Nutrición Hospitalaria 00487 / http://dx.doi.org/10.20960/nh.487

Trabajo Original

Association between meal intake behavior and blood pressure in spanish adults

Kristin Keller, Santiago Rodríguez López, Margarita Carmenate Moreno

VOLUMEN 34, NÚM. 3, mayo-junio (2017), PAG. 654-660

Logo Descargas Número de descargas: 2925 Logo Visitas Número de visitas: 6884 Citas Citas: 4

Compártelo:

Introduction and objectives: Eating frequency has been suggested to modify blood pressure. Yet, the results are inconclusive, possibly because eating frequency, particularly meal intake behavior (MIB), does not differentiate between meals and snacks. Hence, the aim of this study was to examine the association between more specific MIBs, like the consumption of the three main meals, the intake of forenoon and afternoon meals and snacking between the regular meals, and systolic/diastolic blood pressure (SBP/DBP).Methods: This cross-sectional study includes 1,314 Spanish adults aged 20-79 years. Data collection occurred during cardiovascular health day events organized in four Spanish cities (Madrid, Las Palmas, Seville and Valencia) in 2008. Linear regression analysis was performed to assess the independent association between the mentioned MIBs and SBP/DBP, controlling for several confounders in multiples models.Results: After adjusting for sex, age and individual risk factors, having an afternoon meal was associated with lower SBP (ß -3.91, 95% CI [-6.33, -1.49]) and DBP (ß -2.35, 95% CI [-3.76, -0.94]). This association was attenuated when introducing dietary intake and waist circumference in the predictive models (SBP: ß -2.83, 95% CI [-5.25, -0.40]; DBP: ß -1.67, 95% CI [-3.04, -0.31]), although it still remained significant. None of the other investigated MIBs showed any associations with SBP/DBP.Conclusions: This study suggests that SBP/DBP might be reduced by the intake of an afternoon meal. However, population-based prospective studies are needed in order to confirm the consequences of the investigated associations on health.

Palabras Clave: Systolic and diastolic blood pressure. Waist circumference. Forenoon meal. Afternoon meal. Snacking.

Descargar PDF (ENGLISH)

Citas
Bibliografía

Shang, Xianwen, Flehr, Alison, Fang, Yujie, He, Mingguang (2021) Meal patterns and incident hypertension in community-dwelling middle-aged adults: an 11-year follow-up cohort study. Journal of Hypertension

Zheng, Huiqiu, Wang, Yanling, Yang, Bo, Wu, Jing, Qian, Yonggang, Wang, Wenrui, Wang, Xuemei (2023) Interaction of Dietary Sodium-to-potassium Ratio and Dinner Energy Ratio on Prevalence of Hypertension in Inner Mongolia, China. Journal of Epidemiology

Leech, Rebecca M., Timperio, Anna, Worsley, Anthony, McNaughton, Sarah A. (2019) Eating patterns of Australian adults: associations with blood pressure and hypertension prevalence. European Journal of Nutrition

Song, Xiaoyun, Wang, Huijun, Su, Chang, Wang, Zhihong, Huang, Feifei, Zhang, Jiguo, Du, Wenwen, Jia, Xiaofang, Jiang, Hongru, Ouyang, Yifei, Wang, Yun, Li, Li, Ding, Gangqiang, Zhang, Bing (2021) Association of Time-of-Day Energy Intake Patterns with Nutrient Intakes, Diet Quality, and Insulin Resistance. Nutrients

Organización Mundial de la Salud. Información general sobre la hipertensión en el mundo. Una enfermedad que mata en silencio, una crisis de salud pública mundial. [WHO, editor]. Ginebra (Suiza): WHO Document Production Services; 2013.

Gabriel R, Brotons C, Tormo JM, Segura A, Rigo F, Elosua R, et al. La ecuación ERICE: la nueva ecuación autóctona de riesgo cardiovascular para una población mediterránea envejecida y de bajo riesgo en España. Rev Española Cardiol. 2014;68:205–215.
DOI: 10.1016/j.recesp.2014.03.019

Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, Verschuren M, et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. Eur Heart J. 2012;33:1635–1701.

Mesas A, Muñoz-Pareja M, López-García E, Rodríguez-Artalejo F. Selected eating behaviours and excess body weight: a systematic review. Obes Rev. 2012;13:106–135.
DOI: 10.1111/j.1467-789X.2011.00936.x

Miller R, Benelam B, Stanner SA, Buttriss JL. Is snacking good or bad for health: An overview. Nutr Bull. 2013;38: 302–322.
DOI: 10.1111/nbu.12042

Leech RM, Worsley A, Timperio A, McNaughton SA. Understanding meal patterns: definitions, methodology and impact on nutrient intake and diet quality. Nutr Res Rev. 2015; 28:1–21.
DOI: 10.1017/S0954422414000262

Edelstein SL, Barrett-Connor EL, Wingard DL, Cohn BA. Increased meal frequency associated with decreased cholesterol concentrations; Rancho Bernardo, CA, 1984-1987. Am J Clin Nutr. 1992; 55:664–669.
DOI: 10.1093/ajcn/55.3.664

Karatzi K, Yannakoulia M, Psaltopoulou T, Voidonikola P, Kollias G, Sergentanis TN et al. Meal patterns in healthy adults: Inverse association of eating frequency with subclinical atherosclerosis indexes. Clin Nutr. 2014:1–7.

Kim S, Park G-H, Yang JH, Chun SH, Yoon H-J, Park M-S. Eating frequency is inversely associated with blood pressure and hypertension in Korean adults: analysis of the Third Korean National Health and Nutrition Examination Survey. Eur J Clin Nutr. 2014;68:481–489.
DOI: 10.1038/ejcn.2014.9

Nicklas TA, O’Neil CE & Fulgoni III VL. Snacking patterns, diet quality, and cardiovascular risk factors in adults. BMC Public Health. 2014;14:388.
DOI: 10.1186/1471-2458-14-388

Ortega R, Redondo M, Zamora M, López-Sobaler A, Quintas M, Andrés P et al. El numero de comidas diarias como condicionante de la ingesta de alimentos energia y nutrientes en ancianos. influencia en relacion con diversos factores de riesgo cardiovascular. Nutr Hosp. 1998;13:186 – 192.

Palmer MA, Capra S, Baines SK. Association between eating frequency, weight, and health. Nutr Rev. 2009;67: 379–390.
DOI: 10.1111/j.1753-4887.2009.00204.x

Smith KJ, Blizzard L, McNaughton SA, Gall SL, Dwyer T, Venn AJ. Daily eating frequency and cardiometabolic risk factors in young Australian adults: cross-sectional analyses. Br J Nutr. 2012;108:1086–1094.
DOI: 10.1017/S0007114511006398

Titan S, Bingham S, Welch A, Luben R, Oakes S, Day N et al. Frequency of eating and concentrations of serum cholesterol in the Norfolk population of the European prospective investigation into cancer (EPIC-Norfolk): cross sectional study. BMJ. 2001;323:1286–1288.
DOI: 10.1136/bmj.323.7324.1286

Murakami K & Livingstone MBE. Associations of eating frequency with adiposity measures, blood lipid profiles and blood pressure in British children and adolescents. Br J Nutr. 2014;111:2176–2183.
DOI: 10.1017/S0007114514000452

Chapelot D. The role of snacking in energy balance: a biobehavioral approach. J Nutr. 2011;141:158–162.
DOI: 10.3945/jn.109.114330

Bes-Rastrollo M, Sanchez-Villegas A, Basterra-Gortari FJ, Nunez-Cordoba JM, Toledo E, Serrano-Martinez M. Prospective study of self-reported usual snacking and weight gain in a Mediterranean cohort: the SUN project. Clin Nutr. 2010;29:323–330.
DOI: 10.1016/j.clnu.2009.08.017

Emanuela F, Grazia M, Marco DR, Maria Paola L, Giorgio F, Marco B. Inflammation as a Link between Obesity and Metabolic Syndrome. J Nutr Metab. 2012;2012:1–7.
DOI: 10.1155/2012/476380

Karpe F, Dickmann JR & Frayn KN. Fatty Acids, Obesity, and Insulin Resistance: Time for a Reevaluation. Diabetes. 2011;60:2441–2449.
DOI: 10.2337/db11-0425

World Health Organization. Waist circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation. World Health Organisation: Geneva, 2008.

Gargallo Fernández M, Quiles Izquierdo J, Basulto Marset J, Breton Lesmes I, Formiguera Sala X, Salas-Salvadó J. Evidence-based nutritional recommendations for the prevention and treatment of overweight and obesity in adults (FESNAD-SEEDO consensus document). The role of diet in obesity prevention (II/III). Nutr Hosp. 2012;27:800–832.

Keller K, Rodríguez López S & Carmenate Moreno MM. Association between meal intake behaviour and abdominal obesity in spanish adults. Appetite. 2015;92:1–6.
DOI: 10.1016/j.appet.2015.04.077

Mesas A, León-Muñoz L, Guallar-Castillón P, Graciani A, Gutiérrez-Fisac J, López-García E et al. Obesity-related eating behaviours in the adult population of Spain, 2008-2010. Obes Rev. 2012;13:858–867.
DOI: 10.1111/j.1467-789X.2012.01005.x

Murakami K & Livingstone MBE. Eating frequency in relation to body mass index and waist circumference in British adults. Int J Obes. 2014;38:1200–1206.
DOI: 10.1038/ijo.2014.1

Weiner JS, Lourie JA. Practical Human Biology. Academic Press: Michigan, 1981.

WMA (World Medical Association). Declaration of Helsinki. Ethical principles for medical research involving human subjects. 64th ed. Fortaleza, Brazil, 2013.

Huch R, Jürgens K, Fessel D. Mensch, Körper, Krankheit. 5th ed. Urban & Fischer Verlag: München, 2007.

Salvador Castell G, Mataix Verdú J, Serra-Majem L. Grupos de Alimentos. In: Serra-Majem L (ed). Nutrición y Salud Publica. Métodos, Bases científicas y Aplicaciones. Masson, S.A.: Barcelona, Spain, 2006, pp 38–51.

Hayes AF. Introduction to Mediation, Moderation, and Conditional Process Analysis. The Guilford Press: New York, 2013.

Barba G, Troiano E, Russo P, Siani A. Total fat, fat distribution and blood pressure according to eating frequency in children living in southern Italy: the ARCA project. Int J Obes. 2006;30:1166–1169.
DOI: 10.1038/sj.ijo.0803257

Howarth NC, Huang TT-K, Roberts SB, Lin B-H, McCrory MA. Eating patterns and dietary composition in relation to BMI in younger and older adults. Int J Obes. 2007;31:675–684.
DOI: 10.1038/sj.ijo.0803456

Jakubowicz D, Barnea M, Wainstein J, Froy O. High Caloric intake at breakfast vs. dinner differentially influences weight loss of overweight and obese women. Obesity. 2013;21:2504–2512.
DOI: 10.1002/oby.20460

Kotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesity-induced hypertension. Hypertens Res. 2010;33:386–393.
DOI: 10.1038/hr.2010.9