077,
author = {Aljuraiban, G and Chan, Q and Gibson, R and Stamler, J and Daviglus, ML and Dyer, AR and Miura, K and Wu, Y and Ueshima, H and Zhao, L and Van, Horn L and Elliott, P and Oude, Griep LM},
doi = {10.1136/bmjnph-2020-000077},
journal = {BMJ Nutrition, Prevention & Health},
pages = {133--142},
title = {Association between plant-based diets and blood pressure in the INTERMAP study},
url = {http://dx.doi.org/10.1136/bmjnph-2020-000077},
volume = {3},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background Plant-based diets are associated with a lower risk of cardiovascular diseases; however, little is known how the healthiness of the diet may be associated with blood pressure (BP). We aimed to modify three plant -based diet indices: overall plant-based diet index (PDI), healthy PDI (hPDI), and unhealthy PDI (uPDI) according to country-specific dietary guidelines to enable use across populations with diverse dietary patterns – and assessed their associations with BP.Design We used cross-sectional data including 4,680 men and women ages 40–59y in Japan, China, the United Kingdom, and the United States from the INTERnational study on MAcro/micronutrients and blood Pressure (INTERMAP). During four visits, eight BP measurements, and four 24-h dietary recalls were collected. Multivariable regression coefficients were estimated, pooled, weighted, and adjusted extensively for lifestyle/dietary confounders.Results Modified PDI was not associated with BP. Consumption of hPDI higher by 1SD was inversely associated with systolic (-0.82 mm Hg;95% CI:-1.32,-0.49) and diastolic BP (-0.49 mm Hg; 95% CI:-0.91, -0.28). In contrast, consumption of an uPDI was directly associated with systolic (0.77 mm Hg;95% CI:0.30,1.20). Significant associations between hPDI with BP were attenuated with separate adjustment for vegetables and whole grains; associations between uPDI and BP were attenuated after adjustment for refined grains, sugar-sweetened beverages, and meat.Conclusion An hPDI is associated with lower BP while a uPDI is adversely related to BP. Plant-based diets rich in vegetables and whole grains and limited in refined grains, sugar-sweetened beverages, and total meat may contribute to these associations. In addition to current guidelines, the nutritional quality of consumed plant foods is as important as limiting animal-based components.
AU  - Aljuraiban,G
AU  - Chan,Q
AU  - Gibson,R
AU  - Stamler,J
AU  - Daviglus,ML
AU  - Dyer,AR
AU  - Miura,K
AU  - Wu,Y
AU  - Ueshima,H
AU  - Zhao,L
AU  - Van,Horn L
AU  - Elliott,P
AU  - Oude,Griep LM
DO  - 10.1136/bmjnph-2020-000077
EP  - 142
PY  - 2021///
SN  - 2516-5542
SP  - 133
TI  - Association between plant-based diets and blood pressure in the INTERMAP study
T2  - BMJ Nutrition, Prevention & Health
UR  - http://dx.doi.org/10.1136/bmjnph-2020-000077
UR  - https://nutrition.bmj.com/content/early/2020/07/07/bmjnph-2020-000077
UR  - http://hdl.handle.net/10044/1/81131
VL  - 3
ER  -
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