Meal patterns and incident hypertension in community-dwelling middle-aged adults: An 11-year follow-up cohort study

Journal of HypertensionShang X, Flehr A, Fang Y, et al. | June 14, 2021

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Among 12,995 participants aged 18–59 years from the China Health and Nutrition Survey, it was investigated if meal patterns, as well as energy intake from three main meals and snacks, were related to incident hypertension. Researchers evaluated dietary intake using weighing methods in combination with 24-h food records. They assessed the link of meal patterns, and energy intake from different meals with incident hypertension, applying Cox proportional hazards regression models. Based on energy intake, four meal patterns were recognized: balanced, breakfast dominant, lunch dominant, and dinner dominant patterns. A lower risk of hypertension was observed in relation to dinner dominant meal pattern vs the balanced meal pattern among Chinese adults. Development of hypertension may be averted or delayed, particularly in urban residents, by having a relatively small breakfast and large dinner.

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