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Abstract：
Hypertension is a common chronic disease with various complications and is a main contributing factor to cardiovascular disease (CVD). This study aimed to assess the association of diet quality, assessed by dietary diversity score (DDS), Mediterranean dietary score (MDS), diet quality index-international (DQI-I), and healthy eating index-2015 (HEI-2015) with the risk of hypertension.
This study recruited a total of 10,111 individuals (45.14% male) with mean age of 48.63 ± 9.57 years from the Fasa Cohort Study, Iran. Indices of diet quality, including MDS, HEI-2015, DQI-I, and DDS were computed by a 125-item Food Frequency Questionnaire. Participants were diagnosed as hypertensive if they had a diastolic blood pressure (DBP) ≥90 mmHg, systolic blood pressure (SBP) ≥140 mmHg,, or used antihypertensive drugs.
Hypertension was prevalent in 28.3% of the population (21.59% in males and 33.74% in females). In the whole population, after adjustment for potential covariates, including daily energy intake, age, gender, physical activity, smoking, family history of hypertension, body mass index, and the level of education, higher adherence to the MDS (OR: 0.86, 95%CI = 0.75-0.99) and HEI-2015 (OR: 0.79, 95%CI = 0.68-0.90) was significantly associated with decreased risk of hypertension. The protective effect of HEI-2015 against hypertension remained significant for both males (OR: 0.80, 95%CI = 0.64-0.99) and females (OR: 0.78, 95%CI = 0.66-0.94), while, for MDS, this relationship disappeared in the subgroup analysis by gender. DQI-I and DDS were not related to the odds of hypertension.
Adhering to MDS and HEI-2015 diets could contribute to the prevention of hypertension.
This study recruited a total of 10,111 individuals (45.14% male) with mean age of 48.63 ± 9.57 years from the Fasa Cohort Study, Iran. Indices of diet quality, including MDS, HEI-2015, DQI-I, and DDS were computed by a 125-item Food Frequency Questionnaire. Participants were diagnosed as hypertensive if they had a diastolic blood pressure (DBP) ≥90 mmHg, systolic blood pressure (SBP) ≥140 mmHg,, or used antihypertensive drugs.
Hypertension was prevalent in 28.3% of the population (21.59% in males and 33.74% in females). In the whole population, after adjustment for potential covariates, including daily energy intake, age, gender, physical activity, smoking, family history of hypertension, body mass index, and the level of education, higher adherence to the MDS (OR: 0.86, 95%CI = 0.75-0.99) and HEI-2015 (OR: 0.79, 95%CI = 0.68-0.90) was significantly associated with decreased risk of hypertension. The protective effect of HEI-2015 against hypertension remained significant for both males (OR: 0.80, 95%CI = 0.64-0.99) and females (OR: 0.78, 95%CI = 0.66-0.94), while, for MDS, this relationship disappeared in the subgroup analysis by gender. DQI-I and DDS were not related to the odds of hypertension.
Adhering to MDS and HEI-2015 diets could contribute to the prevention of hypertension.
摘要：
高血压是一种常见的慢性疾病，具有多种并发症，是心血管疾病（CVD）的主要促成因素。这项研究旨在评估饮食质量的关联，通过饮食多样性评分(DDS)评估，地中海饮食评分（MDS），国际饮食质量指标(DQI-I)，和健康饮食指数-2015（HEI-2015）与高血压的风险。
这项研究从Fasa队列研究中招募了10,111名个体（男性占45.14％），平均年龄为48.63±9.57岁。伊朗。饮食质量指标，包括MDS,HEI-2015,DQI-I,和DDS由125项食物频率问卷计算。如果参与者的舒张压（DBP）≥90mmHg，则被诊断为高血压。收缩压（SBP）≥140mmHg，,或使用降压药。
高血压患病率为28.3％（男性为21.59％，女性为33.74％）。在整个人口中，在调整潜在协变量后，包括每日能量摄入，年龄,性别,身体活动,吸烟,高血压家族史,身体质量指数,以及教育水平，对MDS(OR:0.86,95CI=0.75~0.99)和HEI-2015(OR:0.79,95CI=0.68~0.90)的高依从性与高血压风险降低显著相关.HEI-2015对高血压的保护作用对男性（OR：0.80，95CI=0.64-0.99）和女性（OR：0.78，95CI=0.66-0.94）均显着。while,对于MDS，这种关系在按性别进行的亚组分析中消失了.DQI-I和DDS与高血压的几率无关。
坚持MDS和HEI-2015饮食有助于预防高血压。
这项研究从Fasa队列研究中招募了10,111名个体（男性占45.14％），平均年龄为48.63±9.57岁。伊朗。饮食质量指标，包括MDS,HEI-2015,DQI-I,和DDS由125项食物频率问卷计算。如果参与者的舒张压（DBP）≥90mmHg，则被诊断为高血压。收缩压（SBP）≥140mmHg，,或使用降压药。
高血压患病率为28.3％（男性为21.59％，女性为33.74％）。在整个人口中，在调整潜在协变量后，包括每日能量摄入，年龄,性别,身体活动,吸烟,高血压家族史,身体质量指数,以及教育水平，对MDS(OR:0.86,95CI=0.75~0.99)和HEI-2015(OR:0.79,95CI=0.68~0.90)的高依从性与高血压风险降低显著相关.HEI-2015对高血压的保护作用对男性（OR：0.80，95CI=0.64-0.99）和女性（OR：0.78，95CI=0.66-0.94）均显着。while,对于MDS，这种关系在按性别进行的亚组分析中消失了.DQI-I和DDS与高血压的几率无关。
坚持MDS和HEI-2015饮食有助于预防高血压。
