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Worldwide associations of fruit and vegetable supply with blood pressure from 1975 to 2015: an ecological study

Low fruit and vegetable consumption is a major modifiable risk factor for raised blood pressure (BP), but it is unknown how heterogeneity in national supply has contributed to BP trends. To address this, we characterised supply trends from 1975 to 2015 and whether it met WHO recommendations. We then...

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Autores principales: Oude Griep, Linda M, Bentham, James, Mahadevan, Preveina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10407360/
https://www.ncbi.nlm.nih.gov/pubmed/37559966
http://dx.doi.org/10.1136/bmjnph-2022-000455
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author Oude Griep, Linda M
Bentham, James
Mahadevan, Preveina
author_facet Oude Griep, Linda M
Bentham, James
Mahadevan, Preveina
author_sort Oude Griep, Linda M
collection PubMed
description Low fruit and vegetable consumption is a major modifiable risk factor for raised blood pressure (BP), but it is unknown how heterogeneity in national supply has contributed to BP trends. To address this, we characterised supply trends from 1975 to 2015 and whether it met WHO recommendations. We then examined associations with three metrics: systolic, diastolic and raised BP. We used ecological data on fruit and vegetable supply and on BP for 159 countries. We examined trends in fruit and vegetable supply from 1975 to 2015 by country and World Bank income region. Multivariable linear regression was used to examine cross-sectional associations with BP. Global fruit and vegetable supply increased from 1975 to 2015, but with heterogeneous national and regional trends. While WHO recommendations were met globally, this target was not met in almost half the countries, of which many were low-income countries. Significant associations between combined fruit and vegetable supply and raised BP were observed. Over the past four decades, combined fruit and vegetable supply has been consistently and strongly associated with lower prevalence of raised BP globally. However, the heterogeneous regional trends in fruit and vegetable supply underpin the need for international organisations and individual governments to introduce or strengthen policies for increased fruit and vegetable supply to reduce the burden of non-communicable diseases at national and global levels.
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spelling pubmed-104073602023-08-09 Worldwide associations of fruit and vegetable supply with blood pressure from 1975 to 2015: an ecological study Oude Griep, Linda M Bentham, James Mahadevan, Preveina BMJ Nutr Prev Health Original Research Low fruit and vegetable consumption is a major modifiable risk factor for raised blood pressure (BP), but it is unknown how heterogeneity in national supply has contributed to BP trends. To address this, we characterised supply trends from 1975 to 2015 and whether it met WHO recommendations. We then examined associations with three metrics: systolic, diastolic and raised BP. We used ecological data on fruit and vegetable supply and on BP for 159 countries. We examined trends in fruit and vegetable supply from 1975 to 2015 by country and World Bank income region. Multivariable linear regression was used to examine cross-sectional associations with BP. Global fruit and vegetable supply increased from 1975 to 2015, but with heterogeneous national and regional trends. While WHO recommendations were met globally, this target was not met in almost half the countries, of which many were low-income countries. Significant associations between combined fruit and vegetable supply and raised BP were observed. Over the past four decades, combined fruit and vegetable supply has been consistently and strongly associated with lower prevalence of raised BP globally. However, the heterogeneous regional trends in fruit and vegetable supply underpin the need for international organisations and individual governments to introduce or strengthen policies for increased fruit and vegetable supply to reduce the burden of non-communicable diseases at national and global levels. BMJ Publishing Group 2023-01-31 /pmc/articles/PMC10407360/ /pubmed/37559966 http://dx.doi.org/10.1136/bmjnph-2022-000455 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Oude Griep, Linda M
Bentham, James
Mahadevan, Preveina
Worldwide associations of fruit and vegetable supply with blood pressure from 1975 to 2015: an ecological study
title Worldwide associations of fruit and vegetable supply with blood pressure from 1975 to 2015: an ecological study
title_full Worldwide associations of fruit and vegetable supply with blood pressure from 1975 to 2015: an ecological study
title_fullStr Worldwide associations of fruit and vegetable supply with blood pressure from 1975 to 2015: an ecological study
title_full_unstemmed Worldwide associations of fruit and vegetable supply with blood pressure from 1975 to 2015: an ecological study
title_short Worldwide associations of fruit and vegetable supply with blood pressure from 1975 to 2015: an ecological study
title_sort worldwide associations of fruit and vegetable supply with blood pressure from 1975 to 2015: an ecological study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10407360/
https://www.ncbi.nlm.nih.gov/pubmed/37559966
http://dx.doi.org/10.1136/bmjnph-2022-000455
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