Abstract：
UNASSIGNED: Prevention and improvement of hypertension is one of the most important health issues worldwide. The traditional Japanese diet contributes to the prevention of some non-communicable diseases associated with hypertension. However, whether traditional Japanese dietary patterns are associated with hypertension prevalence and systolic blood pressure (SBP) worldwide remains unknown. In this study, we aimed to investigate whether the traditional Japanese diet score (TJDS) is associated with hypertension prevalence and SBP.
UNASSIGNED: This cross-sectional and longitudinal ecological study from 2009 to 2019 included 141 countries with a population of at least 1 million. All data used for analysis were obtained from internationally available databases. The TJDS was calculated using country-specific supplies of five foods commonly eaten in the traditional Japanese diet (rice, fish, soybean, vegetables, and egg) and three less commonly eaten foods (wheat, milk, and red meat). Hypertension was defined by SBP ≥140 mmHg, diastolic blood pressure ≥90 mmHg, or use of antihypertensive medications. The mean SBP was >25 age-standardized data. A general linear model was used for the cross-sectional model in 2009, and a linear mixed model was used for the longitudinal analysis from 2009 to 2019. The covariates included gross domestic product, percentage of population aged >65 years, years of education, smoking rate, average body mass index, physical activity, and energy supply.
UNASSIGNED: The TJDS was negatively associated with hypertension prevalence (β ± standard error: -0.861 ± 0.202, p < 0.001) and SBP (β ± standard error: -0.364 ± 0.154, p < 0.05) in the cross-sectional analysis. The TJDS was significantly negatively associated with hypertension prevalence (β ± standard error: -0.845 ± 0.200, p < 0.001) and SBP (β ± standard error: -0.312 ± 0.149, p < 0.05) in the 10-year longitudinal analysis controlled for full covariables.
UNASSIGNED: Traditional Japanese dietary patterns are associated with lower hypertension prevalence and SBP worldwide.
UNASSIGNED: This cross-sectional and longitudinal ecological study from 2009 to 2019 included 141 countries with a population of at least 1 million. All data used for analysis were obtained from internationally available databases. The TJDS was calculated using country-specific supplies of five foods commonly eaten in the traditional Japanese diet (rice, fish, soybean, vegetables, and egg) and three less commonly eaten foods (wheat, milk, and red meat). Hypertension was defined by SBP ≥140 mmHg, diastolic blood pressure ≥90 mmHg, or use of antihypertensive medications. The mean SBP was >25 age-standardized data. A general linear model was used for the cross-sectional model in 2009, and a linear mixed model was used for the longitudinal analysis from 2009 to 2019. The covariates included gross domestic product, percentage of population aged >65 years, years of education, smoking rate, average body mass index, physical activity, and energy supply.
UNASSIGNED: The TJDS was negatively associated with hypertension prevalence (β ± standard error: -0.861 ± 0.202, p < 0.001) and SBP (β ± standard error: -0.364 ± 0.154, p < 0.05) in the cross-sectional analysis. The TJDS was significantly negatively associated with hypertension prevalence (β ± standard error: -0.845 ± 0.200, p < 0.001) and SBP (β ± standard error: -0.312 ± 0.149, p < 0.05) in the 10-year longitudinal analysis controlled for full covariables.
UNASSIGNED: Traditional Japanese dietary patterns are associated with lower hypertension prevalence and SBP worldwide.
摘要：
■预防和改善高血压是全球最重要的健康问题之一。日本传统饮食有助于预防一些与高血压相关的非传染性疾病。然而,日本传统饮食模式是否与高血压患病率和收缩压(SBP)相关,目前尚不清楚.在这项研究中,我们旨在调查日本传统饮食评分(TJDS)是否与高血压患病率和SBP相关.
■这项2009年至2019年的横截面和纵向生态研究包括141个国家，人口至少为100万。用于分析的所有数据均从国际上可获得的数据库获得。TJDS是使用日本传统饮食中常见的五种食物的特定国家/地区供应（大米，鱼,大豆,蔬菜,和鸡蛋)和三种不太常见的食物(小麦，牛奶，和红肉）。高血压定义为SBP≥140mmHg，舒张压≥90mmHg,或使用抗高血压药物。平均SBP>25年龄标准化数据。2009年横截面模型采用一般线性模型，2009年至2019年纵向分析采用线性混合模型。协变量包括国内生产总值，65岁以上人口的百分比，多年的教育，吸烟率，平均体重指数,身体活动,和能源供应。
■在横断面分析中，TJDS与高血压患病率（β±标准误差：-0.861±0.202，p<0.001）和SBP（β±标准误差：-0.364±0.154，p<0.05）呈负相关。在10年纵向分析中，TJDS与高血压患病率（β±标准误差：-0.845±0.200，p<0.001）和SBP（β±标准误差：-0.312±0.149，p<0.05）显着负相关。
■日本传统饮食模式与全球较低的高血压患病率和SBP相关。
■这项2009年至2019年的横截面和纵向生态研究包括141个国家，人口至少为100万。用于分析的所有数据均从国际上可获得的数据库获得。TJDS是使用日本传统饮食中常见的五种食物的特定国家/地区供应（大米，鱼,大豆,蔬菜,和鸡蛋)和三种不太常见的食物(小麦，牛奶，和红肉）。高血压定义为SBP≥140mmHg，舒张压≥90mmHg,或使用抗高血压药物。平均SBP>25年龄标准化数据。2009年横截面模型采用一般线性模型，2009年至2019年纵向分析采用线性混合模型。协变量包括国内生产总值，65岁以上人口的百分比，多年的教育，吸烟率，平均体重指数,身体活动,和能源供应。
■在横断面分析中，TJDS与高血压患病率（β±标准误差：-0.861±0.202，p<0.001）和SBP（β±标准误差：-0.364±0.154，p<0.05）呈负相关。在10年纵向分析中，TJDS与高血压患病率（β±标准误差：-0.845±0.200，p<0.001）和SBP（β±标准误差：-0.312±0.149，p<0.05）显着负相关。
■日本传统饮食模式与全球较低的高血压患病率和SBP相关。
