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Eating out
equals high blood pressure?
Date:
April 10, 2015
Source:
Duke-NUS Graduate
Medical School Singapore
Summary:
A recent study on
university-going young adults is the first ever to show an association between
meals eaten away from home and high blood pressure. These findings highlight
lifestyle factors that can affect hypertension and emphasize the importance of
being aware of the salt and calorie content in food, to facilitate better meal
choices when eating out.
...........................
A recent study on
university-going young adults, by researchers from the Duke-NUS Graduate
Medical School Singapore (Duke-NUS), is the first ever to show an association
between meals eaten away from home and high blood pressure. These findings
highlight lifestyle factors that can affect hypertension and emphasise the
importance of being aware of the salt and calorie content in food, to
facilitate better meal choices when eating out.
Globally, high blood pressure, or hypertension, is the leading risk factor
for death associated with cardiovascular disease. Studies have shown that young
adults with pre-hypertension, or slightly elevated blood pressure, are at very
high risk of hypertension. Eating meals away from home have been shown to be
associated with higher caloric intake, higher saturated fat intake and higher
salt intake. These eating patterns are thought to cause high blood pressure.
Duke-NUS Professor Tazeen Jafar designed and supervised a study to find
behaviours associated with hypertension in a young adult population in
Southeast Asia. Her team, including Duke-NUS medical student Dominique Seow,
surveyed 501 university-going young adults aged 18 to 40 years in Singapore.
Data on blood pressure, body mass index and lifestyle, including meals eaten
away from home and physical activity levels, were collected. Their association
with hypertension was then determined.
Using statistical analysis, the team found that pre-hypertension was found
in 27.4% of the total population, and 38% ate more than 12 meals away from home
per week; while the gender breakdown showed that pre-hypertension was more
prevalent in men (49%) than in women (9%). Those who had pre-hypertension or
hypertension were more likely to eat more meals away from home per week, have a
higher mean body mass index, have lower mean physical activity levels, and be
current smokers.
The novel finding in this study is the link that Dr. Jafar's team was able
to show between pre-hypertension and hypertension with meals eaten away from
home. What is also significant is that even eating one extra meal out, raised
the odds of prehypertension by 6%.
"While there have been studies conducted in the United States and
Japan to find behaviours associated with hypertension, very few have surveyed a
Southeast Asian population," said Dr. Jafar, who is from the Health
Services and Systems Programme at Duke-NUS. "Our research plugs that gap
and highlights lifestyle factors associated with pre-hypertension and
hypertension that are potentially modifiable, and would be applicable to young
adults globally, especially those of Asian descent."
The findings in this study can be used to modify behaviour through changes
in clinical and policy recommendations. Clinicians can intervene to advise
young adults to modify their lifestyle behaviours while food policy changes can
be made to regulate salt and fat in eateries. Clinicians can also advise
younger male patients that they are at higher risk for pre-hypertension in
order to make them more aware of their predisposition to the condition.
Future studies should examine the effect of lifestyle modification
programmes on blood pressure levels on the at-risk population found in this
study. Dr. Jafar's team plans to lead a related intervention study on
prevention of hypertension among young adults in Singapore.
Story Source:
The above story is based on materials provided by Duke-NUS Graduate Medical School
Singapore. Note: Materials may be edited for content and length.
Journal Reference:
1. D. Y. B. Seow, B. Haaland, T. H.
Jafar. The Association of Prehypertension With Meals Eaten Away From
Home in Young Adults in Singapore. American Journal of Hypertension,
2015; DOI: 10.1093/ajh/hpv027