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Dietary patterns associated with hypertension prevalence in the Cameroon defence forces

European Journal of Clinical Nutrition volume 64, pages 1014–1021 (2010)Cite this article

Subjects

Abstract

Background/Objectives:

To assess the possible role of particular patterns of food consumption in the occurrence of hypertension.

Subjects/Methods:

A cross-sectional study of 571 members of defence forces was carried out in eight military institutions in Yaounde, Cameroon. Blood pressure was measured with automatic sphygmomanometers simultaneously at both arms. Food consumption data were obtained through a food frequency questionnaire and lifestyle questionnaire was used to ascertain information on physical activity and other risk factors.

Results:

Two dietary patterns were identified. The ‘fruit and vegetable’ pattern was typified by a high intake of fruits, vegetables, tubers and legumes. The ‘meat’ pattern was characterized by a high intake of bush meat, poultry and red meat. After adjustment for age, body mass index, rank, vigorous physical activity and total energy intake, the fruit and vegetable pattern was significantly associated with a reduced risk of hypertension (odds ratio (OR)=0.40; 95% confidence interval (CI)=0.20–0.83, P=0.04) when comparing the highest to the lowest quartile of dietary pattern scores. No significant relationship was apparent between the meat pattern and hypertension.

Conclusions:

Our findings suggest that a diet rich in fruits, vegetables, tubers and legumes may have an important role in regulating blood pressure. More prospective and extensive data are warranted to investigate the magnitude of cardiovascular disease in that specific population.

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References

  • Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ et al. (2000). Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 32, S498–S504.

    Article  CAS  Google Scholar 

  • Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM et al. (1997). A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med 336, 1117–1124.

    Article  CAS  Google Scholar 

  • Armstrong B, van Merwyk AJ, Coates H (1977). Blood pressure in Seventh-day Adventist vegetarians. Am J Epidemiol 105, 444–449.

    Article  CAS  Google Scholar 

  • Arts IC, Hollman PC (2005). Polyphenols and disease risk in epidemiologic studies. Am J Clin Nutr 81, S317–S325.

    Article  Google Scholar 

  • Atsuko S, Akizumi T, Tadao G, Shizukiyo I, Toshiyuki O, Kazuomi K et al. (2008). Dietary patterns and levels of blood pressure and serum lipidsin a Japanese population. J Epidemiol 18, 58–67.

    Article  Google Scholar 

  • Chen Y, Factor-Litvak P, Howe GR, Parvez F, Ahsan H (2006). Nutritional influence on risk of high blood pressure in Bangladesh: a population-based cross-sectional study. Am J Clin Nutr 84, 1224–1232.

    Article  CAS  Google Scholar 

  • Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo Jr JL et al. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA 289, 2560–2572.

    Article  CAS  Google Scholar 

  • Chockalingam A, Campbell NR, Fodor JG (2006). Worldwide epidemic of hypertension. Can J Cardiol 22, 553–555.

    Article  Google Scholar 

  • Ekoé JM, Zimmet P (2008). Diagnosis and classification. In : Ekoé JM, Rewers M, Williams R, Zimmet P (eds). The Epidemiology of Diabetes Mellitus second edition John Willey & Sons: Chichester, West Sussex, UK. pp 11–30.

    Chapter  Google Scholar 

  • Erdman Jr JW, Balentine D, Arab L, Beecher G, Dwyer JT, Folts J et al. (2005). Flavonoids and heart health: proceedings of the ILSI North America flavonoids workshop, May 31–June 1, 2005, Washington, DC. J Nutr 137, S718–S737.

    Article  Google Scholar 

  • Godwin M, Pike A, Kirby A, Jewer C, Murphy L (2008). Prehypertension and hypertension in a primary care practice. Can Fam Physician 54, 1418–1423.

    PubMed  PubMed Central  Google Scholar 

  • Harlan WR, Harlan LC (1986). An epidemiological perspective on dietary electrolytes and hypertension. J Hypertens 4, S334–S339.

    CAS  Google Scholar 

  • Harriss LR, English DR, Powles J, Giles GG, Tonkin AM, Hodge AM et al. (2007). Dietary patterns and cardiovascular mortality in the Melbourne collaborative cohort study. Am J Clin Nutr 86, 221–229.

    Article  CAS  Google Scholar 

  • He J, Gu D, Chen J, Wu X, Kelly TN, Huang JF et al. (2009). Premature deaths attributable to blood pressure in China: a prospective cohort study. Lancet 374, 1765–1772.

    Article  Google Scholar 

  • Hooper L, Kroon PA, Rimm EB, Cohn JS, Harvey I, Le Cornu KA et al. (2008). Flavonoids, flavonoid-rich foods, and cardiovascular risk: a meta-analysis of randomized controlled trials. Am J Clin Nutr 88, 38–50.

    Article  CAS  Google Scholar 

  • Kengne AP, Awah PK, Fezeu L, Mbanya JC (2007). The burden of high blood pressure and related risk factors in urban sub-Saharan Africa: evidences from Douala in Cameroon. Afr Health Sci 7, 38–44.

    PubMed  PubMed Central  Google Scholar 

  • Kuczmarski RJ, Anderson JJ, Koch GG (1994). Correlates of blood pressure in Seventh-Day Adventist (SDA) and non-SDA adolescents. J Am Coll Nutr 13, 165–173.

    Article  CAS  Google Scholar 

  • Masala G, Bendinelli B, Versari D, Saieva C, Ceroti M, Santagiuliana F et al. (2008). Anthropometric and dietary determinants of blood pressure in over 7000 Mediterranean women: the European Prospective Investigation into Cancer and Nutrition-Florence cohort. J Hypertens 26, 2112–2120.

    Article  CAS  Google Scholar 

  • Metintas S, Arikan I, Kalyoncu C (2009). Awareness of hypertension and other cardiovascular risk factors in rural and urban areas in Turkey. Trans R Soc Trop Med Hyg 103, 812–818.

    Article  Google Scholar 

  • Mink PJ, Scrafford CG, Barraj LM, Harnack L, Hong CP, Nettleton JA et al. (2007). Flavonoid intake and cardiovascular disease mortality: a prospective study in postmenopausal women. Am J Clin Nutr 85, 895–909.

    Article  CAS  Google Scholar 

  • Miura K, Greenland P, Stamler J, Liu K, Daviglus ML, Nakagawa H (2004). Relation of vegetable, fruit, and meat intake to 7-year blood pressure change in middle-aged men: the Chicago Western Electric Study. Am J Epidemiol 159, 572–580.

    Article  Google Scholar 

  • Nuñez-Cordoba JM, Alonso A, Beunza JJ, Palma S, Gomez-Gracia E, Martinez-Gonzalez MA (2009). Role of vegetables and fruits in Mediterranean diets to prevent hypertension. Eur J Clin Nutr 63, 605–612.

    Article  Google Scholar 

  • O’Brien E (2001). State of the market for devices for blood pressure measurement. Blood Press Monit 6, 281–286.

    Article  Google Scholar 

  • Pereira M, Lunet N, Azevedo A, Barros H (2009). Differences in prevalence, awareness, treatment and control of hypertension between developing and developed countries. J Hypertens 27, 963–975.

    Article  CAS  Google Scholar 

  • Schulze MB, Hoffmann K, Kroke A, Boeing H (2001). Dietary patterns and their association with food and nutrient intake in the European prospective investigation into cancer and nutrition (EPIC)—Potsdam study. Br J Nutr 85, 363–373.

    Article  CAS  Google Scholar 

  • Touyz RM (2003). Reactive oxygen species in vascular biology: role in arterial hypertension. Expert Rev Cardiovasc Ther 1, 91–106.

    Article  CAS  Google Scholar 

  • Touyz RM, Schiffrin EL (2004). Reactive oxygen species in vascular biology: implications in hypertension. Histochem Cell Biol 122, 339–352.

    Article  CAS  Google Scholar 

  • Utsugi MT, Ohkubo T, Kikuya M, Kurimoto A, Sato RI, Suzuki K et al. (2008). Fruit and vegetable consumption and the risk of hypertension determined by self measurement of blood pressure at home: the Ohasama study. Hypertens Res 31, 1435–1443.

    Article  Google Scholar 

  • Wang L, Manson JE, Buring JE, Sesso HD (2008). Meat intake and the risk of hypertension in middle-aged and older women. J Hypertens 26, 215–222.

    Article  CAS  Google Scholar 

  • Wirfält E, Hedblad B, Gullberg B, Mattisson I, Andrén C, Rosander U et al. (2001). Food patterns and components of the metabolic syndrome in men and women: a cross-sectional study within the Malmö Diet and Cancer cohort. Am J Epidemiol 154, 1150–1159.

    Article  Google Scholar 

  • Yuchum L, Kushi LH, Meyer K, Folsom AR (1999). Dietary flavonoids intake and risk of cardiovascular disease in post menopausal women. Am J Epidemiol 149, 943–949.

    Article  Google Scholar 

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Acknowledgements

This study was funded in part by the Cameroonian Minister Delegate at the Presidency, in Charge of Defence.

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Authors and Affiliations

  1. Research Center for Military Health, Yaounde, Cameroon

    A Nkondjock

  2. Yaounde Military Hospital, Yaounde, Cameroon

    A Nkondjock

  3. Fifth Military Health Sector, Ngaoundere, Cameroon

    E Bizome

Authors
  1. A Nkondjock
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  2. E Bizome
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Corresponding author

Correspondence to A Nkondjock.

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The authors declare no conflict of interest.

Appendix

Appendix

Food groupings used for analysis of dietary patterns

Table Al

Table 5 Table a1
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Nkondjock, A., Bizome, E. Dietary patterns associated with hypertension prevalence in the Cameroon defence forces. Eur J Clin Nutr 64, 1014–1021 (2010). https://doi.org/10.1038/ejcn.2010.109

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