Dairy products consumption and the risk of hypertension in adults: An updated systematic review and dose–response meta-analysis of prospective cohort studies
With an increase in the number of published prospective cohort studies, we sought to summarize the relationship between dairy products consumption and the risk of hypertension (HTN). We searched PubMed, Web of Science, Embase, Science direct, and Scopus. Pooled RRs and 95% CIs were calculated using...
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| Veröffentlicht in: | Nutrition, metabolism, and cardiovascular diseases metabolism, and cardiovascular diseases, 2021-06, Vol.31 (7), p.1962-1975 |
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| container_end_page | 1975 |
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| container_issue | 7 |
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| container_title | Nutrition, metabolism, and cardiovascular diseases |
| container_volume | 31 |
| creator | Heidari, Zahra Rashidi Pour Fard, Nafiseh Clark, Cain C.T. Haghighatdoost, Fahimeh |
| description | With an increase in the number of published prospective cohort studies, we sought to summarize the relationship between dairy products consumption and the risk of hypertension (HTN).
We searched PubMed, Web of Science, Embase, Science direct, and Scopus. Pooled RRs and 95% CIs were calculated using a random effects model. The certainty of the evidence was assessed by Grading of Recommendations Assessment, Development and Evaluation (GRADE). Sixteen studies were included in the current meta-analysis. We found an inverse association between total dairy products (RR = 0.90; 95% CI: 0.87, 0.94; n = 16), low-fat dairy products (RR = 0.86; 95% CI: 0.77, 0.96; n = 8), milk (RR = 0.94; 95% CI: 0.90, 0.99; n = 11), and fermented dairy (RR = 0.95; 95% CI: 0.91, 0.99; n = 8) consumption and the risk of HTN. However, in subgroup analysis, despite a significant association for total dairy products in women, Americans, longer and larger studies, and self-reported HTN, no associations were found in males, Europeans, or Asians, and studies which followed participants for |
| doi_str_mv | 10.1016/j.numecd.2021.02.033 |
| format | Article |
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We searched PubMed, Web of Science, Embase, Science direct, and Scopus. Pooled RRs and 95% CIs were calculated using a random effects model. The certainty of the evidence was assessed by Grading of Recommendations Assessment, Development and Evaluation (GRADE). Sixteen studies were included in the current meta-analysis. We found an inverse association between total dairy products (RR = 0.90; 95% CI: 0.87, 0.94; n = 16), low-fat dairy products (RR = 0.86; 95% CI: 0.77, 0.96; n = 8), milk (RR = 0.94; 95% CI: 0.90, 0.99; n = 11), and fermented dairy (RR = 0.95; 95% CI: 0.91, 0.99; n = 8) consumption and the risk of HTN. However, in subgroup analysis, despite a significant association for total dairy products in women, Americans, longer and larger studies, and self-reported HTN, no associations were found in males, Europeans, or Asians, and studies which followed participants for <10 years or had <3000 participants or measured HTN. Dose–response analysis revealed a non-linear association between total dairy products and milk consumption and the risk of HTN, but a linear association for low-fat dairy products.
Higher dairy products consumption was associated with reduced risk of HTN. This association was dependent on sex, geographical region of study, and the stage of HTN. However, the certainty of the evidence was graded either as low or very low.
•There is an inverse association between total dairy products and low-fat dairy products and hypertension.•There is an inverse association between milk, and fermented dairy products and hypertension.•Cheese, yogurt and high-fat dairy products are not related to the risk of hypertension.•These associations were dependent on sex and geographical region.</description><identifier>ISSN: 0939-4753</identifier><identifier>EISSN: 1590-3729</identifier><identifier>DOI: 10.1016/j.numecd.2021.02.033</identifier><identifier>PMID: 33985895</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Blood pressure ; Dairy ; Hypertension ; Meta-analysis ; Milk ; Yogurt</subject><ispartof>Nutrition, metabolism, and cardiovascular diseases, 2021-06, Vol.31 (7), p.1962-1975</ispartof><rights>2021 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University</rights><rights>Copyright © 2021 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c428t-14c3fa4e7511ceb4ded0556e58289f7c495766ea5b56f3bf9b1525e33cc11dad3</citedby><cites>FETCH-LOGICAL-c428t-14c3fa4e7511ceb4ded0556e58289f7c495766ea5b56f3bf9b1525e33cc11dad3</cites><orcidid>0000-0003-4766-6267</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0939475321001290$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33985895$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heidari, Zahra</creatorcontrib><creatorcontrib>Rashidi Pour Fard, Nafiseh</creatorcontrib><creatorcontrib>Clark, Cain C.T.</creatorcontrib><creatorcontrib>Haghighatdoost, Fahimeh</creatorcontrib><title>Dairy products consumption and the risk of hypertension in adults: An updated systematic review and dose–response meta-analysis of prospective cohort studies</title><title>Nutrition, metabolism, and cardiovascular diseases</title><addtitle>Nutr Metab Cardiovasc Dis</addtitle><description>With an increase in the number of published prospective cohort studies, we sought to summarize the relationship between dairy products consumption and the risk of hypertension (HTN).
We searched PubMed, Web of Science, Embase, Science direct, and Scopus. Pooled RRs and 95% CIs were calculated using a random effects model. The certainty of the evidence was assessed by Grading of Recommendations Assessment, Development and Evaluation (GRADE). Sixteen studies were included in the current meta-analysis. We found an inverse association between total dairy products (RR = 0.90; 95% CI: 0.87, 0.94; n = 16), low-fat dairy products (RR = 0.86; 95% CI: 0.77, 0.96; n = 8), milk (RR = 0.94; 95% CI: 0.90, 0.99; n = 11), and fermented dairy (RR = 0.95; 95% CI: 0.91, 0.99; n = 8) consumption and the risk of HTN. However, in subgroup analysis, despite a significant association for total dairy products in women, Americans, longer and larger studies, and self-reported HTN, no associations were found in males, Europeans, or Asians, and studies which followed participants for <10 years or had <3000 participants or measured HTN. Dose–response analysis revealed a non-linear association between total dairy products and milk consumption and the risk of HTN, but a linear association for low-fat dairy products.
Higher dairy products consumption was associated with reduced risk of HTN. This association was dependent on sex, geographical region of study, and the stage of HTN. However, the certainty of the evidence was graded either as low or very low.
•There is an inverse association between total dairy products and low-fat dairy products and hypertension.•There is an inverse association between milk, and fermented dairy products and hypertension.•Cheese, yogurt and high-fat dairy products are not related to the risk of hypertension.•These associations were dependent on sex and geographical region.</description><subject>Blood pressure</subject><subject>Dairy</subject><subject>Hypertension</subject><subject>Meta-analysis</subject><subject>Milk</subject><subject>Yogurt</subject><issn>0939-4753</issn><issn>1590-3729</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kc1u1TAQhS1ERS-FN0DISzYJ_onzwwKpKr9SpW5gbTn2RNeXxAkepyg73oEH6LvxJPhyS5esvJgz5xzPR8gLzkrOeP36UIZ1AutKwQQvmSiZlI_IjquOFbIR3WOyY53siqpR8pw8RTwwJhsmqyfkXMquVW2nduTunfFxo0uc3WoTUjsHXKcl-TlQExxNe6DR4zc6D3S_LRATBDwOfZ67dUz4hl4Gui7OJHAUN0wwmeQtjXDr4cdfEzcj_P75KwIu2R7oBMkUJphxQ49H5xyPC9jkbyE32M8xUUyr84DPyNlgRoTn9-8F-frh_ZerT8X1zcfPV5fXha1EmwpeWTmYChrFuYW-cuCYUjWoVrTd0NiqU01dg1G9qgfZD13PlVAgpbWcO-PkBXl18s1Vvq-ASU8eLYyjCTCvqIUSLW-5ZCpLq5PU5tYYYdBL9JOJm-ZMH9Hogz6h0Uc0mgmd0eS1l_cJaz-Be1j6xyIL3p4EkP-Zbxc1Wg_BgvMx30a72f8_4Q8wUads</recordid><startdate>20210630</startdate><enddate>20210630</enddate><creator>Heidari, Zahra</creator><creator>Rashidi Pour Fard, Nafiseh</creator><creator>Clark, Cain C.T.</creator><creator>Haghighatdoost, Fahimeh</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4766-6267</orcidid></search><sort><creationdate>20210630</creationdate><title>Dairy products consumption and the risk of hypertension in adults: An updated systematic review and dose–response meta-analysis of prospective cohort studies</title><author>Heidari, Zahra ; Rashidi Pour Fard, Nafiseh ; Clark, Cain C.T. ; Haghighatdoost, Fahimeh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-14c3fa4e7511ceb4ded0556e58289f7c495766ea5b56f3bf9b1525e33cc11dad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Blood pressure</topic><topic>Dairy</topic><topic>Hypertension</topic><topic>Meta-analysis</topic><topic>Milk</topic><topic>Yogurt</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heidari, Zahra</creatorcontrib><creatorcontrib>Rashidi Pour Fard, Nafiseh</creatorcontrib><creatorcontrib>Clark, Cain C.T.</creatorcontrib><creatorcontrib>Haghighatdoost, Fahimeh</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition, metabolism, and cardiovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heidari, Zahra</au><au>Rashidi Pour Fard, Nafiseh</au><au>Clark, Cain C.T.</au><au>Haghighatdoost, Fahimeh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dairy products consumption and the risk of hypertension in adults: An updated systematic review and dose–response meta-analysis of prospective cohort studies</atitle><jtitle>Nutrition, metabolism, and cardiovascular diseases</jtitle><addtitle>Nutr Metab Cardiovasc Dis</addtitle><date>2021-06-30</date><risdate>2021</risdate><volume>31</volume><issue>7</issue><spage>1962</spage><epage>1975</epage><pages>1962-1975</pages><issn>0939-4753</issn><eissn>1590-3729</eissn><abstract>With an increase in the number of published prospective cohort studies, we sought to summarize the relationship between dairy products consumption and the risk of hypertension (HTN).
We searched PubMed, Web of Science, Embase, Science direct, and Scopus. Pooled RRs and 95% CIs were calculated using a random effects model. The certainty of the evidence was assessed by Grading of Recommendations Assessment, Development and Evaluation (GRADE). Sixteen studies were included in the current meta-analysis. We found an inverse association between total dairy products (RR = 0.90; 95% CI: 0.87, 0.94; n = 16), low-fat dairy products (RR = 0.86; 95% CI: 0.77, 0.96; n = 8), milk (RR = 0.94; 95% CI: 0.90, 0.99; n = 11), and fermented dairy (RR = 0.95; 95% CI: 0.91, 0.99; n = 8) consumption and the risk of HTN. However, in subgroup analysis, despite a significant association for total dairy products in women, Americans, longer and larger studies, and self-reported HTN, no associations were found in males, Europeans, or Asians, and studies which followed participants for <10 years or had <3000 participants or measured HTN. Dose–response analysis revealed a non-linear association between total dairy products and milk consumption and the risk of HTN, but a linear association for low-fat dairy products.
Higher dairy products consumption was associated with reduced risk of HTN. This association was dependent on sex, geographical region of study, and the stage of HTN. However, the certainty of the evidence was graded either as low or very low.
•There is an inverse association between total dairy products and low-fat dairy products and hypertension.•There is an inverse association between milk, and fermented dairy products and hypertension.•Cheese, yogurt and high-fat dairy products are not related to the risk of hypertension.•These associations were dependent on sex and geographical region.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>33985895</pmid><doi>10.1016/j.numecd.2021.02.033</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-4766-6267</orcidid></addata></record> |
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| source | Elsevier ScienceDirect Journals |
| subjects | Blood pressure Dairy Hypertension Meta-analysis Milk Yogurt |
| title | Dairy products consumption and the risk of hypertension in adults: An updated systematic review and dose–response meta-analysis of prospective cohort studies |
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