Maternal History of Hypertension and Blood Pressure Response to Potassium Intake: The GenSalt Study
| Autor: | Jichun Chen, Fonghong Lu, D. C. Rao, Jianxin Li, Jianjun Mu, Jixiang Ma, Jing M. Chen, Jiang He, Paul K. Whelton, Tanika N. Kelly, Dongfeng Gu, Jie Cao |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male China medicine.medical_specialty Potassium intake Adolescent Epidemiology Original Contributions Potassium Mothers chemistry.chemical_element Blood Pressure Young Adult Internal medicine Humans Medicine Maternal hypertension Family history Maternal history business.industry Potassium Dietary Odds ratio Diet Sodium-Restricted Middle Aged Confidence interval Endocrinology Blood pressure chemistry Hypertension Cardiology Female business |
| Zdroj: | American Journal of Epidemiology. 176:S55-S63 |
| ISSN: | 1476-6256 0002-9262 |
| Popis: | The relation between parental history of hypertension and blood pressure response to potassium intake is unknown. A 7-day high-sodium followed by a 7-day high-sodium plus potassium dietary-feeding study was conducted from 2003 to 2005 among 1,871 Chinese participants. Those with a maternal history of hypertension had larger systolic blood pressure responses to potassium compared with those without: -4.31 (95% confidence interval (CI): -4.99, -3.62) mm Hg versus -3.35 (95% CI: -4.00, -2.70) mm Hg, respectively (P(difference) = 0.002). A consistent trend was observed for diastolic blood pressure responses: -1.80 (95% CI: -2.41, -1.20) mm Hg versus -1.35 (95% CI: -1.95, -0.74) mm Hg, respectively (P = 0.07). Stronger associations between early onset maternal hypertension and blood pressure responses were noted, with systolic blood pressure decreases of -4.80 (95% CI: -5.65, -3.95) mm Hg versus -3.55 (95% CI: -4.17, -2.93) mm Hg and diastolic blood pressure decreases of -2.25 (95% CI: -3.01, -1.50) mm Hg versus -1.42 (95% CI: -1.99, -0.85) mm Hg among those with early onset maternal hypertension versus those without, respectively (P = 0.001 and 0.009, respectively). Odds ratios for high potassium sensitivity were 1.36 (95% CI: 0.96, 1.92) and 1.60 (95% CI: 1.08, 2.36) for those with maternal hypertension and early onset maternal hypertension, respectively (P = 0.08 and 0.02, respectively). Potassium supplementation could help to reduce blood pressure among those with a maternal history of hypertension. |
| Databáze: | OpenAIRE |
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