OBJECTIVE: Data from the Multiple Risk Factor Intervention Trial show an independent direct association between starch intake and blood pressure in American men at higher risk of coronary heart disease. Cross-sectional data from the International Study of Macronutrients and Micronutrients and Blood Pressure (INTERMAP) were used to assess relations of dietary starch intake to blood pressure in men and women from four countries. METHODS: Data include 83 nutrients from four multipass 24-h dietary recalls and two timed 24-h urine collections; eight blood pressure readings; and questionnaire data, for 4680 participants aged 40-59 years from 17 population samples in Japan, People's Republic of China, United Kingdom, and United States of America. RESULTS: In multiple linear regression analyses--adjusted for urinary sodium, urinary potassium, consumption of alcohol, cholesterol, saturated fatty acids, polyunsaturated fatty acids, calcium, and other variables--starch intake higher by two standard deviations (14.1% kJ) was associated with systolic/diastolic blood pressure differences of -1.0/-0.9 mmHg (P = 0.09, P < 0.05). Results were similar with additional control for fiber, magnesium, or phosphorus; reduced to -0.5/-0.7 mmHg (P = 0.47, P = 0.13) with separate adjustment for vegetable protein. Findings were similar for men analyzed separately, for American men, and for American men at higher coronary heart disease risk. CONCLUSION: Our findings indicate that--if any--relations of starch intake to blood pressure are modestly inverse. Current dietary guidelines for hypertension prevention and control remain relevant.
OBJECTIVE: Data from the Multiple Risk Factor Intervention Trial show an independent direct association between starch intake and blood pressure in American men at higher risk of coronary heart disease. Cross-sectional data from the International Study of Macronutrients and Micronutrients and Blood Pressure (INTERMAP) were used to assess relations of dietary starch intake to blood pressure in men and women from four countries. METHODS: Data include 83 nutrients from four multipass 24-h dietary recalls and two timed 24-h urine collections; eight blood pressure readings; and questionnaire data, for 4680 participants aged 40-59 years from 17 population samples in Japan, People's Republic of China, United Kingdom, and United States of America. RESULTS: In multiple linear regression analyses--adjusted for urinary sodium, urinary potassium, consumption of alcohol, cholesterol, saturated fatty acids, polyunsaturated fatty acids, calcium, and other variables--starch intake higher by two standard deviations (14.1% kJ) was associated with systolic/diastolic blood pressure differences of -1.0/-0.9 mmHg (P = 0.09, P < 0.05). Results were similar with additional control for fiber, magnesium, or phosphorus; reduced to -0.5/-0.7 mmHg (P = 0.47, P = 0.13) with separate adjustment for vegetable protein. Findings were similar for men analyzed separately, for American men, and for American men at higher coronary heart disease risk. CONCLUSION: Our findings indicate that--if any--relations of starch intake to blood pressure are modestly inverse. Current dietary guidelines for hypertension prevention and control remain relevant.
Authors: Majid Ezzati; Alan D Lopez; Anthony Rodgers; Stephen Vander Hoorn; Christopher J L Murray Journal: Lancet Date: 2002-11-02 Impact factor: 79.321
Authors: Sun Ha Jee; Edgar R Miller; Eliseo Guallar; Vikesh K Singh; Lawrence J Appel; Michael J Klag Journal: Am J Hypertens Date: 2002-08 Impact factor: 2.689
Authors: B Dennis; J Stamler; M Buzzard; R Conway; P Elliott; A Moag-Stahlberg; A Okayama; N Okuda; C Robertson; F Robinson; S Schakel; M Stevens; N Van Heel; L Zhao; B F Zhou Journal: J Hum Hypertens Date: 2003-09 Impact factor: 3.012
Authors: Queenie Chan; Ruey Leng Loo; Timothy M D Ebbels; Linda Van Horn; Martha L Daviglus; Jeremiah Stamler; Jeremy K Nicholson; Elaine Holmes; Paul Elliott Journal: Hypertens Res Date: 2016-12-22 Impact factor: 3.872
Authors: Jeremiah Stamler; Ian J Brown; Ivan K S Yap; Queenie Chan; Anisha Wijeyesekera; Isabel Garcia-Perez; Marc Chadeau-Hyam; Timothy M D Ebbels; Maria De Iorio; Joram Posma; Martha L Daviglus; Mercedes Carnethon; Elaine Holmes; Jeremy K Nicholson; Paul Elliott Journal: Hypertension Date: 2013-10-07 Impact factor: 10.190
Authors: Ian J Brown; Jeremiah Stamler; Linda Van Horn; Claire E Robertson; Queenie Chan; Alan R Dyer; Chiang-Ching Huang; Beatriz L Rodriguez; Liancheng Zhao; Martha L Daviglus; Hirotsugu Ueshima; Paul Elliott Journal: Hypertension Date: 2011-02-28 Impact factor: 10.190
Authors: Queenie Chan; Jeremiah Stamler; Linda M Oude Griep; Martha L Daviglus; Linda Van Horn; Paul Elliott Journal: J Atheroscler Thromb Date: 2015-12-18 Impact factor: 4.928
Authors: John Molitor; Ian J Brown; Queenie Chan; Michail Papathomas; Silvia Liverani; NuooTing Molitor; Sylvia Richardson; Linda Van Horn; Martha L Daviglus; Alan Dyer; Jeremiah Stamler; Paul Elliott Journal: Hypertension Date: 2014-09-08 Impact factor: 10.190