Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jan;27(1):39-46.
doi: 10.1177/2047487319867500. Epub 2019 Aug 5.

Compliance to dietary guidelines on fruit and vegetable intake and prevalence of hypertension among Vietnamese adults, 2015

Sang Minh Nguyen  1 , Huong Thi Thanh Tran  2   3 , Bao Quoc Tran  4 , Minh Van Hoang  5 , Bac Dinh Truong  4 , Lam Tuan Nguyen  6 , Phu Dac Tran  4 , Truong Duc Lai  6 , Thuan Van Tran  3   7 , Xiao-Ou Shu  1
Affiliations

Compliance to dietary guidelines on fruit and vegetable intake and prevalence of hypertension among Vietnamese adults, 2015

Sang Minh Nguyen et al. Eur J Prev Cardiol. 2020 Jan.

Abstract

Aims: The aim of this study was to investigate whether the Western dietary guidelines on fruit and vegetable intake are associated with blood pressure parameters and hypertension among Vietnamese adults.

Methods: Participants included 1384 women and 1049 men aged 18-69 years from the 2015 Vietnam national survey on risk factors of non-communicable diseases. Associations between dietary intake score based on the Dietary Approaches to Stop Hypertension (DASH) guidelines and World Health Organization recommendations on fruit and vegetable consumption and blood pressure parameters and hypertension were evaluated by multivariate regression analyses.

Results: Approximately 17.0% and 40.1% of participants met the respective definitions of hypertension according to Joint National Committee 7 (JNC7) and 2017 American College of Cardiology/American Heart Association (ACC/AHA) Hypertension Guideline. Highest tertiles of DASH scores for fruit intake were significantly associated with increased blood pressure parameters, particularly in women. Hypertension was associated with DASH score for fruit intake with odds ratios and 95% confidence intervals for tertiles 2-3 versus tertile 1: 1.31 (0.98, 1.76) and 1.43 (1.05, 1.93) for JNC7; 1.26 (1.01, 1.58) and 1.31 (1.04, 1.66) for 2017 ACC/AHA guideline (all p-trend <0.05). No association with blood pressure parameters and hypertension was observed for DASH score for vegetable intake and meeting World Health Organization recommendations for fruit and vegetable intake.

Conclusion: We found an unexpected positive association between DASH score for fruit intake and blood pressure parameters and hypertension among Vietnamese adults. More research is needed in this population to understand the relationship between vegetable and fruit intake with hypertension before a firm conclusion and recommendation are made.

Keywords: Blood pressure; dietary guideline; fruit and vegetable intake; hypertension.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Comment in

References

    1. World Health Organization. Raised blood pressure: Situation and trends (Global Health Observatory), http://www.who.int/gho/ncd/risk_factors/blood_pressure_prevalence_text/en/ (2012, accessed 20 March 2019).
    1. Mills KT, Bundy JD, Kelly TN, et al. Global disparities of hypertension prevalence and control: A systematic analysis of population-based studies from 90 countries. Circulation 2016; 134: 441–450. - PMC - PubMed
    1. Ministry of Health. Health statistics yearbook 2010. Hanoi, Vietnam: Vietnam Ministry of Health, 2011.
    1. Ministry of Health – General Department of Preventive Medicine. National survey of risk factors for non-communicable disease (STEPs) Vietnam 2015. Hanoi, Vietnam: Vietnam Ministry of Health, 2016.
    1. Son PT, Quang NN, Viet NL, et al. Prevalence, awareness, treatment and control of hypertension in Vietnam-results from a national survey. J Hum Hypertens 2012; 26: 268–280. - PubMed

Publication types

MeSH terms