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首页> 外文期刊>Hypertension: An Official Journal of the American Heart Association >Sugar-sweetened beverage, sugar intake of individuals, and their blood pressure: international study of macro/micronutrients and blood pressure.
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Sugar-sweetened beverage, sugar intake of individuals, and their blood pressure: international study of macro/micronutrients and blood pressure.

机译：含糖饮料，个人糖摄入量及其血压：大量/微量营养素和血压的国际研究。

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The obesity epidemic has focused attention on relationships of sugars and sugar-sweetened beverages (SSBs) to cardiovascular risk factors. Here we report cross-sectional associations of SSBs, diet beverages, and sugars with blood pressure (BP) for United Kingdom and US participants of the International Study of Macro/Micronutrients and Blood Pressure. Data collected include four 24-hour dietary recalls, two 24-hour urine collections, 8 BP readings, and questionnaire data for 2696 people ages 40 to 59 years of age from 10 US/United Kingdom population samples. Associations of SSBs, diet beverages, and sugars (fructose, glucose, and sucrose) with BP were assessed by multiple linear regression. SSB intake related directly to BP, with P values of 0.005 to <0.001 (systolic BP) and 0.14 to <0.001 (diastolic BP). SSB intake higher by 1 serving per day (355 mL/24 hours) was associated with systolic/diastolic BP differences of +1.6/+0.8 mm Hg (both P<0.001) and +1.1/+0.4 mm Hg (P<0.001/<0.05) with adjustment for weight and height. Diet beverage intake was inversely associated with BP (P 0.41 to 0.003). Fructose- and glucose-BP associations were direct, with significant sugar-sodium interactions: for individuals with above-median 24-hour urinary sodium excretion, fructose intake higher by 2 SD (5.6% kcal) was associated with systolic/diastolic BP differences of +3.4/+2.2 mm Hg (both P<0.001) and +2.5/+1.7 mm Hg (both P=0.002) with adjustment for weight and height. Observed independent, direct associations of SSB intake and BP are consistent with recent trial data. These findings, plus adverse nutrient intakes among SSB consumers, and greater sugar-BP differences for persons with higher sodium excretion lend support to recommendations that intake of SSBs, sugars, and salt be substantially reduced.
机译：肥胖流行病已将注意力集中在糖和含糖饮料（SSB）与心血管危险因素的关系上。在这里，我们报告了英国和美国参加的国际宏观/微量营养素和血压研究的参与者的SSB，减肥饮料和糖与血压（BP）的横断面关联。收集的数据包括来自10个美国/英国人口样本的2696个年龄在40至59岁之间的人的四次24小时饮食召回，两次24小时尿液收集，8 BP读数以及问卷数据。通过多元线性回归评估SSB，减肥饮料和糖（果糖，葡萄糖和蔗糖）与BP的相关性。 SSB摄入量直接与BP相关，P值为0.005至<0.001（收缩压）和0.14至<0.001（舒张压）。每天增加1餐（355 mL / 24小时）摄入SSB与收缩压/舒张压BP差+ 1.6 / + 0.8 mm Hg（均P <0.001）和+ 1.1 / + 0.4 mm Hg（P <0.001 / <0.05），并调整了体重和身高。饮食饮料的摄入与BP呈负相关（P 0.41至0.003）。果糖和葡萄糖-BP的关联是直接的，具有显着的糖钠相互作用：对于中位数24小时尿钠排泄量较高的个体，果糖摄入量高2 SD（5.6％kcal）与收缩压/舒张压BP的差异有关。 + 3.4 / + 2.2毫米汞柱（均P <0.001）和+ 2.5 / + 1.7毫米汞柱（均P = 0.002），并调整了体重和身高。观察到的SSB摄入量和BP的独立，直接关联与最近的试验数据一致。这些发现，再加上SSB消费者的营养摄入量不利，以及钠排泄量较高的人的糖-BP差异较大，因此建议大幅减少SSB，糖和盐的摄入量。

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