Ultra-Processed Food Consumption Associated with Incident Hypertension among Chinese Adults-Results from China Health and Nutrition Survey 1997-2015

Objective: Ultra-processed food (UPF) has been shown to increase the cardiometabolic health risks. We aimed to determine the association between UPF intake based on the NOVA classification and the risk of hypertension incidence during 1997−2015. Methods: Data from 15,054 adults aged ≥ 20 years (47.4...

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Bibliographic Details
Published in:Nutrients 2022-11, Vol.14 (22), p.4783
Main Authors: Li, Ming, Shi, Zumin
Format: Article
Language:English
Subjects:
Adult
Adults
Age
Alcohol
Blood pressure
Body mass index
China
China - epidemiology
Consumers
Diabetes
Diet
Economic development
Fast Foods - adverse effects
Female
Food
Food consumption
Food Handling
Food intake
Food processing
Health risks
Health surveys
Humans
Hypertension
Hypertension - epidemiology
Hypertension - etiology
incident hypertension
Male
Meat
Middle schools
Nutrition
Nutrition research
Nutrition Surveys
Overweight
Potassium
Processed foods
Questionnaires
Salt
Sociodemographics
Socioeconomic factors
Sodium
Surveys
Tea
ultra-processed food
Urbanization
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Summary:Objective: Ultra-processed food (UPF) has been shown to increase the cardiometabolic health risks. We aimed to determine the association between UPF intake based on the NOVA classification and the risk of hypertension incidence during 1997−2015. Methods: Data from 15,054 adults aged ≥ 20 years (47.4% males) attending the China Nutrition and Health Survey (CNHS) were used. Food intake at each survey was assessed by a 3-day 24 h dietary recall and weighed food record method between 1997−2011. Cox regression was used to assess the association between UPF intake and incident hypertension. Results: During a mean average of 9.5 years (SD 5.5) of follow up, 4329 hypertension incident cases were identified. The incident rates (per 1000) for non-consumers and 1−49, 50−99, and ≥100 g/day of UPF intake were 29.5 and 29.5, 33.4, and 36.3, respectively. Compared with non-consumers, the hazard ratios (95% CI) for UPF intake of 1−49, 50−99, and >100 g/day were 1.00 (0.90−1.12), 1.17 (1.04−1.33), and 1.20 (1.06−1.35), respectively, (p = 0.001) after adjusting for potential confounding factors. There was a significant interaction between UPF intake and age with a higher risk in the younger group (
ISSN:2072-6643
2072-6643
DOI:10.3390/nu14224783